IHydramnios

I-Hydramnios yimeko eyenzeka xa i-amniotic fluid eninzi isakha ngexesha lokukhulelwa. Ikwabizwa ngokuba yi-amniotic fluid disorder, okanye i-polyhydramnios.

I-Amniotic fluid lulwelo olujikeleze luze luthinte usana olungekazalwa (usana olungekazalwa) ngaphakathi kwesibeleko. Ivela kwizintso zomntwana, kwaye ingena kwisibeleko ukusuka kumchamo wosana. Ulwelo luye luthathwe xa usana luluginye kunye nokuphefumla.

Ubungakanani bolwelo luyonyuka kude kube ngeveki yama-36 yokukhulelwa. Emva koko, iyacotha kancinci. Ukuba umbungu wenza umchamo omninzi okanye awuginyi ngokwaneleyo, i-amniotic fluid iyakha. Oku kubangela hydramnios.

I-hydramnios emincinci ayinakubangela naziphi na iingxaki. Rhoqo, ulwelo olongezelelekileyo olubonakala kwikota yesibini yesibini lubuyela esiqhelweni ngokwalo. I-hydramnios emninzi ixhaphake kakhulu kunee-hydramnios ezinzima.

I-Hydramnios inokwenzeka ekukhulelweni okuqhelekileyo kunye nosana olungaphezulu kwesinye (amawele, amawele amathathu, okanye nangaphezulu).

Ukuqina kwehydramnios kunokuthetha ukuba kukho ingxaki kwimveku engekazalwa. Ukuba une-hydramnios eqatha, umboneleli wakho wezempilo uya kujonga ezi ngxaki:

• Iziphene zokuzalwa kwengqondo kunye nomqolo womqolo
• Iibhloko kwinkqubo yokwetyisa
• Ingxaki yemfuza (ingxaki ngama-chromosomes azuzwe njengelifa)

Amaxesha amaninzi, unobangela wehydramnios akafumaneki. Ngamanye amaxesha, inxulunyaniswa nokukhulelwa kwabasetyhini abanesifo seswekile okanye xa umntwana sele emkhulu kakhulu.

Ama-hydramnios amancinci ahlala engenazo iimpawu. Qiniseka ukuba uxelela umboneleli wakho ukuba unayo:

• Ukuphefumla nzima
• Intlungu yesisu
• Ukudumba okanye ukudumba kwesisu sakho

Ukujonga ii-hydramnios, umboneleli wakho uza kulinganisa "ukuphakama kwengxowa-mali" ngexesha lokuhlolwa kwakho kokubeleka. Ukuphakama kwengxowa-mali ngumgama ukusuka kwithambo lakho le-pubic ukuya phezulu kwisibeleko sakho. Umboneleli wakho uya kujonga ukukhula komntwana wakho ngokuziva isibeleko sakho ngesisu sakho.

Umboneleli wakho uya kwenza i-ultrasound ukuba kukho ithuba lokuba ube ne-hydramnios. Oku kuya kulinganisa inani le-amniotic fluid ejikeleze usana lwakho.

Ngamanye amaxesha, iimpawu ze-hydramnios zinokunyangwa kodwa isizathu asinakunyangwa.

• Umboneleli wakho unokufuna ukuba uhlale esibhedlele.
• Umboneleli wakho unokumisela amayeza ukunqanda ukuhanjiswa kwangaphambi kwexesha.
• Banokususa olunye ulwelo olongezelelweyo lwe-amniotic ukukhulula iimpawu zakho.
• Uvavanyo lwe-nonstress lunokwenziwa ukuqinisekisa ukuba imveku engekabikho semngciphekweni (Uvavanyo lwe-nonstress lubandakanya ukumamela ukubetha kwentliziyo yosana kunye nokubeka esweni ukucutha imizuzu engama-20 ukuya kwengama-30.)

Umboneleli wakho unokwenza iimvavanyo ukufumanisa ukuba kutheni unamanzi amaninzi. Oku kunokubandakanya:

• Uvavanyo lwegazi ukukhangela isifo seswekile okanye usulelo
• I-Amniocentesis (uvavanyo olujonga i-amniotic fluid)

IiHydramnios zinokubangela ukuba ungene kubelekisi kwangethuba.

Kulula kwimveku engekazalwa enamanzi amaninzi ukuyijikajika ijike. Oku kuthetha ukuba kukho ithuba elikhulu lokuba kwindawo yeenyawo ezantsi (i-breech) xa ilixesha lokuhambisa. Iintsana ze-Breech ngamanye amaxesha zinokuhanjiswa ziye ezantsi, kodwa zihlala zithunyelwa licandelo le-C.

Awunakho ukuthintela ii-hydramnios. Ukuba uneempawu, xelela umboneleli wakho ukuze uhlolwe kwaye uphathwe, ukuba kukho imfuneko.

Isifo seAmniotic fluid; Polyhydramnios; Iingxaki zokukhulelwa - hydramnios

IBuhimschi CS, iMesiano S, iMuglia LJ. I-Pathogenesis yokuzalwa kwangoko ngaphambi kokuzalwa. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 7.

UGilbert WM. Amniotic fluid ukuphazamiseka. 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 28.

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