Masifunde nge-chorioamnionitis, isifo esinokwenzeka sosulelo lwe-amniotic fluid ngexesha lokukhulelwa.

Ukuba ukhulelwe, kufuneka ukuba ucinga kakhulu ngokhuseleko lwakho nolomntwana wakho, akunjalo? Ngamanye amaxesha asiva nto ngayo, kodwa kukho ezinye iimeko ezinokwenzeka ngexesha lokukhulelwa. Enye yezi meko ifuna ingqalelo encinci, kodwa kungekho nto ixhalabisayo ngayo, yiChorioamnionitis. Ngaba singathetha ngale nto ngokulula?

Yintoni i-chorioamnionitis? Ixhaphake kangakanani?

Ngamafutshane, i-chorioamnionitis sisifo esibi kakhulu onokusifumana ngexesha lokukhulelwa . Igama laso livela kwiinwebu ezimbini ezijikeleze umntwana wakho esibelekweni. Inwebu yangaphandle ibizwa ngokuba yi-chorion, kwaye inwebu yangaphakathi ibizwa ngokuba yi-amnion. Ezi ziinwebu ezijikeleze umntwana wakho, ulwelo lwe-amniotic. Cinga ngomntwana wakho njengokwingxowa yamanzi ekhuselayo. Olu sulelo lwenzeka xa iibhaktheriya zingena kwezi nwebu, okanye kwiithishu, ezijikeleze umntwana wakho. Oko kukuthi:

• I-Chorion (i-membrane engaphandle ejikeleze umntwana)
• I-Amnion (i-membrane yangaphakathi ejikeleze umntwana)
• I-Placenta (inxalenye enika umntwana ukutya kunye neoksijini )
• Ulwelo lwe -amniotic (ulwelo apho umntwana edada khona)

Le meko inokwenzeka ukuba iintsholongwane zingena nakweyiphi na kwezi ndawo. Ngokwesiqhelo, amayeza okubulala iintsholongwane anikwa njengonyango. Kodwa ngamanye amaxesha ugqirha wakho unokufuneka abelekise umntwana wakho kwangethuba. Ukuba oku akuphathwanga kakuhle, kunokuba yingozi kuwe nakumntwana wakho. Ngoko ke kubalulekile ukukwazi oku. Xa ucinga ukuba le meko ixhaphake kangakanani, kumazwe afana ne-United States, yenzeka phakathi kwe-1% kunye ne-5% yokuzalwa. Yenye yezizathu zokubeleka ngaphambi kwexesha kunye nokuzala ngaphambi kwexesha. Oku kuthetha ukuba umntwana unethuba elikhulu lokuzalwa ngaphambi kwexesha elipheleleyo.

Zithini iimpawu zoku?

Iimpawu ze-chorioamnionitis zingahluka kumntu nomntu. Abanye abantu basenokungabi nazo naziphi na iimpawu ezinkulu. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo:

• Ukuba nomkhuhlane ( ubushushu bomzimba obungaphezulu kwama-38 degrees Celsius, okanye ama-100.4 degrees Fahrenheit).
• Ukunyuka kwesantya sentliziyo yakho okanye somntwana wakho (ngaphezulu kwe-100 beats ngomzuzu kuwe, ngaphezu kwe-160 kumntwana).
• Ukuva iintlungu okanye ukuthamba okukhulu xa uchukumisa isibeleko okanye ucinezela isisu.
• Ivumba elibi okanye umbala ongaqhelekanga wokukhupha ulwelo kwilungu lobufazi(Njengoluhlaza, tyheli).
• Ukubila (ingakumbi xa kukho umkhuhlane).
• Ngamanye amaxesha ungaziva ungcangcazela .

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha ngokukhawuleza.

Ikhula njani i-chorioamnionitis?

Eyona nto ibangela oku kusulelo lwebhaktiriya . Ezi bhaktiriya zihlala kwilungu lobufazi, kodwa ukuba ziya phezulu ziye esibelekweni, zinokubangela iingxaki. Olu sulelo lunokuqala kwilungu lobufazi, i-anus, okanye i-rectum kwaye lusasazeke kwisibeleko sakho. Okanye, ukuba i-amniotic sac ejikeleze umntwana wakho iyaqhuma (siyibiza ngokuba 'yingxowa yamanzi ephukileyo'), olu sulelo lunokuqala ngaphakathi kwesibeleko sakho. Kuba xa ingxowa yamanzi iqhuma, iibhaktiriya zinokungena. Ezi bhaktiriya zinokosulela i-placenta yakho kunye nomntwana wakho. Enye into kukuba uhlolo oluqhelekileyo lwesibeleko (ingakumbi uhlolo olwenziwa ngesandla) emva kokuba amanzi eqhuma, okanye emva kovavanyo olufana ne-amniocentesis (uvavanyo lokuqokelela isampuli yolwelo lwe-amniotic), lunokusasaza olu sulelo. Iintlobo ezimbini eziphambili zebhaktiriya ezihlala zibangela oku yi -E. coli (uhlobo lwebhaktiriya oluhlala lufumaneka emathunjini) kunye ne-Group B strep. Nangona le bhaktiriya, ebizwa ngokuba yi-Group B strep, ingenabungozi kwilungu lobufazi kubasetyhini abaninzi abakhulelweyo, ngamanye amaxesha inokosulela umntwana ngexesha lokubeleka.

Ngaba oku kunokuchaphazela umntwana?

Ewe, ngokuqinisekileyo. I-Chorioamnionitis yimeko enokuba nefuthe elikhulu kungekuphela nje kumama, kodwa nakumntwana osesiswini. Ezinye zeengxaki ziquka:

• Iintsholongwane ezinzulu (umzekelo, usulelo olusasazeka egazini - i-sepsis ).
• Umonakalo wobuchopho okanye iziphumo zophuhliso lobuchopho.
• Iingxaki zemiphunga (umz. i-pneumonia ).
• Amathuba okuzala ngaphambi kwexesha ayanda.
• Nangona kunqabile, ukufa kunokwenzeka .

Yingakho kubaluleke kakhulu ukuqaphela nokunyanga le meko ngokukhawuleza.

Uyixilonga njani le nto?

Ugqirha wakho oza kukunika unyango ngaphambi kokukhulelwa uza kuyixilonga le meko. Uza kwenza uvavanyo lomzimba, abuze ngeempawu zakho (ezifana nomkhuhlane kunye nentlungu yesisu), aze abhale imbali yezonyango eneenkcukacha. Ukongeza, ungenza oku kulandelayo:

• Jonga ukuba kukho usulelo okanye inani leeseli ezimhlophe zegaziUvavanyo lwegazi nomchamo lunokufuneka (amanani eeseli ezimhlophe zegazi adla ngokuphakanyiswa xa umntu esulelekile).
• I-culture yesini ingathathwa ize ithunyelwe kwilebhu ukuze kuhlolwe iintsholongwane.
• Ngamanye amaxesha, isampuli yolwelo lwakho lwe-amniotic ingathathwa ukuze kuhlolwe iintsholongwane. Oku kwenziwa ngenkqubo ebizwa ngokuba yi-amniocentesis.
• I-ultrasound ingenziwa ukujonga impilo yomntwana kunye nokubetha kwentliziyo yakhe.

Ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo, ugqirha ugqiba ekubeni ingaba le yi-chorioamnionitis okanye akunjalo.

Iphathwa njani le nto?

Ukuba ugqirha wakho ufumanisa i-chorioamnionitis, unyango oluphambili zii -antibiotics . Ezi zinikwa ukubulala iintsholongwane ezibangela usulelo. Ezi antibiotics zihlala zinikwa ngenaliti efakwe emthanjeni (i-IV). Amayeza aqala ukusebenza ngokukhawuleza emzimbeni wakho. Kwezinye iimeko, ingakumbi ukuba usulelo lunzima okanye ukuba kukho umngcipheko kwimpilo yomntwana, oogqirha banokucebisa ukuba umntwana abelekwe kwangethuba . Oku kunokunceda ukuthintela iingxaki ezongezelelweyo kuwe nakumntwana wakho. Emva kokuba umntwana wakho ezelwe, ukuba umntwana wakho osandul’ ukuzalwa naye unesulelo, uya kunikwa nee-antibiotics.

Ungakhathazeki: oogqirha benza okulungileyo kuwe nakumntwana wakho. Kubalulekile ukumamela oko bakuthethayo kwaye wenze ngokufanelekileyo.

Zeziphi iingxaki ezinokubangela oku?

Ukuba une-chorioamnionitis enzima, okanye ukuba ayinyangwa, umama unokufumana iingxaki ezifana nezi:

• Ukusasazeka kosulelo kummandla wakho we-pelvic kunye nesisu .
• I-Endometritis, ukudumba kolwelo lwesibeleko, inokwenzeka emva kokuzalwa komntwana.
• Amahlwili egazi kwi-pelvis okanye kwimiphunga yakho .
• I-Sepsis lusulelo lwegazi olunokuba yingozi ebomini .

Kubalulekile: I-Sepsis yimeko enzima kakhulu efuna unyango olungxamisekileyo. Yindlela umzimba wonke osabela ngayo xa usulelwe.

Usana lwakho olusandul’ ukuzalwa lunokuba neengxaki ezibangelwa lolu sulelo lwebhaktiriya. Umzekelo:

• I-Sepsis (usulelo olunzima lwegazi).
• I-Meningitis (ukudumba kwee-membrane ezijikeleze ingqondo kunye nomqolo).
• I-Pneumonia (usulelo lwemiphunga).
• Ubunzima bokuphefumla.
• Iziphumo zexesha elide ekuphuhlisweni kwengqondo (umz. iCerebral Palsy).

Yingakho kubalulekile ukuba uqaphele le meko kwaye ufune unyango olukhawulezileyo.

Ziziphi izinto ezonyusa le ngozi?

Izinto ezithile zinokunyusa umngcipheko wakho wokuba ne-chorioamnionitis. Ezi ziquka:

• Ukuzala ngaphambi kwexesha (ngaphambi kweeveki ezingama-37).
• Amanzi ayaqhekeka iiyure ezingaphezu kwe-18-24 ngaphambi kokuba umntwana azalwe (oku kubizwa ngokuba kukuqhekeka okude kwee-membranes).
• Intlungu yokubeleka ihlala ixesha elide .
• Unentsholongwane enganyangwanga kwilungu lobufazi (umz., i-bacterial vaginosis) okanye intsholongwane edluliselwa ngesondo (STI) .
• Unesifo se-strep kwiQela B (ingakumbi ukuba asinyangwa).
• Ukuhlolwa rhoqo kwesitho sangasese sowesifazane (ngesandla) emva kokuba kuphuke amanzi.
• Ukusebenzisa izixhobo zokujonga umntwana ongekazalwa okanye isibeleko .
• Ukukhulelwa kokuqala.
• Ukutshaya.

Ukuba unazo ezi zinto zinobungozi, thetha nogqirha wakho ngazo uze ufunde ngezinto ekufuneka uzilumkele ngakumbi.

Oku kungathintelwa njani?

Nangona kukho izinto esingenakuzilawula (umz., ukuqhekeka kwangaphambi kwexesha kwee-membranes), kukho izinto ezimbalwa onokuzenza ukunciphisa umngcipheko wakho we-chorioamnionitis:

• Ukuba amanzi akho aphuma kwangethuba (ngaphambi kweeveki ezingama-37), thatha amayeza okubulala iintsholongwane njengoko ugqirha wakho ekuyalele . Oku kunokunciphisa umngcipheko wokosuleleka.
• Nciphisa inani lokuhlolwa kwamalungu esini emva kokuba uphumile amanzi. Olu vavanyo kufuneka lwenziwe kuphela xa kuyimfuneko kwaye ngononophelo.
• Vavanywa i-Group B strep ngexesha lesithathu le-trimester (phakathi kweeveki ezingama-35 nama-37) zokukhulelwa. Ukuba ufunyaniswe ukuba unale bhaktiriya, uya kunikwa amayeza okubulala iintsholongwane xa uqala ukuzala okanye amanzi akho aqhekeke ukuthintela usulelo kumntwana wakho.
• Ukuba uneempawu zosulelo lwelungu lobufazi (ezifana nokukhupha okungaqhelekanga, ukurhawuzelelwa), funa unyango ngokukhawuleza.
• Ukuphepha ukutshaya.

Ukuba ukhathazekile okanye unenkxalabo malunga ne-chorioamnionitis, thetha nomboneleli wakho wokhathalelo lwangaphambi kokukhulelwa. Yena angahlola imeko yakho aze akuxelele ngomngcipheko wakho.

Ndifanele ndimbone nini ugqirha?

Ngelixa ukhulelwe, kukho iimpawu ekufuneka uziqaphele ngakumbi. Ukuba ii-membrane zakho ziyaphuka (amanzi akho ayaphuka), fowunela ugqirha wakho okanye isibhedlele ngoko nangoko. Kwakhona, qiniseka ukuba ubona ugqirha wakho ukuba unezinye zezi mpawu:

• Ukuba unomkhuhlane (ingakumbi ngaphandle kwezinye iimpawu zomkhuhlane).
• Intlungu entsha okanye ukuqina esiswini okanye kwindawo ye-pelvicUkuba uziva ngathi.
• Ukuba ulwelo lwakho oluphuma kwilungu lobufazi lunuka kakubi okanye lutshintshe umbala.
• Ukuba isantya sentliziyo yakho sivakala ngathi sinyuka ngokukhawuleza .

Ukwenza izinto ngokukhawuleza ngamaxesha anje kunokukhusela wena nomntwana wakho.

Ngaba umntwana angaphila esibelekweni ngaphandle kolwelo lwe-amniotic?

Hayi, umntwana akanakuphila ixesha elide esibelekweni ngaphandle kolwelo lwe-amniotic. Ulwelo lwe-amniotic luyinto ebaluleke kakhulu ekhusela umntwana, inceda imiphunga kunye nezintso zomntwana ukuba zikhule, kwaye ilawule ubushushu bomzimba. Ngaphandle kwalo, umntwana unokosuleleka lula. Lunokukhokelela nakwezinye iingxaki ezisongela ubomi, ezifana nokucinezelwa kwentambo yesisu. Ugqirha wakho uya kugqiba ixesha elifanelekileyo lokubeleka umntwana wakho ngokusekelwe ekubeni ukhulelwe ixesha elingakanani.

Umntwana angaphila ixesha elingakanani emva kokuba ndiphumile emanzini?

Oku kuyahluka kumntu nomntu. Kukwaxhomekeke kwizinto ezininzi, njengesigaba sokukhulelwa (ukuba umntwana ukhule kangakanani) kunye nokuba kukho naziphi na iimpawu zosulelo. Nangona kunjalo, ngokubanzi, uninzi loogqirha bafuna ukuzala umntwana wakho kwiiyure ezingama-24 emva kokuqhekeka kwamanzi. Ingakumbi ukuba amanzi akho aqhekeka kwinqanaba eliphezulu kakhulu (njesemva kweeveki ezingama-34), umngcipheko wosulelo uphezulu, ngoko ke ukuzala umntwana wakho kwangethuba yeyona ndlela ikhuselekileyo. Nangona kunjalo, ukuba umntwana wakho ungaphambi kwexesha kakhulu (njephakathi kweeveki ezingama-24-34), ngamanye amaxesha oogqirha banokuzama ukugcina umntwana wakho esibelekweni kangangeentsuku ezimbalwa ngokumnika amayeza okubulala iintsholongwane, kunye namayeza anjenge-steroids ukunceda imiphunga yomntwana ikhule.

Umyalezo Wokugqibela Wokuya Ekhaya

I-Chorioamnionitis yimeko enzima enokwenzeka ngexesha lokukhulelwa. Nangona kunjalo, nangona ungenakuyilawula, ungenza izinto ezifana nokuqaphela iimpawu kwaye uxelele umboneleli wakho wokhathalelo lwangaphambi kokukhulelwa ngazo zonke iimpawu zakho. Unyango ludla ngokubandakanya amayeza okubulala iintsholongwane. Nangona kunjalo, ngamanye amaxesha kunokufuneka ubelekise umntwana wakho kwangethuba. Ukuba ufunyaniswe unale meko, qiniseka ukuba uthetha nogqirha wakho ngayo kwaye ubuze nayiphi na imibuzo onokuba nayo. Eyona nto ibalulekileyo kukuhlala uzolile kwaye ulandele imiyalelo kagqirha wakho. Kukho oogqirha abaxhalabileyo ngempilo yakho neyeyomntwana wakho kwaye baya kuthatha amanyathelo afunekayo. Ngoko ungoyiki ukuthetha nabo ngayo.