Ngokuqhelekileyo ukuvuza kwe-amniotic fluid kuba yimbangela yokukhathalela umama ozayo. Nangona kunjalo, akubona bonke abafazi abakhulelweyo abamele ukuba yiyiphi indlela kunye nendlela yokuhlukanisa i-amniotic fluid ukusuka ekukhutsheni kwesisu. Makhe siqwalasele imeko ngokungakumbi, siza kuthiwa izizathu, iindlela zokuphelisa ukuphulwa.
Amniotic fluid - yintoni na?
I-Amniotic fluid yindawo ebalulekileyo yomntwana. Ukuzalisa i-fetal bladder, inqanda intlungu yomntwana, ukudala iimeko ezifanelekileyo. Ngoko umbulelo ngokuthe ngqo kumbindi womzimba womntwana ugcinwa kwelinye nqanaba. Kubalulekile ukukhusela okubonelela nge-future amniotic fluid.
Umthamo wayo awuzinzile, ukwanda ngokukhula kokukhulelwa. Le nkqubo ibonakaliswe kulo lonke ixesha lokunyuka, nangona kunjalo, amanzi akhiqizwa ngokungalingani. Umthamo unyuka ngeveki nganye. Ubuninzi bufikelelwa malunga neveki ye - 36 yesigxina. Ngeli xesha, umthamo we-amniotic fluid u-1000-1500 ml. Kule meko, ngokukhawuleza ngaphambi kokuba inkqubo yokubeleka, ubuninzi bayo buncipha.
Yiyiphi inkunkuma eyingozi ye-amniotic fluid?
I-Amniotic fluid ngexesha lokukhulelwa kubalulekile kwixesha elizayo lomntwana. Ukunciphisa ivolumu yayo kungakhokelela kwimiphumo engapheliyo. Phakathi kwala ogqirha bachaza:
- ukusuleleka kwintsana ngaphakathi kwesibeleko;
- ukuphuhliswa kweengxaki zesifo esithintekayo kumama ozayo: i- endometritis , i-chorioamniotonitis (ukuvuvukala kweembrane ze-fetus), ukutshatyalaliswa kwezinto ezinobungozi ;
- ukuhanjiswa kwangethuba;
- umsebenzi obuthathaka.
Iimbangela zokuvuza kwe-amniotic fluid
Xa i-amniotic fluid ngexesha lokukhulelwa, umfazi kufuneka adibane nodokotela. Umsebenzi oyintloko oogqirha ukuchonga nokuphelisa imbambano yokuphulwa. Ngelo xesha, uhlolo olubanzi lwemeko lwenziwa. Phakathi kwezizathu ezinokwenzeka, yabela:
- Izifo ezivuthayo kunye nezifo ezithintekayo kwinkqubo yokuzala. Ngenxa yenkqubo enjalo ye-pathogenic, iimbumba ze-bladder zincinci, apho umntwana ekhona khona. Ngenxa yokulahlekelwa kwe-elasticity, ingqibelelo ayiphumeli. Oku kunokwenzeka nge-colpitis, endocervicitis.
- Ukungasebenzi kakuhle kwe-Isthmicocervical. Ngolu hlobo lophulo, ukuvalwa okungaphelele komlomo wesibeleko kuphawulwe. Ngenxa yoxinzelelo oluninzi, obangelwa ukunyuka kobukhulu bomntwana, umntwana okhushulayo uyangena kwinqanawa yomlomo wesibeleko. Oku kubangela ukuphulwa kweengqibelelo.
- Ukukhulelwa okuninzi. Le nto ibonwa njengegalelo ekuphuhliseni umba wokuphazamiseka. Ngenxa yokunyuka komthwalo kwiindonga zesibindi, azikwazi ukuma kwaye zonakaliswe, kubangela ukuvuza kwe-amniotic fluid.
- Iimali ze-anomali zentuthuko, ezinobungozi okanye ezinobungozi obubi kwisisu. Ubungakanani obungalunganga besitho somzimba, ubukho bama-cysts kunye nezicubu ekuthintela ukukhula okuqhelekileyo komntwana, iimbumba ze-amniotic. Ngenxa yoko, iindonga zingalimala.
- Ukuxinzezeleka komzimba, ukukhathazeka kwesisu kunokubangela ukukhutshwa kwe-amniotic fluid ngaphandle.
Ukuvuza kwe-amniotic fluid kwiinqanaba zokuqala
Ukuvuza kwe-amniotic fluid ngexesha lokukhulelwa, ngexesha elincinci kakhulu, lithinteka ukuphazamiseka kwenkqubo yokuzala umntwana. Ukuba i-disorder ikhula ixesha elide ukuya kwiiveki ezingama-20, ngoko umntwana akanako ukusinda. Ngethuba elifanayo, ukusuleleka kweembrane kwenzeka, iinkqubo zobomi obalulekileyo ziphazamiseka, ngenxa yoko umntwana usweleka. Ibhinqa lihlanjululwa kwisigxina se-uterine ukukhusela intsholongwane kunye neengxaki ezinobungozi zobomi.
I-incontinence ye-amniotic fluid kwi-trimester yesibini
Ukuvuza kwe-amniotic fluid ngokuqhelekileyo kusekwe kwixesha elide. Ingcatshulwa yinycinezelo engakumbi kwimimbrane ye-fetal, ubunzima obwandisa amaxesha amaninzi. Xa inkathazo yolu hlobo ifumaneka kwisiqingatha sokuqala se-2 trimester (phambi kweeveki ezingama-22), oogqirha banyanzelekile ukuba baphazamise inkqubo yokunyusa. Oku kunceda ukuphepha iingxaki ezinokuchaphazela impilo yowesifazane.
Ukuba ukuvuza kwe-amniotic fluid kuqala emva kweeveki ezingama-22 , ngoko kwiimeko ezininzi kukho iziphumo ezilungileyo. Ibhinqa elikhulelweyo lithunyelwa esibhedlele, apho ilawulwa khona. Oogqirha bajonga ngokugqithiseleyo, ngokwenza uvavanyo lwe-ultrasound kwisihlalo somzimba wesimo se-bubble envelope. Ngelo xesha, akukho nonyango oluthile. Imizamo yoogqirha ijoliswe ekuphuculeni imeko yowesifazane okhulelweyo. Konke kuxhomekeke kwithuba elide lidlulileyo ukususela ekuqalekeni kokuvuza, okubangelwa ukuphulwa kwegobolondo.
Indlela yokumisela ukuvuza kwe-amniotic fluid?
Ukuzikhusela ngokwabo kunye nosana oluzayo, umfazi okhulelweyo kufuneka acinge imiqondiso yoluphulo. Ukuvuza kwe-amniotic fluid, iimpawu ezingabonakaliswa zibuthathaka, unomlinganiselo okhulayo - njengoko umthamo woketshezi ukwanda, umthamo ukwanda. Ukuba ukuphulwa kwee-shells kwenzeka kwindawo ephakamileyo entanyeni, amanzi aphuma ngokukhawuleza. Kwiimeko ezinjalo, abafazi abakhulelweyo abanakho ukuthobela le ngxaki, bayithatha ukukhutshwa kwamanzi. Phakathi kweempawu ezibonakalayo zokuvuza kufuneka:
- ngokukhawuleza, ukukhutshwa kanzima ukusuka kwisini;
- kutshintshwa kwimeko yemfihlo - baba ngamanzi, banda ngevolumu;
- iyancipha umthamo wesisu;
- ukubonakala kokutsala iintlungu kwisisu esisezantsi .
Indlela yokwahlula ukukhutshwa kokungabikho kwamanzi amniotic?
Ukuze ukwazi ukwahlula ukuphulwa kwimiqathango, bonke abafazi abakhulelweyo kufuneka baqonde ngokucacileyo ukuba ukuvuza kwe-amniotic fluid kubukeka njani. Phakathi kwezibonakaliso eziphambili:
- ukwanda kwindleko yemfizi eyimfihlo ngexesha lomsebenzi, ukunyakaza, ukuguquka kwesimo;
- ukuxhatshazwa kwezihlunu ze-pelvic akukhokelela ekupheleni kokukhutshwa (ngokuchaseneyo nokuvuthwa ngokukhawuleza).
Xa ukuphuka kwesibhambathiso kuncinci kakhulu, inkcazo yokukhubazeka inokwenzeka kuphela ngokusetyenziswa kovavanyo olukhethekileyo okanye i-smear. Iinyembezi ezinkulu zinokufunyanwa yiloo ntokazi, ekhaya. Ukwenza oku:
- Ukutyelela indlu yangasese uze uchithe ngokupheleleyo.
- Geza kakuhle uze usule.
- Kwisifa ubeke iphepha, womeze uhlambulule uze ulale phantsi ngaphandle kweengubo zangaphantsi.
- Ukuba imizuzu engama-15-20 kwiphepha ibonakala kwindawo epholileyo, amathuba okuvuza aphakamileyo. Ukuphumelela kovavanyo olunjalo olulula lungaphezu kwama-80%.
Nguwuphi umbala i-amniotic fluid ngexesha lokuvuza?
Umbala we-amniotic fluid ngethuba lokuvuza kungabonakala. Oku kunzima ukuxilonga ukuphulwa. Kwiimeko ezininzi, amanzi avulekileyo, akanalo mbala, ngoko kunzima ukuyibeka ezinyathelweni zelinen yangasese. Ngamanye amaxesha, i-amniotic fluid iyaba yi-pinkish. Xa usulelekile nge-amniotic fluid, bangaba luhlaza okwesibhakabhaka, okwesibhakabhaka. Nangona kunjalo, kwiimeko ezinjalo, enye iklinikhi iyaqatshelwa, enceda ukuxilonga ukugula.
Uvavanyo lokumisela ukuvuza kwe-amniotic fluid
Ukuchonga imeko yesifo somfazi okhulelweyo ngoncedo lweendlela ezikhethekileyo. Kukho iipads ukucacisa ukuvuza kwe-amniotic fluid. Isenzo sabo sisekelwe kutshintsho kumbala we-indicator, kuxhomekeke kwimeko apho umnxibelelwano owenziwe nayo. Ekuqaleni, unombala ophuzi (uhambelana ne-pH ye-vaginal 4,5). Olunye utywala lunika umbala ohlaza okwesibhakabhaka. Kwi-amniotic fluid i-pH iyona ephezulu. Oku kukuvumela ukuba uhlolisise ukuvuza kwe-amniotic fluid.
Uhlalutya ukuvuza kwe-amniotic fluid
Ukuthetha malunga nendlela yokuqonda ukuvuza kwe-amniotic fluid, oogqirha bakubonisa ukuba kunzima ukwenza oku ngevolumu encinci. Kwiimeko ezinjalo, ulwaphulaphulo lufunyaniswa ziindlela zelabhoratri, phakathi kwazo:
- ukukhutshwa kwe-smear kwi-vaginal - "impembelelo yefern" (ukomisa umbane kwisilayidi ifomfa umfanekiso ofana nesityalo esicacisiweyo);
- I-swab evela kwi-fornix yangasemva yangasese iyindlela echanekileyo yokuxilongwa;
- i-amniotest - isekelwe kwisilathisi se-intramuscular of the colorant kwisisu, esonakalisa i-amniotic fluid ephumayo (engasetyenziswa ngokukhawuleza ngenxa yemingcipheko ephezulu kunye neendleko ezithintekayo).
Ngaba i-ultrasound ibonisa ukuvuza kwe-amniotic fluid?
Ukuvuza kwe-amniotic fluid, iimpawu zazo ezikhankanywe ngasentla, zifumaneke ngoncedo lwe-ultrasound. Kwiimeko ezinjalo, kwisikrini sogqirha, ugqirha uvavanya ubukhulu beengxaki, ukuhlaliswa kwimbumba ye-amniotic. Ngophulaphulo oluncinane, le nqubo ayinakwenzeka ngenxa yokubonakaliswa okungenakwenzeka kunye nobunzima bokubona isiphako se-amniotic fluid.
Ukuhamba emniotic fluid - yintoni oyenzayo?
Ukuba umfazi okhulelweyo ubonisa ukuvuza kwe-amniotic fluid, unyango oluthile olungafumaneki, kufuneka uqhagamshelane nogqirha wakho. Kule meko, ii-tactics zixhomekeke ngqo kwixesha lexesha kunye nekati, ukwehla kumthamo we-amniotic fluid. Ulwaphulo lusekelwe kwi:
- ukuchaza izilwanyana ezichasene ne-antibacterial ukuthintela usulelo;
- kubiza umsebenzi wokuzalwa xa ukuphulwa kwenzeka emva kweiveki ezingama-35.