Ungase ube semasontweni okugcina okukhulelwa kwakho. Noma ungase ube segumbini lokubelethisa ubeletha. Kungazelelwe, udokotela ungena athi, "Inhliziyo yengane iyehla kancane, futhi inani lamanzi azungeze ingane libonakala liphansi." Ngezikhathi ezinjengalezi, sizokhuluma ngokwelashwa okukhethekile okusetshenziswa odokotela ukuvikela wena nengane yakho. Ungakhathazeki uma uzwa lokhu, lokhu kuyindlela yokwelapha ephumelela kakhulu ezimweni eziningi.
Kalula nje, kuyini i-Amnioinfusion?
Ukufakwa kwe-amnioinfusion inqubo lapho kufakwa khona uketshezi olukhethekile esibelethweni sakho, lapho ingane yakho ikhona. Kufana nokugcwalisa kabusha ithangi elincane ebelilokhu lihleli isikhathi eside. Lokhu kwenziwa lapho ukushaya kwenhliziyo kwengane yakho kushintsha noma kwehla ngesikhathi sokubeletha. Isizathu esiyinhloko salokhu ukuthi inani lamanzi azungeze ingane yakho liyehla.
Manje ungase uzibuze ukuthi ziyini lezi zinhlayiya. Lezi azilimazi wena noma ingane yakho. Odokotela basebenzisa isisombululo esibizwa ngokuthi isixazululo se-saline noma isixazululo se-Ringer's esifakwe i-lactated . Lezi zinhlayiya ezihlanzekile, ezingenamagciwane ezifana kakhulu noketshezi olusemizimbeni yethu.
Uma lolu ketshezi lufakwa esibelethweni, luthatha indawo yoketshezi lwe-amniotic oluye lwaphela. Lokhu kuvimbela intambo yesisu ukuthi ingasunduzi, kubuyisela umoya-mpilo wengane, futhi kuzinzise ukushaya kwenhliziyo yengane.
Ngakho-ke, luyini lolu ketshezi lwe-amniotic?
Uketshezi lwe-amniotic lufana nomcamelo ofudumele novikelayo ozungeze ingane yakho ngaphakathi kwesibeletho sakho. Lunikeza isivikelo esibalulekile enganeni yakho.
- Kuvikela umntwana emagciwaneni avela ngaphandle.
- Kuvimbela ukucindezelwa kwentambo yesisu.
- Kuvikela umntwana kwezinye izingozi njengoba ehamba ngaphakathi esibelethweni.
- Kusiza amaphaphu engane kanye nesistimu yokugaya ukudla.
- Kuyasiza ukugcina izinga lokushisa lomzimba wengane lihlala linjalo.
Uma kulahleka okwanele kwalolu ketshezi olubalulekile lwe-amniotic, umntwana angaba nezinkinga zempilo kanye nezinkinga ngesikhathi sokubeletha.
Ukubaluleka kwentambo yesisu
Intambo yesisu iyindlela yokuphila yomntwana ngaphakathi esibelethweni. Yiyo exhumanisa umntwana ne-placenta. Ingane ithola wonke umoya-mpilo, igazi, kanye nezakhamzimba ezibalulekile ezidingayo ngale ntambo yesisu. Ngakho-ke uma le ntambo yesisu icindezelwa, zonke lezi zinto ezinikezwa ingane zinganqanyulwa. Lokho kungaba yingozi kakhulu enganeni.
Kukuziphi izimo lapho ukwelashwa nge-amnioinfusion kuyadingeka khona?
Lokhu kwelashwa akulona okwawo wonke umuntu. Odokotela bakuncoma kuphela ezimweni ezimbalwa ezithile . Kwenziwa kakhulu ezimweni lapho kunokuncipha kwenani lamanzi azungeze ingane, isimo esibizwa ngokuthi i-Oligohydramnios .
Ithebula elingezansi lingakusiza ukuthi uqonde lokhu ngokucacile.
| Isimo esidinga ukwelashwa | Kalula nje, umcimbi |
|---|---|
| Ukucindezelwa kwentambo ye-umbilical | Uma kungekho manzi anele azungeze umntwana, intambo yesisu ingabambeka phakathi kodonga lwesibeletho nomzimba womntwana. Lokhu kuphazamisa ukutholakala kwegazi nomoya-mpilo komntwana. Lokhu kubangela ukucindezeleka okukhulu enganeni (ukucindezeleka kwengane). Ukwengeza amanzi nge-amnioinfusion kuvumela intambo yesisu ukuba intante ngokukhululeka. |
| Ukuqhekeka kwangaphambi kwesikhathi kwe-membranes | Ngezinye izikhathi, amanzi ayaqhuma ngaphambi kwesikhathi bese uketshezi lwe-amniotic luqala ukuvuza esithweni sangasese sowesifazane. Uma lokhu kwenzeka, ikakhulukazi ngaphambi kwekota yesithathu yokukhulelwa, lokhu kwelashwa kungasiza ekugcineni indawo enempilo ngaphakathi kwesibeletho futhi kuvimbele ukuzalwa ngaphambi kwesikhathi. |
| Ukuvimbela ingane ekuphefumuleni i-meconium | Indle yokuqala umntwana ayikhipha esibelethweni ibizwa ngokuthi i-meconium. Ngokuvamile iyisithako esiluhlaza okotshani, esijiyile. Ngezinye izikhathi, lapho umntwana ecindezelekile, lendle ixubana noketshezi lwe-amniotic. Lokhu kungaba yingozi uma lolu ketshezi lungena emaphashini engane. Uma amanzi engezwa nge-amnioinfusion, le ngozi iyancipha ngoba iyancishiswa. |
Okubaluleke kakhulu, udokotela wakho uzonquma ukuthi lokhu kwelashwa kukufanele yini, ngokusekelwe emlandweni wakho wezempilo kanye nesimo sakho sokukhulelwa.
Ingabe kukhona amacala lapho lokhu kwelashwa kungafanele kwenziwe?
Yebo, impela. Kunezimo ezithile lapho ukwelashwa nge-amnioinfusion kungenziwa khona futhi kufanele kuthathwe ezinye izinyathelo esikhundleni salokho.
- Uma umntwana ecindezeleke kakhulu:Uma izinga lokushaya kwenhliziyo yomntwana liphansi kakhulu, umzuzu ngamunye uyabaluleka. Ngezikhathi ezinjalo, odokotela bangase banqume ukubeletha umntwana ngokushesha ngangokunokwenzeka (isibonelo, ngokuhlinzwa okuphuthumayo) kunokuchitha isikhathi ngalokhu kwelashwa.
- Uma unegciwane elisebenzayo, njenge-herpes yobulili: Lokhu kwelashwa akukhuthazwa uma unegciwane elihilela isibeletho.
- Uma kunezinkinga nge-placenta: Lokhu kwelashwa akwenziwa uma kukhona okusolakala ngesimo esifana ne -placenta previa (i-placenta elele phansi esibelethweni) noma ukuphahlazeka kwe-placenta (i-placenta ehlukana nodonga lwesibeletho).
- Uma ingane ingabekwanga kahle: Lokhu kwelashwa akufanelekile uma ingane ingakayi phansi ikhanda, ingenaso isisu, noma isesimweni esingavamile.
Kwenziwa kanjani lokhu kwelashwa kwe-Amnioinfusion?
Ungesabi ukubuza ukuthi lokhu kwenziwa kanjani. Ngokuvamile akubuhlungu. Udokotela wakho nabahlengikazi bazohlala eduze kwakho futhi banakekele konke.
Okokuqala, udokotela uzoqinisekisa ukuthi ingane isesimweni sokuma kwekhanda phansi. Futhi, umlomo wakho wesibeletho kufanele uvulwe okungenani ngamasentimitha angu-1-2.
Ngemuva kwalokho, ipayipi elincane kakhulu neliguquguqukayo elibizwa ngokuthi i-Intrauterine Pressure Catheter (IUPC) lifakwa ngokucophelela esibelethweni sakho. Leli payipi lixhunywe kolunye uhlangothi ne-monitor elinganisa ukushaya kwenhliziyo kwengane kanye nokufinyela kwesibeletho. Kolunye uhlangothi, lixhunywe kwipayipi elifaka isixazululo se-saline.
Ngemuva kwalokho, udokotela uzofaka kancane kancane i-saline yokushisa kwegumbi esibelethweni sakho. Lokhu kuvame ukuthatha imizuzu eyi-10 kuya kwengama-30. Phakathi nalesi sikhathi, udokotela nabasebenzi bazokuqapha wena nomntwana wakho eduze. Bazoqhubeka nokuhlola ukuqinisekisa ukuthi inani loketshezi esibelethweni sakho lanele.
Ungase uzizwe ungakhululekile ngemva kokwelashwa, kodwa lokho kuyinto evamile.
Ziyini izinzuzo zalokhu kwelashwa?
Ngaphezu kokubuyisela ukushaya kwenhliziyo kwengane, lokhu kwelashwa kunezinye izinzuzo eziningana.
- Ingozi encishisiwe yokubeletha ngokuhlinzwa (ukuhlinzwa ngokuhlinzwa): Ukubeletha ngokuhlinzwa okuphuthumayo kuvame ukwenziwa ngenxa yokushaya kwenhliziyo kwengane okuphansi. Uma lokhu kwelashwa kungavimbela leso simo, uzoba nethuba elingcono lokubeletha ngendlela evamile.
- Ukusetshenziswa kwezinsimbi okuncishisiwe: Isidingo sokusebenzisa izinsimbi ezifana ne-forceps noma i-vacuum singancishiswa.
- Ingane ithola igazi nomoya-mpilo omuhle: Njengoba intambo yesisu ikhululekile, ingane ithola umoya-mpilo kanye nokudla okunempilo ngaphandle kwesithiyo.
- Ukusiza ekubambezelekeni kokuzalwa ngaphambi kwesikhathi:Njengoba kushiwo ngaphambili, uma amanzi eqhuma kusenesikhathi, lokhu kungasiza ukugcina umntwana esibelethweni izinsuku ezimbalwa ezengeziwe.
- Amaphuzu e-Apgar athuthukisiwe : Amaphuzu e-Apgar ayindlela yokuthola amaphuzu ehlola impilo yengane ngokushesha ngemva kokuzalwa. La maphuzu aphezulu uma ingane izalwa iphilile ngenxa yalolu hlobo lokwelashwa.
- Ukunciphisa ingozi yokutheleleka kumama: Uma uketshezi lwe-amniotic lulahleka, umama angase abe nezifo. Isibonelo, i-postpartum endometritis . Lokhu kwelashwa kunciphisa leyo ngozi.
Ingabe zikhona izingozi ezingaba khona?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Kodwa lokhu akwenzeki njalo. Udokotela wakho uzozinakekela kahle zonke lezi zinto.
- Ukutheleleka (i-Chorioamnionitis): Kunethuba elincane kakhulu lokutheleleka kwe-placenta kanye noketshezi lwe-amniotic.
- Ukuwa kwentambo yesisu: Akuvamile kakhulu, intambo yesisu ingangena esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe.
- Ama-Polyhydramnios: Kukhona ingozi yokuthi uketshezi oluningi luqongeleleke esibelethweni kunokuba kudingekile.
- Ukulimala kwesibeletho: Akuvamile kakhulu ukuthi isibeletho singakwazi ukwelulwa kakhulu (ukuvuvukala kwesibeletho) noma udonga lwesibeletho lungaba nezimbobo (isibeletho esinezimbobo).
Lezi zingozi ziphansi kakhulu. Odokotela benza lokhu kwelashwa ngolwazi olukhulu futhi bathatha zonke izinyathelo zokuphepha ezidingekayo. Ngakho-ke ungesabi.
Kusebenza kangakanani lokhu kwelashwa?
Ukwelashwa nge-amnioinfusion kuvame ukuphumelela. Ngokuthakazelisayo, uma amanzi enciphile eduze komntwana, kulapho ukwelashwa kuzoba nempumelelo khona.
Odokotela banendlela yokukala inani loketshezi oluzungeze ingane yakho. Lubizwa ngokuthi i-Amniotic Fluid Index (AFI) . Izifundo zithole ukuthi:
- Lokhu kwelashwa kube yimpumelelo kuma- 63% ezimo kulabo ababenenani le-AFI elingaphansi kwamasentimitha angu-4 lapho kulinganiswa okokuqala.
- Izinga lempumelelo kulabo abane-AFI ephakathi kwamasentimitha angu-4 no-8 lingu- 44% .
Lokho kusho ukuthi, kumuntu ophelelwe amanzi emzimbeni ngempela futhi odinga usizo, imiphumela yalokhu kwelashwa mihle kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa kwe-amnioinfusion kuyindlela yokwelapha ephephile kakhulu futhi ephumelelayo lapho kufakwa khona uketshezi oluphephile esibelethweni uma uketshezi lwe-amniotic oluzungeze umntwana luncipha ngesikhathi sokubeletha.
- Inhloso eyinhloko yalokhu ukuvimbela intambo yesisu ukuthi ingacindezelwa, ukukhulula umntwana ekucindezelekeni, nokusiza umntwana ukuba azalwe ephilile.
- Lokhu kwelashwa akusikho okwawo wonke umuntu. Udokotela wakho kuphela onganquma ukuthi lokhu kuyadingeka noma kufanelekile kuwe, ngokusekelwe esimweni sakho esithile.
- Ungaphuthelwa yinoma yikuphi ukuvakashela emtholampilo phakathi nokukhulelwa kwakho. Kubalulekile ukugcina impilo yakho neyengane yakho iphephile.
- Uma uzwa uketshezi olunamanzi luphuma esithweni sakho sangasese ngesikhathi sokukhulelwa, ungalushayi indiva. Kungaba uketshezi oluvela ku-amniotic. Shayela udokotela wakho ngokushesha noma uye esibhedlela esiseduze.
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