Ukuba ungumama onothando olindele umntwana, unezinto ezininzi engqondweni yakho ngomntwana osesiswini sakho. Unomdla kakhulu wokuva ukuba ugqirha uthini emva kokuskena ngakunye. Kodwa ukuba ugqirha ngequbuliso uthi into efana nokuthi "kukho amanzi amaninzi kakhulu ajikeleze umntwana", kuyinto eqhelekileyo ukuziva usoyika kwaye ukhathazekile. Kodwa ungoyiki. Namhlanje sithetha ngale meko enokufunyanwa ngoomama abaninzi, oko kukuthi, le meko yaziwa ngokwezonyango njenge-`(Polyhydramnios)`.
Ngamafutshane, yintoni iPolyhydramnios?
Kulungile, masiqale ekuqaleni. Kukho ulwelo olujikeleze umntwana wakho esiswini sakho, oko kukuthi, esibelekweni sakho. Olu lwelo silubiza ngokuba yi-amniotic fluid . Lufana nedama elincinci lokudada elikhusela umntwana. Olu lwelo lubaluleke kakhulu ekukhuleni komntwana, ekushukumeni nasekukhuselekeni kwakhe.
I-Polyhydramnios iyenzeka xa kukho ulwelo lwe-amniotic oluninzi kakhulu kwi-amniotic sac. Le meko idla ngokuvela kwisiqingatha sesibini sokukhulelwa, kodwa ngamanye amaxesha inokwenzeka kwangethuba kwiiveki ezili-16. Into ebalulekileyo kukuba ukuba ukwanda kolwelo kuncinci, ngokuqhelekileyo akubangeli ngxaki. Ugqirha wakho uza kukujonga ngokusondeleyo wena nomntwana wakho aze akunike iingcebiso ezifunekayo.
Ndingazazi njani ukuba ndinayo le meko? Zithini iimpawu?
Amaxesha amaninzi, xa le meko incinci, usenokungaziboni iimpawu ezithile. Nangona kunjalo, ukuba amanzi amaninzi kakhulu, unokufumana ezi mpawu.
| Iimpawu onokuzifumana | Yintoni isizathu soko? |
|---|---|
| Ukuziva ungonwabanga esiswini, ukuqina, okanye intlungu. | Uxinzelelo olubangelwa sisibeleko esikhulu kakhulu. |
| Ubunzima bokuphefumla. | Ukucinezelwa kwemiphunga yi-uterus ekhulisiweyo. |
| Isitshiso sentliziyo. | Isibeleko sityhala isisu phezulu. |
| Ukuqhinwa. | Uxinzelelo lwamathumbu ngesibeleko. |
| Ukuchama rhoqo. | Uxinzelelo kwisinyi ngesibeleko. |
| Ukudumba kwemilenze, amaqatha, kunye nendawo yangaphantsi. | Ukucinezelwa kwemithambo yegazi emzimbeni ongezantsi. |
Ugqirha angakuthandabuza njani oku?
Xa usiya ekliniki, ugqirha uza kukuhlola isisu sakho. Usenokukurhanela ukuba ubona izinto ezinje:
- Ukuba isibeleko sakho sibonakala sikhulu kuneeveki ozikhulelweyo.
- Ukuba kunzima ukuva ukubetha kwentliziyo yomntwana.
- Ukuba awukwazi ukuyiva kakuhle indawo yomntwana.
Kutheni oku kusenzeka? Zithini izizathu ze-polyhydramnios?
Lo ngumbuzo obuzwa ngoomama abaninzi. "Ngaba ndenze into engalunganga?" Usenokuzibuza. Musa ukucinga njalo. Rhoqo, ingakumbi xa amanzi ephakame kancinci, kunzima ukufumana isizathu esicacileyo.
Nangona kunjalo, kwiimeko apho ubungakanani bamanzi buphezulu kakhulu (phakathi ukuya kobunzima), kusenokuba ngenxa yesinye okanye ngaphezulu kwezi zizathu zilandelayo:
- Usana alukwazi ukuginya ulwelo lwe-amniotic: Ngokwesiqhelo, umntwana uyaginya olu lwelo, alufunxe emzimbeni, aze alukhuphe kwakhona njengomchamo. Oku kufana nomjikelo. Ukuba umntwana unesifo sokuzalwa esiphazamisana nale nkqubo yokuginya, ulwelo lunokuqokelelana.
- Amanqanaba aphezulu eswekile egazini kumama: Nokuba ubunesifo seswekile ngaphambi kokukhulelwa okanye unesifo seswekile sokukhulelwa ngexesha lokukhulelwa, ukuba amanqanaba eswekile egazini lakho awalawulwa, umntwana wakho uya kuchama ngakumbi. Oku kunokubangela ukwanda kolwelo lwe-amniotic.
- Ukuba namawele afanayo: Ngamanye amaxesha, imeko ebizwa ngokuba yiTwin to Twin Transfusion Syndrome (TTTS), apho ukuhamba kwegazi phakathi kwamawele kungalingani, inokubangela ulwelo oluninzi kumntwana omnye.
- Ukungahambelani kwe-Rh factor: Ngenxa yeengxaki ezinokubakho ukuba igazi likamama "alinayo i-Rh" kwaye igazi lomntwana "alinayo i-Rh".
- Iingxaki ngentliziyo yomntwana.
- Usulelo lomntwana esibelekweni.
Eyona nto ibalulekileyo kukufumana unobangela, nokuba yintoni na, uze ufumane unyango olufunekayo. Yiyo loo nto kubaluleke kakhulu ukufumana uvavanyo olucetyiswa ngugqirha wakho ngokuchanekileyo.
Oogqirha bakufumanisa njani oku kanye kanye?
Ukuba ugqirha wakho ukrokrela oku, eyona ndlela iphambili yokuqinisekisa oku kukusebenzisa i-ultrasound scan .
Ngexesha lokuskena, unokulinganisa ubungakanani bamanzi ngeendlela ezimbini:
1. I-Amniotic Fluid Index (AFI): Oku kuquka ukwahlula isibeleko sakho ngokwengqondo sibe ngamacandelo amane, ukulinganisa indawo enzulu yenqanaba lolwelo kwicandelo ngalinye, kunye nokongeza onke amaxabiso amane.
2. Ipokotho Ethe Tye Ephezulu (MPV): Le ilinganisa kuphela indawo enzulu yolwelo esibelekweni.
Ukuba ezi mvavanyo ziqinisekisa ukuba amanzi angaphezulu kakhulu, ugqirha unokucebisa ezinye iimvavanyo ezininzi ukuze kufunyanwe unobangela.
- I-Echocardiogram yosana olusandul’ ukuzalwa: Iskeni ekhethekileyo ejonga umsebenzi kunye nolwakhiwo lwentliziyo yomntwana.
- Uvavanyo olungengoxinzelelo: Uvavanyo olujonga indlela ukubetha kwentliziyo yomntwana ukuze kubonwe ukuba umntwana uphilile na.
- Iprofayili yeBiophysical: Iskeni ihlola izinto ezintlanu, ezifana nokuhamba komntwana kunye neendlela zokuphefumla.
- I-Amniocentesis: Ngamanye amaxesha, kuthathwa ulwelo oluncinci kakhulu esibelekweni ukuze kuhlolwe ukuba umntwana unesimo semfuza.
- Uvavanyo lweGlucose Challenge: Uvavanyo lokujonga ukuba unesifo seswekile na.
Zithini iindlela zonyango zoku?
Ukuba amanzi agciniwe kancinci kwaye ukwisiqingatha sokugqibela sokukhulelwa kwakho, uninzi lwexesha akukho nyango lukhethekileyo lufunekayo . Ugqirha uza kukujonga wena nomntwana wakho rhoqo ukuqinisekisa ukuba yonke into ihamba kakuhle.
Nangona kunjalo, ukuba ubungakanani bamanzi bukhulu kakhulu kwaye ufumana ukungakhululeki okungakumbi, unyango lunokufuneka.
- Ukunyanga unobangela oyintloko: Umzekelo, ukuba unesifo seswekile, icebiso malunga nendlela yokulawula amanqanaba eswekile egazini lakho.
- Ukususa ulwelo olugqithisileyo: Kwezinye iimeko, inkqubo ebizwa ngokuba yi-"Amnioreduction" isebenzisa umbhobho omncinci ukususa ulwelo olugqithisileyo esibelekweni.
- Ukuzala ngaphambi kwexesha: Ukuba umntwana ukhule ngokupheleleyo kwaye umama uziva engonwabanga kakhulu, ugqirha unokugqiba ekubeni aqalise ukuzala phakathi kweeveki ezingama-37 ukuya kwezingama-39.
Zithini iingozi ze-polyhydramnios?
Okokuqala, ukwanda kolwelo lwe-amniotic akumlimazi umntwana ngokuthe ngqo. Nangona kunjalo, kukho umngcipheko omncinci weengxaki ezithile ngenxa yokuba isibeleko sibe sikhulu kakhulu.
| Umngcipheko/Ingxaki | Kalula nje... |
|---|---|
| Ukuzalwa ngaphambi kwexesha | Ukuzalwa komntwana ngaphambi kweeveki ezingama-37. |
| Ukuqhawuka kwe-placenta | I-placenta isuka eludongeni lwesibeleko ngaphambi kokuba umntwana azalwe. |
| Ukopha kwegazi emva kokubeleka | Isibeleko sinwebe kakhulu, nto leyo ebangela ukuba singafinyeleli kakuhle emva kokubeleka. |
| Ukuwa kwentambo ye-umbilical | Intambo yesisu ingena kwilungu lobufazi ngaphambi kokuba umntwana aphume amanzi. |
| Umntwana ojika ibreech (Indawo yokujika ibreech) | Ngenxa yokuba kukho indawo eninzi kakhulu, umntwana angahambahamba kakhulu. |
| Ukuzalwa komntwana eswelekile | Le yinto enokwenzeka rhoqo. |
Musa ukoyika ezi zinto. Ezi zizingozi nje. Azenzeki kuwo wonke umntu. Ugqirha wakho uyazazi ezi ngozi kwaye uza kuthatha amanyathelo afanelekileyo ukuzithintela.
Ngaba oku kuya kuyichaphazela indlela endizisa ngayo impahla yam?
Ixesha elininzi, umntwana wakho uza kuzalwa ngendlela eqhelekileyo. Nangona kunjalo, ugqirha wakho uza kuqhubeka ejonga ukubetha kwentliziyo yomntwana wakho ngexesha lokubeleka. Xa amanzi akho ephuma, amanzi amaninzi angaphuma ngoko nangoko. Ugqirha wezingane uza kumhlola umntwana wakho kwangoko nje ukuba uzelwe.
Kusenokubakho ukwanda okuncinci kwamathuba okuba udinge utyando lwe-cesarean (C-section), kodwa oku kuya kugqitywa ngugqirha wakho ngokusekelwe kwimeko yakho neyomntwana wakho.
Ndingenza ntoni ukunciphisa ukungakhululeki endikuvayo?
Kuqhelekile ukuba nexhala xa ufumanisa ukuba unale meko, kodwa ungenza ezi zinto ukuze ufumane isiqabu.
- Phumla ngokwaneleyo: Phumla kangangoko unako. Musa ukuzibhokoxa kakhulu.
- Khulula ingqondo yakho: Khulula ingqondo yakho ngokwenza into oyithandayo, njengokucamngca okanye ukumamela umculo.
- Thetha nogqirha: Thetha nogqirha ngazo zonke iingxaki zakho kunye noloyiko lwakho. Uza kuziva ukhululekile kakhulu.
- Qaphela iimpawu ezintsha: Ukuba isisu sakho ngequbuliso sivakala sikhulu okanye unengxaki yokuphefumla, yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Polyhydramnios kukwanda komthamo wolwelo lwe-amniotic olujikeleze umntwana.
- Ukwanda okuncinci kuqheleke kakhulu, kwaye akubangeli monakalo. Kufuneka nje kujongwe ngokusondeleyo.
- Ngamanye amaxesha akukho sizathu sifumanekayo, kodwa ngamanye amaxesha sinokubangelwa sisifo seswekile sikamama okanye imeko ethile kumntwana.
- Ukuba amanzi angaphezulu kakhulu, unyango lunokufuneka, njengokususa ulwelo olugqithisileyo okanye ukuzala umntwana ngaphambi kwexesha.
- Lilungelo lakho ukuxoxa ngokukhululekileyo nogqirha wakho ngayo nayiphi na into oyicingayo okanye ongathandabuziyo ngayo.
- Okubaluleke kakhulu: Uninzi loomama abane-polyhydramnios bazala abantwana abasempilweni nabonwabileyo ngaphandle kweengxaki.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment