Iipolyhydramnios

I-Polyhydramnios yenzeka xa i-amniotic fluid eninzi isakha ngexesha lokukhulelwa. Ikwabizwa ngokuba yi-amniotic fluid disorder, okanye i-hydramnios.

Amniotic fluid lulwelo olujikeleza umntwana esibelekweni (isibeleko). Ivela kwizintso zomntwana, kwaye ingena kwisibeleko ukusuka kumchamo wosana. Ulwelo luye luthathwe xa usana luluginye kunye nokuphefumla.

Ngexa lisesibelekweni, usana ludada kulwelo olunama-amniotic. Ijikeleza kwaye ibambe usana ngexesha lokukhulelwa. Inani le-amniotic fluid likhulu kwiiveki ezingama-34 ukuya kuma-36 zokukhulelwa. Emva koko isixa sincipha kancinci de umntwana azalwe.

Amniotic fluid:

• Ivumela umntwana ukuba ahambe esibelekweni, ekhuthaza ukukhula kwemisipha kunye nethambo
• Inceda imiphunga yomntwana ukuba ikhule
• Ukhusela umntwana ekulahlekelweni bubushushu ngokugcina iqondo lobushushu lihlala lihleli
• Ukuthintela nokukhusela usana kwintlungu engalindelekanga evela ngaphandle kwesibeleko

I-Polyhydramnios inokwenzeka ukuba umntwana akaginyi kwaye afunxe i-amniotic fluid ngesixa esiqhelekileyo. Oku kunokwenzeka ukuba umntwana uneengxaki ezithile zempilo, kubandakanya:

• Iziphazamiso zesisu, ezifana ne-duodenal atresia, i-esophageal atresia, i-gastroschisis, kunye ne-diaphragmatic hernia
• Iingxaki zeBongo kunye ne-nervous system, ezinjenge-anencephaly kunye ne-myotonic dystrophy
• I-Achondroplasia
• Isifo se-Beckwith-Wiedemann

Kungenzeka kwakhona ukuba umama unesifo seswekile esilawulwa kakubi.

I-Polyhydramnios nayo inokwenzeka ukuba kuveliswa ulwelo oluninzi. Oku kunokuba ngenxa:

• Ezinye iingxaki zemiphunga emntwaneni
• Ukukhulelwa okuninzi (umzekelo, amawele okanye kathathu)
• I-Hydrops fetalis kusana

Ngamanye amaxesha, akukho sizathu sichaziweyo.

Tsalela umnxeba ukuba ukhulelwe kwaye uqaphele ukuba isisu sakho sikhula ngokukhawuleza okukhulu.

Umboneleli wakho ulinganisa ubungakanani besisu sakho kutyelelo ngalunye. Oku kubonisa ubungakanani besibeleko sakho. Ukuba isibeleko sakho sikhula ngokukhawuleza kunokuba bekulindelwe, okanye sikhulu kunesiqhelo kubudala bokukhulelwa komntwana wakho, umboneleli unoku:

• Ukhe wabuya msinya kunesiqhelo ukujonga kwakhona
• Yenza i-ultrasound

Ukuba umboneleli wakho ufumana isiphene sokuzalwa, unokufuna i-amniocentesis ukuvavanya isiphene semfuza.

I-polyhydramnios emnene ebonisa kamva xa ukhulelwe kaninzi ayibangeli ngxaki.

Iipolyhydramnios ezinzima zinokunyangwa ngamayeza okanye ngokususwa kolwelo olongezelelekileyo.

Abasetyhini abane-polyhydramnios banamathuba amaninzi okuba basebenze kwangoko. Usana luya kufuna ukuhanjiswa esibhedlele. Ngale ndlela, ababoneleli banokujonga kwangoko impilo kamama nosana kwaye banike unyango xa kufuneka njalo.

Ukukhulelwa - iipolyhydramnios; IHydramnios - iipolyhydramnios

• Iipolyhydramnios

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UGilbert WM. Amniotic fluid ukuphazamiseka. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 35.

ISuhrie KR, iThabbah SM. Umbungu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl 115.