Usenokuba useziveki zokugqibela zokukhulelwa kwakho. Okanye usenokuba usegumbini lokubeleka ubeleka. Ngequbuliso, ugqirha ungena aze athi, "Intliziyo yomntwana iyehla kancinci, kwaye amanzi ajikeleze umntwana abonakala esezantsi." Ngamaxesha anje, siza kuthetha ngonyango olukhethekileyo olusetyenziswa ngoogqirha ukukhusela wena nomntwana wakho. Musa ukoyika xa usiva oku, olu lonyango oluphumelele kakhulu kwiimeko ezininzi.
Ngamafutshane, yintoni i-Amnioinfusion?
Ukufakwa kwe-amnioinfusion yinkqubo apho kufakwa khona ulwelo olukhethekileyo esibelekweni sakho, apho umntwana wakho akhoyo. Kufana nokugcwalisa itanki elincinci ebelihleli ixesha elide. Oku kwenziwa xa ukubetha kwentliziyo yomntwana wakho kungahambi kakuhle okanye kucotha ngexesha lokubeleka. Isizathu esiphambili soku kukuba ubuninzi bamanzi ajikeleze umntwana wakho buyancipha.
Ngoku usenokuba uzibuza ukuba zeziphi ezi zinto zimanzi. Ezi azinabungozi kuwe okanye kumntwana wakho. Oogqirha basebenzisa isisombululo esibizwa ngokuba yi-saline solution okanye isisombululo seRinger esincancisiweyo . Ezi zizinto ezicocekileyo nezingenazintsholongwane ezifana kakhulu nezo zimanzi emizimbeni yethu.
Xa olu lwelo lufakwa esibelekweni, luthatha indawo yolwelo lwe-amniotic oluye lwaphela. Oku kuyayithintela intambo yesisu ekutyhaleni, kubuyisela umbane weoksijini womntwana, kwaye kuzinzise ukubetha kwentliziyo yomntwana.
Ngoko ke, yintoni le amniotic fluid?
Ulwelo lwe-amniotic lufana nomqamelo wolwelo ofudumeleyo nokhuselayo ojikeleze umntwana wakho ngaphakathi kwesibeleko sakho. Lunika ukhuseleko olubalulekileyo kumntwana wakho.
- Ikhusela umntwana kwiintsholongwane ezivela ngaphandle.
- Ithintela ukucinezelwa kwentambo yomlomo.
- Ikhusela umntwana kwezinye iingozi njengoko ehambahamba ngaphakathi kwesibeleko.
- Inceda ukukhula kwemiphunga yomntwana kunye nenkqubo yokugaya ukutya.
- Inceda ukugcina ubushushu bomzimba womntwana buhlala buhleli.
Ukuba ulwelo olubalulekileyo lwe-amniotic lulahlekile ngokwaneleyo, umntwana unokuba neengxaki zempilo kunye neengxaki ngexesha lokubeleka.
Ukubaluleka kwentambo yomlomo
Intambo yesisu yindlela yokuphila yomntwana ngaphakathi esibelekweni. Yiyo edibanisa umntwana ne-placenta. Umntwana ufumana yonke ioksijini, igazi, kunye nezondlo ezibalulekileyo azidingayo ngale ntambo yesisu. Ngoko ke ukuba le ntambo yesisu icinezelwe, zonke ezi zinto zinikwa umntwana zinokunqanyulwa. Oko kunokuba yingozi kakhulu kumntwana.
Kukweziphi iimeko apho unyango lwe-amnioinfusion luyimfuneko?
Olu nyango alulungelanga wonke umntu. Oogqirha balucebisa kuphela kwiimeko ezimbalwa ezithile . Olu nyango lwenziwa ikakhulu kwiimeko apho kukho ukuncipha komthamo wamanzi ajikeleze usana, imeko ebizwa ngokuba yi -Oligohydramnios .
Le theyibhile ingezantsi inokukunceda ukuqonde oku ngokucacileyo.
| Imeko efuna unyango | Kalula nje, lo msitho |
|---|---|
| Uxinzelelo lwentambo ye-umbilical | Xa kungekho manzi aneleyo ajikeleze umntwana, intambo yesisu inokubanjwa phakathi kodonga lwesibeleko nomzimba womntwana. Oku kuphazamisa ukunikezelwa kwegazi neoksijini yomntwana. Oku kubangela uxinzelelo olukhulu kumntwana (uxinzelelo lwe-fetal). Ukongeza amanzi nge-amnioinfusion kuvumela intambo yesisu ukuba intante ngokukhululekileyo. |
| Ukuqhekeka kwangaphambi kwexesha kwee-membranes | Ngamanye amaxesha, amanzi ayaqhekeka ngaphambi kwexesha kwaye ulwelo lwe-amniotic luqala ukuvuza kwilungu lobufazi. Ukuba oku kuyenzeka, ingakumbi ngaphambi kwekota yesithathu yokukhulelwa, olu nyango lunokunceda ukugcina imeko-bume esempilweni ngaphakathi kwesibeleko kwaye luthintele ukuzalwa ngaphambi kwexesha. |
| Ukuthintela umntwana ekuphefumleni i-meconium | Indle yokuqala umntwana ayikhuphayo esibelekweni ibizwa ngokuba yi-meconium. Idla ngokuba yinto eluhlaza okwesibhakabhaka nolutyebileyo. Ngamanye amaxesha, xa umntwana exinezelekile, le ndle ixubana nolwelo lwe-amniotic. Oku kunokuba yingozi ukuba olu lwelo lungena emiphungeni yomntwana. Xa amanzi efakwa nge-amnioinfusion, le ngxaki iyancitshiswa kuba iyancitshiswa. |
Okubaluleke kakhulu, ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na, ngokusekelwe kwimbali yakho yempilo kunye nemeko yokukhulelwa.
Ngaba kukho naziphi na iimeko apho olu nyango lungafanele lwenziwe?
Ewe, ngokuqinisekileyo. Kukho iimeko apho unyango lwe-amnioinfusion lungenziwa kwaye kufuneka kuthathwe amanye amanyathelo endaweni yoko.
- Ukuba umntwana unengxaki enkulu:Ukuba isantya sentliziyo yomntwana siphantsi kakhulu, yonke imizuzu ibalulekile. Ngamaxesha anjalo, oogqirha banokugqiba ekubeni babelethe umntwana ngokukhawuleza (umzekelo, nge-casarean section engxamisekileyo) endaweni yokuchitha ixesha ngolu nyango.
- Ukuba unentsholongwane esebenzayo, efana ne-herpes yesini: Olu nyango alukhuthazwa ukuba unentsholongwane echaphazela isibeleko.
- Ukuba kukho iingxaki nge-placenta: Olu nyango alwenziwa ukuba kukho nantoni na erhanelekayo yemeko efana ne -placenta previa (i-placenta elele ezantsi esibelekweni) okanye i-placenta abruption (i-placenta eyahlukana nodonga lwesibeleko).
- Ukuba umntwana akabekwanga kwindawo efanelekileyo: Olu nyango alufanelekanga ukuba umntwana akajonganga ezantsi, unamaqhubu, okanye ukwindawo engaqhelekanga.
Lwenziwa njani olu nyango lwe-Amnioinfusion?
Ungoyiki ukubuza ukuba kwenziwa njani oku. Akudli ngokuba buhlungu. Ugqirha wakho kunye nabahlengikazi baza kuhlala ecaleni kwakho baze banakekele yonke into.
Okokuqala, ugqirha uza kuqinisekisa ukuba umntwana ukwimeko entloko ezantsi. Kwakhona, umlomo wesibeleko sakho kufuneka uvulwe ubuncinane nge-1-2 centimeters.
Emva koko, kufakwa ityhubhu ebhityileyo neguquguqukayo ebizwa ngokuba yi-Intrauterine Pressure Catheter (IUPC) ngononophelo esibelekweni sakho. Le tyhubhu iqhagamshelwe kwelinye icala kwisixhobo esilinganisa ukubetha kwentliziyo yomntwana kunye nokuxinana kwesibeleko. Kwelinye icala, iqhagamshelwe kwityhubhu efaka isisombululo se-saline.
Emva koko, ugqirha uza kubeka i-saline ebushushu begumbi kancinci kwisibeleko sakho. Oku kudla ngokuthatha imizuzu eli-10 ukuya kwengama-30. Ngeli xesha, ugqirha kunye nabasebenzi baza kukujonga ngokusondeleyo wena nomntwana wakho. Baza kuqhubeka nokujonga ukuqinisekisa ukuba ubungakanani bolwelo olukwisibeleko sakho banele.
Usenokuziva ungakhululekanga emva konyango, kodwa oko kuqhelekile.
Zithini iingenelo zolu nyango?
Ukongeza ekubuyiseleni ukubetha kwentliziyo yomntwana, olu nyango lunezinye izibonelelo ezininzi.
- Umngcipheko oncitshisiweyo wotyando lwebele (utyando lwebele): Utyando lwebele olungxamisekileyo ludla ngokwenziwa ngenxa yokuba intliziyo yomntwana ayibethanga kakuhle. Ukuba olu nyango lunokuthintela loo meko, uya kuba nethuba elingcono lokubeleka ngendlela eqhelekileyo.
- Ukusetyenziswa kwezixhobo okuncitshisiweyo: Imfuneko yokusebenzisa izixhobo ezifana ne-forceps okanye i-vacuum ingancitshiswa.
- Umntwana ufumana igazi neoksijini efanelekileyo: Ekubeni intambo yomntwana ikhululekile, umntwana ufumana ioksijini nesondlo ngaphandle kokuphazamiseka.
- Ukunceda ukulibazisa ukuzalwa ngaphambi kwexesha:Njengoko bekutshiwo ngaphambili, ukuba amanzi aphuma kwangethuba, oku kunokunceda ukugcina umntwana esibelekweni kangangeentsuku ezimbalwa.
- Amanqaku e-Apgar aphuculweyo : Amanqaku e-Apgar yinkqubo yokufumana amanqaku evavanya impilo yosana kwangoko emva kokuzalwa. La manqaku aphezulu xa umntwana ezalwa esempilweni ngenxa yolu nyango.
- Umngcipheko onciphileyo wokosuleleka kumama: Xa ulwelo lwe-amniotic lulahlekile, umama unokufumana ukosuleleka. Umzekelo, i-postpartum endometritis . Olu nyango luyawunciphisa loo mngcipheko.
Ngaba kukho naziphi na iingozi ezinokubakho?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu. Kodwa ezi azenzeki rhoqo. Ugqirha wakho uza kuzinyamekela kakuhle zonke ezi zinto.
- Usulelo (iChorioamnionitis): Kukho ithuba elincinci kakhulu losulelo lwe-placenta kunye nolwelo lwe-amniotic.
- Ukuhla kwentambo yosana: Kunqabile kakhulu, intambo yosana inokwehla iye kwilungu lobufazi ngaphambi kokuba umntwana azalwe.
- IiPolyhydramnios: Kukho umngcipheko wokuba ulwelo oluninzi luqokeleleke kwisibeleko kunokuba kuyimfuneko.
- Ukonakala kwesibeleko: Kunqabile kakhulu ukuba isibeleko sinokolulwa kakhulu (ukudumba kwesibeleko) okanye udonga lwesibeleko lunokugqobhoka (isibeleko esigqobhokileyo).
Ezi ngozi ziphantsi kakhulu. Oogqirha benza olu nyango ngolwazi olukhulu kwaye bathatha zonke iindlela zokuzikhusela ezifunekayo. Ngoko ke musa ukoyika.
Lusebenza kangakanani olu nyango?
Unyango lwe-amnioinfusion ludla ngokuba yimpumelelo. Okubangela umdla kukuba, ukuba amanzi ambalwa ajikeleze umntwana, kokukhona unyango luza kuba yimpumelelo.
Oogqirha banendlela yokulinganisa ubungakanani bolwelo olujikeleze umntwana wakho. Lubizwa ngokuba yi-Amniotic Fluid Index (AFI) . Izifundo zifumanise ukuba:
- Olu nyango luye lwaphumelela kwi -63% yamatyala kwabo ixabiso labo le-AFI lalingaphantsi kweesentimitha ezi-4 xa babelinganiswa okokuqala.
- Izinga lempumelelo kwabo bane-AFI ephakathi kweesentimitha ezi-4 nezi-8 yi- 44% .
Oko kuthetha ukuba, kumntu ophelelwe ngamanzi emzimbeni kwaye ofuna uncedo, iziphumo zolu nyango zilungile kakhulu.
Umyalezo Wokuya Ekhaya
- Ukufakwa kwe-amnioinfusion yindlela yonyango ekhuselekileyo nephumelelayo apho kufakwa ulwelo olukhuselekileyo esibelekweni ukuba ulwelo lwe-amniotic olujikeleze usana luyancipha ngexesha lokubeleka.
- Eyona njongo iphambili yoku kukuthintela intambo yomntwana ukuba ingaxinwa, ukukhulula umntwana kuxinzelelo, nokunceda umntwana azalwe esempilweni.
- Olu nyango alulungelanga wonke umntu. Ngugqirha wakho kuphela onokugqiba ukuba oku kuyimfuneko okanye kufanelekile kuwe, ngokusekelwe kwimeko yakho ethile.
- Ungaphoswa kukutyelela eklinikhi ngexesha lokukhulelwa kwakho. Kubalulekile ukugcina impilo yakho neyomntwana wakho isemgangathweni.
- Ukuba uziva ulwelo olumanzi luphuma kwilungu lakho lobufazi ngexesha lokukhulelwa, musa ukulutyeshela. Lusenokuba lulwelo oluphuma kwi-amniotic. Fowunela ugqirha wakho ngoko nangoko okanye uye kwisibhedlele esikufutshane.
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