Ukukhulelwa ngenye yexesha elihle kakhulu kubomi bowesifazane, evula izicwangciso ezintsha zobuntu bakhe, uvuselela aze azalise umphefumlo wakhe ngomfudumalo othakazelisayo ... Ixesha elizayo umama ujonge phambili ukudibana nomntwana wakhe rhoqo, kunye nokuvuyisa esifubeni sakhe kwaye akuvumele ukuba adlule kuphela kwisikrini iliso kwi-ofisi ye-ultrasound. Ukuhlolisisa ngenyameko igama ngalinye kumlomo kagqirha malunga nemeko yesisu, unokuva: "Kunqunyanyiswa kwamanzi amniotic!". Ewe, emva kokufumana ulwazi olunjalo, ungakhathazeki, kodwa zama ukuqonda imeko.
Luhlobo luni "lwesilwanyana" ngumcimbi osusiweyo emanzini?
UVzvesyami wabiza iimveliso zobomi bentsholongwane (ukungcola kwamanye amazwe), okukhoyo kwi-amniotic fluid. Ingaba i-epithelium ekhonjiweyo, iinwele ze-pushrod, izakhi ze-grease yamanzi (ukumiswa kwe-hyperechoic), ekwahlukileyo ukusabalalisa. Ukungahlambuluki okunjalo, kwiimeko ezininzi, kwenzeka kwiiveki ezingama-32-34 zexesha lokugaya, livela rhoqo, akunakuchaphazela ukuba uphuhliso lwamafestile kwaye lubonise inkqubo eqhelekileyo yenkqubo yokugaya. Ubukho bezinto ezinqunyanyisiweyo ekupheleni kokukhulelwa ngumqondiso wokugcina kwakhe.
Ukumiswa kwamanzi ngexesha elidlulileyo, kunye neminye impawu, kunokunxulumaniswa nobukho bentsholongwane. Ngoko, umzekelo, isizathu salo singaba yi-ureaplasmosis. Nangona i-ureaplasma ayinakukwazi ukunqoba i-placenta, ukuhamba kwintsana ngokuzalwa komama kunokwenziwa nesifo sezitho zobulili kwintombazana, izintso, isikhumba kunye nomntwana womntwana. Ngoko ke, kwii-trimesters zesibini neyesithathu, kubalulekile ukufumana unyango olukhethekileyo.
Ukungakhuselekanga kubuthathaka ngexesha lokukhulelwa kwaye ukungakwazi kwakhe ukumelana nezifo, kubandakanya ukusuleleka kwintsholongwane, kungakhokelela ekubonakaleni kokumiswa kwe-amniotic fluid ngeqondo eliphezulu. Ukutyalwa kweemithi ezixhomekeke kwizityalo ezise-homeopathic ezichazwe ngugqirha ziya kuxhasa ukukhuselwa komzimba, kwaye mhlawumbi sele sele sele kuhlolwa ngokutsha kokungcola kwamanzi apho.
Ngamanye amaxesha njengokumiswa kwexesha kungabangela ukwanda kweprotheni kwi-amniotic fluid, into eqhelekileyo, into ebizwa ngokuba "ngumgaqo-siseko".
Ngokuphathelele i-meconium - intsimbi yangaphambili, ngenxa yokuhoxiswa komtsalane inokubhekisela ekuxininiseni (kwenzeka kwi-10% yazo zonke ukuzalwa kwaye ibe ngama-40% kwiimeko zokukhulelwa okukhulelweyo), ngoko iimbono malunga nomthelela walo kumntwana ulwahlula. Abanye abameli bezonyango bakholelwa ukuba i-meconium kwi-amniotic fluid iyimpawu ye-intrauterine hypoxia (i-oxygen starvation) ye-fetus, ngoxa ezinye zibonisa ukuba akukho nxu lumano phakathi kwezi ziganeko, kwaye ukucoca kwamanzi nge-meconium kuyona nto ibalulekileyo ekuqaliseni umngcipheko wokukhulelwa kwentswelo ye-meconial of the newborn.
Ukumiswa kwi-amniotic yonyango
Njengomthetho, ukuba kuphela "ukumiswa kwe-amniotic fluid" kufunyaniswa, unyango kunye nemveliso yonyango alunqunywanga. Ukukhusela i-hypoxia yobusana, njengengxaki yobungozi, kucetyiswa ukuba uthathe "Actovegin", "Hofitol", "Fobenzym".
Ekubeni ukumiswa, okwenziwa yi-ultrasound nganoma naluphi na ixesha lokukhulelwa, akukona ummakishi wekhosi yakhe engavamile, emva kokulandelwa kunye nokulungiswa kwesiphumo sokusola kwe-chromosomal pathologies, xa kuthengwa kwe-hypoxia.
- i-amniocentesis - ukugqitywa kwe-bladder;
- I-Amnioscopy - ukufakwa kwesicatshulo esikhethekileyo se-endoscopic kwisitya somlomo wesibeleko ngaphakathi kwesini. Le nkqubo inqatshelwe xa kunokwenzeka ukuba i-placenta previa, i-colpitis, i-cervicitis, phambi kwezinye iinkqubo ezithintekayo zesifo somzimba kunye nosongelo lokupheliswa kokukhulelwa. Iingxaki emva kokuba i-amnioscopy, efana nokukhulelwa kwangaphambili kwe-amniotic fluid, ukusuleleka, ukuphuma kwegazi akunakwenzeka.
Ngaloo ndlela, xa sele ufumene ukuxilongwa kobukho benkomfa emanzini ngexesha lokukhulelwa, okokuqala, kubalulekile ukuba uqonde ukuba ngelixa ixesha loviwo kunye nolwazi oludlulileyo lwabagqirha abanolwazi malunga nalo mbandela lwenziwa, uxolo lwenu luya kuba yinyango yonyana.