Ukukhulelwa yisikhathi esihle kakhulu nesinethemba empilweni kamama. Kodwa ngesikhathi esifanayo, izinto ezifana nokwesaba nokungabaza nazo ziyafika engqondweni. Ikakhulukazi lapho umntwana esezozalwa, umbuzo othi "Ingabe konke kuzolunga?" usengqondweni yakho. Namuhla sizokhuluma ngesimo esiphuthumayo esingavamile kakhulu, kodwa futhi esiyingozi kakhulu esingase senzeke ngesikhathi sokukhulelwa. Ungesabi uma uzwa lokhu, ngoba lokhu kuyinto engavamile kangangokuthi akwenzeki ngisho nakoyedwa kwabayinkulungwane. Kodwa kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, kuyini i-amniotic fluid embolism (AFE)?
Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula. Uyazi, uma ingane yakho isesiswini, kukhona uketshezi oluyizungezile. Silubiza ngokuthi uketshezi lwe-amniotic . Lokhu kusebenza njengesivikelo somntwana wakho. Lolu ketshezi aluqukethe amanzi kuphela, kodwa futhi namaseli akhishwa esikhumbeni somntwana wakho, izinwele ezincane, nezinye izinto.
Ngokuvamile, lapho umntwana ezalwa, ingxenye yalolu ketshezi lwe-amniotic ingangena ohlelweni lokujikeleza kwegazi lukamama, okungukuthi, egazini lakhe. Lokhu kujwayelekile kakhulu futhi akubanga izinkinga komama abaningi.
Kodwa, ngeshwa, uma lolu ketshezi lwe-amniotic lungena egazini, imizimba yabanye omama iba nokusabela okukhulu kwe-allergy, noma impendulo ye-allergy . Ngamanye amazwi, umzimba ucabanga ukuthi isitha esikhulu singene emzimbeni. Isimo esiphuthumayo esibangelwa yilokhu kusabela okukhulu sibizwa ngokuthi i-amniotic fluid embolism (AFE) . Ngezinye izikhathi lokhu kubizwa nangokuthi i-anaphylactic syndrome yokukhulelwa .
Lokhu kusabela kungabangela ukuthi inhliziyo namaphaphu kuyeke ukusebenza ngokuzumayo. Lokhu kusho ukuthi ezinye izitho zomzimba zincishwa igazi elinomoya-mpilo. Lokhu kungaholela ezimweni ezibucayi njengokuma kwenhliziyo. Akukhona lokho kuphela, kodwa kungabangela nokuphuma kwegazi okungalawuleki esibelethweni noma enxebeni lokuhlinzwa.
Lokhu kwenzeka ngokuzumayo, ngaphandle kwesixwayiso . Ngakho-ke, kunzima kakhulu ngisho nakodokotela ukubhekana nakho. Lokhu ngokuqinisekile kuyisimo esiphuthumayo sezokwelapha.
Kuvamile kangakanani lesi simo se-AFE? Ingabe kuyinto okufanele ukhathazeke ngayo?
Cha. Akudingeki ukhathazeke kakhulu ngalokhu. Ngoba lokhu akuvamile . Ezweni elifana neMelika, lesi simo sibikwa koyedwa kuphela kwabangu-40,000 abazalwayo. Lokho kusho ukuthi uma kuzalwa izingane ezingaba ngu-300,000 eSri Lanka minyaka yonke, lesi simo sibikwa kubantu abangu-7-8 kuphela okungenani. Ngakho ungakhathazeki ngokungadingekile ngokukhulelwa kwakho.
Inkinga ukuthi izimpawu ze-AFE zifana kakhulu nezezinye izimo ezimbi kakhulu ezingase zenzeke ngesikhathi sokukhulelwa, njengokuqhekeka kwe-placenta, ukuqhekeka kwesibeletho, noma i-eclampsia. Ngakho kungaba nzima ukuthola imbangela eqondile.
Yiziphi izinto ezandisa ingozi yokuthi lesi simo sivele?
Ngenxa yokuthi akuvamile, futhi ngoba akukaziwa ukuthi kungani abanye abantu kuphela abathola lokhu kusabela, kunzima ukusho ngqo ukuthi yiziphi izici eziyingozi. Kodwa-ke, ucwaningo lukhombisile ukuthi izici ezithile zingase zandise ingozi kancane. Kodwa-ke, kubalulekile ukukhumbula ukuthi akuwona wonke umuntu onalezi zici ozohlakulela i-AFE.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukukhula | Umama uneminyaka engaphezu kwengu-35 ngesikhathi sokukhulelwa. |
| Amawele | Ukuba namawele, amawele amathathu, noma izingane eziningi. |
| Izinkinga ze-placenta | Izimo ezinjengokuqhekeka kwe -placenta . |
| Umfutho wegazi ophakeme | Ukuba nomfutho wegazi ophakeme (i-preeclampsia) noma i-seizures (i-eclampsia) ngesikhathi sokukhulelwa. |
| Ukwanda koketshezi lwe-amniotic | Inani elikhulu loketshezi oluzungeze umntwana (i-Polyhydramnios) . |
| Amaqiniso ahlobene nokubeletha | Ukwandiswa komlomo wesibeletho, ukuqaliswa kokubeletha . |
| Indlela yokubeletha | Ukubeletha umntwana ngokuhlinzwa (C-section) noma ukusebenzisa izinto ezifana ne -forceps noma i-vacuum . |
| Ukungakhululeki kwengane | Izimpawu zokuthi umntwana usenkingeni, njengokushintsha kwesilinganiso senhliziyo yengane (ukucindezeleka kwengane) . |
Ziyini izimpawu ze-AFE?
Into eyingozi kakhulu ngalokhu ukuthi izimpawu zivela ngokuzumayo nangokushesha kakhulu . Umama angase aqale ukuziphatha ngendlela engajwayelekile ngokuzumayo, kungaba ngesikhathi umntwana esezozalwa noma ngokushesha nje ngemva kokuzalwa kwakhe.
| Isibonakaliso | Kwenzekani? |
|---|---|
| Ubunzima bokuphefumula | Ukuzwa ngokuzumayo kokuphefumula, ukuphefumula okusheshayo. |
| Ukwehla komfutho wegazi | Ukwehla okungazelelwe komfutho wegazi (ukuquleka, ukulahlekelwa ukwazi). |
| Ukushaya kwenhliziyo | Izinguquko ezingavamile ekushayeni kwenhliziyo noma ekumisweni kwenhliziyo . |
| Ukopha okukhulu | Ukopha okukhulu okungalawuleki okuvela esibelethweni, enxebeni lokuhlinzwa, noma ngisho nase-cannula ebekwe engalweni. |
| Ukudideka kwengqondo | Ukungaphumuli okungazelelwe, ukukhungatheka, ukwesaba, noma ukudideka. |
| Ezinye izici | Ukugodola nokuthuthumela, ukuvuvukala kwamaphaphu . |
Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?
I-AFE yisimo esingabangela izinkinga ezinkulu kakhulu kumama kanye nengane.
Izinkinga ezingase zenzeke kumama
- Ukwehluleka kwenhliziyo namaphaphu.
- Ukulahlekelwa ukwazi.
- Ukuquleka.
- Ukopha ngokweqile.
- I-Disseminated Intravascular Coagulation (DIC) yisimo lapho uhlelo lokugaya igazi lomzimba luphazamiseka khona, okubangela ukuba kwakheke amahlule egazi ngokungadingekile kolunye uhlangothi kanye nokopha okungalawuleki kolunye.
- Isifo sohlangothi.
- Ukuboshwa kwenhliziyo.
- Ukulimala kobuchopho.
- Ngeshwa, ngisho nokufa kungenzeka.
Izinkinga ezingaba khona enganeni
Umthelela enganeni uzohluka kuye ngokuthi lesi simo senzeka nini kumama. Uma lokhu kwenzeka ngaphambi kokuba umntwana azalwe, kuzodingeka ukuhlinzwa okuphuthumayo ukuze kususwe umntwana ngokushesha.
Ingozi enkulu yezingane ezizalwa ngemva kokuqala kwe-AFE ukuntuleka komoya-mpilo . Njengoba umzimba kamama wehluleka, umntwana ulahlekelwa umoya-mpilo. Lokhu kuntuleka komoya-mpilo kungalimaza isimiso sezinzwa noma ubuchopho bomntwana.
Odokotela bakuthola kanjani lokhu futhi bakwelaphe kanjani?
Njengoba lokhu kuyisimo esiphuthumayo, asikho isikhathi sokwenza ukuhlolwa kwegazi noma ukuskena ukuze kutholakale ukuthi kukhona yini isifo. Odokotela basola i-AFE ngokubheka izimpawu bese besusa ngokushesha ezinye izimbangela (isib. ukopha ngokweqile, ukuhlaselwa yinhliziyo).
Lesi simo ngokuvamile kuthiwa senzeka ngezigaba ezimbili:
1. Isigaba 1: Yilapho uhlelo lokuphefumula kanye nenhliziyo kuyeka ukusebenza ngokuzumayo. Lokhu kusho ukuthi awukwazi ukuphefumula futhi inhliziyo yakho iyeka. Inani elikhulu kakhulu lokufa libikwa kulesi sigaba.
2. Isigaba 2: Lesi yisigaba lapho ukuphuma kwegazi kwenzeka khona. Uma impilo isindiswa esigabeni sokuqala, isigaba esilandelayo ukuphuma kwegazi okungalawuleki.
Izindlela zokwelapha
Ngenxa yokuthi lesi yisimo esiphuthumayo, ithimba lezokwelapha kumele lisebenze ngokushesha okukhulu ukusindisa umama nomntwana. Ithimba lokwelapha lihlanganisa abantu abaningi, njengodokotela bezifo zabesifazane, odokotela ababulala izinzwa, odokotela beyunithi yokunakekelwa okujulile, kanye nabasebenzi bobuhlengikazi.
Izindlela zokwelapha eziyinhloko yilezi:
- Ukubeletha umntwana ngokushesha: Uma umntwana esesesibelethweni, kuzokwenziwa ukuhlinzwa ngokushesha okukhulu ukuze kukhishwe umntwana.
- Ukunikeza umoya-mpilo: Ngenxa yokuthi ukuphefumula kunzima, kufakwa ipayipi bese lixhunywa kumshini wokuphefumula owenziwe (umoya womshini).
- Ukusekelwa kwenhliziyo: Uma inhliziyo ima, kunikezwa ukucindezela kwesifuba (CPR). Imithi inikezwa ukulawula umfutho wegazi.
- Ukumpontshelwa igazi: Ngenxa yokopha ngokweqile, kufanele kunikezwe inani elikhulu legazi, i-plasma, nama-platelet.
- Ukususwa kwesisu: Ngezinye izikhathi, uma ukuphuma kwegazi kungenakuvinjelwa, ukususwa kwesisu kungenziwa njengendlela yokugcina yokusindisa impilo kamama.
Konke lokhu kwenzeka egunjini lokunakekela abagula kakhulu (ICU) noma egumbini lokuhlinza.
Uma usinda kulesi simo, ingabe ikhona imiphumela yesikhathi eside?
Ngeshwa izinga lokusinda kwe-AFE liphansi, kanti ezinye izifundo ziphakamisa ukuthi izinga lokufa lingase lifinyelele ku-60%.
Kodwa-ke, omama abasinda kulesi simo esibi bangase babe nemiphumela ethile yesikhathi eside, kuye ngokuthi umonakalo owenziwe emzimbeni ungakanani.
- Imiphumela yomzimba: Ukulimala okungapheli enhliziyweni, imiphumela ezinso, izinkinga ezibangelwa ukukhubazeka.
- Imiphumela ohlelweni lwezinzwa: Ukuntuleka komoya-mpilo ebuchosheni kungathinta izinto ezifana nenkumbulo kanye nekhono lokukhumbula amagama.
- Imiphumela yengqondo: Lokhu kubaluleke kakhulu. Ngemva kokuhlangenwe nakho kokusondela ekufeni okunje, kuvamile kakhulu ukubhekana nezinkinga zengqondo njengokushaqeka okukhulu, ukukhathazeka, ukucindezeleka, kanye nesifo sokucindezeleka ngemva kwenhlekelele (PTSD) . Abanye abantu bangase bazizwe benecala, becabanga izinto ezinjengokuthi, "Kungani lokhu kwenzeke kimi?"
Uma ungumuntu osindile ku-AFE, kubalulekile ukunakekela impilo yakho yengqondo kanye nempilo yakho yomzimba. Khuluma nodokotela wakho, umlingani wakho, noma umuntu omethembayo ngalokhu. Unganqikazi ukufuna usizo lwezengqondo uma kudingeka.
Ingabe ikhona indlela yokuvimbela lokhu?
Ngeshwa, impendulo ithi "cha." Odokotela abasazi ukuthi kungani abanye abantu kuphela abasabela kabi kangaka, ngakho ayikho indlela yokuvimbela i-AFE .
Ngakho-ke yini esingayenza?
Into engcono kakhulu esingayenza ukulungela noma yisiphi isimo esiphuthumayo. Lokho kusho ukukhuluma nodokotela wakho ngaphambi kokubeletha nokufunda ukuthi ithimba lezokwelapha lesibhedlela lizobhekana kanjani nesimo esiphuthumayo.
Cabanga ngohlelo lwakho lokuzalwa . Luhlelo lokubeletha oluhle kakhulu ongaluthemba. Kodwa khumbula, esimweni esiphuthumayo, ithimba lezokwelapha kuzodingeka ledlule kulolo hlelo futhi lenze noma yini edingekayo ukuze lisindise wena nomntwana wakho. Ngaleso sikhathi, kubalulekile ukuthemba ithimba lezokwelapha .
Umlayezo Wokuya Nawe Ekhaya
- I-Amniotic fluid embolism (AFE) iyisimo esiphuthumayo esingavamile kakhulu , kodwa esiyingozi kakhulu esingase senzeke ngesikhathi sokubeletha.
- Lokhu kubangelwa ukusabela okungalindelekile, okukhulu komzimba kamama okubangelwa ukungezwani komzimba noketshezi lwe-amniotic oluzungeze umntwana.
- Izimpawu eziyinhloko ubunzima bokuphefumula, ukulahlekelwa ukwazi ngokuzumayo, kanye nokopha okungalawuleki. Lokhu kuvela ngokuzumayo.
- Ayikho indlela yokuvimbela lokhu, futhi akunakwenzeka ukubikezela ukuthi ubani ozokuthuthukisa.
- I-AFE iyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa okusheshayo. Ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukusindisa wena nomntwana wakho.
- Abasindile kulesi simo bangase badinge ukwesekwa okukhethekile ukuze balulame ngokomzimba nangokwengqondo isikhathi eside.
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