Uma ukhulelwe, kumelwe ukuthi uke wezwa " ngamanzi aphansi azungeze ingane ". Mhlawumbe kwakukhona inothi ngakho embikweni wakho weskeni. Esikhathini esiningi, abanye omama bayesaba kancane lapho bekhuluma ngalokhu. Ngakho-ke namuhla, ake sixoxe ngokuthi kusho ukuthini lokhu manzi aphansi azungeze ingane, okuyinto esiyibiza ngokwezokwelapha ngokuthi `(Oligohydramnios)`. Ingabe lokhu kuyingozi? Kungani lokhu kwenzeka? Ake sixoxe ngakho konke lokhu kalula, ngendlela ongayiqonda.
Ayini amanzi azungeze umntwana? (Uketshezi lwe-Amniotic)
Kalula nje, ingane yakho intanta kule ndawo yoketshezi ngaphakathi esibelethweni. Lokhu sikubiza ngokuthi uketshezi lwe-amniotic . Lokhu akulona nje amanzi amancane. Kufana nomqamelo wokuvikela ingane. Lolu ketshezi yilokho okuvumela ingane ukuthi ihambe futhi inyakaze imilenze yayo. Kubalulekile futhi ekuthuthukisweni kwamaphaphu engane, uhlelo lokugaya ukudla, kanye nezinso.
Cabanga ngalokhu: Ingane yakho iqala ukukhiqiza uketshezi lwe-amniotic cishe ezinsukwini eziyi-12 ngemva kokukhulelwa. Cishe emavikini ayi-16-20, izinso zomntwana ziyasebenza, futhi umchamo uba yingxenye eyinhloko yalolu ketshezi. Izinga lalolu ketshezi likhula kancane kancane kuze kube amasonto angama-36, ngemva kwalokho lihlala ezingeni elizinzile kuze kube yilapho lizalwa. Ngokuvamile, lolu ketshezi lungaba phakathi kwamamililitha angu-500 no-1000 (ilitha eli-1). I-"Oligohydramnios" yilapho kukhona uketshezi oluncane kunalolo oludingekayo ngesikhathi sokukhulelwa.
Ulinganisa kanjani leli nani lamanzi?
Udokotela wakho uzolinganisa leli zinga loketshezi ngokuskena kwe-ultrasound . Kunezindlela eziningana zokukala lokhu.
Into ebalulekile ukuthi, ungakhathazeki ngalezi zilinganiso wedwa. Udokotela wakho uzobuyekeza umbiko weskeni bese echaza ukuthi kusho ukuthini kuwe, kuye ngesonto okulo.
Lezi yizindlela ezimbili ezivame ukusetshenziswa odokotela.
| Indlela yokulinganisa | Incazelo | Inani elimaphakathi |
|---|---|---|
| Inkomba Yoketshezi Lwe-Amniotic (AFI) | Ukulinganisa okuthathwa ngokuhlukanisa isibeletho sibe izingxenye ezine, ukulinganisa iphuzu elijulile kakhulu loketshezi esigabeni ngasinye, bese uhlanganisa lawo manani amane. | Kusukela kumasentimitha angu-5 kuya kwangu-25. (Ngaphansi kwamasentimitha angu-5 kubhekwa njengamanzi aphansi.) |
| Iphakethe Eliphezulu Eliqondile (i-MVP) | Ukulinganisa ukuphakama kwesikhwama soketshezi olujulile esibelethweni. Lokhu kuvame ukusetshenziswa kakhulu ku-trimester yesithathu. | Amasentimitha angu-2 kuya kwangu-8. (Ngaphansi kwamasentimitha angu-2 kubhekwa njengokuphansi.) |
Kungani amanzi encipha kanje?
Ezimweni eziningi, cishe ama-50% amacala, awekho imbangela ethile engatholakala. Kodwa-ke, kunezici eziningana ezingaba nomthelela ekushodeni kwamanzi.
- Ukukhulelwa okude kunosuku lokuzalwa: Lolu ketshezi lungase lunciphe ngokwemvelo lapho umntwana ezalwa ngemva kosuku lokuzalwa.
- Ukuqhekeka kwesikhwama se-amniotic: Lokhu yilokho esikubiza ngokuthi "ukuqhekeka kwamanzi." Ngezinye izikhathi kungavuza ngembobo encane.
- Izinkinga ze-placenta: Izimo ezifana nokuqhekeka kwe-placenta , lapho i-placenta ihlukana khona nodonga lwesibeletho.
- Ukukhubazeka kokuzalwa enganeni: Ikakhulukazi uma kunenkinga ngezinso zomntwana noma uhlelo lomchamo, inani lomchamo umntwana alikhiqizayo lizoncipha, okuholela ekunciphiseni uketshezi olusetshenziswayo.
- Ukukhubazeka kwe-chromosome.
- Ukukhulelwa kwamawele: Ku -twin-to-twin transfusion syndrome , isimo lapho izakhamzimba zisakazeka ngokungalingani phakathi kwamawele, ingane eyodwa ingase ibe noketshezi oluncane oluzungezile.
- Izimo zempilo kamama: Izimo ezifana nesifo sikashukela kanye nomfutho wegazi ophezulu kumama.
- Imithi ethile: Imithi ethile, njengemithi yokuvimbela umfutho wegazi ophakeme (ACE) kanye nemithi yokuqeda ubuhlungu (NSAIDs).
Yiziphi izinkinga zokuntuleka kwamanzi?
Ukuthi lesi simo sibi kangakanani kuncike ekutheni senzeka ngasiphi isigaba sokukhulelwa .
Kalula nje, ukuphelelwa amanzi emzimbeni ekuqaleni kokukhulelwa kungaba kubi kakhulu kunokuphelelwa amanzi emzimbeni ngasekupheleni kokukhulelwa.
| Isigaba sokukhulelwa | Izinkinga ezingaba khona |
|---|---|
| Ezinyangeni zokuqala eziyi-6 (ikota yesibili) |
|
| Ikota yesithathu |
Iyini i-Potter Syndrome?
Lesi yisimo esingavamile kodwa esibucayi esihlotshaniswa ne-`(Oligohydramnios)`. Okwenzekayo lapha ukuthi izinso zengane azikhuli kahle, ngakho-ke ukukhiqizwa komchamo kuphansi kakhulu. Ngenxa yalokho, cishe akukho uketshezi lwe-amniotic. Lokhu kungabangela izinkinga ezinkulu ezifana nezici ezithile zobuso (impumulo eyisicaba, amehlo aqhelelene kakhulu), izitho ezimfushane, namaphaphu angakakhuli kahle.
Wazi kanjani ukuthi unalesi simo? (Izimpawu)
Into ebalulekile ukuthi, ungaba nalesi simo ngaphandle kokuba nezimpawu ezimweni eziningi. Udokotela wakho uzosithola kuphela ngesikhathi sokuhlolwa kwakho okuvamile kwe-ultrasound.
Noma kunjalo, kunezici ezimbalwa okufanele uziqaphele:
1. Ukuphuma kwamanzi esithweni sangasese sowesifazane: Lolu uphawu oluyinhloko. Akudingeki kube amanzi amaningi aphuma ngesikhathi esisodwa njengakuma-movie. Ngezinye izikhathi kungaba ukuconsa okuncane, njengentambo. Uma ubona into efana nale , shayela udokotela wakho ngokushesha.
2. Isisu sakho sizizwa sincane kunalokho obekulindelwe: Uma isisu sakho sizizwa sincane uma siqhathaniswa nesonto lakho lokukhulelwa, lokho kungaba uphawu.
3. Ukuncipha kokunyakaza kwengane: Njengoba izinga lamanzi lehla, ingane inendawo encane yokunyakaza, ngakho ungase uzizwe ukunyakaza kwengane okuncane.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ekutheni amazinga akho oketshezi aphansi kangakanani nokuthi ukusiphi isigaba sokukhulelwa.
- Ukuqapha njalo: Ukuskena nge-ultrasound kwenziwa masonto onke ukuze kuqashwe amazinga oketshezi kanye nokukhula komntwana.
- Phuza amanzi amaningi: Ezinye izifundo zibonise ukuthi ukuphuza amanzi amaningi, ikakhulukazi engxenyeni yokugcina yokukhulelwa, kungasiza ekwandiseni amazinga oketshezi ngezinga elithile.
- Ukulawulwa kwezifo zikamama: Uma kunezifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, kubalulekile ukuzilawula kahle.
- Ukubeletha kusenesikhathi: Kwezinye izimo, ukuze umntwana aphephe, odokotela bangase banqume ukumenza abelethe ngisho nangaphambi kosuku lokubeletha.
Kufanele ngimbone nini udokotela?
Uma unokungabaza noma imibuzo ngesikhathi sokukhulelwa kwakho, ungalokothi unqikaze ukubuza udokotela wakho. Ikakhulukazi, uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo , funa iseluleko sezokwelapha ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Uma uketshezi olunamanzi luvuza esithweni sangasese sowesifazane.
- Uma kukhona ukopha kwesitho sangasese sowesifazane.
- Uma uzwa ukufinyela kwesibeletho kanye nobuhlungu besisu noma umhlane.
- Uma unomuzwa wokuthi ukunyakaza kwengane yakho kwehle kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Uketshezi oluphansi lwe-amniotic, noma "i-Oligohydramnios," yisimo esingase senzeke nganoma yisiphi isikhathi ngesikhathi sokukhulelwa futhi siyimbangela yokukhathazeka.
- Lokhu kuvame ukutholakala ngokuskena kwe-ultrasound. Ngakho-ke, kubaluleke kakhulu ukuthi ukuskena kwenziwe ngesikhathi.
- Uma ubona uketshezi oluphuma esithweni sakho sangasese sowesifazane, ungalushayi indiva. Tshela udokotela wakho ngokushesha.
- Uma ubona lesi simo, ungesabi futhi ulandele iseluleko sezokwelapha. Ukuqapha njalo kanye nokwelashwa okudingekayo kunganciphisa izingozi kumama kanye nengane.
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