Ngaba sele uza kubeleka? Okanye ngaba kukho umntu kusapho lwakho olungiselela ukuba ngumama? Ukukhulelwa lixesha elimnandi elizaliswe lithemba elingaka, kodwa namhlanje siza kuthetha ngesimo esingaqhelekanga, kodwa esiyingozi kakhulu, esisongela ubomi esinokwenzeka ngeli xesha. Oku kubizwa ngokuba yi -amniotic fluid embolism . Musa ukothuka ligama, esi sisifo esingaqhelekanga kakhulu. Kodwa kubaluleke kakhulu ukuqaphela.
Yintoni kanye kanye i-amniotic fluid embolism (AFE)?
Ngamafutshane, oku kwenzeka xa ulwelo lwe-amniotic olujikeleze umntwana ngelixa esesibelekweni, okanye iiseli zomntwana, iinwele, njl.njl., lungena egazini likamama. Cinga ngako, kudla ngokubakho umqobo wendalo phakathi kwenkqubo yegazi likamama nelomntwana. Kule meko, ngandlela ithile loo mqobo uyaphuka, kwaye igazi lomntwana lixubana negazi likamama.
Oku kubangela ukuba umzimba kamama ube ne-allergy enkulu. Ngequbuliso, ngaphandle kwesilumkiso , uninzi lweenkqubo zomzimba ziqala ukungasebenzi kakuhle. Le meko inokwenzeka ngaphambi nje kokuba umntwana azalwe, ngexesha, okanye emva kokuba umntwana ezelwe.
Le meko ayiqhelekanga kakhulu, ichaphazela phakathi komntwana omnye noweshumi elinesibini kwi-100,000 yokuzalwa. Kodwa ukuba iyenzeka, iyingozi enkulu kubomi bomama kwaye ifuna unyango olukhawulezileyo.
Zithini izizathu kunye nezinto ezibangela le meko?
Enyanisweni, oogqirha abakayazi ukuba yintoni ebangela oku. Ngenxa yokuba kuvela ngequbuliso, kunzima ukutsho ngokuqinisekileyo ukuba yintoni ebangela oku. Nangona kunjalo, ezinye izifundo zichonge izinto ezininzi ezibangela umngcipheko ezibangela ukuba kubekho esi sifo.
Masibone ukuba yintoni na.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ubudala | Ubudala bomama ngexesha lokuzala buyiminyaka engama-35 nangaphezulu. |
| Ukuhanjiswa kweMisebenzi | Kwimeko apho umntwana ezalwa nge-Caesarean section, i-forceps, okanye i-vacuum, umqobo phakathi komama nomntwana unokuchaphazeleka. |
| Ukukhuthaza abasebenzi (Abasebenzi abakhuthazwayo) | Nangona kukho inkolelo yokuba ezinye iindlela ezisetyenziswayo ukubangela ukuba abantwana basebenze zinokwandisa umngcipheko, uphando ngale nto lusaqhubeka. |
| Izinto Ezingaqhelekanga kwi-Placental | Iimeko ezinje ngokuba i-placenta ibekwe phantsi kwesibeleko, igqume umlomo wesibeleko (i-placenta previa) okanye i-placenta isuka eludongeni lwesibeleko ngexesha lokubeleka (ukuphazamiseka kwe-placental). |
| I-Preeclampsia | Imeko eyenzeka ngexesha lokukhulelwa okungapheliyo kwaye ibonakaliswa ziimpawu ezinje ngoxinzelelo lwegazi oluphezulu, iiproteni kumchamo, kunye nokudumba kwamalungu omzimba. |
| Ulwelo olunyukileyo lwe-amniotic (i-Polyhydramnios) | Ubungakanani bolwelo lwe-amniotic olujikeleze umntwana luphezulu kakhulu kunoluqhelekileyo. |
Zithini iimpawu zoku?
Eyona nto iyingozi kakhulu ngale meko kukuba iimpawu zibonakala ngequbuliso, ngaphandle kokuba nexesha lokucinga. Iimpawu eziphambili zezi:
- Ukuqala ngequbuliso kobunzima obukhulu bokuphefumla .
- Ukwehla ngequbuliso nangokuyingozi koxinzelelo lwegazi (Hypotension).
- Ukopha okugqithisileyo nokungalawulekiyo okuvela esibelekweni okanye kwinxeba lokubeleka .
- Ukuziva uxhalabile kakhulu, usoyika , okanye uxhalabile.
- Intliziyo yomntwana icotha ngokungaqhelekanga okanye iyatshintsha.
- Ukugodola, ukungcangcazela kunye nokuxhuzulaUkwenzeka.
- Ukungaphumeleli kwentliziyo okanye ukulahlekelwa zingqondo ngequbuliso (Ukubanjwa yintliziyo).
Imbangela yokuphuma kwegazi kakhulu kukwaphuka kwenkqubo yonke enceda umzimba ukuba uvale igazi. Oku kubizwa ngokuba yi -Disseminated Intravascular Coagulation (DIC) kunyango. Okwenzekayo koku kukuba igazi lilahlekelwa ngamandla alo okuvaleka. Ngenxa yoko, ukopha kuba nzima kangangokuba akunakuyekiswa. Kwakhona, ubunzima bokuphefumla, umonakalo emiphungeni kunye nokungakwazi ukuphefumla kunokwenzeka, okubizwa ngokuba yi -Acute Respiratory Failure .
Inyangwa njani le meko?
Ekubeni le yimeko ethetha ubomi okanye ukufa, unyango luqala ngemizuzwana embalwa. Luphathwa kwigumbi lonyango olunzima (ICU) okanye kwigumbi lotyando lesibhedlele. Apha, asilonyango olunye, kodwa ludibaniso lweendlela ezahlukeneyo zonyango kuxhomekeke kwimeko yesigulana.
- Ukuzalwa Kwangoko: Oogqirha bagqiba ekubeni babelethe umntwana ngokukhawuleza, becinga ngobomi bomama nobomntwana.
- Unyango olusindisa ubomi (Ukuvuselela umzimba): Ukuba umama akakhumbuli nto, unikwa ioksijini ngelixa esenza iCardiopulmonary Resuscitation (CPR) .
- Umoya Ongenisiweyo: Ukuba unengxaki yokuphefumla, uqhagamshelwe kumatshini obizwa ngokuba yi-ventilator ukukunceda uphefumle.
- Ukujonga uxinzelelo lwegazi kunye nentliziyo: Ii-catheter ezikhethekileyo zifakwa kwimithambo emikhulu yomzimba kunye nemithambo yegazi ukuze zijonge ngokusondeleyo izinto ezifana noxinzelelo lwegazi kunye nokusebenza kwentliziyo, okwesibini emva kwesibini.
- Utofelo-gazi: Ngenxa yokulahleka kwegazi okuninzi, igazi elininzi kunye neenxalenye zegazi zinikwa ukuze kuthathelwe indawo igazi elilahlekileyo kwaye kubonelelwe ngeeproteni (izinto ezibangela ukujiya kwegazi) ezifunekayo ukuze igazi lijiye.
- Amayeza akhethekileyo: Amayeza ahlukeneyo anikwa ukubuyisela uxinzelelo lwegazi oluphantsi, ukuphucula ukusebenza kwentliziyo, kunye nokuthintela ukopha ngokubangela ukuba isibeleko sifinyele.
Konke oku kwenziwa ngenjongo ephambili yokusindisa ubomi bukamama. Nangona izinga lokusinda kukamama kule meko liphantsi, unyango lwakwangoko lunokunyusa amathuba okusinda. Izinga lokusinda komntwana liphezulu kakhulu (malunga nama-70%).
Umyalezo Wokuya Ekhaya
- I-Amniotic fluid embolism (AFE) yimeko engaqhelekanga kodwa eyingozi kakhulu enokwenzeka ngexesha lokukhulelwa.
- Kulapho ulwelo lwe-amniotic olujikeleze umntwana lungena khona egazini likamama. Isizathu soku asikafunyaniswa.
- Iimpawu ezinzima ezifana nobunzima bokuphefumla, uxinzelelo lwegazi oluphantsi, ukopha kakhulu, kunye nokulahlekelwa zingqondo zivele ngequbuliso.
- Le yingxamiseko yezonyango. Ukwamkelwa kwangoko kwiYunithi yoKhathalelo oluNgxamisekileyo (ICU) okanye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele kuyafuneka ukuze ufumane unyango, kwaye unyango olusindisa ubomi kufuneka luqaliswe ngoko nangoko.
- Musa ukothuka yile meko, kuba ayiqhelekanga. Nangona kunjalo, kubalulekile ukwazisa ugqirha wakho ngazo naziphi na iimpawu ezingaqhelekanga ozifumanayo ngexesha lokukhulelwa.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho