Ukwanda koketshezi oluzungeze ingane ngesikhathi sokukhulelwa (i-Polyhydramnios) - ingabe kuyinto okufanele ukhathazeke ngayo?

Uma ungumama okhulelwe, cishe uyazi ukuthi ingane yakho igcinwe ngokuphephile oketshezini olubizwa ngokuthi i-amniotic fluid, noma njengoba silubiza kanjalo, amanzi azungeze ingane. Lolu ketshezi yilona olugcina ingane ikhululekile, iphephile, futhi luyisize inyakaze futhi ikhule. Kodwa ngezinye izikhathi, ezimweni ezincane kakhulu, lolu ketshezi lungaba luningi kakhulu. Ingabe udokotela wakho ukutshelile lokho? Ngakho yilokho esikhuluma ngakho. Lokhu kubizwa ngokuthi i-Polyhydramnios ngokwezokwelapha.

Kalula nje, iyini i-Polyhydramnios?

I-Polyhydramnios yisimo lapho kukhona khona inani elingaphezu kwelejwayelekile le-amniotic fluid esibelethweni sakho kanye nasezungeze ingane yakho ngesikhathi sokukhulelwa. Ngokuvamile kwenzeka engxenyeni yesibili yokukhulelwa, kodwa ngezinye izikhathi kungenzeka kusenesikhathi esingamaviki ayi-16.

Kodwa khumbula lokhu. Lesi simo asivamile kakhulu. Sithinta cishe owesifazane oyedwa kwabesifazane abayi-100 (1%) abakhulelwe. Futhi, sivame ukuhambisana nokwanda okuncane kwe-amniotic fluid (ama-polyhydramnios amancane). Lokhu kukhula okuncane ngokuvamile akubangeli izinkinga ezinkulu. Udokotela wakho uzokuhlola njalo futhi aqaphe isimo sakho.

Ngingazi kanjani ukuthi nginalesi simo? Ziyini izimpawu?

Esikhathini esiningi, lesi simo sincane, ngakho abanye omama bangase bangabi nazo izimpawu. Kodwa-ke, uma izinga lamanzi liphakeme kancane (isimo esibi kakhulu), ungase ube nalezi zimpawu.

Empeleni okwenzekayo ukuthi njengoba amanzi ekhula, isibeletho siyakhula. Bese sibeka ingcindezi ezithweni ezizungezile njengamaphaphu, isisu kanye nesinye. Yilokho okubangela lezi zimpawu.

Izinto udokotela azibonayo

Ngisho noma ungaziboni lezi zimpawu, udokotela wakho angase akusole uma ebona lezi zinto ngesikhathi sokuhlolwa okuvamile:

• Isibeletho sibukeka sikhulu kunalokho esiyikho emavikini: Isibonelo, uma ukhulelwe amasonto angu-30, isisu sakho sibukeka sengathi sikhulelwe amasonto angu-32.
• Ubunzima bokuzwa ukushaya kwenhliziyo yomntwana: Ngenxa yamanzi amaningi, kungaba nzima kancane ukuzwa ukushaya kwenhliziyo yomntwana.
• Ukungakwazi ukuzwa indawo yomntwana kahle: Njengoba umntwana esemanzini amaningi, kunzima ukuhlola indawo yomntwana ngokunembile ngesandla.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Lona umbuzo omama abaningi abanawo: "Kungani lokhu kwenzeke kimi?"

Kodwa-ke, ezimweni lapho inani lamanzi likhuphuke kakhulu (eliphakathi kuya kwelikhulu), kungaba nezizathu ezithile zalokho. Lezi yilezi:

• Ingane ayikwazi ukugwinya uketshezi: Ngokuvamile, ingane igwinya la manzi kancane kancane, okuyiyona ndlela elawulwa ngayo inani lamanzi. Uma ingane ingakwazi ukwenza lokhu ngenxa yesifo esithile sokuzalwa, amanzi azoqongelela.
• Umama unesifo sikashukela:Le ngozi ikhona kungakhathaliseki ukuthi unesifo sikashukela ngaphambi kokukhulelwa noma uma siqala ngesikhathi sokukhulelwa (isifo sikashukela sokukhulelwa). Njengoba izinga likashukela egazini likamama likhuphuka, umthamo womchamo womntwana uyanda, okube sekwandisa inani loketshezi emchameni womntwana.
• Amawele Afanayo: I-Twin to Twin Transfusion Syndrome (TTTS), isimo lapho ukuphakelwa kwegazi phakathi kwamawele kungalingani, kungabangela uketshezi olunqwabelanayo eduze komntwana oyedwa.
• Ukungahambisani kwe-Rh factor: Lokhu kungenzeka ngenxa yezinkinga ezenzekayo uma umama ene-Rh-negative kanti ingane ine-Rh-positive.
• Izinkinga ngokushaya kwenhliziyo kwengane: Lesi simo singabangelwa yizinkinga ezithile ngokushaya kwenhliziyo kwengane.
• Ukutheleleka enganeni: Ukutheleleka enganeni esibelethweni nakho kungaba yimbangela.

Udokotela ukuthole kanjani lokhu ngempela?

Uma udokotela wakho ekusola lokhu, uzokwenza izivivinyo eziningana ukuze akuqinisekise.

Into yokuqala oyoyenza ukukala ukuphakama kwesisu sakho (ukuphakama kwe-fundal). Ngemuva kwalokho, uzoba ne- ultrasound scan ukuqinisekisa lokhu. Lokhu kuskena kuyindlela kuphela yokulinganisa ngokunembile inani lamanzi esibelethweni sakho. Kunezindlela ezimbili eziyinhloko ezisetshenziswa kulokhu:

1. I-Amniotic Fluid Index (AFI): Isibeletho sihlukaniswe izigaba ezine, ukujula kwamanzi esigabeni ngasinye kuyalinganiswa, bese inani eliphelele lihlanganiswa ndawonye.

2. Iphakethe Eliphezulu Eliqondile (i-MPV): Lokhu kulinganisa indawo ejulile esibelethweni lapho kukhona khona amanzi amaningi.

Uma lokhu kuskena kuqinisekisa ukuthi unama-polyhydramnios, udokotela wakho angase aphakamise ukuhlolwa okwengeziwe ukuthola imbangela.

• I-Echocardiogram yengane esanda kuzalwa: Iskeni ekhethekile nenemininingwane eminingi ebheka ukusebenza kanye nesakhiwo senhliziyo yengane.
• Ukuhlolwa Okungenangcindezi: Ukuhlolwa okuhlola ukungalingani kwesilinganiso senhliziyo yengane.
• Iphrofayili ye-Biophysical: Iskeni sihlola amaphethini okuphefumula kwengane kanye nokunyakaza komzimba.
• I-Amniocentesis: Ukuhlolwa okuthatha isampula encane yoketshezi lwe-amniotic ukuhlola amaphutha athile okuzalwa.
• Ukuhlolwa kwe-glucose challenge: Ukuhlolwa kokuthola ukuthi unesifo sikashukela sokukhulelwa.

Iyini indlela yokwelapha lokhu?

Ngokuvamile, uma isimo sincane noma uma usondela ekupheleni kokukhulelwa kwakho, akukho ukwelashwa okukhethekile okudingekayo. Udokotela wakho uzokuhlola wena nomntwana wakho njalo futhi aqaphe isimo. Lokhu kusho ukuthi kungadingeka uvakashele umtholampilo kaningi futhi uthole ukuskena okwengeziwe. Ezimweni eziningi, lokhu kuqapha eduze kuyindlela engcono kakhulu.

Kodwa-ke, uma inani lamanzi liningi kakhulu (ama-polyhydramnios anzima) futhi uzizwa ungakhululekile, ungadinga ukwelashwa. Kunezinketho eziningana zalokhu:

• Ukwelapha imbangela eyinhloko: Isibonelo, uma imbangela kuyisifo sikashukela, isifo sakho sikashukela sizokwelashwa ukuze silawulwe.
• Ukususwa kwamanzi angaphezulu: Kwezinye izimo, inani elincane lamanzi angaphezulu esibelethweni liyasuswa ngosizo lwenaliti.
• Ukubeletha kwangaphambi kwesikhathi: Uma isimo sibi kakhulu futhi umntwana esekhule ngokugcwele, udokotela angase anqume ukuvusa ukubeletha, ngokuvamile phakathi kwamasonto angu-37 no-39.

Yiziphi izingozi ezingaba khona lokhu?

Qonda lokhu kahle. Amanzi amaningi ngeke amlimaze ngqo umntwana. Kodwa-ke, kunengozi encane yezinkinga ngenxa yokucindezela okukhulu esibelethweni ngenxa yala manzi amaningi. Uma lesi simo senzeka ekuqaleni kokukhulelwa, ingozi ingaba phezulu kancane ngoba amanzi abe nesikhathi esiningi sokuqongelela.

Ungesabi lezi zinto. Lezi yizinto "ezingenzeka" , hhayi izinto "eziqinisekile" . Udokotela wakho ukhona ukukusiza ukuthi ulawule lezi zingozi.

Kufanele ngenzeni? Ngingaluthola usizo?

Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uthola ukuthi unalesi simo. Kodwa kunezinto ongazenza ukuze unciphise lokhu kungakhululeki nokukhathazeka.

• Phumula ngokwanele: Phumula kakhulu ngangokunokwenzeka. Ungazikhandleli ngokweqile.
• Thola izindlela zokuphumula: Zibandakanye ezintweni ezikuphumuzayo. Funda incwadi, ulalele umculo, yenza into oyithandayo.
• Khuluma nodokotela wakho ngokukhululekile: Khuluma nodokotela wakho ngazo zonke izinto ezikukhathazayo nokwesaba kwakho. Ungafihli lutho kuwe.
• Qaphela izinguquko: Uma isisu sakho sizizwa sikhulu ngokuzumayo noma uba nezimpawu ezintsha, shayela udokotela wakho ngokushesha.
• Ingabe kudingeka ukuhlinzwa ngokuhlinzwa kwebele? Esikhathini esiningi, ungabeletha ngendlela evamile. Kodwa-ke, uma udokotela wakho enomuzwa wokuthi ukuhlinzwa ngokuhlinzwa kwebele kuphephile ngenxa yezici ezifana nesimo somntwana, angase akhethe ukukwenza. Ingozi ekhulayo incane kakhulu.
• Asikwazi yini ukuvimbela lokhu? Cha, asikwazi ukuvimbela lokhu. Kodwa uma unesifo sikashukela, unganciphisa ingozi yakho ngokulawula amazinga kashukela egazini lakho kahle.

Wena nomntwana wakho nizoqashwa ngokucophelela ngemva kokubeletha. Lapho nje umntwana ezalwa, udokotela wezingane uzomhlola umntwana ukuqinisekisa ukuthi uphilile.