Ukukhulelwa lixesha apho wonke umama enethemba elikhulu kunye noloyiko oluncinci. Ngeli xesha, uhlala ucinga ngokukhula komntwana esiswini sakho kunye nokuphila kwakhe. Ngamanye amaxesha, ngexesha lokuskena, ugqirha uthi, "Kukho amanzi amaninzi kakhulu ajikeleze umntwana." Kuqhelekile ukuziva usoyika kakhulu ngelo xesha. Kodwa ungakhathazeki, ukuba uyiqonda kakuhle le meko, ungamelana nale meko kakuhle. Namhlanje sithetha ngale 'manzi anyukayo ajikeleze umntwana' okanye igama lezonyango elithi 'Hydramnios' okanye 'Polyhydramnios'.
Ngamafutshane, yintoni iPolyhydramnios?
Ngaphakathi kwesibeleko sakho, umntwana wakho ukwingxowa egcwele amanzi ebizwa ngokuba yi-amniotic sac. Ulwelo olungaphakathi kwesi sikhwama lubizwa ngokuba yi-amniotic fluid. Olu lwelo lubaluleke kakhulu kumntwana wakho. Lufana nomqamelo okhuselayo. Lugcina umntwana wakho engashukumi, lulawula ubushushu bomzimba womntwana wakho, kwaye lunceda imiphunga yomntwana wakho kunye nenkqubo yokugaya ukutya ikhule.
Ngokwesiqhelo, olu bungakanani bolwelo kufuneka lube kwinqanaba elithile ngexesha lokukhulelwa. I-Polyhydramnios iyenzeka xa kukho ulwelo lwe-amniotic oluninzi kunesiqhelo. Le meko yenzeka malunga nokukhulelwa oku-1 okanye oku-2 kwaba-100.
Le meko inokuba buthathaka, ibe phakathi, okanye ibe nzima. Ngokwesiqhelo, ukuba le meko iqala kwangethuba ekukhulelweni, kukho ithuba lokuba ubungakanani bolwelo buya kwanda. Njengoko ubungakanani bolwelo busanda, umngcipheko weengxaki kunye nomntwana unokuba neziphene ezithile zokuzalwa unokwanda kancinci.
Kutheni oku kusenzeka? Zithini izizathu zoku?
Kwixesha eliqhelekileyo lokukhulelwa, olu lwelo lwe-amniotic lwenziwa kakhulu ngumchamo womntwana. Umntwana uyaluginya olu lwelo, aze alukhuphe kwakhona njengomchamo. Oku kwenzeka kumjikelo. Ngoko ke, ukuba kukho ingxaki kwenye indawo kulo mjikelo, ubungakanani bolwelo bunokwanda. Umzekelo, ukuba umntwana uchama kakhulu, okanye ukuba umntwana akanakukwazi ukuginya ulwelo ngokufanelekileyo, le meko inokwenzeka.
Kodwa kwiimeko ezininzi, oko kukuthi, malunga ne-60%-70% yamatyala, akukho sizathu sithile sifumanekayo. Siyibiza ngokuba yi-'Idiopathic Polyhydramnios'. Nangona kunjalo, kwezinye iimeko, kukho izinto ezininzi ezibangela oku.
| Unobangela | Inkcazo emfutshane |
|---|---|
| Isifo Seswekile Sokukhulelwa | Ngenxa yokuba iswekile egazini likamama iphezulu, iswekile egazini lomntwana nayo iyanda, nto leyo ebangela ukuba umntwana achame kakhulu. Le yeyona nto ixhaphakileyo. |
| Iingxaki ngomntwana | Ubunzima bokuginya ulwelo ngenxa yesiphene sokuzalwa kwindlela yokugaya ukutya komntwana, inkqubo yemithambo-luvo, okanye iingxaki ze-chromosome. |
| Amawele (i-Twin-to-Twin Transfusion Syndrome) | Amanye amawele anegazi elingalinganiyo nge-placenta, nto leyo enokubangela ulwelo oluninzi olujikeleze umntwana omnye kunye nolwelo oluncinci olujikeleze omnye. |
| Iingxaki zentliziyo yomntwana | Ukuveliswa komchamo omninzi ngenxa yengxaki yokusebenza kwentliziyo yomntwana. |
| Usulelo ngexesha lokukhulelwa | Ezinye izifo, ezifana ne-parvovirus B19, zinokubangela i-anemia kunye nokugcinwa kolwelo kumntwana. |
| Ezinye iimeko zemfuza | Iimeko ezingaqhelekanga kakhulu zemfuza ezichaphazela izintso zomntwana, ezifana neBartter Syndrome. |
Ungayibona njani le meko?
I-Polyhydramnios ifunyanwa kakhulu nge -ultrasound scan . Ingafunyanwa ngexesha lovavanyo lwakho lweklinikhi oluqhelekileyo okanye ngexesha le-scan eyenziwayo ukuze kufunyanwe ezinye iimpawu.
Ngamanye amaxesha, ukuba isibeleko sakho (isisu) sikhula ngokukhawuleza kakhulu xa ukhulelwe, okanye ukuba uziva ngathi umntwana wakho akashukumi kakuhle, ugqirha wakho unokukukrokrela oku aze akuthumelele kwi-scan.
Ngexesha lokuskena, ingcali okanye ugqirha ulinganisa iingxowa zolwelo ngaphakathi kwesibeleko aze abale inani lilonke lolwelo. Ukuskena kubalulekile ekuqinisekiseni ukuba umntwana uneziphene zokuzalwa.
Ziziphi iimpawu onokuzifumana?
Ukuba ulwelo lwakho luqokelelana kancinci, usenokungaziboni iimpawu. Kodwa njengoko ulwelo lusanda, usenokuqala ukuziva ungakhululekanga .
Eyona nto ibalulekileyo kukungabhidanisi ezi mpawu nokungakhululeki okuqhelekileyo kokukhulelwa. Ukuba uziva into engaqhelekanga, xelela ugqirha wakho ngoko nangoko.
Ezi ziimpawu ezinokubonwa ngokubanzi:
- Ubunzima bokuphefumla : Ungaziva ubunzima bokuphefumla njengoko isibeleko sikhula kwaye sicinezela imiphunga yakho.
- Ukungakhululeki esiswini kunye nobunzima: Ngenxa yokuba isisu sikhulu kakhulu, kukho uvakalelo lobunzima kunye nokungakhululeki.
- Isibeleko sikhulu kunokuba kufanele sibe njalo: Umzekelo, nangona sineeveki ezingama-32, sibonakala ngathi sisisu esineeveki ezingama-36.
- Iintlungu zokubeleka ngaphambi kwexesha : Ukuqala kweentlungu zokubeleka ngaphambi komhla wokugqibela.
- Ukudumba komzimba ongezantsi: Ukudumba kwiindawo ezifana nemilenze nasemaqatheni.
Zeziphi iingxaki ezinokubangela oku?
Ukuba i-polyhydramnios inzima kakhulu, kukho umngcipheko weengxaki ngexesha lokukhulelwa nokuzala. Khumbula, ezi azenzeki kuwo wonke umntu, kodwa kubalulekile ukuqaphela iingozi.
| Ingxaki | Ingcaciso elula |
|---|---|
| Iziphene zokuzalwa kumntwana ongekazalwa | Malunga nama-20% eentsana ezine-polyhydramnios zinokuba nohlobo oluthile lwesiphene sokuzalwa (ingakumbi sentliziyo). |
| Ukuzalwa ngaphambi kwexesha | Ukuzalwa ngaphambi kwexesha ngenxa yokwelula kakhulu isibeleko. |
| Ukuqhekeka kwangoko kwengxowa yamanzi | Ukuqhekeka kwesikhwama se-amniotic ngaphambi kwexesha ngenxa yoxinzelelo olugqithisileyo. |
| Ukuqhawuka kwe-placenta | I-placenta iyahlukana nodonga lwesibeleko ngenxa yokufinyela kwesibeleko ngequbuliso emva kokuba amanzi ephumile. |
| Ukuwa kwentambo ye-umbilical | Xa amanzi ephuma, intambo yomlomo kunye nolwelo zingena kwilungu lobufazi ngaphambi kwentloko yomntwana. Le yimeko engxamisekileyo. |
| Usana lukwindawo engalunganga | Ngenxa yolwelo olugqithisileyo, umntwana unesithuba esikhulu kakhulu esibelekweni. Ngenxa yoko, usenokulala ecaleni endaweni yokuba kwindawo efanelekileyo ( intloko ijonge ezantsi) xa ebeleka. |
| Udinga utyando lwe-cesarean (C-section) | Ezi ngxaki zingasentla zenza kube nzima ukuzala umntwana ngendlela eqhelekileyo kwaye zifuna utyando lotyando. |
| Ukopha kakhulu emva kokubeleka | Ukopha kakhulu emva kokubeletha ngenxa yokuba izihlunu zesibeleko ziyanwebeka ngenxa yolwelo oluninzi. |
Zithini iindlela zonyango zoku?
Unyango lwakho luya kuxhomekeka kubunzulu bemeko yakho, kwinqanaba lokukhulelwa kwakho, kunye nesizathu.
- Amatyala angephi: Ukuba ulwelo lunyukile kancinci, akukho nyango lufunekayo rhoqo. Nangona kunjalo, ugqirha wakho uza kukujonga ngokusondeleyo wena nomntwana wakho. Baza kukucela ukuba uze ekliniki rhoqo kunesiqhelo, kwaye baza kwenza iiskeni rhoqo.
- Iimeko ezimandundu: Ukuba ulwelo luphezulu kakhulu kwaye unengxaki, unyango lunokufuneka.
- Ukunyanga Unobangela: Ukuba unobangela wale meko sisifo seswekile sokukhulelwa, ukunyanga ngendlela efanelekileyo kunokunceda ekulawuleni umthamo wolwelo.
- Ukukhupha i-Amnioreduction: Inaliti encinci isetyenziselwa ukususa ulwelo olugqithisileyo esibelekweni. Oku kufana novavanyo lwe-amniocentesis. Oku kunokufuneka kwenziwe amaxesha amaninzi.
- Amayeza: Ngamanye amaxesha kunikwa iyeza (`Indomethacin`) elinciphisa umchamo oveliswa ngumntwana. Nangona kunjalo, oku akukhuthazwa emva kweeveki ezingama-31 zokukhulelwa.
- Ukuzalwa kwangethuba: Ukuba iingxaki ziphezulu kwaye imiphunga yomntwana iphuhlile, ugqirha unokugqiba ekubeni abelethe umntwana ngaphambi kwexesha elibekiweyo.
- Ukuhlolwa rhoqo: Kunye nako konke oku, ukubetha kwentliziyo yomntwana kunye nokukhula kwakhe kuhlolwa rhoqo. Ukuba kukho nakuphi na ukurhanelwa kwengxaki yentliziyo yomntwana, kunokwenziwa iskeni ekhethekileyo efana ne-'Fetal Echocardiogram'.
Ukuba uneHydramnios, yintoni omele uyenze?
Emva kokuqaphela le meko, kuya kufuneka wenze utshintsho oluncinci kwindlela yakho yokuphila kunye nezicwangciso zakho.
- Phumla ngakumbi: Zama ukuphepha ukutsala umzimba wakho kangangoko unako. Phumla uphakamise imilenze yakho. Ukuba kunokwenzeka, thatha ikhefu lokubeleka kwangethuba.
- Lungiselela ukufika komntwana kwangethuba: Musa ukucinga ukuba uza kukwazi ukulinda de kube ngumhla wokuzalwa. Lungisa izinto ezifunekayo zomntwana, njengempahla, ii-diapers, kunye nebhedi yomntwana, kwangethuba.
- Yenza isicwangciso sengxamiseko: Thetha nomyeni wakho, usapho, kunye nogqirha malunga nento omawuyenze xa amanzi akho ephuma kwangethuba kunye nendlela yokuya esibhedlele.
- Xelela ugqirha wakho ngayo nayiphi na ingxaki onayo (ubunzima bokuphefumla, iintlungu). Uza kukunika iingcebiso ngeendlela zokunciphisa loo ngxaki.
Umyalezo Wokuya Ekhaya
- I-Polyhydramnios kukwanda komthamo wolwelo lwe-amniotic olujikeleze umntwana esibelekweni.
- Kwiimeko ezininzi, akukho sizathu sithile sinokufunyanwa, kodwa izinto ezifana nesifo seswekile sokukhulelwa nazo zinokudlala indima.
- Le meko ifunyaniswa nge-ultrasound scan.
- Ukuqokelelana kolwelo oluncinci kudla ngokungadingi nyango, kodwa ukubekwa esweni ngugqirha kubalulekile.
- Kwiimeko ezinzima kakhulu, unyango luquka ukukhupha ulwelo, ukunika amayeza, okanye ukuzala umntwana kwangethuba.
- Eyona nto ibalulekileyo kukungabi naloyiko ngokungeyomfuneko, ukuhlala unxibelelana rhoqo nogqirha wakho, kwaye ulandele imiyalelo yakhe ngokuchanekileyo.Thetha naye malunga namathandabuzo okanye ubunzima.
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