Amniotic fluid uketshezi lomlingo oluvumela impilo esibelethweni, phakathi kwezinye izinto. I-Amniotic fluid 'ngamanzi' abantu abhekisele kuwo uma bethi 'amanzi ami aphukile' lapho kuphela isisu lapho ingane isizongena emhlabeni. Ngesikhathi sokukhulelwa, umbungu uqukethwe ngaphakathi kolwelwesi olugcwele lolu ketshezi, olubalulekile ekukhuleni kahle kombungu nokukhulelwa okunempilo. Ulwelwesi luyaziwa nangokuthi 'iphakethe lamanzi'
Izici ze-amniotic fluid
I-Amniotic fluid iphuzi ngokukhanyayo futhi iphaphathekile ngombala, imvamisa ayinaphunga, yize abanye bethi inuka kamnandi noma inamandla, njenge-bleach. Inani le-amniotic fluid lincike ekukhulelweni ngakunye, kepha akuyona into ejwayelekile ukuthi kusukela ngesonto lama-34 lokukhulelwa liqala ukwehla kancane ngenxa yobukhulu bengane. Ngalesi sizathu, odokotela kusukela kuleli sonto banaka ngokukhethekile i-amniotic fluid kusukela uma inani lalo lilahlekile noma kwenzeka okuthile okungaba yingozi kungaba yingozi empilweni yengane.
I-Amniotic fluid yenziwa ngamanzi, ama-electrolyte, amaprotheni, ama-carbohydrate, i-lipids, i-phospholipids, ne-urea, ngaphezu kwamaseli embungu.
Kuyini?
I-Amniotic fluid inenhloso ebalulekile yokukhulelwa okuhle. Lolu ketshezi luhlinzeka ngokuvikela okukhulu nokuvikela enganeni, ngoba ngakho-ke uma umama ethola ukushaywa okuncane esiswini somntwana, ngeke kumthinte nakancane.
Ngaphezu kwalokho, kuvumela nengane ngenkathi ikhula futhi ikhula esibelethweni, ukuthi ikwazi ukuhamba kahle. Ukukhula okuhle kwengane futhi kuncike kuketshezi lwe-amniotic umama analo esiswini sakhe.
Lo mketshezi ugcwalisa amaphaphu engane ngesikhathi 'sokuphefumula kwengane'. Lokhu kusiza amaphaphu engane ukuba akhule kahle ngaphambi kokuzalwa. Kubalulekile ukuthi amaphaphu engane akhule kahle ukuqinisekisa ukuthi iyakwazi ukuphefumula lapho ingena emhlabeni, yize amaphaphu ezoqhubeka nokukhula ngemuva kokuzalwa kwengane.
Njengokungathi lokho bekunganele, ngaphezu kwayo yonke le misebenzi, i-amniotic fluid ibuye inikeze ukushisa okungaguquguquki nokwanele ukugcina imisebenzi ebalulekile yengane nokuthi izizwa ikhululekile futhi ifudumele esibelethweni sikanina.
I-amniotic fluid ibuye yenze umchamo wombungu ukuze ugwinywe futhi ugaywe ngaphandle kwezinkinga ngumntwana okhulayo.
Izinkinga ezivame kakhulu
Kunezinkinga ezithile ezijwayelekile ku-amniotic fluid okufanele ihlolwe odokotela futhi ihlole ukuthi ingaba yingozi kangakanani (noma cha) ekukhuleni kwengane. Ezinye zalezi zinkinga ezivame kakhulu yilezo esizichaza ngezansi.
Umbala ongajwayelekile
Uketshezi lungaba luhlaza, lube nsundu, noma lufakwe igazi. Ekukhulelweni kwesikhashana noma kwesikhashana, uketshezi oluhlaza okotshani noma onsundu kungakhombisa ukuthi ingane ibinokunyakaza kwamathumbu (meconium), okunomthelela ekushintsheni kombala. Lokhu kungaba yinkomba yokuthi ingane isengozini noma ukuthi isisu sikhulelwe nje selisabalele ngokwanele ukuba ingane ikwazi ukwenza izitulo zokuqala esibelethweni.
Lapho isinegazi
I-Amniotic fluid ingangcoliswa yigazi, ikakhulukazi ngesikhathi sokubeletha, uma umlomo wesibeletho usuqale ukunwebeka, noma uma kunezinkinga zeplacenta. Uketshezi olumnyama kungabonakala nangokubeletha kwe-intrauterine lapho umbungu ushonile ngesikhathi sokukhulelwa.
Iphunga elingajwayelekile
Uma uketshezi lunephunga elingathandeki, kuvame ukuba uphawu lokutheleleka. Abesifazane uma bephula amanzi emakhaya kufanele baxhumane nodokotela ngokushesha uma uketshezi lunephunga elibi.
Oligohydramnios
Kuyaziwa nangokuthi i-Oligo. Lokhu kusho ukuthi kunenani elincishisiwe le-amniotic fluid esibelethweni ngenxa yokuvuza oketshezi noma inkinga yokuzalwa nombungu noma i-placenta.
Lokhu kungajwayelekile kungenzeka futhi uma umbungu unezinkinga zezinso: i-fetus inciphise ukuphuma komchamo ngakho-ke hhayi i-amniotic fluid eningi. Umthamo wamanzi ungalinganiswa nge-ultrasound.
Ama-Polyhydramnios
Kulokhu, kunoketshezi oluningi kunokujwayelekile, imvamisa kubangelwa ukungajwayelekile kokuzalwa kombungu, ukukhulelwa okuningi (njengamawele noma amawele amathathu), noma isifo sikashukela sokukhulelwa. Kwezinye izimo, imbangela ayaziwa nje. Lokhu okungavamile nakho kungalinganiswa nge-ultrasound.
Ukuqhekeka kwangaphambi kwesikhathi kwezimbambo zangaphambi kwesikhathi (PPRM)
Kungaba nezinkinga kubo bobabili umama nombungu uma isaka le-amniotic "lidabuka" kusenesikhathi ngesikhathi sokukhulelwa. Izinkinga zifaka ukutheleleka, ukukhulelwa kwengane okungakhubazekile, noma ukubeletha ngaphambi kwesikhathi.
Imvamisa, inhloso ukubambezela ukubeletha isikhathi eside ngangokunokwenzeka kumama nombungu. Lokhu kungadinga ukulaliswa esibhedlela, ukuphumula embhedeni, ama-antibiotics afakwa emithanjeni, kanye ne-corticosteroids ukusheshisa ukuvuthwa kwamaphaphu embungu., okungabambezela ukubeletha futhi kwandise amathuba okusinda kombungu uma uzalwa ngaphambi kwesikhathi.
Kufanele wazi ukuthi kunezinhlobonhlobo zalokho "okujwayelekile" ngokuya ngombala we-amniotic fluid, ubungako, nephunga. Uma ungabaza, kuzofanele uye kudokotela wakho kuphela ukubuza noma yiziphi izinto ezikukhathazayo. Uma ukhulelwe ngeke ukwazi ukwazi ukuthi unayo yini i-amniotic fluid enokungajwayelekile ngoba ayijwayele ukunikeza izimpawu, ngaphandle kwalapho kunezinye izici ezihambisanayo ezenza ukukhulelwa kube nzima. Kuzoba ngudokotela wakho ozohlola ukuthi unenkinga yini noma uma kudingeka uhlobo oluthile lwezokwelapha ecaleni lakho elithile.
Khumbula ukuthi ukuze ukhulelwe kahle kufanele uye ezikhungweni zakho zangaphambi kokubeletha nokuthi udokotela wakho angakubheka kahle ukukhulelwa kwakho. Landela imiyalo yabo ukuze ube nempilo enhle nokuthi ingane yakho ikhule kahle. Uma kwenzeka kukhona okungahambi kahle noma uphawu ocabanga ukuthi aluvamile, iya kudokotela wakho noma igumbi labezimo eziphuthumayo ukuze uhlole impilo yakho neyengane yakho.