Ukutholakala Kwezinto Eziningi Zomthamo Wamanzi? Izimpawu, Izimbangela, Nokwelashwa

Ukutholakala kwezinto eziningi zomthamo wamanzi yisimo lapho kunamanzi amaningi kakhulu e-amniotic aqoqa ingane yakho ngesikhathi sokukhulelwa. La manzi engeziwe angenza isisu sakho sizizwe sikhulu kakhulu futhi siqinile, nakuba abesifazane abaningi abanemibandela elula bangabi nazimpawu nhlobo.

Amanzi e-amniotic asebenza njengesihlalo sokuvikela ingane yakho ekhula. Ngokuvamile, ingane yakho iyawagwinya la manzi bese iwaqeda ngokunisa, igcina amazinga ebhalansiwe. Uma leli qophelo lemfundo liyaphazanyiswa, amanzi angakwazi ukwakha ngaphezu kwamazinga avamile.

Ziyini izimpawu zokutholakala kwezinto eziningi zomthamo wamanzi?

Abesifazane abaningi abanokutholakala okuncane kwezinto eziningi zomthamo wamanzi ababonisi zimpawu nhlobo. Uma izimpawu zivele, zivame ukuxhumene nokucindezela okwengeziwe okuvela ezingeni elikhulayo lamanzi.

Ungase ube nezibonakaliso ezithile ezivamile:

• Isisu sakho sizizwa sikhulu kakhulu ngesigaba sakho sokukhulelwa
• Ukuphefumula okunzima noma ukuphefumula okufushane
• Ukuvuvukala ezinyaweni zakho eziphansi, ezinzwini, noma e-vulva
• Ukungahambi kahle uma ulele phansi
• Ukunciphisa ukunyakaza kwengane okungazizwa
• Ukubamba noma ukuqinisa kwesisu
• Ukutshisa kwesisu noma ukungabi kahle kokudla

Lezi zimpawu zenzeka ngoba amanzi engeziwe athatha indawo enkulu esiswini sakho, ebeka ukucindezela e-diaphragm nakwezinye izitho. Ukunciphisa ukunyakaza kwengane kwenzeka ngoba kunendawo enkulu yengane yakho yokunyakaza, okwenza ukuginya kwayo nokukhuphuka kungabonakali kuwe.

Ziyini izinhlobo zokutholakala kwezinto eziningi zomthamo wamanzi?

Odokotela bahlukanisa ukutholakala kwezinto eziningi zomthamo wamanzi ngokusekelwe ekutheni kunamanga amaningi kangakanani amanzi. Lokhu kubasiza ukuqonda ubukhulu nokuhlela ukunakekelwa okuhle kuwe nengane yakho.

Ukutholakala okuncane kwezinto eziningi zomthamo wamanzi yilona uhlobo oluvamile, oluthinta cishe abesifazane abangu-8 kwaba ngu-10 abanalesi simo. Amazinga amanzi aphakamile kancane nje, futhi abesifazane abaningi abanawo ama-symptom. Lolu hlobo luvamise ukubangela ukuphazamiseka futhi luhlala luziphilisa.

Ukutholakala okulinganiselwe kwezinto eziningi zomthamo wamanzi kusho ukuthi kunokwanda okubonakalayo kwamazinga amanzi. Kunokwenzeka ukuthi ube nezimpawu ezifana nobunzima bokuphumula noma ukungahambi kahle kwesisu. Udokotela wakho uzokunakekela eduze, kodwa ukuphazamiseka okukhulu kusazwakala.

Ukutholakala okukhulu kwezinto eziningi zomthamo wamanzi yilona uhlobo olukhulu, lapho amazinga amanzi aphakamile kakhulu. Lolu hlobo luthwala izingozi eziphezulu kuwe nengane yakho, kufaka phakathi umsebenzi wokubeletha ngaphambi kwesikhathi nokuphuza okuphazamisekile. Noma kunjalo, ngokunakekelwa komtholampilo okufanele nokuqapha, abesifazane abaningi abanokutholakala okukhulu kwezinto eziningi zomthamo wamanzi basaphila ukukhulelwa okuhle.

Yini ebangela ukutholakala kwezinto eziningi zomthamo wamanzi?

Imbangela eqondile yokutholakala kwezinto eziningi zomthamo wamanzi ayikwazi ukubonakala njalo, futhi lokhu kwenzeka cishe emaqenjini angu-50% azo zonke izimo. Uma odokotela bekhuthaza imbangela, ngokuvamile ihlangene nekhono lengane yakho lokugwinya noma ukucubungula amanzi e-amniotic ngokujwayelekile.

Nawa ama-reason aphambili okwenzeka khona ukutholakala kwezinto eziningi zomthamo wamanzi:

• I-diabetes yomzali, engathinta ukukhiqizwa kwamanzi
• I-Twin-to-twin transfusion syndrome kumawele afanayo
• Izinkinga zokugwinya ingane ngenxa yezimo ze-neurological
• Ukuvimbela kwe-gastrointestinal emsweni
• Ukutheleleka okuthile ngesikhathi sokukhulelwa
• I-anemia yengane noma izinkinga zenhliziyo
• Izimo ze-genetic ezithinta ukuthuthukiswa kwengane

Ngezinye izikhathi, lesi simo sivela uma ingane yakho inenkinga yokugwinya amanzi e-amniotic ngenxa yezimo ezifana ne-spina bifida noma ezinye izifo ze-neural tube. Kwezinye izikhathi, imithi ethile noma izifo zesimiso somzimba zingase futhi zinikeze ukukhiqizwa kwamanzi amaningi.

Nini okufanele ubona udokotela ngokutholakala kwezinto eziningi zomthamo wamanzi?

Xhumana nodokotela wakho uma uqaphela isisu sakho sikhulayo ngokushesha kakhulu kunokulindelekile noma uma uhlushwa ukungahambi kahle okukhulu. Themba izinzwa zakho mayelana nezinguquko emzimbeni wakho ngesikhathi sokukhulelwa.

Funani ukunakekelwa komtholampilo uma uhlushwa ukuphefumula okunzima kakhulu, ikakhulukazi uma ulele phansi, noma uma uqaphela ukwehla okungazelelwe kokunyakaza kwengane yakho. Lezi zimpawu zingase zibonise ukuthi amazinga amanzi akuthinta wena noma impilo yengane yakho.

Shaya udokotela wakho ngokushesha uma unezimpawu zomsebenzi wokubeletha ngaphambi kwesikhathi, njengokubamba okujwayelekile, ukucindezela kwesisu, noma amanzi aphuma esibelethweni sakho. Ukungenelela komtholampilo kwangaphambi kwesikhathi kungasiza ukuvimbela ukuphazamiseka nokuqinisekisa imiphumela emihle kuwe nengane yakho.

Ziyini izingozi zokutholakala kwezinto eziningi zomthamo wamanzi?

Izici eziningi zingandisa amathuba akho okukhula kokutholakala kwezinto eziningi zomthamo wamanzi, nakuba ukuba nezici zengozi akusho ukuthi uzokuthola ngokuqinisekile lesi simo. Ukuqonda lezi zici kusiza udokotela wakho ukunikeza ukunakekelwa okuhle nokuqapha.

Izingozi ezibaluleke kakhulu zifaka:

• Ukuba ne-diabetes ngaphambi kokukhulelwa noma ukuthola i-diabetes yesikhathi sokukhulelwa
• Ukuphatha amawele, ama-triplets, noma amanye ama-multiples
• Ukukhulelwa kwangaphambili ngokutholakala kwezinto eziningi zomthamo wamanzi
• Ubudala bomzali obungaphezu kweminyaka engu-35
• Ukutheleleka okuthile njenge-parvovirus B19 noma i-cytomegalovirus
• Umlando womndeni wezimo ze-genetic
• Ukungahambisani kwe-Rh phakathi komzali nengane

Abesifazane abanesi-diabetes baphezu kwerisiko ngoba amazinga aphezulu kashukela egazini angakhuphula ukukhiqizwa kwamanzi e-amniotic. Ukukhulelwa okuningi kuthwala ingozi enkulu ngenxa yobukhulu bokulawula ibhalansi yamanzi ngaphezu kwengane eyodwa.

Ziyini izinkinga ezingase zenzeke ngokutholakala kwezinto eziningi zomthamo wamanzi?

Abesifazane abaningi abanokutholakala okuncane kwezinto eziningi zomthamo wamanzi abanawo ukuphazamiseka okukhulu, kodwa kubalulekile ukuqonda ukuthi yini engase ibe khona ukuze ukwazi ukusebenzisana neqembu lakho lokukhathalela impilo ukuvimbela izinkinga.

Kuwe njengumama, izinkinga ezingase zenzeke zifaka:

• Umsebenzi wokubeletha ngaphambi kwesikhathi nokulethwa
• Ukwahlukaniswa kwe-placenta (ukwahlukaniswa kwangaphambi kwesikhathi kwe-placenta)
• Ukuphuza okukhulu ngemuva kokubeletha
• Ukuphefumula okunzima ngenxa yokucindezela e-diaphragm
• Umsebenzi wokubeletha omude ngenxa yokungabi kahle kokubamba kwesisu

Kwingane yakho, izinkinga ezingase zenzeke zifaka:

• Ukuzalwa kwangaphambi kwesikhathi
• Ukwehla komgogodla ngesikhathi sokulethwa
• Isimo esingavamile esibelethweni
• Ukufa kwengane ngaphambi kokuzalwa ezimweni ezinzima

Izindaba ezinhle ukuthi ngokuqapha okufanele nokunakekelwa, izinkinga eziningi zingavikelwa noma ziphathwe kahle. Iqembu lakho lokukhathalela impilo lizosisebenzisana nawe ukuze linciphise izingozi futhi liqinisekise umphumela ophilile kakhulu kuwe nengane yakho.

Ukutholakala kwezinto eziningi zomthamo wamanzi kungavikelwa kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele ukutholakala kwezinto eziningi zomthamo wamanzi, ikakhulukazi uma kubangelwa izimo zengane, ungathatha izinyathelo zokunciphisa ingozi yakho nokuthuthukisa ukukhulelwa okuhle.

Ukulawula amazinga akho kashukela egazini yiyona yezinye izindlela ezibaluleke kakhulu zokuvimbela. Uma une-diabetes, sisebenzisana neqembu lakho lokukhathalela impilo ukuze ugcine amazinga akho e-glucose ngaphakathi kwamazinga okuhlosiwe. Lokhu kunciphisa kakhulu ingozi yakho yokutholakala kwezinto eziningi zomthamo wamanzi.

Ukuya kuyo yonke imiqondiso yakho yokukhulelwa kuvumela udokotela wakho ukuqapha ukukhulelwa kwakho eduze futhi abambe noma yiziphi izinkinga kwangaphambi kwesikhathi. I-ultrasounds ejwayelekile ingathola izinguquko emazingeni amanzi ngaphambi kokuba zibe yinkinga.

Ukugcina ubuyekeza ngezigqoko zokugcoba nokuqeqesha ukuhlanzeka okuhle kungasiza ukuvimbela ukutheleleka okungase kube nomthelela ekukhiqizweni kwamanzi amaningi. Udokotela wakho angase akukhuthaze izigqoko zokugcoba ezithile noma izinyathelo zokuphepha ngokusekelwe ezingozini zakho zomuntu siqu.

Ukutholakala kwezinto eziningi zomthamo wamanzi kuhlonzwa kanjani?

Udokotela wakho cishe uzoqala ukukuthola ukutholakala kwezinto eziningi zomthamo wamanzi ngesikhathi sokuvakasha kwakho okujwayelekile kokukhulelwa uma isisu sakho sililinganisa likhulu kunokulindelekile ngesigaba sakho sokukhulelwa. Lolu hlolo lokuqala lubizwa ngokulinganisa ukuphakama kwakho kwe-fundal.

I-ultrasound iyithuluzi eliyinhloko elisetshenziswa ukuhlonzwa kokutholakala kwezinto eziningi zomthamo wamanzi. Ngesikhathi salolu viwo olungapheli, udokotela wakho uyalinganisa amanzi e-amniotic ezingxenyeni ezahlukene ezingqongqoze ingane yakho. Basebenzisa ukulinganiswa okuthiwa yi-amniotic fluid index (AFI) ukuze baqonde ukuthi amazinga amanzi avamile, asemaphethelweni, noma aphezulu.

Uma ukutholakala kwezinto eziningi zomthamo wamanzi kuqinisekiswe, udokotela wakho angase akukhuthaze ukuhlolwa okwengeziwe ukufuna izimbangela ezingase zibe khona. Lokhu kungase kufaka i-ultrasounds eningiliziwe ukuhlola ukwakheka kwengane yakho, ukuhlolwa kwegazi ukuhlola i-diabetes noma ukutheleleka, noma ukuhlolwa kwe-genetic uma kuqondwa izimo ezithile.

Ngezinye izikhathi, udokotela wakho angase akukhuthaze i-amniocentesis, lapho isampula encane yamanzi e-amniotic isuswa ukuze ihlolwe. Lolu viwo lungasiza ukuqonda izimo ze-genetic noma ukutheleleka okungase kube imbangela yamanzi amaningi.

Yikuphi ukwelashwa kokutholakala kwezinto eziningi zomthamo wamanzi?

Ukwelashwa kokutholakala kwezinto eziningi zomthamo wamanzi kuncike ebukhulu besimo sakho nokuthi yini eyibangelayo. Izimo eziningi zokutholakala okuncane kwezinto eziningi zomthamo wamanzi azidingi ukwelashwa okuqondile ngaphandle kokuqapha okucophelelayo.

Kwezimo ezilinganiselwe kuya kwezinkulu, udokotela wakho angase akukhuthaze:

• Imiqondiso eminingi yokukhulelwa ne-ultrasounds
• Ukuphumula embhedeni noma ukulinganiselwa kwemisebenzi
• Imithi yokunciphisa ukukhiqizwa kwamanzi
• I-Amnioreduction (ukususa amanzi amaningi ngenhlanzi)
• Ukuzalwa kwangaphambi kwesikhathi uma izingozi ziphuma kakhulu

Uma i-diabetes ibingela ukutholakala kwakho kwezinto eziningi zomthamo wamanzi, ukulawula amazinga akho kashukela egazini kuvame ukusisiza ukunciphisa ukukhiqizwa kwamanzi. Udokotela wakho uzosisebenzisana nawe ukuze ulungise ukudla kwakho, umkhuba wokuzivocavoca, noma imithi njengoba kudingeka.

Ezimweni ezinzima, inqubo ebizwa nge-amnioreduction ingase idingeke. Ngesikhathi salenqubo, udokotela wakho usebenzisa inhlanzi efinyelela ukuze asuse amanzi e-amniotic amaningi, okuyona indlela yokunciphisa izimpawu nokunciphisa ingozi yokuphazamiseka.

Indlela yokuphatha ukutholakala kwezinto eziningi zomthamo wamanzi ekhaya

Nakuba ukwelashwa komtholampilo kubalulekile, kunezinto eziningi ongazenza ekhaya ukuze uzizwe ukhululekile futhi usekele impilo yakho ngesikhathi sokukhulelwa ngokutholakala kwezinto eziningi zomthamo wamanzi.

Ukuphumula kubalulekile ekulawuleni izimpawu nokuvimbela ukuphazamiseka. Zama ukulala ngakwesobunxele, okuthuthukisa ukugeleza kwegazi kuya engwaneni yakho futhi kungasiza ukunciphisa ukuvuvukala. Sebenzisa izikhwama zokusekela isisu sakho futhi uthole izikhundla ezanelisayo.

Qapha ukunyakaza kwengane yakho nsuku zonke futhi ubike noma yiziphi izinguquko ezibalulekile kudokotela wakho. Nakuba ukunyakaza kungase kuzizwe kuhlukile ngamanzi amaningi, kufanele uqhubeke uzizwe umsebenzi ojwayelekile wengane yakho usuku lonke.

Hlala uthola amanzi, kodwa unganciphisi ukusetshenziswa kwamanzi akho ngaphandle uma udokotela wakho ekukhuthaza ngokuqondile. Ukudla ukudla okuncane, okuvamile kungasiza ekutshiseni kwesisu nokuphefumula okunzima okuhambisana ngezinye izikhathi nokutholakala kwezinto eziningi zomthamo wamanzi.

Qaphela izimpawu zomsebenzi wokubeletha kwangaphambi kwesikhathi, njengokubamba okujwayelekile, ukucindezela kwesisu, noma izinguquko ekukhipeni kwesibeletho. Ukuba nokutholakala kwezinto eziningi zomthamo wamanzi kusho ukuthi uphezulu kwerisiko lomsebenzi wokubeletha kwangaphambi kwesikhathi, ngakho-ke ukulalela lezi zimpawu kubalulekile.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ngaphambi kwe-appointment yakho, bhala phansi noma yiziphi izimpawu ozihlushwa yizo, kufaka phakathi ukuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Lolu lwazi lusiza udokotela wakho ukuqonda isimo sakho kangcono.

Lungiselela uhlu lwezimpikiswano ofuna ukuzibuza ku-dokotela wakho. Ungase ufune ukwazi ngezici zakho zengozi, ukuthi kuzodingeka yikuphi ukuqapha, noma yiziphi izimpawu okumele zikukhuthaze ukubiza ihhovisi.

Letha umuntu osekela nawe uma kungenzeka, ikakhulukazi uma uzizwa ukhathazekile ngokuxilongwa. Ukuba nomuntu lapho ozosiza ukukhumbula ulwazi nokuzibuza imibuzo kungaba usizo kakhulu.

Uma une-diabetes, letha ama-log akho kashukela egazini ukubonisa udokotela wakho ukuthi amazinga akho alawulwa kahle kangakanani. Lolu lwazi lubalulekile ekulawuleni ukutholakala kwezinto eziningi zomthamo wamanzi ngokuphumelelayo.

Iyini into ebaluleke kakhulu mayelana nokutholakala kwezinto eziningi zomthamo wamanzi?

Ukutholakala kwezinto eziningi zomthamo wamanzi yisimo esilawuleka esithinta cishe u-1-2% lokukhulelwa, futhi abesifazane abaningi abanalesi sixilongo baqhubeka beba nezingane eziphilile. Nakuba kudinga ukuqapha okucophelelayo, iningi lezimimo lilula futhi alibangi ukuphazamiseka okukhulu.

Into ebaluleke kakhulu ongayenza ukusebenzisana eduze neqembu lakho lokukhathalela impilo nokuya kuyo yonke imiqondiso yakho yokukhulelwa. Ukutholwa kwangaphambi kwesikhathi nokulawulwa okuhle kuthuthukisa kakhulu imiphumela kuwe nengane yakho.

Khumbula ukuthi ukuba nokutholakala kwezinto eziningi zomthamo wamanzi akusho ukuthi kukhona okungalungile ngawe noma ukuthi wenze okuthile ukubangela. Izimo eziningi zenzeka ngezizathu ezingaziwa, futhi ngokunakekelwa okufanele, usengaba nokukhulelwa okuhle.

Themba izinzwa zakho mayelana nezinguquko emzimbeni wakho futhi ungangabazi ukuxhumana nodokotela wakho ngemibuzo noma ukukhathazeka. Iqembu lakho lokukhathalela impilo lilapho ukusekela ngalesi sihambo futhi liqinisekise umphumela omuhle kakhulu womndeni wakho.

Imibuzo evamile ebuzwa mayelana nokutholakala kwezinto eziningi zomthamo wamanzi

Ingabe ukutholakala kwezinto eziningi zomthamo wamanzi kungabangela i-autism engwaneni yami?

Awekho ubufakazi besayensi bokuthi ukutholakala kwezinto eziningi zomthamo wamanzi kubangela i-autism. Nakuba ezinye izifundo zibukele uxhumano olukhulu phakathi kokuphazamiseka kokukhulelwa nengozi ye-autism, ukutholakala kwezinto eziningi zomthamo wamanzi ngokwalo akucabangi njengombangela oqondile we-autism spectrum disorders.

Ingabe ngizodinga i-C-section uma nginokutholakala kwezinto eziningi zomthamo wamanzi?

Akudingeki. Abesifazane abaningi abanokutholakala kwezinto eziningi zomthamo wamanzi bangaba nokubeletha kwe-vaginal, ikakhulukazi uma isimo silula. Udokotela wakho uzocubungula izici ezifana nesimo sengane yakho, ubukhulu besimo, nempilo yakho yonke uma uhlela indlela yakho yokubeletha.

Ingabe ukutholakala kwezinto eziningi zomthamo wamanzi kungase kuphinde kwenzeke ezikhathini zokukhulelwa ezizayo?

Yebo, kunokwanda kwamathuba okubuyela kokutholakala kwezinto eziningi zomthamo wamanzi ezikhathini zokukhulelwa ezizayo, ikakhulukazi uma unezimo ezingaphansi njenge-diabetes. Noma kunjalo, ukuba nakho kanye akusho ukuthi kuzophinde kwenzeke, futhi ukukhulelwa ngakunye kuhlukile.

Ingabe kufanele ngikhathazeke uma ingane yami inyakazisa kancane ngokutholakala kwezinto eziningi zomthamo wamanzi?

Ukunciphisa ukunyakaza kwengane kungase kube okujwayelekile ngokutholakala kwezinto eziningi zomthamo wamanzi ngoba kunendawo enkulu yengane yakho yokunyakaza. Noma kunjalo, kufanele uqhubeke uzizwe izindlela zokunyakaza eziqondile. Xhumana nodokotela wakho uma uqaphela ukwehla okukhulu kwezinga lokusebenza kwengane yakho.

Ingabe ukunciphisa ukusetshenziswa kwamanzi kungasiza ukunciphisa amanzi e-amniotic?

Cha, ukunciphisa ukusetshenziswa kwamanzi akukusizi ukunciphisa amazinga amanzi e-amniotic futhi kungase kukulimaze wena nengane yakho. Ukukhiqizwa kwamanzi e-amniotic kulawulwa yizinqubo ze-biological ezinkulu, hhayi ngokuthi usebenzisa amanzi amaningi kangakanani. Hlala uthola amanzi ngesikhathi sokukhulelwa.