Uma ungumama onothando olindele umntwana, ukukhulelwa kuyisikhathi sethemba elikhulu kanye nokwesaba okuncane, akunjalo? Ngakho-ke kunezinto okudingeka siziqaphele kakhulu ngalesi sikhathi. Ngakho-ke, namuhla sikhuluma ngesimo esibucayi okudingeka sazi ngaso, kodwa esingakhulunywa ngaso kakhulu. Lesi simo sibizwa ngokuthi i-Chorioamnionitis. Nakuba igama liyinqaba kancane, ukwazi ngalokhu kubaluleke kakhulu ekuphepheni kwakho nasekuphepheni kwengane esibelethweni sakho.
Kalula nje, kuyini i-Chorioamnionitis?
Kalula nje, i-Chorioamnionitis iwukutheleleka okukhulu kwebhaktheriya okwenzeka ngesikhathi sokukhulelwa. Igama layo livela ezithweni ezimbili ezivikelayo ezizungeze ingane yakho ngaphakathi kwesibeletho sakho. Kunezitho ezimbili ezizungeze ingane yakho, njengesikhwama esivikelayo. Lezi zibizwa ngokuthi i-chorion kanye ne-amnion.
Lokhu kutheleleka kwenzeka lapho amagciwane engena ezicutshini noma ezintanjeni ezizungeze umntwana. Kungathinta noma yiziphi izingxenye ezilandelayo:
- I-Chorion: Ulwelwesi olungaphandle.
- I-Amnion: Ulwelwesi lwangaphakathi.
- I-Placenta: Ingxenye ebaluleke kakhulu enikeza ingane ukudla okunomsoco kanye nomoya-mpilo odingekayo.
- Uketshezi lwe-amniotic: Uketshezi olugcina umntwana entanta futhi lunikeza isivikelo.
Lesi yisimo esibucayi ngoba, uma singelashwa, singaholela ezinkingeni ezisongela impilo yakho kanye nengane yakho. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu. Ngokuvamile, ama-antibiotic anikezwa njengokwelashwa. Futhi, kwezinye izimo, odokotela bangase banqume ukubeletha ingane kusenesikhathi.
Sivame kangakanani lesi simo?
Lokhu akuvamile kakhulu. Ngokwezibalo, lesi simo singathinta phakathi kwengane eyodwa kuya kwezinhlanu kweziyi-100 ezizalwayo. Futhi, lokhu kutheleleka kungabizwa ngokuthi imbangela enkulu yokubeletha ngaphambi kwesikhathi .
Ziyini izimpawu zalokhu?
Izimpawu zalesi simo zingahluka kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile okufanele uzazi.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Ukuqala komkhuhlane ngokuzumayo kungenye yezimpawu eziyinhloko. |
| Ukwanda kwesilinganiso senhliziyo | Isilinganiso senhliziyo yakho noma sengane yakho engakazalwa singase sikhuphuke ngendlela engavamile. |
| Ubuhlungu besibeletho | Ukuzwa ubuhlungu noma ukuqina lapho uthinta isisu noma endaweni lapho kukhona khona isibeletho. |
| Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane | Ukuphuma kwamanzi esithweni sangasese sowesifazane okunephunga elibi noma okunombala ongajwayelekile (ophuzi, oluhlaza okotshani, noma onsundu). |
| Ukujuluka | Ukujuluka okungavamile nakho kungabonakala ngezinye izikhathi. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Imbangela eyinhloko yalokhu ukutheleleka ngamagciwane . La magciwane ngokuvamile angahamba esuka esithweni sakho sangasese sowesifazane, endunu, noma endunu aye esibelethweni sakho. Khumbula, umlomo wesibeletho uvame ukuvalwa, okwenza kube nzima ngala magciwane ukungena ngaphakathi.
Kodwa-ke, uma amanzi akho ephuka , okusho ukuthi isikhwama se-amniotic esizungeze umntwana sidabukile noma siphukile, lokhu kudala indlela yokuthi la magciwane angene esibelethweni. Amagciwane angabe esethelela i-placenta noma ingane.
Ngaphezu kwalokho,
- Yenza ukuhlolwa kwesitho sangasese sowesifazane njalo ngemva kokuphuma kwamanzi.
- Ngemva kokuhlolwa okufana ne-amniocentesis .
Kunobungozi bokutheleleka ezimweni ezinjalo.
Izimbangela ezivame kakhulu zalokhu kutheleleka amabhaktheriya abizwa ngokuthi i-E. coli kanye ne-Group B strep .
Ingabe lokhu kungathinta ingane?
Yebo, nakanjani. I-Chorioamnionitis yisimo esingathinta ngqo ingane. Phakathi kwezinkinga ezingase zenzeke enganeni ngenxa yalokhu yilezi:
- Izimo ezithathelwanayo ezingathi sína.
- Izinkinga ezithinta ubuchopho noma amaphaphu.
Kunezinto ezinjalo. Yingakho kubaluleke kakhulu ukuthola ukwelashwa ngokushesha nje lapho kutholakale ukuthi unesifo.
Ukuthola kanjani lokhu, Dokotela?
Udokotela uzokwenza ukuxilongwa kokuqala ngemuva kokukubuza ngezimpawu zakho nokwenza ukuhlolwa ngokomzimba. Angase acele ukuhlolwa okuningana ukuqinisekisa isimo.
- Ukuhlolwa kwegazi nomchamo: Hlola ukutheleleka emzimbeni kanye nenani eliphezulu lamaseli amhlophe egazi.
- Ukukhula kwesitho sangasese sowesifazane: Kuhlolwa isampula yokukhishwa koketshezi lwesitho sangasese sowesifazane ukuze kubonakale ukuthi kukhona yini amagciwane.
- Ukuhlola isampula yobomvu: Ngezinye izikhathi kuthathwa inani elincane lobomvu bese kuhlolwa amagciwane.
- Ukuskena nge-ultrasound: Hlola impilo yengane.
Iphathwa kanjani?
Uma udokotela wakho eqinisekisa ukuthi une-Chorioamnionitis, uzonikezwa ama-antibiotic ukwelapha ukutheleleka. Lawa avame ukunikezwa ngesisombululo sikasawoti esifakwa emthanjeni (IV - Intravenous). Lokhu kuvumela ukuthi imithi ifinyelele ngokushesha emzimbeni wakho futhi iqale ukusebenza.
Kwezinye izimo, odokotela batusa ukubeletha kusenesikhathi ukuze kuvinjelwe izinkinga ezengeziwe kuwe nakumntwana wakho. Lesi yisinqumo esenziwe ngenxa yokuphepha kwakho nokwengane yakho. Uma umntwana ezalwa enesifo, umntwana uzonikezwa nama-antibiotic.
Yiziphi izinkinga eziba khona uma zingelashwa?
Lokhu ukutheleleka okungathi sína, okungathi uma kungelashwa, kuholele ezinkingeni ezinkulu kumama nakumntwana.
| Izinkinga ezingase zenzeke kumama | |
|---|---|
| Ukutheleleka kwesifunda se-pelvic kanye nesisu | Ukusabalala kokutheleleka kwezinye izingxenye zomzimba. |
| I-Endometritis | Ukutheleleka kolwelwesi lwesibeletho. |
| Amahlule egazi | Ingozi yokuqhekeka kwegazi ethangeni noma emaphashini. |
| I-Sepsis | Ukutheleleka kwegazi okukhulu okungasakazeka emzimbeni wonke futhi kungaba yingozi empilweni. |
| Izinkinga ezingaba khona enganeni | |
|---|---|
| I-Sepsis | Ukusabalala kokutheleleka egazini lomntwana. |
| I-Meningitis | Ukutheleleka kwezicubu ezizungeze ubuchopho kanye nomgogodla (i-meningitis). |
| Inyumoniya | Ukutheleleka emaphashini. |
Ubani osengozini enkulu yalesi simo?
Ezinye izinto zingase zandise ingozi yalokhu kutheleleka.
- Ukubeletha ngaphambi kwesikhathi: Ukuqala kwezimpawu zokubeletha ngaphambi kosuku lokubeletha.
- Ngemva kwamahora angaphezu kwama-24 okuphuzwa kwamanzi: Umntwana akakazalwa isikhathi esingaphezu kwamahora angama-24 ngemva kokuphuka kwe-membrane.
- Ukubeletha isikhathi eside: Kuthatha isikhathi eside ukubeletha umntwana.
- Ukuba nesifo sofuba noma isifo esithathelwana ngocansi (STI).
- Ukuba nokutheleleka kwe-strep kweqembu B ngesikhathi sokukhulelwa.
- Ukuhlolwa njalo kwesitho sangasese sowesifazane ngemva kokuphuphuma kwamanzi.
- Ukusetshenziswa kwamadivayisi okuqapha angaphakathi kwengane noma isibeletho.
Zikhona yini izindlela zokugwema lokhu?
Nakuba kunezinto esingenakuzilawula, kunezinto eziningana esingazenza ukuze sinciphise le ngozi.
- Ukuthatha ama-antibiotic uma amanzi akho ephuka kusenesikhathi:Ngezinye izikhathi amanzi akho angase aqhume ngaphambi kwesikhathi. Uma lokhu kwenzeka, udokotela wakho uzokunika ama-antibiotic ukuvimbela ukutheleleka.
- Nciphisa inani lezikhathi ohlola ngazo isitho sangasese sowesifazane ngemva kokuphuza amanzi: Ukuhlolwa kuphela uma kudingeka kunganciphisa ingozi yokutheleleka.
- Ukuhlolwa kwe-Group B strep: Kubalulekile ukwenza lokhu kuhlolwa phakathi nekota yesithathu yokukhulelwa.
Uma unemibuzo noma ukukhathazeka ngalokhu, ungesabi ukukhuluma nodokotela wakho ngakho. Uzohlola isimo sakho futhi akunike iseluleko esidingekayo.
Kubaluleke kakhulu: Yiya esibhedlela noma ushayele udokotela wakho ucingo ngokushesha nje lapho amanzi ephuka (ulwelwesi lwakho luqhuma). Futhi, qiniseka ukuthi ubika noma yiziphi izimpawu ezilandelayo:
* Uma uhlaselwa umkhuhlane.
* Uma uzwa ubuhlungu esiswini noma endaweni ye-pelvic.
* Uma ubona iphunga elibi elivela ekuphumeni koketshezi lwesitho sakho sangasese sowesifazane.
Ingabe ingane ingaphila esibelethweni ngaphandle kwamanzi?
Cha. Uketshezi lwe-amniotic lubalulekile ukuze umntwana asinde esibelethweni. Luvikela umntwana ezingozini nasezifweni ezahlukahlukene. Uma uketshezi lwe-amniotic lulahleka, umntwana angathola izifo nezinye izinkinga ezisongela ukuphila. Ngakho-ke, uma amanzi akho ephukile, udokotela wakho uzocabangela ukukhulelwa kwakho futhi anqume ukuthi yisiphi isikhathi esingcono kakhulu sokubeletha umntwana.
Ingane ingaphila isikhathi esingakanani ngemva kokuphuza amanzi?
Ukukhulelwa ngakunye kuhlukile, kodwa ngokuvamile, odokotela bazama ukubeletha umntwana zingakapheli amahora angama-24 kusukela uphumile amanzi ukuze banciphise ingozi yokutheleleka.
I-Chorioamnionitis yisimo esibi okufanele usiqaphele ngesikhathi sokukhulelwa. Ukuqaphela izimpawu nokuxoxa ngakho konke nodokotela wakho kungakusiza ukuthi uphathe lesi simo kangcono.
Umlayezo Wokuya Nawe Ekhaya
- I-Chorioamnionitis iwukutheleleka okukhulu kwebhaktheriya okuthinta ulwelwesi kanye noketshezi lwe-amniotic oluzungeze umntwana ngesikhathi sokukhulelwa.
- Umkhuhlane, ubuhlungu besibeletho, kanye nokuphuma koketshezi olungcolile esithweni sangasese sowesifazane kuyizimpawu eziyinhloko .
- Uma uhlangabezana nalezi zimpawu ngokushesha nje lapho amanzi ephuma, yazisa udokotela wakho ngokushesha.
- Ukwelashwa kuvame ukuba ngama-antibiotic, futhi ngezinye izikhathi ukubeletha kusenesikhathi kungadingeka ukuze kuphephe ingane kanye nawe.
- Ungesabi lokhu. Khuluma nodokotela wakho njalo futhi ubuze noma yimiphi imibuzo onayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho