Ingabe ungumama ozayo? Khona-ke unamathemba amaningi ngomntwana wakho osesiswini sakho. Ungase ungazi ngisho nezinto ezimangalisayo ezenzeka emzimbeni wakho ngalesi sikhathi. Namuhla sizokhuluma ngento abantu abaningi abangayikhulumi, kodwa ebalulekile ekuphepheni nasekukhuleni komntwana. Leso yisikhwama samanzi esizungeze umntwana, esaziwa ngokwezokwelapha ngokuthi uketshezi lwe-amniotic.
Kalula nje, luyini uketshezi lwe-amniotic?
Cabanga ngengane yakho ingaphakathi kwebhamuza elivikelayo eligcwele amanzi. Lelo bhamuza libizwa ngokuthi isikhwama se-amniotic. Uketshezi olufana namanzi ngaphakathi kwalo lubizwa ngokuthi uketshezi lwe-amniotic. Lolu ketshezi lubaluleke kakhulu ekukhuleni komntwana. Lusebenza futhi njengesivikelo esivikela ingane kuzo zonke izingozi ngaphakathi esibelethweni.
Lolu ketshezi alulona nje amanzi. Luqukethe izinto eziningi ezibalulekile, njengezakhamzimba, ama-hormone, kanye nama-antibodies asiza ekuvikeleni umntwana emagciwaneni. Into emangalisayo ukuthi, umntwana uyalugwinya lolu ketshezi, futhi luphinde luluyise emaphashini njengoba ephefumula. Bese lukhishwa luphume njengomchamo. Lokhu kungase kuzwakale kungavamile, kodwa le nqubo ibalulekile ekuthuthukisweni okufanele kwezitho zomzimba ezifana namaphaphu engane kanye nohlelo lokugaya ukudla.
Uma sikhuluma iqiniso, lolu ketshezi lwe-amniotic lufana nekhaya lokuqala eliphephile lomntwana.
Kungani lolu ketshezi lubaluleke kangaka?
Insizakalo lolu ketshezi lwe-amniotic oluyinikeza ingane ayibalulekile. Ake sibone ukuthi yiziphi izinzuzo oluzinikeza ingane. Ukuze lokhu kube lula ukukuqonda, ngizokukhombisa etafuleni elifana naleli.
| Umsebenzi oyinhloko (Umsebenzi) | Incazelo Elula |
|---|---|
| Isivikelo | Kufana nomshini wokumunca ukwethuka emotweni. Lolu ketshezi lusiza ukuvimbela ingane ukuthi ingazizwa ishaqekile lapho uhamba, ugoba, noma ushaya isisu sakho ngephutha. |
| Ukulawulwa Kokutheleleka | Ama-antibodies akulolu ketshezi avikela umntwana emagciwaneni avela ngaphandle. |
| Ukusiza Ngokuthuthukiswa Kwezitho Zomzimba | Njengoba ingane igwinya lolu ketshezi, uhlelo lwayo lokugaya ukudla lukhula kahle, futhi njengoba ilufaka emaphashini ayo, uhlelo lwayo lokuphefumula lukhula kahle. Futhi, njengoba ingane inyakazisa izitho zayo njengokungathi ibhukuda kulolu ketshezi, imisipha namathambo ayo ayaqina. |
| Ukuvikelwa Kwentambo Yenkaba | Intambo yesisu iyindlela yokuphila ethwala umoya-mpilo nezakhamzimba kumntwana. Ngaphandle kwalolu ketshezi, intambo yesisu ingacindezelwa emzimbeni womntwana noma esibelethweni, okunciphisa ukuphakelwa komntwana. Lolu ketshezi luvumela intambo yesisu ukuba intante ngokukhululeka. |
| Ukulawula Izinga Lokushisa | Lolu ketshezi lusiza ukugcina izinga lokushisa elifunwa yingane ngaso sonke isikhathi. |
Lolu ketshezi lwenziwa kanjani?
Emasontweni okuqala angama-20 okukhulelwa, lolu ketshezi lwe-amniotic lwakhiwe kakhulu ngamanzi emzimbeni wakho . Kodwa ngemva kwamasonto angama-20, isimo siyashintsha. Bese lolu ketshezi luqukethe umchamo wengane yakho kakhulu. Yebo, kunjalo. Ingane iyagwinya uketshezi, ilumunce emzimbeni wayo, bese ilufaka esikhwameni se-amniotic njengomchamo. Lesi yisici esivamile sokukhula okunempilo. Ngaphezu kwalo mchamo, lolu ketshezi luqukethe nezinto ezifana nama-hormone nezakhamzimba.
Uyini umbala nephunga lalolu ketshezi?
Ngokuvamile, uketshezi olunempilo lwe-amniotic lucacile noma lunombala ophuzi okhanyayo njengotshani futhi alunaphunga .
Kodwa ngezinye izikhathi lolu ketshezi lungaba nsundu noma lube luhlaza okotshani. Isizathu salokhu ukuthi umntwana ukhipha indle yakhe yokuqala esibelethweni. Siyibiza ngokuthi i-meconium. Uma lolu ketshezi oluxubile lwe-meconium lungena emaphashini engane, lungabangela izinkinga. Ngakho-ke, kufanele ukhathazeke nganoma yiluphi ushintsho embala woketshezi.
Futhi, uma ukuphuma kwakho kunuka kabi , kungaba uphawu lokutheleleka. Esimweni esinjalo, kufanele nakanjani wazise udokotela wakho.
Inkinga ebhekene nomama abaningi abakhulelwe ukuthi bangazi kanjani ukuthi uketshezi lwe-amniotic noma umchamo. Umchamo unephunga elihlukile. Futhi ungakwazi ukulawula ukugeleza komchamo ngezinga elithile. Kodwa uma uketshezi lwe-amniotic luvuza, awukwazi ukululawula.
Kufanele kube nenani elingakanani lalolu ketshezi?
Lokhu kuyahlukahluka phakathi nokukhulelwa. Leli nani loketshezi livame ukuvuthwa cishe emavikini angu-34-36. Ngaleso sikhathi, kungaba khona cishe ilitha elilodwa (cishe izinkomishi ezine). Bese kuthi, njengoba umntwana esondela ekuzalweni, cishe emavikini angu-40, leli nani liqala ukwehla kancane kancane.
Yiziphi izinkinga ezingaba khona nge-amniotic fluid?
Ngezinye izikhathi lolu ketshezi lungaba luncane noma lube lukhulu kunokuvamile. Ukutheleleka nakho kungavela. Udokotela wakho uzobe ekunaka lokhu ngesikhathi sokuhlolwa ngakunye. Ake sibone ukuthi yiziphi izinkinga eziyinhloko.
| Igama lesimo (Isimo) | Incazelo kanye nomthelela |
|---|---|
| I-Oligohydramnios | Lokhu kusho ukwehla kwenani loketshezi lwe-amniotic. Lokhu kungaba yingozi, ikakhulukazi phakathi nezinyanga zokuqala eziyi-6 zokukhulelwa. Kungaholela ekuphuphumeni kwesisu, ukukhubazeka kokuzalwa, noma ukuzalwa ngaphambi kwesikhathi. Uma uketshezi luncipha kamuva, kungavela izinkinga ezifana nokucindezelwa kwe-umbilical cord. |
| Ama-Polyhydramnios | Lokhu kwenzeka lapho inani le-amniotic fluid likhula kakhulu . Uma lokhu kwenzeka, umama angase abe nezimpawu ezifana nobunzima bokuphefumula, ukuvuvukala emilenzeni, kanye nokuqunjelwa. Kukhona futhi nengozi yokubeletha ngaphambi kwesikhathi noma ezinye izinkinga. |
| I-Chorioamnionitis | Lokhu ukutheleleka kwe-amniotic fluid kanye nesikhwama ngenxa yokutheleleka ngamagciwane.Lokhu kwelashwa ngama-antibiotic. Uma kungelashwa, kungaba nezinkinga ezinkulu. |
| Ukuqhekeka kwangaphambi kwesikhathi kwe-membranes | Lokhu kungaphambi kwamasonto angu-37, okusho ukuthi ngaphambi kokuba umntwana akhule ngokugcwele, lapho amanzi ephuka futhi uketshezi luqala ukuvuza. Uma lokhu kwenzeka, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu, njengoba ingozi yokutheleleka iphezulu. |
Dokotela, ulilinganisa kanjani leli nani loketshezi?
Udokotela wakho unezindlela eziningana zokulinganisa leli nani loketshezi.
- Ukuskena nge-Ultrasound: Lena yindlela enembile kakhulu futhi elula kakhulu. Ukuskena kuvumela udokotela ukuthi abone ukuthi kungakanani uketshezi olukhona.
- Ukulinganisa Ukuphakama Kwe-Fundal: Ungase ukhumbule ukuthi yonke imitholampilo ilinganisa ukuphakama kwesisu sakho. Kusukela kuleso silinganiso, udokotela angathola umbono oqondile wokuthi ukukhula kwengane kanye nomthamo woketshezi kuyinto evamile yini.
Ingabe ukuphuza amanzi amaningi kungakwandisa uketshezi lwe-amniotic?
Lokhu akukafakazelwa ngokwesayensi. Kodwa-ke, abanye odokotela beluleka omama abaphelelwe amanzi emzimbeni ukuthi bandise ukuphuza kwabo amanzi nsuku zonke. Ukuphuza amanzi amaningi ngesikhathi sokukhulelwa ngeke kubangele monakalo. Kodwa-ke, uma unomuzwa wokuthi ukuphuza kwakho uketshezi kuphansi noma uma udokotela wakho ekutshela ukuthi uphelelwe amanzi emzimbeni, kungcono ukulalela udokotela wakho bese ulandela iseluleko sakhe kunokwenza izinqumo ngokwakho .
Okokugcina, uketshezi lwe-amniotic luyinto okungenzeka ukuthi awucabangi kakhulu ngayo. Kodwa kuyinto emangalisayo evikela impilo yengane yakho futhi iyisize ikhule. Uma uzizwa uketshezi luphuma esithweni sakho sangasese, ubona ushintsho ekunyakazeni kwengane yakho, noma ukhathazekile ngokukhulelwa kwakho, ungesabi ukukhuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Uketshezi lwe-amniotic luyinto ebalulekile evikela, eyondla, futhi esiza umntwana ukuba akhule.
- Lolu ketshezi luvame ukuba sobala, luphuzi kancane, futhi alunaphunga. Uma ubona ushintsho embala noma ephuzeni, tshela udokotela wakho ngokushesha.
- Kokubili uketshezi oluncane kakhulu (i-oligohydramnios) kanye noketshezi oluningi kakhulu (i-polyhydramnios) kungaba yinkinga.
- Udokotela wakho uzohlala eqapha leli zinga loketshezi ngokuskena nokuhlolwa okuvamile.
- Uma usola ukuthi kukhona uketshezi oluphuma esithweni sangasese sowesifazane noma unezinye izimpawu ezingavamile, ungalokothi uzishaye indiva. Bona udokotela wakho ngokushesha.
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