Indlela yokunquma ama-polyhydramnios?
Lezi zifo zibonakalisa njengezimpawu ezithile, eziqala ukuphazamisa owesifazane okhulelwe. Lokhu kunzwa kokucindezeleka nokukhathazeka esiswini, ukuvuvukala kwamaphethelo, izinga lokushaya kwenhliziyo okwandisiwe nesimo esijwayelekile se-malaise. Futhi, uma kwenzeka ama-polyhydramnios enamehlo angaboni, umuntu angabona ukungafani okuthile phakathi kobukhulu besisu esisodwa kakhulu sesikhathi sokubeletha esithile.
Kodwa ukuxilongwa kungenziwa kuphela emva kokulethwa kwezibalo eziningi kanye nokuhamba kwe-ultrasound. Uchwepheshe oqeqeshiwe uzokwazi ukuthola inkomba ye-amniotic fluid bese uqhathanisa umphumela nemingcele evamile ejwayelekile. Ungabona izinkomba ezijwayelekile endleleni ejwayelekile yokukhulelwa esebenzisa itafula.
Izimbangela ze-polyhydramnios ekukhulelwe
Yini eyenza lokhu kuphazamiseka? Kuze kube manje, ososayensi abakwazi ukunikeza impendulo eyodwa kulo mbuzo.
Kukhona iqembu elithile lobungozi, abesifazane okuvela kuzo okungenzeka bahlangabezane nevolumu engaphezulu kwe-amniotic fluid.
Okokuqala, lokhu ukukhulelwa okuningi. Kulesi simo, ngokuvamile ukungabi khona kwamniotic uketshezi komntwana oyedwa kuhlawulelwa ukugqithisa komunye.
Izifo ezinjalo ezingapheli ezifana nesifo sikashukela, izifo zesimiso senhliziyo nesifo somchamo zingase ziqhube nesifo.
Ukuhlukunyezwa kwe-Rhesus phakathi komama nengane, kanye nokungafani kwe-chromosomal ye-fetus (i-Down's syndrome, i-Edwards) ngokuvamile kuholele ekudleni kwamanzi amniotic.
Noma kunjalo, ososayensi babiza izimbangela ezinjalo ze-polyhydramnios ngesikhathi sokukhulelwa, njengosayizi ngokweqile we-fetus noma i-congenital pathologies ekuthuthukisweni kwayo. Ukuphulwa okuncane emsebenzini we-cardiovascular, central system engafanele noma isakhiwo, shintsha ibhalansi.
Phakathi kwezinye izizathu, kuvamile ukucabangela ukuchelela kwabesifazane abakhulelwe njengezifo ezithathelwanayo - i-rubella, i-toxoplasmosis, i-syphilis, njll. Ngaphansi kokuvamile, njengesimo esicasulayo, izicubu eziphambene noma izinkinga ezine-artery embilical zivela.
Ukwelashwa kwama-polyhydramnios
Ngaphambi kokubeka imithi yokwelapha, udokotela uhlola ngokugcwele ukuqonda ukuthi yiziphi izimbangela zangempela zama-polyhydramnios.
Ukuze uhlolwe, owesifazane unikeza ukuhlolwa kwegazi (inani, i-glucose, i-rhesus-impi), umchamo. Ukubeka i-ultrasound, i- cardiotocography, i- Doppler.
Ukwelashwa okunye ngokuqondile kuxhomeke kwizimbangela zesifo. Njengomthetho, lokhu kuyamukelwa kwamavithamini, ukwelashwa kwama-antibacterial kanye nezidakamizwa ezithuthukisa ukugeleza kwegazi kwe-utero-placental.
Kunezinhlobo eziningana ze-polyhydramnios - ezinzima, ezingapheli futhi ezinomusa. Ngezifo ezinzima, izimpawu zicacile, futhi ezimweni eziningi kunzima ukusindisa ingane.
I-polyhydramnios engapheli idinga ukuqapha okuqhubekayo. Ekugcineni zonke izikhombisi kungenzeka ukuthi ubelethe izinyane eliphilile. I-polyhydramnios ejwayelekile ayizibonakali ngokwayo njengesimpawu sezinhlamvu. Kodwa umuntu kufanele aqaphele njalo izinguquko ku-amniotic fluid.
Imiphumela engenzeka
Uma ebone izimbangela ze-polyhydramnios, umuntu kufanele aqonde nemiphumela engenzeka:
- ukuzalwa kusenesikhathi, okungabangela ukungcola okungenakufika kwamanzi;
- ukuthuthukiswa kwezifo ezinzima ze-fetus - ukuphazanyiswa kwesimiso sezinzwa noma amathanga emathunjini;
- hypoxia noma ukutheleleka kwe-fetus;
- isethulo esingalungile se-fetus, intambo ngensimbi yomlomo;
- uketshezi oluphuma njalo uterine.
I-Polyhydramnios akuyona isinqumo. Uma kutholakala ukwelapha nokubeletha okufika ngesikhathi, kungenzeka ukuba ubelethe inzalo enempilo.