Ukwabiwa kwe-amniotic fluid kusukela emthonjeni wesitho sangasese ngosuku olulandelayo kungomunye wababikezeli bokuqala kwezidingo. Ake sicabangele le nqubo ngokuningiliziwe, sizoyithola: ukuthi amanzi ashiya kanjani abesifazane abakhulelwe ngaphambi kokubeletha, lapho lokhu kwenzeka, nokuthi umama ozayo uzobhekana nani.
Usho ukuthini, "amanzi ahamba"?
I-amniotic fluid (amniotic fluid) iyinqobo yemvelo, yenza umsebenzi wokuzivikela. Iyanciphisa ngokuqondile ukucindezelwa ezindongeni zesisu, kuvimbela ukutheleleka kwengane ngaphakathi kwesibeletho, ivikela emathonyeni angaphandle. Umthamo we-amniotic fluid ukwanda ngesikhathi sokubeletha, futhi ekugcineni kufinyelela kumthamo we-1.5 amalitha. I-membrane ye-fetal, i-placenta iphinde ivimbele ukungena kwamagciwane ezibangaphakathi, ukugcina ubuhlungu be- amniotic fluid kuze kufike ngesikhathi sokubeletha.
Ngasekugcineni, ngaphambi kokuzalwa, kunokuphazanyiswa kobuqotho besisu futhi amanzi ageleza aphume emkhathini. Kulesi simo, izidakamizwa zisebenzisa leli gama - i-amniotic fluid. Lesi sibonakaliso siyisiqalo sokuqala kwenqubo yokuzalwa, ukubonisa owesifazane ukuthi kuyadingeka ukuya esibhedlela sokubeletha. Ngesikhathi esifanayo, kubalulekile ukubhala isikhathi lapho amanzi ashiya khona.
Amanzi ashiya nini owesifazane okhulelwe?
Ukuvuthwa kuyinkqubo yokuphila okuwukuphela kwesigaba sokuqala somsebenzi. Kwenzeka ngemuva kokuphulwa kobuqotho be-amniotic isambiso, lapho umlomo wesibeletho uvulwa kancane ngo-4-5 cm. Kodwa-ke, kungenzeka ukuthi ukuphuma kwe-amniotic fluid kubonakala ngaphambi kokuqala kwesikhathi sokusebenza. Kulolu daba, odokotela basebenzisa umqondo wokuthi "ukukhulelwa kokubeletha kokubeletha kwe-amniotic fluid". Uma, emva kwalokhu, izingxabano aziqali phakathi kwamahora ambalwa, odokotela bathatha isinyathelo sokukhuthaza inqubo yokubeletha.
Ukuqonda kanjani ukuthi amanzi adlule?
Ukuze ungalokothi ulahlekelwe ukuqala kokubeletha, omama abazayo bavame ukuba nesithakazelo kumjozi wamazinyo, ukuqonda ukuthi amanzi asele ngesikhathi sokukhulelwa. Isici esiyinhloko sale nqubo ukuphuma kwamanzi okuphuma emgodini wesisu. Kulesi simo, ivolumu ingaba encane - 100-200 ml. Ngalesi silinganiso, amanzi angaphambili ahlukanisiwe, aphakathi kwengxenye yokuveza umzimba nomzimba wangaphakathi wesibeletho.
Omama abasha, etshela omama abakhulelwe ukuthi amanzi ashiya ngaphambi kokubeletha, qhathanisa le nqubo ngokugcoba okungenasidingo - izingubo zangaphansi nezambatho ngokuzumayo zimanzi. Ukuhamba okuningi kwenzeka ekuseni. Kwezinye izimo, ukuvuza kwe-amniotic fluid kungase kwenzeke - ukwehlukana kancane kancane kwe-amniotic fluid ngenxa yokuphazanyiswa kobuqotho besibindi sesisu. Isimo esinjalo sidinga ukuqondiswa udokotela, njengoba kungaphazamisa inkambo yokuqhubeka kwezidingo.
Kungenzeka yini ukweqa ukugeleza kwamanzi?
Ukuphendula umbuzo wabesifazane abakhulelwe, angakwazi yini ukuphawula amanzi, abadokotela banikeza impendulo engalungile. Ngisho nokukhishwa okuncane kwamanzi okuphuma kwamanzi, kuhlale kukhathazeka ngokukhulelwa. Kwezinye izimo, abesifazane abathwala izibulo bangathatha isikhwama samanzi emanzini. Lezi zimilambili ezimbili eziphilayo zinezinto ezibalulekile:
- ukuxubana njalo ukuqina okunamandla nokumangalisa;
- ivolumu yayo ayikhuphuki ngesikhathi;
- ukuphuma kwesitoreji kwenzeka kaningi emasontweni ambalwa ngaphambi kokubeletha.
Kwaphuma amanzi - kungakanani ukuzala?
Ukushiya amanzi ngaphambi kokubeletha kusho ukuthi umlomo wesibeletho usuvele ukhona kancane kancane, ulungiswe futhi ulungele inqubo yokulethwa. Lesi sikhathi sinomusa ekuqalekeni kwezidingo. Kodwa-ke, akunakwenzeka ukuphendula ngokuqondile, ngemuva kokuthi zingaki zokudiliva ziqala, odokotela abakwazi. Ngokuvamile, ulwa futhi uhambisane nokuphuma, kodwa ngokwenza okunye ukhetho kungenzeka. Ngokuvamise lokhu lokhu kwenzeka ngokumangalisayo, uma i-amniotic fluid kuqala igeleza, ukulwa kokuqala kuvela emva kwesikhathi. Ngokwesilinganiso, zigcinwa emva kwamahora angu-3-4.
Kubaluleke kakhulu ukubheka ukuthi amanzi ageleza kanjani kwabesifazane abakhulelwe ngaphambi kokuzalwa kanye nobude besikhathi esingenamanzi - isikhathi esivela ekuphumeni kuya ekubukeni kwengane. Ngokujwayelekile, akufanele kudlule amahora angu-12. Ngokwenza njalo, odokotela emva kokuphuma kwamanzi nokuntuleka kwemisebenzi emva kwamahora ambalwa, qala imisebenzi evuselelayo. Isikhathi eside esiyindilinga esiyingozi sithinta kakhulu inqubo yokulethwa kanye ne-fetus.
Emva kweminyaka emingaki emva kokuhlukaniswa kwamanzi, ukulwa kuqala?
Ngemuva kokuqaphela indlela amanzi ashisa ngayo ngesikhathi sokukhulelwa, abesifazane bazama ukuthola ukuthi ingane yabo izalwa nini. Ngemuva kokudlula kwamanzi, zingaki ukulwa okuzoqala ukuxhomeke ezimeni eziqondene nomzimba. Kuye kwaqalwa ukuthi inkathi ephikisayo yamanzi ingapheli, futhi ukuphambana kuqala ngemuva kwamahora angu-1-2. Kukhona amacala lapho izakhi zokuqala ezivamile zenza ukwephulwa kobuqotho besambiso sesisu. Njengoba bekhula, umlomo wesibeletho uvuleka, emva kwalokho isikhathi sesibili sokuqala komsebenzi siqala-ukuxoshwa kwe-fetus.
Ingabe ukulwa kungaqala ngaphandle kokulahlekelwa kwamanzi?
Ukuhlukaniswa ngaphandle kokulahlekelwa kwamanzi kungenzeka. Lesi simo sihlukile esimweni esivamile, esihambisana ngokuphelele nendlela yokuzalwa. Ngenxa yemivimbo eqinile ye-myometrium ye-uterine, i-cervix ivula. Ngalesi sikhathi, ubuqotho besisu sesisu buyekethiswa ngenxa yokucindezela kwe-intrauterine. Emva kokuphuma kwe-amniotic fluid kanye nokuvulwa okugcwele kwentamo yebele, inqubo yokukhula komntwana ngokuzalwa ingaqala.
Amanzi aphelile, kodwa ayikho impi - okufanele yenzeni?
Ngokuvamile, abesifazane abakhulukazi babhekana nokubeletha nesimo lapho amanzi eshone khona, futhi akukho ukulwa okukhona. Odokotela kule ntuthuko bacebisa ukuthi bangalindeli ukubukeka kwabo, ngenkathi beya ekhaya, bese beya esibhedlela sokubeletha. Kubalulekile ukulungisa isikhathi sokukhishwa kwe-amniotic fluid, nokwazisa odokotela lapho befika esikhungweni sezokwelapha. Ekhaya lokubeletha, odokotela bahlola owesifazane okhulelwe futhi, uma kunesidingo, baqala ukuvuselela inqubo yokuzalwa.
Kuthiwani uma amanzi esheshiwe?
Ukuthululwa kwe-amniotic fluid kuyisiginali kumama ukuthi umhlangano osalinde isikhathi eside nosana uzokwenzeka ngokushesha. Owesifazane okhulelwe kufanele aqaphele isikhathi lapho kuqubuke khona ukutshela odokotela bakhe. Kubalulekile ukuhlola ngokucophelela amanzi: ngokujwayelekile bayacacile, ngezinye izikhathi babe ne-pink hue, akukho phunga. Umbala ohlaza okwesibhakabhaka, obomvu we-amniotic fluid ubonisa ukutheleleka kwe-intrauterine, okusongela impilo yengane. Lokhu kungase kwenzeke ne-oksijini yindlala (hypoxia) edinga ukwelashwa.
Emva kwamanzi abesifazane abakhulelwe bahamba ngaphambi kokubeletha, omama abazayo bangakwazi ukuqedela ukulungiselela kokugcina ukuya endaweni yokuzalwa. Odokotela batusa ukuba baye esikhungweni sezokwelapha kungakapheli ukuqala kwezigqoko ezivamile: isikhala phakathi kwezingqinamba ezimbili ezalandela kwesibeletho akufanele sibe ngaphezu kwemizuzu engu-10. Uma kungekho-contractions, futhi amanzi asele amahora angu-2-3 edlule - akufanele alinde ukubukeka kwabo abazimele, kodwa uye esikhungweni sezokwelapha.
Ukuphuma kokuqala kwe-amniotic fluid
Ukuphuma kokuqala kwe-amniotic fluid, eyenzeka ngaphambi kokuqala kwenqubo yokulethwa ngokungabikho komsebenzi, ngokuvamile kubizwa ngokuthi ukuhoxiswa ngaphambi kwesikhathi ngaphambi kwe-amniotic fluid. Ekhuluma ngokuthi amanzi aphuma kanjani kwabesifazane abakhulelwe ngaphambi kokubeletha, odokotela banakekele ukuthi kungenzeka yini ukuba bahlukaniswe ngaphambi kwesikhathi. Ngokusho kokubona, lesi simo senzeke ku-10% yazo zonke izikhukhula.
Ukwehliswa kwe-amniotic fluid kudinga ukunakekelwa kweziguli eziphuthumayo: uma kungekho ukuphikisana, isikhathi esingaphakathi kwabo asiyehli, ukuqina kwezinto eziphambeneyo kuphansi, kunengozi yokufa kwe-fetus. Inkathi yesikhathi eside i-anhydrous ngokwayo ihambisana nokuthuthukiswa kwezinkinga, phakathi kokutheleleka kwe-fetus. Ukuhlinzekwa ngezikhathi zokwelashwa kusiza ukugwema ukuphulwa.