Ingabe kufanele sifunde nge-oligohydramnios (uketshezi oluphansi lwe-amniotic oluzungeze umntwana) ngesikhathi sokukhulelwa?

Uma usuzoba ngumama, ngezinye izikhathi izinto odokotela abazishoyo zingase zizizwe zingaphezu kwamandla, akunjalo? Kuvamile ukuzizwa ukhathazekile kancane uma uzwa into efana nokuthi 'akukho manzi anele eduze komntwana'. Yilokhu odokotela abakubiza ngokuthi '(Oligohydramnios)'. Kodwa ungakhathazeki, akunjalo? Ezimweni eziningi, uma unakekela lesi simo kahle, ungaletha umntwana onempilo nomhle kuleli zwe. Ake sixoxe ngalokhu ngokuningiliziwe, ngesiSinhala ongakuqonda.

Ngakho-ke lokhu kusho ukuthini ngokuncipha kwamanzi azungeze umntwana?

Kalula nje, uma ingane yakho isesibelethweni, kukhona uketshezi olufana namanzi oluyizungezile. Lokhu yilokho esikubiza ngokuthi `(Uketshezi lwe-Amniotic)` noma uketshezi lwe-amniotic, noma ngokuvamile "amanzi azungeze ingane". Lokhu kufana nesikhwama esivikela ingane. Cabanga, ngenxa yalesi sikhwama samanzi, ingane ivikelekile ekucindezelweni kwangaphandle kanye nezifo ezahlukahlukene. Enye into ebalulekile ukuthi la manzi ayasiza nasekuvikeleni intambo yesisu ekucindezelweni. Akukhona lokho kuphela, lolu `(Uketshezi lwe-Amniotic)` lubaluleke kakhulu ekuthuthukisweni okufanele kwamaphaphu engane, uhlelo lokugaya ukudla, kanye nokulawula izinga lokushisa lomzimba. Ngakho-ke, `(Oligohydramnios)` kusho ukuthi inani lamanzi azungeze ingane lincane kunalokho obekulindelekile. Uma lokho kwenzeka, ezinye izinkinga zingase zenzeke ngesikhathi sokukhula kwengane noma lapho ingane izalwa.

Sivame kangakanani lesi simo?

Lesi simo, esibizwa ngokuthi "i-Oligohydramnios", sithinta cishe abesifazane abangu-4 kwabayi-100 abakhulelwe (4%). Sivame ukwenzeka ezinyangeni ezintathu zokugcina zokukhulelwa, noma i-trimester yesithathu. Kodwa-ke, uma usudlulile usuku lwakho lokuzalwa, noma uma ungakamtholi umntwana wakho ngosuku lokuzalwa, ingozi ingakhuphuka ifinyelele cishe ku-12%. Lokhu kungenxa yokuthi inani loketshezi oluzungeze umntwana ngokwemvelo liqala ukwehla kancane ngalesi sikhathi.

Kufanele kube namanzi angakanani azungeze umntwana ngesikhathi sokukhulelwa?

Lokhu kuncike kakhulu ekutheni ukhulelwe amasonto amangaki. Lolu "ketshezi lwe-amniotic" luqala ukwakheka cishe ezinsukwini eziyi-12 ngemuva kokukhulelwa. Ezigabeni zokuqala, lolu ketshezi luvela ku-"Placenta". Cishe emavikini ayi-15, kwenzeka into emangalisayo, umchamo womntwana uba lolu ketshezi. Yebo, umntwana uphuza lolo ketshezi bese elukhipha njengomchamo. Lena yindlela izinga loketshezi elilawulwa ngayo. Lolu ketshezi lufinyelela ezingeni lalo eliphezulu cishe emavikini angama-36 okukhulelwa. Ngemva kwalokho, luqala ukwehla kancane kancane. Ngakho-ke, inani loketshezi olukhona lingahluka kusukela esikhathini esisodwa kuya kwesinye.

Yiziphi izimpawu zokuthi umntwana uphelelwe amanzi emzimbeni?

Esikhathini esiningi, ungase ungaqapheli. Ngesinye isizathu, kungatholakala ngengozi ngesikhathi sokuhlolwa kwe-ultrasound ukuhlola ukukhula komntwana. Uma lokho kwenzeka, ungase uzizwe umangale futhi wesaba ngokuzumayo. Kodwa ungakhathazeki.

Kodwa ngezinye izikhathi udokotela angase abe nokusola ngalokhu ngenxa yezinto ezifana nalezi:

• Uma uphuma amanzi esithweni sakho sangasese sowesifazane (kufanele utshele udokotela wakho uma ungaqiniseki ukuthi kuyini lokhu).
• Uma usayizi wesibeletho sakho ungaphansi kwenani lamasonto okhulelwe.
• Uma uzizwa sengathi ukunyakaza komntwana kuncane kakhulu.

Kungani amanzi emancane eduze komntwana?

Esikhathini esiningi, asikho isizathu sangempela. Kungenzeka ngokungahleliwe, ngisho nasekukhulelweni okunempilo. Kodwa ngezinye izikhathi odokotela bangathola imbangela ethile ebangela lokhu.

Nazi ezinye zezizathu:

• Ukukhubazeka kokuzalwa kwezinso zomntwana noma uhlelo lomchamo: Uma izinso zomntwana zingakhuli kahle, inani lomchamo eziwukhiqizayo lizoncipha. Lokhu kuzonciphisa nenani lamanzi azungeze umntwana.
• Izinkinga ze-Placenta: I-placenta ingumthombo wegazi nezakhamzimba zengane. Uma ingasebenzi kahle, ukukhiqizwa kwamanzi nakho kungancipha.
• Sekudlule amasonto amabili kusukela ngosuku lokugcina: Njengoba ngishilo ngaphambili, inani lamanzi liyancipha njengoba izinsuku zihamba.
• Umfutho wegazi ophakeme noma i-preeclampsia: Lezi zimo zinganciphisa ukugeleza kwegazi kuya ku-placenta, okungabangela namazinga amanzi aphansi.
• Ukuphelelwa amanzi emzimbeni: Uma umzimba wakho ungenawo amanzi anele, kungakuthinta nawe. Ngakho-ke kubaluleke kakhulu ukuphuza amanzi amaningi.
• Ukuqhekeka kwe-membrane ngaphambi kwesikhathi (i-PROM): Uma i-membrane iqhekeka ngaphambi kokuba umntwana azalwe futhi amanzi eqala ukuvuza, inani lamanzi ngaphakathi liyancipha.

Uma unalezi zimo, kungenzeka kakhulu ukuthi ube namanzi aphansi eduze komntwana wakho. Uma uke waba namanzi aphansi ekukhulelweni kwangaphambilini, lokho nakho kuyisici esiyingozi.

Yiziphi izinkinga ezingabangelwa yilokhu?

Phakathi nezinyanga zokuqala eziyisithupha zokukhulelwa, amanzi azungeze umntwana angaba yingozi kakhulu kunokujwayelekile, ngoba yilapho kwakheka khona izitho zomntwana.

• Izinkinga zokukhula kwezitho zomzimba: Ikakhulukazi, amaphaphu angase angakhuli kahle, noma umntwana angase abe nokukhubazeka esibelethweni, okubangela ukukhubazeka ezithweni.
• Ukuzalwa ngaphambi kwesikhathi .
• Ukuzalwa kwengane ifile (lokhu akuvamile kakhulu, kodwa kukhona ingozi).
• Ukutheleleka kungenzeka uma amanzi ephuka kusenesikhathi.

Kodwa-ke, uma lesi simo (i-Oligohydramnios) sitholakala ku-trimester yokugcina yokukhulelwa (okungukuthi kusukela emavikini angu-28 kuya kwangu-40), kungase kube nezinkinga ezilandelayo:

• Ukucindezelwa kwe-umbilical cord: Ngenxa yokuntuleka kwamanzi azungeze umntwana, i-umbilical cord ingacindezelwa, okunciphisa inani lokudla okunomsoco kanye nomoya-mpilo umntwana awutholayo.
• Ukuvinjelwa kokukhula kwengane esanda kuzalwa .
• Kukhona ingozi enkulu yokuthola umntwana ngokuhlinzwa kwesisu (C-section).
• Ukubeletha umntwana kusenesikhathi.
• Kukhona ingozi enkulu yokutheleleka uma amanzi ephuka kusenesikhathi.

Cabanga ngakho, njengoba nje uma ufaka okuthile ebhaluni eligcwele amanzi, kuphephile, kunjalo nangomntwana osesiswini. Lapho izinga lamanzi lehla, lokho kuphepha kuyehla.

Odokotela bakuthola kanjani lokhu?

Uma uya ehhovisi likadokotela ngesikhathi sokukhulelwa kwakho, udokotela uzokwenza i-ultrasound scan ukuze alinganise inani lamanzi azungeze ingane yakho. Uma inani lamanzi liphansi kunokulindelekile enanini lamasonto ingane yakho ekuwo, ungase utholakale une-oligohydramnios.

Kunezindlela ezimbili zokulinganisa la manzi:

1. Inkomba yoketshezi lwe-amniotic (AFI): Lokhu kuhilela ukuhlukanisa isibeletho sakho sibe yizingxenye ezine bese ulinganisa ukuphakama kwekholomu yamanzi ejulile kakhulu esigabeni ngasinye. I-AFI ibe isibalwa ngokuhlanganisa izilinganiso kuzo zonke izingxenye ezine. I-AFI evamile kufanele ibe ngaphezu kwamasentimitha angu-5 (cm).

2. Iphakethe eliqondile eliphezulu (i-MVP): Lokhu kulinganisa ukuphakama kwekholomu eyodwa, ejulile kakhulu yamanzi esibelethweni. Uma i-MVP ingaphansi kwamasentimitha amabili (cm), kubhekwa njengamanzi aphansi.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwalokhu kuncike ekutheni usunesikhathi esingakanani ukhulelwe nokuthi unezinye izinkinga zokukhulelwa. Uma ususondele esikhathini esiphelele (okungukuthi, udlule amasonto angu-37), udokotela wakho anganquma ukuthi kungcono ukunxenxa ukubeletha ukuze kuvikelwe ingane yakho.

Udokotela uzokuvakasha kaningi futhi achithe izinsuku eziningi emtholampilo. Isikhathi ngasinye, bazoqapha ngokuseduze ukukhula komntwana wakho. Nazi ezinye izinto ongazenza kule mitholampilo:

• Ukuskena kwe-ultrasound okuphindaphindiwe.
• `Ukuhlolwa Okungenazo Izinkinga Zokucindezeleka` (lokhu kuhlola ukuthi ukushaya kwenhliziyo kwengane kusabela kanjani ekunyakazeni kwayo).

Ezinye izindlela zokwelapha zincike ekubangeni kwesilinganiso sakho samanzi esiphansi. Uma kukhona ukusola ukuthi amanzi akho aphukile, noma uma isilinganiso sakho samanzi siqhubeka nokuba phansi, ungangeniswa esibhedlela ukuze uhlolwe eduze.

Ingabe ukuphuza amanzi kungandisa inani lamanzi azungeze ingane?

Mhlawumbe. Ezinye izifundo zikhombisile ukuthi ukuphuza amanzi amaningi ngesikhathi sokukhulelwa, ikakhulukazi kulabo abaphelelwe amanzi emzimbeni, kungasiza ekwandiseni inani le-amniotic fluid elizungeze ingane. Yingakho kubalulekile ukuphuza amanzi anele nsuku zonke. Cela iseluleko kudokotela wakho.

Ingabe ikhona indlela engingakuvimbela ngayo lokhu?

Akukho lutho ongakwenza ukuvimbela i-oligohydramnios. Into ebaluleke kakhulu ukuya emihlanganweni yakho yokubeletha njalo. Nokuvuleleka kudokotela wakho ngezimpawu zakho kanye nomlando wakho wezempilo odlule. Ukwazi kusenesikhathi ukuthi usengozini yalesi simo kuyindlela engcono kakhulu yokusibona nokuselapha.

Ingabe ingane yami izobe iphilile ngalesi simo?

Yebo, cishe ingane yakho izozalwa iphilile. Ungakhathazeki. Nakuba uketshezi lwe-amniotic ngezinye izikhathi lungaba yingozi, izingane eziningi ziphilile ngemva kokuzalwa. Into ebalulekile ukuqaphela lesi simo kusenesikhathi futhi usiphathe kahle ngokweseluleko sezokwelapha.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha:

• Uma uphuma amanzi esithweni sakho sangasese (uma ungaqiniseki ukuthi hlobo luni lokukhipha, tshela udokotela wakho).
• Uma kukhona ukopha kwesitho sangasese sowesifazane.
• Uma unezinhlungu esiswini, izinhlungu noma ubuhlungu be-pelvic.
• Uma unezinsini, kufana nezinhlungu zokubeletha.
• Uma uzizwa sengathi ukunyakaza komntwana kuncane kakhulu.

Khumbula, uma unezinye zalezi zimpawu, ungazinaki. Ukufuna iseluleko sezokwelapha ngokushesha kubaluleke kakhulu ekuphepheni kwakho nokwengane yakho.

Izinto ezibaluleke kakhulu okudingeka sizifunde kulokhu

Kulungile, ngakho-ke, ukuzwa ukuthi ingane yakho inamanzi aphansi, noma "i-Oligohydramnios", kuyinto eshaqisayo kakhulu, futhi kuyinto evamile ukuba nemibuzo eminingi. 'Kuzokwenzekani enganeni yami?'', 'Akunakulungiseka lokhu?'' Cishe unemibuzo efana nale engqondweni yakho. Yonke leyo mibuzo inengqondo. Kodwa zama ukungesabi. Njengoba ngishilo ngaphambili, omama abaningi abanalesi simo bazala izingane ezinempilo.

Udokotela wakho uzokuqapha eduze phakathi nokukhulelwa kwakho. Bazoxoxa nawe ngohlelo lokwelapha oluphephile kakhulu kuwe nomntwana wakho. Umgomo oyinhloko wodokotela ukugcina wena nomntwana wakho niphilile. Ngakho-ke, ukuya kuzo zonke izikhathi zakho zokubeletha nokwabelana ngezimpawu zakho nodokotela wakho kuyindlela engcono kakhulu yokubona noma yiziphi izinkinga ezingaba khona ngobuningi bamanzi azungeze ingane yakho. Ungakhohlwa ukuphuza amanzi amaningi. Kwangathi iNkosi ingakubusisa wena nomntwana wakho!

I- Oligohydramnios, ukwehla koketshezi lwe-amniotic ngesikhathi sokukhulelwa, uketshezi lwe-amniotic, ukwehla kwamanzi azungeze umntwana, izinkinga zokukhulelwa, i-ultrasound, ukuzalwa ngaphambi kwesikhathi