Yintoni i-polyhydramnios?
Olu hlobo lwesifo luquka ukunyuka kwimiqulu ye-amniotic fluid kwaye ayihambisani nobude bayo. Ngokuqhelekileyo le nto ibonelele kwixesha elide - iiveki ezingama-30-32.
Ukuxilongwa kwe "polyhydramnios" kusekelwe kwisifundo esenziwe ngokuncediswa ngumshini we-ultrasound. Ixesha lesigxina libaluleke kakhulu .
Yintoni engakhokelela kwi-polyhydramnios kwabasetyhini abakhulelweyo?
Okokuqala, ndingathanda ukukuxelela ngemiphumo ye-hydration kubasetyhini abakhulelweyo, kwaye indlela le nto ibangela ngayo inkqubo yokuzala umntwana.
Okokuqala, kubalulekile ukuthetha ukuba le ntsholongwane ibangela ukuphuhliswa kokuzalwa kwangaphambi kokuzalwa. Ngaloo ndlela, malunga ne-30-35% yokukhulelwa apho ukunyuka kwindleko ye-amniotic fluid iyafunyanwa, iintsana zizalwe ekuqaleni kweveki ezi-2-3.
Kananjalo, oogqirha baqaphele ukuba malunga nesithathu kokukhulelwa kokuxilongwa okufanayo, abasetyhini banomdla wesifo esiqine kakhulu, apho kungabikho ukuhlanza. Ngenxa yoko, ukubola kwamanzi kungenzeka.
Kodwa isiphumo esinobungozi kakhulu se-polyhydramnios sinokuphuhliswa kwe-fetoplacental insufficiency, eyona nto ibonakaliswe ngokuphulwa kwenkqubo ye-utero-placental system. Isiphumo sophulaphulo olunjalo sinokuba yindlala ye-oksijeni yesisu, esichaphazela kakhulu imeko ye-crumb kunye nophuhliso lwayo lwangaphakathi.
Ukongeza kwimiba echazwe ngasentla, kufuneka kuthathelwe ukuba ukwanda kwomsindo we-amniotic fluid kuphazamisa indawo yengane ezayo kwisibeleko sikamama. Ngokuqhelekileyo kwiimeko ezinje, umntwana uthabathe intshumo okanye intsingiselo.
Yimiphi imiphumela ye-polyhydramnios kumntwana?
Kufuneka kuqatshelwe ukuba indlala ye-oksijini eqhubeka ngenxa yokungafihlelwa kwe-fetoplacental ichaphazela kakubi ukuphuhliswa komntwana ngexesha elifutshane, okanye iholele ekulibazisekeni ekukhuleni kwithuba elizayo.
Ukuba sithetha ngokuthe ngqo ngemiphumo ye-polyhydramnios kumntwana ngokwakhe, oogqirha bavame ukubiza oku kulandelayo:
- i-hypoxia engumntwana ongapheliyo;
- ukungalungi kwenkqubo yeentambo kunye nesondlo sesisu;
- usulelo lwe-intrauterine;
- ukuzalwa ngaphambi komhla wokugqibela;
- ukunciphisa amandla okukhusela umzimba womntwana.
Ngaloo ndlela, ngenxa ye-hypoxia engapheliyo, umntwana usenokubambezeleka kwexesha lokukhula kwengqondo nengqondo. Kule meko, ezi ziganeko zingaba nomfanekiso ofihliweyo, kubonakala emva kweenyanga ezintandathu.
Ukubonakala komntwana kwiiveki ezimbalwa ngaphambi komhla ofunekayo, njengomthetho, awunayo impembelelo embi kwimpilo yakhe, ngaphandle kokuba, ngokuqinisekileyo, oku kwenzeka ngaphambi kweeveki ezingama-36 zokukhulelwa.
Ukunciphisa amandla okukhusela omzimba omncinci kubangelwa ukuzalwa komntwana kwangaphambili kunokuba kulindeleke kwaye kuqukunjelwa ukuphuhliswa kwezifo ezithathelwanayo kunye nokuphefumula kwiintsana.
Ngaloo ndlela, kungatsholwa ukuba imiphumo ye-polyhydramnios ephawulayo ngexesha lokukhulelwa likhulu. Kungenxa yoko abo basetyhini abafumanisa ukuba baneengxaki ziphantsi kolawulo loogqirha. Kwezinye iimeko, ngesongelo lokuzalwa ngaphambi kokuzalwa, abafazi abakhulelweyo bayabhedlelelwa esibhedlele.