Ukungondleki ngesikhathi sokukhulelwa - izimbangela

Izimbangela eziholela ekuthuthukiseni ukukhulelwa okunjalo ukwephulwa, njengamanzi aphansi, kungase kuhluke. Ngokuvamile, odokotela kudingeka badonwe isikhathi eside ukuze bafinyelele eqinisweni. Ake sicabangele lokhu kwephulwa ngokuningiliziwe, ikakhulukazi, sizokwazi ukuthi kungani kukhona ukungabi khona kwamanzi ngesikhathi sokukhulelwa.

Kusho ukuthini igama elithi "hypochlorism"?

Njengoba kuyaziwa, ngesikhathi sokubeletha umthamo we-amniotic fluid uguquka njalo, futhi uhlobene ngokuqondile nezidingo zomntwana, isikhathi sokukhulelwa. Kuvame ukukholelwa ukuthi ekupheleni kweviki lama-38 lokubeletha okuvamile, ivolumu yabo ingaba ngu-1500 ml.

Kodwa-ke, ukuxilongwa "kwamanzi aphansi" kusungulwa kakhulu ekuqaleni. Ukusola kokuqala kokudokotela okunjalo kungase kube sevikini elingama-20. Kuvunyelwe ukunikeza amazinga amaningana amanzi aphansi. Kulezo zimo lapho umthamo we-amniotic fluid ungaphansi kuka-1 litre ngamasonto angu-30-32, bakhuluma ngezinga eliphansi lamanzi. Ngokuvamile, izivivinyo zokuxilonga zenziwa nge-ultrasound.

Kungani i-hypochondria ithuthuka ngesikhathi sokukhulelwa?

Kunezizathu eziningi ezibangela lesi simo ngesikhathi sokubeletha. Yingakho kuvamile ezinkingeni zokuzihlanganisa zibe ngamaqembu:

1. Ehlanganiswa nokuba khona kwezinkinga ezingenasifo ebusweni ebusweni. Ngokuvamile ukuphulwa kwentuthuko yezinhlelo nezinhlelo kuholela ekunciphiseni emthamo we-amniotic fluid. Lokhu kungaphawulwa nge-agenesis (ukungabikho kwe-urethra), ukunciphisa kwamanye amazwe ama-ureters, i-dysplasia yezinso.
2. Kubangelwa izinguquko ezincane ekuthuthukiseni ingane. Ukwephulwa okunjalo kuyisiko lokudlulisa: ukutheleleka kwe-intrauterine yengane (i-cytomegalovirus, i-chlamydia, i-mycoplasmosis), ukulibaziseka kokuthuthukiswa, ukukhubazeka kwisethi ye-chromosome (i-Marfan, i-Down syndrome, njll).
3. Izizathu ezinokuxhumana ngokuqondile nokuphazanyiswa komzimba emzimbeni wesifazane okhulelwe, okungaba umphumela wezifo ezinjalo ezingapheli njenge:

• ukuphazamiseka kwesimiso senhliziyo (i-thrombophlebitis, i-hypertension ye-arterium, ukungakwazi ukuphefumula);
• isifo sezinso (ukwehluleka kwenkunzi, i-pyelo-glomerulonephritis);
• Izifo ze-Collagen (i-systemic lupus erythematosus, i-dermatitis, i-scleroderma, i-rheumatism);
• isifo sikashukela.

• ukungakwazi kahle kwamapayipi;
• i-placenta infarction;
• ukuhlukumezeka ekuthuthukiseni indawo yengane (ukugxila kwe-sclerosis, i-atrophy enye yezingqimba).

• ukugcinwa (isikhathi sokubeletha amaviki angu-42 nangaphezulu);
• ukuphuka kusenesikhathi kwekhanda le-amniotic;
• i-iatrogenic malic acid, - ingabangelwa ukusetshenziswa isikhathi eside kwemithi efana ne-indomethacin, phenoprofen, naproxen.

Imithi enjalo inqunywe, njengomthetho, ngesongelo lokuzalwa ngaphambi kwesikhathi.

Kuphathwa kanjani?

Njengoba ivolumu enciphise yamniotic fluid, odokotela, okokuqala, kunqunywe i-ultrasound. Lokhu kukuvumela ukuthi ungabandakanyi ubukhona bezinto ezimbi ekuthuthukiseni ingane. Ngokufanayo, ukuhlolwa kwegazi kwamakaki wokuhlola kwenziwa. Uma kukhona ukusola, i- amniocentesis yenziwa - ukuqoqwa kwe-amniotic fluid, ukuze kwenziwe i- karyotyping futhi ingabandakanyi ukukhubazeka kwe-chromosomal.

Uma kukhona ukungabi khona kwe-hydration ekukhulelwe okwamanje ngesikhathi esilandelayo, lona wesifazane udokotela esibhedlela ukuthola izizathu nenhloso yokwelapha. Esikhathini esibhedlela, umama wesikhathi esizayo unqunywe amavithamini (B, C), izidakamizwa ezithuthukisa ukujikeleza kwegazi (Kurantil), ukuthuthwa kwe-oxygen kuya kwezicubu kanye nezinhlelo ze-fetal (Actovegin). Kulesi simo, ukuqapha okuqhubekayo komntwana wekusasa nge-CTG, i-dopplerometry.