Ukuba ungumama onothando olindele umntwana, ukukhulelwa lixesha lethemba elikhulu kunye noloyiko oluncinci, akunjalo? Ngoko ke kukho izinto ekufuneka sizilumkele kakhulu ngeli xesha. Ngoko ke, namhlanje sithetha ngemeko enzima ekufuneka siyazi, kodwa engathethwa kakhulu ngayo. Le meko siyibiza ngokuba yiChorioamnionitis. Nangona eli gama lingaqhelekanga, ukwazi ngale nto kubaluleke kakhulu kukhuseleko lwakho kunye nokhuseleko lomntwana osesibelekweni sakho.
Ngamafutshane, yintoni iChorioamnionitis?
Ngamafutshane, iChorioamnionitis lusulelo olukhulu lwebhaktheriya olwenzeka ngexesha lokukhulelwa. Igama layo livela kwiinwebu ezimbini ezikhuselayo ezijikeleze umntwana wakho ngaphakathi kwesibeleko sakho. Kukho iinwebu ezimbini ezijikeleze umntwana wakho, njengengxowa yokukhusela. Ezi zibizwa ngokuba yichorion kunye neamnion.
Olu sulelo lwenzeka xa iintsholongwane zingena kwizicubu okanye kwiinwebu ezijikeleze umntwana. Zingachaphazela nayiphi na kwezi ndawo zilandelayo:
- I-Chorion: I-membrane engaphandle.
- I-Amnion: I-membrane yangaphakathi.
- I-Placenta: Eyona nto ibalulekileyo enika umntwana isondlo esifunekayo kunye neoksijini.
- Ulwelo lwe-Amniotic: Ulwelo olugcina umntwana edada kwaye lukhusela.
Le yimeko enzima kuba, ukuba ayinyangwa, inokukhokelela kwiingxaki ezisongela ubomi bakho nosana lwakho. Kungoko ke, kubaluleke kakhulu ukuqaphela oku. Ngokwesiqhelo, amayeza okubulala iintsholongwane anikwa njengonyango. Kwakhona, kwezinye iimeko, oogqirha banokugqiba ekubeni babelekise umntwana kwangethuba.
Ixhaphake kangakanani le meko?
Oku akuqhelekanga kangako. Ngokwezibalo, le meko inokuchaphazela phakathi komntwana omnye nowabahlanu kwi-100 nganye yosana oluzelweyo. Kwakhona, olu sulelo lunokuthiwa luyimbangela enkulu yokubeleka kwangethuba .
Zithini iimpawu zoku?
Iimpawu zesi sifo zingahluka kumntu nomntu, kodwa kukho iimpawu eziqhelekileyo ekufuneka uzazi.
| Uphawu | Inkcazo |
|---|---|
| Ifiva | Ukuqala ngequbuliso komkhuhlane yenye yeempawu eziphambili. |
| Ukunyuka kwesantya sentliziyo | Isantya sentliziyo yakho okanye esomntwana wakho ongekazalwa sinokunyuka ngendlela engaqhelekanga. |
| Intlungu yesibeleko | Ukuva iintlungu okanye ukuxinana xa uchukumisa isisu okanye kwindawo apho isibeleko sikhoyo. |
| Ukukhupha ulwelo olungaqhelekanga kwilungu lobufazi | Ukuphuma kwamanzi kwilungu lobufazi okunevumba elibi okanye okunombala ongaqhelekanga (umthubi, oluhlaza, okanye omdaka). |
| Ukubila | Ukubila okungaqhelekanga nako kunokubonwa ngamanye amaxesha. |
Kutheni oku kusenzeka? Zithini izizathu?
Eyona nto ibangela oku kusulelo lwebhaktiriya . Le bhaktiriya idla ngokuhamba isuka kwilungu lakho lobufazi, i-anus, okanye i-rectum iye kwisibeleko sakho. Khumbula, umlomo wesibeleko uhlala uvaliwe, nto leyo eyenza kube nzima ukuba ezi bhaktiriya zingene ngaphakathi.
Nangona kunjalo, xa amanzi akho eqhekeka , oko kuthetha ukuba ingxowa ye-amniotic ejikeleze umntwana ikrazukile okanye yaphukile, oku kudala indlela yokuba ezi ntsholongwane zingene esibelekweni. Emva koko ezi ntsholongwane zinokosulela i-placenta okanye umntwana.
Ukwengeza,
- Yenza uvavanyo rhoqo lwesitho sangasese sangasese emva kokuba uphumile amanzi.
- Emva kovavanyo olufana ne -amniocentesis .
Kukho umngcipheko wokosuleleka kwiimeko ezinjalo.
Ezona zinto zixhaphakileyo zolu sulelo ziibhaktheriya ezibizwa ngokuba yi -E. coli kunye ne-Group B strep .
Ngaba oku kunokuchaphazela umntwana?
Ewe, ngokuqinisekileyo. I-Chorioamnionitis yimeko enokuchaphazela umntwana ngokuthe ngqo. Phakathi kweengxaki ezinokubakho kumntwana ngenxa yoku kukho:
- Iimeko ezinzulu zosulelo.
- Iingxaki ezichaphazela ingqondo okanye imiphunga.
Kukho izinto ezinjalo. Yiyo loo nto kubaluleke kakhulu ukufumana unyango kwangoko emva kokuba uxilongiwe.
Uyifumana njani le nto, Gqirha?
Ugqirha uza kwenza uvavanyo lokuqala emva kokukubuza ngeempawu zakho aze akwenze uvavanyo lomzimba. Emva koko unokuyalela iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lwegazi nomchamo: Jonga ukuba kukho usulelo emzimbeni kwaye kukho inani eliphezulu leeseli ezimhlophe zegazi.
- Inkcubeko yelungu lobufazi: Kuvavanywa isampulu yokukhupha ulwelo kwilungu lobufazi ukuze kubonwe ukuba kukho iintsholongwane na.
- Ukuvavanya isampuli yobovu: Ngamanye amaxesha kuthathwa inani elincinci lobovu lize livavanywe iintsholongwane.
- I-ultrasound scan: Jonga impilo yomntwana.
Iphathwa njani?
Ukuba ugqirha wakho uqinisekisa ukuba uneChorioamnionitis, uza kunikwa amayeza okubulala iintsholongwane ukunyanga usulelo. La mayeza adla ngokunikezelwa ngesisombululo setyuwa esifakwa emthanjeni (IV - Intravenous). Oku kuvumela amayeza ukuba afikelele emzimbeni wakho ngokukhawuleza aze aqalise ukusebenza.
Kwezinye iimeko, oogqirha bacebisa ukuba ubeleke kwangethuba ukuze kuthintelwe iingxaki ezingaphezulu kuwe nakumntwana wakho. Esi sisigqibo esenziwe ngenxa yokhuseleko lwakho nolomntwana wakho. Ukuba umntwana uzelwe enesifo, umntwana uya kunikwa amayeza okubulala iintsholongwane.
Zithini iingxaki ezinokubakho xa zinganyangwa?
Olu luhlobo losulelo olunzima, ukuba alunyangwa, lunokubangela iingxaki ezinkulu kumama nakumntwana.
| Iingxaki ezinokwenzeka kumama | |
|---|---|
| Usulelo lwengingqi ye-pelvic kunye nesisu | Ukusasazeka kosulelo kwezinye iindawo zomzimba. |
| I-Endometritis | Usulelo lwe-uterus. |
| Amahlwili egazi | Ingozi yokuqhekeka kwegazi kwi-pelvis okanye kwimiphunga. |
| I-Sepsis | Usulelo olubi lwegazi olunokusasazeka emzimbeni wonke kwaye lunokuba yingozi ebomini. |
| Iingxaki ezinokwenzeka kumntwana | |
|---|---|
| I-Sepsis | Ukusasazeka kosulelo egazini lomntwana. |
| I-Meningitis | Usulelo lwe-membranes ejikeleze ingqondo kunye nomqolo (i-meningitis). |
| Ukukrala kwemiphunga | Usulelo oluvela emiphungeni. |
Ngubani osengozini enkulu yokuba nale meko?
Ezinye izinto zinokunyusa umngcipheko wokosuleleka.
- Ukuzala ngaphambi kwexesha: Ukuqala kweempawu zokuzala ngaphambi komhla wokugqibela.
- Emva kweeyure ezingaphezu kwama-24 emva kokuchitha amanzi: Umntwana akazalwanga kangangeeyure ezingaphezu kwama-24 emva kokuba ii-membranes ziqhekekile.
- Ukuzala ixesha elide: Kuthatha ixesha elide ukuzala umntwana.
- Ukuba nosulelo lwesini okanye isifo esidluliselwa ngesondo (STI).
- Ukuba nosulelo lwe-strep kwiQela B ngexesha lokukhulelwa.
- Ukuhlolwa rhoqo kwesitho sangasese sangasese emva kokuba uphumile amanzi.
- Ukusetyenziswa kwezixhobo zokujonga umntwana ongekazalwa okanye isibeleko.
Ngaba zikho iindlela zokuphepha oku?
Nangona kukho izinto esingenakuzilawula, kukho izinto ezininzi esinokuzenza ukunciphisa lo mngcipheko.
- Ukusela amayeza okubulala iintsholongwane ukuba amanzi akho aqhekeka kwangethuba:Ngamanye amaxesha amanzi akho anokuqhekeka ngaphambi kwexesha. Ukuba oku kuyenzeka, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane ukuthintela usulelo.
- Ukunciphisa inani lamaxesha ovavanyo lwesitho sangasese sangasese emva kokuba uphumile amanzi: Uvavanyo kuphela xa kuyimfuneko lunokunciphisa umngcipheko wosulelo.
- Ukuvavanywa kwe-Group B strep: Kubalulekile ukwenza olu vavanyo kwikota yesithathu yokukhulelwa.
Ukuba unemibuzo okanye iinkxalabo malunga noku, ungoyiki ukuthetha nogqirha wakho ngako. Uza kuhlola imeko yakho aze akunike iingcebiso ezifanelekileyo.
Kubaluleke kakhulu: Yiya esibhedlele okanye utsalele umnxeba ugqirha wakho ngoko nangoko xa amanzi ephuma (iinwebu zakho ziqhekeka). Kwakhona, qiniseka ukuba uxela naziphi na kwezi mpawu zilandelayo:
* Ukuba uqalisa ukuba nomkhuhlane.
* Ukuba ufumana iintlungu esiswini okanye kwindawo ye-pelvic.
* Ukuba ubona ivumba elibi elivela kulwelo lwakho oluphuma kwilungu lobufazi.
Ngaba umntwana angaphila esibelekweni ngaphandle kwamanzi?
Hayi. Ulwelo lwe-amniotic lubalulekile ukuze umntwana aphile esibelekweni. Lukhusela umntwana kwiingozi ezahlukeneyo kunye nezifo. Ukuba ulwelo lwe-amniotic lulahlekile, umntwana unokufumana izifo kunye nezinye iingxaki ezisongela ubomi. Ngoko ke, xa amanzi akho ephukile, ugqirha wakho uya kuqwalasela ukukhulelwa kwakho aze agqibe ukuba lixesha elingakanani elifanelekileyo lokubeleka umntwana.
Umntwana angaphila ixesha elingakanani emva kokuqhekeka kwamanzi?
Ukukhulelwa ngakunye kwahlukile, kodwa ngokubanzi, oogqirha bazama ukubeleka umntwana kwiiyure ezingama-24 emva kokuba uphumile amanzi ukuze banciphise umngcipheko wosulelo.
I-Chorioamnionitis yimeko enzima ekufuneka uyiqaphele ngexesha lokukhulelwa. Ukuqonda iimpawu nokuxoxa ngayo yonke into nogqirha wakho kunokukunceda ulawule le meko ngcono.
Umyalezo Wokuya Ekhaya
- I-Chorioamnionitis sisifo esiyingozi sebhaktheriya esichaphazela ii-membranes kunye nolwelo lwe-amniotic olujikeleze umntwana ngexesha lokukhulelwa.
- Umkhuhlane, iintlungu zesibeleko, kunye nokuphuma kolwelo olungcolileyo oluphuma kwilungu lobufazi zezona mpawu ziphambili.
- Ukuba ezi mpawu zibonakala kwangoko emva kokuba amanzi ephumile, yazisa ugqirha wakho ngoko nangoko.
- Unyango ludla ngokuba ngamayeza okubulala iintsholongwane, kwaye ngamanye amaxesha ukubeletha kwangethuba kunokufuneka ukuze umntwana nawe nikhuseleke.
- Musa ukoyika oku. Soloko uthetha nogqirha wakho kwaye ubuze nayiphi na imibuzo onayo.
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