Ama-Polyhydramnios ngesikhathi sokukhulelwa: izimbangela nemiphumela. Imiphumela ye-polyhydramnios ekusebenzeni

Ngesikhathi sokukhulelwa, umama wesikhathi esizayo kufanele afunde izifundo ezihlukahlukene kusukela ngesikhathi sokuqala. Ngokuvamile ngaphambi kokuhlolwa kokubili, owesifazane unikeza ukuhlaziywa kwegazi nomchamo. Ngokwalezi zinkomba, uchwepheshe unquma isimo sezempilo sobulili obuhle kakhulu. Cishe kanye njalo emva kwezinyanga ezintathu, umama ozayo uzovakashela igumbi lokuxilonga le-ultrasound. Phakathi nesifundo esinjalo, ngezinye izikhathi kutholakala ukuthi i- polyhydramnios ixilongwa ngesikhathi sokukhulelwa. Izimbangela, imiphumela, ukwelashwa kwale nqubo yokwelashwa kuzonikezwa kuwe kulesi sihloko. Uzokwazi futhi ukuthola ukuthi lesi simo sithinta kanjani ukuzalwa kwekusasa lomntwana.

I-Norm

Ngaphambi kokuba uthole izimbangela ze-polyhydramnios ngesikhathi ukhulelwe, imiphumela kanye nezindlela zokuqeda - udinga ukusho ukuthi kuvame kangakanani ukunyuka kwamanani okudlula kwamanzi. Ngokuvamile, le-fetus izungezwe i-amniotic fluid phakathi nesikhathi sokubeletha. Emasontweni angu-12, inani lalo lingamapayipi amathathu. Ngalesi sikhathi ngesikhathi se-ultrasound ungakhokhi ngokukhethekile inkomba ye- amniotic fluid.

Ngenkathi yokukhulelwa, inani lamanzi liyanda. Ngakho, ngamasonto angu-30 umthamo wayo ufinyelela ngaphezu kwengxenye yecitha. Ngaphambi kokubeletha, okumele kwenzeke ngesikhathi, i-amniotic fluid igcwalisa u-1 kuya kweyodwa amalitha wesibeletho. Kumele kuqashelwe ukuthi abesifazane abaningi balaba ocansini bancishisiwe kuze kube sekuqaleni komsebenzi.

Polyhydramnios

Izimbangela, imiphumela ekubelethweni, imiphumela yalesi simo izochazwa kamuva. Ngaphambi kwalokhu sinikeza incazelo kanye nencazelo yaleli gama. I-Polyhydramnios ibizwa ngokuthi yi-state ngenkathi ekhulelwe, lapho inani lama-amniotic fluid lidlula kakhulu. Qaphela ukuthi ivolumu ayihambi ngaso sonke isikhathi ngaphezu kwemingcele evunyelwe. Ngesinye isikhathi indlela yokufinyelela esimisweni esiphezulu sesivele ibhekene negama elithi "multimodal moderate".

Kukhona ukuhlukaniswa kombuso ochazwe. Ukwenyuka kwe-amniotic fluid index kungase ibe yindlala noma iyingozi. Lokhu okugcina, kuyingozi kakhulu. Ukuhlola lesi simo ngezinkomba zangaphandle, izikhalo zowesifazane noma ukuxilongwa kwe-ultrasound. Ifomu elijwayelekile le-pathology libonakala ngokunyuka kancane kancane emthamo we-amniotic fluid. Ngama-polyhydramnios acacile, izinga le-amniotic fluid likhula ngokuqinile ngamahora amaningana noma izinsuku.

Izimpawu zama polyhydramnios

Akunakwenzeka njalo ukunquma lesi simo. Ngokuvamile owesifazane ufunda ngokuxilongwa kwakhe kuphela nge-ultrasound elandelayo. Ngokuvamile kwenzeka ngesikhathi sokugula okungapheli. Noma kunjalo, kunezinye izimpawu zenkinga evele.

Ukwanda okunamandla kwesisu. Ngama-polyhydramnios, ukuphakama kokuma kokuma kwesitho sobulili kudlulele imigomo yesikhathi salo. Kulesi simo, ukuzungeza ezingeni leveli kunamamitha angaphezu kwangu-100. Owesifazane angakhononda ngokuphefumula, ubunzima lapho ehamba, ukukhathala okusheshayo, ukubonakala kwamanothi elula.

Izimpawu ezingavamile. Uma kwakudingeka ubhekane nama-polyhydramnios, khona-ke mhlawumbe uyazi ukuthi ukuguquka kwenzani. Ngalesi sifo, umama wesikhathi esizayo ngokuzwakalayo uzwa ukuthungula ukuzwakala kwesisu esivela esiswini sakhe. Futhi, ingane ingase isinciphise umsebenzi. Umntwana uhamba, njengoba kulindeleke, kodwa owesifazane akazwa lezi zithuthumela ngenxa yamanzi amaningi.

Izimpawu zokungabaza. Futhi, nge-polyhydramnios, izimpawu zingase zivele, ngezinye izikhathi zihambisana nezinye izinqubo ze-pathological. Lawa ukuvuvukala kwezinyawo, ukwanda kwengcindezi yegazi, ukuphathwa ikhanda, ukusebenza kwezinso ezinzima nokunye okunjalo. Akunakwenzeka ukubeka kuphela ukuxilongwa okungenhla kulezi zimpawu.

Kungani kubonakala?

Ziyini izimbangela ze-polyhydramnios ekukhulelwe? Izimpawu zalesi sifo seziyaziwa kakade. Isimo seqiniso, okwaholela ekunyuseni kwe-amniotic fluid, ayitholakali ngaso sonke isikhathi. Odokotela bathi ama-polyhydramnios atholakala kumama oyedwa ozayo wekhulu. Kungaphetha ngokuthi lesi sifo asivamile. Ngokuvamile abesifazane abakhulelwe kufanele babhekane nokuntuleka kwamanzi.

Ngisho nokuthuthukiswa kwemithi yesimanje, abesifazane abaningi baxilongwa "nge-polyhydramnios engaziwa umsuka". Ngaphansi kancane, imbangela isungulwe futhi ukwelashwa okufanelekile kunqunywe. Ngokuvamile ukwelashwa kwama-polyhydramnios kwenziwa esibhedlela. Ngesikhathi esifanayo, inani lamanzi ligcinwa nsuku zonke nge-ultrasound scanner. Ake sicabangele, yini enezizathu nezindlela zokwelapha ezihlukahlukene (ezilinganiselayo, ezingapheliyo, ezinzima).

Ukutheleleka kwe-intrauterine

Isizathu esivame kakhulu se-pathology isifo. Kungaba yisifo esithathelwana ngocansi. Ngokuvamile imbangela yenkinga yinkqubo yokuvuvukala ezithombeni zomzimba kubesifazane. Yingakho odokotela banxuswa kakhulu ukuba bahlole zonke izivivinyo ngaphambi kokuhlela ukukhulelwa futhi, uma kunesidingo, ukuba benze ukwelashwa.

Ukulungiswa kwalesi sizathu kwenziwa ngaphansi kokuqondiswa odokotela. Owesifazane uvame ukubizwa ngokuthi i-antibacterial or anti-antiviral therapy. Nokho, ngaphambi kwalokho, izinhlobo zokutheleleka zisungulwa.

I-rhesus ehlukile

Izimbangela nemiphumela ye-polyhydramnios zihlobene. Uma umama wesikhathi esizayo ene- Rh factor, futhi ubaba wengane une- Rh factor , khona-ke ingxabano ingase ivele. Ngokuvamile, lokhu akukwenzeka ngesikhathi sokukhulelwa kokuqala. Ngemuva kokubeletha, ama-antibodies egazini labesifazane angakha, okuzokhulelwa ngokulandelayo kuzozama ukubhubhisa umzimba wangaphandle. Lokhu kuvame ukuthuthukisa ama-polyhydramnios.

Ukuqeda inkinga ekhona kungaba nzima. Kodwa-ke, ukuvimbela kuvumela owesifazane ukuba angabhekani nokuthuthukiswa kwe-Rh-impikiswano. Ngenxa yalokhu, i-immunoglobulin isetshenziswa. Siyaqaphela ukuthi inqubo yenzeka ngesikhathi esithile ngaphansi kokuqondiswa kochwepheshe. Lezi zimali zikhishwa kuphela ngomuthi.

Amaphutha we-fetus

Unamanye ama-polyhydramnios ngesikhathi sokukhulelwa. Futhi imiphumela yesimo esinjalo iyoba efanelekile. Uma esikhathini sokubunjwa kwezingxenye nezinhlelo zengane kwakukhona uhlobo oluthile lokuhluleka, khona-ke izinto ezimbi zithuthuka okuthiwa yi-congenital. Ngokuvamile lesi simo sihambisana nama-polyhydramnios.

Ukulungiswa kwezinkinga zokuzalwa ezinganeni akuzona njalo. Kodwa kaningi, ngokutholakala okufika ngesikhathi, ukwelashwa kunqunywe ngokushesha ngemva kokubeletha.

Ezinye izizathu

Izimo ezichazwe yizona ezivame kakhulu, eziholela ekuthuthukiseni ama-polyhydramnios acute noma angapheli. Kodwa kunezinye izimbangela zalesi sifo. Phakathi kwabo kukhona:

• Uneminyaka yowesifazane (kuze kube ngu-18 noma emva kweminyaka engama-35);
• Ukuphila okungalungile (ukuphazamiseka kokudla, imikhuba emibi);
• Izifo (isifo sikashukela, isifo sofuba);
• I-Pyelonephritis;
• Ukukhulelwa okuningi nokunye.

Ama-Polyhydramnios ngesikhathi sokukhulelwa: izimbangela nemiphumela - ingabe kukhona ukuxhumana?

Odokotela bathi, kuye ngokuthi yini eyabangela ukuthuthukiswa kwesifo, singakwazi ukukhuluma ngomphumela. Uma ama-polyhydramnios avela ngenxa ye-rhesus-conflict, kamuva ingane ingakhula izifo ezinjenge-jaundice yabantwana abasha, ukwanda kwe-bilirubin. Ngaphansi kancane, umbungu ufa ngaphambi kokuba uzalwe.

Ngokutheleleka kwe- intrauterine, lesi sifo singaya kumntwana ngesikhathi sokubeletha. Kulokhu, ukuqina kwesimo somntwana kuyothathwa ngokuya ngohlobo lokutheleleka. Uma kungumbuzo wesifo sikashukela, khona-ke kukhona i-gestosis, eholela ku-hypoxia.

Njengoba ungabona, uma ukuthuthukiswa kwama-polyhydramnios ngesikhathi sokukhulelwa - izimbangela nemiphumela zihlobene. Uma lokhu kutholakala kutholakala, kubalulekile ukuqala ukulungiswa ngokushesha ngangokunokwenzeka. Uma imbangela ingacacisiwe, lo wesifazane unqunywe izidakamizwa ezisekela isimo esivamile somntwana: imithi yokwenza ngcono ukunikezwa kwegazi, izidakamizwa, ukuvuselela nokunye okunye.

I-polyhydramnios ithinta kanjani inkambo yokusebenza?

Ngokuvamile lapho ama-polyhydramnios (uma ehlupheka ingane) kunconywa ukulethwa kokuqala. Ezimweni eziningi, isigaba se-cearean senziwa. Uma isimo sowesifazane singasongeli umntwana, ukubeletha kwemvelo kuvunyelwe.

Ngokuvamile ukulwa ne-polyhydramnios kubuthakathaka. Kulesi simo, odokotela basebenzisa ukuxoshwa kwesibesiso sesisu. Uma amanzi eshiyedwa yedwa, umfudlana oqinile ungathwala ingxenye yentambo, umlenze noma isibambo somntwana emngceleni wesibeletho. Konke lokhu kungase kuphele kunokudabukisayo.

Esikhathini sokusebenza ngesikhathi se-polyhydramnios, kubonakala ukuthi ubuthakathaka bomsebenzi. Kulolu daba, odokotela basebenzisa ukukhuthazwa. Owesifazane ozayo bazojozwa ngezidakamizwa ezithuthukisa isivumelwano sokwenza isivumelwano socansi.

Uyazi kakade izimbangela nemiphumela yokukhulelwa ezimweni eziningi. Kufanele kuqaphele ukuthi iningi lalezi zizalwa liqala ngosizo lwabachwepheshe. Ukuphikisana okuzimele kungase kuqale kuze kube amasonto angu-42 okukhulelwa.

Umphumela oyingozi kunazo zonke we-polyhydramnios yi-detachment ye-placenta, eyenzeka ngaphambi kwesikhathi. Kulesi simo, owesifazane udinga usizo lwezokwelapha oluphuthumayo. Ngaphandle kwalokho, kukhona usongo empilweni yomama nengane.

Isiphetho

Ufunde ukuthi yiziphi izinhlobo ze-polyhydramnios. Ukuthola ukwelashwa kanye nokwelashwa, imiphumela kanye nezimbangela kuhanjiswa. Khumbula ukuthi manje unesibopho sempilo nokuphila kwengane engakazalwa. Ungavumeli isimo sihambe ngokwayo. Ngokunakekelwa kwamakhono nokusebenzisa ngesikhathi esifanele imithi efanelekile, inkinga ngokuvamile ayikho emiphumeleni enzima. Konke okuhle kunawe!