Ukuba ungumama oza kuzala, mhlawumbi uyazi ukuba umntwana wakho ukhuselekile kulwelo olubizwa ngokuba yi-amniotic fluid, okanye njengoko silubiza njalo, amanzi ajikeleze umntwana. Olu lwelo lugcina umntwana ekhululekile, ekhuselekile, kwaye lunceda ukuba ashukume kwaye akhule. Kodwa ngamanye amaxesha, kwiimeko ezimbalwa kakhulu, olu lwelo lunokuba lukhulu kakhulu. Ngaba ugqirha wakho ukuxelele loo nto? Yiyo loo nto sithetha ngayo. Oku kuthiwa yiPolyhydramnios ngokwezonyango.
Ngamafutshane, yintoni iPolyhydramnios?
I-Polyhydramnios yimeko apho kukho ulwelo lwe-amniotic olungaphezulu kolwelo oluqhelekileyo kwisibeleko sakho nakwindawo ejikeleze umntwana wakho ngexesha lokukhulelwa. Idla ngokuvela kwisiqingatha sesibini sokukhulelwa, kodwa ngamanye amaxesha inokwenzeka kwangethuba kwiiveki ezili-16.
Kodwa khumbula oku. Le meko ayiqhelekanga kakhulu. Ichaphazela malunga nomnye kubasetyhini abakhulelweyo abali-100 (1%). Kwakhona, idla ngokuhambisana nokwanda okuncinci kolwelo lwe-amniotic (i-mild polyhydramnios). Oku kunyuka okuncinci akusoloko kubangela iingxaki ezinkulu. Ugqirha wakho uza kukujonga rhoqo aze ajonge imeko yakho.
Ndingazazi njani ukuba ndinayo le meko? Zithini iimpawu?
Ixesha elininzi, le meko ayinzima kangako, ngoko ke abanye oomama basenokungabi nazo naziphi na iimpawu. Nangona kunjalo, ukuba inqanaba lamanzi liphezulu kancinci (kwimeko enzima), unokufumana ezi mpawu.
Okwenzekayo kukuba njengoko amanzi esanda, isibeleko siyakhula. Emva koko sibeka uxinzelelo kwiindawo ezingqongileyo ezifana nemiphunga, isisu, kunye nesinyi. Yiyo loo nto ebangela ezi mpawu.
| Iimpawu ozifumanayo | Kalula nje... |
|---|---|
| Ukuqina kwesisu okanye intlungu | Kusenokuvakala ngathi isisu sakho siyaqina, kwaye ngamanye amaxesha kunokuvakala ngathi kukubhityana okuncinci. |
| Ubunzima bokuphefumla | Isibeleko siyakhula kwaye sicinezela imiphunga, ngoko ke uzive udiniwe kancinci kwaye kunzima ukuphefumla. |
| Isitshiso sentliziyo | Imvakalelo yokutshisa kwi-esophagus ngenxa yoxinzelelo lwesisu. |
| Ukuqhinwa | Ukuziva ukoma esiswini ngenxa yoxinzelelo emathunjini. |
| Ukuchama rhoqo | Isinyi siyaqina, ngoko ke kufuneka uchame rhoqo. |
| Ukudumba kwemilenze, iinyawo, kunye nendawo yangaphantsi | Ukudumba kwenzeka ngenxa yoxinzelelo oluphezulu kwiindawo ezisezantsi zomzimba kunye nokuvaleka kokujikeleza kwegazi. |
Izinto ezibonwa ngugqirha
Nokuba awuziboni ezi mpawu, ugqirha wakho unokukukrokrela oku ukuba ubona ezi zinto ngexesha lovavanyo oluqhelekileyo:
- Isibeleko sibonakala sikhulu kunokuba sinjalo kwiiveki: Umzekelo, ukuba uneeveki ezingama-30 ukhulelwe, isisu sakho sibonakala ngathi sineeveki ezingama-32.
- Ubunzima bokuva ukubetha kwentliziyo yomntwana: Ngenxa yamanzi amaninzi, kunokuba nzima kancinci ukuva ukubetha kwentliziyo yomntwana.
- Ukungakwazi ukuziva kakuhle indawo yomntwana: Ekubeni umntwana emanzi amaninzi, kunzima ukujonga indawo yomntwana ngokuchanekileyo ngesandla.
Kutheni oku kusenzeka? Zithini izizathu?
Lo ngumbuzo obuzwa ngoomama abaninzi: "Kutheni oku kwenzeke kum?"
Inyaniso kukuba, uninzi lwexesha, ingakumbi kwiimeko ezincinci ze-polyhydramnios, akukho sizathu sicacileyo. Ziyenzeka nje.
Nangona kunjalo, kwiimeko apho ubungakanani bamanzi bunyuke kakhulu (phakathi ukuya kweyona inzima), kusenokubakho izizathu ezithile zoko. Nazi:
- Usana alukwazi ukuginya ulwelo: Ngokwesiqhelo, umntwana uginya la manzi kancinci kancinci, yindlela elawulwa ngayo ubungakanani bamanzi. Ukuba umntwana akakwazi ukwenza oku ngenxa yesifo esithile sokuzalwa, amanzi aya kuqokelelana.
- Umama unesifo seswekile:Le ngozi ikhona nokuba ubunesifo seswekile ngaphambi kokukhulelwa okanye ukuba sikhula ngexesha lokukhulelwa (isifo seswekile sokukhulelwa). Njengoko inqanaba leswekile egazini likamama lisanda, umthamo womchamo womntwana uyanda, nto leyo enyusa ubungakanani bolwelo kumchamo womntwana.
- Amawele Afanayo: I-Twin to Twin Transfusion Syndrome (TTTS), imeko apho unikezelo lwegazi phakathi kwamawele lungalingani, inokubangela ukuba ulwelo luqokeleleke malunga nomntwana omnye.
- Ukungahambelani kwe-Rh factor: Oku kunokwenzeka ngenxa yeengxaki ezenzekayo ukuba umama akanayo i-Rh kwaye umntwana une-Rh-positive.
- Iingxaki ngentliziyo yomntwana: Le meko inokubangelwa ziingxaki ezithile ngentliziyo yomntwana.
- Usulelo kumntwana: Usulelo kumntwana osesiswini lunokuba yimbangela.
Ugqirha uyifumana njani kanye kanye le nto?
Ukuba ugqirha wakho uyayikrokrela le nto, uza kwenza iimvavanyo ezininzi ukuqinisekisa oko.
Into yokuqala oza kuyenza kukulinganisa ubude besisu sakho (ukuphakama kwe-fundal). Emva koko, uza kwenziwa i -ultrasound scan ukuqinisekisa oku. Olu scan kuphela kwendlela yokulinganisa ngokuchanekileyo ubungakanani bamanzi esibelekweni sakho. Kukho iindlela ezimbini eziphambili ezisetyenziselwa oku:
1. I-Amniotic Fluid Index (AFI): Isibeleko sahlulwe saba ngamacandelo amane, ubunzulu bamanzi kwicandelo ngalinye buyalinganiswa, kwaye iyonke iyongezwa kunye.
2. Ipokotho Ethe Tye Ephezulu (MPV): Le ilinganisa indawo enzulu esibelekweni apho kukho amanzi amaninzi khona.
Ukuba olu vavanyo luqinisekisa ukuba une-polyhydramnios, ugqirha wakho unokucebisa ezinye iimvavanyo ezininzi ukuze kufunyanwe unobangela.
- I-Echocardiogram yosana olusandul’ ukuzalwa: Iskeni ekhethekileyo neneenkcukacha ezithe vetshe ejonga umsebenzi kunye nolwakhiwo lwentliziyo yosana.
- Uvavanyo olungengoxinzelelo: Uvavanyo olujonga ukungalingani kwisantya sentliziyo yomntwana.
- Iprofayili ye-Biophysical: Iskeni ijonga iipatheni zokuphefumla komntwana kunye neentshukumo zomzimba.
- I-Amniocentesis: Uvavanyo oluthatha isampuli encinci yolwelo lwe-amniotic ukujonga iziphene ezithile zokuzalwa.
- Uvavanyo lomngeni weglucose: Uvavanyo lokufumanisa ukuba unesifo seswekile sokukhulelwa.
Luluphi unyango lwale nto?
Rhoqo, ukuba imeko incinci okanye ukuba usondela esiphelweni sokukhulelwa kwakho, akukho nyango lukhethekileyo lufunekayo. Ugqirha wakho uza kukujonga wena nomntwana wakho rhoqo aze ajonge imeko. Oku kuthetha ukuba unokufuna ukutyelela ikliniki rhoqo kwaye wenze iiskeni ezininzi. Kwiimeko ezininzi, olu hlolo olusondeleyo lolona khetho lufanelekileyo.
Nangona kunjalo, ukuba amanzi amaninzi kakhulu (i-polyhydramnios enzima) kwaye uziva ungakhululekanga kakhulu, unokufuna unyango. Kukho iindlela ezahlukeneyo zokwenza oku:
- Ukunyanga unobangela oyintloko: Umzekelo, ukuba unobangela sisifo seswekile, isifo sakho seswekile siya kunyangwa ukuze silawulwe.
- Ukususwa kwamanzi agqithisileyo: Kwezinye iimeko, amanzi amancinci agqithisileyo esibelekweni asuswa ngoncedo lwenaliti.
- Ukuzala kwangaphambi kwexesha: Ukuba imeko inzima kwaye umntwana sele ekhule ngokupheleleyo, ugqirha unokugqiba ekubeni aqalise ukuzala, ngesiqhelo phakathi kweeveki ezingama-37 nama-39.
Zeziphi iingozi ezinokubakho oku?
Qonda oku kakuhle. Amanzi agqithisileyo akayi kumenzakalisa umntwana ngokuthe ngqo. Nangona kunjalo, kukho umngcipheko omncinci weengxaki ezibangelwa kukwanda kwesibeleko kunye noxinzelelo olubangelwa ngala manzi agqithisileyo. Ukuba le meko yenzeka kwasekuqaleni kokukhulelwa, umngcipheko unokuba phezulu kancinci kuba amanzi ebenexesha elingakumbi lokuqokelelana.
| Umngcipheko | Ithetha ukuba... |
|---|---|
| Ukubeletha kwangethuba | Ukuqala kwentlungu yokubeleka ngaphambi komhla wokugqibela. |
| 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 | Ukopha kakhulu emva kokubeleka. |
| Ukuwa kwentambo ye-umbilical | Xa amanzi ephuma, intambo yomlomo ingena kwilungu lobufazi ngaphambi kokuba umntwana abe nomntwana. |
| Umntwana uqhoqhoqho | Ngenxa yokuba kukho amanzi amaninzi, umntwana unokujika ngokulula, kwaye intloko inokuhlala ithe tyaba ngaphandle kokuhla. |
| Ukuzalwa komntwana eswelekile | Le yeyona ngxaki inzima kakhulu enokwenzeka rhoqo. |
Musa ukoyika ezi zinto. Ezi zizinto "ezinokwenzeka" , azizo "eziqinisekileyo" . Ugqirha wakho ukhona ukukunceda ulawule ezi ngozi.
Ndingenza ntoni? Ndingafumana uncedo?
Kuqhelekile ukuba noloyiko noxhala xa ufumanisa ukuba unesi sifo. Kodwa kukho izinto onokuzenza ukunciphisa oku kungazinzi noxhala.
- Phumla ngokwaneleyo: Phumla kangangoko unako. Musa ukuzibhokoxa kakhulu.
- Fumana iindlela zokuphumla: Zibandakanye kwizinto ezikwenza uphumle. Funda incwadi, mamela umculo, yenza into oyithandayo.
- Thetha ngokukhululekileyo nogqirha wakho: Thetha nogqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Musa ukufihlwa nto kuwe.
- Lumka ngotshintsho: Ukuba isisu sakho sivakala sikhulu ngequbuliso okanye ubonakalisa iimpawu ezintsha, fowunela ugqirha wakho ngoko nangoko.
- Ngaba kuyimfuneko ukwenza utyando lwe-C-section? Uninzi lwexesha, ungabeleka ngendlela eqhelekileyo. Nangona kunjalo, ukuba ugqirha wakho uvakalelwa kukuba utyando lwe-C-section lukhuselekile ngenxa yezinto ezifana nendlela umntwana ami ngayo, angakhetha ukwenza njalo. Umngcipheko okhulayo mncinane kakhulu.
- Asinakukuthintela oku? Hayi, asinakukuthintela oku. Kodwa ukuba unesifo seswekile, ungawunciphisa umngcipheko wakho ngokulawula kakuhle amanqanaba eswekile egazini lakho.
Eyona nto ibalulekileyo kukuya kuzo zonke iikliniki uze uskene oko ugqirha wakho akuxelele kona. Yiyo loo nto ungakugcina ukhuselekile wena nomntwana wakho.
Wena nomntwana wakho niza kuhlolwa ngokusondeleyo emva kokubeleka. Kwangoko nje umntwana ezelwe, ugqirha wabantwana uza kumhlola umntwana ukuqinisekisa ukuba uphilile.
Umyalezo Wokuya Ekhaya
- I-Polyhydramnios kukwanda kolwelo olujikeleze usana. Nangona kunjalo, kubantu abaninzi, oku kwenzeka ngobuninzi obuncinci kwaye akubangeli monakalo mkhulu.
- Kudla ngokuba nzima ukufumana isizathu esithile soku. Ngoko ke ungakhathazeki uze ucinge, "Ingaba le yimpazamo yam?"
- Iimpawu ezinje ngobunzima bokuphefumla kunye nokuxinana kwesisu ziyenzeka njengoko isibeleko sikhula kwaye sicinezela amanye amalungu omzimba.
- Unyango ludla ngokubandakanya ukujonga wena nomntwana wakho rhoqo. Kuphela kwiimeko ezinzima apho ezinye iindlela zonyango zifumaneka khona.
- Xoxa ngayo yonke imibuzo yakho kunye noloyiko lwakho nogqirha wakho. Qiniseka ukuba uyaya kuvavanyo olucwangcisiweyo.
- Oomama abaninzi abanale meko bazala abantwana abasempilweni ngaphandle kweengxaki, ngoko ke hlala uqinile.
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