Ake sifunde nge-chorioamnionitis, okungenzeka kube ukutheleleka kwe-amniotic fluid ngesikhathi sokukhulelwa.

Uma ukhulelwe, kumelwe ukuthi ucabanga kakhulu ngokuphepha kwakho nomntwana wakho, akunjalo? Ngezinye izikhathi asizwa ngisho ngakho, kodwa kunezimo ezithile ezingase zenzeke ngesikhathi sokukhulelwa. Esinye isimo esinjalo esidinga ukunakwa okuncane, kodwa okungenandaba naso, yi-Chorioamnionitis. Ingabe kufanele sixoxe ngalokhu kalula?

Kuyini i-chorioamnionitis? Kuvame kangakanani lokhu?

Kalula nje, i-chorioamnionitis iyisifo esibi kakhulu ongasithola ngesikhathi sokukhulelwa . Igama laso livela ezithweni ezimbili ezizungeze ingane yakho esibelethweni. I-membrane yangaphandle ibizwa ngokuthi i-chorion, kanti i-membrane yangaphakathi ibizwa ngokuthi i-amnion. Lezi yizitho ezizungeze ingane yakho, uketshezi lwe-amniotic. Cabanga ngengane yakho njengesesikhwameni samanzi esivikelayo. Lokhu kutheleleka kwenzeka lapho amagciwane engena kulezi zitho, noma izicubu, ezizungeze ingane yakho. Okungukuthi:

• I-Chorion (ulwelwesi olungaphandle oluzungeze umntwana)
• I-Amnion (ulwelwesi lwangaphakathi oluzungeze umntwana)
• I-Placenta (ingxenye enikeza ingane ukudla, isiphuzo kanye nomoya-mpilo )
• Uketshezi lwe -amniotic (uketshezi lapho umntwana entanta khona)

Lesi simo singavela uma amagciwane engena kunoma iyiphi yalezi zindawo. Ngokuvamile, ama-antibiotic anikezwa njengokwelashwa. Kodwa ngezinye izikhathi udokotela wakho kungadingeka abelethe ingane yakho kusenesikhathi. Uma lokhu kungelashwa kahle, kungaba yingozi empilweni yakho nakumntwana wakho. Ngakho-ke kubalulekile ukuqaphela lokhu. Uma ubheka ukuthi lesi simo sivame kangakanani, emazweni afana ne-United States, senzeka phakathi kuka-1% no-5% wokuzalwa. Kungenye yezimbangela zokubeletha ngaphambi kwesikhathi kanye nokubeletha ngaphambi kwesikhathi. Lokhu kusho ukuthi umntwana kungenzeka kakhulu ukuba azalwe ngaphambi kwesikhathi esiphelele.

Ziyini izimpawu zalokhu?

Izimpawu ze-chorioamnionitis zingahluka kumuntu nomuntu. Abanye abantu bangase bangabi nazo izimpawu ezinkulu. Kodwa-ke, kunezimpawu ezimbalwa ezivamile:

• Ukuba nomkhuhlane ( izinga lokushisa lomzimba elingaphezu kwama-degree Celsius angu-38, noma ama-degree Fahrenheit angu-100.4).
• Ukwanda kwesilinganiso senhliziyo yakho noma sengane yakho (ngaphezu kwama-beats ayi-100 ngomzuzu kuwe, ngaphezu kwama-beats ayi-160 enganeni).
• Ukuzwa ubuhlungu obukhulu noma ukuzwela lapho uthinta isibeletho noma ucindezela isisu.
• Iphunga elibi noma umbala ongavamile woketshezi lwesitho sangasese sowesifazane(Njengoluhlaza okotshani, ophuzi).
• Ukujuluka (ikakhulukazi uma unesifo somkhuhlane).
• Ngezinye izikhathi ungase uzwe ukuthuthumela .

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ngokushesha okukhulu.

I-chorioamnionitis ikhula kanjani?

Imbangela eyinhloko yalokhu ukutheleleka ngamagciwane . Lawa magciwane avame ukuhlala esithweni sangasese sowesifazane, kodwa uma ekhuphukela esibelethweni, angabangela izinkinga. Lokhu kutheleleka kungaqala esithweni sakho sangasese sowesifazane, endunu, noma e-rectum bese kusakazekela esibelethweni sakho. Noma, uma isikhwama se-amniotic esizungeze ingane yakho siqhuma (sikubiza ngokuthi 'isikhwama samanzi esiphukile'), lokhu kutheleleka kungaqala ngaphakathi kwesibeletho sakho. Ngoba lapho isikhwama samanzi siqhuma, amagciwane angangena. Lawa magciwane angathelela i-placenta yakho kanye nengane yakho. Enye into ukuthi ukuhlolwa njalo kwesitho sangasese sowesifazane (ikakhulukazi ukuhlolwa ngesandla) ngemva kokuqhuma kwamanzi, noma ngemva kokuhlolwa okufana ne-amniocentesis (ukuhlolwa kokuqoqa isampula yoketshezi lwe-amniotic), nakho kungasakazela lokhu kutheleleka. Izinhlobo ezimbili eziyinhloko zamagciwane ezivame ukubangela lokhu yi -E. coli (uhlobo lwamagciwane oluvame ukutholakala emathunjini) kanye ne-Group B strep. Nakuba leli gciwane, elibizwa nge-Group B strep, lingenangozi esithweni sangasese sowesifazane kwabesifazane abaningi abakhulelwe, ngezinye izikhathi lingathelela ingane ngesikhathi sokubeletha.

Ingabe lokhu kungathinta ingane?

Yebo, impela. I-Chorioamnionitis yisimo esingaba nomthelela omkhulu hhayi kumama kuphela, kodwa nakumntwana osesiswini. Ezinye zezinkinga zifaka:

• Ukutheleleka okukhulu (isibonelo, ukutheleleka okusakazekela egazini - i-sepsis ).
• Ukulimala kobuchopho noma imiphumela yokukhula kobuchopho.
• Izinkinga zamaphaphu (isib. i-pneumonia ).
• Amathuba okuzalwa ngaphambi kwesikhathi ayanda.
• Nakuba kungavamile, ukufa kungenzeka .

Yingakho kubaluleke kakhulu ukuqaphela nokwelapha lesi simo ngokushesha.

Ukuthola kanjani lokhu?

Umhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha uzohlonza lesi simo. Uzokwenza ukuhlolwa ngokomzimba, abuze ngezimpawu zakho (njengomkhuhlane kanye nobuhlungu besisu), futhi athathe umlando wezokwelapha ophelele. Ngaphezu kwalokho, ungase futhi:

• Hlola ukutheleleka noma inani lamaseli amhlophe egaziUkuhlolwa kwegazi nomchamo kungacelwa (inani lamaseli amhlophe egazi livame ukuphakama ngesikhathi sokutheleleka).
• Ukuhlolwa kwesitho sangasese sowesifazane kungathathwa bese kuthunyelwa elabhorethri ukuze kuhlolwe amagciwane.
• Ngezinye izikhathi, kungase kuthathwe isampula yoketshezi lwakho lwe-amniotic ukuze kuhlolwe amagciwane. Lokhu kwenziwa ngenqubo ebizwa ngokuthi i-amniocentesis.
• Kungenziwa i-ultrasound ukuhlola impilo yengane kanye nokushaya kwenhliziyo.

Ngokusekelwe olwazini olutholwe kulezi zivivinyo, udokotela unquma ukuthi lokhu kuyi-chorioamnionitis noma cha.

Kuphathwa kanjani lokhu?

Uma udokotela wakho ethola i-chorioamnionitis, ukwelashwa okuyinhloko ama-antibiotic . Lawa anikezwa ukubulala amagciwane abangela ukutheleleka. Lawa ma-antibiotic avame ukunikezwa ngenaliti efakwe emthanjeni (i-IV). Imithi iqala ukusebenza ngokushesha emzimbeni wakho. Kwezinye izimo, ikakhulukazi uma ukutheleleka kukhulu noma uma kunengozi empilweni yengane, odokotela bangase batuse ukubeletha kusenesikhathi . Lokhu kungasiza ekuvimbeleni izinkinga ezengeziwe kuwe nakumntwana wakho. Ngemva kokuzalwa kwengane yakho, uma ingane yakho esanda kuzalwa nayo inokutheleleka, izonikezwa nama-antibiotic.

Ungakhathazeki: odokotela benza okungcono kakhulu kuwe nakumntwana wakho. Kubalulekile ukulalela abakushoyo bese wenza ngokufanele.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma une-chorioamnionitis enzima, noma uma ingelashwa, umama angase abe nezinkinga ezifana nalezi:

• Ukusabalala kokutheleleka esifundeni sakho se-pelvic kanye nesisu .
• I-Endometritis, ukuvuvukala kolwelwesi lwesibeletho, kungenzeka ngemva kokubeletha.
• Amahlule egazi esinqeni noma emaphashini akho .
• I-Sepsis igciwane legazi elingaba yingozi empilweni .

Okubalulekile: I-Sepsis yisimo esibucayi esidinga ukwelashwa okuphuthumayo. Kuyindlela enzima yokusabela komzimba wonke ekuthelelekeni.

Ingane yakho esanda kuzalwa ingase ibe nezinkinga ngenxa yalokhu kutheleleka ngamagciwane. Isibonelo:

• I-Sepsis (ukutheleleka kwegazi okukhulu).
• I-Meningitis (ukuvuvukala kolwelwesi oluzungeze ubuchopho nomgogodla).
• I-pneumonia (ukutheleleka kwamaphaphu).
• Ubunzima bokuphefumula.
• Imiphumela yesikhathi eside ekukhuleni kobuchopho (isib. i-Cerebral Palsy).

Yingakho kubalulekile ukuqaphela lesi simo nokufuna ukwelashwa ngokushesha.

Yiziphi izinto ezandisa le ngozi?

Izici ezithile zingandisa ingozi yakho yokuthola i-chorioamnionitis. Lezi zifaka:

• Ukubeletha ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37).
• Amanzi ayaphuka amahora angaphezu kuka-18-24 ngaphambi kokuba umntwana azalwe (lokhu kubizwa ngokuthi ukuqhekeka kwezicubu isikhathi eside).
• Ubuhlungu bokubeletha buhlala isikhathi eside .
• Unegciwane lesitho sangasese sowesifazane elingalashwanga (isib. i-bacterial vaginosis) noma igciwane elidluliselwa ngocansi (STI) .
• Unegciwane le-strep leqembu B (ikakhulukazi uma lingelashwa).
• Ukuhlolwa njalo kwesitho sangasese sowesifazane (ngesandla) ngemva kokuqhekeka kwamanzi.
• Ukusebenzisa amadivayisi okuqapha angaphakathi kwengane noma isibeletho .
• Ukukhulelwa kokuqala.
• Ukubhema.

Uma unalezi zinto eziyingozi, khuluma nodokotela wakho ngazo futhi ufunde ngezinto okufanele uziqaphele kakhulu.

Lokhu kungavinjelwa kanjani?

Nakuba kunezinto esingenakuzilawula (isib. ukuqhekeka kwe-membrane ngaphambi kwesikhathi), kunezinto ezimbalwa ongazenza ukuze unciphise ingozi yakho ye-chorioamnionitis:

• Uma amanzi akho ephuka kusenesikhathi (ngaphambi kwamasonto angu-37), thatha ama-antibiotic njengoba udokotela wakho ekuyalele . Lokhu kunganciphisa ingozi yokutheleleka.
• Nciphisa inani lokuhlolwa kwesitho sangasese sowesifazane ngemva kokuphuphuma kwamanzi. Lokhu kuhlolwa kufanele kwenziwe kuphela uma kudingeka ngempela futhi ngokucophelela.
• Hlola i-Group B strep ngesikhathi se-trimester yesithathu (phakathi kwamasonto angu-35 no-37) okukhulelwa. Uma utholakala ukuthi unaleli gciwane, uzonikezwa ama-antibiotic lapho kuqala ukubeletha noma amanzi akho ephuma ukuze uvimbele ukutheleleka enganeni yakho.
• Uma unezimpawu zokutheleleka kwesitho sangasese sowesifazane (njengokuphuma koketshezi okungajwayelekile, ukulunywa), funa ukwelashwa ngokushesha.
• Ukugwema ukubhema.

Uma ukhathazekile noma ukhathazekile nge-chorioamnionitis, khuluma nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha. Angahlola isimo sakho futhi akutshele ngengozi yakho.

Kufanele ngimbone nini udokotela?

Ngesikhathi ukhulelwe, kunezimpawu ezithile okufanele uziqaphele kakhulu. Uma ulwelwesi lwakho luphuka (amanzi akho ephuka), shayela udokotela wakho wezifo zabesifazane noma esibhedlela ngokushesha. Futhi, qiniseka ukuthi ubona udokotela wakho uma unezinye zalezi zimpawu:

• Uma unomkhuhlane (ikakhulukazi ngaphandle kwezinye izimpawu zomkhuhlane).
• Ubuhlungu noma ukuqina okusha esiswini noma endaweni ye-pelvicUma uzizwa uthanda.
• Uma uketshezi lwakho lwesitho sangasese sowesifazane lunuka kabi noma lushintshe umbala.
• Uma ukushaya kwenhliziyo yakho kuzwakala sengathi kushesha nje .

Ukuthatha isinyathelo ngokushesha ngezikhathi ezinjengalezi kungakuvikela wena nomntwana wakho.

Ingabe ingane ingaphila esibelethweni ngaphandle koketshezi lwe-amniotic?

Cha, ingane ayikwazi ukuphila isikhathi eside esibelethweni ngaphandle koketshezi lwe-amniotic. Uketshezi lwe-amniotic luyinto ebaluleke kakhulu evikela ingane, isize amaphaphu nezinso zomntwana ukuthi zikhule, futhi ilawule izinga lokushisa. Ngaphandle kwalo, ingane ingatheleleka kalula. Kungaphinde kuholele kwezinye izinkinga ezisongela impilo, njengokucindezela kwe-umbilical cord. Udokotela wakho uzonquma isikhathi esingcono kakhulu sokubeletha ingane yakho ngokusekelwe ekutheni usekude kangakanani ekukhulelweni kwakho.

Ingane ingaphila isikhathi esingakanani ngemva kokuphuza kwami ​​amanzi?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kuncike ezintweni eziningi, njengesigaba sokukhulelwa (ukuthi umntwana ukhule kangakanani) nokuthi ngabe kukhona yini izimpawu zokutheleleka. Kodwa-ke, ngokuvamile, odokotela abaningi bafuna ukubeletha ingane yakho zingakapheli amahora angama-24 kusukela ekuphukeni kwamanzi. Ikakhulukazi uma amanzi akho ephuke esigabeni esiphambili kakhulu (njengangemva kwamasonto angama-34), ingozi yokutheleleka iphakeme, ngakho-ke ukubeletha ingane yakho kusenesikhathi kuyindlela ephephile. Kodwa-ke, uma ingane yakho ingaphambi kwesikhathi kakhulu (njengaphakathi kwamasonto angama-24-34), ngezinye izikhathi odokotela bangase bazame ukugcina ingane yakho esibelethweni izinsuku ezimbalwa ezengeziwe ngokuyinika ama-antibiotic, kanye nemithi efana nama-steroids ukusiza amaphaphu engane akhule.

Umyalezo Wokugcina Wokuya Nasekhaya

I-Chorioamnionitis yisimo esibi kakhulu esingaba khona ngesikhathi sokukhulelwa. Kodwa-ke, nakuba ungakwazi ukuyilawula, ungenza izinto ezifana nokubona izimpawu bese utshela umhlinzeki wakho wokunakekelwa kokubeletha ngazo zonke izimpawu zakho. Ukwelashwa kuvame ukuhilela ama-antibiotic. Kodwa-ke, ngezinye izikhathi kungadingeka ukuthi ubelethe ingane yakho kusenesikhathi. Uma utholakale unalesi simo, qiniseka ukuthi ukhuluma nodokotela wakho ngaso futhi ubuze noma yimiphi imibuzo ongase ube nayo. Into ebaluleke kakhulu ukuhlala uzolile futhi ulandele imiyalelo kadokotela wakho. Kukhona odokotela abakhathazekile ngempilo yakho neyengane yakho futhi bazothatha izinyathelo ezidingekayo. Ngakho-ke ungesabi ukukhuluma nabo ngakho.