Uma ungumama okhulelwe, kungenzeka ukuthi uke wezwa okuningi ngamanzi azungeze ingane, 'isikhwama samanzi'. Ungase futhi ujwayelene nendaba 'yokuphuka kwamanzi akho'. Yile ndlela owazi ngayo ukuthi ingane isizozalwa. Ngakho-ke iyini le fluid ye-amniotic ? Ibaluleke kangakanani enganeni? Ungathola izimpendulo zayo yonke imibuzo onayo engqondweni yakho kulesi sihloko. Ake sixoxe ngalokhu kalula nangokucacile.
Kuyini ngempela uketshezi lwe-amniotic?
Ngesikhathi sokukhulelwa, ingane yakho ikhula ngaphakathi kwesikhwama esivikelayo. Lesi sikhwama sibizwa ngokuthi isikhwama se-amniotic. Cabanga ngaso njengebhamuza elincane elivikelayo. Uketshezi olucacile ngaphakathi kwalesi sikhwama lubizwa ngokuthi uketshezi lwe-amniotic . Ingane yakho iyantanta futhi ichume kulolu ketshezi. Kalula nje, lolu ketshezi luyisivikelo somntwana wakho kanye nendawo ebalulekile yezakhamzimba zokukhula kwengane yakho.
Lolu ketshezi lwenziwa kanjani? Kuyini okukulo?
Lesi sikhwama se-amniotic siqala ukwakheka cishe ezinsukwini eziyi-12 ngemva kokukhulelwa. Njengoba umntwana ekhula, lesi sikhwama sigcwala uketshezi lwe-amniotic.
Emasontweni okuqala okukhulelwa, lolu ketshezi luvame ukuba ngamanzi avela emzimbeni wakho. Kodwa ngokuhamba kwesikhathi, njengoba ukukhulelwa kuqhubeka, ukwakheka kwalolu ketshezi kuyashintsha.
Kuyini okukulolu ketshezi?
Ezigabeni zokuqala, kungama-98% amanzi namaminerali abizwa ngokuthi ama-electrolyte. Ama-2% asele akhiwa yizinto ezibaluleke kakhulu.
- Ama-antibodies: Lezi yizinto ingane yakho ezithola ohlelweni lwakho lokuzivikela komzimba futhi ziyivikela ezifweni.
- Ama-hormone : Izithunywa zamakhemikhali ezidingekayo ekukhuleni komntwana.
- Izakhamzimba: Izakhamzimba ezidingwa yingane, njengeprotheni, ama-carbohydrate, amafutha kanye namavithamini.
Okumangazayo kancane ukuthi ngemva kwamasonto angama-20, lolu ketshezi luba nomchamo wengane uqobo. Luhlanzekile ngokuphelele futhi alunamagciwane. Futhi njengoba ingane 'iphefumula' (iphefumula futhi ikhipha uketshezi), luqukethe ngisho nokukhishwa okuvela emaphashini.
La manzi anombala onjani? Ingabe ayingozi uma eluhlaza?
Ngokuvamile, uketshezi lwe-amniotic alunambala (njengamanzi) noma luphuzi kancane .
Kodwa ngezinye izikhathi lolu ketshezi luba luhlaza noma lube nsundu.Kungenzeka. Lokhu kwenzeka lapho umntwana ekhipha indle yakhe yokuqala esibelethweni. Lokhu sikubiza ngokuthi i-meconium . Ngokuvamile, izingane ziba nokunyakaza kwazo kokuqala kwamathumbu ngemva kokuzalwa.
Uma le meconium ixubana noketshezi lwe-amniotic ngokuzumayo, kungaba yingozi kancane enganeni. Ngenxa yokuthi ingane igwinya lolu ketshezi, uketshezi oluxutshwe ne-meconium lungangena emaphashini engane. Uma lokho kwenzeka, ingane ingaba nezinkinga ezinkulu zokuphefumula. Lesi simo sibizwa ngokuthi i-Meconium Aspiration Syndrome . Yingakho, lapho amanzi akho ephuka, odokotela nabahlengikazi bazobuza ngokuqinisekile ngombala wawo. Ingane enalesi simo ingadinga ukwelashwa okukhethekile ngemva nje kokuzalwa.
Kungani lolu ketshezi lwe-amniotic lubaluleke kangaka?
Lolu ketshezi lwenza umsebenzi omuhle kakhulu enganeni. Lufana 'nohlelo lokusekela impilo ' lomntwana esibelethweni.
| Umsebenzi woketshezi | Kalula nje... |
|---|---|
| Ukuvikelwa kanye nokuvikela | Ngisho nokuthinta noma ukumbambatha kancane isisu sikamama kuvikela umntwana ekulimaleni. |
| Ukuvikela intambo yesisu | Kuvimbela intambo yomntwana, ethwala umoya-mpilo nezakhamzimba ezivela kumama ziye enganeni, ukuthi ingacindezelwa. |
| Ukulawula izinga lokushisa | Ingane igcina izinga lokushisa elihlala likhona ngaphakathi esibelethweni. |
| Ukuvikelwa ezifweni | Ama-antibodies kamama avikela umntwana ezifweni. |
| Ukusiza ngokuthuthukiswa kwezitho zomzimba | Uma ingane igwinya lolu ketshezi, uhlelo lwayo lokugaya ukudla luyakhula, uma 'iphefumula' amaphaphu ayo ayakhula, futhi uma intanta futhi inyakazisa izitho zayo, imisipha namathambo ayo ayakhula. |
Kufanele kube namanzi angakanani? Kwenzekani uma enciphile kakhulu noma eningi kakhulu?
Inani lalolu ketshezi liyashintsha phakathi nokukhulelwa. Ngokuvamile lifinyelela esicongweni cishe emavikini angu-34 , cishe kumamililitha angu-800 (ml) . Bese kuthi, njengoba umntwana esondela ekuzalweni, inani liqale ukwehla kancane kancane. Emasontweni angu-40, selinciphile lafinyelela kuma-600 ml.
Ngezinye izikhathi leli nani loketshezi lingaba lincane kakhulu (i-Oligohydramnios) noma libe liningi kakhulu (i-Polyhydramnios) . Nakuba zombili lezi zimo zingabangela izinkinga ngesikhathi sokukhulelwa, izingane zivame ukuzalwa ziphilile . Kodwa-ke, ukubhekwa kwezokwelapha kubalulekile.
| Isimo | Incazelo |
|---|---|
| Amanzi aphansi (i-Oligohydramnios) | Phakathi kwamasonto angu-32-36, inani loketshezi lingaphansi kuka-500ml. Lokhu kungaba ngenxa yezici ezifana nobudala bokukhulelwa kanye nezimo ezithile zezokwelapha zikamama. Imiphumela: Ukukhula kancane komntwana, ukuncipha komoya-mpilo kanye nokudla okunomsoco enganeni ngenxa yokucindezelwa kwenkaba, futhi ngezinye izikhathi kudingeke ukuba kwenziwe ukuhlinzwa. |
| Amanzi akhuphukile (i-Polyhydramnios) | Ukuqongelela uketshezi ngokweqile esibelethweni. Lesi yisimo esingavamile impela. Singabangelwa yizici ezifana namawele kanye nesifo sikashukela sokukhulelwa kumama. Imiphumela: Ukubeletha ngaphambi kwesikhathi, umntwana ekhula kakhulu, ukuqhekeka kwe-placenta, ukopha okukhulu ngemva kokubeletha. |
Dokotela, ulihlola kanjani leli nani lamanzi?
Udokotela wakho usebenzisa lolu ketshezi lwe-amniotic ukuhlola impilo yomntwana ngesikhathi sokukhulelwa.
- Ukuskena kwe-Ultrasound:Ungalinganisa inani lalolu ketshezi ngesikhathi sokuskena. Odokotela basebenzisa izilinganiso ezifana ne -Amniotic Fluid Index (AFI) .
- I-Amniocentesis: Lokhu ukuhlolwa okukhethekile. Inaliti encane kakhulu isetshenziselwa ukususa inani elincane loketshezi lwe-amniotic esibelethweni. Lolu ketshezi luqukethe amaseli omntwana, angahlolwa ukuze kutholakale ukuthi umntwana unezimo zofuzo, ukukhubazeka kokuzalwa, noma ezinye izinkinga zempilo. Lokhu kuvame ukwenziwa ngeseluleko sikadokotela uma kukhona ingozi esolwayo.
Into ebaluleke kakhulu ukwazisa udokotela wakho noma isibhedlela ngokushesha uma usola ukuthi kukhona uketshezi oluphuma esithweni sakho sangasese ngesikhathi sokukhulelwa. Bazohlola ukuthi ngabe uketshezi lwe-amniotic noma cha.
Umlayezo Wokuya Nawe Ekhaya
- Uketshezi lwe-amniotic luwuketshezi olubalulekile oluvikela, londle, futhi lusize umntwana ukuba akhule.
- Inani nombala walolu ketshezi kutshela ulwazi olubalulekile mayelana nempilo yengane.
- Uma uzwa uketshezi oluphuma esithweni sangasese sowesifazane ngesikhathi sokukhulelwa, ungakhathazeki ngakho bese ushayela udokotela wakho noma uye esibhedlela ngokushesha .
- Nakuba ukuphuza uketshezi oluphansi noma oluningi kungeyona inkinga enkulu ngaso sonke isikhathi, kudinga ukuqapha okuseduze ngudokotela.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho futhi wenze ukuskena kwakho kwenziwe ngesikhathi.
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