Phakathi nokukhulelwa kwakho, kungenzeka ukuthi uke wezwa 'ngokuqhuma kwakho kwamanzi'—isihloko esivame ukuletha ingxube yelukuluku kanye nokukhathazeka okuncane. Uyacabanga ngezigcawu ezimangalisayo ezivela kumamuvi lapho kuvela khona amanzi amaningi ngokuzumayo, okushiya wonke umuntu ematasa? Eqinisweni, akwenzeki njalo ngaleyo ndlela kuwo wonke umuntu. Ngezinye izikhathi, kungaba ukugeleza okuhamba kancane nokuqhubekayo. Ngakho-ke, asikho isidingo sokukhathazeka; ake sicacise kahle ukuthi kwenzekani ngochwepheshe baseNirogi Lanka.
Kalula nje, kuyini 'ukuphula amanzi'?
Phakathi nokukhulelwa kwakho, ingane yakho igcinwe ngokuphephile ngaphakathi esibelethweni ngendwangu egcwele uketshezi eyaziwa ngokwezokwelapha ngokuthi 'i-amniotic sac.' Uketshezi olungaphakathi kwalesi sikhwama lubizwa ngokuthi 'i-amniotic fluid.' Lolu ketshezi luvikela ingane yakho ekushayweni ngokomzimba futhi luyivikele ezifweni ezingaba khona.
Ngakho-ke, 'ukuphuka kwamanzi' kusho ukuthi ulwelwesi oluvikelayo oluzungeze ingane yakho luqhumile, okuvumela uketshezi lwe-amniotic ukuthi luphume, kancane kancane noma ngokuzumayo. Lokhu kuyisibonakaliso esibalulekile sokuthi ukubeletha kusondela. Kungenzeka ngaphambi kokuqala kokubeletha, ngesikhathi sokubeletha, noma njengoba nje usondela ekubelethweni. Kwezinye izimo, udokotela wakho angenza ukuhlinzwa kolwelwesi okwenziwayo, okwaziwa ngokuthi i- Amniotomy .
Wazi kanjani ukuthi amanzi akho aphuke?
Ngezinye izikhathi kungaba yinto edidayo ukuhlukanisa phakathi komchamo omncane, uketshezi oluvamile lwesitho sangasese sowesifazane, noma ukuvuza kwamanzi. Nakisisa uma uhlangabezana nalokhu okulandelayo:
- Umuzwa 'wokuqhuma' olandelwa ukukhishwa koketshezi oluphuma esithweni sangasese sowesifazane.
- Umuzwa woketshezi olugeleza emilenzeni yakho noma olumanzisa izingubo zakho zangaphansi. Lokhu kungasukela ekuswakeni okuhamba kancane, okungaguquki kuya ekukhishweni okukhulu.
- Uketshezi luvame ukubaayinaphunga futhi ibonakala icacile noma iphuzi ngokuphaphathekile.
- Ukuvuza koketshezi okungalawuleki nokuqhubekayo ongakwazi ukukubamba, ngokungafani nomchamo.
- Ukufana kwayo kuncane futhi kunamanzi, kunokuba kube ukuthungwa okujiyile okuvamile kokuphuma koketshezi lwesitho sangasese sowesifazane.
- Ukukhishwa koketshezi kuvame ukuhambisana nokuqala kokufinyela okunamandla nokunamandla kakhulu.
Uma usola ukuthi uketshezi luvuza, sicela uhlale uzolile. Gqoka izingubo zangaphansi ezihlanzekile futhi usebenzise iphedi yokuhlanzeka. Akufanele neze usebenzise i-tampon. Lala phansi cishe imizuzu eyi-15-30, bese usukuma ngokuzumayo. Uma uqhubeka nokuvuza uketshezi, kungenzeka ukuthi luwuketshezi lwe-amniotic.
Ingabe lolu uketshezi lwe-amniotic, noma umchamo? Ungawubona kanjani umehluko?
Ezigabeni zokugcina zokukhulelwa, kuvamile ukuba nokuvuza okuncane komchamo ngoba isibeletho sakho sicindezela esinyeni sakho. Ngenxa yalokhu, kulula ukudida lokhu okubili. Leli thebula lizokusiza ukuthi uhlukanise kalula phakathi kwazo.
| Isici | Uketshezi lwe-Amniotic (Ukuqhekeka Kwamanzi) | Umchamo |
|---|---|---|
| Iphunga | Ngokuvamile ayinaphunga, noma ingaba nephunga elimnandi kancane. | Inephunga elihlukile elifana ne-ammonia. |
| Umbala | Okuphuzi okucacile noma okukhanyayo (okwesinye isikhathi okunombala opinki noma onsundu). | Ngokuvamile umbala ophuzi ojulile. |
| Ukulawula | Awukwazi ukulawula noma ukuvimba ukugeleza kwamanzi. Kuyaqhubeka nokuvuza kancane kancane. | Ungayivimba kaningi ngokufinyeza imisipha yakho ye-pelvic. |
| Inani | Umthamo ungaba mkhulu ngenxa yokuvuza okuqhubekayo, okuvame ukwanda ngokufinyela. | Ngokuvamile iyama ngemva kokukhishwa kanye; ayiphinde ivuze kuze kube yilapho isinyi sigcwala kabusha. |
Noma kunjalo, uma unemibuzo, kungcono ukuxhumana nodokotela wakho ngokushesha. Bangenza ukuhlolwa ukuqinisekisa ukuthi luyini ngempela uketshezi.
Ingabe amanzi akho angaphuka ngaphambi kwesikhathi?
Yebo, lokhu kungenzeka. Uma amanzi akho ephuka ngaphambi kwesonto lama-37 lokukhulelwa, kwaziwa ngokuthi i-Premature Rupture of Membranes (PROM). Lokhu kwenzeka cishe ku-8% kuya ku-10% wokukhulelwa. Izici ezithile zandisa le ngozi:
- Ukubhema
- Ukopha kwangasese ngesikhathi sekota yesibili noma yesithathu
- Ukutheleleka emzimbeni noma emgudwini wesitho sangasese sowesifazane
- Umlando wokuphuka kwamanzi ngaphambi kwesikhathi ekukhulelweni kwangaphambilini
- Ukuba nomlomo wesibeletho omfushane
Ezimweni ezinjalo, udokotela wakho uzohlola ukukhulelwa kwakho bese enquma inkambo engcono kakhulu yokwenza:
- Uma usudlule amasonto angu-34: Ukulethwa kuvame ukubhekwa njengendlela ephephile kakhulu.
- Uma ungaphambi kwamasonto angu-34: Udokotela wakho angazama ukugcina umntwana esibelethweni isikhathi eside ngangokunokwenzeka ngokuthi:
- Ukunikeza ama-antibiotic ukuvimbela ukutheleleka.
- Ukuhlinzeka ngemijovo ye-steroid ukusiza amaphaphu engane avuthwe ngokushesha.
- Ukunikeza i-magnesium sulfate ukusekela ukukhula kobuchopho bomntwana.
Konke lokhu kunakekelwa kuzonikezwa ngaphansi kokubhekwa eduze esibhedlela.
Kufanele uxhumane nini nodokotela wakho uma amanzi akho ephuka?
Uma usola ukuthi amanzi akho aphuke, xhumana nodokotela wakho noma uye ekamelweni lezimo eziphuthumayo eliseduze ngokushesha. Ungalibali.
Uketshezi lwe-amniotic lusebenza njengesivikelo sokuvikela ingane yakho. Uma selulahlekile, ingozi yokutheleleka iyanda, yingakho ukunakekelwa kwezokwelapha okusheshayo kubalulekile.
Uma ushaya ucingo, udokotela wakho angase akubuze imibuzo elandelayo:
- Kukhishwe uketshezi olungakanani?
- Umbala wawuyini? (Bazise ngokushesha uma kubonakala kuluhlaza).
- Ingabe kwakukhona iphunga?
- Ingabe ubhekene nokusikwa kwamathumbu okwamanje?
- Ingabe uke wahlolwa ukuthi une-Group B Streptococcus (GBS)?
- Ukhulelwe amasonto amangaki?
Lungela ukuphendula le mibuzo. Ngaphezu kwakho konke, hlala uzolile futhi ugxile ekufinyeleleni ngokuphephile ekunakekelweni okunikezwa yiNirogi Lanka noma isibhedlela esiseduze nawe.
Izinto Ezibalulekile Okufanele Uzithathe (Umyalezo Wokuya Nawe Ekhaya)
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Kuyini 'Ukuphuza Amanzi' (i-PROM) ngesikhathi sokukhulelwa?
Ingane yakho ikhula ngaphakathi 'kwe-Amniotic Sac' egcwele uketshezi oluvikelayo. 'Ukuphuka kwamanzi' kwenzeka lapho lesi sikhwama siqhuma (ukuqhekeka kwama-membrane) njengoba usondela osukwini lwakho lokuzalwa, okubangela ukugeleza koketshezi okufudumele nokungalawuleki okuvela esithweni sangasese sowesifazane. Lokhu kuhlukile ekuchameni futhi kubonisa ukuthi ingane yakho isilungiselela ukungena emhlabeni.
💬 Kuyini Ukuqhuma Kwezinhlayiya Ngaphambi Kwesikhathi (PPROM), futhi kungani kuyingozi?
Kungcono ukuthi amanzi akho aphuke ngemva kwamasonto angu-37. Kodwa-ke, uma isikhwama siphuke ngaphambi kwamasonto angu-37, sibizwa ngokuthi i-PPROM. Lesi yisimo esibucayi sezokwelapha. Ngokuvamile sibangelwa izifo zesitho sangasese sowesifazane noma zomgudu womchamo ezenza buthaka ulwelwesi. Uma lokhu kwenzeka, kungaholela ekuzalweni ngaphambi kwesikhathi kanye nezinkinga ezingaba khona ngenxa yokutheleleka, okudinga ukungenelela okuphuthumayo kwezokwelapha.
💬 Yiziphi izinyathelo okufanele uzithathe uma amanzi akho ephuka, futhi yiziphi izimpawu zokuxwayisa?
Kungakhathaliseki ukuthi ukhulelwe, uma usola ukuthi kukhona ukuvuza koketshezi, sebenzisa i-sanitary pad bese udlulela e-Lebary and Delivery unit yesibhedlela kungakapheli ihora elilodwa. Isimo esiphuthumayo esingavamile kodwa esibucayi 'ukuncipha kwentambo yesisu,' lapho intambo iphuma khona noketshezi bese icindezelwa. Lokhu kunqamula ukuhlinzekwa komoya-mpilo komntwana, okudinga ukuhlinza ngokushesha. Uma ungabaza, shayela u-911 noma izinsizakalo zakho zezokwelapha eziphuthumayo ngokushesha.
