Ama-Hydramnios

I-Hydramnios yisimo esenzeka lapho i-amniotic fluid eyakha kakhulu ngesikhathi sokukhulelwa. Kubizwa nangokuthi i-amniotic fluid disorder, noma i-polyhydramnios.

I-Amniotic fluid iwuketshezi oluzungeza futhi lubambe umbungu (umntwana ongakazalwa) ngaphakathi kwesibeletho. Kuvela ezinso zomntwana, futhi kungena esibelethweni kusuka emchameni wengane. Uketshezi lumuncwa lapho ingane iligwinya nangokunyakaza kokuphefumula.

Inani loketshezi liyakhula kuze kube yisonto lama-36 lokukhulelwa. Ngemuva kwalokho, incipha kancane kancane. Uma umbungu wenza umchamo omningi noma ungagingi ngokwanele, i-amniotic fluid iyakha. Lokhu kubangela ama-hydramnios.

Ama-hydramnios amancane akumele abangele izinkinga. Imvamisa, uketshezi oluthe xaxa oluvela phakathi ne-trimester yesibili lubuyela kokujwayelekile ngokwalo. Ama-hydramnios amnene ajwayelekile kakhulu kunama-hydramnios anzima.

Ama-Hydramnios angavela ekukhulelweni okujwayelekile kunezingane ezingaphezu kweyodwa (amawele, amawele amathathu, noma ngaphezulu).

Ama-hydramnios anamandla kungasho ukuthi kunenkinga ngombungu. Uma une-hydramnios enamandla, umhlinzeki wakho wokunakekelwa kwezempilo uzobheka lezi zinkinga:

• Ukukhubazeka kokuzalwa kobuchopho nekholomu yomgogodla
• Ukuvinjelwa ohlelweni lokugaya ukudla
• Inkinga yofuzo (inkinga ngama-chromosomes azuzwe njengefa)

Izikhathi eziningi, imbangela yama-hydramnios ayitholakali. Kwezinye izimo, kuxhunyaniswa nokukhulelwa kwabesifazane abanesifo sikashukela noma lapho umbungu mkhulu kakhulu.

Ama-hydramnios amancane kaningi awanazo izimpawu. Qiniseka ukuthi utshela umhlinzeki wakho uma une:

• Ukuphefumula kanzima
• Ubuhlungu besisu
• Ukuvuvukala noma ukuqunjelwa kwesisu sakho

Ukuhlola ama-hydramnios, umhlinzeki wakho uzolinganisa "ukuphakama kwezimali zakho" ngesikhathi sokuhlolwa kwakho ngaphambi kokubeletha. Ukuphakama kwezimali ibanga ukusuka ethanjeni lakho le-pubic kuya phezulu kwesibeletho sakho. Umhlinzeki wakho uzohlola nokukhula kwengane yakho ngokuzwa isibeletho sakho esiswini sakho.

Umhlinzeki wakho uzokwenza i-ultrasound uma kunethuba lokuthi ungaba nama-hydramnios. Lokhu kuzolinganisa inani le-amniotic fluid ezungeze ingane yakho.

Kwezinye izimo, izimpawu zama-hydramnios zingelashwa kepha imbangela ayikwazi ukwelashwa.

• Umhlinzeki wakho angafuna ukuthi uhlale esibhedlela.
• Umhlinzeki wakho angaphinde anikeze umuthi ukuvimbela ukulethwa ngaphambi kwesikhathi.
• Bangase basuse olunye uketshezi olungeziwe lwe-amniotic ukukhulula izimpawu zakho.
• Ukuhlolwa kwe-nonstress kungenziwa ukuqinisekisa ukuthi umbungu awukho engozini (Ukuhlolwa kwe-nonstress kuhilela ukulalela ukushaya kwenhliziyo kwengane nokuqapha ukuphambana imizuzu engama-20 kuya kwengama-30.)

Umhlinzeki wakho angenza futhi izivivinyo ukuthola ukuthi kungani une-fluid eyengeziwe. Lokhu kungafaka:

• Ukuhlolwa kwegazi ukuhlola isifo sikashukela noma ukutheleleka
• I-Amniocentesis (isivivinyo esihlola i-amniotic fluid)

AmaHydramnios angakudalela ukuthi usheshe uqalise ukubeletha.

Kulula ukuthi umbungu onoketshezi oluningi oluzungeze yena uphendule uphenduke. Lokhu kusho ukuthi kunethuba elikhulu lokuba sesimweni sokuphansi phansi (i-breech) lapho sekuyisikhathi sokuletha. Izinsana ze-Breech kwesinye isikhathi zingahanjiswa endaweni ebheke phansi, kepha imvamisa kufanele zilethwe yisigaba se-C.

Awukwazi ukuvimbela ama-hydramnios. Uma unezimpawu, tshela umhlinzeki wakho ukuze uhlolwe futhi welashwe, uma kudingeka.

Ukuphazamiseka kwe-Amniotic fluid; Ama-Polyhydramnios; Izinkinga zokukhulelwa - ama-hydramnios

UBuhimschi CS, uMesiano S, uMuglia LJ. I-Pathogenesis yokuzalwa okuzenzakalelayo ngaphambi kokuzalwa. Ku: Resnik 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 7.

UGilbert WM. Izinkinga ze-Amniotic fluid. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 28.

• Izinkinga Zempilo Ekukhulelweni