Okufanele ukwenze uma kwehle i-amniotic fluid

-Delile

• Imiphumela yokwehla kwe-amniotic fluid
• Uma kwehle uketshezi lwe-amniotic ngesikhathi sokubeletha
• Inani elijwayelekile le-amniotic fluid ngekota

Uma kutholakala ukuthi kune-amniotic fluid encane emasontweni angama-24 okuqala okukhulelwa, kunconywa ukuthi owesifazane athathe izinyathelo zokuzama ukunciphisa inkinga, akhonjiswe ukuthi uhlala ephumule futhi aphuze amanzi amaningi, ngoba lokhu ngaphezu kwalokho ukugwema ukulahleka kwe-amniotic fluid, kwandisa ukukhiqizwa kwalolu ketshezi, ukugwema izinkinga.

Ukwehliswa kwevolumu ye-amniotic fluid kunoma yisiphi isigaba sokukhulelwa kungaholela ezinkingeni zamaphaphu enganeni noma ekuhusheni isisu, kepha kulezi zimo, udokotela obelethisa wenza ukuhlolwa kwamasonto onke kwenani le-amniotic fluid, ene-ultrasound ne-ultrasound, ukunquma ukuthi kukhona yini yisidingo sokukhuthaza ukulethwa, ikakhulukazi uma kwenzeka ku-trimester yokugcina yokukhulelwa.

Imiphumela yokwehla kwe-amniotic fluid

Ukwehla kwe-amniotic fluid kubizwa nge-oligohydramnios futhi kungaholela ezinkingeni ezinganeni, ikakhulukazi. Lokhu kungenxa yokuthi i-amniotic fluid ibhekele ukulawula izinga lokushisa, ivumela ukukhula nokunyakaza kwengane, kuvimbela ukuhlukumezeka nokucindezelwa komgogodla, ngaphezu kokuvikela ingane ezifweni. Ngakho-ke, ngokuncipha kwenani le-amniotic fluid, ingane ivezwa kakhulu ezimweni ezihlukile.

Ngakho-ke, i-oligohydramnios ingenza ingane incane ngeminyaka yokukhulelwa futhi ibambezele ukukhula nokukhula, ikakhulukazi kwamaphaphu nezinso, ngoba ukutholakala kwe-amniotic fluid ngamanani ajwayelekile kuqinisekisa ukwakheka kohlelo lokugaya ukudla nokuphefumula, futhi kusebenza nokuvikela ingane ekungenweni yizifo nokulimala kanye nokuvumela ingane ukuba ihambe esiswini, iqinise imisipha yayo njengoba ikhula.

Ngakho-ke, lapho inani le-amniotic fluid liphansi kakhulu engxenyeni yokuqala yokukhulelwa, kuze kube amasonto angama-24, inkinga evame kakhulu ukukhipha isisu. Lapho ukwehla kwenzeka engxenyeni yesibili yokukhulelwa, kungadingeka ukwengeza ukubeletha, ngengozi yokuthi, kuya ngobudala bokukhulelwa, ingane izalwa isisindo esincane, ukukhubazeka kwengqondo, ubunzima bokuphefumula namathuba amakhulu okuba nokukhula kanzima izifo, ezingabeka impilo yengane engcupheni.

Ngaphezu kwalokho, inani le-amniotic fluid liphazamisa ukubonwa kwengane nge-ultrasound. Lokho wukuthi, uma kukhona uketshezi oluncane, kuba nzima kakhulu ukubona ngeso lengqondo nokukhomba ushintsho kumbungu.

Uma kwehle uketshezi lwe-amniotic ngesikhathi sokubeletha

Ezimweni lapho owesifazane okhulelwe eqala ukubeletha nge-amniotic fluid encane, udokotela obelethisa angafaka ishubhu elincane esibelethweni ukufaka into ethatha indawo ye-amniotic fluid, esimweni sokulethwa okujwayelekile, futhi esivumela ukugwema izinkinga ezifana nokushoda oksijini enganeni, okungenzeka uma intambo inamathela phakathi kukamama nengane.

Kodwa-ke, le ndlela yokwelapha ayisetshenziselwa ukwelapha ukungabi khona kwe-amniotic fluid ngesikhathi sokukhulelwa ngoba isebenza kuphela ngenkathi kufakwa uketshezi ngesikhathi sokulethwa okujwayelekile. Ngesikhathi sokukhulelwa, ukwelashwa kungahluka ngokuya ngobudala bokukhulelwa kanye nenani le-amniotic fluid, kanye ne-hydration yomama engenziwa, lapho i-serum inikezwa khona umama ukukhulisa inani loketshezi, noma i-amnioinfusion, okuyinqubo ehlasela kakhulu ku ngawuphi usawoti ofakwa ngqo embotsheni ye-amniotic ukubuyisa inani elijwayelekile le-amniotic fluid, ukuvumela ukubonwa okungcono kwengane ku-ultrasound nokuvikela izinkinga. Yize ilusizo, i-amnioinfusion iyinqubo ehlaselayo engakhuphula ubungozi bethimba le-placental noma ukulethwa ngaphambi kwesikhathi.

Yazi okufanele ukwenze uma ulahlekelwa i-amniotic fluid.

Inani elijwayelekile le-amniotic fluid ngekota

Inani elijwayelekile le-amniotic fluid esiswini sowesifazane okhulelwe ngesikhathi sokukhulelwa lenyuka njalo ngesonto, ekupheleni kuka:

• Ikota yokuqala (phakathi kweviki eli-1 nele-12): kukhona cishe ama-50 ml we-amniotic fluid;
• Ikota yesibili (phakathi kwamasonto ayi-13 nengama-24): cishe ama-600 ml we-amniotic fluid;
• Ikota yesithathu (kusuka emasontweni angama-25 kuze kube sekupheleni kokukhulelwa): kukhona phakathi kuka-1000 kuya ku-1500 ml we-amniotic fluid. Siyibhizinisi eliphethwe futhi eliqhutshwa ngumndeni.

Imvamisa, uketshezi lwe-amniotic lukhula cishe ngama-25 ml kuze kube yisonto le-15 lokukhulelwa bese kukhiqizwa ama-50 ml ngesonto kuze kube amasonto angama-34, futhi kusukela lapho kuyehla kuze kufike usuku lokulethwa.