Ingabe Kunamanzi Amniotic Fluid Okuthile Okungakukhathaza?

-Delile

• Ngaphezu kwesisu esikhulu
• Yini ama-polyhydramnios?
• Kubangelwa yini?
• Ziyini izingozi zama-polyhydramnios?
• Ihlonza futhi yelashwe kanjani i-polyhydramnios?
• Kwenzekani ngemuva kokuxilongwa?

"Kukhona okungahambi kahle"

Sekusele amasonto angaphezu kwayi-10 ukukhulelwa kwami ​​kwesine, ngangazi ukuthi kukhona okungahambi kahle.

Ngiqonde ukuthi, bengilokhu ngiyi-ahem, owesifazane okhulelwe okhudlwana.

Ngithanda ukusho ukuthi thina besifazane esisehlangothini olufushane nje asinalo igumbi elengeziwe kuma-torsos ethu, okwenza lezo zingane zigqame ziqonde. Kepha, kunjalo, lokho wukuzenza ngizizwe ngingcono.

Ngibe nengxenye yami efanelekile yokuthola isisindo sokukhulelwa ngokukhulelwa kwami ​​kwangaphambili ezintathu futhi ngathola ubumnandi bokuletha ingane yomfana engamakhilogremu ayi-9, 2-ounce. Kepha kulokhu, izinto zizwakala zehlukile nje.

Ngaphezu kwesisu esikhulu

Okokuqala, nganginkulu. Njengama-busting-of-my-maternity-clothes-at- ngokulambisa-amasonto-30 amakhulu.

Nganginenkinga yokuphefumula, ukuhamba ngangizizwa njengosizi oluphelele, izinyawo zami zazivuvukele kakhulu kunendlebe yomshayi wesibhakela, futhi ungangiqali nakancane emzabalazweni wokuzama ukuzigingqa embhedeni wami ebusuku.

Ngakho-ke lapho udokotela wami eqala ukuma kancane ngenkathi elinganisa isisu sami ekuhloleni okujwayelekile, ngangazi ukuthi kukhona okwakukhona.

“Hmmm…” esho, eshaya ithephu yakhe ezungeza okunye. “Kubukeka sengathi usukala amasonto angama-40 vele. Kuzofanele sihlole. ”

Yebo, ufunda lelo lungelo - bengilinganisa isikhathi esigcwele samaviki angama-40 ngama-30 kuphela - futhi bengisenezinyanga ezintathu ezinde zokukhulelwa, okumele ngibe nazo.

Ukuhlolwa okwengeziwe kwaveza ukuthi kwakungekho lutho olungalungile ngengane (ngiyabonga ubuhle) futhi ngangingenaso isifo sikashukela sokukhulelwa (imbangela evamile yamathumbu amakhulu kunokuphila), kodwa ukuthi nganginecala elibi kakhulu lama-polyhydramnios.

Yini ama-polyhydramnios?

I-Polyhydramnios yisimo lapho owesifazane emane abe ne-amniotic fluid eningi kakhulu ngesikhathi sokukhulelwa kwakhe.

Ku-ultrasound ejwayelekile yokukhulelwa, kunezindlela ezimbili zokukala inani le-amniotic fluid esibelethweni.

Eyokuqala yi-Amniotic Fluid Index (AFI), lapho kukalwa khona inani loketshezi emaphaketheni amane ahlukene ezindaweni ezithile ngaphakathi kwesibeletho. Amabanga ajwayelekile we-AFI.

Okwesibili ukukala iphakethe elijule kakhulu loketshezi ngaphakathi kwesibeletho. Izilinganiso ezingaphezu kwama-8 cm zitholwa njenge-polyhydramnios.

Ububanzi buxhomeke ekude kangakanani lapho ukhulelwe, njengoba amazinga oketshezi azokhuphukela ku-trimester yakho yesithathu, bese ancipha.

Njengomthetho wesithupha, i-polyhydramnios ivame ukutholakala ine-AFI engaphezu kwama-24 noma iphakethe elikhulu loketshezi ku-ultrasound engaphezulu kuka-8 cm. Ama-Polyhydramnios alinganiselwa ukuthi avela emaphesentini ayi-1 kuya kwangu-2 kuphela okukhulelwa. Ngibe nenhlanhla!

Kubangelwa yini?

I-Polyhydramnios inezimbangela eziyisithupha eziyinhloko:

• ukungajwayelekile emzimbeni wombungu, njengokukhubazeka komgogodla noma ukuvinjelwa kohlelo lokugaya ukudla
• amawele noma okunye okuphindaphindwayo
• isifo sikashukela sokukhulelwa noma sokukhulelwa
• i-fetal anemia (kufaka phakathi i-anemia edalwa ukungahambelani kwe-Rh, lapho umama nengane banezinhlobo ezahlukahlukene zegazi)
• ukukhubazeka kwezakhi zofuzo noma ezinye izindaba, njengokutheleleka
• asikho isizathu esaziwayo

Ukukhubazeka kwe-Fetal yizimbangela ezikhathaza kakhulu ze-polyhydramnios, kodwa ngenhlanhla, nazo azivamile kakhulu.

Ezimweni eziningi ze-polyhydramnios emnene kuya kokulingene, noma kunjalo, akukho sizathu esaziwayo.

Kufanele futhi ukhumbule ukuthi ngisho nokuhlolwa kwe-ultrasound, ukuxilongwa okunembile ngamaphesenti ayi-100 kungenzeka kungabi bikho ngokuphelele. Lapho phakathi kwe-AFI ephakeme nemiphumela emibi yengane yakho. Lokhu kungafaka:

• ingozi eyengeziwe yokulethwa kwangaphambi kwesikhathi
• ingozi eyengeziwe yokwamukelwa egumbini lokunakekelwa kwabagula kakhulu (i-NICU)

Ezinye izimo ze-polyhydramnios. Kodwa-ke, udokotela wakho uzoqhubeka nokuhlola amazinga oketshezi njalo uma kutholakala ukuxilongwa ukuqinisekisa ukuthi wena nengane yakho nilawulwa ngokufanele.

Ziyini izingozi zama-polyhydramnios?

Izingozi ze-polyhydramnios zizohluka ngokuya ngokuthi ukude kangakanani lapho ukhulelwe nokuthi isimo sinzima kangakanani. Ngokuvamile, lapho i-polyhydramnios iba nzima kakhulu, iba nkulu ingozi yokuba nezinkinga ngesikhathi sokukhulelwa noma sokubeletha.

Ezinye izingozi ezinama-polyhydramnios athuthukile zifaka:

• ingozi eyengeziwe yengane ephefumulayo (enoketshezi oluningi, ingane ingaba nenkinga yokuthola ikhanda phansi)
• ubungozi obandayo bokuqhuma kwentambo, okuyilapho intambo ishibilika iphuma esibelethweni iye esiswini ngaphambi kokubeletha ingane
• ingozi eyengeziwe yokuphuma kwegazi ngemuva kokuzalwa
• ukuqhekeka ngaphambi kwesikhathi kolwelwesi, okungaholela ekusebenzeni kwangaphambi kokubeletha nasekulethweni
• ingozi eyengeziwe yokuqhamuka kweplacenta, lapho i-placenta ihlukana khona nodonga lwesibeletho ngaphambi kokubeletha ingane

Ihlonza futhi yelashwe kanjani i-polyhydramnios?

Uma udokotela wakho esola ama-polyhydramnios, into yokuqala abazoyenza uku-oda ukuhlolwa okwengeziwe ukuqinisekisa ukuthi akukho lutho olungalungile enganeni yakho. Ama-polyhydramnios amaphakathi kuya kokulingene angahle angadingi ukwelashwa okungeziwe ngaphandle kokuqapha.

Ukwelashwa kucatshangelwa kuphela ezimweni ezingavamile kakhulu. Lokhu kufaka imithi kanye nokukhipha uketshezi oluningi lwe-amniotic.

Ungalindela ukuqapha nokuhlolwa okuvamile, futhi odokotela abaningi bazoxoxa ngokulethwa kokuhlinzwa uma bezwa ukuthi ingane inkulu kakhulu, noma ukubeletha noma ukuzalwa kwesisu kuyingozi kakhulu.

Kuzofanele futhi ukuthi uhlolwe ushukela wegazi kakhulu ukukhipha isifo sikashukela sokukhulelwa.

Kwenzekani ngemuva kokuxilongwa?

Endabeni yami, ngangibhekiwe kaningi ngezivivinyo ze-biweekly non-stress futhi ngasebenza kanzima ukuze ingane yami igobise ikhanda phansi.

Lapho esekwenzile lokho, mina nodokotela wami savumelana ngokungeniswa kusenesikhathi, okulawulwayo ukuze angaphinde aphenye noma athole ukuphumula kwami ​​ekhaya. Wazalwa enempilo ephelele ngemuva kokuba udokotela wami ephule amanzi ami - futhi kwakukhona amanzi amaningi.

Kimina, ama-polyhydramnios kwakungokuhlangenwe nakho okusabisayo impela ngesikhathi ngikhulelwe ngoba kwakukuningi okwakungaziwa ngalesi simo.

Uma uthola ukuxilongwa okufanayo, qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuze unqume noma yiziphi izimbangela eziyisisekelo bese ulinganisa izinzuzo nezingozi zokulethwa kwangaphambi kwesikhathi ukunquma indlela engcono kakhulu wena nengane yakho.

UChaunie Brusie, BSN, ungumhlengikazi obhalisiwe onolwazi kwezemisebenzi nasekubelethiseni, ukunakekelwa okubucayi nokunakekelwa kwesikhathi eside. Uhlala eMichigan nomyeni wakhe nezingane ezine, futhi ungumbhali wencwadi ethi "Tiny Blue Lines."