Kumelwe ukuba ungumama onothando okhulelwe umntwana njengamanje. Yeka ukuthi siqaphile kangakanani kulezi zinsuku, akunjalo? Sicabanga kabili ngakho konke kusukela kulokho esikudlayo kuya kulokho esikuphuzayo. Kodwa ngezinye izikhathi, kunezinkinga zempilo esingakaze sizizwe, kodwa zingaba zimbi kakhulu. Namuhla, sikhuluma ngokutheleleka okukhulu okungase kwenzeke ngesikhathi sokukhulelwa , okungathinta umama kanye nomntwana osesiswini.
Kuyini i-Chorioamnionitis?
Kalula nje, i-Chorioamnionitis iwukutheleleka kwamagciwane okwenzeka ngaphakathi kwesibeletho, indawo lapho umntwana ekhona. Ngokuvamile kwenzeka ngesikhathi sokubeletha. Lokhu kutheleleka kungathinta noma yiziphi izicubu ezizungezile umntwana.
Cabanga ngale ndlela, umntwana usesiswini, njengesikhwama samanzi esivikelayo. Siphinde sikubize ngokuthi 'isikhwama samanzi'. Lezi zingxenye ezilandelayo zithinteka kakhulu yilesi sifo:
- I-Placenta : Ingxenye ebaluleke kakhulu enikeza ingane umoya-mpilo kanye nokudla okunempilo.
- I-Chorion kanye ne-Amnion: Ama-membrane amabili avikelayo azungeze umntwana.
- Uketshezi lwe-amniotic: Uketshezi olugcina umntwana entanta futhi lunikeza isivikelo.
Lesi simo sithinta cishe u-1%-5% wezingane ezizalwa isikhathi esigcwele, kodwa singathinta u-40%-70% wokuzalwa ngaphambi kwesikhathi . Futhi siyimbangela ehamba phambili yokuzalwa ngaphambi kwesikhathi . Uma singelashwa kahle, singaholela ezinkingeni ezinkulu kumama nakumntwana.
Kungani lolu hlobo lokutheleleka luvela?
Isizathu esiyinhloko salokhu amabhaktheriya. Ngokuvamile, izinhlobo ezahlukene zamabhaktheriya zihlala emizimbeni yethu, ikakhulukazi esithweni sangasese sowesifazane kanye nase-rectum. Ngaphansi kwezimo ezivamile, lezi azibangeli monakalo. Kodwa ngezinye izikhathi, lawa mabhaktheriya angahamba aye esithweni sangasese sowesifazane angene esibelethweni.
Leli gciwane lisebenza njengendlela yokucasha yokungena ekhaya lomntwana. Le ngozi iyanda ikakhulukazi ngemva kokuphuka kwesikhwama se-amniotic.
Ezinye izinhlobo ezivamile zamabhaktheriya ezibangela lokhu kutheleleka yilezi:
- `I-E. coli`
- `Iqembu B le-streptococci (GBS)`
- I- Urea plasma
- `I-Mycoplasma hominis`
Ubani osengozini enkulu yokuthuthukisa lokhu?
Akubona bonke abesifazane abakhulelwe ababhekana nalesi simo. Kodwa izici ezithile zingandisa le ngozi. Udokotela wakho uzokwazisa ngalokhu. Ake sibone ukuthi ziyini.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukuqhekeka kwesikhwama samanzi kusenesikhathi | Uma amanzi ephuma ngaphambi kwesikhathi, kuba lula ukuthi amabhaktheriya angene. |
| Uhlobo lwesifo oluhlala isikhathi eside | Ingozi yokutheleleka iyanda uma ukubeletha kuthatha amahora amaningi. |
| Ukuhlolwa njalo kwesitho sangasese sowesifazane | Ukuhlolwa kwesitho sangasese sowesifazane okwenziwa njalo odokotela ngesikhathi sokukhulelwa. |
| Ukuba khona kwezinye izifo | Ukuba nezifo ezifana nezifo zesitho sangasese sowesifazane, umgudu womchamo, noma izifo ezithathelwana ngocansi (STIs). |
| Ukukhulelwa kokuqala | Ingozi ingase ibe phezulu kancane komama abaqalayo ukubeletha. |
| Izidakamizwa, ugwayi, utshwala | Ukusebenzisa izinto ezinjalo kunciphisa amasosha omzimba kamama futhi kwandisa ingozi yokutheleleka. |
| Isimiso somzimba sokuzivikela esibuthakathaka | Ukuzivikela komzimba okuphansi ngenxa yezinye izifo. |
Ziyini izimpawu zalesi simo?
Ngezinye izikhathi, ikakhulukazi ezigabeni zokuqala zokukhulelwa, lokhu kutheleleka kungaba khona ngaphandle kwezimpawu . Yileyo ngxenye eyesabekayo lapha. Kodwa ezimweni eziningi, kuzobonakala uphawu olulodwa noma ngaphezulu kwalokhu okulandelayo.
Uphawu oluyinhloko noluvame kakhulu umkhuhlane , okuyizinga lokushisa lomzimba elingaphezu kuka-100.4 F (38 C).
Ezinye izimpawu zingase zihlanganise:
- Inhliziyo kamama ishaya ngokushesha (ngaphezu kwama-beats ayi-100 ngomzuzu).
- Ukushaya kwenhliziyo kwengane esibelethweni kuyashesha (ngaphezu kokushaya okungu-160 ngomzuzu).
- Ukuzwa ubuhlungu lapho ucindezela isibeletho ngesandla sakho (ukuthamba kwesibeletho).
- Ukujuluka kakhulu kunokujwayelekile.
- Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elibi .
Lokhu kungaba yisimo esiyingozi kakhulu kumama kanye nomntwana. Ngakho-ke, kubaluleke kakhulu ukuqaphela lezi zimpawu. Ungazinaki njengento encane.
Udokotela ukuxilonga kanjani lokhu?
Ngenxa yokuthi lesi yisimo esibucayi, udokotela wakho kuphela ongenza ukuxilongwa okunembile. Uma unezimpawu ezifana nomkhuhlane, udokotela wakho uzokuxilonga.
- Ukuhlolwa komzimba: Kuhlola izinto ezifana nomkhuhlane, ukushaya kwenhliziyo, kanye nobuhlungu besibeletho.
- Ukuhlolwa kwegazi: Kuthathwa isampula yegazi ukuze kuhlolwe ukutheleleka emzimbeni. Ukubalwa kwegazi okuphelele (i-CBC) kubaluleke kakhulu, okulinganisa inani lamaseli amhlophe egazi.
- Ukuhlolwa komchamo: Hlola ukutheleleka komgudu womchamo.
- Ukuhlolwa kwe-GBS: Kuthathwa i-swab yesitho sangasese sowesifazane ukuze kuhlolwe ukuthi kukhona yini amagciwane e-Group B Strep (GBS) phakathi nekota yokugcina yokukhulelwa.
- Isampula yoketshezi lwe-amniotic: Kwezinye izimo, uma amanzi akho ephuka, isampula yoketshezi oluphuma kuwo ingathathwa ukuze kuhlolwe ukutheleleka.
Iphathwa kanjani? Futhi yiziphi izinkinga?
I-Chorioamnionitis yisimo esidinga ukwelashwa ngokushesha . Uma ukwelashwa kubambezeleka isikhathi eside, kulapho ingozi kumama nakumntwana iba nkulu khona.
Ukwelashwa okuyinhloko ama-antibiotic . Lawa avame ukunikezwa ngqo emzimbeni ngemithambo yegazi (ama-antibiotic afakwa emthanjeni noma nge-IV), hhayi njengamaphilisi. Imithi efana ne-paracetamol nayo inikezwa ukunciphisa umkhuhlane.
Ama-antibiotic kufanele athathwe kuze kube yilapho ukutheleleka sekuphelile ngokuphelele. Lokhu kwelashwa kufanele kuqhubeke ngisho nangemva kokubeletha.
Ezimweni eziningi, udokotela uzonquma ukubeletha umntwana ngokushesha okukhulu (ukuqala ukubeletha).Isizathu salokhu ukuthi kungcono ukususa umntwana endaweni ethelelekile ngokushesha okukhulu. Ngemva kokuzalwa komntwana, umntwana uphinde ahlolwe ukuthi akanalo yini ukutheleleka futhi anikezwe ama-antibiotic "e-IV" uma kudingeka.
Izinkinga ezingaba khona
Izinkinga ezingase zivele ngenxa yalesi simo zingaba zimbi kakhulu.
| Izinkinga | |
|---|---|
| Izinkinga ezingase zenzeke kumama | |
| Ukopha ngemva kokubeletha, izifo zesibeletho (i-endometritis), amathumba esinqeni, izifo zegazi (i-sepsis), futhi akuvamile neze, ngisho nokufa kungenzeka. | |
| Izinkinga ezingaba khona enganeni | |
| Izimo zesikhathi eside ezifana nokutheleleka kwegazi (i-Sepsis), i-meningitis, ukutheleleka kwamaphaphu (i-Pneumonia), ukuquleka, ukukhubazeka kobuchopho okubangelwa ukulimala kobuchopho, futhi ezimweni ezimbi kakhulu, ngisho nokufa kungenzeka. |
Ingabe zikhona izindlela zokuvimbela lokhu?
Nakuba kungenakuvinjelwa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi.
- Ukuya emitholampilo njalo: Kubaluleke kakhulu ukuya emitholampilo yakho yanyanga zonke njalo ukuze izinto ezifana nokutheleleka kwesitho sangasese sowesifazane zitholakale futhi zelashwe kusenesikhathi.
- Ukuhlolwa kwe-GBS: Ukuhlolwa kwe-GBS okwenziwa phakathi kwamasonto angu-35-37 okukhulelwa kungabona ukuthi kukhona leli gciwane. Uma likhona, ama-antibiotic anganikezwa ngesikhathi sokubeletha ukuvimbela ukutheleleka enganeni.
- Ukunakekela ngesikhathi sokukhulelwa: Abasebenzi bezokwelapha bayaqikelela ukuthi bagwema ukuhlolwa njalo kwesitho sangasese sowesifazane ngaphandle uma kudingeka ngempela.
Into ebaluleke kakhulu ukuthi uma uhlangabezana nanoma yiziphi izimpawu ezishiwo kulesi sihloko, bona udokotela wakho noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha . Isikhathi sibaluleke kakhulu kulesi simo.
Umlayezo Wokuya Nawe Ekhaya
- I-Chorioamnionitis iwukutheleleka okukhulu kwebhaktheriya okwenzeka esibelethweni ngesikhathi sokukhulelwa.
- Qaphela izimpawu ezifana nomkhuhlane, ukushaya kwenhliziyo okusheshayo, ubuhlungu besisu, kanye nokuphuma koketshezi olungcolile esithweni sangasese sowesifazane.
- Lesi simo singadala izinkinga eziyingozi kakhulu kumama kanye nosana olungakazalwa.
- Uma unezinye zalezi zimpawu, ungalibali bese ubona udokotela wakho ngokushesha .
- Ama-antibiotic anikezwa njengokwelashwa, futhi ngezinye izikhathi odokotela bangase banqume ukubeletha umntwana kusenesikhathi.
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