Umele ukuba uyibonile ingxowa yamanzi kamama okhulelweyo iqhekeka ngequbuliso ngengxolo enkulu, kwaye amanzi amaninzi aphuma. Kodwa ebomini bokwenyani, oku akwenzeki rhoqo. Abantu abaninzi bavakalelwa kukuba oku kwenzeka kancinci. Nangona kunjalo, njengomama oza kuba nomntwana, kubaluleke kakhulu ukuba uqaphele ngokupheleleyo oku. Ngoko ke, masithethe ngale nto namhlanje.
Kuthetha ukuthini xa ingxowa yamanzi iqhekeka?
Ngamafutshane, umntwana wakho ungaphakathi kwesibeleko sakho, ngaphakathi kwingxowa ezele ngamanzi. Sibiza oku ngokuba yi-amniotic sac. Ulwelo lwe-amniotic olungaphakathi kwesi sikhwama yilo olugcina umntwana wakho ekhuselekile kwaye ekhululekile ngaphakathi kwesibeleko sakho. Cinga ngako, le ngxowa yamanzi inika umntwana wakho indawo yokujika, ukuhamba, nokukhula kakuhle. Ikwanceda ukugcina ubushushu bomzimba womntwana wakho bukwinqanaba elifanayo kwaye igcina intambo yesisu ingadibani.
Xa umzimba wakho ulungele ukuzala umntwana wakho, le ngxowa yamanzi iyaqhuma. Emva koko ulwelo olungaphakathi kuyo luqala ukuvuza ngelungu lobufazi. Oku sikubiza ngokuba "kukuqhekeza amanzi akho" okanye "kukuqhekeza amanzi akho." Oku kungenzeka ngaphambi kokuba kuqale ukuzala, okanye kunokwenzeka ngexesha lokuzala.
Ngokwesiqhelo, malunga ne-10% yoomama abasele beza kubeleka bafumana ukuqhekeka kwe-membranes ngaphambi kokuba kuqale ukuzala . Le meko yaziwa ngokwezonyango njenge-Prelabor Rupture of Membranes (PROM).
Kuvakala njani xa amanzi eqhekeka?
La mava ahlukile kuye wonke umntu. Ungaziva ngolu hlobo:
- Ukuphuma kwamanzi ngequbuliso, okugqithisileyo: Kusenokuvakala ngathi uchamile ngeempahla zakho.
- Ukuvuza rhoqo: Usenokuziva ngathi uvuza ulwelo rhoqo.
- Ukuthontsiza: Usenokuziva ngathi ulwelo luphuma kancinci kancinci.
- Ukopha okukhawulezileyo: Ukopha kungaqala, kume okwethutyana, kuze kuqale kwakhona.
Ngamanye amaxesha unokuva isandi esithi "click" sivela ngaphakathi esibelekweni, okanye usenokuvakalelwa ngathi kukho into eqhumayo. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ulwelo lwe-amniotic alunavumba njengomchamo . Ludla ngokungenavumba, ngamanye amaxesha lunevumba elimnandi kancinci.
| Uphawu | Ulwelo lwe-amniotic (amanzi akwingxowa yamanzi) | Umchamo ( umchamo ) |
|---|---|---|
| Ivumba | Ihlala ingenavumba. Isenokuba nevumba elimnandi kancinci. | Inevumba elingaqhelekanga elifana ne-ammonia. |
| Umbala | Ihlala ingenambala (njengamanzi). Isenokubonakala ipinki inegazi elincinci okanye amasuntswana amhlophe. | Ingahluka ukusuka kumthubi okhanyayo ukuya kumthubi omnyama. |
| Ukuhamba | Ukuhamba kwamanzi kuyaqhubeka ngokungalawulekiyo. Ukuhamba kwamanzi kunokwanda xa ukhohlela okanye umile. | Ngokwesiqhelo ingalawulwa kwaye iyekiswe. |
Ufanele wenze ntoni xa amanzi akho ephukile?
Ukuba unesikrokro sokuba amanzi akho aphuke, into yokuqala neyona ibalulekileyo omawuyenze kukufowunela ugqirha wakho okanye umbelethisi. Musa ukoyika, hlala uzolile.
Ugqirha uza kukuxelela into omawuyenze. Uhlala ekuxelela ukuba uze eofisini yakhe, okanye uza kukuxelela ukuba uye ngqo esibhedlele. Xa usiya, sebenzisa iphedi. Ungaze usebenzise i-tampon.
Xa usiya esibhedlele, ukuba akucaci ukuba amanzi akho aphuke ngokwenene na, baza kuthatha isampuli yolwelo oluphuma kuwe baze benze uvavanyo olulula ukuqinisekisa ukuba luphumile.
Ukuba oku kwenzeka kwiiveki ezi-3 emva komhla wokuzalwa kwakho, ugqirha wakho angakuxelela ukuba ulinde iiyure ezimbalwa ukuze abone ukuba i-magema yakho iqala ukwanda na. Okanye angagqiba ekubeni abangele ukuzala. Kuninzi loomama, ukuzala kuqala kwiiyure ezili-12 emva kokuqhekeka kwamanzi.
Ezinye izifundo zibonise ukuba iintsana ezizelwe ngoomama ababangela ukuba babeleke emva kokuba bephumile emanzini abandayo azinawo amathuba amaninzi okufumana usulelo. Zikwafuna unyango oluncinci kwaye zinokubuyela ekhaya zisuka esibhedlele kwangethuba. Kodwa isigqibo esifanelekileyo malunga noku kukuthetha nogqirha wakho.
Kuthekani ukuba amanzi aphuma kwangethuba? (Ukuphuma kwamanzi kwangethuba)
Malunga ne-3% yabasetyhini abakhulelweyo bafumana ukuqhekeka kwamanzi ngaphambi kweeveki ezingama-37 zokukhulelwa. Oku kubizwa ngokuba yi-Preterm Prelabor Rupture of Membranes (PPROM). Le yimeko efuna inkxalabo ethile. Kukho izinto ezininzi ezinokunyusa umngcipheko woku.
- Ukuba utyebile kancinci
- Ukuba uyatshaya.
- Ukuba oku kuye kwenzeka kukukhulelwa kwangaphambili
- Ukuba unosulelo olunganyangwanga kwindlela yomchamo
- Ukuba uphuma igazi kwilungu lobufazi ngexesha lokukhulelwa
- Ukuba bekukho ingxaki ngesibeleko
Ukuba i-PPROM iyenzeka, kufuneka ulaliswe esibhedlele ngoko nangoko.
Kwenzeka ntoni esibhedlele?
- Ukuba uneeveki ezingama-34 nangaphezulu: Ugqirha wakho angagqiba ekubeni azale umntwana wakho ukuze anciphise umngcipheko wokosuleleka kuwe okanye kumntwana wakho.
- Ukuba uphakathi kweeveki ezingama-23 nezingama-34: Ukulibazisa ukuzala kudla ngokwenziwa ukuze umntwana akhule ixesha elide esibelekweni. Uza kunikwa amayeza okubulala iintsholongwane ukuthintela usulelo. Uza kunikwa nee-steroids ukunceda amaphaphu omntwana akhule ngokukhawuleza. Mhlawumbi kuya kufuneka uhlale esibhedlele de umntwana azalwe.
- Ukuba ungaphantsi kweeveki ezingama-23: Eli lixesha elinobuzaza kakhulu. Ugqirha wakho uza kuthetha nawe ngokukhululekileyo malunga neengozi kunye neenzuzo zokuqhubeka nokukhulelwa. Oku kungenxa yokuba ukuba amanzi akho aphuma kwangoko, amathuba okuba umntwana asinde aphantsi. Nokuba uyasinda, usemngciphekweni omkhulu wokukhubazeka kwengqondo okanye komzimba.
Kuthekani ukuba ingxowa yamanzi ayiphukanga nangona imanzi?
Ngamanye amaxesha, ukuba ubeleka kodwa ubeleka kancinci, ugqirha wakho angakunceda uqhekeze amanzi akho. Oku kubizwa ngokuba yi-amniotomy. Kule nkqubo, kufakwa isixhobo esikhethekileyo, njengesikhonkwane seplastiki esingenazintsholongwane, ngelungu lobufazi bakho kwaye ugqirha uqhekeze isingxobo se-amniotic. Ukuze wenze oku, intloko yomntwana kufuneka ibe sezantsi komjelo wokuzala kwaye igubungele umlomo wesibeleko sakho. Ngaphandle koko, ungalinda umzimba wakho ugqibezele ubeleko ngokwawo.
Umyalezo Wokuya Ekhaya
- Abanye abantu basenokuziva amanzi ephuma ngequbuliso, ngelixa abanye besenokuziva ulwelo luphuma kancinci kancinci.
- Ulwelo oluphuma kulo alunavumba linamandla njengomchamo. Yileyo ndlela onokubona ngayo umahluko.
- Ukuba unesikrokro sokuba ingxowa yakho yamanzi iphukile, ungoyiki, fowunela ugqirha wakho ngoko nangoko.
- Ukuba amanzi akho aphuma ngaphambi kwexesha (ngaphambi kweeveki ezingama-37), yingxaki engxamisekileyo. Yiya esibhedlele ngoko nangoko.
- Ungakhathazeki. Kukho abasebenzi bezonyango abaqeqeshiweyo abanokukunceda kuzo zonke ezi meko. Xoxa ngayo yonke into nogqirha kwaye ulandele imiyalelo yakhe.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🧐 Yintoni i-Amniotic Fluid Embolism (AFE)? Ingaba le yinto eyenzekayo xa amanzi eqhekeka?
Le yimeko engaqhelekanga kakhulu, eyenzeka kubantu abane ukuya kwabahlanu kumakhulu amawaka okukhulelwa. Xa amanzi ephuma, ulwelo okanye iiseli zomntwana ezingaphakathi kwibhegi zixubana negazi likamama, nto leyo ebangela ukuba umntwana abe ne-allergy enzima. Musa ukoyika oku, kuba amathuba okuba oku kwenzeke mancinci kakhulu.
💬 😰 Wazi njani xa amanzi akho ephuma? Ngaba angathintelwa?
Akukho ndlela yokuthintela oku kwangaphambili, kodwa xa amanzi akho ephuma, usesibhedlele, ngoko oogqirha baya kukubeka esweni ngokusondeleyo. Ukuba ngequbuliso ubonakalisa iimpawu ezifana nokuphefumla okufutshane okanye uxinzelelo lwegazi oluphantsi, abasebenzi basesibhedlele bakulungele ukukunyanga ngoko nangoko. Ngoko ke ungoyiki ngokungeyomfuneko.
💬 🩺 Ngaba kufuneka ndikhathazeke kakhulu nge-Amniotic Fluid Embolism ukuba amanzi am aqhekeka?
Hayi bo! Ukuqhekeka kwamanzi yinto eqhelekileyo eyenzekayo xa umntwana eza kuzalwa. Le embolism yimeko engaqhelekanga kwihlabathi liphela, ngoko ke ungakhathazeki ngayo. Okufuneka ukwenze kukungaxhalabi xa amanzi eqhekeka kwaye uye esibhedlele ngoko nangoko. Emva koko kukho oogqirha abanokujongana nayo nayiphi na imeko.
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