Ukuba ungumama oza kuzala, kumele ukuba ukhe wayiva ibali 'lokuqhekeka kwengxowa yamanzi'. Usenokuba uyibonile kwimuvi okanye kumdlalo weqonga, apho kuphuma amanzi amaninzi ngequbuliso. Yintoni kanye kanye le ngxowa yamanzi? Ikhusela njani umntwana osesiswini? Kuthetha ukuthini ukuqhekeka kwayo? Makhe sithethe ngale nto ngendlela elula namhlanje, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-amniotic sac?
I-amniotic sac yingxowa ekhuselayo ejikeleze umntwana wakho ngexesha lokukhulelwa. Sidla ngokuyibiza ngokuba "yingxowa yamanzi." Yingxowa encinci, kodwa enamandla kakhulu, eyenziwe zii-membrane ezimbini ezicacileyo. Ngaphakathi kwesi sikhwama, umntwana wakho ukhuselwe lulwelo lwe-amniotic, i-placenta, kunye nentambo ye-umbilical.
Umsebenzi wayo ophambili kukukhusela umntwana kwiintsholongwane kunye nezinto ezibangela ukuvuvukala . Njengoko umntwana ekhula ngaphakathi esibelekweni, i-amniotic sac nayo iyakhula. Xa i-sac iqhekeka kwaye ulwelo olungaphakathi luvuza, kuthiwa "kukuqhekeka kwamanzi." Oku kungavela ngokugqabhuka kwamanzi ngequbuliso, okanye kungaphuma kancinci kancinci. Ukuba unesikrokro sokuba amanzi akho aqhekekile, kubalulekile ukwazisa ugqirha wakho ngoko nangoko . Oku kungaba luphawu olukhulu lokuba ukuzala sele kuza kuqala.
Iqala nini ukwenzeka le nto?
Le ngxowa imangalisayo yokukhusela iqala ukwakheka malunga neentsuku ezili-12 emva kokuba iqanda kunye nesidoda zidibene (oko kukuthi, ukukhulelwa).
Zithini imisebenzi ephambili ye-amniotic sac?
Khawuthelekelele umntwana wakho ekwiqamza lakhe elincinci lokuzikhusela. Umsebenzi ophambili wale ngxowa ye-amniotic kukukhusela umntwana wakho. Makhe sijonge ezinye zezinto ezenzeka kuyo:
- Njengekhushini yokhuseleko: Ulwelo lwe-amniotic olungaphakathi kwesi sikhwama lukhusela umntwana kwiingxaki zangaphandle kunye nokungcangcazela, njengebhegi yomoya emotweni.
- Ulawulo lobushushu: Ubushushu obufanelekileyo obufunekayo kumntwana buhlala bugcinwa ngaphakathi kwesi sikhwama.
- Ukuvumela intshukumo: Olu lwelo luvumela umntwana ukuba ashukume ngokukhululekileyo aze ashukumise amalungu akhe. Oku kubaluleke kakhulu ekuphuhlisweni kwemisipha namathambo omntwana.
- Ukukhuselwa kwiintsholongwane: Esi sikhwama sifana nebhegi evaliweyo, ngoko ke sikhusela umntwana kwiintsholongwane ezinokungena kwilungu lobufazi.
- Iqulethe amalungu anika ubomi: I-placenta kunye ne-umbilical cord, ezibonelela ngokondliwa komntwana, zigcinwe ngokukhuselekileyo ngaphakathi kwesi sikhwama.
Ngamafutshane, akukho ndlela yokuba umntwana akhule ngokukhuselekileyo esibelekweni ngaphandle kwe-amniotic sac. Ngoko ke, kubaluleke kakhulu ukuba le sac ingaphuki de kube kuzelwe, nto leyo ethatha malunga neeveki ezingama-40.
Kwenzeka njani oku 'kuqhekeka kwamanzi'?
Kukho izizathu ezahlukeneyo zokuba le ngxowa isenokuqhekeka njengoko kusondela ixesha lokuzala. Le yinkqubo yendalo.
| Isizathu | Yonke enye into ilula. |
|---|---|
| Iihormone | Xa usana luqala ukuzala, umzimba wakho uvelisa iihomoni ezibizwa ngokuba zii-prostaglandins. Ezi homoni zinokubangela ukuba ii-membrane zamanzi akho zibe buthathaka kwaye ziqhekeke. |
| Uxinzelelo oluvela ekucuthekeni | Izihlunu zesibeleko ziyaqina zize ziphumle kwakhona, nto leyo esiyibiza ngokuba yi-'dilation'. Njengoko olu xinzelelo luqhubeka, ingxowa yamanzi iyancipha kancinci kancinci ize iqhekeke. |
| Intshukumo yosana olungekazalwa | Njengoko intloko yomntwana isiya esinqeni kwaye umntwana eshukuma rhoqo, uxinzelelo lunokwenza buthathaka esi sikhwama size sikrazuke. |
| Ingxowa ngokwemvelo ibuthathaka | Njengoko umntwana esondela ekuzalweni, utshintsho lwendalo lwenzeka kwiiseli zengxowa. Oku kubangela ukuba ingxowa ibe buthathaka kancinci kancinci. |
Oogqirha bahlala befuna ukuba amanzi akho ahlale ecocekile de kube ziiveki ezingama-37 ubuncinane, kuba elo lithuba elihle lokuba umntwana osempilweni azalwe.
Amanzi aphuma nini?
Ngokwesiqhelo, amanzi ayaqhekeka ekuqaleni kokuzala okanye ngexesha lokuzala. Kwabanye abantu, oku kwenzeka ngokungazi, ngaphandle kwesilumkiso.
Kodwa ngamanye amaxesha, ugqirha kufuneka aphule le ngxowa. Oku kubizwa ngokuba yi-amniotomy.Oku kubizwa ngokuba kukuqhekeka kwee-membranes ngokwenziwa. Kule meko, ugqirha usebenzisa isixhobo esincinci esifana nehoko ukugqobhoza esi sikhwama ngokuphindaphindiweyo. Oku kudla ngokwenziwa ukunceda ukukhawulezisa ukuzala komntu osele ebelekile.
Ziziphi iingxaki zempilo ezichaphazela i-amniotic sac?
Ngamanye amaxesha ngexesha lokukhulelwa, kunokubakho iingxaki ezithile nge-amniotic sac. Ugqirha wakho angathetha nawe ngale nto.
| Igama leSifo (Igama lezonyango) | Ithetha ntoni le nto? |
|---|---|
| I-Chorioamnionitis | Oku kwenzeka xa intsholongwane ingena kwiileya ezimbini ze-amniotic sac (i-amnion kunye ne-chorion) ize ibangele usulelo. Oku kunokuchaphazela umntwana kunye nomama. |
| Ukuqhuma Kwangaphambi Kwexesha KweeNkumba (i-PROM) | Oku kuthetha ukuba amanzi ayaqhekeka ngaphambi kokuba kuqale ukuzala. Xa amanzi eqhekeka, umntwana usengozini enkulu yokufumana iintsholongwane. |
| I-Amniocentesis | Olu asilonyango, kodwa luvavanyo. Luvavanyo lokufumanisa ukuba umntwana uneengxaki zofuzo. Apha, kusetyenziswa inaliti ecolekileyo kakhulu ukugqobhoza ingxowa kwaye kufunyanwa inani elincinci le-amniotic fluid ukuze kuvavanywe. |
Ziphathwa njani ezi meko?
Unyango lwale meko luxhomekeke ekubeni ukhulelwe ixesha elingakanani na nokuba sele uqalile na ukuzala. Amayeza okubulala iintsholongwane anokunikwa xa kukho isifo esifana ne-chorioamnionitis.
Kodwa kwiimeko ezifana ne-PROM, apho amanzi akho ephuma kwangethuba, kudla ngokuba yeyona ndlela ikhuselekileyo yokuzala umntwana. Nangona kunjalo, ukuba imiphunga yomntwana wakho ayikhuli ngokupheleleyo (oko kukuthi, ngaphantsi kweeveki ezingama-37), ugqirha wakho unokukunika amayeza okunceda imiphunga yomntwana wakho ikhule ngaphambi kokuba umzale umntwana.
Eminye imibuzo ebuzwa ngoomama abaninzi
Ngaba umntwana angasinda xa ingxowa yamanzi iqhekeka?
Ewe, ngokuqinisekileyo inokwenzeka. Kodwa kuxhomekeke ekubeni ingxowa iqhekeka nini. Ngokwesiqhelo, ukuba ingxowa iqhekeka emva kweeveki ezingama-37 zokukhulelwa, ayiyongxaki. Kuba ngelo xesha, amaphaphu omntwana akhule ngokupheleleyo kwaye ayakwazi ukuphefumla ngokwawo emva kokuzalwa.
Nangona kunjalo, ukuba ingxowa iyaqhekeka ngaphambi kweeveki ezingama-37, umntwana usengozini yeengxaki ezifana nobunzima bokuphefumla kunye nokungakwazi ukulawula ubushushu bomzimba. Yiyo loo nto kubalulekile ukulalisa umntwana esibhedlele ngokukhawuleza kwaye umgcine phantsi kweliso loogqirha.
Ngaba umntwana angazalelwa ebhegini yamanzi?
Ewe. Oku kuyenzeka rhoqo. Oku kubizwa ngokuba yi-"en caul birth." Oku kwenzeka xa umntwana ezalwa ngaphakathi kwingxowa yamanzi ngaphandle kokuqhekeka. Ngelo xesha, kubonakala ngathi umntwana ungaphakathi kwibhola yamanzi. Ukuba oku kuyenzeka, ugqirha okanye umbelethisi uza kusebenzisa izixhobo zonyango ukuqhekeza ingxowa ngononophelo aze akhuphe umntwana.
Kwenzeka ntoni kule ngxowa emva kokubeleka?
I-placenta idla ngokuphuma kwimizuzu engama-30 emva kokuzalwa komntwana. Sikwabiza oku ngokuthi "yi-afterbirth." I-amniotic sac iphuma kunye ne-placenta. Emva koko, ngaphandle kokuba kufuneka ithunyelwe kuvavanyo olukhethekileyo, isibhedlele siyayilahla njengenkunkuma yezonyango.
Umyalezo Wokuya Ekhaya
- I-amniotic bag yiqamza elikhuselayo elikhusela kwaye lilondla umntwana ngexesha lokukhulelwa.
- "Ukuqhekeka kwamanzi akho" luphawu olukhulu lokuba ukuzala kuyasondela. Kunokwenzeka ngequbuliso ngamanzi amaninzi okanye njengokuphuma kancinci kancinci kolwelo.
- Ukuba unesikrokro sokuba amanzi akho aphuke, musa ukulibazisa kwaye wazise ugqirha wakho ngoko nangoko okanye uye esibhedlele.
- Eyona nto ilungileyo kukhuseleko lomntwana kukugcina ingxowa yamanzi injalo de kube ziiveki ezingama-37 ubuncinane.
- Kukho iingxaki ezinokubakho nge-amniotic sac, kodwa iqela lakho lezonyango likulungele ukuzilawula zonke. Ngoko ke ungoyiki ukuthetha nabo ngazo naziphi na iingxaki.
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