Amniotic uketshezi Kuyinto ebalulekile ukuze ukukhulelwa okujwayelekile kukhule. Cishe izinsuku eziyi-15 ngemuva kokukhulelwa, le nto iqala ukukhiqizwa, ezoba nomthwalo wokuvikela ingane, phakathi kwabanye. Kukho konke ukukhulelwa, inani loketshezi lizokhula njengoba umbungu ukhula. Ake sibheke ukuthi yiliphi inani elijwayelekile le-amniotic fluid ekukhulelweni okuvamile.
Yini i-amniotic fluid futhi ikhiqizwa kanjani?
I-Amniotic fluid yinto elula enombala ophuzi, yakhiwa ama-carbohydrate, amaprotheni, i-urea, i-lipids, i-electrolyte kanye ne-phospholipids. Zonke lezi zinto ziyadingeka ukuze ingane ikhule ngokujwayelekile phakathi namaviki angama-40 okukhulelwa. Kodwa futhi, uketshezi luqukethe into evumela ukuthi kutholakale ukukhubazeka okungaba khona, okungamaseli embungu.
Ekukhulelweni kokuqala, uketshezi lukhiqizwa ngumama uqobo. Kuwo wonke ama-trimester okuqala, uketshezi eIdalwe yi-plasma kamama uqobo futhi ifinyelela esikhwameni se-amniotic ngohlelo lwakho lokujikeleza kwegazi.
Cishe ngemuva kwamasonto okuqala angu-18 ekhulelwe, umntwana nguyena odala uketshezi futhi ngokwengxenye ashintshe ukwakheka kwalo kanye nobuningi. Ngokufika kwe-trimester yesibili yokukhulelwa, ingane iqala ukugwinya i-amniotic fluid ngakho-ke nayo iqala ukukhiqiza nokukhipha umchamo. Ngakho-ke, kusukela kulowo mzuzu kuqhubeke, uketshezi luzokwakhiwa cishe i-90% ngomchamo wombungu.
Yiliphi inani elijwayelekile le-amniotic fluid?
Inani le-amniotic fluid kuyanda kusuka ngesikhathi iqala ukwenzeka le nto, kuze kube yizinsuku zokugcina zokukhulelwa. Ngemuva kwalokho, leli nani liqala ukwehla kancane kuze kufike isikhathi sokulethwa.
Imvamisa lokhu inani le-amniotic fluid kukho konke ukukhulelwa:
- Ekuqaleni kokukhulelwa, lapho i-amniotic fluid iqala ukukhiqizwa, inani elijwayelekile lalesi sakhi cishe liyi-100 ml. Lokhu cishe isonto le-14 lokukhulelwa, cishe.
- Ngeviki lama-20, inani loketshezi inyuka iye cishe ku-400 ml.
- Ukufika ngesonto lama-25, inani livame ukuzungeza ama-600 ml.
- Phakathi kwamaviki 32 no-34, uketshezi lufinyelela kuvolumu yalo enkulu kunazo zonke, futhi ingafinyelela ku-1000 ml ezimweni eziningi.
- Ngaleso sikhathi, inani loketshezi lizoqala ukwehla kancane, okuthi kuze kube ngumzuzu wokulethwa kunciphise ivolumu yalo cishe ngama-20%. Into ejwayelekile ukuthi ingane ifike ngesikhathi sokuzalwa ngesamba esiphakathi kuka-600 no-800 ml oketshezi, yize kukhona okuhlukile. Ngalesi sizathu, kubaluleke kakhulu ukulandela ukuvakashelwa kwezokwelapha okuhlelwe ngungoti.
Kuthiwani uma ngingenalo inani elijwayelekile le-amniotic fluid?
Kungenzeka futhi kuyenzeka kwezinye izimo, ukuthi inani loketshezi alujwayelekile ngezizathu ezahlukahlukene. Lokhu kungajwayelekile kungenzeka kokubili ngenxa yoketshezi olweqile futhi njengokukhubazeka, kuzo zombili lezi zimo kungadala ingozi enkulu enganeni ngakho-ke kubaluleke kakhulu ukukala inani le-amniotic fluid ohlolweni ngalunye lwabesifazane. Noma ubona ukuthi ulahlekelwa i-amniotic fluid, kubaluleke kakhulu ukuthi uye kwabezimo eziphuthumayo.
Uma ungeke usho kahle uma ukulahlekelwa kwakho kuvela ku-amniotic fluid noma kusuka kwenye into, kulesi sixhumanisi uzothola amathiphu angakusiza. Khumbula ukuthi le nto ibalulekile empilweni yengane futhi ukungahambi kahle kuketshezi kungabeka ingane yakho engcupheni.
Izinkinga ezivame kakhulu i-amniotic fluid ngobuningi bayo, yilezi ezilandelayo:
- Oligohydramnios: Esimweni esinjalo, inani loketshezi lincane kuya kokujwayelekile futhi kungenzeka ngenxa yezici ezahlukahlukene. Kungaba yisexwayiso ngenkinga yokuzalwa, yokuqhekeka esikhwameni se-amniotic noma ngoba ingane inezinkinga zezinso.
- Ama-Polyhydramnios: Okwenzekayo kuleli cala ukuthi kukhona uketshezi oluthe xaxa kunokujwayelekile. Futhi, kungabangelwa ukungazalwa kokuzalwa kwengane, futhi ezimweni zokukhulelwa okuningi noma isifo sikashukela sokukhulelwa kunina. Yize kunamacala lapho imbangela ingaziwa ngokuphelele.