Umele ukuba ungumama onothando olindele umntwana okwangoku. Hayi indlela esilumke ngayo kule mihla, akunjalo? Sicinga kabini ngayo yonke into ukususela kwinto esiyityayo ukuya kwinto esiyiselayo. Kodwa ngamanye amaxesha, kukho iingxaki zempilo esingazange sive ngazo, kodwa zinokuba yingozi kakhulu. Namhlanje, sithetha ngosulelo olukhulu olunokwenzeka ngexesha lokukhulelwa , olunokuchaphazela umama nomntwana osesibelekweni.
Yintoni iChorioamnionitis?
Ngamafutshane, i-Chorioamnionitis lusulelo lwebhaktheriya oluvela ngaphakathi kwesibeleko, indawo apho umntwana akhoyo. Ludla ngokuvela xa sele kusondele ixesha lokubeleka. Olu sulelo lunokuchaphazela nayiphi na izicubu ezijikeleze umntwana.
Cinga ngale ndlela, umntwana usesiswini, njengengxowa yamanzi ekhuselayo. Sikwabiza oku ngokuthi 'yingxowa yamanzi'. Ezi zilandelayo zezona ndawo zichaphazeleka kakhulu lolu sulelo:
- I-Placenta : Eyona nto ibalulekileyo enika umntwana ioksijini kunye nesondlo.
- I-Chorion kunye ne-Amnion: Ii-membrane ezimbini ezikhuselayo ezijikeleze umntwana.
- Ulwelo lwe-Amniotic: Ulwelo olugcina umntwana edada kwaye lukhusela.
Le meko ichaphazela malunga ne-1%-5% yeentsana ezizeleyo, kodwa inokuchaphazela i-40%-70% yokuzalwa kwangaphambi kwexesha . Ikwangunobangela ophambili wokuzalwa kwangaphambi kwexesha . Ukuba ayinyangwa kakuhle, inokukhokelela kwiingxaki ezinkulu kumama nakumntwana.
Kutheni olu hlobo losulelo lusenzeka?
Eyona sizathu soku ziintsholongwane. Ngokwesiqhelo, iintlobo ezahlukeneyo zeentsholongwane zihlala emizimbeni yethu, ingakumbi kwilungu lobufazi nakwi-rectum. Kwiimeko eziqhelekileyo, ezi azibangeli monakalo. Kodwa ngamanye amaxesha, ezi ntsholongwane zinokuhamba ziye kwilungu lobufazi zingene kwisibeleko.
Le ntsholongwane isebenza njengendlela efihlakeleyo yokungena ekhayeni lomntwana. Le ngozi iyanda ngakumbi emva kokuba i-amniotic sac iphuke.
Ezinye iintlobo eziqhelekileyo zeebhaktheriya ezibangela olu sulelo zezi:
- `E. coli`
- `Iqela B le-streptococci (GBS)`
- I- Urea plasma
- `Ii-Mycoplasma hominis`
Ngubani osengozini enkulu yokuphuhlisa oku?
Ayingabo bonke abafazi abakhulelweyo abahlangabezana nale meko. Kodwa kukho izinto ezithile ezinokunyusa le ngozi. Ugqirha wakho uza kukwazisa ngale nto. Makhe sibone ukuba zithini.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukuqhekeka kwangoko kwengxowa yamanzi | Xa amanzi ephuma ngaphambi kwexesha, kuba lula ukuba iintsholongwane zingene. |
| Indlela esihlala ixesha elide ngayo esi sifo | Umngcipheko wokosuleleka uyanda xa ukuzala kuqhubeka iiyure ezininzi. |
| Ukuhlolwa rhoqo kwesitho sangasese sowesifazane | Uvavanyo oluqhelekileyo lwesini oluqhutywa ngoogqirha ngexesha lokukhulelwa. |
| Ukubakho kwezinye izifo | Ukuba nezifo ezifana nezifo zangasese, zomchamo, okanye izifo ezidluliselwa ngesondo (ii-STI). |
| Ukukhulelwa kokuqala | Umngcipheko unokuba phezulu kancinci koomama abaqalayo ukukhulelwa. |
| Iziyobisi, icuba, utywala | Ukusebenzisa izinto ezinjalo kunciphisa amandla omzimba kamama kwaye kwandisa umngcipheko wokosuleleka. |
| Inkqubo yomzimba yokuzikhusela ebuthathaka | Umzimba ophantsi ngenxa yezinye izifo. |
Zithini iimpawu zale meko?
Ngamanye amaxesha, ingakumbi kumanqanaba okuqala okukhulelwa, olu sulelo lunokubakho ngaphandle kweempawu . Yiloo nto yoyikisayo apha. Kodwa kwiimeko ezininzi, olunye okanye ngaphezulu kwezi mpawu zilandelayo luya kubonakala.
Uphawu oluphambili noluqhelekileyo ngumkhuhlane , obangelwa kubushushu bomzimba obungaphezulu kwe-100.4 F (38 C).
Ezinye iimpawu zingabandakanya:
- Intliziyo kamama ibetha ngokukhawuleza (ngaphezulu kwe-100 beats ngomzuzu).
- Intliziyo yomntwana esibelekweni ibetha ngokukhawuleza (ngaphezulu kwe-160 beats ngomzuzu).
- Ukuziva iintlungu xa ucinezela isibeleko ngesandla sakho (ukuthamba kwesibeleko).
- Ukubila ngaphezu kwesiqhelo.
- Ukuphuma kwamanzi kwilungu lobufazi okunevumba elibi .
Oku kungaba yimeko eyingozi kakhulu kumama nakumntwana. Ngoko ke, kubaluleke kakhulu ukuzazi ezi mpawu. Musa ukuzityeshela njengento encinci.
Ugqirha uyifumanisa njani le nto?
Ngenxa yokuba esi sisifo esinzulu, ngugqirha wakho kuphela onokwenza uxilongo oluchanekileyo. Ukuba uneempawu ezifana nomkhuhlane, ugqirha wakho uza kukuhlola.
- Uvavanyo lomzimba: Uhlola izinto ezinje ngomkhuhlane, ukubetha kwentliziyo, kunye nentlungu yesibeleko.
- Uvavanyo lwegazi: Kuthathwa isampulu yegazi ukujonga ukuba kukho usulelo emzimbeni. Uvavanyo lwegazi olupheleleyo (CBC) lubaluleke kakhulu, olulinganisa inani leeseli ezimhlophe zegazi.
- Uvavanyo lomchamo: Jonga ukuba kukho usulelo kwindlela yomchamo.
- Uvavanyo lwe-GBS: Kuthathwa i-vaginal swab ukujonga ukuba kukho iintsholongwane zeGroup B Strep (GBS) kwikota yokugqibela yokukhulelwa.
- Isampuli yolwelo lwe-amniotic: Kwezinye iimeko, ukuba amanzi akho ayaphuka, isampuli yolwelo oluphuma kuwo ingathathwa ukuze kuhlolwe ukuba alusuleleki na.
Inyangwa njani? Kwaye zithini iingxaki ezibangelwa yiyo?
I-Chorioamnionitis yimeko efuna unyango olukhawulezileyo . Okukhona unyango lulibaziseka, kokukhona umngcipheko uphezulu kumama nakumntwana.
Unyango oluphambili zii -antibiotics . Ezi zihlala zinikwa ngqo emzimbeni ngemithambo yegazi (i-intravenous okanye i-IV antibiotics), kungekhona njengeepilisi. Amayeza anjenge-paracetamol nawo anikwa ukunciphisa umkhuhlane.
Amayeza okubulala iintsholongwane kufuneka athathwe de usulelo luphele ngokupheleleyo. Olu nyango kufuneka luqhubeke nasemva kokubeleka.
Kwiimeko ezininzi, ugqirha uya kugqiba ekubeni azale umntwana ngokukhawuleza (abangele ukuzala).Isizathu soku kukuba kungcono ukususa umntwana kwindawo enesifo ngokukhawuleza. Emva kokuba umntwana ezelwe, umntwana uyavavanywa ukuba akanasosulelo aze anikwe amayeza okubulala iintsholongwane "IV" ukuba kuyimfuneko.
Iingxaki ezinokwenzeka
Iingxaki ezinokuvela kule meko zinokuba yingozi kakhulu.
| Iingxaki | |
|---|---|
| Iingxaki ezinokwenzeka kumama | |
| Ukopha emva kokubeleka, usulelo lwesibeleko (i-endometritis), amathumba esinqeni, usulelo lwegazi (i-sepsis), kwaye kunqabile ukuba kubekho nokufa. | |
| Iingxaki ezinokwenzeka kumntwana | |
| Iimeko ezihlala ixesha elide ezifana nosulelo lwegazi (Sepsis), i-meningitis, usulelo lwemiphunga (Pneumonia), ukuxhuzula, i-cerebral palsy ebangelwa kukonakala kwengqondo, kwaye kwiimeko ezinzima, nokufa kunokwenzeka. |
Ngaba zikho iindlela zokuthintela oku?
Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko.
- Ukuya kwiikliniki rhoqo: Kubaluleke kakhulu ukuya kwiikliniki zakho zenyanga rhoqo ukuze izinto ezifana nosulelo lwangasese zifunyanwe kwaye zinyangwe kwangethuba.
- Uvavanyo lwe-GBS: Uvavanyo lwe-GBS olwenziwe phakathi kweeveki ezingama-35-37 zokukhulelwa lunokufumanisa ukuba le ntsholongwane ikhona. Ukuba ikhona, amayeza okubulala iintsholongwane anokunikwa ngexesha lokubeleka ukuthintela usulelo kumntwana.
- Ukuzinyamekela ngexesha lokukhulelwa: Abasebenzi bezonyango bayazilumkela ukuba bangahlolwa rhoqo ngamabhinqa ngaphandle kokuba kuyimfuneko.
Eyona nto ibalulekileyo kukuba ukuba ufumana naziphi na iimpawu ezikhankanyiweyo kweli nqaku, bonana nogqirha wakho okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko . Ixesha libaluleke kakhulu kule meko.
Umyalezo Wokuya Ekhaya
- I-Chorioamnionitis yintsholongwane eyingozi kakhulu eyenzeka kwisibeleko ngexesha lokukhulelwa.
- Lumka kakhulu ngeempawu ezinje ngomkhuhlane, ukubetha kwentliziyo ngokukhawuleza, iintlungu zesisu, kunye nokuphuma kolwelo olungcolileyo kwilungu lobufazi.
- Le meko inokubangela iingxaki eziyingozi kakhulu kumama nakumntwana ongekazalwa.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukulibazisa kwaye ubone ugqirha wakho ngoko nangoko .
- Ii-antibiotics zinikwa njengonyango, kwaye ngamanye amaxesha oogqirha banokugqiba ekubeni babelekise umntwana kwangethuba.
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