Oligohydramnios kwabesifazane abakhulelwe

"Isimo abathandwayo" - leso sikhathi saba esijabulisa ngempela ekuphileni sowesifazane, futhi kujabulisa kakhulu kusukela ekuqaleni ukunyakaza sokuqala e kwesisu womntwana. Kodwa kukhona izimo ezingavamile lapho le mizwa akakwazi ngokuthi zinkulu, kodwa kunalokho - ezibuhlungu. Lokhu kusho ukuthi udinga ukuvakashelwa esiphuthumayo kudokotela, futhi ukudlula izifundo ezidingekayo. Uma umphumela ukuhlaziywa, ivolumu ye-amniotic fluid kuphela isigamu ilitha noma oligohydramnios ngaphansi kutholakala kwabesifazane abakhulelwe.

Oligohydramnios ibizwa ngokuthi lemali encishisiwe ye-amniotic fluid, ivolumu zazo kuncike elithi "isimo ezithakazelisayo". Uma isikhathi amasonto ayishumi umthamo wamanzi kuyinto 30-40 ml kuphela, kumaviki awu 38 ivolumu yabo akufanele kube ngaphansi kuka 600-1500 ml. Kungenjalo, uphethwe "oligohydramnios abesifazane abakhulelwe." Lokhu zokugula lingandile kangako kuka polyhydramnios, kodwa zikhona izingozi nasezingosini, lokungekho ngephansi. Thola isifo, kanye ukuthola inombolo bese isimo amniotic fluid kungaba, okwenza ultrasound. Kukhona futhi izimpawu ezengeziwe ngaphandle ubuhlungu umama ukunyakaza fetus - ubuthakathaka nomlomo owomile.

Njengoba wazi, umntwana usuke e -amniotic fluid, ngokunembile, sintanta siqonde. Lokhu amniotic fluid ukhonza imisebenzi eminingana, njengethi asekelayo ukuthuthukiswa wokugaya ukudla namaphaphu umbungu, evimbela Ukungena ukutheleleka futhi ukuvikelwa ezihlukahlukene ukulimala. Ngakho-ke, uma ukwelashwa okunjalo encane, kungase kube yezinkinga ezithile ngesikhathi ekhulelwe noma ngesikhathi sokuzalwa. Oligohydramnios abakhulelwe ephelezelwa ubuhlungu ukunyakaza kwengane, futhi ubuhlungu besisu. Ngemva odongeni aseduze ebusweni umzimba izithelo kwesibeletho ibizwa eligoqiwe futhi isibambo.

Oligohydramnios kwabesifazane abakhulelwe kunomthelela oqonde ngqo embungwini - noma kunalokho, kuphakamisa ukubambezeleka isisindo kanye ukuphakama, isikhumba fetus kuba esishwabene futhi omile, okwandisa kungenzeka ukubonakaliswa kokukhubazeka, ugobile yomgogodla nezinye pathologies. Njengoba nokuntuleka kwamanzi ivame ukuba kuncishiswe amathuba ukuhamba yengane, umphumela ungase ube izinga ezingamahlalakhona hypoxia fetus. Kukhulelwa maphakathi kanye sekwephuzile, lo zokugula kuyingozi ikakhulukazi, ngoba ngalesi sikhathi-fetus kuhlaba iyasebenza, futhi kudinga enkulu ububanzi kungenzeka ukunyakaza.

Izimbangela nokuntuleka kwamanzi ngokuvamile yiyona exacerbation izifo ezingelapheki, esithweni sangasese ezithathelwanayo kanye ukuvuvukala noma isifo extragenital, igciwane lohlobo lwe, esingamahlalakhona fetoplacental, kanye ukukhuluphala noma ukubhema kwabakhulelwe. Kunoma ikuphi, kungakhathaliseki ukuthi izimbangela, uma kukhona ukuxilongwa "oligohydramnios ngesikhathi sokukhulelwa" impatho liyadingeka ngokushesha. Futhi lokhu udinga ukucela uchwepheshe ofanelekayo, ngokukhethekile, kuze kube wezifo zabesifazane. yena kuphela bangakunikeza iseluleko sendlela yokuphatha oligohydramnios ngesikhathi sokukhulelwa, futhi ukwenza konke ababekudinga ukuze lokho.

Ukwelashwa nokuvikelwa nokuntuleka kwamanzi kuyinto eziyinkimbinkimbi yezenzo ezithile. Okokuqala udinga ukuqeda izimbangela ezingokwenhlalo salokhu zokugula, kungaleyo ndlela kuphela uphuza imithi kadokotela, okungaholela umzimba evamile e- placenta, ohlukanisa utero-esinomhlapho ukugeleza kwegazi kanye negesi lokushintshisana in ohlelweni umbungu, placenta-umama. Phakathi ukwelashwa, kudingeka sihlale njalo siqaphele izinga wamanzi olusesibelethweni, liyashintshashintsha nsuku zonke. Futhi uma ungazizwa kahle, abesifazane abakhulelwe kufanele ngaso sonke isikhathi kwenzeke imodi eziphuthumayo kwesigaba cesarean.

Ukuvimbela amafishane e abesifazane abakhulelwe ilula kakhulu futhi kulula ukuklama - udinga ngangokunokwenzeka ukuhambisa kude ezahlukahlukene ezimbi. Ngenxa yalokho okwenzeka "ezithakazelisayo" ngeke kuphela bathokozise futhi uzobe evikelwe ngenxa yosizi.

omama Ikusasa, khumbula ukuthi ngalesi sikhathi nhlobo ukuphakamisa izinsimbi, udinga ukudla, kanjani ukuba uchithe isikhathi esiningi ngaphandle futhi musa weqa kokubonisana udokotela wezifo zabesifazane. Ukunamathela lezi imithetho elula, yonke imiphumela kunokwenzeka eziyingozi luqedwe ngaphandle nemiphumela bona nguye nengane.