Amnionitis

-Delile

• Yini ebangela ukutheleleka?
• Ziyini izingozi?
• Ziyini izimpawu nezimpawu?
• Itholakala kanjani i-amnionitis?
• Yelashwa kanjani i-amnionitis?
• Uyini umbono we-amnionitis?

Yini i-amnionitis?

I-Amnionitis, eyaziwa nangokuthi i-chorioamnionitis noma i-intra-amniotic infection, ukutheleleka kwesibeletho, i-amniotic sac (isikhwama samanzi), futhi kwezinye izimo, kombungu.

I-Amnionitis ayivamile kakhulu, yenzeka ngamaphesenti angaba ngu-2 kuya ku-5 kuphela okukhulelwa okubeletha.

Isibeletho imvamisa siyindawo oyinyumba (okusho ukuthi ayiqukethe noma yimaphi amagciwane noma amagciwane). Kodwa-ke, izimo ezithile zingenza ukuthi isibeletho sithinteke ekuthelelekeni.

Uma kwenzeka, ukutheleleka kwesibeletho kuyisimo esibi ngoba asikwazi ukwelashwa ngempumelelo ngaphandle kokubeletha ingane. Le yinkinga ethile lapho ingane ingakafiki ngaphambi kwesikhathi.

Yini ebangela ukutheleleka?

Amagciwane ahlasela isibeletho abangela i-amnionitis. Lokhu kuvame ukwenzeka ngenye yezindlela ezimbili. Okokuqala, amabhaktheriya angangena esibelethweni ngegazi likamama. Umzila wesibili futhi ovame kakhulu uvela esithweni sangasese kanye nomlomo wesibeletho.

Kwabesifazane abaphilile, isitho sangasese sowesifazane kanye nomlomo wesibeletho ngaso sonke isikhathi siqukethe inani elilinganiselwe lamagciwane. Kubantu abathile, noma kunjalo, la magciwane angadala ukutheleleka.

Ziyini izingozi?

Izingozi ze-amnionitis zihlanganisa ukubeletha ngaphambi kwesikhathi, ukuqhekeka kolwelwesi, nomlomo wesibeletho oseluliwe. Lokhu kungavumela amabhaktheriya esithweni sangasese ukuthi athole ukufinyelela esibelethweni.

Ukuqhekeka kwangaphambi kwesikhathi kwezingqamuzana (aka PPROM, ukuphuka kwamanzi ngaphambi kwamasonto angama-37) kubeka engcupheni enkulu yokutheleleka nge-amniotic.

I-Amnionitis nayo ingenzeka ngesikhathi sokubeletha okujwayelekile. Izici ezingakhuphula ubungozi be-amnionitis zifaka:

• umsebenzi omude
• ukuqhuma isikhathi eside kwezingqimba
• izivivinyo eziningi zangasese
• ukubekwa kwama-electrode ekhanda lombungu
• ama-catheters okucindezela i-intrauterine

Ziyini izimpawu nezimpawu?

Izimpawu ze-amnionitis ziyahlukahluka. Esinye sezibonakaliso zokuqala kungaba ukuphambana okujwayelekile nokukhula komlomo wesibeletho. Lezi zimpawu ndawonye zikhombisa ukuqala kokusebenza ngaphambi kwesikhathi.

Owesifazane uvame ukuba nomkhuhlane osukela ku-100.4 kuye ku-102.2ºF, ngokusho kwe-The American College of Obstetricians and Gynecologists.

Izimpawu ezingeziwe zingabandakanya:

• umuzwa onjengomkhuhlane
• ubumnene besisu
• umsele wamanzi womlomo wesibeletho (amanzi anephunga elibi noma obukhulu)
• ukushaya kwenhliziyo okusheshayo kumama
• ukushaya kwenhliziyo okusheshayo enganeni (kutholakala kuphela ngokuqapha kokushaya kwenhliziyo kwengane)

Ukuhlolwa kwelabhorathri kungakhombisa ukukhuphuka kwesibalo samaseli amhlophe egazi. Uma ukutheleleka kungelashwa, ingane ingagula futhi izinga lokushaya kwenhliziyo kwengane lingakhuphuka. Lokhu akubonakali ngaphandle kokuthi umama usesibhedlela futhi exhunywe kumqaphi wokushaya kwenhliziyo kwengane.

Ngaphandle kokwelashwa, umama angaya emsebenzini ngaphambi kwesikhathi. Ezimweni ezingavamile, ukutheleleka okungathí sina kungaholela ekufeni komntwana.

Umama naye angagula kakhulu futhi angahlaselwa yisifo sokuwa kwesisu. I-Sepsis yilapho ukutheleleka kungena khona egazini likamama kubangela izinkinga kwezinye izingxenye zomzimba.

Lokhu kungafaka umfutho wegazi ophansi kanye nokulimala kwezinye izitho. Amagciwane akhipha ubuthi obungaba yingozi emzimbeni. Lesi yisimo esisongela impilo. Ukwelapha i-amnionitis ngokushesha okukhulu kungagcina lokhu kungenzeki.

Itholakala kanjani i-amnionitis?

Ukuxilongwa kwe-amnionitis ekusebenzeni kusekelwe ebukhoneni bomkhuhlane, isizalo sesizalo, ukwanda kwesibalo segazi elimhlophe, kanye ne-amniotic fluid enuka kabi.

I-Amniocentesis (ukuthatha isampula le-amniotic fluid) ayisetshenziswanga ukuthola i-amnionitis ngesikhathi sokubeletha okujwayelekile. Lokhu kuvame ukuhlukumeza kakhulu lapho umama ebeletha.

Yelashwa kanjani i-amnionitis?

Ama-antibiotic kufanele anikezwe ngokushesha okukhulu ngemuva kokutholakala kokuxilongwa ukwehlisa ubungozi kumama nasesibelethweni. Udokotela uvame ukunikeza le mithi ukuthi ayisebenzise ngemithambo.

Ukwelashwa okusekelayo njengokudla ama-ice chips, ukupholisa igumbi, noma ukusebenzisa amafeni, kungasiza ekupholiseni ukushisa kowesifazane.

Lapho udokotela ehlonza ukutheleleka ngesikhathi sokubeletha, kufanele kwenziwe imizamo yokunciphisa abasebenzi ngangokunokwenzeka. Bangase banikeze i-oxytocin (Pitocin) ukuqinisa ukuphambana. I-Amnionitis nayo ingaba imbangela yokusebenza kanzima, yize kusetshenziswa i-oxytocin.

Odokotela abajwayele ukuncoma ukulethwa ngokuhlinzwa (i-C-section) kumama ngoba ene-amnionitis.

Uyini umbono we-amnionitis?

Ukubona nokufuna ukwelashwa kwe-amnionitis kubalulekile kumphumela omuhle kumama nasenganeni. Owesifazane kufanele ngaso sonke isikhathi abize udokotela wakhe uma enomkhuhlane ohlala isikhathi esingaphezu kwamahora ambalwa.

Uma engafuni ukwelashwa, ukutheleleka kungaqhubeka. Izinkinga ze-Sepsis noma ze-fetus zingavela. Ngemithi elwa namagciwane kanye nomsebenzi onamandla okwengeza, owesifazane nengane yakhe bangathola imiphumela emihle futhi banciphise ubungozi bezinkinga.