Ukuqhekeka ngaphambi kwesikhathi kwezingqimba

Izendlalelo zezicubu ezibizwa ngokuthi i-amniotic sac zigcina uketshezi oluzungeze ingane esibelethweni. Ezimweni eziningi, lezi zinwebu ziyaqhekeka ngesikhathi sokubeletha noma kungakapheli amahora angama-24 ngaphambi kokuqala ukubeletha. Ukuqhekeka ngaphambi kwesikhathi kwezingqamuzana (i-PROM) kuthiwa kwenzeka lapho ulwelwesi luphuka ngaphambi kwesonto lama-37 lokukhulelwa.

Amniotic fluid amanzi azungeze ingane yakho esibelethweni. Ulwelwesi noma izingqimba zezicubu zibambe kulolu ketshezi. Lolu ulwelwesi lubizwa ngokuthi i-amniotic sac.

Imvamisa, ulwelwesi luyaphuka (ikhefu) ngesikhathi sokubeletha. Lokhu kuvame ukubizwa ngokuthi "lapho amanzi ephuka."

Kwesinye isikhathi ulwelwesi luyaphuka ngaphambi kokuba owesifazane abelethe. Lapho amanzi ephuka kusenesikhathi, kubizwa ngokuthi ukuqhekeka ngaphambi kwesikhathi kwezingqamuzana (i-PROM). Iningi labesifazane lizoya emsebenzini lodwa kungakapheli amahora angama-24.

Uma amanzi ephuka ngaphambi kwesonto lama-37 lokukhulelwa, kubizwa ngokuthi ukuqhekeka kwangaphambi kwesikhathi kwezingqimba (PPROM) ngaphambi kwesikhathi. Lapho amanzi akho ephuka kusenesikhathi, kuba kubi kakhulu kuwe nasenganeni yakho.

Ezimweni eziningi, imbangela ye-PROM ayaziwa. Ezinye izimbangela noma izici zobungozi kungaba:

• Ukutheleleka kwesibeletho, umlomo wesibeletho, noma isitho sangasese sowesifazane
• Ukwelulwa kakhulu kwesikhwama se-amniotic (lokhu kungenzeka uma kunoketshezi oluningi, noma ingane engaphezu kweyodwa efaka ingcindezi kulwelwesi)
• Ukubhema
• Uma ngabe uhlinziwe noma unikezwa ama-biopsies wesibeletho
• Uma ngabe ukhulelwe ngaphambili futhi une-PROM noma i-PPROM

Iningi labesifazane abaphuka amanzi ngaphambi kokubeletha abanayo ingozi.

Isibonakaliso esikhulu kunazo zonke okufanele usibuke ukuphuma ketshezi esithweni sangasese. Ingavuza kancane, noma iphume. Olunye uketshezi luyalahleka lapho ulwelwesi luphuka. Ulwelwesi lungaqhubeka luvuze.

Kwesinye isikhathi lapho uketshezi luphuma kancane, abesifazane balwenza ngephutha ngomchamo. Uma ubona ukuvuza oketshezi, sebenzisa iphedi ukumunca okunye kwako. Yibuke bese uyinuka. I-Amniotic fluid imvamisa ayinalo umbala futhi ayinuki njengomchamo (inephunga elimnandi kakhulu).

Uma ucabanga ukuthi ulwelwesi lwakho ludabukile, shayela umhlinzeki wakho wokunakekelwa kwezempilo ngokushesha. Uzodinga ukuhlolwa ngokushesha okukhulu.

Esibhedlela, izivivinyo ezilula zingaqinisekisa ukuthi ulwelwesi lwakho ludabukile. Umhlinzeki wakho uzohlola umlomo wakho wesibeletho ukuze abone ukuthi usuthambile yini futhi usuqala ukunwebeka (vula).

Uma udokotela wakho ethola ukuthi une-PROM, kuzodingeka ube esibhedlela kuze kube yilapho kuzalwa ingane yakho.

NGEMVA KWAMAVIKI AMA-37

Uma ngabe ukukhulelwa kwakho kudlule amasonto angama-37, ingane yakho isilungele ukuzalwa. Uzodinga ukuya emsebenzini ngokushesha. Uma kuthatha isikhathi eside ukubeletha ukuqala, kukhulu amathuba akho okuthola ukutheleleka.

Ungalinda isikhashana uze uqalise ukubeletha uwedwa, noma ungancengwa (thola umuthi wokuqala ukubeletha). Abesifazane ababelethayo kungakapheli amahora angama-24 ngemuva kokuphuka kwabo mancane amathuba okuthi bathole ukutheleleka. Ngakho-ke, uma umsebenzi ungaqali ngokwawo, kungaphepha ukwedlula.

PHAKATHI KWAMAVIKI AMA-34 NO-37

Uma uphakathi kwamaviki angama-34 nama-37 lapho amanzi akho ephuka, umhlinzeki wakho kungenzeka aphakamise ukuthi uyengezwe. Kuphephe kakhulu ukuthi ingane izalwe emasontweni ambalwa ngaphambi kwesikhathi kunokuba ube sengozini yokutheleleka.

Ngaphambi kwamaviki angama-34

Uma amanzi akho ephuka ngaphambi kwamasonto angama-34, kubi kakhulu. Uma kungekho zimpawu zokutheleleka, umhlinzeki angazama ukubamba umsebenzi wakho ngokukubeka embhedeni. Imithi ye-steroid inganikezwa ukusiza amaphaphu engane akhule ngokushesha. Ingane izokwenza kangcono uma amaphaphu ayo eba nesikhathi esengeziwe sokukhula ngaphambi kokuzalwa.

Uzothola nemithi elwa namagciwane ukusiza ukuvikela izifo. Wena nengane yakho nizobhekwa kakhulu esibhedlela. Umhlinzeki wakho angenza izivivinyo ukuhlola amaphaphu engane yakho. Lapho amaphaphu esekhule ngokwanele, umhlinzeki wakho uzobangela abasebenzi.

Uma amanzi akho ephuka kusenesikhathi, umhlinzeki wakho uzokutshela ukuthi yini into ephephe kunazo zonke ongayenza. Kunezingozi ezithile zokubeletha kusenesikhathi, kodwa isibhedlela lapho ubeletha khona sizothumela ingane yakho kwiyunithi yangaphambi kokubeletha (iyunithi ekhethekile yezingane ezizalwe kusenesikhathi). Uma ingekho i-preterm unit lapho uhambisa khona, wena nengane yakho niyothunyelwa esibhedlela esinaso.

PROM; PPROM; Izinkinga zokukhulelwa - ukuqhekeka ngaphambi kwesikhathi

IMercer BM, iChien EKS. Ukuqhekeka ngaphambi kwesikhathi kwezingqimba. Ku: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 42.

IMercer BM, iChien EKS. Ukuqhekeka ngaphambi kwesikhathi kwezingqimba. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 37.

• Ukubeletha
• Izinkinga Zokubeletha