Ukuba ungumama oza kuzala, kumele ukuba uvile ngamanzi ajikeleze umntwana wakho esibelekweni. Ngokwezonyango, sibiza olu lwelo ngokuthi ' ulwelo lwe-amniotic '. Olu lwelo lufana nomqamelo wokukhusela umntwana wakho. Olu lwelo lubalulekile ukukhusela, ukondla, nokuvumela umntwana wakho ukuba ahambehamba. Kodwa ngamanye amaxesha, ubungakanani bolu lwelo bunokuba ngaphezu kwesiqhelo. Leyo yimeko esiyibiza ngokuba yiPolyhydramnios. Musa ukoyika xa usiva eli gama. Masithethe ngalo ngokucacileyo nangokulula namhlanje.
Okokuqala, masibone, yintoni le amniotic fluid?
Ngamafutshane, umntwana wakho ukwingxowa egcwele ulwelo ngaphakathi kwesibeleko sakho. Le ngxowa siyibiza ngokuba yingxowa ye-amniotic. Ulwelo olucacileyo ngaphakathi lubizwa ngokuba yi-amniotic fluid. Oku kubalulekile ekukhuleni komntwana wakho. Umntwana uyayiginya le ngxube aze ayiphinde ayifake kulwelo njengomchamo. Le yindlela amanqanaba olwelo ahlala elungelelene ngayo.
Ubungakanani bolu lwelo buyatshintsha ngexesha lokukhulelwa. Ngokomyinge, kukho malunga neemililitha ezingama-800 zolwelo kwiiveki ezingama-34. Nangona kunjalo, njengoko kusondela ixesha lokubeletha, kwiiveki ezingama-40, eli nani liyehla liye kwiimililitha ezingama-600. Ngamanye amaxesha, eli nani lolwelo linokuba ngaphantsi kwesiqhelo (i-Oligohydramnios) okanye ngaphezulu kwesiqhelo (i-Polyhydramnios) .
Ngoko ke yintoni iPolyhydramnios?
I-Polyhydramnios, njengoko bekutshiwo ngaphambili, iyenzeka xa kukho ulwelo oluninzi kakhulu lwesibeleko. Oku kunokubangela ukuba isibeleko sakho sibe sikhulu kunesiqhelo. Oku kubonakala kakhulu kwinxalenye yokugqibela yokukhulelwa. Nangona kunjalo, ngamanye amaxesha kunokwenzeka kwangethuba kwiiveki ezili-16.
Into ebalulekileyo kukuba le yimeko engaqhelekanga kakhulu. Ichaphazela kuphela i-1% ukuya kwi-2% yabasetyhini abakhulelweyo. Ngoko ke akukho mfuneko yokukhathazeka ngokungeyomfuneko ngayo.
Zithini izizathu zokwanda kwamanzi esibelekweni?
Kudla ngokuba nzima ukuchonga unobangela ochanekileyo, kodwa kukho izizathu ezimbalwa eziqhelekileyo ezichongiweyo ngoogqirha.
| Unobangela | Ingcaciso elula |
|---|---|
| Iziphene zokuzalwa komntwana | Umntwana usenokungakwazi ukuginya ulwelo ngenxa yengxaki yenkqubo yokwetyisa okanye yemithambo-luvo yomntwana. |
| Isifo seswekile sikamama | Isifo seswekile sokukhulelwa okanye isifo seswekile esingalawulekiyo esele sikhona. |
| Amawele | Ukungalingani kokujikeleza kwegazi phakathi kwamawele afanayo (i-Twin-to-twin transfusion syndrome). |
| I-anemia yosana olusandul' ukuzalwa | Ukuncipha kwenani leeseli ezibomvu zegazi kumntwana. |
| Iingxaki ze-placental | Kukho ingxaki kwi-placenta, enika umntwana ukutya kunye neoksijini. |
| Ukungahambelani kohlobo lwegazi | Ukungahambelani phakathi kweentlobo zegazi likamama nelomntwana (ingakumbi i-Rh factor). |
| Iintsholongwane | Ezinye izifo ezenzeka kumama ngexesha lokukhulelwa. |
Ziziphi iimpawu onokuzifumana ukuba unePolyhydramnios?
Ukuba isisu sakho sivakalelwa kukuba siya sikhula ngokukhawuleza, oko kungaba luphawu lwe-polyhydramnios, imeko eyenzeka xa ulwelo luqokelelana luze lubeke uxinzelelo kwisibeleko nakwizitho ezingqongileyo.
- Ukuba ubungakanani bolwelo bugqithisile kancinci (ii-polyhydramnios ezincinci): Usenokungabi nazimpawu.
- Ukuba ubungakanani bolwelo buninzi kakhulu (Severe polyhydramnios): Unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:
- Isisu siqinile kakhulu.
- Ubunzima bokuphefumla.
- Iingxaki zokugaya ukutya kunye nokudumba kwesifuba.
- Ukuqhinwa kwesisu .
- Ukudumba kwamathanga, imilenze, neenyawo.
- Ukungakhululeki okanye ukudumba kwesibeleko.
- Ukubekwa kakubi kwesisu .
- Ukuncipha kwemvakalelo yokunyakaza komntwana.
Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?
Ukuba ubungakanani bolwelo buyanda kakhulu kwiiveki zokuqala zokukhulelwa (ii-polyhydramnios ezinzima), kukho umngcipheko weengxaki. Kubalulekile ukuzazi ezi, kodwa khumbula ukuba ezi azenzeki kuye wonke umntu.
- Ukuzalwa ngaphambi kwexesha: Ukuzalwa ngaphambi kweeveki ezingama-37.
- Ukuqhekeka kwe-membranes ngaphambi kwexesha: Ukuqhekeka kwe-amniotic sac (ibhegi yamanzi) ngaphambi kokuba umntwana azalwe.
- Ukuqhawuka kwe-placenta: I-placenta isuka eludongeni lwesibeleko ngaphambi kokuba umntwana azalwe.
- Ukuqhekeka kwentambo yomntwana: Intambo yomntwana ingena kwilungu lobufazi ngaphambi kokuba umntwana azalwe.
- Ukukhula ngokukhawuleza komntwana: Umntwana ukhula.
- Imfuneko yotyando lwe-cesarean (utyando lwe-C).
- Ukuzalwa kwengane ifile: Le yinto engaqhelekanga kakhulu.
- Ukopha kakhulu emva kokubeleka.
Musa ukoyika ukuva ezi zinto. Ugqirha wakho uyazi kakuhle ezi ngozi. Yiyo loo nto eza kukujonga rhoqo wena nomntwana wakho aze anike unyango olungcono kangangoko.
Ugqirha uyixilonga njani le meko?
Ukuba unezi mpawu zingasentla, ugqirha wakho uza kuqala enze i-ultrasound scan . Oku kuya kulinganisa ubungakanani bolwelo esiswini sakho. Kukho iindlela ezimbini ezisetyenzisiweyo koku:
1. I-AFI (Amniotic Fluid Index): Khawuthelekelele ukwahlula isibeleko sakho sibe ngamacandelo amane, ulinganisa indawo enzulu yolwelo kwicandelo ngalinye, uze uwadibanise onke. Ukuba isimbuku singaphezulu kweesentimitha ezingama-24-25, sithathwa njengePolyhydramnios.
2. I-MPV (iPokotho ethe nkqo ephezulu): Oku kulinganisa ubunzulu bepokotho yolwelo olunzulu ngaphakathi kwesibeleko. Ukuba eli xabiso lilingana okanye lingaphezulu kweesentimitha ezisi-8, likwafunyaniswa ukuba yi-Polyhydramnios.
Ukongeza, ezinye iimvavanyo zinokwenziwa ukufumana unobangela:
- Uvavanyo lwegazi: Ukujonga ukuba umama unezifo okanye izifo ezifana nesifo seswekile.
- I-Amniocentesis: Oku kuquka ukusebenzisa inaliti ecolekileyo kakhulu ukuthabatha ulwelo oluncinci esibelekweni nokuluvavanya. Oku kunokubonelela ngolwazi malunga nezinto ezifana neengxaki zemfuza kumntwana.
Nje ukuba esi sifo sifunyenwe, ugqirha wakho uza kukujonga rhoqo wena nomntwana wakho. Ukuze wenze oku, kuya kufuneka wenze uvavanyo olungenaxinzelelo .Uvavanyo olufana ne-echocardiogram ye-fetal (ukujonga ukubetha kwentliziyo yomntwana) kunye neprofayili ye-biophysical (iskeni esihlala sijonga intshukumo yomntwana, ukuphefumla kwakhe, kunye namanqanaba olwelo lwakhe).
Ziziphi iindlela zonyango lwe-polyhydramnios?
Iindaba ezimnandi zezokuba uninzi lweemeko zokugcinwa kolwelo oluncinci azidingi naluphi na unyango . Le meko iya kuziphelela ngokwayo ngokuhamba kwexesha. Ingaphucuka xa unobangela oyintloko, onje ngesifo seswekile, unyangwa.
Nangona kunjalo, ukuba ulwelo luphezulu kakhulu (lunzima) kwaye unobunzima bokuphefumla, iintlungu zesisu, okanye iimpawu zokubeleka ngaphambi kwexesha, unokufuna unyango. Usenokufuna nokulaliswa esibhedlele.
Njengeendlela zonyango:
- Ukususwa kolwelo: Njenge-amniocentesis, inaliti isetyenziselwa ukususa ulwelo olugqithisileyo kwisibeleko. Nangona kunjalo, ngenxa yokuba le nkqubo inomngcipheko omncinci wokuqhekeka kwe-membranes ngaphambi kwexesha, ugqirha wakho uya kukwenza oku kuphela xa kuyimfuneko.
- Amayeza: Amayeza anjenge-Indomethacin anganikwa. La mayeza anciphisa umchamo oveliswa ngumntwana kwaye anciphise amanqanaba olwelo. Nangona kunjalo, la mayeza anikwa ngaphambi kweeveki ezingama-31 zokukhulelwa. Ekubeni la mayeza enokuba nefuthe elithile entliziyweni yomntwana, ugqirha uya kujonga rhoqo intliziyo yomntwana.
Eyona nto ibalulekileyo kukuba zonke ezi zigqibo zenziwe ngugqirha wakho. Nguye oza kugqiba ukuba yintoni ekulungeleyo, ecinga ngemeko yakho kunye nempilo yomntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Polyhydramnios sisixa esikhulu se-amniotic fluid esibelekweni. Esi sisifo esingaqhelekanga.
- Kudla ngokuba nzima ukufumana unobangela ocacileyo woku, kodwa isifo seswekile, ukuzalwa kwabantwana abaninzi, kunye neengxaki ezithile ngomntwana zinokuba zizinto ezibangela oku.
- Iimeko ezincinci azisoloko zibangela iimpawu. Iimeko ezinzima zinokubangela iimpawu ezifana nobunzima bokuphefumla kunye nentlungu yesisu.
- Le meko ifunyaniswa nge-ultrasound scan.
- Ukuba ulwelo lugqithisile kancinci, unyango alusoloko luyimfuneko kwaye luya kuphola ngokwalo.
- Kuphela xa imeko imbi kakhulu apho inyangwa ngokususwa kolwelo okanye amayeza.
- Ungoyiki ukucinga ngento ethile wedwa. Thetha nogqirha wakho ngayo yonke into. Yena uza kukunika ukhathalelo olungcono kuwe nakumntwana wakho.
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