Ukuba ukhulelwe, kumele ukuba ukhe weva " ngamanzi aphantsi ajikeleze umntwana ". Mhlawumbi bekukho inqaku malunga noko kwingxelo yakho yeskeni. Uninzi lwexesha, abanye oomama bayoyika kancinci xa bethetha ngale nto. Ngoko ke namhlanje, masithethe ngento ethethwa yile manzi aphantsi ajikeleze umntwana, nto leyo esiyibiza ngokwezonyango ngokuthi `(Oligohydramnios)`. Ngaba oku kuyingozi? Kutheni oku kusenzeka? Masithethe ngayo yonke le nto ngokulula, ngendlela onokuyiqonda.
Yintoni amanzi ajikeleze umntwana? (Ulwelo lwe-Amniotic)
Ngamafutshane, umntwana wakho udada kule ndawo ilulwelo ngaphakathi esibelekweni. Siyibiza ngokuba lulwelo lwe-amniotic . Olu asilolwamanzi nje kuphela. Lufana nomqamelo wokukhusela umntwana. Olu lwelo luvumela umntwana ukuba ajikeleze aze ashukumise amalungu akhe. Lukwabalulekile ekuphuhlisweni kwemiphunga yomntwana, inkqubo yokugaya ukutya, kunye nezintso.
Cinga ngoku: Umntwana wakho uqala ukuvelisa ulwelo lwe-amniotic malunga neentsuku ezili-12 emva kokukhulelwa. Malunga neeveki ezili-16-20, izintso zomntwana ziyasebenza, kwaye umchamo uba yinxalenye ephambili yolu lwelo. Inqanaba lolu lwelo liyanda kancinci kancinci de kube ziiveki ezingama-36, emva koko lihlala likwinqanaba elizinzileyo de kube lixesha lokuzala. Ngokwesiqhelo, olu lwelo lunokuba phakathi kwama-500 kunye nama-1000 milliliters (ilitha e-1). ``I-Oligohydramnios`` kuxa kukho ulwelo oluncinci kunolufunekayo ngexesha lokukhulelwa.
Ulinganisa njani eli nani lamanzi?
Ugqirha wakho uza kulinganisa eli nqanaba lolwelo nge- ultrasound scan. Zininzi iindlela zokulinganisa oku.
Into ebalulekileyo kukuba, ungakhathazeki ngezi zilinganiso wedwa. Ugqirha wakho uza kujonga ingxelo yeskeni aze akuchazele ukuba ithetha ukuthini kuwe, kuxhomekeke kwiveki ohlala kuyo.
Ezi zezona ndlela zimbini ezisetyenziswa kakhulu ngoogqirha.
| Indlela yokulinganisa | Inkcazo | Ixabiso eliphakathi |
|---|---|---|
| I-Amniotic Fluid Index (AFI) | Umlinganiselo othathwa ngokwahlula isibeleko sibe ngamacandelo amane, ulinganisa indawo enzulu yolwelo kwicandelo ngalinye, uze wongeze ezo xabiso zine kunye. | Ukusuka kwiisentimitha ezi-5 ukuya kwezingama-25. (Ngaphantsi kwe-5 cm kuthathwa njengomanzi aphantsi.) |
| Ipokotho Ethe Tye Ephezulu (i-MVP) | Ukulinganisa ubude bepokotho yolwelo olunzulu esibelekweni. Oku kusetyenziswa kakhulu kwikota yesithathu. | Iisentimitha ezi-2 ukuya kwezi-8. (Ngaphantsi kwe-2 cm kuthathwa njengesezantsi.) |
Kutheni amanzi ehla ngolu hlobo?
Kwiimeko ezininzi, malunga nama-50% eemeko, akukho sizathu sithile sifumanekayo. Nangona kunjalo, kukho izinto ezininzi ezinokubangela ukunqongophala kwamanzi.
- Ukukhulelwa okude kunomhla wokuzalwa: Olu lwelo lunokuncipha ngokwendalo xa umntwana ezalwa emva komhla wokuzalwa.
- Ukuqhekeka kwesikhwama se-amniotic: Oku sikubiza ngokuba "kukuqhekeka kwamanzi." Ngamanye amaxesha kunokuvuza ngomngxuma omncinci.
- Iingxaki ze-placenta: Iimeko ezifana nokuqhekeka kwe-placenta , apho i-placenta yahlukana nodonga lwesibeleko.
- Iziphene zokuzalwa komntwana: Ingakumbi ukuba kukho ingxaki ngezintso zomntwana okanye kwinkqubo yomchamo, ubungakanani bomchamo obuveliswa ngumntwana buya kuncipha, nto leyo ebangela ukuncipha kokusetyenziswa kolwelo.
- Ukungasebenzi kakuhle kwe-chromosome.
- Ukukhulelwa kwamawele: Kwi- twin-to-twin transfusion syndrome , imeko apho izondlo zisasazwa ngokulinganayo phakathi kwamawele, umntwana omnye usenokuba nolwelo oluncinci olujikeleze yona.
- Iimeko zempilo kamama: Iimeko ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu kumama.
- Amayeza athile: Amayeza athile, afana ne-(ACE) inhibitors yoxinzelelo lwegazi oluphezulu kunye ne-(NSAIDs) yokuphelisa iintlungu.
Zithini iingxaki zokuba namanzi aphantsi?
Ukuba le meko imbi kangakanani kuxhomekeke ekubeni iyenzeka kwinqanaba lokukhulelwa .
Ngamafutshane, ukuphelelwa ngamanzi emzimbeni kwasekuqaleni kokukhulelwa kunokuba yingozi ngakumbi kunokuphelelwa ngamanzi emzimbeni kwasekupheleni kokukhulelwa.
| Inqanaba lokukhulelwa | Iingxaki ezinokwenzeka |
|---|---|
| Kwiinyanga ezi-6 zokuqala (kwikota yesibini) |
|
| Ikota yesithathu |
Yintoni iPotter Syndrome?
Le yimeko engaqhelekanga kodwa imbi kakhulu enxulunyaniswa ne-`(Oligohydramnios)`. Okwenzekayo apha kukuba izintso zomntwana azikhuli kakuhle, ngoko ke imveliso yomchamo iphantsi kakhulu. Ngenxa yoko, phantse akukho fluid ye-amniotic. Oku kunokubangela iingxaki ezinkulu ezifana neempawu ezithile zobuso (impumlo esicaba, amehlo ahlukeneyo), amalungu amafutshane, kunye nemiphunga engakhulanga kakuhle.
Uyazi njani ukuba unale meko? (Iimpawu)
Eyona nto ibalulekileyo kukuba, unokuba nale meko ngaphandle kokuba neempawu kwiimeko ezininzi. Ugqirha wakho uya kuyifumanisa kuphela ngexesha le-ultrasound scan yakho yesiqhelo.
Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzazi:
1. Ukuphuma kwamanzi kwilungu lobufazi: Olu luphawu oluphambili. Akunyanzelekanga ukuba kubekho amanzi amaninzi aphuma ngaxeshanye njengakwiimuvi. Ngamanye amaxesha kunokuba yinto encinci, njengentambo. Ukuba ubona into efana nale , fowunela ugqirha wakho ngoko nangoko.
2. Isisu sakho sibonakala sincinci kunokuba bekulindelwe: Ukuba isisu sakho sibonakala sincinci xa sithelekiswa neveki yakho yokukhulelwa, oko kungaba luphawu.
3. Ukuncipha kweentshukumo zomntwana: Njengoko amanzi ehla, umntwana akanandawo ingako yokushukuma, ngoko ke usenokuziva ungaphantsi kweentshukumo zomntwana.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke ekubeni amanqanaba akho olwelo aphantsi kangakanani kwaye ukwinqanaba elingakanani lokukhulelwa.
- Ukuhlolwa rhoqo: Ii-ultrasound scan zenziwa veki nganye ukujonga amanqanaba olwelo kunye nokukhula komntwana.
- Sela amanzi amaninzi: Ezinye izifundo zibonise ukuba ukusela amanzi amaninzi, ingakumbi ngexesha lokugqibela lokukhulelwa, kunokunceda ukonyusa amanqanaba olwelo ukuya kuthi ga kwinqanaba elithile.
- Ulawulo lwezifo zikamama: Ukuba kukho izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, kubalulekile ukuzilawula kakuhle.
- Ukuzala kwangethuba: Kwezinye iimeko, ngenxa yokhuseleko lomntwana, oogqirha banokugqiba ekubeni baqalise ukuzala kwanangaphambi komhla wokugqibela.
Ndifanele ndimbone nini ugqirha?
Ukuba unemibuzo okanye amathandabuzo ngexesha lokukhulelwa kwakho, ungaze ungathandabuzi ukubuza ugqirha wakho. Ngokukodwa, ukuba ufumana nayiphi na kwezi zilandelayo , funa ingcebiso yezonyango ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Ukuba ulwelo olumanzi luvuza kwilungu lobufazi.
- Ukuba kukho ukopha kwegazi kwilungu lobufazi.
- Ukuba uziva ukushwabana kwesibeleko kunye nentlungu yesisu okanye yomqolo.
- Ukuba uvakalelwa kukuba iintshukumo zomntwana wakho zinciphile kakhulu.
Umyalezo Wokuya Ekhaya
- Ulwelo oluphantsi lwe-amniotic, okanye "i-Oligohydramnios," yimeko enokwenzeka nangaliphi na ixesha ngexesha lokukhulelwa kwaye ibangela inkxalabo.
- Oku kudla ngokubonwa nge-ultrasound scan. Ngoko ke, kubaluleke kakhulu ukuba ii-scan zenziwe ngexesha.
- Ukuba ubona ukukhupha amanzi kwilungu lobufazi, musa ukulibazisa. Xelela ugqirha wakho ngoko nangoko.
- Ukuba ufumanisa le meko, musa ukoyika kwaye ulandele iingcebiso zonyango. Ukubekwa esweni rhoqo kunye nonyango oluyimfuneko kunokunciphisa iingozi kumama nakumntwana.
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