Polyhydramnios Lokulingene: izimbangela, izimpawu, ukwelashwa

polyhydramnios Maphakathi - kuyinto isamba ngokweqile amniotic fluid. Lokhu uphethwe zingabekwa yisiphi isigaba sokukhulelwa. Akukhona inkinga evame kakhulu. Sitholakala 2-3 abesifazane kuzo 99. Omama abakhulelwe ngesikhathi sokukhulelwa kuyadingeka ukuqapha ubungako balokho okusamanzi. Okungukuthi, kubalulekile ukuba khona US kuhlelwe futhi njalo ukuya reception kuze udokotela wezifo zabesifazane.

Ngokuba ukuthuthukiswa ezivamile ukukhulelwa, inani amniotic fluid kumele singeqi 1-1.5 amalitha. It is namaprotheni, i-calcium nosawoti, sodium, chlorine, namanzi, okuyinto cishe 96%. Ngenxa amniotic fluid ingane ithola yonke izinto ezidingekayo wentuthuko evamile. Omunye umsebenzi ukuvikela amanzi encane. Kuyo, Ungahambisa futhi uzulazule ngaphandle kokubanga ukulimala noma ezinye umonakalo.

I izakhiwo amniotic fluid

amniotic fluid ine Izakhiwo ezilandelayo:

• Kuvikela umbungu kusuka ezenzeka ngaphandle: umsindo, ukushaqeka, ukushaqeka.
• Igcina idatha umzanyana.
• Kunciphisa ubuhlungu ngesikhathi sokubeletha.
• Kuyasiza ekuvuleni umlomo wesibeletho.
• Ivimba ingress izinto eziyingozi ezingenzeka embungwini nezwe.
• Iqukethe immunoglobulin, ayisiza.

kuyinsakavukela

Inani izinguquko ketshezi ngesikhathi sokukhulelwa. senyanga ngayinye has imithetho yayo siqu. Yini bafunde kusukela Ithebula elingezansi.

Kusukela amasonto 39-40 kuze kube ubuningi kwezidingo zamanzi kuyehla. Odokotela kuthambekele ngokwesilinganiso. Futhi uma kukhona iphutha noma isiqondiso sekutholakele ukuthi sine- oligohydramnios noma polyhydramnios ngokulinganisela.

Norma ngemva kwamasonto angu-30 okukhulelwa

Sitholakele polyhydramnios udokotela ungakwazi bafake yisiphi isigaba sokukhulelwa. Kodwa ukusho ukwenqatshwa kungenzeka kuphela ngemva kwamasonto angu-20. Uma yesibili ultrasound uphethwe awuzange kuqinisekisiwe, ngokuzayo uthola kuphela yesithathu ultrasound isimiso polyhydramnios ngokulinganisela. amasonto 32 - isikhathi lapho isidingo njalo uya emtholampilo. Kuvele udokotela abanokuhlangenwe nakho bangabasiza ukuba ukulawula abakhulelwe isimo sabo. Yena iSifo inkinga, ngisho noma owesifazane ayinakho izikhalazo.

By endleleni, kungenzeka ukuthola hhayi kuphela kwi-US, kodwa futhi ku Doppler, futhi ngesikhathi sokuhlolwa. Lokulingene hydramnion ngesikhathi sokukhulelwa (amasonto 32) ukubeka lapho inani amniotic fluid ifinyelela 1500-1900 ml. Kulokhu, lo wesifazane kunjani amanzi esiswini sami imiqulu, futhi ingane ngokuvamile senza. ukungakhululeki abanjalo bangase babe nomuzwa ukhulelwe, futhi ngolunye usuku. Ngenyanga yesishiyagalombili ukuhlushwa kwalo kungaba ungamele polyhydramnios. amasonto 34 - enye inkathi ezibucayi. Kuleli elithi kokutshelwa ngokukhubazeka kwengane senziwa uma imali ejwayelekile woketshezi kudlulwe ngo-200-400 ml.

Izizathu ukuthi kungabangela polyhydramnios

Okwamanje, odokotela baye azikaqondakali ngokuphelele izizathu ngenxa ngalo kukhona polyhydramnios ngokulinganisela ngesikhathi sokukhulelwa. Kodwa wakhomba oluxhumekeke putative ezingaba avuse inkinga:

1. Kwezinso ekuthuthukiseni umbungu.
2. ubunjalo ezithathelwanayo lesi sifo, ngubani kwavele wesifazane.
3. izifo ezibangelwa amagciwane.
4. Ezinye izifo isimiso semithambo yegazi futhi inhliziyo.
5. Ingxabano RH isici ku-fetus kanye nonina.
6. ushukela ephakeme igazi kwabesifazane abakhulelwe.
7. isifo sezinso (pyelonephritis nokunye okunjalo).
8. Uma kwenziwa izithelo ambalwa.
9. Uma ingane inkulu ngokwanele.

Ngisho noma kukhona imbangela eyodwa zingavela polyhydramnios ngokulinganisela.

izimpawu

Ukubona ukuvela kwezinso elihlobene ne polyhydramnios, ungase ube yini ngokuphendula zimpawu ezilandelayo:

• esiswini lakhulisiwe ongahlangani imigomo.
• Phakathi auscultation kwenhliziyo ingane kunzima ukuzwa.
• ukuhamba Ukwandiswa umbungu.
• Ukuphelelwa ngumoya.
• Ubuthakathaka.
• Puffiness.
• Isilungulela.
• Soreness esiswini.
• Ukubukeka elula izimpawu.

Lapho kuhlolwa futhi palpation esiswini udokotela izaziso voltage indawo okusezingeni eliphezulu nekwetfula ingxenye. Ngokuvamile, lapho kuphambuka abakhulelwe nzima ngokuzimela sebenzisa polyhydramnios.

ukwelashwa

polyhydramnios Lokulingene selashwe imbangela yokubukeka kwakhe. Ngemva ngokubeka lonke uvivinyo ezidingekayo neluhlolo udokotela uzokwazi ukuthola imbangela yalesi sifo. Ukwelashwa liyinkimbinkimbi. Kuhlanganisa isisu (isisu), imithi elwa namagciwane kanye amavithamini. Asiza inciphise amanzi, abhubhise nezilwanyana ezincane eziyingozi, ukuthuthukisa isimiso somzimba sokuzivikela futhi sithuthukise impilo. Uma impatho akusebenzi, kwezinye izimo, ukuba azalwe. Lokhu kwenzeka hhayi ngaphambi 35 Emasontweni onke okukhulelwa.

Ingozi yesifo

Ukuphambuka kuyingozi ngoba kungasenza nemiphumela engathi sína kokubili umama nengane. Lezi zihlanganisa:

1. wazalwa kungakabi isikhathi.
2. abruption esinomhlapho.
3. ukufa kwengane.
4. Ukushintshashintsha ukubukeka ukukhula kwengane yakho.
5. ukutheleleka Kuyathathelena kukamama kanye nengane.
6. Prolapse ka umzanyana noma nemilenze fetus.
7. previa Undescended futhi uncommitted.
8. Ukopha.
9. Gestosis bemvelo ezahlukene.

Futhi, ingane ayikwazi ukuthatha isikhundla evamile, ngoba siyahamba njalo ngenxa lemali enkulu yamanzi.

zokugula Prevention

Ukuze uvimbele ivela khona, izimiso ezimbalwa ezilula okufanele sisetshenziswe. umama okhulelwe Kunconywa:

• Move more.
• Obujwayelekile ukusebenzisa uketshezi.
• okuphakelayo Olinganiselayo.
• Phuza amavithamini kanye izidakamizwa zemithi ebekwe udokotela.
• Isikhathi esijwayelekile futhi njalo ziqashwe ukuhlolwa.
• Ubone udokotela wakho.

Futhi kusaqalwa kubalulekile ukuqeda ingxabano RH isici komama nele-fetus. Uma ukuhambisana nayo yonke izincomo bese ulandela le mithetho elula ke amathuba kwenqatshwa kuyehla ngangokunokwenzeka. By the way, zokugula kwenzeka kaningi kakhulu ngenxa izifo kanye ukungqubuzana RH isici. Ngakho-ke, ngaphambi kokukhulelwa zidlule luhlolo kanye nokwelashwa, uma kunesidingo.