Uma ungumama ozayo, kumelwe ukuthi uke wayizwa indaba 'yokuphuka kwesikhwama samanzi'. Kungenzeka ukuthi uke wayibona ku-movie noma emdlalweni, lapho kuphuma khona amanzi amaningi ngokuzumayo. Iyini ngempela le sikhwama samanzi? Sivikela kanjani ingane esesiswini? Kusho ukuthini ukuphuka kwaso? Ake sixoxe ngalokhu ngendlela elula namuhla, ngendlela ongayiqonda.
Kalula nje, iyini isikhwama se-amniotic?
Isikhwama se-amniotic siyisikhwama esivikelayo esizungeze ingane yakho phakathi nokukhulelwa. Sivame ukusibiza ngokuthi "isikhwama samanzi." Siyisikhwama esincane, kodwa esiqinile kakhulu, esakhiwe ngama-membrane amabili abonakalayo. Ngaphakathi kwalesi sikhwama, ingane yakho ivikelwe uketshezi lwe-amniotic, i-placenta, kanye nentambo yesisu.
Umsebenzi wayo oyinhloko ukuvikela ingane kumagciwane kanye nezinto ezibangela ukucindezeleka kwangaphandle . Njengoba ingane ikhula ngaphakathi esibelethweni, isikhwama se-amniotic naso siyakhula. Lapho isikhwama siphuka futhi uketshezi olungaphakathi kwaso luphuma, kubizwa ngokuthi "ukuphuka kwamanzi." Lokhu kungavela ngokuqhuma kwamanzi okungazelelwe, noma kungaphuma kancane kancane. Uma usola ukuthi amanzi akho aphuke, kubalulekile ukwazisa udokotela wakho ngokushesha . Lokhu kungaba uphawu olukhulu lokuthi ukubeletha sekuzoqala.
Lokhu kuqala nini ukwenzeka?
Lesi sikhwama esimangalisayo sokuvikela siqala ukwakheka cishe ezinsukwini eziyi-12 ngemva kokuhlangana kweqanda nesidoda (okungukuthi, ukukhulelwa).
Yimiphi imisebenzi eyinhloko yesikhwama se-amniotic?
Cabanga ngengane yakho isesivikelo sayo esincane. Umsebenzi oyinhloko walesi sikhwama se-amniotic ukuvikela ingane yakho. Ake sibheke ezinye zezinto ezenzeka kuso:
- Njengesitsha sokuphepha: Uketshezi lwe-amniotic olungaphakathi kwalesi sikhwama luvikela umntwana ekushaqekeni nasekushaqekeni kwangaphandle, njengesikhwama somoya emotweni.
- Ukulawulwa kwezinga lokushisa: Izinga lokushisa elifanele elidingwa yingane lihlala ligcinwa ngaphakathi kwalesi sikhwama.
- Ukuvumela ukunyakaza: Lolu ketshezi luvumela ingane ukuthi inyakaze ngokukhululeka futhi inyakaze imilenze yayo. Lokhu kubaluleke kakhulu ekukhuleni kwemisipha namathambo engane.
- Ukuvikelwa emagciwaneni: Lesi sikhwama sifana nesikhwama esivaliwe, ngakho-ke sivikela umntwana emagciwaneni angangena esithweni sangasese sowesifazane.
- Iqukethe izitho ezinikeza ukuphila: I-placenta kanye ne-umbilical cord, okunikeza umntwana ukudla okunomsoco, kugcinwe ngokuphephile ngaphakathi kwalesi sikhwama.
Kalula nje, ayikho indlela yokuthi umntwana akhule ngokuphephile esibelethweni ngaphandle kwesikhwama se-amniotic. Ngakho-ke, kubaluleke kakhulu ukuthi lesi sikhwama singaphuki kuze kube yilapho kuzalwa, okungaba amasonto angama-40.
Kwenzeka kanjani lokhu 'kuphuka kwamanzi'?
Kunezizathu eziningana zokuthi kungani lesi sikhwama singase siqhume njengoba kusondela isikhathi sokubeletha. Lena inqubo yemvelo.
| Isizathu | Konke okunye kulula. |
|---|---|
| Ama-hormone | Uma ukubeletha kuqala, umzimba wakho ukhiqiza ama-hormone abizwa ngokuthi ama-prostaglandin. La ma-hormone angabangela ukuthi ulwelwesi lwamanzi akho lube buthaka futhi luqhekeke. |
| Ukucindezeleka okuvela ekuncipheni | Imisipha yesibeletho iyaqina bese iphumula futhi, esikubiza ngokuthi 'ukwanda'. Njengoba lokhu kucindezela kuqhubeka, isikhwama samanzi siyabuthaka kancane kancane futhi singaphuka. |
| Ukunyakaza kwengane | Njengoba ikhanda lomntwana lehlela ethangeni futhi umntwana enyakaza njalo, ukucindezeleka kungenza lesi sikhwama sibe buthaka futhi kusenze sidabuke. |
| Isikhwama siyabuthakathaka ngokwemvelo | Njengoba umntwana esondela ekuzalweni, kwenzeka izinguquko zemvelo emaseli esikhwama. Lokhu kubangela ukuthi isikhwama sibe buthaka kancane kancane. |
Odokotela bahlale befuna ukuthi amanzi akho angaphuki kuze kube okungenani amasonto angu-37, ngoba lelo yithuba elihle kakhulu lokuzalwa komntwana onempilo.
Amanzi aphuka nini?
Ngokuvamile, amanzi ayaphuka ekuqaleni kokubeletha noma ngesikhathi sokubeletha. Kwabanye abantu, lokhu kwenzeka ngokuzenzakalelayo, ngaphandle kwesixwayiso.
Kodwa ngezinye izikhathi, udokotela kufanele aphule lesi sikhwama. Lokhu kubizwa ngokuthi i-amniotomy.Lokhu kubizwa ngokuthi ukuqhekeka kolwelwesi okwenziwayo. Kulokhu, udokotela usebenzisa ithuluzi elincane elifana nehhuku ukubhoboza lesi sikhwama ngokuphindaphindiwe. Lokhu kuvame ukwenziwa ukusiza ukusheshisa ukubeletha komuntu osevele ebeletha.
Yiziphi izinkinga zempilo ezithinta isikhwama se-amniotic?
Ngezinye izikhathi ngesikhathi sokukhulelwa, kungaba nezinkinga ezithile ngesikhwama se-amniotic. Udokotela wakho angase akhulume nawe ngalokhu.
| Igama Lesimo (Igama Lezokwelapha) | Kusho ukuthini lokhu? |
|---|---|
| I-Chorioamnionitis | Lokhu kwenzeka lapho igciwane lingena ezingqimbeni ezimbili zesikhwama se-amniotic (i-amnion ne-chorion) bese libangela ukutheleleka. Lokhu kungathinta kokubili ingane kanye nomama. |
| Ukuqhuma Kwama-Membrane Ngaphambi Kwesikhathi (i-PROM) | Lokhu kusho ukuthi amanzi ayaphuka ngaphambi kokuba kuqale ukubeletha. Uma amanzi ephukile, umntwana uba sengozini enkulu yokutheleleka. |
| I-Amniocentesis | Lokhu akuyona indlela yokwelapha, kodwa ukuhlolwa. Kuwukuhlolwa kokuthola ukuthi ingane inazo yini izifo zofuzo. Lapha, kusetshenziswa inalithi encane kakhulu ukubhoboza isikhwama bese kutholakala inani elincane le-amniotic fluid ukuze kuhlolwe. |
Ziphathwa kanjani lezi zimo?
Ukwelashwa kwalesi simo kuncike ekutheni usunesikhathi esingakanani ukhulelwe nokuthi usuqalile yini ukubeletha. Ama-antibiotic anganikezwa ukutheleleka okufana ne-chorioamnionitis.
Kodwa ezimweni ezifana ne-PROM, okuyilapho amanzi akho ephuma khona kusenesikhathi, kuvame ukuba ngcono kakhulu ukubeletha umntwana. Kodwa-ke, uma amaphaphu engane yakho engakakhuli ngokugcwele (okungukuthi, ngaphansi kwamasonto angu-37), udokotela wakho angakunika imithi yokusiza amaphaphu engane yakho ukuba akhule ngaphambi kokuba ubelethe umntwana.
Eminye imibuzo omama abaningi abanayo
Ingabe ingane ingasinda uma isikhwama samanzi siphuka?
Yebo, kuyenzeka nakanjani. Kodwa kuncike ekutheni isikhwama siphuka nini. Ngokuvamile, uma isikhwama siphuka ngemva kwamasonto angu-37 okukhulelwa, akuyona inkinga. Ngoba ngaleso sikhathi, amaphaphu engane asuke esekhule ngokugcwele futhi esekwazi ukuphefumula ngokwawo ngemva kokuzalwa.
Kodwa-ke, uma isikhwama siqhuma ngaphambi kwamasonto angu-37, umntwana usengozini yezinkinga ezifana nobunzima bokuphefumula kanye nokungakwazi ukulawula izinga lokushisa lomzimba. Yingakho kubalulekile ukumufaka esibhedlela ngokushesha umntwana bese umgcina eqashwe odokotela.
Ingabe ingane ingazalwa ngaphakathi kwesikhwama samanzi?
Yebo. Lokhu kuyinto engavamile kakhulu. Lokhu kubizwa ngokuthi "ukuzalwa kwengane efile." Lokhu kwenzeka lapho umntwana ezalwa ngaphakathi kwesikhwama samanzi ngaphandle kokuphuka. Ngaleso sikhathi, kubonakala sengathi umntwana usebholeni lamanzi. Uma lokhu kwenzeka, udokotela noma umbelethisi uzosebenzisa imishini yezokwelapha ukuphula isikhwama ngokucophelela bese ekhipha umntwana.
Kwenzekani kulesi sikhwama ngemva kokubeletha?
I-placenta ivame ukuphuma zingakapheli imizuzu engama-30 umntwana ezelwe. Siphinde sikubize ngokuthi "ukuzalwa kwangemva kokubeletha." Isikhwama se-amniotic siphuma ne-placenta. Ngemva kwalokho, ngaphandle uma kudingeka ithunyelwe ukuhlolwa okukhethekile, isibhedlela siyayilahla njengemfucuza yezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Isikhwama se-amniotic siyibhamuza elivikelayo elimangalisayo elivikela futhi londle umntwana phakathi nokukhulelwa.
- "Ukuphuma kwamanzi akho" kuyisibonakaliso esikhulu sokuthi ukubeletha kuyasondela. Kungenzeka ngokuzumayo njengamanzi amaningi noma njengokugeleza kancane kancane koketshezi.
- Uma usola ngisho nokuncane ukuthi amanzi akho aphumile, ungalibali bese wazisa udokotela wakho ngokushesha noma uye esibhedlela.
- Into engcono kakhulu ngokuphepha komntwana ukugcina isikhwama samanzi siphelele kuze kube okungenani amasonto angu-37.
- Kunezinkinga ezingaba khona ngesikhwama se-amniotic, kodwa ithimba lakho lezokwelapha likulungele ukuzisingatha zonke. Ngakho-ke ungesabi ukukhuluma nabo nganoma yiziphi izinkinga.
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