Ukukhulelwa yisikhathi lapho wonke umama enethemba elikhulu kanye nokwesaba okuncane. Phakathi nalesi sikhathi, uhlala ucabanga ngokukhula komntwana esiswini sakho kanye nenhlalakahle yakhe. Ngezinye izikhathi, ngesikhathi sokuhlolwa, udokotela uthi, "Kunamanzi amaningi kakhulu azungeze umntwana." Kuvamile ukuzizwa wesaba kakhulu ngaleso sikhathi. Kodwa ungakhathazeki, uma ukuqonda kahle lokhu, ungabhekana nalesi simo kahle. Namuhla sikhuluma ngaleli 'manzi andayo azungeze umntwana' noma igama lezokwelapha elithi 'Hydramnios' noma 'Polyhydramnios'.
Kalula nje, iyini i-Polyhydramnios?
Ngaphakathi kwesibeletho sakho, ingane yakho isesikhwameni esigcwele amanzi esibizwa ngokuthi i-amniotic sac. Uketshezi olungaphakathi kwalesi sikhwameni lubizwa ngokuthi i-amniotic fluid. Lolu ketshezi lubaluleke kakhulu enganeni yakho. Lufana nomqamelo ovikelayo. Luvikela ingane yakho ukuthi ingagxumagxuma, lulawula izinga lokushisa lomzimba wengane yakho, futhi lusiza amaphaphu engane yakho kanye nesistimu yokugaya ukudla ikhule.
Ngokuvamile, leli nani loketshezi kufanele libe sezingeni elithile phakathi nokukhulelwa. I-Polyhydramnios yilapho kukhona uketshezi oluningi lwe-amniotic kunokuvamile. Lesi simo senzeka cishe kokukhulelwa okukodwa noma okubili kwabayi-100.
Lesi simo singaba sincane, silinganisele, noma sibe sibi kakhulu. Ngokuvamile, uma lesi simo siqala ekuqaleni kokukhulelwa, kunengozi yokwanda kokuqongelela koketshezi. Njengoba uketshezi lukhula, ingozi yezinkinga kanye nomntwana angase abe nezinkinga ezithile zokuzalwa inganda kancane.
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Ekukhulelweni okuvamile, lolu ketshezi lwe-amniotic lwakhiwe kakhulu ngomchamo womntwana. Ingane iyalugwinya lolu ketshezi, bese ilukhipha futhi njengomchamo. Lokhu kwenzeka emjikelezweni. Ngakho-ke uma kunenkinga endaweni ethile kulo mjikelezo, inani loketshezi linganda. Isibonelo, uma ingane ichama kakhulu, noma uma ingane ingakwazi ukugwinya uketshezi kahle, lesi simo singavela.
Kodwa ezimweni eziningi, okungukuthi, cishe ku-60%-70% wamacala, akukho mbangela ethile engatholakala. Siyibiza ngokuthi 'i-Idiopathic Polyhydramnios'. Kodwa-ke, kwezinye izimo, kunezici eziningana ezibangela lokhu.
| Imbangela | Incazelo emfushane |
|---|---|
| Isifo Sikashukela Sokukhulelwa | Ngenxa yokuthi izinga likashukela egazini likamama liphezulu, ushukela egazini lomntwana naye uyakhuphuka, okubangela ukuthi umntwana achame kakhulu. Lena yimbangela evame kakhulu. |
| Izinkinga ngengane | Ubunzima bokugwinya uketshezi ngenxa yephutha lokuzalwa endleleni yokugaya ukudla komntwana, uhlelo lwezinzwa, noma ukungasebenzi kahle kwe-chromosome. |
| Amawele (i-Twin-to-Twin Transfusion Syndrome) | Amanye amawele anegazi elingalingani nge-placenta, okungabangela uketshezi oluningi eduze komntwana oyedwa kanye noketshezi oluncane eduze komunye. |
| Izinkinga zenhliziyo yengane | Ukukhiqizwa komchamo ngokweqile ngenxa yenkinga yokusebenza kwenhliziyo yengane. |
| Ukutheleleka ngesikhathi sokukhulelwa | Ezinye izifo, njenge-parvovirus B19, zingabangela ukuntuleka kwegazi kanye nokugcinwa koketshezi enganeni. |
| Ezinye izimo zofuzo | Izimo zofuzo ezingavamile kakhulu ezithinta izinso zomntwana, njenge-Bartter Syndrome. |
Ungasibona kanjani lesi simo?
I-Polyhydramnios ihlolwa kakhulu nge -ultrasound scan . Ingatholakala ngesikhathi sokuhlolwa kwakho okuvamile noma ngesikhathi sokuhlolwa kwezinye izimpawu.
Ngezinye izikhathi, uma isibeletho sakho (isisu) sikhula ngokushesha kakhulu ngaphambi kokukhulelwa kwakho, noma uma uzizwa sengathi ingane yakho ayinyakazi, udokotela wakho angase akusole lokhu bese ekuthumelela i-scan.
Ngesikhathi sokuskena, uchwepheshe noma udokotela ulinganisa amaphakethe oketshezi ngaphakathi kwesibeletho bese ebala inani eliphelele loketshezi. Ukuskena kubalulekile futhi ekunqumeni ukuthi ingane inazo yini izinkinga zokuzalwa.
Yiziphi izimpawu ongase uzibone?
Uma uketshezi oluncane lunqwabelana, ungase ungaboni zimpawu. Kodwa njengoba inani loketshezi likhula, ungase uqale ukuzizwa ungakhululekile .
Into ebaluleke kakhulu ukungadidanisi lezi zimpawu nokungakhululeki okuvamile kokukhulelwa. Uma uzizwa into engavamile, tshela udokotela wakho ngokushesha.
Lezi yizimpawu ezingabonakala ngokujwayelekile:
- Ubunzima bokuphefumula : Ungase uzizwe unzima ukuphefumula njengoba isibeletho sikhula futhi sicindezela amaphaphu akho.
- Ukungakhululeki esiswini kanye nokusinda: Ngenxa yokuthi isisu sikhulu kakhulu, kuba nomuzwa wokusinda kanye nokungakhululeki.
- Isibeletho sikhulu kunalokho okufanele sibe yikho: Isibonelo, yize singamasonto angu-32, sibukeka njengesisu samasonto angu-36.
- Ubuhlungu bokubeletha ngaphambi kwesikhathi : Ukuqala kobuhlungu bokubeletha ngaphambi kosuku lokubeletha.
- Ukuvuvukala komzimba ongezansi: Ukuvuvukala ezindaweni ezifana nemilenze nasemaqakaleni.
Yiziphi izinkinga ezingabangelwa yilokhu?
Uma i-polyhydramnios inzima kakhulu, kunengozi yezinkinga ngesikhathi sokukhulelwa nokubeletha. Khumbula, lokhu akwenzeki kuwo wonke umuntu, kodwa kubalulekile ukuqaphela izingozi.
| Inkinga | Incazelo elula |
|---|---|
| Ukukhubazeka kokuzalwa kumntwana osanda kuzalwa | Cishe ama-20% ezinsana ezine-polyhydramnios zingase zibe nohlobo oluthile lokukhubazeka kokuzalwa (ikakhulukazi kwenhliziyo). |
| Ukuzalwa ngaphambi kwesikhathi | Ukubeletha ngaphambi kwesikhathi ngenxa yokwelula kakhulu kwesibeletho. |
| Ukuqhekeka kwesikhwama samanzi kusenesikhathi | Ukuqhekeka kwesikhwama se-amniotic ngaphambi kwesikhathi ngenxa yokucindezela okukhulu. |
| Ukuqhekeka kwe-placenta | I-placenta iyasuka odongeni lwesibeletho ngenxa yokufinyela kwesibeletho ngokuzumayo ngemva kokuqhekeka kwamanzi. |
| Ukuncipha kwentambo ye-umbilical | Uma amanzi ephuka, intambo yesisu kanye noketshezi kungena esithweni sangasese sowesifazane ngaphambi kwekhanda lomntwana. Lesi yisimo esiphuthumayo. |
| Ingane isesimweni esingalungile | Ngenxa yoketshezi oluningi, umntwana unesikhala esiningi kakhulu esibelethweni. Ngakho-ke, angase alale eceleni kunokuba alale endaweni efanele ( ikhanda libheke phansi) ukuze abelethe. |
| Udinga ukuhlinzwa ngokuhlinzwa (C-section) | Izinkinga ezingenhla zenza ukubeletha okuvamile kube nzima futhi kudinga ukuhlinzwa. |
| Ukopha okukhulu ngemva kokubeletha | Ukopha ngokweqile ngemva kokubeletha ngenxa yokuthi imisipha yesibeletho iyanwebeka ngenxa yoketshezi oluningi. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwakho kuzoncika ebunzimeni besimo sakho, esigabeni sokukhulelwa kwakho, kanye nembangela.
- Ezimweni ezincane: Uma uketshezi lukhuphukile kancane, akukho ukwelashwa okudingekayo njalo. Kodwa-ke, udokotela wakho uzokuqapha wena nomntwana wakho eduze kakhulu. Bazokucela ukuthi uze emtholampilo kaningi kunokujwayelekile, futhi bazokwenza ukuhlolwa okuvamile.
- Ezimweni ezimbi kakhulu: Uma uketshezi luphezulu kakhulu futhi unenkinga, kungase kudingeke ukwelashwa.
- Ukwelapha Imbangela: Uma imbangela yalesi simo kuyisifo sikashukela sokukhulelwa, ukusiphatha kahle kungasiza ekulawuleni umthamo woketshezi.
- Ukukhishwa kwe-Amniore: Kusetshenziswa inaliti encane ukususa uketshezi oluningi esibelethweni. Lokhu kufana nokuhlolwa kwe-amniocentesis. Lokhu kungadinga ukwenziwa izikhathi eziningana.
- Imithi: Ngezinye izikhathi kunikezwa umuthi (`Indomethacin`) onciphisa inani lomchamo umntwana awukhiphayo. Kodwa-ke, lokhu akukhuthazwa ngemva kwamasonto angu-31 okukhulelwa.
- Ukubeletha kusenesikhathi: Uma izinkinga ziphezulu futhi amaphaphu engane ekhula, udokotela angase anqume ukubeletha umntwana kusenesikhathi kunosuku lokubeletha.
- Ukuqapha okuqhubekayo: Kanye nakho konke lokhu, ukushaya kwenhliziyo nokukhula komntwana kuhlolwa njalo. Uma kukhona ukusola ukuthi kukhona inkinga enhliziyweni yomntwana, kungenziwa ne-scan ekhethekile njenge-'Fetal Echocardiogram'.
Uma une-Hydramnios, yini okufanele uyenze?
Ngemva kokuqaphela lesi simo, kuzodingeka wenze izinguquko ezincane endleleni yakho yokuphila kanye nezinhlelo zakho.
- Phumula kakhudlwana: Zama ukugwema ukukhandla umzimba wakho ngangokunokwenzeka. Phumula imilenze yakho iphakanyisiwe. Uma kungenzeka, thatha ikhefu lokubeletha kusenesikhathi.
- Lungiselela ukufika komntwana kusenesikhathi: Ungacabangi ukuthi uzokwazi ukulinda kuze kube usuku lokuzalwa. Lungiselela izinto ezidingekayo zomntwana, njengezingubo, amanabukeni, kanye nebhedi, kusenesikhathi.
- Yenza uhlelo oluphuthumayo: Khuluma nomyeni wakho, umndeni wakho, nodokotela wakho ngalokho okufanele ukwenze uma amanzi akho ephuka kusenesikhathi nokuthi ungafika kanjani esibhedlela.
- Tshela udokotela wakho nganoma yikuphi ukungakhululeki okutholayo (ubunzima bokuphefumula, ubuhlungu). Uzokweluleka ngezindlela zokunciphisa lokho kuphazamiseka.
Umlayezo Wokuya Nawe Ekhaya
- I-Polyhydramnios ukwanda kwenani loketshezi lwe-amniotic oluzungeze umntwana esibelethweni.
- Ezimweni eziningi, akukho sizathu esithile esingatholakala, kodwa izici ezifana nesifo sikashukela sokukhulelwa nazo zingadlala indima.
- Lesi simo sitholakala nge-ultrasound scan.
- Ukuqongelela koketshezi okuncane ngokuvamile akudingi ukwelashwa, kodwa ukuqapha okuseduze ngudokotela kubalulekile.
- Ezimweni ezimbi kakhulu, ukwelashwa kuhlanganisa ukukhipha uketshezi, ukunikeza imithi, noma ukubeletha umntwana kusenesikhathi.
- Into ebaluleke kakhulu ukungesabi ngokungadingekile, ukuhlala uxhumana nodokotela wakho njalo, nokulandela imiyalelo yakhe ngqo.Khuluma naye nganoma yikuphi ukungabaza noma ubunzima.
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