Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma udokotela wakho ekwenza ukuhlolwa ngesikhathi sokukhulelwa bese ethi, "Kukhona amanzi amancane eduze komntwana." Noma kuthiwani uma ukushaya kwenhliziyo komntwana kwehla kancane ngesikhathi sokubeletha bese utshelwa ukuthi kungenxa yokuntuleka kwamanzi? Kulezi zimo, sizokhuluma ngokwelashwa okukhethekile nokubalulekile odokotela abakusebenzisayo ukusiza umama nomntwana.
Kalula nje, kuyini i-Amnioinfusion?
Ukufakwa kwe-amnioinfusion inqubo ebuyisela inani loketshezi lwe-amniotic oluye lwaphela ngokufaka uketshezi olukhethekile esibelethweni sakho, lapho umntwana wakho ekhona. Kalula nje, kunikeza isibeletho sakho uketshezi olufana nosawoti. Lokhu kuhilela ukufaka i-saline noma isixazululo se-Ringer's esibelethweni sakho usebenzisa ithubhu elincane elibizwa ngokuthi i-catheter . Lokhu kugcwaliswa koketshezi olulahlekile kusiza ekuqiniseni ukushaya kwenhliziyo yengane yakho futhi kuvimbele ingane ukuthi ithole umoya-mpilo omncane kakhulu.
Ngaphambi kokuqonda lokhu kwelashwa, ake sifunde ngalezi zinto futhi
Ngaphambi kokuxoxa kabanzi ngalolu hlobo lokwelashwa, ake sixoxe kafushane ngamaphuzu amabili abalulekile kulokhu.
Kuyini i-Amniotic Fluid?
Uketshezi lwe-amniotic luwuketshezi oluvikelayo oluzungeza umntwana esibelethweni. Lusebenza njengesivikelo somntwana. Lolu ketshezi luvikela umntwana ezifweni, luvikela intambo yesisu ekucindezelweni, futhi lusiza umntwana ukuba azulazule esibelethweni ngaphandle kwezinkinga. Ngaphezu kwalokho, lolu ketshezi lwe-amniotic lubalulekile ekuthuthukisweni kwezinhlelo zokuphefumula nezokugaya ukudla zengane, kanye nokulawula izinga lokushisa lomzimba. Ngakho-ke uma lunganele lolu ketshezi, lungathinta impilo yengane kanye nokubeletha.
Iyini i-Umbilical Cord?
Intambo yesisu iwumgogodla wokuphila komntwana ngaphakathi esibelethweni. Yilokhu okuxhumanisa umntwana ne-placenta. Umntwana uthola umoya-mpilo, ukudla okunomsoco, kanye negazi alidingayo ngale ntambo yesisu. Ngakho-ke, lapho uketshezi lwe-amniotic luncipha, le ntambo yesisu ingacindezelwa. Uma lokho kwenzeka, umoya-mpilo kanye nokudla okunomsoco umntwana akutholayo kuyaphazamiseka, futhi umntwana angaba nomuzwa wokungakhululeki (ukucindezeleka kwengane).
Kukuziphi izimo lapho ukwelashwa nge-amnioinfusion kuyadingeka khona?
Lokhu kwelashwa akulona okwawo wonke umuntu. Odokotela bakusebenzisa kuphela ezimweni ezimbalwa ezikhethiwe. Ake sibone ukuthi kuyini.
| Isimo | Incazelo |
|---|---|
| Uketshezi oluphansi lwe-amniotic (i-Oligohydramnios) | Lesi yisona sizathu esiyinhloko. Lokhu kwelashwa kuyacatshangelwa uma inani lamanzi azungeze ingane liphansi kunokuvamile . |
| Ukucindezelwa Kwentambo Yenkaba | Uma uketshezi lwe-amniotic luphansi, intambo yesisu ingacindezelwa. Lokhu kubangela ukuthi izinga lokushaya kwenhliziyo yengane lishintshe. Uma uketshezi lufakwa, intambo yesisu ivunyelwe ukuntanta ngokukhululeka. |
| Ukuvimbela ukuzalwa ngaphambi kwesikhathi (Ukuqhekeka Kwama-Membrane Ngaphambi Kwesikhathi) | Ngezinye izikhathi, amanzi angaqhuma ngaphambi kwesikhathi. Uma lokhu kwenzeka, ikakhulukazi ezinyangeni zokuqala zokukhulelwa, uketshezi lufakwa esibelethweni ukuze kwakheke indawo efanelekile yokuba umntwana ahlale esibelethweni isikhathi eside. |
| Ukuvimbela i-meconium aspiration syndrome | I-Meconium yindle yokuqala umntwana ayikhipha esibelethweni. Ingaxubana noketshezi lwe-amniotic. Kuyingozi kakhulu uma umntwana elugwinya, kodwa futhi lungaphefumulwa. I-Amnioinfusion inciphisa le ngozi ngokunciphisa i-meconium. |
Into ebaluleke kakhulu ukuthi udokotela wakho anqume ukuthi uyakudinga lokhu kwelashwa noma cha, nokuthi yiziphi izinzuzo nezinkinga zako, ngokusekelwe esimweni sakho sempilo.
Ingabe kukhona izimo lapho i-amnioinfusion akufanele yenziwe?
Yebo, kwezinye izimo lokhu kwelashwa akufanele ngoba kuphephile ukubeletha umntwana ngokushesha kunokuba welashwe ngaleso sikhathi.
- Uma ingane isesimweni esinzima sokukhulelwa, lokhu kwelashwa akukwazi ukulibaziseka ngisho nangemizuzu embalwa.
- Uma unegciwane elisebenzayo njenge-herpes yobulili noma olunye ukutheleleka kwesibeletho.
- Uma une-placenta ephansi (i-placenta previa) noma uma kukhona izinsolo zokuthi i-placenta iphumile.
- Uma umntwana esesimweni esingavamile sokuhamba noma esinye isimo, kunokuba ikhanda lakhe libheke phansi.
Kwenziwa kanjani lokhu kwelashwa?
Lokhu kungase kuzwakale kuyesabisa kancane, kodwa kwenziwa ngendlela ehlelekile kakhulu.
Okokuqala, udokotela uzoqinisekisa ukuthi ingane isesimweni sekhanda kuqala. Umlomo wakho wesibeletho kufanele futhi uvulwe okungenani ngamasentimitha angu-1-2.
Ngemuva kwalokho, kufakwa ipayipi elikhethekile elibizwa ngokuthi i-Intrauterine Pressure Catheter (IUPC) esibelethweni. Leli payipi lixhunywe kumadivayisi amaningana. Elinye lilinganisa ukushaya kwenhliziyo kwengane, elinye lilinganisa ukufinyela kwesibeletho, kanti elesithathu lifaka isixazululo se-saline.
Isixazululo se-saline esisebenza ekamelweni sifakwa kancane kancane esibelethweni imizuzu eyi-10 kuya kwengama-30. Phakathi nalesi sikhathi, odokotela nabahlengikazi bazokugada wena nomntwana wakho eduze. Ungase uzizwe ungakhululekile noma ubuhlungu ngemva kokwelashwa, okuyinto evamile.
Yiziphi izinzuzo zokwelashwa nge-amnioinfusion?
Ngaphezu kokubuyisela ukushaya kwenhliziyo kwengane, lokhu kwelashwa kunezinye izinzuzo eziningana.
- Ingozi yokubeletha ngokuhlinzwa (C-section) incishisiwe.
- Isidingo esinciphile sokusetshenziswa kwezinsimbi ezifana ne-forceps noma i-vacuum.
- Ukuthuthukisa ukugeleza kwegazi nomoya-mpilo enganeni ngentambo yesisu.
- Kusiza ekubambezeleni ukubeletha kancane ukuze kuvinjelwe izinkinga zokuzalwa ngaphambi kwesikhathi.
- Ukunciphisa ukugcwala kwe-amniotic fluid ene-meconium.
- Amaphuzu e-Apgar engane - isilinganiso sempilo yengane ngemva kokuzalwa - aphezulu.
- Ingozi encishisiwe ye-endometritis yangemva kokubeletha, engenzeka ngenxa yokuntuleka koketshezi lwe-amniotic.
Ingabe kukhona izingozi noma izinkinga ngalokhu?
Sekukonke, ukufuthwa kwe-amnioinfusion kuyinqubo ephephile nephumelelayo. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile. Lezi azivamile kakhulu.
| Ingozi/Inkinga | Incazelo |
|---|---|
| I-Chorioamnionitis | Ukutheleleka kwe-placenta kanye noketshezi lwe-amniotic. |
| Ukuncipha kwentambo ye-umbilical | Intambo yesisu ehla ngesibeletho. Lesi yisimo esiphuthumayo. |
| Ama-Polyhydramnios | Ukwanda kwenani loketshezi lwe-amniotic esibelethweni. |
| Ukuvuvukala kwesibeletho ngokweqile | Isibeletho siyakhula ngenxa yokwanda koketshezi. |
| Ukubhoboza kwesibeletho | Akuvamile kakhulu, ukulimala kodonga lwesibeletho ngenxa ye-catheter. |
Udokotela wakho uzokwazisa ngazo zonke lezi zingozi futhi akuqaphe ngokucophelela ngesikhathi sokwelashwa nangemva kwalokho.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa kwe-amnioinfusion kuyindlela yokwelapha egcwalisa izinga loketshezi lwe-amniotic ngesikhathi noma ngaphambi kokubeletha ngokufaka uketshezi olufana nosawoti esibelethweni.
- Izinhloso eziyinhloko zalokhu ukuvimbela ukucindezelwa kwentambo yesisu, ukubuyisela ukushaya kwenhliziyo kwengane, nokuqinisekisa ukuthi ingane ithola umoya-mpilo.
- Nakuba lokhu ngokuvamile kuyinqubo ephephile, njengakuzo zonke izinqubo zezokwelapha, kunezingozi ezincane.
- Uma uzizwa sengathi ukhipha uketshezi esithweni sakho sangasese ngesikhathi sokukhulelwa, bona udokotela wakho ngokushesha ukuze uthole ukuthi ngabe uketshezi oluphuma esithweni sangasese sangasese.
- Uma unemibuzo mayelana nalokhu kwelashwa noma amazinga akho e-calcium egazini, ungangabazi ukukhuluma nodokotela wakho. Uzokuchazela konke.
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