I-Amniotic Fluid Embolism

-Delile

• I-Amniotic fluid embolism
• Kubangelwa yini?
• Ziyini izimpawu?
• Kubi kangakanani?
• Ilashwa kanjani?
• Umama
• Usana
• Kungavinjelwa?
• Uyini umbono?
• Umama
• Usana

I-Amniotic fluid embolism

I-Amniotic fluid embolism (AFE), eyaziwa nangokuthi i-anaphylactoid syndrome yokukhulelwa, iyinkinga yokukhulelwa edala izimo ezisongela impilo, njengokuhluleka kwenhliziyo.

Kungathinta wena, ingane yakho, noma nobabili. Kwenzeka lapho i-amniotic fluid (uketshezi oluzungeze ingane yakho engakazalwa) noma amangqamuzana ombungu, izinwele, noma enye imfucumfucu engena egazini lakho.

I-AFE ayivamile. Yize izilinganiso zihluka, i-AFE Foundation ibika ukuthi lesi simo senzeka ngokudiliva okukodwa kokungu-40,000 eNyakatho Melika (kanye nokukodwa kukho konke ukulethwa okungu-53,800 eYurophu). Kodwa-ke, kuyimbangela ehamba phambili yokufa ngesikhathi sokubeletha noma ngemuva nje kokuzalwa.

Kubangelwa yini?

I-AFE ingenzeka ngesikhathi sokubeletha noma ngemuva nje kokubeletha kokubeletha kokubeletha nokubeletha. Ezimweni ezingavamile, kungenzeka ngesikhathi sokukhipha isisu noma ngenkathi kunesampula encane ye-amniotic fluid eyenzelwe ukuhlolwa (amniocentesis).

I-AFE ukusabela okungalungile okwenzeka lapho i-amniotic fluid ingena ohlelweni lwakho lokujikeleza kwegazi. Ayikwazi ukuvinjelwa, futhi isizathu sokuthi kungani lokhu kusabela kwenzeka asaziwa.

Ziyini izimpawu?

Isigaba sokuqala se-AFE kuvame ukudala ukuboshwa kwenhliziyo kanye nokwehluleka okuphefumulayo okusheshayo. Ukuboshwa kwenhliziyo kwenzeka lapho inhliziyo yakho iyeka ukusebenza, bese uquleka futhi uyeke ukuphefumula.

Ukwehluleka okuphefumulayo okusheshayo kwenzeka lapho amaphaphu akho engakwazi ukuletha i-oxygen eyanele egazini lakho noma asuse isikhutha esanele kuwo. Lokhu kwenza kube nzima kakhulu ukuphefumula.

Ezinye izimpawu ezingaba khona zifaka:

• ukucindezeleka kwe-fetus (okukhombisa ukuthi ingane ayiphilile, kufaka phakathi ushintsho enanini le-fetus yenhliziyo noma ukunyakaza okunciphile esibelethweni)
• ukuhlanza
• isicanucanu
• isithuthwane
• ukukhathazeka okukhulu, ukuphazamiseka
• ukuguqulwa kwesikhumba

Abesifazane abasinda kule micimbi bangangena esigabeni sesibili esibizwa ngesigaba sokopha. Lokhu kwenzeka lapho kuba nokopha ngokweqile noma ngabe lapho i-placenta ibinamathiselwe khona, noma esimweni sokubeletha ngokuhlinzwa, lapho kusikwa khona ngokuhlinzwa.

Kubi kangakanani?

I-AFE ingaba yingozi, ikakhulukazi ngesikhathi sokuqala. Ukufa okuningi kwe-AFE kwenzeka ngenxa yalokhu okulandelayo:

• ukuboshwa okungazelelwe kwenhliziyo
• ukulahleka kwegazi ngokweqile
• ukucindezeleka okukhulu kokuphefumula
• ukwehluleka komzimba okuningi

Ngokusho kwe-AFE Foundation, cishe kumaphesenti angama-50 amacala, abesifazane bafa kungakapheli ihora elilodwa ngemuva kokuqala kwezimpawu.

Ilashwa kanjani?

Umama

Ukwelashwa kuhilela ukuphatha izimpawu nokuvimbela i-AFE ekuholeni ku-coma noma ekufeni.

Ukwelashwa kwe-oxygen noma umshini wokuphefumula kungakusiza uphefumule. Ukuqinisekisa ukuthi uthola i-oxygen eyanele kubalulekile ukuze ingane yakho nayo ibe ne-oxygen eyanele.

Umhlinzeki wakho wezokunakekelwa kwempilo angacela ukuthi kufakwe i-pulmonary artery catheter ukuze bakwazi ukuqapha inhliziyo yakho. Imithi ingabuye isetshenziselwe ukuphatha umfutho wegazi lakho.

Ezimweni eziningi, kudingeka ukumpontshelwa igazi, iplatelet, neplasma okuningana ukuze kufakwe elinye igazi elilahlekile ngesikhathi sesigaba sokopha.

Usana

Umhlinzeki wakho wokunakekelwa kwezempilo uzoqapha ingane yakho futhi abuke izimpawu zokucindezeleka. Ingane yakho izobeletha ngokushesha lapho isimo sakho sesizinze. Lokhu kwandisa amathuba abo okusinda. Ezimweni eziningi, izingane zidluliselwa egumbini labagula kakhulu ukuze zibhekwe.

Kungavinjelwa?

I-AFE ayinakuvinjelwa, futhi kuyinselelo kubahlinzeki bezokunakekelwa kwezempilo ukubikezela ukuthi kuzokwenzeka nini futhi nini. Uma ngabe uke waba ne-AFE futhi uhlela ukuthola enye ingane, kunconywa ukuthi ukhulume nodokotela wokubeletha onobungozi obukhulu kuqala.

Bazokhuluma ngobungozi bokukhulelwa ngaphambili futhi bakuqaphe ngeso lokhozi uma uphinde ukhulelwa.

Uyini umbono?

Umama

Ngokwesisekelo se-AFE Foundation, amanani alinganiselwa ngokufa kwabesifazane abane-AFE ahlukahlukene. Imibiko emidala ilinganisela ukuthi kufinyelela kumaphesenti angama-80 abesifazane abangasindi, yize imininingwane yakamuva ilinganisela ukuthi leli nani lingamaphesenti angama-40.

Abesifazane abasinda ku-AFE bavame ukuba nezinkinga zesikhathi eside, ezingabandakanya:

• ukulahleka kwememori
• ukwehluleka komzimba
• ukulimala kwenhliziyo okungaba okwesikhashana noma unomphela
• izinkinga zesistimu yezinzwa
• i-hysterectomy engaphelele noma ephelele
• ukulimala kwendlala ye-pituitary

Izinselelo ezingokwengqondo nezingokomzwelo nazo zingenzeka, ikakhulukazi uma ingane ingaphili. Izimo zezempilo zingabandakanya ukudangala kwangemva kokubeletha kanye nengcindezi yangemva kokuhlukumezeka (PTSD).

Usana

Ngokusho kwe-AFE Foundation, kulinganiselwa ukuthi amanani okufa ezinsana ezine-AFE nawo ahlukahlukene.

Cishe nge-AFE musa ukusinda, ngesifundo sango-2016 esishicilelwe ku- Ijenali ye-Anesthesiology Clinical Pharmacology.

I-AFE Foundation ibika ukuthi izinga lokufa kwezinsana ezisasesibelethweni cishe ngamaphesenti angama-65.

Ezinye izinsana ezisindayo zingaba nezinkinga zesikhathi eside noma zokuphila konke ezivela ku-AFE, okungabandakanya:

• ukukhubazeka kwesistimu yezinzwa okungaba mncane noma kube nzima
• i-oxygen enganele ebuchosheni
• i-cerebral palsy, okuyisifo esithinta ubuchopho kanye nesistimu yezinzwa