Ngaba kuninzi kakhulu kwi-Amniotic Fluid Into enokukhathazeka ngayo?

Umxholo

• Ngaphezulu kwesisu esikhulu
• Yintoni i-polyhydramnios?
• Ibangelwa yintoni?
• Zithini iingozi zepolyhydramnios?
• Ichongwa njani kwaye inyangwa njani i-polyhydramnios?
• Kwenzeka ntoni emva kokuxilongwa?

"Kwakungahambi kakuhle"

Ngaphandle kweeveki ezili-10 ukuya kwisisu sam sesine, bendisazi ukuba kukho into engalunganga.

Ndiyathetha, bendihlala ndiyi-ahem, ibhinqa elikhulu elikhulelweyo.

Ndiyathanda ukuthi thina bafazi abakwicala elifutshane abanalo nje igumbi elongezelelweyo kwii-torsos zethu, ezenza ukuba ezo ntsana zime nkqo. Kodwa, kakade, oko kukuzenza ndizive ngcono.

Ndinesabelo sam esilungileyo sokufumana ubunzima bokukhulelwa kunye nokukhulelwa kwam abathathu bangaphambili kwaye ndafumana ulonwabo lokuhambisa i-9-iipawundi, i-2-ounce egxotha umntwana oyinkwenkwe. Kodwa ngeli xesha lokujikeleza, izinto zivakala nje ukuba zahlukile.

Ngaphezulu kwesisu esikhulu

Ukuqala, bendinkulu. Njengokuphazamiseka-kokubeleka kwam-kokubeleka-iimpahla-ezinqabileyo-kwiiveki ezingama-30 ezinkulu.

Ndandinengxaki yokuphefumla, ukuhamba ndandiziva ndilusizi olupheleleyo, iinyawo zam zazidumbile kunendlebe yomdlalo wamanqindi, kwaye ungandiqali kumzabalazo wokuzama ukuziqengqa ebhedini yam ebusuku.

Ke xa ugqirha wam wayeka kancinci ngelixa alinganisa isisu sam kuhlolo oluqhelekileyo, ndandisazi ukuba kukho into ephakamileyo.

“Hmmm…” watsho, ejija umlinganiso wekhasethi lakhe ngelinye ixesha. “Kubonakala ngathi ulinganisa iiveki ezingama-40. Kuzakufuneka senze uvavanyo. ”

Ewe ufundile ngokuchanekileyo-bendilinganisa ixesha elipheleleyo leeveki ezingama-40 nge-30 kuphela-kwaye bendisenenyanga ezintathu ezinde, ezilusizi zokukhulelwa.

Ukuqhubeka kokuvavanywa kutyhila ukuba akukho nto iphosakeleyo ngomntwana (enkosi ukulunga) kwaye bendingenaso isifo seswekile sokukhulelwa (unobangela oqhelekileyo wesisu esingaphezulu kobomi), kodwa bendinengxaki entle kakhulu yeepolyhydramnios.

Yintoni i-polyhydramnios?

I-Polyhydramnios yimeko apho umntu obhinqileyo enamanzi amaninzi kakhulu ngexesha lokukhulelwa kwakhe.

Kwiindlela zokukhulelwa eziqhelekileyo, zimbini iindlela zokulinganisa inani le-amniotic fluid esibelekweni.

Eyokuqala yi-Amniotic Fluid Index (AFI), apho inani leencindi lilinganiswa kwiipokotho ezine ezahlukeneyo kwiindawo ezithile ngaphakathi kwesibeleko. Uluhlu oluqhelekileyo lwe-AFI.

Okwesibini kukulinganisa ipokotho enzulu yolwelo ngaphakathi kwesibeleko. Imilinganiselo engaphezulu kwe-8 cm ichongwa njenge-polyhydramnios.

Uluhlu luxhomekeke ekubeni ukude kangakanani na ekukhulelweni kwakho, njengoko amanqanaba e-fluid aya kunyuka aye kwi-trimester yakho yesithathu, emva koko wehle.

Njengomthetho wesithupha, i-polyhydramnios ihlala ifunyaniswa ine-AFI ngaphezulu kwama-24 okanye ipokotho enkulu yolwelo kwi-ultrasound engaphezulu kwe-8 cm. I-Polyhydramnios iqikelelwa ukuba yenzeka kuphela malunga ne-1 ukuya kwi-2 yepesenti yokukhulelwa. Ngethamsanqa mna!

Ibangelwa yintoni?

I-Polyhydramnios inezizathu ezithandathu eziphambili:

• Ukungaqheleki komzimba kwimveku engekazalwa, enjengesiphene sentambo yomqolo okanye inkqubo yokugaya ukutya
• amawele okanye ezinye ukuphindaphinda
• isifo seswekile okanye sokukhulelwa
• i-fetal anemia (kubandakanya i-anemia ebangelwa kukungahambelani kwe-Rh, xa umama nosana baneentlobo ezahlukeneyo zegazi)
• iziphene zemfuza okanye eminye imiba, enjengosulelo
• Akukho sizathu saziwayo

Ukungaqheleki kwe-Fetal zezona zinto zibangela uxinzelelo lwe-polyhydramnios, kodwa ngethamsanqa, nazo azixhaphakanga.

Kwiimeko ezininzi zeepolyhydramnios eziphakathi ukuya kweziphakathi, nangona kunjalo, akukho sizathu saziwayo.

Kuya kufuneka ugcine ukhumbula ukuba nokuba kuvavanyo lwe-ultrasound, iipesenti ezili-100 zokuchongwa ngokuchanekileyo akunakwenzeka kwaphela. Kukho phakathi kwe-AFI ephakamileyo kunye neziphumo ezibi zomntwana wakho. Oku kunokubandakanya:

• Umngcipheko okhulayo wokuhanjiswa kwangaphambi kwexesha
• Umngcipheko owandisiweyo wokwamkelwa kwicandelo lokhathalelo olunzulu lwe-neonatal (NICU)

Ezinye iimeko zepolyhydramnios. Nangona kunjalo, ugqirha wakho uya kuqhubeka nokujonga amanqanaba e-fluid rhoqo emva kokuba uxilongo lwenziwe ukuqinisekisa ukuba wena nosana lwakho nilawulwa ngokufanelekileyo.

Zithini iingozi zepolyhydramnios?

Ubungozi be-polyhydramnios buya kwahluka ngokuxhomekeke ekubeni ukude kangakanani ekukhulelweni kwakho kwaye imeko imbi kangakanani. Ngokubanzi, okukhona i-polyhydramnios iba qatha, kokukhona iphakamisa umngcipheko weengxaki ngexesha lokukhulelwa okanye lokuhambisa.

Eminye yemingcipheko kunye neepolyhydramnios eziphambili kubandakanya:

• Ukwanda komngcipheko wokuba nomntwana ophefumlayo (onamanzi amaninzi, umntwana unokuba nengxaki yokufumana intloko ezantsi)
• Umngcipheko owandayo wokuhamba kwembambo, kulapho intambo iphuma esibelekweni iye kwilungu lobufazi ngaphambi kokubeleka kosana
• ukwanda komngcipheko weengxaki zokopha emva kokuzalwa
• Ukuqhekeka kwangaphambi kweembumba, ezinokukhokelela ekusebenzeni ngaphambi kwexesha kunye nokuhanjiswa
• ukwanda komngcipheko wokuphazamiseka kweplacenta, apho i-placenta yahlulahlula eludongeni lwe-uterine ngaphambi kokubeleka kosana

Ichongwa njani kwaye inyangwa njani i-polyhydramnios?

Ukuba ugqirha wakho ukrokrela i-polyhydramnios, into yokuqala abaya kuyenza kukuyalela uvavanyo olongezelelweyo ukuqinisekisa ukuba akukho nto iphosakeleyo ngomntwana wakho. I-polyhydramnios emnene ukuya kumodareyitha ayinakufuna unyango olongezelelweyo ngaphandle kokubeka iliso.

Kuphela kunqabile kakhulu, iimeko ezinzima ziqwalaselwa ngonyango. Oku kubandakanya amayeza kunye nokukhupha i-amniotic fluid engaphezulu.

Unokulindela ukubeka esweni rhoqo kunye nokuvavanywa, kwaye oogqirha abaninzi baya kuxoxa ngokuhanjiswa kwe-cearean xa beziva ukuba umntwana mkhulu kakhulu, okanye ukuzalwa komntwana okanye ukuzalwa komfazi kuyingozi kakhulu.

Kuya kufuneka ukuba uphinde uvavanywe kwiswekile yegazi ukuze uthintele isifo seswekile.

Kwenzeka ntoni emva kokuxilongwa?

Kwimeko yam, bendijongwa rhoqo kuvavanyo lwe-biweekly olungelulo uxinzelelo kwaye ndisebenze nzima kakhulu ukufumana usana lwam ukuba luguqe-ntloko.

Nje ukuba enze njalo, ugqirha wam kunye nam savumelana nge-induction kwangethuba, elawulwayo ukuze angaphindi abuye kwakhona okanye aphule amanzi ekhaya. Wazalwa esempilweni ngokugqibeleleyo emva kokuba ugqirha wam endaphulele amanzi-kwaye kwakukho amanzi amaninzi.

Kum, i-polyhydramnios yayiyinto eyoyikisayo ngexesha lokukhulelwa kwam kuba zininzi izinto ezazingaziwa ngale meko.

Ukuba ufumana ukuxilongwa okufanayo, qi

UChaunie Brusie, i-BSN, ngumongikazi obhalisiweyo onamava kwezabasebenzi nasekuhambiseni, ukhathalelo olunzima, kunye nokonga ixesha elide. Uhlala eMichigan nomyeni wakhe nabantwana abane abancinci, kwaye umbhali wencwadi ethi "Tiny Blue Lines."