Eyona ngxaki iyingozi kakhulu enokwenzeka kumama okhulelweyo (i-Amniotic Fluid Embolism)

Ukukhulelwa lixesha elihle kakhulu nelinika ithemba ebomini bomama. Kodwa kwangaxeshanye, izinto ezifana noloyiko kunye namathandabuzo nazo ziyafika engqondweni. Ingakumbi xa umntwana eza kuzalwa, umbuzo othi "Ngaba yonke into iza kulunga?" usengqondweni yakho. Namhlanje siza kuthetha ngengxakeko engaqhelekanga kakhulu, kodwa enobungozi kakhulu enokwenzeka ngexesha lokukhulelwa. Musa ukoyika xa usiva oku, kuba le yinto engaqhelekanga kangangokuba ayenzeki nokuba ngumntu omnye kwabaliwaka. Kodwa kubaluleke kakhulu ukuqaphela oku.

Ngamafutshane, yintoni i-amniotic fluid embolism (AFE)?

Igama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula. Uyazi, xa umntwana wakho esesiswini, kukho ulwelo oluyilwelo olumjikelezileyo. Silubiza ngokuba lulwelo lwe-amniotic . Olu lwelo lusebenza njengomqamelo okhusela umntwana wakho. Olu lwelo alunamanzi kuphela, kodwa luquka neeseli eziphuma eluswini lomntwana wakho, iinwele ezintle, nezinye izinto.

Ngokwesiqhelo, xa umntwana ezelwe, inxalenye yolu lwelo lwe-amniotic inokungena kwinkqubo yokujikeleza kwegazi kamama, oko kukuthi, egazini lakhe. Oku kuqhelekile kakhulu kwaye akubangeli ngxaki koomama abaninzi.

Kodwa, ngelishwa, xa olu lwelo lwe-amniotic lungena egazini, imizimba yabanye oomama iba ne-allergy enzima kakhulu, okanye i- allergy . Ngamanye amazwi, umzimba ucinga ukuba utshaba olukhulu lungene emzimbeni. Ingxamiseko ebangelwa lolu lwelo lunzima ibizwa ngokuba yi- amniotic fluid embolism (AFE) . Ngamanye amaxesha oku kukwabizwa ngokuba yi-anaphylactic syndrome yokukhulelwa .

Le mpendulo inokubangela ukuba intliziyo nemiphunga iyeke ukusebenza ngequbuliso. Oku kuthetha ukuba amanye amalungu omzimba aphelelwa ligazi elineoksijini. Oku kunokukhokelela kwiimeko ezinzulu ezifana nokuma kwentliziyo. Ayipheleli apho, kodwa inokubangela ukopha okungalawulekiyo okuvela esibelekweni okanye kwinxeba lokubeleka ngotyando.

Ixhaphake kangakanani le meko ye-AFE? Ngaba yinto ekufuneka uyixhalabele?

Hayi. Akufuneki ukhathazeke kakhulu ngale nto. Kuba oku kunqabile kakhulu . Kwilizwe elifana neMelika, le meko ixelwa kuphela kumntwana omnye kwabangama-40,000 abazelweyo. Oko kuthetha ukuba ukuba abantwana abamalunga nama-300,000 bazalwa eSri Lanka minyaka le, le meko ixelwa kuphela kubantu abasi-7-8 kuphela. Ngoko ke ungakhathazeki ngokungeyomfuneko malunga nokukhulelwa kwakho.

Ingxaki kukuba iimpawu ze-AFE zifana kakhulu nezezinye iimeko ezinzulu ezinokubakho ngexesha lokukhulelwa, ezifana nokuqhekeka kwe-placenta, ukuqhekeka kwesibeleko, okanye i-eclampsia. Ngoko ke kunokuba nzima ukuchonga unobangela ochanekileyo.

Zeziphi izinto ezibangela umngcipheko wokuba le meko iqhubeke?

Ngenxa yokuba kunqabile kakhulu, kwaye kuba akukaziwa ukuba kutheni abanye abantu kuphela abafumana le mpendulo, kunzima ukutsho ngqo ukuba zeziphi izinto ezibangela umngcipheko. Nangona kunjalo, uphando lubonise ukuba ezinye izinto zinokunyusa umngcipheko kancinci. Nangona kunjalo, kubalulekile ukukhumbula ukuba ayinguye wonke umntu oneezi zinto oza kuba ne-AFE.

Zithini iimpawu ze-AFE?

Eyona nto iyingozi kakhulu ngale nto kukuba iimpawu zibonakala ngequbuliso nangokukhawuleza kakhulu . Umama unokuqala ukuziphatha ngendlela engaqhelekanga ngequbuliso, nokuba umntwana sele eza kuzalwa okanye emva nje kokuba ezelwe.

Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?

I-AFE yimeko enokubangela iingxaki ezinkulu kumama nakumntwana.

Iingxaki ezinokwenzeka kumama

• Ukungaphumeleli kwentliziyo nemiphunga.
• Ukulahlekelwa yingqondo.
• Ukuxhuzula.
• Ukopha kakhulu.
• I-Disseminated Intravascular Coagulation (DIC) yimeko apho inkqubo yokuqina kwegazi emzimbeni iphazamiseka, nto leyo ebangela ukuba kubekho amahlwili egazi ngokungeyomfuneko kwelinye icala kunye nokopha okungalawulekiyo kwelinye.
• Istroke.
• Ukubanjwa kwe-cardiac.
• Ukonakala kwengqondo.
• Ngelishwa, nokufa kunokwenzeka.

Iingxaki ezinokwenzeka kumntwana

Impembelelo kumntwana iya kwahluka ngokuxhomekeke ekubeni le meko yenzeka nini kumama. Ukuba oku kwenzeka ngaphambi kokuba umntwana azalwe, kuya kufuneka utyando olungxamisekileyo ukuze kususwe umntwana ngoko nangoko.

Eyona ngxaki inkulu kubantwana abazelwe emva kokuqala kwe-AFE kukunqongophala kweoksijini . Njengoko umzimba kamama ungasebenzi, umntwana ulahlekelwa yioksijini. Oku kunqongophala kweoksijini kunokonakalisa inkqubo yemithambo-luvo okanye ingqondo yomntwana.

Oogqirha bayixilonga baze bayinyange njani le nto?

Ekubeni le yimeko engxamisekileyo, akukho xesha lokwenza uvavanyo lwegazi okanye iiskeni ukuze kufunyanwe isifo. Oogqirha bayayirhanela i-AFE ngokujonga iimpawu baze bakhawuleze basuse ezinye izizathu (umz. ukopha kakhulu, ukuhlaselwa yintliziyo).

Le meko idla ngokuthiwa yenzeka ngamanqanaba amabini:

1. Inqanaba loku-1: Kulapho inkqubo yokuphefumla kunye nentliziyo ziyeka ukusebenza ngequbuliso. Oku kuthetha ukuba awukwazi ukuphefumla kwaye intliziyo yakho iyeka. Inani eliphezulu lokufa lixeliwe kweli nqanaba.

2. Inqanaba lesi-2: Eli linqanaba apho ukopha kwenzeka khona. Ukuba ubomi busindiswa kwinqanaba lokuqala, inqanaba elilandelayo kukopha okungalawulekiyo.

Iindlela zonyango

Ngenxa yokuba le yingxamiseko, iqela lezonyango kufuneka lisebenze ngokukhawuleza ukusindisa umama nomntwana. Iqela lonyango liquka abantu abaninzi, njengoogqirha bezifo zabesifazane, oogqirha be-anesthesiologists, oogqirha beyunithi yokhathalelo oluphezulu, kunye nabasebenzi bokonga.

Iindlela eziphambili zonyango zezi:

• Ukubeleka umntwana ngoko nangoko: Ukuba umntwana usesesibelekweni, kuya kwenziwa utyando lotyando ngokukhawuleza ukuze kukhutshwe umntwana.
• Ukubonelela ngeoksijini: Ngenxa yokuba ukuphefumla kunzima, kufakwa ityhubhu ize iqhagamshelwe kwisixhobo sokuphefumla esenziwe ngoomatshini (umoya woomatshini).
• Inkxaso yentliziyo: Ukuba intliziyo iyema, kunikwa ucinezelo lwesifuba (CPR). Amayeza anikwa ukulawula uxinzelelo lwegazi.
• Utofelo-gazi: Ngenxa yokopha kakhulu, kufuneka kunikwe igazi elininzi, iplasma, kunye neeplatelets.
• Ukususwa kwesibeleko: Ngamanye amaxesha, ukuba ukopha akukwazi ukuyekiswa, ukususwa kwesibeleko kunokwenziwa njengendlela yokugqibela yokusindisa ubomi bomama.

Konke oku kwenzeka kwigumbi lonyango oluphezulu (ICU) okanye kwigumbi lotyando.

Ukuba uyasinda kule meko, ngaba kukho naziphi na iziphumo ezihlala ixesha elide?

Izinga lokusinda kwi-AFE ngelishwa liphantsi, kwaye ezinye izifundo zibonisa ukuba izinga lokufa linokuba phezulu ukuya kuma-60%.

Nangona kunjalo, oomama abasindayo kule meko imbi banokufumana iziphumo ezithile zexesha elide, kuxhomekeke kubungakanani bomonakalo emzimbeni.

• Iziphumo zomzimba: Ukonakala okungapheliyo entliziyweni, iziphumo kwizintso, iingxaki ezibangelwa kukukhubazeka.
• Iziphumo kwinkqubo yemithambo-luvo: Ukunqongophala kweoksijini engqondweni kunokuchaphazela izinto ezifana nenkumbulo kunye nokukwazi ukukhumbula amagama.
• Iziphumo zengqondo: Oku kubaluleke kakhulu. Emva kwamava okusondela ekufeni anje, kuqhelekile ukuba neengxaki zengqondo ezifana nokothuka okukhulu, ixhala, ukudakumba, kunye nesifo soxinzelelo emva kwengozi (PTSD) . Abanye abantu banokuziva benetyala, becinga izinto ezinje, "Kutheni oku kwenzeke kum?"

Ngaba ikho indlela yokuthintela oku?

Ngelishwa, impendulo ithi "hayi." Oogqirha abasazi ukuba kutheni abanye abantu kuphela benempendulo enzima kangaka, ngoko ke akukho ndlela yokuthintela i-AFE .

Ngoko ke singenza ntoni?

Eyona nto ingcono esinokuyenza kukulungela nayiphi na imeko engxamisekileyo. Oko kuthetha ukuthetha nogqirha wakho ngaphambi kokuba ubeleke kwaye ufunde indlela iqela lezonyango lesibhedlele eliza kuyisingatha ngayo imeko engxamisekileyo.

Cinga ngesicwangciso sakho sokuzalwa . Sisicwangciso sokuzalwa esihle kakhulu onokusilindela. Kodwa khumbula, xa kukho imeko engxamisekileyo, iqela lezonyango kuya kufuneka lidlule kweso sicwangciso kwaye lenze nantoni na efunekayo ukusindisa wena nomntwana wakho. Ngelo xesha, kubalulekile ukuthemba iqela lezonyango .