Kumelwe ukuba uke wabona isikhwama samanzi sikamama okhulelwe siphuka ngokuzumayo ngomsindo omkhulu namanzi amaningi ephuma. Kodwa empilweni yangempela, lokhu akusikho okwenzekayo isikhathi esiningi. Abantu abaningi banomuzwa wokuthi lokhu kuyinto eyenzeka kancane kancane. Kodwa-ke, njengomama ozayo, kubaluleke kakhulu ukuthi uqaphele ngokugcwele lokhu. Ngakho-ke, ake sixoxe ngalokhu namuhla.
Kusho ukuthini uma isikhwama samanzi siphuka?
Kalula nje, ingane yakho ingaphakathi kwesibeletho sakho, ngaphakathi kwesikhwama esigcwele amanzi. Lokhu sikubiza ngokuthi isikhwama se-amniotic. Uketshezi lwe-amniotic olungaphakathi kwalesi sikhwama yilona olugcina ingane yakho iphephile futhi ikhululekile ngaphakathi kwesibeletho sakho. Cabanga ngakho, lesi sikhwama samanzi sinikeza ingane yakho indawo yokujika, ukuhamba, nokukhula kahle. Kuphinde kusize ukugcina izinga lokushisa lomzimba wengane yakho lisezingeni elifanayo futhi kugcina intambo yesisu ingaphazamisi.
Uma umzimba wakho usukulungele ukubeletha ingane yakho, leli phakethe lamanzi liyaqhuma. Bese uketshezi olungaphakathi kwalo luqala ukuvuza ngesitho sakho sangasese sowesifazane. Lokhu yilokho esikubiza ngokuthi "ukuphula amanzi akho" noma "ukuphula amanzi akho." Lokhu kungenzeka ngaphambi kokuqala kokubeletha, noma kungenzeka ngesikhathi sokubeletha.
Ngokuvamile, cishe u-10% womama abazobeletha babhekana nokuqhekeka kolwelwesi ngaphambi kokuba kuqale ukubeletha . Lesi simo saziwa ngokwezokwelapha ngokuthi i-Prelabor Rupture of Membranes (PROM).
Kuzwakala kanjani lapho amanzi ephuka?
Lokhu okuhlangenwe nakho kuhlukile kuwo wonke umuntu. Ungase uzizwe kanje:
- Ukuphuma kwegazi okukhulu nokungazelelwe: Kungase kuzwakale sengathi uchame ngezingubo zakho.
- Ukuvuza njalo: Ungase uzizwe sengathi uvuza njalo uketshezi.
- Ukuconsa: Kungase kuzwakale sengathi uketshezi luphuma kancane kancane.
- Ukopha okungapheli: Ukopha kungase kuqale, kume isikhashana, bese kuqala futhi.
Ngezinye izikhathi ungase uzwe umsindo othi "click" uvela ngaphakathi esibelethweni, noma ungase uzizwe sengathi kukhona okuqhumayo. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi uketshezi lwe-amniotic alunuki njengomchamo . Ngokuvamile alunaphunga, ngezinye izikhathi lunephunga elimnandi kancane.
| Isici | Uketshezi lwe-amniotic (amanzi esikhwameni samanzi) | Umchamo ( umchamo ) |
|---|---|---|
| Iphunga | Ngokuvamile ayinaphunga. Ingase ibe nephunga elimnandi kancane. | Inephunga elihlukile elifana ne-ammonia. |
| Umbala | Ngokuvamile ayinambala (njengamanzi). Ingase ibonakale ipinki inegazi elincane noma izinhlayiya ezimhlophe. | Kungaba kusuka kophuzi okhanyayo kuya kophuzi omnyama. |
| Ukugeleza | Ukugeleza kuyaqhubeka ngokungalawuleki. Ukugeleza kunganda uma ukhwehlela noma umile. | Ngokuvamile kungalawulwa futhi kumiswe. |
Yini okufanele uyenze uma amanzi akho ephuka?
Uma usola kancane ukuthi amanzi akho aphumile, into yokuqala nebaluleke kakhulu okufanele uyenze ukushayela udokotela wakho noma umbelethisi wakho ucingo. Ungesabi, hlala uzolile.
Udokotela uzokutshela ukuthi wenzeni. Uzovame ukukutshela ukuthi uze ehhovisi lakhe, noma uzokutshela ukuthi uye ngqo esibhedlela. Uma uya, sebenzisa iphedi. Ungalokothi usebenzise i-tampon.
Uma uya esibhedlela, uma kungakacaci ukuthi amanzi akho aphuke ngempela, bazothatha isampula yoketshezi oluphuma kuwe bese benza isivivinyo esilula ukuze baluqinisekise.
Uma lokhu kwenzeka zingakapheli amasonto amathathu kusukela ngosuku lwakho lokuzalwa, udokotela wakho angakutshela ukuthi ulinde amahora ambalwa ukuze abone ukuthi i-magema yakho iqala yini ukwanda. Noma anganquma ukukubangela ukubeletha. Kwabaningi omama, ukubeletha kuqala zingakapheli amahora ayi-12 kusukela ekuphukeni kwamanzi.
Ezinye izifundo zikhombisile ukuthi izingane ezizalwa omama ababangela ukubeletha ngemva kokuphuma kwamanzi cishe azinawo amathuba okutheleleka. Zidinga nokunakekelwa okuncane futhi zingaya ekhaya zisuka esibhedlela ngokushesha. Kodwa isinqumo esingcono kakhulu ongasenza ngalokhu ukukhuluma nodokotela wakho.
Kuthiwani uma amanzi ephuka kusenesikhathi? (Ukuphuka Kwamanzi Kwasekuseni)
Cishe u-3% wabesifazane abakhulelwe babhekana nokuqhekeka kwamanzi ngaphambi kwamasonto angu-37 okukhulelwa. Lokhu kubizwa ngokuthi i-Preterm Prelabor Rupture of Membranes (PPROM). Lesi yisimo esidinga ukukhathazeka okuthile. Kunezici eziningana ezingandisa ingozi yalokhu.
- Uma unesisindo esingaphansi kwesisindo
- Uma ubhema.
- Uma lokhu kuye kwenzeka ekukhulelweni kwangaphambilini
- Uma unesifo somgudu womchamo esingelashwanga
- Uma unesifo sokopha esithweni sangasese sowesifazane ngesikhathi sokukhulelwa
- Uma kwakukhona inkinga ngomlomo wesibeletho
Uma kwenzeka i-PPROM, kufanele ulaliswe esibhedlela ngokushesha.
Kwenzekani esibhedlela?
- Uma unamaviki angu-34 noma ngaphezulu: Udokotela wakho angase anqume ukubeletha ingane yakho ukuze anciphise ingozi yokutheleleka kuwe noma enganeni yakho.
- Uma uphakathi kwamasonto angama-23 nama-34: Ukuhlehlisa ukubeletha kuvame ukwenziwa ukuze kunikezwe umntwana isikhathi esengeziwe sokukhula esibelethweni. Uzonikezwa ama-antibiotic ukuvimbela ukutheleleka. Uzonikezwa nama-steroid ukusiza amaphaphu engane avuthwe ngokushesha. Cishe kuzodingeka uhlale esibhedlela kuze kube yilapho umntwana ezalwa.
- Uma ungaphansi kwamasonto angama-23: Lesi yisikhathi esibucayi kakhulu. Udokotela wakho uzokhuluma nawe ngokukhululekile ngezingozi nezinzuzo zokuqhubeka nokukhulelwa. Lokhu kungenxa yokuthi uma amanzi akho ephuka kusenesikhathi, amathuba okusinda kwengane aphansi. Ngisho noma isinda, isengozini enkulu yokuthola ukukhubazeka kwengqondo noma ngokomzimba.
Kuthiwani uma isikhwama samanzi singaphukanga yize sasimanzi?
Ngezinye izikhathi, uma ubeletha kodwa ukubeletha kwakho kuhamba kancane, udokotela wakho angakusiza ukuthi uphule amanzi akho. Lokhu kubizwa ngokuthi i-amniotomy. Kule nqubo, ithuluzi elikhethekile, njenge-hook yepulasitiki engenamagciwane, lifakwa ngesitho sakho sangasese sowesifazane bese udokotela ephula isikhwama se-amniotic. Ukuze wenze lokhu, ikhanda lomntwana kumele libe phansi emgudwini wokubeletha futhi limboze umlomo wesibeletho sakho. Ngaphandle kwalokho, ungalinda umzimba wakho ukuthi uqedele ukubeletha ngokwawo.
Umlayezo Wokuya Nawe Ekhaya
- Abanye abantu bangase bezwe amanzi ephuka ngokuzumayo, kanti abanye bangase bezwe uketshezi luphuma kancane kancane.
- Uketshezi oluphuma kulo alunaphunga elinamandla njengomchamo. Yileyo ndlela ongabona ngayo umehluko.
- Uma usola ukuthi isikhwama sakho samanzi siphukile, ungesabi, shayela udokotela wakho ngokushesha.
- Uma amanzi akho ephuka ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37), kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha.
- Ungakhathazeki. Kukhona abasebenzi bezokwelapha abaqeqeshiwe abazokusiza kuzo zonke lezi zimo. Xoxa ngakho konke nodokotela bese ulandela imiyalelo yakhe.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🧐 Kuyini i-Amniotic Fluid Embolism (AFE)? Ingabe lokhu kwenzeka lapho amanzi ephuka?
Lesi yisimo esingavamile kakhulu, esenzeka cishe ekukhulelweni okune kuya kwabahlanu kwabayikhulu abayizinkulungwane. Lapho amanzi eqhuma, uketshezi noma amaseli omntwana angaphakathi kwesikhwama ahlangana negazi likamama, okubangela ukusabela okufana nokungezwani komzimba. Ungakhathazeki ngalokhu, njengoba amathuba okuba lokhu kwenzeke mancane kakhulu.
💬 😰 Wazi kanjani ukuthi amanzi akho aqhuma nini? Ingabe kungavinjelwa?
Ayikho indlela yokumisa lokhu kusenesikhathi, kodwa uma amanzi akho ephuma, usesibhedlela, ngakho odokotela bazokuqapha eduze. Uma ngokuzumayo uba nezimpawu ezifana nokuphelelwa umoya noma umfutho wegazi ophansi, abasebenzi besibhedlela bakulungele ukukwelapha ngokushesha. Ngakho ungesabi ngokungadingekile.
💬 🩺 Ingabe kufanele ngikhathazeke kakhulu nge-Amniotic Fluid Embolism uma amanzi ami ephuka?
Cha! Ukuphuka kwamanzi kuyinto evamile kakhulu eyenzeka lapho umntwana esezozalwa. Lokhu kuqhuma kwesisu kuyisimo esingavamile kakhulu emhlabeni wonke, ngakho ungakhathazeki ngakho. Okudingeka ukwenze nje ukungesabi lapho amanzi ephuka bese uya esibhedlela ngokushesha. Bese kuba khona odokotela abangabhekana nanoma yisiphi isimo.
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