Ukuguga ngokukhulelwa

Indawo yokuhlala emanzini yendalo yengane ekhulayo. Kwi-amniotic fluid, umntwana ufumana izinto ezibalulekileyo njenge-oxygen, i-hormone, iivithamini kunye nabanye abaninzi. Kwakhona, i-amniotic fluid yenza umsebenzi okhuselayo, zombini umatshini kunye nokukhusela umntwana kwiintsholongwane. Kungenxa yoko ukungabikho kwabo kunokuba nefuthe elibi kwimpilo yezinkukhu ezingakazalwa.

Okungaqhelekanga kuye kwabizwa ngokuthi "i-saline ephantsi", kwaye namhlanje kukho iindlela ezintle zokwenza unyango. Kubalulekile ukuba uqaphele ukuba u-hypochlorism ekukhulelweni kwenzeka kaninzi kunama-polyhydramnios. Kodwa oku akuthethi ukuba awudingi ukujonga imeko yakho, kuba uxinzelelo lwegazi oluphantsi ngexesha lokukhulelwa liyingozi ngaphezu kwe-polyhydramnios.

Inani le-amniotic fluid kunye nenkqubo yokukhulelwa ihlala ishintsha. Kwi-trimester yesithathu, inani labo li-1-1.5 ilitha. Ukuba iyancishiswa ibe yi-500 ml, ke le sihlandlo sokuthetha ngo-hypochlorism ekukhulelweni. Bonke oomama bexesha elizayo kufuneka babe nolwazi olusongela u-hypochlorism xa ukhulelwa. Okokuqala, ichaphazela kakubi intlalo yowesifazane okhulelweyo. Ku nokuba novakalelo olubuhlungu ngexesha lokuguqulwa kwengane, kwaye imeko yenyama yonke iya kuba yingozi. Ngomntwana, imiphumo ye-salinity ephantsi ingaba yingozi nakakhulu. Kule meko, umntwana akanalo isikhala esaneleyo sokuphuhliswa ngokupheleleyo, kwaye oku kunokuchaphazela inkqubo yesithambo, ukuphuhliswa kwamalungu kunye nesikhumba. Yaye ukuba i-amniotic fluid yinto encinci, imiphumo ingaba yingozi kakhulu, ukuya kwi-hypoxia kunye nomonakalo wengqondo.

Kodwa akuyiyo yonke into eyoyikisayo. Kufuneka kuqatshelwe ukuba ukuxilongwa kwe-hypochondria engqinelanayo kufakwa ngexesha lokukhulelwa ngowesifazane wesithathu. Kwaye abaninzi abafazi abakhulelweyo abane-malovodiem baze bazalise ngempumelelo imirhumo enempilo. Kodwa apha kukho imiba ethile. Ngokomzekelo, ukuba kukho uxinzelelo lwegazi oluphantsi ngexesha lokukhulelwa kwiiveki ezingama-22, lubi kakhulu kunamanzi amanzi ekupheleni kokukhulelwa. Ngoko ke, xa i-hypochlorism kwi-trimester yesi-2 i-gynecologist iya kuba ngokuqinisekileyo igxininise ekufakeni izibhedlele, kunye ne-polyhydramnios ephakathi kwexesha lokukhulelwa kwiiveki ezingama-33-34 okanye ngaphezulu, umfazi okhulelweyo angaphathwa esibhedlele sosuku.

Kufanelekile ukuthetha ukuba ininzi i-hypochondriasis iyakubona rhoqo ngexesha lokukhulelwa ngeveki 32. Kodwa ungesabi, oku kubangelwa kukuba ukuhlolwa kweyesithathu kuqhutywa kwiiveki ezingama-32-36 zokukhulelwa, kwaye ke kukho ukungabikho kwamanzi. Okokuthi, akukho nto ibophezela kumhla wokugqibela.

Ukuguquka kungenza ukuba uzalwe ngaphambi kokuzalwa. Ngoko ke, ekukhulelweni iiveki ezingama-35-37 kunye nokuxilongwa kwexinzelelo lwegazi oluphantsi kufuneka ziqaphele kakhulu, kwaye zidla ngokugqithiswa ngugqirha. Yaye ukuba uxinzelelo lwegazi oluphantsi lubonakaliswe kwiminyaka eyi-40 ubudala, kunokuthatha isigqibo sokwenza umntwana abelethe. Kodwa konke kuxhomekeke kwimeko yowesifazane okhulelweyo kunye nosana lwakhe.

Ngokwemvelo, abantu abaninzi banomdla kulo mbuzo, kodwa indlela yokuphatha i-hypochlorism xa ukhulelwa? Ukufumana unyango lwe-hypochlorism ekukhulelweni, ugqirha kuqala kufuneka afake isizathu esibangela ukuba kwenzeke le ngxaki. Oku kungaba yinto ebonakalayo yesakhiwo sesisu se-epithelial yowesifazane okhulelweyo, kunye nesiphene sokuphuhliswa komntwana, kunye nokunyuswa kwengcinezelo yegazi, kunye neentsholongwane ze-bhakteria, kunye neengxaki ze-metabolic, nangaphezulu. Ukuxilongwa koxinzelelo lwegazi oluphantsi ngexesha lokukhulelwa, i-ultrasound kunye ne-dopplerography imiselwe. Oku kukuvumela ukuba unqume inani le-amniotic fluid kunye ne-intrauterine yomntwana wengane. Ngokusekelwe kwiziphumo zezi ziviwo kunye novavanyo olongezelelweyo, ugqirha ugqiba indlela yokuphatha i-hypochlorism ekukhulelweni. Njengomthetho, amayeza anqunywe unyango lwesifo esingaphantsi kwesifo, esabangela ukuba u-salinity ophantsi, iziyobisi ukuphucula i-placenta, kunye nevithamini ezinzima.

Ngelishwa, ukunqanda u-hypochlorism ekukhuleleni akuqinisekisi ukuba akakho. Kodwa musa ukuwahoxisa loo miqathango. Ngokomzekelo, kufuneka uhambelane nemigangatho yesondlo esifanelekileyo, musa ukuphakamisa izinto ezinzima uze uzivelele ngokuxinzeleleka kwengqondo. Kwaye nokuba ngaba ufumene unyango ophantsi ophantsi kwexesha lokukhulelwa, musa ukwethuka. Kufuneka udibanise kunye kwaye ulandele ngokungqongqo iziphakamiso zoogqirha.