Amniotic Fluid Embolism

Umxholo

• Amniotic fluid embolism
• Ibangelwa yintoni?
• Ziintoni iimpawu?
• Inzulu kangakanani?
• Inyangwa njani?
• Umama
• Iintsana
• Ngaba inokuthintelwa?
• Yintoni imbono?
• Umama
• Iintsana

Amniotic fluid embolism

I-Amniotic fluid embolism (AFE), ekwabizwa ngokuba yi-anaphylactoid syndrome yokukhulelwa, sisifo sokukhulelwa esibangela iimeko ezisongela ubomi, ezinje ngokusilela kwentliziyo.

Inokuchaphazela wena, usana lwakho, okanye nobabini. Kwenzeka xa i-amniotic fluid (ulwelo olujikeleze umntwana wakho ongekazalwa) okanye iiseli zomntwana, iinwele, okanye enye inkunkuma engena egazini lakho.

I-AFE inqabile. Nangona uqikelelo luyahluka, iSiseko se-AFE sichaza ukuba imeko yenzeka kuphela kwi-40,000 yokuhanjiswa eMntla Melika (kunye noku-1 kuwo onke ama-53,800 okuhanjiswa eYurophu). Nangona kunjalo, ngoyena nobangela wokufa ngexesha lomsebenzi okanye kungekudala emva kokuzalwa.

Ibangelwa yintoni?

I-AFE inokwenzeka ngexesha lomsebenzi okanye kungekudala emva kokubeleka kokubeleka komfazi kunye nokuhlinzwa. Kwiimeko ezinqabileyo, kunokwenzeka ngexesha lokukhupha isisu okanye ngelixa unesampulu encinci ye-amniotic fluid ethathwe ukuba ihlolwe (amniocentesis).

I-AFE yempendulo engalunganga eyenzekayo xa i-amniotic fluid ingena kwinkqubo yakho yokujikeleza. Ayinakuthintelwa, kwaye isizathu sokuba le mpendulo yenzeke ayaziwa.

Ziintoni iimpawu?

Isigaba sokuqala se-AFE sihlala sibangela ukubanjwa kwentliziyo kunye nokungaphumeleli ngokukhawuleza kokuphefumla. Ukubanjwa kwe-Cardiac kwenzeka xa intliziyo yakho iyeka ukusebenza, kwaye ulahlekelwe sisazela kwaye uyeke nokuphefumla.

Ukungaphumeleli ngokukhawuleza kokuphefumula kwenzeka xa imiphunga yakho ingakwazi ukubonelela ngeoksijini eyaneleyo egazini lakho okanye isuse ngokwaneleyo i-carbon dioxide kuyo. Oku kwenza kube nzima kakhulu ukuphefumla.

Ezinye iimpawu ezinokubakho zibandakanya:

• uxinzelelo lomntwana (imiqondiso yokuba umntwana akaphilanga, kubandakanya utshintsho kumgangatho wentliziyo yomntwana okanye ukuncipha kokuhamba esibelekweni)
• ukugabha
• isicaphucaphu
• ukuxhuzula
• uxinzelelo olukhulu, ukuphazamiseka
• ukujika kwesikhumba

Abasetyhini abasindayo kwezi ziganeko banokungena kwinqanaba lesibini elibizwa ngokuba sisigaba sokopha. Oku kwenzeka xa kukho ukuphuma kwegazi okugqithisileyo nokuba apho i-placenta yayiqhotyoshelwe khona okanye, kwimeko yokuzalwa kwe-cearean, kwi-incareare incision.

Inzulu kangakanani?

I-AFE inokubulala, ngakumbi kwinqanaba lokuqala. Uninzi lokufa kwe-AFE kwenzeka ngenxa yezi zinto zilandelayo:

• ukubanjwa kwentliziyo ngesiquphe
• ukopha kakhulu
• uxinzelelo lokuphefumla
• ukusilela kwamalungu amaninzi

Ngokwe-AFE Foundation, malunga neepesenti ezingama-50 zamatyala, abasetyhini basweleka kwiyure enye emva kokuqala kweempawu.

Inyangwa njani?

Umama

Unyango lubandakanya ukulawula iimpawu kunye nokukhusela i-AFE ekukhokeleni kwi-coma okanye ekufeni.

Unyango lweoksijini okanye isixhobo sokuphefumla sinokukunceda uphefumle. Ukuqinisekisa ukuba ufumana ioksijini eyaneleyo kubalulekile ukuze nosana lwakho lube neoksijini eyaneleyo.

Umboneleli wakho wezempilo unokucela ukuba kufakwe i-catheter ye-pulmonary artery catheter ukuze babeke esweni intliziyo yakho. Amayeza angasetyenziselwa ukulawula uxinzelelo lwegazi.

Kwiimeko ezininzi, igazi elininzi, iplatelet, kunye notofelo-gazi luyafuneka endaweni yegazi elilahlekileyo ngexesha lesigaba sokopha.

Iintsana

Umboneleli wakho wezempilo uya kubeka esweni umntwana wakho kwaye ajonge iimpawu zoxinzelelo. Umntwana wakho uya kuhanjiswa ngokukhawuleza xa imeko yakho izinzile. Oku kwandisa amathuba abo okusinda. Kwiimeko ezininzi, iintsana zitshintshelwa kwigumbi labagula kakhulu ukuze zijongwe kufutshane.

Ngaba inokuthintelwa?

I-AFE ayinakukhuselwa, kwaye kuyinselele kubanikezeli bezempilo ukuba baqikelele ukuba kuya kwenzeka nini kwaye nini. Ukuba uye waba ne-AFE kwaye uceba ukuba nomnye umntwana, kuyacetyiswa ukuba uthethe nengcali yokubelekisa ephezulu.

Baza kuxoxa ngobungozi bokukhulelwa kwangaphambili kwaye babeke esweni ngokusondeleyo ukuba ukhulelwe kwakhona.

Yintoni imbono?

Umama

Ngokwesiseko se-AFE, amaxabiso aqikelelweyo okusweleka kwabasetyhini abane-AFE ahlukahlukene. Iingxelo ezindala ziqikelela ukuba ukuya kuthi ga kwiipesenti ezingama-80 zabasetyhini abasindanga, nangona idatha yakutshanje iqikelela ukuba eli nani limalunga neepesenti ezingama-40.

Abasetyhini abasindayo kwi-AFE bahlala befumana iingxaki zexesha elide, ezinokubandakanya:

• ukulahleka kwememori
• ukusilela kwamalungu
• Umonakalo wentliziyo onokuba lixesha elifutshane okanye osisigxina
• iingxaki zenkqubo yemithambo-luvo
• i-hysterectomy ekhethekileyo okanye epheleleyo
• umonakalo kwi-pituitary gland

Imiceli mngeni yengqondo kunye neemvakalelo nazo zinokwenzeka, ngakumbi ukuba umntwana akaphili. Iimeko zempilo zinokubandakanya uxinzelelo lwasemva kokubeleka kunye noxinzelelo lwasemva koxinzelelo (PTSD).

Iintsana

Ngokwe-AFE Foundation, amaxabiso okufa aqikelelweyo kwiintsana ezine-AFE nawo ahlukile.

Ngokujikeleza i-AFE ayiphili, ngophando lwe-2016 olupapashwe kwi Ijenali ye-Anesthesiology Clinical Pharmacology.

Isiseko se-AFE sinika ingxelo yokuba inqanaba lokufa kweentsana ezisesibelekweni lijikeleze iipesenti ezingama-65.

Olunye usana olusindayo lunokuba nexesha elide okanye elinobunzima ebomini kwi-AFE, enokuthi ibandakanye:

• ukuphazamiseka kwenkqubo yeemvakalelo ezinokuba buthathaka okanye zibe nzima
• ayonelanga ioksijini kwingqondo
• i-cerebral palsy, esisifo esichaphazela ubuchopho kunye nenkqubo yovalo