Imeko eyingozi kakhulu enokwenzeka ngexesha lokubeleka! - Masithethe nge-Amniotic Fluid Embolism

Eli lixesha elikhethekileyo kuwe, wena mama oza kuzalwa. Njengoko ulinde ukuba umntwana wakho afike, akupheleli nje ekuxhalabeni. Uninzi lwexesha, yonke into ihamba kakuhle, kodwa ngamanye amaxesha iingxaki ezingalindelekanga zinokuvela. Namhlanje, siza kuthetha ngemeko engaqhelekanga kodwa enokuba yingozi ebomini ebizwa ngokuba yi-"Amniotic Fluid Embolism" (AFE). Kubalulekile ukuba uqaphele oku.

Yintoni kanye kanye i-amniotic fluid embolism (AFE)?

Ngamafutshane, i-amniotic fluid embolism (AFE) yingxakeko engaqhelekanga kakhulu kwaye inokubeka ubomi esichengeni. Yenzeka xa i-amniotic fluid emzimbeni kamama ingena egazini lakhe ngexesha lokukhulelwa, ngexesha lokubeleka, okanye emva nje kokuzalwa. Ngoku usenokuba uzibuza ukuba yintoni i-amniotic fluid. Olu lulwelo olujikeleze umntwana wakho ngaphakathi esibelekweni. Lufana nendawo ekhuselekileyo yokuba umntwana wakho antante kuyo. Nangona olu lwelo ikakhulu lungamanzi, lukwaqulethe izinto ezifana neeseli kunye nezicubu zomntwana wakho. Ngamanye amaxesha, xa olu lwelo lwe-amniotic luxubana negazi likamama, eminye imizimba yoomama iba nempendulo enkulu ye-allergy kulo. Oogqirha abasazi ukuba kutheni oku kusenzeka. I-Amniotic fluid embolism (AFE) inokubangela ukuba intliziyo kunye nemiphunga yomama ingaphumeleli. Oku kunokukhokelela kwiingxaki ezifana nokuma kwentliziyo , apho intliziyo iyeka ngequbuliso. Oomama abane-AFE banokuphuma igazi ngendlela engalawulekiyo esibelekweni okanye kwinxeba le-C-section. I-AFE yimeko engalindelekanga kakhulu nengaqikeleliyo . Ke ngoko, ukuyinyanga kunzima kakhulu. Kwakhona yingxakeko yezonyango. Enyanisweni, kuyinto eqhelekileyo ukuba inani elincinci lolwelo lwe-amniotic lingene egazini likamama ngexesha lokubeleka. Uninzi lwabantu alunazo naziphi na iimpembelelo ze-allergy koku. Kodwa isizathu sokuba abanye abantu kuphela babe nempembelelo enzima kangaka kuseyimfihlakalo. I-AFE ikwabizwa ngokuba yi-"Anaphylactic Syndrome of Pregnancy".

Ixhaphake kangakanani le meko?

I-AFE yimeko engaqhelekanga kakhulu. E-United States, iyenzeka kumntu omnye kwabangama-40,000 abazalwayo. EYurophu, iyenzeka kumntu omnye kwabangama-53,800 abazalwayo. Oko kuthetha ukuba inqabile kakhulu. Kodwa kukho enye ingxaki apha. Iimpawu ze-AFE zifana kakhulu neempawu zezinye iingxaki ezinokubakho ngexesha lokubeleka, umzekelo, ukuqhekeka kwesibeleko, ukuqhawuka kwe-placenta, okanye i-eclampsia. Ke ngoko, kunzima kancinci ukuchonga unobangela ochanekileyo wale ngxaki njenge-AFE.

Ziziphi izinto ezibangela umngcipheko kwi-AFE?

Ngenxa yokuba i-AFE inqabile kwaye kunzima ukuyiphanda, kunzima ukuqikelela ukuba zeziphi izinto ezinokubangela umngcipheko. Nangona kunjalo, ngokusekelwe kuphando lwangoku, kukho izinto ezimbalwa ekucingelwa ukuba zinokuba negalelo kule meko:

• Ukwanda kweminyaka yokubeleka: Lo mngcipheko unokwanda kancinci koomama abakhulelweyo xa beneminyaka engaphezu kwama-35.
• Ukuba namawele okanye ngaphezulu: Koomama abakhulelwe abantwana abangaphezu komnye, njengamawele okanye amawele amathathu.
• Uxinzelelo kwi-Fetal: Izinto ezifana notshintsho kwisantya sentliziyo yomntwana.
• Iingxaki ze-placenta : Umzekelo, iimeko ezifana nokuqhekeka kwe-placenta.
• Ukuba ne-preeclampsia okanye i-eclampsia: Ezi ziingxaki ezinxulumene noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa.
• IiPolyhydramnios: Oku kuthetha ukuba kukho ulwelo oluninzi kakhulu lwe-amniotic esibelekweni.
• Iinyembezi zomlomo wesibeleko .
• Ukuqaliswa kokuzala: Kulapho ukuqaliswa kokuzala kwenziwa ngokungekho mthethweni ukuze kuqaliswe ukuzala.
• Ukuzala umntwana nge-cesarean section (ukunikezelwa kwe -C-section ).
• Ukunikezelwa ngoncedo ngotyando: Ezi ziimeko apho umntwana ezalwa kusetyenziswa i-forceps okanye i-vacuum extraction.

Khumbula, ayinguye wonke umntu onezi zinto ezinobungozi oza kuba ne-AFE. Ezi zizinto ezinokunyusa kancinci amathuba okuba nale meko .

Zithini iimpawu ze-amniotic fluid embolism?

Iimpawu ze-AFE zibonakala ngequbuliso nangokukhawuleza.Njengoko bekutshiwo ngaphambili, kunokuba nzima ukuxilonga ngokuchanekileyo kuba ezi mpawu ziyafana nezo zezinye iingxaki ngexesha lokukhulelwa nokubeleka. Ezi zilandelayo ziimpawu ezinokwenzeka:

• Ubunzima bokuphefumla : Ngequbuliso kuba nzima ukuphefumla, uzive ngathi uyafuthaniseka.
• Ukwehla ngequbuliso koxinzelelo lwegazi : Uxinzelelo lwegazi luhla kakhulu ngequbuliso.
• Ukudumba kwemiphunga: Ukusebenza kwemiphunga kuyaphazamiseka, ngokungathi kufakwe emanzini.
• Isantya sentliziyo esingaqhelekanga: Isantya sentliziyo siyatshintsha ngequbuliso, ngamanye amaxesha siqala ukubetha ngokukhawuleza kakhulu, okanye sibethe kancinci kakhulu.
• Ukopha kakhulu esibelekweni, inxeba lokutyatyazwa, okanye indawo ene-IV: Ukopha okungenakunqandwa.
• Uxinzelelo kwi-Fetal: Ukubetha kwentliziyo yomntwana kuyatshintsha.
• Ukungazoli ngequbuliso, ukudideka, okanye ixhala elikhulu: Uqala ukuziva uxhalabile kakhulu, ungaphumli, ungakwazi ukuqonda okwenzekayo, kwaye usenokuziva usoyika kakhulu.
• Ukuziva ubanda kwaye uqhaqhazela (Ukugodola).

Ukuba enye okanye ezingaphezulu kwezi mpawu zibonakala ngequbuliso, kusenokwenzeka ukuba yingxamiseko.

Ziziphi iingxaki ezinokwenzeka ngenxa ye-AFE?

I-AFE yimeko enzima kakhulu. Inokubangela iingxaki ezinkulu kumama nakumntwana.

Iingxaki ezinokubakho kumama:

• Ukungaphumeleli kwentliziyo nemiphunga.
• Ukulahlekelwa yingqondo.
• Ukuxhuzula.
• Ukopha kakhulu.
• Iingxaki zokujiya kwegazi (Disseminated Intravascular Coagulation - DIC): Oku kwenzeka xa ingxaki kwinkqubo yokujiya kwegazi ibangela ukuba igazi lijiye kwelinye icala lize liphume igazi kakhulu kwelinye icala.
• Istroke.
• Ukuma kwentliziyo: Oku kuthetha ukuba intliziyo ayibethi ngokupheleleyo.
• Ukonakala kwengqondo.
• Nokufa kuyenzeka. Le yeyona nto ibuhlungu kakhulu.

Iingozi ezinokubakho kumntwana osesiswini:

Umngcipheko kumntwana uxhomekeke ekubeni i-amniotic fluid embolism iyenzeka nini. Ukuba umama ubonakalisa ezi mpawu ngaphambi kokuba umntwana azalwe, unokufuna ukuba azalwe ngokukhawuleza . Ukuba i-AFE sele iqalile, umntwana usemngciphekweni wokungafumani ioksijini eyaneleyo. Ukuba ioksijini ayaneleyo, inokonakalisa inkqubo yemithambo-luvo okanye ingqondo yomntwana.

Yintoni ebangela i-amniotic fluid embolism?

Isizathu esichanekileyo se-AFE asikaziwa okwangoku. Kukholelwa ukuba isenokuba ibangelwa kukusabela komzimba kwabanye oomama ekuqhekekeni kwe-placenta ngexesha lokubeleka. Nangona kunjalo, akucaci ukuba kutheni isenzeka kwabanye abantu kuphela kwaye ingenzeki kwabanye.

Ngaba i-AFE inokwenzeka ngexesha lotyando lwebele (utyando lwebele)?

Ewe, kunokwenzeka. I-amniotic fluid embolism inokwenzeka ngexesha lokubeleka okuqhelekileyo kunye notyando lwe-cesarean (C-section).

Oogqirha bayixilonga njani i-amniotic fluid embolism?

I-Amniotic fluid embolism inokuba nzima ukuyifumanisa. Njengoko bekutshiwo ngaphambili, iimpawu ziyafana nezezinye iimeko ezininzi ezinzulu zempilo. Ke ngoko, xa oogqirha becinga ukuba i-AFE, baqala ngokuthatha ezinye izizathu ezinokubakho. I-Amniotic fluid embolism idla ngokuvela ngexesha lokubeleka okanye kwimizuzu engama-30 emva kokubeleka. Ukuba une-AFE, kufuneka ufumane unyango ngoko nangoko ukuze uphephe iingxaki ezisongela ubomi. Ugqirha wakho unokucinga ukuba i-AFE inokuba unayo nayiphi na kwezi mpawu:

• Ukwehla ngequbuliso koxinzelelo lwegazi.
• Ubunzima bokuphefumla.
• Ukubetha kwentliziyo okungaqhelekanga okanye ukumisa ngokupheleleyo kwentliziyo.
• Ukopha kakhulu ngaphandle kwesizathu.

Amanqanaba amabini okufumanisa i-AFE

Oogqirha bahlukanisa i-amniotic fluid embolism ibe ngamanqanaba amabini:

• Isigaba sokuqala: Eli nqanaba libonakaliswa kukusilela kokuphefumla ngokukhawuleza (ukungabikho komoya-mpilo kunye nokungakwazi ukuphefumla) kunye nokuma kwentliziyo. Inani eliphezulu lokufa lixeliwe ngeli nqanaba.
• Isigaba sesibini: Eli linqanaba lokopha. Kule sigaba, kunokubakho ukopha okugqithisileyo okungalawulekiyo, nokuba kukwinxeba lokubeleka okanye kwisibeleko (apho i-placenta yayinamathele khona).

Uvavanyo oluza kwenziwa ukuba uyasinda

Ngenxa yokuba i-AFE yingxamiseko yezonyango, oogqirha abanalo ixesha lokuxhomekeka kwiimvavanyo zemifanekiso okanye iimvavanyo zegazi ukuze benze uxilongo. Endaweni yoko, banokubonelela ngonyango olusindisa ubomi ngokukhawuleza. Nangona kunjalo, ukuba usinda kwi-amniotic fluid embolism, ugqirha wakho unokuyalela iimvavanyo ezifana nezi:

• I-Electrocardiogram (EKG): Ijonga ukusebenza kwentliziyo kunye nesingqisho sayo.
• I-pulse oximeter: Jonga inqanaba le-oxygen egazini.
• I-X-ray yesifuba: Ukujonga ukuba kukho ulwelo olujikeleze intliziyo.
• I-Echocardiogram: Jonga indlela intliziyo esebenza ngayo.

Iphathwa njani i-amniotic fluid embolism?

Ukuvaleka kolwelo oluphuma kwi-amniotic fluid yingxaki engxamisekileyo. Kufuneka kunyangwe ngokukhawuleza.Nantsi indlela onokukhusela ngayo wena nomntwana wakho. Nazi ezinye iindlela oogqirha abanokuzisebenzisa ukwenza oku:

• Ukubeleka umntwana ngoko nangoko.
• Utofelo-gazi oluninzi, iplasma kunye neeplatelet.
• Ukususwa kwesisu ukuze kumiswe ukopha (oku kwenziwa kuphela ukuba akukho ndlela yimbi yokunqanda ukopha).
• Ukunika ii-steroids okanye amanye amayeza okulawula uxinzelelo lwegazi okanye ukusebenza kwentliziyo.
• Ukubonelela ngeCardiopulmonary Resuscitation (CPR).
• Ioksijini inikwa ngetyhubhu yetrachea okanye ngomatshini (umoya ongeniswa ngomatshini).
• Jonga uxinzelelo lwegazi ngokufaka i-catheter yemithambo yemiphunga okanye i-catheter yemithambo ephakathi.

Konke oku kwenzelwa ukusindisa ubomi bomama nomntwana. Ngoko ke, iqela lezonyango lenza izigqibo ngokusekelwe kwimeko yaloo mzuzu.

Ngaba ikho indlela esinokuyithintela ngayo le nto?

Ngelishwa, okwangoku akukho ndlela yokuthintela i-amniotic fluid embolism. Oogqirha abakaqondi ngokupheleleyo ukuba kutheni i-AFE isenzeka okanye yintoni ebangela oko. Nangona kunjalo, enye indlela yokulungiselela nayiphi na imeko engxamisekileyo yezonyango kukusebenzisana nosapho lwakho kunye noogqirha ukwenza isicwangciso. Buza ugqirha wakho malunga neengxamiseko kunye nendlela iqela lakho lezonyango eliza kusabela ngayo kuzo. Oku kusenokuba yinxalenye "yesicwangciso sakho sokuzalwa," isicwangciso osenze ngaphambi kokuba umntwana wakho azalwe. Kodwa khumbula, isicwangciso sakho sokuzalwa simele imeko efanelekileyo. Ukuba kwenzeka imeko engxamisekileyo, iqela lakho lezonyango kuya kufuneka lenze ngokufanelekileyo ukukhusela wena nomntwana wakho.

Zithini amathuba okusinda kwi-AFE?

Ngenxa yokuba i-AFE kunzima ukuyixilonga kwaye ixhomekeke kwizinto ezininzi, kunzima ukunika ipesenti echanekileyo yokuba bangaphi abantu abafayo ngenxa yesi sifo. Nangona izifundo zahlukile ngokuxhomekeke kwindlela idatha eqokelelwa ngayo, ezinye iingxelo zibonisa ukuba izinga lokufa linokuba phezulu ukuya kuma-60%. Oku kubonisa ukuba esi sifo sibi kangakanani.

Zithini iziphumo ezinokubakho kwixesha elide kubantu abasindileyo?

Oku kuxhomekeke ekubeni uphendule kabukhali kangakanani kwi-AFE, kunye nembali yakho yempilo iyonke. I-amniotic fluid embolism inokubangela iziphumo ebezingalindelekanga zomzimba nezengqondo. Ezinye zeziphumo zexesha elide ezinokubakho ziquka:

• Umonakalo we-neurological ochaphazela inkumbulo okanye ukukwazi ukukhumbula amagama.
• Umonakalo ongapheliyo entliziyweni.
• Ukuba kukho istroke, iingxaki ezinokuthi zivele.
• Iingxaki zezintso.
• Ixhala, ukudakumba, kunye nokuziva unetyala.
• Ingxaki Yoxinzelelo Emva Kwengozi (PTSD). Ngenxa yokuba eli liva elibuhlungu kakhulu, kungathatha ixesha ukuba umntu aphile engqondweni.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Amniotic fluid embolism (AFE) yingxaki esongela ubomi enokwenzeka ngexesha lokuzala nasemva kokuzala. Ayiqhelekanga kakhulu, kwaye inokwenzeka ngequbuliso nangokukhawuleza. Ngenxa yokuba le meko ayiqondwa ngokupheleleyo, akukho nto unokuyenza ukuyithintela. Abaphandi bezonyango abakaqiniseki ukuba kutheni isenzeka kwabanye abantu kuphela.

Ukuba ukhulelwe, amathuba okuba ube ne-AFE aphantsi kakhulu . Ngoko ke ungoyiki ngokungeyomfuneko. Nangona kunjalo, thetha nomboneleli wakho weenkonzo zokhathalelo lwangaphambi kokukhulelwa malunga nayo nayiphi na inkxalabo okanye imibuzo onokuba nayo malunga nale meko ingaqhelekanga. Baya kukwazi ukukunceda unciphise uloyiko lwakho.

Ukuba ungumsindileyo kwi-AFE, usenokuba neengxaki zempilo yomzimba okanye yengqondo ixesha elide. Thetha nogqirha wakho, iqabane lakho, okanye abahlobo bakho ngale nto. Banokukunika inkxaso oyifunayo ukuze uphile kule meko. Khumbula, awuwedwa.