Ukunyangwa kwesifo

Umxholo

• Yintoni ebangela usulelo?
• Ziziphi iingozi?
• Zithini iimpawu?
• Ichongwa njani i-amnionitis?
• Inyangwa njani i-amnionitis?
• Ithini imbonakalo ye-amnionitis?

Yintoni i-amnionitis?

I-Amnionitis, ekwabizwa ngokuba yi-chorioamnionitis okanye usulelo lwe-intra-amniotic, sisifo sesibeleko, i-amniotic sac (ingxowa yamanzi), kwaye kwezinye iimeko, yemveku engekazalwa.

I-Amnionitis inqabile kakhulu, ivela kuphela malunga neepesenti ezi-2 ukuya kwezi-5 zokukhulelwa kokuhanjiswa kwexesha.

Isibeleko siqhele ukuba yindawo engenabungozi (oko kuthetha ukuba ayiqulathanga naziphi na iintsholongwane okanye iintsholongwane). Nangona kunjalo, iimeko ezithile zinokwenza ukuba isibeleko sichaphazeleke kusulelo.

Xa isenzeka, usulelo lwesibeleko yimeko embi kuba ayinakuphathwa ngempumelelo ngaphandle kokuhambisa usana. Le yingxaki ethile xa usana luzelwe ngaphambi kwexesha.

Yintoni ebangela usulelo?

Intsholongwane ehlasela isibeleko ibangela i-amnionitis. Oku kuhlala kwenzeka enye yeendlela ezimbini. Okokuqala, iintsholongwane zinokungena kwisibeleko ngegazi likamama. Indlela yesibini nexhaphakileyo ivela kwilungu lobufazi kunye nomlomo wesibeleko.

Kwabasetyhini abasempilweni, ubufazi kunye nomlomo wesibeleko zihlala zinamanani alinganiselweyo ebhaktiriya. Kubantu abathile, nangona kunjalo, ezi bhaktheriya zinokubangela usulelo.

Ziziphi iingozi?

Iingozi ze-amnionitis zibandakanya ukuqala komsebenzi, ukuqhekeka kweembrane kunye nomlomo wesibeleko. Oku kunokuvumela iibhaktheriya kwilungu lobufazi ukuba zifikelele kwisibeleko.

Ukuqhekeka kwangaphambi kwexesha kweembumba (aka PPROM, ukuphuka kwamanzi ngaphambi kweeveki ezingama-37) kubonisa umngcipheko omkhulu wosulelo lwe-amniotic.

I-Amnionitis inokwenzeka kwakhona ngexesha lomsebenzi oqhelekileyo. Izinto ezinokunyusa umngcipheko we-amnionitis zibandakanya:

• umsebenzi omde
• ukuqhekeka ixesha elide kweembumba
• iimviwo ezininzi kwilungu lobufazi
• ukubekwa kwee-electrode zomntwana oseluswini
• iicathet zoxinzelelo ngaphakathi

Zithini iimpawu?

Iimpawu ze-amnionitis ziyahluka. Olunye lweempawu zokuqala inokuba sisishunqulelo esiqhelekileyo kunye nokwahluka komlomo wesibeleko. Ezi mpawu ngokudibeneyo zibonisa ukuqala komsebenzi wokuqala.

Umfazi uhlala esiba nomkhuhlane oqala ku-100.4 ukuya ku-102.2ºF, ngokwe-American College of Obstetricians nakwiGynecologists.

Iimpawu ezongezelelweyo zingabandakanya:

• Imvakalelo efana nomkhuhlane
• ukuthamba kwesisu
• umjelo wamanzi omlomo wesibeleko (umjelo onukayo okanye onqabileyo)
• ukukhawuleza kwentliziyo kumama
• ukukhawuleza kwentliziyo yosana (kufunyaniswa kuphela ngokujonga esweni intliziyo)

Uvavanyo lweLabhoratri lunokubonisa ukunyuka kokubala kweeseli ezimhlophe. Ukuba ngaba usulelo alunyangeki, umntwana usenokugula kwaye nenqanaba lentliziyo elingekazalwa linyuke. Oku akucaci ngaphandle kokuba umama usesibhedlele kwaye uqhagamshele kumvavanyi wokubetha kwentliziyo yomntwana.

Ngaphandle konyango, umama unokuya emsebenzini ngaphambi kwexesha. Kwiimeko ezinqabileyo, usulelo olubi lunokukhokelela ekufeni komntwana.

Umama unokugula kakhulu kwaye angakhula yi-sepsis. I-Sepsis kuxa usulelo lungena kwigazi likanina elibangela iingxaki kwamanye amalungu omzimba.

Oku kunokubandakanya uxinzelelo lwegazi oluphantsi kunye nomonakalo kwamanye amalungu. Iibhaktheriya zikhupha ityhefu enokuba yingozi emzimbeni. Le yimeko esongela ubomi. Ukunyanga i-amnionitis ngokukhawuleza kunokwenzeka ukugcina oku kungenzeki.

Ichongwa njani i-amnionitis?

Ukuchongwa kwe-amnionitis ekusebenzeni kusekwe kubukho befiva, ukuthamba kwesibeleko, ukwanda kwenani leeseli ezimhlophe, kunye ne-amniotic fluid enukayo.

I-Amniocentesis (ukuthatha isampulu ye-amniotic fluid) ayisetyenziselwa ukufumanisa i-amnionitis ngexesha lomsebenzi oqhelekileyo. Oku kuhlala kungena kakhulu xa umama esebenza.

Inyangwa njani i-amnionitis?

Amayeza okubulala iintsholongwane kufuneka anikwe ngokukhawuleza emva kokuba kufunyaniswe ukuba kufunyenwe isifo ukuze kwehliswe umngcipheko kumama nakwimveku engekazalwa. Ugqirha uya kumisela la mayeza ukuba awasebenzise ngaphakathi.

Unyango oluxhasayo njengokutya ii-ice chips, ukupholisa igumbi, okanye ukusebenzisa iifeni, kunokunceda ukupholisa ubushushu bomfazi.

Xa ugqirha efumanisa usulelo ngexesha lomsebenzi, kufuneka kwenziwe iinzame zokunciphisa abasebenzi kangangoko kunokwenzeka. Banokumisela i-oxytocin (Pitocin) ukomeleza ukucutha. I-Amnionitis inokuba sisizathu sokungasebenzi kakuhle, ngaphandle kokusetyenziswa kwe-oxytocin.

Oogqirha abahlali bancomela ukuhanjiswa kwe-cesarean (icandelo le-C) kumama ngenxa yokuba ene-amnionitis.

Ithini imbonakalo ye-amnionitis?

Ukuqonda kunye nokufuna unyango lwe-amnionitis kubalulekile kwisiphumo esihle kumama nomntwana. Umfazi kufuneka asoloko ebiza ugqirha wakhe ukuba unefiva ehlala ngaphezulu kweeyure ezimbalwa.

Ukuba akalufuni unyango, usulelo lunokuqhubela phambili. Isisu okanye iingxaki zomntwana zinokubangela. Ngamayeza okubulala iintsholongwane kunye nokwandiswa kwabasebenzi, owasetyhini kunye nosana lwakhe banokuba neziphumo ezilungileyo kwaye banciphise umngcipheko weengxaki.