Ama-Polyhydramnios

I-Polyhydramnios yenzeka lapho ukwanda kakhulu kwe-amniotic fluid ngesikhathi sokukhulelwa. Kubizwa nangokuthi i-amniotic fluid disorder, noma ama-hydramnios.

Amniotic fluid uketshezi oluzungeze ingane esibelethweni (isibeletho). Kuvela ezinso zomntwana, futhi kungena esibelethweni kusuka emchameni wengane. Uketshezi lumuncwa lapho ingane iligwinya nangokunyakaza kokuphefumula.

Ngesikhathi isesibelethweni, ingane intanta ku-amniotic fluid. Izungeza futhi ivikele usana ngesikhathi sokukhulelwa. Inani le-amniotic fluid likhulu kakhulu emasontweni angama-34 kuya kwangu-36 okukhulelwa. Lapho-ke inani lincipha kancane kancane ize izalwe ingane.

I-amniotic fluid:

• Ivumela ingane ukuthi inyakaze esibelethweni, ikhuthaza ukukhula kwemisipha namathambo
• Isiza amaphaphu engane ukuba akhule
• Kuvikela ingane ekulahlekelweni ukushisa ngokugcina izinga lokushisa lingaguquguquki
• Izivikelo kanye nokuvikela ingane ekushayweni okungazelelwe okuvela ngaphandle kwesibeletho

Ama-Polyhydramnios angenzeka uma ingane ingagwinyi futhi imunce i-amniotic fluid ngamanani ajwayelekile. Lokhu kungenzeka uma ingane inezinkinga ezithile zempilo, kufaka phakathi:

• Ukuphazamiseka kwamathumbu, okufana ne-duodenal atresia, i-esophageal atresia, i-gastroschisis, ne-hernia e-diaphragmatic
• Izinkinga zobuchopho nezesistimu yezinzwa, njenge-anencephaly ne-myotonic dystrophy
• I-Achondroplasia
• Isifo se-Beckwith-Wiedemann

Kungenzeka futhi uma umama enesifo sikashukela esilawulwa kabi.

Ama-Polyhydramnios nawo angavela uma kukhiqizwa uketshezi oluningi. Lokhu kungabangelwa:

• Izinkinga ezithile zamaphaphu enganeni
• Ukukhulelwa okuningi (ngokwesibonelo, amawele noma amawele amathathu)
• Ama-Hydrops fetalis enganeni

Kwesinye isikhathi, akukho sizathu esithile esitholakalayo.

Shayela umhlinzeki wakho wezempilo uma ukhulelwe futhi uqaphele ukuthi isisu sakho sikhula ngokushesha okukhulu.

Umhlinzeki wakho ulinganisa ubukhulu besisu sakho kukho konke ukuvakasha. Lokhu kukhombisa ubukhulu besibeletho sakho. Uma isibeletho sakho sikhula ngokushesha kunokulindelekile, noma sikhulu kunokujwayelekile seminyaka yokukhulelwa kwengane yakho, umhlinzeki anga:

• Ngabe ubuyile ngokushesha kunokujwayelekile ukuyihlola futhi
• Yenza i-ultrasound

Uma umhlinzeki wakho ethola ukukhubazeka kokuzalwa, ungadinga i-amniocentesis ukuhlola ukukhubazeka kofuzo.

I-polyhydramnios emnene ekhombisa kamuva ekukhulelweni imvamisa ayibangeli izinkinga ezinkulu.

Ama-polyhydramnios aqatha angalashwa ngomuthi noma ngokususwa uketshezi oluthe xaxa.

Abesifazane abane-polyhydramnios basemathubeni amaningi okuya emsebenzini wokuqala. Ingane izodinga ukulethwa esibhedlela. Ngaleyo ndlela, abahlinzeki bangabheka ngokushesha impilo kamama nengane futhi banikeze ukwelashwa uma kudingeka.

Ukukhulelwa - i-polyhydramnios; Ama-Hydramnios - ama-polyhydramnios

• Ama-Polyhydramnios

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: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 35.

ISuhrie KR, iThabbah SM. Isibumbu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 115.