Ngaba kufuneka sifunde nge-oligohydramnios (ulwelo oluphantsi lwe-amniotic olujikeleze usana) ngexesha lokukhulelwa?

Xa sele uza kuba ngumama, ngamanye amaxesha izinto ezithethwa ngoogqirha zinokuvakala zinzima, akunjalo? Kuqhelekile ukuba uzive ukhathazekile kancinci xa usiva into efana nokuthi 'akukho manzi aneleyo ajikeleze umntwana'. Le yinto oogqirha abayibiza ngokuba yi-'(Oligohydramnios)'. Kodwa ungakhathazeki, akunjalo? Kwiimeko ezininzi, ukuba uyinyamekela kakuhle le meko, unokuzisa umntwana osempilweni nomhle kweli hlabathi. Makhe sithethe ngale nto ngokweenkcukacha, ngesiSinhala onokuyiqonda.

Ngoko ke oku kuthetha ukuthini ngokuncipha kwamanzi ajikeleze umntwana?

Ngamafutshane, xa umntwana wakho esesibelekweni, kukho ulwelo olufana namanzi olumjikelezileyo. Oku kubizwa ngokuba yi-`(Amniotic fluid)` okanye i-amniotic fluid, okanye rhoqo "amanzi ajikeleze umntwana". Oku kufana nengxowa yokukhusela umntwana. Khawuthelekelele, ngenxa yale ngxowa yamanzi, umntwana ukhuselekile kwiingcinezelo zangaphandle kunye nezifo ezahlukeneyo. Enye into ebalulekileyo kukuba la manzi akwanceda ukukhusela intambo yesisu kwingcinezelo. Akupheleli apho, olu `(Amniotic fluid)` lubaluleke kakhulu ekuphuhlisweni ngokufanelekileyo kwemiphunga yomntwana, inkqubo yokugaya ukutya, kunye nolawulo lobushushu bomzimba. Ngoko ke, `(Oligohydramnios)` kuthetha ukuba ubungakanani bamanzi ajikeleze umntwana buncinci kunokulindelekileyo. Xa oko kusenzeka, ezinye iingxaki zinokwenzeka ngexesha lokukhula komntwana okanye xa umntwana ezalwa.

Ixhaphake kangakanani le meko?

Le meko, ebizwa ngokuba yi-"Oligohydramnios" ichaphazela malunga ne-4 kwi-100 yabasetyhini abakhulelweyo (4%). Idla ngokuvela kwiinyanga ezintathu zokugqibela zokukhulelwa, okanye kwi-trimester yesithathu. Nangona kunjalo, ukuba udlulile kumhla wakho wokuzalwa, okanye ukuba awukafumani umntwana wakho ngomhla wokuzalwa, umngcipheko unokunyuka uye kwi-12%. Oku kungenxa yokuba ubungakanani bolwelo olujikeleze umntwana ngokwendalo luqala ukwehla kancinci ngeli xesha.

Mangakanani amanzi afanele abekho ajikeleze umntwana ngexesha lokukhulelwa?

Oku kuxhomekeke ngokwenene ekubeni ukhulelwe iiveki ezingaphi. Olu "lwelo lwe-amniotic" luqala ukwakheka malunga neentsuku ezili-12 emva kokuba ukhulelwe. Kwinqanaba lokuqala, olu lwelo luvela kwi-"Placenta". Malunga neeveki ezili-15, kwenzeka into emangalisayo, umchamo womntwana uba lolu lwelo. Ewe, umntwana usela olo lwelo aze alukhuphe njengomchamo. Le yindlela inqanaba lolwelo elilawulwa ngayo. Olu lwelo lufikelela kwinqanaba eliphezulu malunga neeveki ezingama-36 zokukhulelwa. Emva koko, luqala ukwehla kancinci kancinci. Ke ngoko, ubungakanani bolwelo olukhoyo bungahluka ukusuka kwixesha ukuya kwelinye.

Ziziphi iimpawu zokuba umntwana uphelelwe ngamanzi emzimbeni?

Ixesha elininzi, usenokungazi. Ngesinye isizathu, inokufunyanwa ngengozi ngexesha le-ultrasound scan ukujonga ukukhula komntwana. Xa oko kusenzeka, ungaziva umangalisiwe kwaye woyika ngequbuliso. Kodwa ungakhathazeki.

Kodwa ngamanye amaxesha ugqirha unokukrokrela oku ngenxa yezinto ezifana nezi:

• Ukuba uphuma amanzi kwilungu lobufazi (kufuneka uxelele ugqirha wakho ukuba awuqinisekanga ukuba yintoni le).
• Ukuba ubungakanani besibeleko sakho buncinci kunenani leeveki okhulelweyo.
• Ukuba uvakalelwa kukuba iintshukumo zomntwana azanele.

Kutheni amanzi emancinci ajikeleze umntwana?

Uninzi lwexesha, akukho sizathu sokwenyani. Oku kungenzeka ngokungacwangciswanga, nokuba ukhulelwe kakuhle. Kodwa ngamanye amaxesha oogqirha banokufumana unobangela othile obangela oku.

Nazi ezinye zezizathu:

• Iingxaki zokuzalwa ezibangelwa zizintso zomntwana okanye inkqubo yomchamo: Ukuba izintso zomntwana azikhuliswanga kakuhle, ubungakanani bomchamo eziwuvelisayo buya kuncipha. Oku kuya kunciphisa nobungakanani bamanzi ajikeleze umntwana.
• Iingxaki zePlacenta: I-placenta ngumthombo wegazi kunye nezondlo zomntwana. Ukuba ayisebenzi kakuhle, ukuveliswa kwamanzi kunokuncipha.
• Ngaphezulu kweeveki ezimbini emva komhla wokugqibela: Njengoko benditshilo ngaphambili, ubungakanani bamanzi buyehla njengoko iintsuku zihamba.
• Uxinzelelo lwegazi oluphezulu okanye i-preeclampsia: Ezi meko zinokunciphisa ukuhamba kwegazi ukuya kwi-placenta, nto leyo enokubangela ukuba amanqanaba amanzi abe phantsi.
• Ukuphelelwa ngamanzi emzimbeni: Ukuba umzimba wakho awunamanzi aneleyo, oku kunokukuchaphazela. Ngoko ke kubaluleke kakhulu ukusela amanzi amaninzi.
• Ukuqhekeka kwangaphambi kwexesha kwee-membranes (PROM): Ukuba ii-membranes ziqhekeka ngaphambi kokuba umntwana azalwe kwaye amanzi aqala ukuvuza, ubungakanani bamanzi ngaphakathi buyehla.

Ukuba unezi meko, kunokwenzeka ukuba ube namanzi aphantsi kufutshane nomntwana wakho. Ukuba ukhe wawa namanzi aphantsi kukukhulelwa kwangaphambili, oko kukwangumngcipheko.

Zeziphi iingxaki ezinokubangela oku?

Kwiinyanga ezi-6 zokuqala zokukhulelwa, amanzi ajikeleze umntwana anokuba yingozi ngakumbi kunesiqhelo, kuba kulapho amalungu omzimba omntwana esekwa khona.

• Iingxaki zophuhliso lwamalungu omzimba: Ngokukodwa, imiphunga isenokungakhuli kakuhle, okanye umntwana usenokuba neempazamo esibelekweni, nto leyo ebangela ukukhubazeka kwamalungu omzimba.
• Ukuzalwa ngaphambi kwexesha .
• Ukuzalwa kwengane ifile (oku kunqabile kakhulu, kodwa kukho umngcipheko).
• Usulelo lunokwenzeka ukuba amanzi aqhekeka kwangethuba.

Nangona kunjalo, ukuba le meko (i-Oligohydramnios) ifunyaniswa kwi-trimester yokugqibela yokukhulelwa (oko kukuthi, ukusuka kwiiveki ezingama-28 ukuya kuma-40), ezi ngxaki zilandelayo zinokwenzeka:

• Ukucinezelwa kwe-Umbilical cord: Ngenxa yokunqongophala kwamanzi ajikeleze umntwana, i-umbilical cord inokucinezelwa, nto leyo enciphisa inani lesondlo kunye ne-oxygen efunyanwa ngumntwana.
• Ukuthintelwa kokukhula komntwana ongekazalwa .
• Kukho umngcipheko omkhulu wokuba nomntwana ngotyando (C-section).
• Ukuzala umntwana kwangethuba.
• Kukho umngcipheko omkhulu wokosuleleka ukuba amanzi aqhekeka kwangethuba.

Cinga ngayo, njengokuba xa ufaka into kwibhaluni egcwele amanzi, ikhuselekile, kunjalo nomntwana osesiswini. Xa inqanaba lamanzi lehla, olo khuseleko luyehla.

Oogqirha bayibona njani le nto?

Xa usiya eofisini kagqirha ngexesha lokukhulelwa kwakho, ugqirha uza kwenza i-ultrasound scan ukulinganisa ubungakanani bamanzi ajikeleze umntwana wakho. Ukuba ubungakanani bamanzi buphantsi kunoko bekulindelwe kwinani leeveki umntwana wakho akuzo, unokufunyanwa une-oligohydramnios.

Zimbini iindlela zokulinganisa la manzi:

1. I-Amniotic fluid index (AFI): Oku kuquka ukwahlula isibeleko sakho sibe ngamacandelo amane kwaye ulinganise ukuphakama kwekholamu yamanzi enzulu kwicandelo ngalinye. I-AFI emva koko ibalwa ngokudibanisa imilinganiselo evela kuzo zonke iindawo ezine. I-AFI eqhelekileyo kufuneka ibe ngaphezu kweesentimitha ezi-5 (cm).

2. Ipokotho ephezulu ethe nkqo (MVP): Oku kulinganisa ukuphakama kwekholamu enye, enzulu kakhulu yamanzi esibelekweni. Ukuba i-MVP ingaphantsi kweesentimitha ezi-2 (cm), ithathwa njengemanzi aphantsi.

Zithini iindlela zonyango zoku?

Unyango loku luxhomekeke ekubeni ukhulelwe ixesha elingakanani na kwaye nokuba unezinye iingxaki zokukhulelwa. Ukuba sele usondele kwixesha elipheleleyo (oko kukuthi, kwiiveki ezingama-37 ezidlulileyo), ugqirha wakho unokugqiba kwelokuba kungcono ukukhuthaza ukuzala ukuze kukhuselwe umntwana wakho.

Ugqirha uza kukutyelela rhoqo aze achithe iintsuku ezininzi ekliniki. Ngalo lonke ixesha, uza kujonga ngokusondeleyo ukukhula komntwana wakho. Nazi ezinye izinto onokuzenza kwezi kliniki:

• Ukuskena okuphindaphindiweyo kwe-ultrasound.
• `Uvavanyo olungengoxinzelelo` (oku kujonga indlela isantya sentliziyo yomntwana esisabela ngayo kwiintshukumo zakhe).

Ezinye iindlela zonyango zixhomekeke kwisizathu sokuba amanzi akho aphantsi. Ukuba kukho ukurhaneleka kokuba amanzi akho aphukile, okanye ukuba amanzi akho aqhubeka esezantsi, ungangeniswa esibhedlele ukuze ujongwe ngokusondeleyo.

Ngaba amanzi okusela anokunyusa ubungakanani bamanzi ajikeleze umntwana?

Mhlawumbi. Ezinye izifundo zibonise ukuba ukusela amanzi amaninzi ngexesha lokukhulelwa, ingakumbi kwabo baphelelwe ngamanzi emzimbeni, kunokunceda ukwandisa ubungakanani be-amniotic fluid ejikeleze umntwana. Yiyo loo nto kubalulekile ukusela amanzi aneleyo yonke imihla. Cela ingcebiso kugqirha wakho.

Ngaba ikho indlela endingayithintela ngayo le nto?

Akukho nto unokuyenza ukuthintela i-oligohydramnios. Eyona nto ibalulekileyo kukuya rhoqo kwi-aphoyintimenti yakho yokukhulelwa. Kwaye ukhululeke kugqirha wakho malunga neempawu zakho kunye nembali yakho yempilo yangaphambili. Ukwazi kwangethuba ukuba usemngciphekweni wale meko yeyona ndlela ilungileyo yokuyichonga nokunyanga.

Ngaba umntwana wam uza kuba sempilweni xa enale meko?

Ewe, kusenokwenzeka ukuba umntwana wakho uza kuzalwa esempilweni. Ungakhathazeki. Nangona ulwelo lwe-amniotic ngamanye amaxesha lunokuba yingozi, uninzi lweentsana luphila kakuhle emva kokuzalwa. Into ebalulekileyo kukubona le meko kwangethuba kwaye uyilawule ngokufanelekileyo ngokweengcebiso zonyango.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko:

• Ukuba uphuma amanzi kwilungu lobufazi (ukuba awuqinisekanga ukuba loluphi uhlobo lokukhupha, xelela ugqirha wakho).
• Ukuba kukho ukopha kwegazi kwilungu lobufazi.
• Ukuba unentlungu esiswini, iintlungu ezibuhlungu okanye intlungu yesisu.
• Ukuba unezintso, kufana neentlungu zokubeleka.
• Ukuba uvakalelwa kukuba iintshukumo zomntwana azanele.

Khumbula, ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Ukufuna ingcebiso kagqirha ngokukhawuleza kubaluleke kakhulu kukhuseleko lwakho nolomntwana wakho.

Ezona zinto zibalulekileyo ekufuneka sizifunde koku

Kulungile, ngoko ke, ukuva ukuba umntwana wakho unamanzi aphantsi, okanye i-oligohydramnios, kuyothusa kakhulu, kwaye kuqhelekile ukuba nemibuzo emininzi. 'Kuza kwenzeka ntoni kumntwana wam?', 'Ayinakulungiswa le nto?' Mhlawumbi uyazibuza. Yonke loo mibuzo ifanelekile. Kodwa zama ukungoyiki. Njengoko benditshilo ngaphambili, uninzi loomama abanale meko bazala abantwana abasempilweni.

Ugqirha wakho uza kukubeka esweni ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho. Baza kuxoxa nawe ngesicwangciso sonyango esikhuselekileyo kuwe nakumntwana wakho. Injongo ephambili yoogqirha kukugcina wena nomntwana wakho niphilile. Ke ngoko, ukuya kuzo zonke iintlanganiso zakho zokukhulelwa nokwabelana ngeempawu zakho nogqirha wakho yeyona ndlela ilungileyo yokuchonga naziphi na iingxaki ezinokubakho ngobungakanani bamanzi ajikeleze umntwana wakho. Ungalibali ukusela amanzi amaninzi. Ngamana iNkosi ingakusikelela wena nomntwana wakho!

I- Oligohydramnios, ulwelo oluphantsi lwe-amniotic ngexesha lokukhulelwa, ulwelo lwe-amniotic, ukuncipha kwamanzi ajikeleze umntwana, iingxaki zokukhulelwa, i-ultrasound, ukuzalwa ngaphambi kwexesha