Amniotic fluid uketshezi olwenzeka ngokwemvelo emzimbeni wowesifazane lapho kwenzeka ukukhulelwa. Le nto ibalulekile, ngoba ngaphandle kwayo, ukukhulelwa bekungeke kwenzeke ngokugculisayo futhi ingane ibingakwazi ukukhula ngendlela ejwayelekile. Kwezinye izimo, kungenzeka ukuthi i-amniotic fluid ibhekane nezinkinga ezithile ezingaba ngenxa yokweqisa nokushoda.
I-Polyhydramnios yisimo esibangelwa uketshezi oluningi lwe-amniotic, inkinga ethinta iphesenti eliphansi kakhulu lokukhulelwa (i-1% kuphela) kepha lokho kungenzeka ngaphandle kokuthi ukunake. Ezimweni eziningi kuyinkinga emnene, ezilawula uqobo lwayo futhi inkinga inyamalale yodwa.
Noma kunjalo, kwezinye izimo le nkinga ingaholela ezinkingeni ezahlukahlukene ekukhulelweni. Ake sibheke ukuthi lesi simo siqukethe ini nokuthi singakuthinta kanjani ukukhulelwa.
Yini i-amniotic fluid
I-Amniotic fluid iwuketshezi olunokuvumelana okulula nombala ophuzi omncane. Le nto iyi yakhiwe izakhamzimba nezakhi ezahlukahlukene ezidingwa yingane ukwazi ukukhula nokukhula kahle esibelethweni. Phakathi kokunye, i-amniotic fluid iqukethe amaprotheni, ama-carbohydrate, i-lipids, i-urea noma ama-electrolyte, kanye namaseli avela embungwini avumela ukuhlaziywa nokulawulwa kokuhlolwa kokukhulelwa ukuthola ukungalungi okungaba khona embungwini.
Ukuthuthuka kwengane, i-amniotic fluid ibalulekile ngoba iyinikeza ngazo zonke izinto ezidinga ukukwazi ukukhula. Kodwa futhi, inikeza indawo enhle yokukhula ngokukugcina ufudumele, kumsindisa ekushayweni uvalo futhi kumvumela ukuba akhulele endaweni enamanzi lapho engakhula kahle.
Phakathi namasonto okuqala, i-amniotic fluid yenziwa ngumzimba kamama, yize kusuka emasontweni angama-18 kungumntwana uqobo owudalayo. Lokhu kubangela ukuthi ukwakheka kuguquke ngokwengxenye, kusukela ingane izoqala ukugwinya nokukhipha uketshezi ngomchamo.
Inani loketshezi luyashintsha kukho konke ukukhulelwa, ifinyelela kuma-600 noma ku-800 ml ngasekupheleni kwesikhathi sokukhulelwa. Kodwa-ke, kungahle kube nezinkinga ezithinta i- inani loketshezi, okuholela ezinkingeni ezihlukile.
Yini ama-polyhydramnios
Ama-Polyhydramnios, awaziwa nangokuthi hydramnios, yisimo ngenxa yoketshezi oluningi lwe-amniotic. Ezimweni eziningi kuyinkinga emnene elawulwa ngokwemvelo, kepha kubaluleke kakhulu ukuqapha lesi simo eduze njengoba kungaba uphawu lwesimo esibi kakhulu. Njengenjwayelo, i-polyhydramnios ihlotshaniswa nenkinga ohlelweni lokugaya ukudla kwengane, ngoba uketshezi oluningi lwe-amniotic lungabangelwa ubunzima bengane ekugwinyeni inani elanele.
Nokho, ezimweni eziningi akunakwenzeka ukuthola imbangela yale nkinga, engahlukahluka njenge:
- Ukungahambelani kwe-Rh factor, inkinga ebangelwe yi- ukungahambisani kwegazi umama nengane
- Izinkinga ekukhuleni kwemizwa kwengane, kanye nasesimisweni sokugaya ukudla, emaphashini noma ebuchosheni
Ikuthinta Kanjani I-Polyhydramnios
Uketshezi oluningi lwe-amniotic kungadala izinkinga ezahlukahlukene, kokubili ngesikhathi sokukhulelwa nangesikhathi sokubeletha uqobo.
- Ubungozi be ukulethwa ngaphambi kwesikhathi
- Ukuqhekeka ngaphambi kwesikhathi kwezingqimba, isaka le-amniotic liqhekeka ngaphambi kwesikhathi
- Ukuphazamiseka kwe-Placental, Kwenzeka lapho i-placenta isuka esibelethweni ngaphambi kwesikhathi. Imiphumela ingaba mibi kakhulu kuleli cala.
- Ubungozi bokukhulelwa kwesisu nokufa kwenganeKulokhu, kwenzeka lapho ingane ifa ngemuva kwesonto lama-20 lokukhulelwa.
- Isimo esibi sengane lapho izalwaNgamanye amagama, ingane ayikwazi ukubekwa endaweni ekahle kunazo zonke ukuba izalwe, ekhanda libhekiswe phansi. Lokhu kungaholela ezinkingeni ngesikhathi sokubeletha, njengokufanele kwenziwe isigaba se-cearean.
- Ukuphuma kwegazi ngemuvanoma. Inkinga enkulu engabeka impilo kamama engcupheni.