Polyhydramnios

Ku-polyhydramnios, amazinga andile okukhulu e-amniotic fluid aqoqana esibelekweni ngesikhathi sokukhulelwa. Iimodi ezilula ze-polyhydramnios zingase zihambe zodwa. Iimodi ezinzima zingadinga ukwelashwa.

I-Polyhydramnios (pol-e-hi-DRAM-nee-os) ukwakheka kwe-amniotic fluid eyengeziwe — i-fluid ezungezile ingane esibelekweni ngesikhathi sokukhulelwa. I-Polyhydramnios kwenzeka cishe ku-1% kuya ku-2% yokukhulelwa.

Ngokukhulu kwesikhathi, isimo silula. Ngokuvamile kutholakala ezigabeni eziphakathi noma kamuva zokukhulelwa. I-polyhydramnios enzima ingabangela ukuphefumula kanzima, ukubeletha kwangaphambi kwesikhathi noma ezinye izimpawu.

Uma ufunda ukuthi une-polyhydramnios, iqembu lakho lokunakekelwa kwezempilo liqapha ngokucophelela ukukhulelwa kwakho ukuze kusize ukuvimbela izinkinga zezempilo. Ukwelashwa kuncike ekuthini isimo sibukhali kangakanani. I-polyhydramnios elula ingase ihambe yodwa. I-polyhydramnios enzima ingase idinge ukulandelelwa eduze yiqembu lakho lokunakekelwa.

Izimpawu ze-polyhydramnios zingahlotshaniswa nokuqongelela kwamanzi e-amniotic okwenza uxinzelelo esibelekweni nasezitho eziseduze. I-polyhydramnios emaphakathi ivame ukubangela izimpawu ezimbalwa noma azikho. Kodwa izinhlobo ezinzima zesimo zingabangela: Ukuphefumula kanzima noma ukungakwazi ukuphefumula. Ukukhula kwamagxolo noma izinyawo. Ubuhlungu endaweni yesisu. Imizwa yokubopha emiphini yesibelekile, okuthiwa yi-contractions. Uchwepheshe wakho wezempilo angase futhi angathí i-polyhydramnios uma isibeleko sakho sibe sikhulu ngenombolo yamaviki okukhulelwa.

Ezinye zezizathu ezibonakalayo ze-polyhydramnios zihlanganisa:

• Izimo ezihlasela isisu somntwana, uhlelo lwezinzwa elikhulu noma ezinye izitho.
• Izimo ezihambelana ne-genetic ezihlasela ingane.
• Ubuhlungu beswekile kumuntu okhulelwe.
• Ubunzima bokukhulelwa abafana ababili abafanayo lapho omunye umntwana ethola igazi eliningi kakhulu kanti omunye ethola elincane. Lokhu kubizwa ngokuthi i-twin-to-twin transfusion syndrome.
• Inani elincane lama-red blood cells emsweni, okuthiwa futhi i-fetal anemia.
• Isimo lapho amaseli egazi abazali abakhulelwe ehlasela amaseli egazi engane.
• Ukutheleleka ngesikhathi sokukhulelwa.

Ngokuvamile, imbangela ye-polyhydramnios ayicaci, ikakhulukazi uma isimo silithambile.

Izimbangela ezingozi ze-polyhydramnios zihlanganisa izimo ezithile ezithuthuka ngesikhathi sokukhulelwa, njengu- gestational diabetes. Isimo esithinta ingane elikhulayo, njengoba kunenkinga ngesistimu yokugaya ukudla, uhlelo lwezinzwa elikhulu noma ezinye izitho, singakubeka engcupheni ye-polyhydramnios.

I-Polyhydramnios ixhunyaniswe no:

• Ukuba umntwana azalwe ngaphambi kwesikhathi, okuthiwa ukukhulelwa kwangaphambi kwesikhathi.
• Ukuba umntwana akabekwa phansi ngekhanda ngaphambi kokubeletha, okuthiwa ukukhulelwa kwangaphambi kwesikhathi.
• Amanzi aphukile ngaphambi kwesikhathi, okuthiwa ukuqhekeka kwangaphambi kwesikhathi kwemembebreni.
• Ikhondi lomntwana lehla emathunjini ngaphambi komntwana, okuthiwa ukuqhekeka kwangaphambi kwesikhathi kwekhondi.
• Isicubu esinikeza ioksijini kanye nezondlo kumntwana ozalwayo, i-placenta, ihlukaniswa odongeni lwasemuva lwesisu ngaphambi kokubeletha. Lokhu kubizwa ngokuthi ukuhlukana kwe-placenta.
• Ukudinga ukulethwa kwe-C-section.
• Ukuphelelwa ngumntwana ngemuva kwamasonto angu-20, okuthiwa ukufa komntwana.
• Ukopha okukhulu ngenxa yokunciphisa umsebenzi wemisipha yesisu ngemuva kokubeletha.

Izinkinga zezempilo ezinkulu ngokuvamile zihambisana ne-polyhydramnios enzima.

Ukuthola ukuthi ukhulelwe yini i-polyhydramnios, cishe uzodinga ukuhlolwa kwe-ultrasound yengane. Lo viwo lusebenzisa amaza omsindo aphezulu ukuthola izithombe zengane yakho engakazalwa esikrinini.

Abezempilo bangahlola i-polyhydramnios ngokulinganisa indawo enkulu kunazo zonke yamanzi e-amniotic eduze kwengane. Lokhu kubizwa ngokuthi yi-maximum vertical pocket (MVP). Noma bangalinganisa amanzi ezindaweni ezine ze-uterus, okuthiwa yi-amniotic fluid index (AFI). I-Polyhydramnios ibonakala uma i-MVP ingu-8 noma ngaphezulu, noma i-AFI ingu-24 noma ngaphezulu.

Ngokuya ngesikhathi nokuthi i-polyhydramnios iyingozi kangakanani, iqembu lakho lezempilo lingase likucebise ukuhlolwa okunye ukuze lizame ukuthola imbangela ye-polyhydramnios:

• Ukuhlolwa kwegazi. Lokhu kungahlola izifo ezithathelwanayo ezihlotshaniswa ne-polyhydramnios.
• Amniocentesis. Lena inqubo lapho isampula yamanzi e-amniotic isuswa e-uterus ukuze ihlolwe. Amanzi anezicubu ze-fetal nezikhemikhali ezihlukahlukene ezenziwa yingane. Izicubu ezimanzi zingasetshenziswa ekubhekeni i-genetic uma kukhona ukukhathazeka nge-genetic disorder.

Iqembu lakho lezempilo liqapha ukukhulelwa kwakho eduze uma une-polyhydramnios. Ungathola le mihlola elandelayo:

• Ukuhlolwa kwe-Nonstress. Lo viwo luhlola ukuthi izinga lenhliziyo yengane yakho liphendula kanjani lapho ingane yakho ihamba. Ngesikhathi sokuhlolwa, uzogqoka idivayisi ekhethekile esiswini sakho, okuthiwa nesibeletho, ukuze ulinganise izinga lenhliziyo yengane. Idivayisi efana ne-buzzer ingase isetshenziswe ukuvusa ingane nokukhuthaza ukuhamba.
• Iphrofayili ye-Biophysical. Lo viwo lusebenzisa i-ultrasound ukunikeza ulwazi oluthe xaxa ngokuphefumula kwengane yakho, ithoni nokuhamba. Kungasiza futhi ekuqondeni ubuningi bamanzi e-amniotic e-uterus. Kungase kuhlanganiswe noviwo lwe-nonstress.

Ukukhulelwa okunamanzi kancane akunandaba yokwelashwa. Kungase kuqede ngokwalo. Uma kungenjalo, ukwelashwa kwesizathu esiyimbangela—njengoshukela—kungasiza ekuqedeni ukukhulelwa okunamanzi. Ungadinga ukwelashwa esibhedlela uma ukukhulelwa kwakho kunamanzi kakhulu kunezimpawu ezinjengokuphefumula kanzima, ubuhlungu besisu noma ukuqina kwesisu. Ukwelashwa kokukhulelwa okunamanzi kungafaka:

• Ukususa amanzi amaningi e-amniotic. Iqembu lakho lezempilo lingase lisebenzise i-amniocentesis ukususa amanzi amaningi e-amniotic esizalweni sakho. Le nqubo inenkinga encane yezinkinga zempilo. Lezi zifaka ukubeletha kwangaphambi kwesikhathi, ukuqhekeka kwendawo yokubeletha nokuqhekeka kwangaphambi kwesikhathi kwemembe.
• Imithi. Uchwepheshe wakho wezempilo angase anikeze imithi ethathwa ngomlomo ebizwa ngokuthi yi-indomethacin (Indocin). Isetshenziswa amahora angu-48 ukusiza ukunciphisa ukuqina nokunciphisa inani lamanzi e-amniotic. Cela iqembu lakho lokunakekelwa ukuba likhulume nawe ngemiphumela emibi engenzeka.

Ngemva kokwelashwa, iqembu lakho lezempilo cishe lizothanda ukuhlola amazinga amanzi akho e-amniotic cishe njalo ezinsukwini ezingu-1 kuya kwezingu-3.

Uma ukukhulelwa kwakho kunamanzi kancane kuya kwaphakathi, iqembu lakho lokunakekelwa cishe lizobeka uhlelo lokukubeletha ingane yakho ezinsukwini ezingu-39 noma ezingu-40. Uma ukukhulelwa kwakho kunamanzi kakhulu, iqembu lakho cishe lizokhuluma ngesikhathi esifanele sokubeletha. Umgomo ukunciphisa amathuba ezinkinga zempilo kuwe nengane yakho.

Ukuba nokukhulelwa okunamanzi kungaba ukucindezeleka. Kepha iqembu lakho lezempilo likhona kuwe. Sebenzani ndawonye ukuqinisekisa ukuthi wena nengane yakho niyathola ukunakekelwa okuhle kunazo zonke.