Phakathi kwezinto ozivayo nozivayo ngexesha lokukhulelwa, usenokuba nomdla kancinci, mhlawumbi ude ube nexhala, malunga 'nokuqhekeka kwamanzi'. Emva kokubona imiboniso efana neemuvi apho amanzi aqhekeka ngequbuliso uze ukhathazeke, ngaba ucinga ukuba oku kuya kwenzeka? Enyanisweni, akwenzeki kuwo wonke umntu. Ngamanye amaxesha kunokuba manzi kancinci. Ngoko ke ungoyiki, masifumanise ngqo ngale nto.
Ngamafutshane, kuthetha ukuthini 'ukuqhekeza amanzi'?
Kuyo yonke ixesha lokukhulelwa kwakho, umntwana wakho ugqunywe ngokukhuselekileyo kwingxowa egcwele amanzi ngaphakathi kwesibeleko sakho. Oku sikwabiza ngokwezonyango ngokuba yingxowa ye-amniotic. Ulwelo olufana namanzi ngaphakathi kwesi sikhwama lubizwa ngokuba yi-amniotic fluid. Olu lwelo lukhusela umntwana ekushukunyisweni nasekugutyungelweni ziintsholongwane.
Ngoko ke, 'ingxowa yamanzi eqhekekayo' ithetha ukuba ingxowa ekhuselayo ejikeleze umntwana ikrazukile kancinci, kwaye ulwelo olungaphakathi kuyo luphuma kancinci kancinci okanye ngequbuliso ngelungu lobufazi. Olu luphawu olukhulu lokuba umntwana sele eza kuzalwa. Oku kungenzeka ngaphambi kokuba umntwana aqale ukuzala, ngexesha lokuzala, okanye kwanangaphambi kokuba umntwana abelekwe. Ngamanye amaxesha, ugqirha ngokwakhe uyaphula ingxowa yamanzi. Oku kubizwa ngokuba yi-"Amniotomy".
Ungazi njani ngokuqinisekileyo ukuba ingxowa yakho yamanzi iphukile?
Ngamanye amaxesha kunokuba nzima ukufumanisa ukuba oku ngumchamo nje omncinci okanye olunye ulwelo oluphumayo. Ukuba uziva into efana nale, yiqwalasele.
- Isandi 'sokutsalwa' ngequbuliso siphuma kwilungu lobufazi, silandelwe kukuphuma kolwelo oluncinci .
- Ukuziva ngathi ulwelo luhamba ngaphantsi kwempahla yakho yangaphantsi okanye kwiimpahla. Lunokuba lukhulu okanye luncinci.
- Olu lwelo ludla ngokungavumba kwaye lunombala ocacileyo okanye otyheli kancinci.
- Ukuvuza okungalawulekiyo kolwelo, njengomchamo.
- Olu lwelo alujiyile njengolwelo oluqhelekileyo oluphuma kwilungu lobufazi, kodwa lubhityile kwaye lunamanzi.
- Kwangoko nje ukuba ulwelo luphume , iintlungu ziqala ukuba mandundu kunangaphambili.
Ukuba ukrokrela ukuba kukho ulwelo oluvuzayo, musa ukoyika. Nxiba impahla yangaphantsi ecocekileyo kwaye usebenzise iphedi yokuhlamba. Ungaze usebenzise i-tampon. Lala phantsi imizuzu eli-15-30 uze ume nkqo. Ukuba ulwelo lusaphuma, kusenokwenzeka ukuba lulwelo lwe-amniotic.
Ingaba olu lulwelo lwe-amniotic? Okanye ngumchamo? Uzazi njani?
Kuqhelekile ukuvuza umchamo ngexesha lokugqibela lokukhulelwa njengoko isibeleko sicinezela isinyi. Ke ngoko, kukho indawo enkulu yokudideka phakathi kwezi zimbini. Nantsi itheyibhile eya kukunceda uqonde umahluko phakathi kwezi zimbini.
| Uphawu | Ulwelo lwe-amniotic (amanzi akwingxowa yamanzi) | Umchamo |
|---|---|---|
| Ivumba | Ixesha elininzi akukho vumba. Ngamanye amaxesha kunokubakho ivumba elimnandi kancinci. | Inevumba elifana nele-ammonia. |
| Umbala | Icacile okanye ityheli ekhanyayo njengamanzi (isenokuba pinki okanye imdaka) | Ihlala inombala otyheli obumnyama. |
| Ulawulo | Ukuphuma kwamanzi akunakulawulwa okanye kumiswe. Kuyaqhubeka nokuvuza kancinci kancinci. | Amaxesha amaninzi, ungayinqanda ngokuqinisa izihlunu zakho. |
| Ubungakanani | Isixa sinokwanda njengoko siqhubeka nokuvuza. Okungakumbi kunokuphuma xa kuphuma amanzi. | Xa iphumile, iyayeka. Ayiphumi kwakhona de isinyi sigcwale. |
Nangona kunjalo, ukuba unamathandabuzo ngale nto, eyona nto ingcono onokuyenza kukuthetha nogqirha wakho. Angakuvavanya aze aqinisekise ukuba yintoni kanye kanye le nto.
Ngaba ingxowa yamanzi ingaphuka kwangethuba?
Ewe, inokwenzeka. Xa amanzi ephuma ngaphambi kweeveki ezingama-37 zokukhulelwa, sibiza oku ngokuthi ``Ukuqhekeka Kwamaqanda Ngaphambi Kokukhulelwa (i-PROM)``. Oku kungenzeka malunga ne-8 ukuya kwi-10 kwi-100 yokukhulelwa. Kukho izinto ezininzi ezonyusa umngcipheko woku.
- Ukuba uyatshaya
- Ukuba uphume igazi kwilungu lobufazi kwikota yesibini okanye yesithathu yokukhulelwa
- Ukuba unentsholongwane emzimbeni wakho okanye kwilungu lobufazi
- Ukuba oku kuye kwenzeka kukukhulelwa kwangaphambili
- Ukuba une-cervix emfutshane
Ngexesha elinje, ugqirha uya kugqiba ngento omawuyenze ngokweeveki zakho.
- Ukuba zingaphezulu kweeveki ezingama-34: Ukubeleka umntwana kudla ngokuba lolona khetho lukhuselekileyo.
- Ukuba kungaphantsi kweeveki ezingama-34: Ugqirha uza kuzama ukugcina umntwana esibelekweni kangangeentsuku ezimbalwa. Ngenxa yoko,
- Usana lunikwa amayeza okubulala iintsholongwane ukuthintela usulelo.
- Kunikwa i-steroid injections ukunceda imiphunga yomntwana ikhule ngokukhawuleza.
- I-magnesium sulfate inikwa ukunceda uphuhliso lwengqondo yomntwana.
Konke oku kwenziwa esibhedlele, phantsi koqwalaselo olusondeleyo.
Ndifanele ndimtsalele nini ugqirha xa amanzi am ephukile?
Ukuba ucinga ukuba amanzi akho aphumile, fowunela ugqirha wakho okanye isibhedlele ngoko nangoko. Musa ukuwabekela amangomso.
Ulwelo lwe-amniotic lusisigqubuthelo sokukhusela umntwana. Xa lulahlekile, umntwana unokuba sengozini enkulu yokwanda kwezifo. Kungoko ke, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza.
Xa uthetha, ugqirha unokubuza imibuzo efana nale:
- Kuphume ulwelo olungakanani?
- Ngowuphi umbala? (Ukuba iluhlaza, ndixelele ngoko nangoko.)
- Ngaba bekukho ivumba?
- Ngaba unomkhuhlane ngoku?
- Ngaba ukhe wavavanywa intsholongwane ethi `(Group B Streptococcus - GBS)`?
- Zingaphi iiveki okhulelweyo ngoku?
Lungela ukuphendula le mibuzo. Kubaluleke kakhulu ukuhlala uzolile kwaye ungoyiki.
Umyalezo Wokuya Ekhaya
- 'Ukuphula amanzi akho' luphawu lokuba sele uza kuba nomntwana. Oku akuyonto yokoyika.
- Ayisoloko ingumlambo omkhulu njengakwiimuvi. Isenokuba ngumlambo omanzi kancinci kancinci.
- Zama ukwahlula ukuba ukukhupha oko kuphuma kulwelo lwe-amniotic okanye ngumchamo.
- Ukuba ukrokrela ukuba ingxowa yakho yamanzi iphukile okanye unosulelo lomchamo , fowunela ugqirha wakho okanye isibhedlele ngokukhawuleza.
- Ngaphambi kokuba uthethe, qwalasela umbala, ivumba, kunye nobungakanani bokuphuma kwamanzi, kunye nokuba unayo na nayiphi na impawu.
- Kubaluleke kakhulu ukuhlala uzolile. Ugqirha wakho uza kukunika ulwalathiso olufanelekileyo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni 'ukuqhekeza amanzi' / i-PROM ngexesha lokukhulelwa?
Usana olusesibelekweni lukwi-'Amniotic Sac'! Olu luzaliswa ngamanzi ethu akhuselekileyo. 'Ukuphuma kwamanzi' kuxa umntwana elungele ukuzalwa (kwiinyanga ezili-9) kwaye loo ngxowa iyaqhuma, ibangele ukuphuma kwamanzi ashushu ngequbuliso (okungalawulekiyo) malunga nelitha enye yamanzi ashushu (Ukuqhekeka kwee-membranes). Oku akukokuphuma komchamo, oku kuthetha ukuba umntwana sele eza kuphuma!
💬 Yintoni ukuqhekeka kwangaphambi kwexesha kwee-membranes (PPROM)? Kuyingozi kangakanani?
Oku kwenzeka rhoqo emva kweeveki ezingama-37 (iinyanga ezili-9). Nangona kunjalo, kwabanye abantu, ingxowa yamanzi iqhuma ngequbuliso 'ngaphambi kweeveki ezingama-37' (ngaphambi kokuba umntwana azalwe) (i-Preterm PROM)! Le yimeko ebulalayo kakhulu! Isizathu soku kukuba iintsholongwane/iibhaktheriya ezinzima (Iintsholongwane/I-UTI) kwilungu lobufazi zibangela ukuba ingxowa ibole kwaye iqhekeke. Ukuba oku kuyenzeka, umntwana ozelwe ngaphambi kwexesha unokuzalwa, kwaye kukho ithuba elikhulu lokuba umntwana uya kufa esibelekweni ngenxa yeentsholongwane ezinzima.
💬 Zeziphi izinto ezibalulekileyo ekufuneka zenziwe kunye 'neengozi ezibulalayo' xa amanzi omama okhulelweyo ephuma?
Akunamsebenzi nokuba amanzi akho aphuke xa uneenyanga ezili-9 okanye akunjalo, kwangoko nje ukuba uzive amanzi evuza kancinci (unxibe iphedi) kufuneka uye esibhedlele/kwigumbi lokubeleka ngoko nangoko kwisithuba seyure! Ingozi enkulu neyingozi kakhulu 'yi-umbilical cord prolapse', apho i-umbilical cord yomntwana iphuma kwilungu lobufazi kunye namanzi ize ibambeke! Ukuba oko kuyenzeka, umntwana uya kufa ngaphakathi kwimizuzwana embalwa, njengoko umbane weoksijini uya kuyeka, kwaye oogqirha kuya kufuneka benze i-cesarean section ngoko nangoko (C-Section).
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