Ese ni iki Polyhydramnios? Ibimenyetso, Impamvu, & Ubuvuzi

Polyhydramnios ni uburwayi aho haba hari amazi menshi cyane y’inda akikije umwana wawe mu gihe utwite. Aya mazi menshi ashobora gutuma umubiri wawe wumvikana ukomeye kandi uhagaze, nubwo abagore benshi bafite iyi ndwara ya make nta bimenyetso na bimwe bagira.

Amazi y’inda akora nk’igisubizo cyo kurinda umwana wawe ukuze. Ubusanzwe, umwana wawe anywa aya mazi hanyuma akayasohoka binyuze mu kunyara, akagumana urwego rw’amazi rungana. Iyo iyi nzira isanzwe ihindutse, amazi arashobora kwiyongera arenze urwego rusanzwe.

Ni ibihe bimenyetso bya polyhydramnios?

Abagore benshi bafite polyhydramnios ya make nta bimenyetso na bimwe bagira. Iyo bimenyetso bigaragaye, bikunze kuba bifitanye isano n’umuvuduko ukomoka ku kwiyongera kw’amazi.

Ushobora kugira bimwe muri ibi bimenyetso bisanzwe:

• Umubiri wawe wumvikana ukomeye cyane ukurikije igihe utwite
• Gukora cyane cyangwa guhumeka nabi
• Kubyimbagira mu birenge, mu maguru, cyangwa mu gitsina
• Kubabara iyo uri kuryama
• Kugabanuka kw’imigirire y’umwana wumva
• Kubabara mu nda cyangwa gukomera kw’inda
• Umuvuduko mu gifu cyangwa kudya neza

Ibi bimenyetso bibaho kuko amazi menshi afata umwanya munini mu nda yawe, agashyira igitutu ku gifu n’ibindi bice by’umubiri. Kugabanuka kw’imigirire y’umwana bibaho kuko hari umwanya munini umwana wawe ashobora kugiramo kugenda, bituma utari bumva cyane imikino ye.

Ni iyihe mityari ya polyhydramnios?

Abaganga basobanura polyhydramnios bishingiye ku bwinshi bw’amazi yiyongereye. Ibi bibafasha kumva uburemere no gutegura ubuvuzi bwiza kuri wowe n’umwana wawe.

Polyhydramnios ya make ni yo mityari isanzwe, ikaba igira ingaruka ku bagore bagera kuri 8 kuri 10 bafite iyi ndwara. Urwego rw’amazi ruri hejuru gato, kandi abagore benshi nta bimenyetso bagira. Uyu mubare ntabwo ukunze gutera ibibazo, kandi akenshi urakemuka ukwigenga.

Polyhydramnios yo hagati bivuze ko hariho kwiyongera kugaragara kw’amazi. Ukeneye cyane kugira ibibazo nko guhumeka nabi cyangwa kubabara mu nda. Muganga wawe azakukurikirana cyane, ariko ibibazo bikomeye bikigaragara gake.

Polyhydramnios ikomeye ni yo mityari idasanzwe, aho urwego rw’amazi ruri hejuru cyane. Uyu mubare ufite ibibazo byinshi kuri wowe n’umwana wawe, harimo kubyara imburagihe n’ibibazo byo kubyara. Ariko kandi, kubera ubuvuzi bukwiye no gukurikirana, abagore benshi bafite polyhydramnios ikomeye bagira utwitwanyi duzima.

Ese ni iki giterwa na polyhydramnios?

Impamvu nyamukuru ya polyhydramnios ntiyashobora kumenyekana buri gihe, kandi ibi bibaho mu gihe kingana na kimwe cya kabiri cy’ibintu byose. Iyo abaganga bashoboye kumenya impamvu, akenshi biba bifitanye isano n’ubushobozi bw’umwana wawe bwo kunywa cyangwa gutunganya amazi y’inda uko bikwiye.

Dore impamvu nyamukuru polyhydramnios ishobora gutera:

• Isuka ry’umubyeyi, rishobora kugira ingaruka ku gutunganya amazi
• Indwara ya kamere y’abana b’impanga z’abahuje igitsina
• Ibibazo byo kunywa by’umwana bitewe n’indwara z’imitsi
• Ibibazo byo mu gifu mu mwana
• Indwara zimwe na zimwe mu gihe utwite
• Ubusembwa bw’amaraso cyangwa ibibazo by’umutima
• Indwara z’impyiko zigira ingaruka ku iterambere ry’umwana

Rimwe na rimwe, iyi ndwara itera iyo umwana wawe agize ibibazo byo kunywa amazi y’inda bitewe n’indwara nka spina bifida cyangwa izindi ndwara z’imitsi. Mu bihe bidasanzwe, imiti imwe cyangwa indwara z’umubiri zidasanzwe zishobora kandi gutera kwiyongera kw’amazi.

Ni ryari ukwiye kujya kwa muganga kubera polyhydramnios?

Hamagara muganga wawe niba ubona umubiri wawe ukura vuba cyane ugereranyije n’igihe utwite cyangwa niba ufite ibibazo bikomeye. Izera icyo umubiri wawe ukubwira mu gihe utwite.

Shaka ubuvuzi niba ufite guhumeka nabi cyane, cyane cyane iyo uri kuryama, cyangwa niba ubona kugabanuka kw’imigirire y’umwana wawe. Ibi bimenyetso bishobora kugaragaza ko urwego rw’amazi rugira ingaruka kuri wowe cyangwa ku mibereho y’umwana wawe.

Hamagara muganga wawe ako kanya niba ufite ibimenyetso byo kubyara imburagihe, nko kubabara mu nda buri gihe, igitutu mu kibuno, cyangwa amazi asohoka mu gitsina. Kugira ubuvuzi hakiri kare bishobora gufasha kwirinda ibibazo no kugira ibyiza kuri wowe n’umwana wawe.

Ni ibihe bintu byongera ibyago bya polyhydramnios?

Ibintu byinshi bishobora kongera amahirwe yo kugira polyhydramnios, nubwo kugira ibyago ntibisobanura ko uzagira iyi ndwara. Gusobanukirwa ibi bintu bifasha muganga wawe gutanga ubuvuzi n’ubukurikirane byiza.

Ibintu byongera ibyago byinshi birimo:

• Kugira isuka mbere yo gutwita cyangwa kugira isuka mu gihe utwite
• Gutwita impanga, utatu, cyangwa abandi bana benshi
• Gutwita mbere wari ufite polyhydramnios
• Kuba ufite imyaka irenga 35
• Indwara zimwe na zimwe nka parvovirus B19 cyangwa cytomegalovirus
• Amateka y’umuryango w’indwara z’impyiko
• Kutanyurwa kw’amaraso hagati y’umubyeyi n’umwana

Abagore bafite isuka bafite ibyago byinshi kuko urwego rwo hejuru rw’isukari mu maraso rushobora kongera amazi y’inda. Gutwita abana benshi bifite ibyago byinshi kubera uburyo bugoranye bwo gucunga amazi afite abana benshi.

Ni iyihe mpinduka zishoboka za polyhydramnios?

Abagore benshi bafite polyhydramnios ya make nta bibazo bikomeye bagira, ariko ni ngombwa kumva ibyashoboka kugira ngo ukorane n’itsinda ryawe ry’ubuvuzi kugira ngo wirinde ibibazo.

Kuri wowe nk’umubyeyi, ibibazo bishoboka birimo:

• Kubyara imburagihe
• Gutandukana kw’umura (gutandukana kw’umura mbere y’igihe)
• Kuva amaraso menshi nyuma yo kubyara
• Guhumeka nabi bitewe n’igitutu ku gifu
• Kubyara igihe kirekire kubera imikorere mibi y’inda

Kuri umwana wawe, ibibazo bishoboka birimo:

• Kubyarwa imburagihe
• Umutsi w’inda ugaragara mu gihe cyo kubyara
• Kuba mu mwanya utari mwiza mu nda
• Kupauka mu bihe bikomeye

Inkuru nziza ni uko, kubera gukurikirana no kwitaho neza, ibibazo byinshi bishobora kwirindwa cyangwa gucungwa neza. Itsinda ryawe ry’ubuvuzi rizakorana nawe kugira ngo kugabanya ibyago kandi ubone ibyiza kuri wowe n’umwana wawe.

Ese polyhydramnios ishobora kwirindwa gute?

Nubwo utazi kwirinda polyhydramnios burundu, cyane cyane iyo iterwa n’ibibazo by’umwana, ushobora gufata ingamba zo kugabanya ibyago byawe no guteza imbere utwitwanyi duzima.

Gucunga urwego rw’isukari mu maraso ni imwe mu ngamba z’ingenzi zo kwirinda. Niba ufite isuka, korana na muganga wawe kugira ngo urwego rw’isukari rube mu rwego rwiza. Ibi bigabanya cyane ibyago byo kugira polyhydramnios.

Kwitabira ibizamini byose byo gutwita bifasha muganga wawe gukurikirana utwitwanyi bwawe neza no kubona ibibazo hakiri kare. Ubugenzuzi buhoraho bushobora kubona impinduka mu rwego rw’amazi mbere yuko biba ibibazo.

Kuguma ufite inkingo kandi ukagira isuku nziza bishobora gufasha kwirinda indwara zishobora gutera polyhydramnios. Muganga wawe ashobora kugutegeka inkingo runaka cyangwa ingamba zishingiye ku byago byawe.

Ese polyhydramnios imenyekanwa gute?

Muganga wawe azaba ashobora kubona polyhydramnios mu bugenzuzi busanzwe bwo gutwita niba umubiri wawe upima ukomeye ukurikije igihe utwite. Ubu busuzumwa bwa mbere bwitwa gupima uburebure bw’inda.

Ubugenzuzi bw’amashusho ni igikoresho nyamukuru gikoreshwa mu kumenya polyhydramnios. Muri ubu busuzumwa budakomeretsa, muganga wawe apima amazi y’inda mu duce dutandukanye dukikuje umwana wawe. Bakoresha igipimo cyitwa urwego rw’amazi y’inda (AFI) kugira ngo bamenye niba urwego rw’amazi ari rusanzwe, ruri hagati, cyangwa ruri hejuru.

Niba polyhydramnios yemewe, muganga wawe ashobora kugutegeka ibizamini byongeyeho kugira ngo ashake impamvu zishoboka. Ibi bishobora kuba ubugenzuzi bw’amashusho burambuye kugira ngo bugenzure imiterere y’umwana wawe, ibizamini by’amaraso kugira ngo bugenzure isuka cyangwa indwara, cyangwa ibizamini by’impyiko niba hari indwara zimwe na zimwe zikekwa.

Rimwe na rimwe, muganga wawe ashobora kugutegeka amniocentesis, aho igice gito cy’amazi y’inda gikurwaho kugira ngo gisuzumwe. Ubu busuzumwa bushobora gufasha kumenya indwara z’impyiko cyangwa indwara zishobora gutera amazi menshi.

Ese ubuvuzi bwa polyhydramnios ni iki?

Ubuvuzi bwa polyhydramnios biterwa n’uburemere bw’uburwayi bwawe n’icyo kibutera. Ibihe byinshi bya polyhydramnios ya make ntibisaba ubuvuzi budasanzwe uretse gukurikirana neza.

Kubera ibibazo byo hagati kugeza ku bikomeye, muganga wawe ashobora kugutegeka:

• Kujya kwa muganga kenshi no gukurikirana amashusho
• Kuryama cyangwa kugabanya imyitozo
• Imiti igabanya amazi
• Amnioreduction (gukuraho amazi menshi binyuze mu mpinduro)
• Kubyara hakiri kare niba ibyago bihinduka byinshi

Niba isuka ari yo itera polyhydramnios yawe, gucunga urwego rw’isukari mu maraso akenshi bifasha kugabanya amazi. Muganga wawe azakorana nawe kugira ngo ahindura imirire yawe, imyitozo ngororamubiri, cyangwa imiti uko bikenewe.

Mu bihe bikomeye, uburyo bwitwa amnioreduction bushobora kuba ngombwa. Muri ubu buryo, muganga wawe akoresha umupira muto kugira ngo akureho amazi menshi y’inda, bishobora gufasha guhita ukuraho ibibazo no kugabanya ibyago by’ibibazo.

Uko wacunga polyhydramnios murugo

Nubwo ubuvuzi ari ngombwa, hari ibintu byinshi ushobora gukora murugo kugira ngo wumve neza kandi ushyigikire ubuzima bwawe mu gihe utwite ufite polyhydramnios.

Ikiruhuko ni ingenzi mu gucunga ibibazo no kwirinda ibibazo. Gerageza kuryama ku ruhande rw’ibumoso, bizatuma amaraso agera ku mwana wawe neza kandi bishobora kugabanya kubyimbagira. Koresha ibyuma kugira ngo ushyigikire umubiri wawe kandi ubone imyanya iboneye.

Kurikirana imigirire y’umwana wawe buri munsi kandi ubwira muganga wawe impinduka zikomeye. Nubwo imikino ishobora kuba itandukanye ufite amazi menshi, ugomba kuguma wumva imikino isanzwe y’umwana wawe umunsi wose.

Kunywa amazi ahagije, ariko ntukagabanye amazi unywa keretse muganga wawe akubwiye. Kurya ibiryo bike, kenshi bishobora gufasha mu muvuduko mu gifu no guhumeka nabi rimwe na rimwe bigenda na polyhydramnios.

Witondere ibimenyetso byo kubyara imburagihe, nko kubabara mu nda buri gihe, igitutu mu kibuno, cyangwa impinduka mu maziko. Kugira polyhydramnios bivuze ko ufite ibyago byinshi byo kubyara imburagihe, bityo kuba maso kuri ibi bimenyetso ni ingenzi.

Uko wakwitegura kujya kwa muganga

Mbere yo kujya kwa muganga, andika ibimenyetso byose wari ufite, harimo igihe byatangiye n’uko byahindutse mu gihe. Aya makuru afasha muganga wawe gusobanukirwa neza uburwayi bwawe.

Tegura urutonde rw’ibibazo ushaka kubabaza muganga wawe. Ushobora kwifuza kumenya ibyago byawe, uko uzakurikiranwa, cyangwa ibimenyetso bikwiye kukubwira guhamagara ibitaro.

Zana umuntu ugushigikira niba bishoboka, cyane cyane niba uhangayikishijwe n’uburwayi. Kugira umuntu uri aho kugufasha kwibuka amakuru no kubabaza ibibazo bishobora gufasha cyane.

Niba ufite isuka, zana ibitabo byawe by’isukari kugira ngo ugaragare muganga wawe uko urwego rwawe rucungwa neza. Aya makuru ni ingenzi mu gucunga polyhydramnios neza.

Icyo ugomba kumenya kuri polyhydramnios

Polyhydramnios ni uburwayi bushobora gucungwa bugira ingaruka ku bagore bagera kuri 1-2% batwite, kandi abagore benshi bafite iyi ndwara bagira abana bazima. Nubwo bisaba gukurikirana neza, ibintu byinshi biba bito kandi ntibitera ibibazo bikomeye.

Ikintu cy’ingenzi cyane ushobora gukora ni ugukorana n’itsinda ryawe ry’ubuvuzi no kwitabira ibizamini byose byo gutwita. Kubona hakiri kare no gucunga neza byongera ibyiza kuri wowe n’umwana wawe.

Wibuke ko kugira polyhydramnios ntibisobanura ko hari ikibazo kuri wowe cyangwa ko wakoze ikintu cyabiteye. Ibintu byinshi bibaho kubera impamvu zitazwi, kandi kubera kwitaho neza, urashobora kugira utwitwanyi duhimbaye.

Izera icyo umubiri wawe ukubwira kandi ntutinye guhamagara muganga wawe ufite ibibazo cyangwa impungenge. Itsinda ryawe ry’ubuvuzi riri aho kugushyigikira muri uru rugendo no kugira ibyiza kuri wowe n’umuryango wawe.

Ibibazo byakenshi bibazwa kuri polyhydramnios

Ese polyhydramnios ishobora gutera autism ku mwana wanjye?

Nta gihamya cy’ubumenyi bw’ubuvuzi kivuga ko polyhydramnios itera autism. Nubwo hari ibyigisho byarebye isano ishoboka hagati y’ibibazo byo gutwita n’ibyago bya autism, polyhydramnios ubwayo ntiifatwa nk’impamvu ya autism spectrum disorders.

Ese nzakenera kubagwa niba mfite polyhydramnios?

Oya, ntabwo ari ngombwa. Abagore benshi bafite polyhydramnios bashobora kubyara binyuze mu gitsina, cyane cyane niba iyi ndwara ari nto. Muganga wawe azatanga ibintu nka aho umwana wawe ari, uburemere bw’uburwayi, n’ubuzima bwawe muri rusange mu gihe ategura uburyo bwo kubyara.

Ese polyhydramnios ishobora kongera kubaho mu gihe cy’utwitwanyi tuzaza?

Yego, hari amahirwe yo kongera kugira polyhydramnios mu gihe cy’utwitwanyi tuzaza, cyane cyane niba ufite ibibazo nka isuka. Ariko, kugira rimwe ntibihamya ko bizongera kubaho, kandi buri twitwanyi ni ibyihariye.

Ese ngomba guhangayika niba umwana wanjye agenda make afite polyhydramnios?

Kugabanuka kw’imigirire y’umwana bishobora kuba bisanzwe ufite polyhydramnios kuko hari umwanya munini umwana wawe ashobora kugiramo kugenda. Ariko kandi, ugomba kuguma wumva imigirire isanzwe. Hamagara muganga wawe niba ubona kugabanuka cyane kw’imikino y’umwana wawe.

Ese kunywa amazi make bishobora kugabanya amazi y’inda?

Oya, kugabanya amazi unywa ntibizagabanya urwego rw’amazi y’inda kandi bishobora kukugiraho ingaruka mbi n’umwana wawe. Gutunganya amazi y’inda bigengwa n’imikorere y’umubiri, atari uko amazi unywa. Ihora unywa amazi ahagije mu gihe utwite.