Ngokuvamile ukuvuza kwe-amniotic fluid kuba isizathu sokukhathazeka ngomama ozayo. Kodwa-ke, akubona bonke abesifazane abakhulelwe abamelela nokuthi kuyini ukuhlukanisa i-amniotic fluid kusukela ekukhusheni kwesisu. Ake sicabangele lesi simo ngokuningiliziwe, sizobiza izizathu, izindlela zokuqeda ukwephula.
Amniotic fluid - kuyini?
I-Amniotic fluid iyindawo ebalulekile ye-fetus. Ukugcwalisa isambatho sesisu, kuvimbela ukuhlukumezeka kwe-fetus, ukudala izimo ezinhle. Ngakho-ke sibonga ngokuqondile ukushisa komzimba wengane kugcinwe ngezinga elilodwa. Okubalulekile ukuvikelwa okuhlinzeka ngekusasa ingane amniotic fluid.
Umthamo wayo awuzinzile, ukhula ngokukhula kokukhulelwa. Le nqubo ibonakala kulo lonke isikhathi sokukhulelwa, kodwa amanzi akhiqizwa ngokungalingani. Ivolumu iyanda ngesonto ngalinye. Isilinganiso esiphezulu sifike cishe isonto lama - 36 lokubeletha. Ngalesi sikhathi, umthamo we-amniotic fluid u-1000-1500 ml. Kulesi simo, ngokushesha ngaphambi kwenqubo yokubeletha, inani lalo liyancipha.
Kuyini ukuvuza okuyingozi kwe-amniotic fluid?
Amniotic fluid ngesikhathi sokukhulelwa kubalulekile ekomswaneni wengane. Ukunciphisa ivolumu yayo kungaholela emiphumeleni engaphenduki. Phakathi kwala odokotela baveza:
- ukutheleleka kwengane ngaphakathi kwesibeletho;
- ukuthuthukiswa kwezinkinga zesimo esithathelwanayo kumama ozayo: i- endometritis , i-chorioamniotonitis (ukuvuvukala kwamakhanda we-fetus), ukushaqeka okunobuthi ;
- ukulethwa ngaphambi kwesikhathi;
- umsebenzi obuthakathaka womsebenzi.
Izimbangela zokuvuza kwe-amniotic fluid
Uma i-amniotic fluid ngesikhathi sokukhulelwa, owesifazane kufanele axoxe nodokotela. Umsebenzi oyinhloko odokotela ukukhomba nokuqeda imbangela yokuphulwa. Ngesikhathi esifanayo, ukuhlolwa okuphelele kwalesi simo kwenziwa. Phakathi kwezizathu ezinokwenzeka, wabela:
- Izifo ezivuthayo nezifo ezithathelwanayo ohlelweni lokuzala. Ngenxa yezinqubo ezinjalo ze-pathogenic, i-membranes yesigqila i-thinning, lapho i-fetus ikhona khona. Ngenxa yokulahlekelwa ukuqina, ubuqotho abukhuni. Lokhu kungenzeka nge-colpitis, endocervicitis.
- Ukungasebenzi kahle kwe-Isthmicocervical. Ngalolu hlobo lokuphulwa, ukuvalwa okungaphelele komlomo wesibeletho kubonakala. Ngenxa yokucindezela ngokweqile, okubangelwa ukwanda ngobukhulu be-fetus, isilonda sesisu esiswini somlomo wesibeletho. Lokhu kuholela ekwephuleni ubuqotho bayo.
- Ukukhulelwa okuningi. Lesi simo sibhekwa njengengxenye ekuthuthukiseni isici sokuphazamiseka. Ngenxa yomthwalo owandayo ezindongeni zesisindo, azikwazi ukuma futhi ezimele, okubangelwa ukuvuza kwe-amniotic fluid.
- Ama-anomalies okuthuthukiswa, ama-benign noma ama-formations amahle esibelethweni. Ubukhulu obungalungile besitho sobulili, ukutholakala kwama-cysts nama-tumor kuwo kuvimbela ukukhula okuvamile kwengane, amakhanda amniotic. Ngenxa yalokho, izindonga zingalimala.
- Ukucindezeleka ngokomzimba, ukuhlukunyezwa kwesisu kungabangela ukukhishwa kwe-amniotic fluid ngaphandle.
Ukuvuza kwe-amniotic fluid ekuqaleni kwezinyathelo
Ukuvuza kwe-amniotic fluid ngesikhathi sokukhulelwa, ngesikhathi esincane kakhulu, kubhekene nokuphazanyiswa kwenqubo yokuzala umntwana. Uma lesi sifo siqala isikhathi esingamaviki angu-20, khona-ke ingane ayikwazi ukusinda. Ngesikhathi esifanayo, ukutheleleka kwamagundane kwenzeka, izinqubo zomsebenzi obalulekile ziphazamiseka, ngenxa yalokho ingane ifa khona. Owesifazane uhlanjululwa emgodini wesibindi ukuze uvimbele ukutheleleka kanye nezinkinga ezisongela impilo.
I-incontinence ye-amniotic fluid ku-trimester yesibili
Ukuvuza kwe-amniotic fluid ngokuvamile kuvunyelwe esikhathini eside. Ishukunyiswa ukucindezela okwandisiwe emagqabeni e-fetal, ubuningi obanda izikhathi eziningana. Uma ukuhlukumeza kwaloluhlobo kuqhutshwa engxenyeni yokuqala yesigamu sesibili (ngaphambi kwamasonto angu-22), odokotela baphoqeleka ukuba baphazamise inqubo yokuthoma. Lokhu kusiza ukugwema izinkinga ezithinta impilo yowesifazane.
Uma ukuvuza kwe-amniotic fluid kuqala ngemuva kwamasonto angu-22 , ngakho-ke ezimweni eziningi kunomphumela omuhle. Owesifazane okhulelwe uyiswa esibhedlela, lapho eqondiswa khona. Odokotela benza ukubhekwa okunamandla, ngokwenza ukuhlolwa kwe-ultrasound esihlalweni sobubele besifundazwe se-envelope ye-bubble. Ngesikhathi esifanayo, akukho ukwelashwa okuqondile. Imizamo odokotela ihlose ukuthuthukisa isimo sowesifazane okhulelwe. Konke kuncike ukuthi sekudlule isikhathi esingakanani kusukela ekuqaleni kokuvuza, okubangelwa ukwephulwa kwegobolondo.
Indlela yokunquma ukuvuza kwe-amniotic fluid?
Ukuzivikela kanye nezingane ezizayo, owesifazane okhulelwe kumele acabange izimpawu zalokhu kwephulwa. Ukuvuza kwe-amniotic fluid, izimpawu zazo ezingabonakaliswa buthakathaka, unomlingiswa okhulayo - njengoba umthamo wetshezi ukwanda, ivolumu iyanda. Uma ukwephulwa kwamagobolondo kwenzeka endaweni ephakeme entanyeni, amanzi aphuma kancane. Ezimweni ezinjalo, abesifazane abakhulelwe bangase bangayinaki lesi simo, bayithathele ukukhishwa kwamagciwane. Phakathi kwezibonakaliso ezibonakalayo zokuvuza kuwukuthi:
- ukukhukhulwa okusheshayo, okweqile kusuka kwesifazane;
- ushintshe ngendlela yemfihlo - baba ngamanzi, banda ngokwevolumu;
- kwehla kwevolumu yesisu;
- ukubonakala kokudonsa ubuhlungu emathunjini aphansi .
Indlela yokuhlukanisa ukukhishwa kokuphuma ekuphumeni kwe-amniotic fluid?
Ukuze ukwazi ukuhlukanisa ukwephulwa okuvamile, owesifazane okhulelwe kufanele aqonde ngokucacile lokho ukuvuza kwe-amniotic fluid kubukeka. Phakathi kokubonakaliswa okuyinhloko:
- ukwandisa inani lemithombo yamanzi efihliwe ngesikhathi sokusebenza komzimba, ukunyakaza, ukuguqulwa kwesimo;
- ukungezwani kwemisipha ye-pelvic akuholeli ekupheleni kokuphuma (ngokuphambene nokuvuthwa okuzenzakalelayo).
Uma ukuphuka kwesibhanzana kuncane kakhulu, incazelo ye-pathology inokwenzeka kuphela ngokusebenzisa ukuhlolwa okhethekile noma isifo smear. Izinyembezi ezinkulu zingatholakala yilo wesifazane uqobo, ekhaya. Ukwenza lokhu:
- Vakashela indlu yangasese bese ulahla ngokuphelele lesi sifo.
- Geza kahle bese usula omile.
- Esikhathini sofa ubeka ishidi, omile futhi uhlanzekile futhi ulale kuwo ngaphandle kwezingubo zangaphansi.
- Uma kumaminithi angu-15-20 kulesi shidi kubonakala izindawo ezimanzi, amathuba okuvuza aphezulu. Ukuphumelela kokuhlolwa okulula okunjalo kungaphezu kwama-80%.
Iyiphi umbala i-amniotic fluid ngesikhathi sokuvuza?
Umbala we-amniotic fluid ngesikhathi sokuvuza kungahluka. Lokhu kuyinkimbinkimbi yokubona ukuhlukumeza. Ezimweni eziningi, amanzi ahlanzekile, akanalo umbala, ngakho kunzima ukuwacacisa ezinyathelweni zethusi. Ngezinye izikhathi, i-amniotic fluid iyaba yincintathu. Lapho igciwane le-amniotic fluid, ingaba luhlaza okwesibhakabhaka, oluphuzi, olumnyama. Kodwa-ke, ezimweni ezinjalo, omunye umtholampilo uphawulwe, okusiza ukuxilonga ukugula.
Isivivinyo sokuthola ukuvuza kwe-amniotic fluid
Ukuqaphela isimo se-pathological womama okhulelwe ngosizo lwezindlela ezikhethekile. Kunamapayipi okucacisa ukuvuza kwe-amniotic fluid. Isenzo sabo sisekelwe ekuguqulweni kombala we-indicator, kuye ngokuthi imiphi indawo oxhumene naye. Ekuqaleni, unombala ophuzi (uhambelana ne-pH ye-vaginal 4,5). Ezinye iziphuzo zinika umbala ohlaza okwesibhakabhaka. Ku-amniotic fluid i-pH iyona ephezulu kakhulu. Lokhu kukuvumela ukuba uhlolwe ukuvuza kwe-amniotic fluid.
Ihlaziya ukuvuza kwe-amniotic fluid
Ekhuluma mayelana nokuqaphela ukuvuza kwe-amniotic fluid, odokotela bathi kunzima ukwenza lokhu ngevolumu encane. Ezimweni ezinjalo, ukwephulwa kutholakala ngezindlela zokuhlola, phakathi kwazo:
- ukukhipha isisu kusuka emzimbeni - "umphumela we-fern" (ukomisa uketshezi ku-slide uveza isithombe esifana nesitshalo esabizwa ngokuthi);
- I-swab evela e-fornix ye-posterior yangasese iyindlela enokwethenjelwa yokuxilongwa;
- i-amniotest - isekelwe umjovo we-intramuscular of the colorant esiswini, okwenza u-amniotic fluid ephumayo (engavamile ukusetshenziswa ngenxa yobungozi obuphezulu kanye nezindleko ezingaguquguquki).
Ingabe i-ultrasound inquma ukuvuza kwe-amniotic fluid?
Ukuvuza kwe-amniotic fluid, izimpawu zazo ezibizwa ngenhla, zingatholakala nge-ultrasound. Ezimweni ezinjalo, esikrinini sokuqapha, udokotela uhlola ubukhulu besifo, ukuhlukaniswa kwamakhanda amniotic. Ngokuhlukunyezwa okuncane, le nqubo ayiphumeli ngenxa yokubonakala okungenakwenzeka nokubunzima kokuthola isici se-amniotic fluid.
Ukuvuza amanzi amniotic - yini okufanele uyenze?
Uma owesifazane okhulelwe ebonisa ukuvuza kwe-amniotic fluid, ukwelashwa okuqondile okungatholakali, kufanele uxhumane nodokotela wakho. Kulokhu, amaqhinga ngokuqondile axhomeke esikhathini sobude ngekati, ukwehla emthamo we-amniotic fluid. Ukwelapha kusekelwe ku:
- ukuchaza izidakamizwa zokulwa nokulwa nokutheleleka;
- shayela umsebenzi wokuzalwa uma ukwephulwa kwenzeka ngemuva kwamasonto angu-35.