Uyazazi lezi zinto ngesikhwama se-amniotic sengane yakho?

Uma ungumama okhulelwe noma umama omusha, kumelwe ukuthi uke wezwa izindaba ezifana nokuthi 'water broke' kanye nokuthi 'water broke'. Ngezinye izikhathi sibona lokhu kumamuvi, akunjalo? Kungazelelwe amanzi akho ayaphuka, bese ugijimela kudokotela. Ngakho-ke iyini le 'water bag' noma lokho esikubiza ngokuthi ngokwezokwelapha , i-amniotic sac ? Ibaluleke kangakanani ekuphepheni komntwana? Namuhla, sizoxoxa ngakho konke lokhu ngendlela elula kakhulu, ngendlela ongayiqonda.

Iyini le sikhwama se-amniotic? Siyenzani ingane?

Kalula nje, isikhwama se-amniotic siyisikhwama esivikelayo esizungeze ingane yakho esibelethweni sakho. Uma sikhuluma iqiniso, yisikhwama esenziwe ngama-membrane amabili amancane, kodwa aqinile, abonakalayo. Ngaphakathi kwalesi sikhwama kukhona uketshezi olunamanzi olubizwa ngokuthi uketshezi lwe-amniotic . Ingane intanta kulolu ketshezi izinyanga eziningi.

Cabanga ngendlela umntwana abuthakathaka ngayo uma ekhula esibelethweni. Ngakho-ke lesi sikhwama se-amniotic, kanye noketshezi lwe-amniotic olungaphakathi kwaso, kuyisivikelo esiyinhloko somntwana.

• Esinye ukuthi kuvimbela umntwana ukuthi angagxumi. Uma uhamba, uma uhambahamba, yileli sikhwama samanzi esivikela umntwana ekuthintekeni yiso. Kufana 'nesikhwama somoya' emotweni.
• Ngaphezu kwalokho, kusiza ingane ukuthi igcine izinga lokushisa lihlala lifana. Lokhu kusiza ukugcina ingane ifudumele kahle, kungakhathaliseki ukuthi kubanda noma kushisa ngaphandle.
• Kuphinde kuvumele ingane ukuthi inyakaze ngokukhululeka futhi inyakaze imilenze yayo. Lokhu kubaluleke kakhulu ukuze imisipha namathambo engane akhule kahle.
• Kuvikela umntwana ezifweni. Njengoba lesi sikhwama sicishe sivalwe, amagciwane avela ngaphandle awangeni kalula.
• I-placenta kanye ne-umbilical cord nakho kutholakala kulesi sikhwama. Njengoba wazi, umntwana uthola umoya-mpilo kanye nezakhamzimba azidingayo, futhi imfucuza yomntwana ikhishwa ngale-placenta kanye ne-umbilical cord. Ngakho-ke i-placenta iyasiza ekuvikeleni nasekulondolozeni lokhu.

Njengoba ingane yakho ikhula esibelethweni sakho, lesi sikhwama se-amniotic naso siyakhula. Kungenzeka ukuthi uke wezwa kuthiwa "amanzi akho aphukile" noma "amanzi akho aphukile." Lokhu kusho ukuthi isikhwama se-amniotic siphukile futhi uketshezi lwe-amniotic olungaphakathi luvuza ngesitho sakho sangasese sowesifazane. Lokhu kungaphuma ngezinye izikhathi ngesikhathi esisodwa, njengamanzi amaningi, noma kungavuza kancane kancane. Uma usola ukuthi amanzi akho aphukile, kufanele ubone udokotela wakho ngokushesha. Lokhu kungaba uphawu olukhulu lokuthi ukubeletha kuyaqala.

Le fibroid iqala nini ukwakheka?

Akumangalisi yini? Lesi sikhwama esibalulekile siqala ukwakheka cishe ezinsukwini eziyi-12 ngemva kokukhulelwa, lapho iqanda nesidoda kuhlangana khona ukuze kwakhiwe umbungu. Lokhu kusho ukuthi lesi sikhwama esivikelayo sesiqalile ukwakheka kwengane ngaphambi kokuthi wazi nokuthi ukhulelwe.

Leli seli liphuka kanjani? (Ingabe amanzi ayavuza?)

Ngokuvamile, i-placenta iyaqhuma ekuqaleni kokubeletha noma ngesikhathi sokubeletha. Kunezizathu eziningana zalokhu.

• Ama-hormone: Njengoba kusondela isikhathi sokubeletha, umzimba wakho ukhipha ama-hormone afana nama-prostaglandin . La ma-hormone abangela ukuthi ulwelwesi lwesibeletho lube buthakathaka kancane, okwenza kube lula ukuqhekeka.
• Ukucindezeleka kokufinyela: Uma ubeletha, imisipha yesibeletho sakho iyafinyela futhi inwebeke. Lokhu kucindezeleka kungabangela nokuthi ulwelwesi lwesibeletho sakho lunciphe kancane kancane futhi luqhekeke.
• Ukunyakaza komntwana: Uma ikhanda lomntwana liphansi futhi lingaphakathi kwe-pelvis, futhi umntwana ehambahamba, ngezinye izikhathi intambo yesisu ingaba buthakathaka futhi idabuke.
• Ubuthakathaka bemvelo be-placenta: Njengoba umntwana ekhula futhi esondela ekuzalweni, amaseli e-placenta abhekana nezinguquko zemvelo. Lokhu kungabangela ukuba buthaka futhi buphuke.

Odokotela bavame ukukhetha ukuthi isikhwama se-amniotic singaqhekeki uze ube namaviki angu-37 ukhulelwe, ngoba yilapho izitho zomntwana, njengamaphaphu, sezikhule ngokugcwele futhi kunethuba elihle kakhulu lokubeletha okunempilo.

Ngakho-ke lokhu kuzophela nini?

I-placenta ivame ukuqhuma ekuqaleni kokubeletha noma ngesikhathi sokubeletha . Kwabanye abantu, lokhu kwenzeka ngokuzenzakalelayo , ngaphandle kwesixwayiso . Okusho ukuthi, kuyinto umzimba oyenzayo wodwa.

Kodwa ngezinye izikhathi, udokotela kufanele aphule isikhwama se-amniotic. Lokhu kubizwa ngokuthi i-amniotomy , noma ukuqhekeka kolwelwesi okwenziwayo . Lokhu kwenziwa ngesikhathi sokubeletha, lapho udokotela esebenzisa ithuluzi elincane njenge-hook ukubhoboza isikhwama se-amniotic ngobumnene. Lokhu kuvame ukwenziwa ukusiza ukusheshisa ukubeletha kumuntu osevele esibelethweni.

Ikuphi le seli ye-ulba?

Kulula kakhulu. Isikhwama se-amniotic singaphakathi kwesibeletho sakho phakathi nokukhulelwa kwakho. Ingane ikhula ngaphakathi kwesibeletho, ngakho lesi sikhwama sizungeza ingane.

Lokhu kubonakala kanjani?

I-amnion yakhiwe ngezingqimba ezimbili ze-membrane. Zibizwa ngokuthi i-chorion kanye ne-amnion . Lesi sikhwama sikhanya kancane, okusho ukuthi sikhanya kancane, sivumela ukukhanya kudlule. Sifana nesikhwama sepulasitiki esincane, kodwa siqine kakhulu.

Mangaki amanzi angaphakathi kwaleli khekhani?

Lokhu kuncike ekutheni usuhambe ibanga elingakanani ekukhulelweni kwakho. Inani loketshezi lwe-amniotic esikhwameni sakho se-amniotic livame ukuba phezulu kakhulu cishe emavikini angu-34. Ngaleso sikhathi, kungase kube khona ngaphansi kancane kwelitha (cishe amamililitha angu-800) . Kodwa-ke, njengoba ingane isondela osukwini lokuzalwa, leli nani loketshezi liqala ukwehla kancane kancane.

Yiziphi izimo zempilo ezingathinta i-gallbladder?

Ngezinye izikhathi, izinkinga ezithile zempilo ezihlobene ne-placenta zingase zivele ngesikhathi sokukhulelwa. Ngaphandle kwalokho, ukuhlolwa okuhlobene ne-placenta kungenziwa ukuhlola impilo yomntwana.

• I-Chorioamnionitis: Lokhu ukutheleleka kwezingqimba ezimbili ze-amnion (i-amnion kanye ne-chorion). Lokhu kungathinta wena kanye nomntwana wakho.
• Ukuqhuma Kwama-Membrane Ngaphambi Kwesikhathi (i-PROM): Yilapho ama-membrane eqhuma khona ngaphambi kokuba kuqale ukubeletha. Lokhu kwandisa ingozi yokutheleleka.
• Ukuhlinzwa kwe-Amniotomy: Sesikhulume ngalokhu ngaphambili. Udokotela uphula isikhwama se-amniotic. Lokhu kungasiza ekusheshiseni ukubeletha.
• I-Amniocentesis: Lokhu ukuhlolwa okukhethekile. Lokhu kuhlolwa kwenziwa ngaphambi kokuba umntwana azalwe ukuze kutholakale ukuthi ingane inazo yini izimo zofuzo . Lokhu kuhilela ukufaka inalithi encane esikhwameni se-amniotic bese uthatha isampula yoketshezi lwe-amniotic.

Ziphathwa kanjani izimo ezinjengalezi?

Ukwelashwa kwezinkinga ezihlobene ne-fallopian tube kuncike kakhulu ekutheni usuhambe ibanga elingakanani ekukhulelweni kwakho nokuthi ngabe ukubeletha sekuqalile yini.

Isibonelo, uma unegciwane elifana ne -chorioamnionitis , udokotela wakho angakunika ama-antibiotic .

Kodwa ezimweni ezifana nokuqhekeka kwe-membrane ngaphambi kwesikhathi (i-PROM) , ukubeletha umntwana kusenesikhathi kuvame ukuba yindlela ephephile yokwelapha. Kodwa-ke, uma ungaphansi kwamasonto angu-37 ukhulelwe, udokotela wakho angase anqume ukukunikeza imithi yokusiza amaphaphu engane yakho ukuba akhule bese ekubeletha.

Into ebaluleke kakhulu ukuthi uma uzizwa into engavamile, isibonelo, uma unomkhuhlane, ubuhlungu besisu, noma ezinye izimpawu, bona udokotela ngokushesha.

Ingabe ingane ingasinda uma i-placenta iqhuma?

Yebo, kungenzeka. Kodwa futhi kuncike ekutheni iqanda liphuka nini.

Ngokuvamile, uma isikhwama se-amniotic siqhuma ngemva kwamasonto angu-37 okukhulelwa, akuyona inkinga enkulu. Ngoba ngaleso sikhathi, amaphaphu engane asuke esekhulile kahle futhi esekwazi ukuphefumula ngokwawo ngemva kokuzalwa.

Kodwa uma ulwelwesi luqhuma ngaphambi kwamasonto angu-37 , umntwana usengozini enkulu yezinkinga, njengobunzima bokuphefumula kanye nobunzima bokulawula izinga lokushisa komzimba. Ngezikhathi ezinjalo, odokotela bazonikeza ingane ukunakekelwa okukhethekile.

Ingabe ingane ingazalwa ngaphakathi esibelethweni?

Yebo, lokho kungenzeka, kodwa akuvamile kakhulu. Lokhu kubizwa ngokuthi "Ukuzalwa Okubi Kakhulu."Okusho ukuthi, umntwana uzalelwa ngaphakathi kwesikhwama ngaphandle kokuphuka kwesikhwama se-amniotic. Kubonakala sengathi umntwana ungaphakathi kwebhamuza lamanzi. Uma lokhu kwenzeka, udokotela usebenzisa imishini yezokwelapha ukusika isikhwama nokukhipha umntwana. Lokhu akuyingozi, kodwa kuyinto engavamile kakhulu.

Kwenzekani kule follicle ngemva kokuzalwa komntwana?

Ngemva kokuzalwa komntwana, lesi sikhwama se-amniotic, kanye ne-placenta, ngokuvamile siphuma esibelethweni zingakapheli imizuzu engama-30. Lokhu yilokho esikubiza ngokuthi "ukuzalwa kwangemva kokubeletha" noma "ukuphazamiseka kwe-placenta." Udokotela ube esesilahla njengemfucuza yezokwelapha, noma asithumele elabhorethri ukuze sihlolwe uma kudingeka.

Ngakho-ke, nazi ezinye izinto okufanele uzikhumbule kulokho esisanda kukhuluma ngakho!

Ngakho-ke, manje usuyaqonda ukuthi lesi sikhwama se-amniotic sibaluleke kangakanani ohambweni lomntwana.

• Leyo yindawo ephephile kakhulu yengane, njengekhaya.
• Uketshezi lwe-amniotic olungaphakathi lusebenza njengesivikelo somntwana, lulawula izinga lokushisa, futhi lusiza ukuthuthukisa imisebenzi ebalulekile yomzimba womntwana.
• Ukuqhekeka kwepayipi le-fallopian kuvame ukuba uphawu lokuthi ukubeletha sekuseduze.
• Udokotela wakho uzoqapha impilo ye-placenta phakathi nokukhulelwa kwakho. Uma kukhona ukutheleleka noma ukuqhuma ngaphambi kwesikhathi, uzokunikeza ukwelashwa okudingekayo.

Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu. Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma nodokotela wakho.

Isikhwama se -Amniotic, uMgcini-zimali we-Amniotic, Ukukhulelwa, Ukubeletha, Uketshezi lwe-Amniotic, I-Placenta, Intambo Yesisu