I-Polyhydramnios yisimo sengqondo sabesifazane abakhulelwe, lapho inani le-amniotic fluid elizungezile le-fetus ngaphakathi kwesisu liphakeme kunokujwayelekile. Ngakho-ke, ngokwamasonto ayishumi ivolumu yayo i-30 ml kuphela, futhi ngamaviki angu-38 ithalela ku-1.5 amalitha. Uma lezi zinkomba zidlulile ngenxa yezizathu ezithile, i-polyhydramnios iyatholakala.
Iyini i-polyhydramnios eyingozi ngesikhathi sokukhulelwa?
Ungaphathi kahle lesi sifo bese uthi: "Uzocabangela, kukhona amanzi amaningi." Konke kakhulu. I-polyhydramnios idala ezinye izinkinga eziningi. Ingane ingahlakulela i-pathologies yesimiso sezinzwa kanye nomzila wokugaya. Abomama bahlushwa izifo, ama-strias avela esiswini (ukubeka amanothi), igestosis ephuzile iyabonakala. Umthamo omkhulu we-amniotic fluid ungavusa ukuzalwa ngaphambi kwesikhathi noma ube yisibonakaliso sesigaba sokudla (ngoba ngokuvamile ingane isuke isetshenziselwa noma i-pelvic presentation), kungase kube khona intambo yengane enezintambo. Ngezinkinga ze-polyhydramnios zenzeka ngesikhathi sokusebenza. Isibonelo, ipeni noma umlenze wengane ingahle ilahle, noma i-hypoxia ye-fetus ingakhula ngokugcwele ngenxa yokuthungatha isikhathi esingaphansi kwe-placenta.
Ngezinye izikhathi abesifazane abakhulelwe bathola ukuthi bane-polyhydramnios elinganisiwe. Kulesi simo, unesikhathi esanele sokulungisa isimo. Kodwa ungahlali ungenzi lutho, ngoba ngisho nokunciphisa amanzi kancane kungabangela umsebenzi obuthakathaka, ukuzalwa ngaphambi kwesikhathi noma, ngokuphambene, ukugcinwa.
Izimpawu zama polyhydramnios ngesikhathi sokukhulelwa
Kufanele uqaphele uma kukhona izimpawu ezilandelayo:
- ubunzima nobuhlungu esiswini esingaphansi;
- ubuthakathaka nokukhathala;
- livela i-dyspnea (ngenxa yesimo esiphakeme se-diaphragm);
- inani lokushayela liyakhula;
- ukuvuvukala kwezandla nezinyawo;
- i-girth yesisu esiswini lenkabazi ingaphezu kuka-100-120 cm;
- ukugcoba esiswini;
- isicanucanu nokuhlanza kungenzeka.
Izimbangela ze-polyhydramnios ekukhulelwe
Ama-Polyhydramnios ekupheleni kokukhulelwa cishe ajwayelekile, kodwa ama-polyhydramnios angapheli asinika izimpikiswano ezimnandi futhi sibonisa ukuthi kukhona okungalungile emzimbeni. Kungaba nesifo sikashukela, noma imiphumela yomkhuhlane ngesikhathi sokukhulelwa. Izimbangela zokubonakala kwe-polyhydramnios ngesikhathi sokukhulelwa aziqondi kahle. Kodwa ngamathuba aphezulu amanzi amaningi ngokweqile akhiwa ku-mpikiswano yeRh, ukuphazamiseka ohlelweni lwe-excretory lwe-fetus noma ukucindezeleka kwe-reflex yokugwinya. Usengozini uma unenkinga yezinso, isimiso senhliziyo, noma usuhluphekile isifo esithathelwanayo. Ukwandisa amathuba ama-polyhydramnios ekukhulelwe okuningi kanye nesisindo esikhulu somzimba kwengane.
Ukwelashwa kwama-polyhydramnios ngesikhathi sokukhulelwa
Uma kusolakala ukuthi kukhona ama-polyhydramnios, i-ultrasound eyengeziwe ishiwo, ukuhlolwa kwegazi kuthathwa futhi i-cardiotocography yenziwa. Uma ukuxilongwa kuqinisekiswa nguwe, kungenzeka ukuthi bayokuthumela esibhedlela, ubeke izidakamizwa,
Uma kungabikho izimo ezisongelayo, omama namantombazane azama ukukhulelwa, kodwa uma kwenzeka ingozi yangempela, isigaba se-cearean sikhiqizwa.
Uma uthola ukuthi unama-polyhydramnios, ungesabi. Into ebaluleke kakhulu ukugcina isimo silawulwa. Ngokuhamba kwesikhathi ukuthatha ukuhlolwa nokuziphatha kokuhlola. Futhi khumbula, injabulo nemizwelo iyoba yimbi kakhulu empilweni yomntanakho.