Kuyini ama-polyhydramnios?
Lolu hlobo lwesifo luhilela ukwanda komthamo we-amniotic fluid futhi ayihambisani nobude bayo bokubeletha. Ngokuvamile lokhu sekuvele kubonwe ngamagama amaningi - amasonto angu-30-32.
Ukuxilongwa kwe "polyhydramnios" kusekelwe ocwaningweni olwenziwe ngosizo lomshini we-ultrasound. Igama lokubeletha libaluleke kakhulu .
Yini engabangela ama-polyhydramnios kwabesifazane abakhulelwe?
Okokuqala, ngingathanda ukukutshela ngemiphumela yokuzimela kwabesifazane abakhulelwe, nokuthi lokhu kwenzeka kanjani kuthinta inqubo yokuzala umntwana.
Okokuqala, kubalulekile ukusho ukuthi lesi sifo siholela ekusungulweni kokuzalwa ngaphambi kwesikhathi. Ngakho-ke, cishe ku-30-35% kokukhulelwa lapho ukwanda kwevolumu ye-amniotic fluid kutholakala khona, izinsana zizalwa ekuqaleni kwamasonto amabili.
Kanti futhi odokotela bathi inxenye yesithathu yokukhulelwa nokuxilongwa okufanayo, abesifazane bakhononda nge-toxicosis eqinile, okungekho ukuhlanza okungekho ukuyeka. Ngenxa yalokho, ukuphelelwa amandla kwamanzi kungase kuvele.
Kodwa imiphumela eyingozi kunazo zonke ye-polyhydramnios ingaba ukuthuthukiswa kokungasebenzi kahle kwe-fetoplacental, okubonakala ngokuyinhloko ekuphuleni uhlelo lwe-utero-placental. Umphumela wokuphulwa okunjalo kungase kube yindlala ye-oksijeni ye-fetus, eyithinta kabi isimo se-crumb kanye nokuthuthukiswa kwayo kwe-intrauterine.
Ngaphezu kwezici ezibalulwe ngenhla, kufanele kuthiwe ukwanda kwevolumu ye-amniotic fluid nakho kuthinta kabi indawo yengane ezayo esibelethweni sikamama. Ngokuvamile ezimweni ezinjalo, umntfwana uthatha isethulo se-pelvic noma esithintekayo.
Iyini imiphumela ye-polyhydramnios yengane?
Kumele kuqashelwe ukuthi indlala ye-oksijeni eqala ngenxa yokungafinyeleleki kwesisu ngokuthinta kabi ithonya lentuthuko ye-fetal ngezikhathi ezincane, noma iholela ekubambezelekeni ekukhuleni kamuva.
Uma sikhuluma ngokuqondile ngemiphumela ye-polyhydramnios yengane uqobo, odokotela bavame ukubiza okulandelayo:
- hypoxia engapheli yesisu;
- izinkinga zesimiso sezinzwa kanye namapheshana emathunjini;
- ukutheleleka kwe-intrauterine;
- ukuzalwa ngaphambi kosuku olufanele;
- ukunciphisa amandla okuzivikela emzimbeni womntwana.
Ngakho-ke, ngenxa ye-hypoxia engapheli, usana lungase lube nephuzo elilandelayo ekuthuthukiseni kwengqondo nengqondo. Kulokhu, lezi zenzakalo zingaba nomlingiswa ofihlekile, isb. kubonakala ngemva kwezinyanga eziyisithupha kuphela.
Ukuvela kwengane amasonto ambalwa ngaphambi kosuku olufanele, njengombuso, alinalo umthelela omubi empilweni yakhe, ngaphandle kokuthi lokhu kwenzeka ngaphambi kwamasonto angama-36 okukhulelwa.
Ukunciphisa amandla okuzivikela omzimba omncane kungenxa yokuzalwa kwengane ngaphambili kunalokho kulindeleke futhi kuhambisana nokuthuthukiswa kwezifo ezithathelwanayo neziphefumulayo ezinganeni ezisanda kuzalwa.
Ngakho-ke, kungashiwo ukuthi imiphumela ye-polyhydramnios ephawula ngesikhathi sokukhulelwa iningi kakhulu. Yingakho labo besifazane abatholakala benalesi sifo bangaphansi kokuqondiswa njalo odokotela. Kwezinye izimo, ngesabiso sokubeletha ngaphambi kwesikhathi, abesifazane abakhulelwe bayiswa esibhedlela.