Ukuqhekeka kwangaphambili kweembrane

Ubume bethishu ebizwa ngokuba yingxowa ye-amniotic ibamba incindi ejikeleze umntwana esibelekweni. Kwiimeko ezininzi, ezi zinwebu ziyaqhekeka ngexesha lomsebenzi okanye ngaphakathi kweeyure ezingama-24 ngaphambi kokuqala ukusebenza. Ukuqhekeka kwangaphambili kweembumba (i-PROM) kuthiwa kuyenzeka xa inwebu iphuka phambi kweveki yama-37 yokukhulelwa.

Amniotic fluid ngamanzi ajikeleze usana lwakho esibelekweni. Iimbrane okanye umaleko wethishu ibambe kolu lwelo. Le nwebu ibizwa ngokuba yingxowa ye-amniotic.

Rhoqo, inwebu ziyaphuka (ikhefu) ngexesha lomsebenzi. Oku kuhlala kubizwa "xa amanzi ephuka."

Ngamanye amaxesha inwebu ziyaphuka ngaphambi kokuba umntu wasetyhini abeleke. Xa amanzi eqhekeka kwangethuba, kubizwa ngokuba kukuqhekeka kwangaphambi kwexesha kweembumba (i-PROM). Uninzi lwabasetyhini luza kuya kubasebenzi lodwa zingaphelanga iiyure ezingama-24.

Ukuba amanzi aphuka ngaphambi kweveki yama-37 yokukhulelwa, ibizwa ngokuba kukuqhekeka kwangaphambi kwexesha kweembumba (PPROM). Okukhona amanzi eqala ukuphuma, kokukhona kuya kubanzima kuwe nosana lwakho.

Kwiimeko ezininzi, unobangela PROM awaziwa. Ezinye izizathu okanye umngcipheko unokuba:

• Usulelo lwesibeleko, umlomo wesibeleko, okanye ubufazi
• Ukolula kakhulu ingxowa ye-amniotic (oku kunokwenzeka ukuba kukho ulwelo oluninzi, okanye ngaphezulu kosana olunye lubeka uxinzelelo kwiimbumba)
• Ukutshaya
• Ukuba uye wenziwa utyando okanye ii-biopsies zomlomo wesibeleko
• Ukuba ukhulelwe ngaphambili kwaye ubunePROM okanye iPPROM

Uninzi lwabasetyhini abaphula amanzi ngaphambi kokubeleka abanabungozi.

Olona phawu lukhulu lokulujonga luphuma ulwelo kwilungu lobufazi. Isenokuvuza kancinci, okanye iphume. Olunye ulwelo luye lwalahleka xa inwebu iqhekeka. Inwebu inokuqhubeka nokuvuza.

Ngamanye amaxesha xa ulwelo luphuma kancinci, abantu basetyhini bayayiphosisa xa bechama. Ukuba ubona ukuvuza kolwelo, sebenzisa iphedi ukufunxa ezinye zazo. Jonga kwaye unuke. Amniotic fluid ihlala ingenawo umbala kwaye ayinuki njengomchamo (inevumba elimnandi kakhulu).

Ukuba ucinga ukuba inwebu yakho iphukile, tsalela umnikezeli wakho wezempilo kwangoko. Uya kudinga ukukhangelwa ngokukhawuleza.

Esibhedlele, uvavanyo olulula lunokuqinisekisa ukuba inwebu yakho iphukile. Umboneleli wakho uya kujonga umlomo wakho wesibeleko ukuze abone ukuba ithambile na kwaye iyaqala ukwandiswa (vula).

Ukuba ugqirha wakho ufumanisa ukuba une-PROM, kuyakufuneka ubesesibhedlele ude azalwe umntwana wakho.

EMVA kweeveki ezingama-37

Ukuba ukukhulelwa kwakho kudlule iiveki ezingama-37, umntwana wakho ukulungele ukuzalwa. Uya kudinga ukuya kubasebenzi kungekudala. Okuthatha ixesha elide ukuba umsebenzi uqale, kokukhona liya kuba nethuba elikhulu losulelo.

Unokulinda ithutyana elifutshane de ube uyokuya emsebenzini, okanye unganyanzeliswa (fumana iyeza ukuqala umsebenzi). Abasetyhini abahambisa kwisithuba seeyure ezingama-24 emva kokuvalwa kwamanzi abanakufane basulelwe. Ke, ukuba umsebenzi awuqali ngokwawo, unokukhuseleka xa ungenziwa.

PHAKATHI KWAMAVIKI AMA-34 NAMA-37

Ukuba uphakathi kwe-34 kunye neeveki ezingama-37 xa amanzi esaphuka, umboneleli wakho uya kuphakamisa ukuba unyanzelwe. Kukhuselekile ukuba umntwana azalwe kwiiveki ezimbalwa ngaphambi kokuba ube semngciphekweni wosulelo.

Phambi kweeveki ezingama-34

Ukuba amanzi akho aqhekeka phambi kweeveki ezingama-34, kubi kakhulu. Ukuba akukho zimpawu zosulelo, umboneleli unokuzama ukubamba umsebenzi wakho ngokukubeka ebhedini. Amayeza e-Steroid anokunikwa ukunceda umphunga womntwana ukuba ukhule ngokukhawuleza. Usana luya kwenza ngcono ukuba imiphunga inalo ixesha lokukhula ngaphambi kokuzalwa.

Uyakufumana kwakhona ii-antibiotics ukunceda ukuthintela usulelo. Wena nosana lwakho niza kujongwa kakhulu esibhedlele. Umboneleli wakho angenza iimvavanyo ukujonga imiphunga yosana lwakho. Xa imiphunga ikhule ngokwaneleyo, umboneleli wakho uya kubangela abasebenzi.

Ukuba amanzi akho aqhekeka kwangoko, umboneleli wakho uya kukuxelela ukuba yeyiphi eyona nto ikhuselekileyo onokuyenza. Kukho umngcipheko ekubelekeni kwangoko, kodwa isibhedlele apho uhambisa khona siya kuthumela umntwana wakho kwiyunithi yokuqala (iyunithi ekhethekileyo yeentsana ezizalwe kwangoko). Ukuba akukho yunithi yokuqala apho uhambisa khona, wena nosana lwakho niza kusiwa esibhedlele esinaso.

IPROM; PPROM; Iingxaki zokukhulelwa - ukuqhekeka ngaphambi kwexesha

IMercer BM, iChien EKS. Ukuqhekeka kwangaphambili kweembumba. Ku: I-Resnick R, i-Lockwood CJ, i-Moore TR, i-Greene MF, iCopel JA, iSilver RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 42.

IMercer BM, iChien EKS. Ukuqhekeka kwangaphambili kweembumba. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 37.

• Ukubeleka
• Iingxaki zokubeleka