Indlela yokumisela i-polyhydramnios?
Le ntsholongwane ibonakalisa njengempawu ezithile, eziqala ukuphazamisa umfazi okhulelweyo. Le ntlungu yokuxakeka kunye nokukhathazeka esiswini, ukuvuvukala kwemida, ukwanda kwenani lentliziyo kunye nemeko jikelele ye-malaise. Kwakhona, xa i-polyhydramnios enejiso elimele, umntu unokubona ukungafani okuthe ngqo phakathi kobukhulu besisu esisisigxina esithile.
Kodwa ukuxilongwa kungenziwa kuphela emva kokunikezelwa kweemvavanyo ezininzi kunye nokuhamba kwe-ultrasound. Iingcali eziqeqeshekileyo ziya kukwazi ukufumana isalathisi se-amniotic fluid uze uqhathanise umphumo kunye neerameters eziqhelekileyo. Uyakwazi ukubona izikhombisi eziqhelekileyo kwikhondo eliqhelekileyo lokukhulelwa usebenzisa itafile.
Iimbangela ze-polyhydramnios ekukhulelweni
Yintoni ebangela ukuba le ngozi? Kuze kube ngoku, izazinzulu azikwazi ukunika impendulo eyodwa kulo mbuzo.
Kukho iqela elithile elijongene nobungozi, abesifazana abavela kuzo ukuba banokuhlangabezana nomthamo ongaphezulu kwe-amniotic fluid.
Okokuqala, oku kukukhulelwa okubanzi. Kule meko, ngokuphindaphindiweyo ukungabikho kwamanzi amniotic yomntwana omnye kuhlawulelwa ngumthwalo womnye.
Izifo ezingapheliyo njenge-diabetes mellitus, izifo zesimo senhliziyo kunye ne-urinary tract nazo zinokukhupha isifo.
I-Rhesus-imfazwe phakathi koomama nomntwana, kunye ne-chromosomal engafanelekiyo yomntwana (i-Down's syndrome, i-Edwards) rhoqo ikhokelela ekugqithiseni kwe-amniotic fluid.
Sekunjalo, izazinzulu zibiza izizathu ezinjalo ze-polyhydramnios ngexesha lokukhulelwa, njengobungakanani obuninzi be-fetus okanye i-congenital pathologies ekuphuhlisweni kwayo. Ukuphulwa okuncinci kumsebenzi we-cardiovascular, inkqubo engalinganiyo okanye i-esophagus, utshintshe ibhalansi.
Phakathi kwezinye izizathu, kuqhelekile ukuqwalasela ukutyiliswa kwabasetyhini abakhulelweyo njengezifo ezithathelwanayo - i-rubella, i-toxoplasmosis, i-syphilis, njl. Ngaphantsi kaninzi, njengento ebangeleyo, izicubu ze-placental okanye iingxaki ze-artery.
Unyango lwe polyhydramnios
Ngaphambi kokumisela i-regimen yonyango, ugqirha wenza i-diagnostic ecacileyo ukuze aqonde ukuba yiyiphi imbangela ye-polyhydramnios.
Ukuhlola, umfazi unika iimvavanyo zegazi (inani, i-glucose, i-rhesus-conflict), umchamo. Ukunikezela kwinqanaba le-ultrasound, cardiotocography, Doppler.
Ukunyanga okuthe ngqo kuxhomekeke kwizizathu zesifo. Njengomthetho, oku kwamkelwa kwamavithamini, unyango lwe-antibacterial kunye neziyobisi eziphucula ukuhamba kwegazi e-utero-placental.
Kukho iindidi ezininzi ze-polyhydramnios - ezinzima, ezingapheliyo kunye nobumnene. Kwizifo ezinzima, iimpawu zicacile, kwaye kwiimeko ezininzi kunzima ukugcina umntwana.
I-polyhydramnios engapheli idinga ukuhlolwa rhoqo. Ukugcinwa kwazo zonke izikhokelo kunokwenzeka ukuzala umntwana onempilo. I-polyhydramnios echanekileyo ayibonakali ngokwayo njengempawu zesifo. Kodwa omnye kufuneka ahlale esweni iinguqu kwi-amniotic fluid.
Imiphumo enokwenzeka
Xa sele ichonge izizathu ze-polyhydramnios, umntu kufuneka aqonde nemiphumo enokwenzeka:
- ukuzalwa ngaphambi kokuzalwa, okunokubangelwa yintsholongwane engafanelekanga yomsinga;
- ukuphuhliswa kwezilwanyana ezinzulu ze-fetus - ukuphazanyiswa kwenkqubo ye-nervous or tractinal tract;
- u-hypoxia okanye usulelo lwe-fetus;
- intetho engafanelekanga yomntwana, intambo kunye nentambo yomlomo;
- ukuphuma kwintsholongwane yomzimba.
I-Polyhydramnios ayikho isigwebo. Xa kutholakala unyango kunye nokunyangwa kwexesha elifanelekileyo, kunokwenzeka ukuba uzalise inzala enempilo.