Amniotic fluid lulwelo lomlingo oluvumela ubomi esibelekweni, phakathi kwezinye izinto. I-Amniotic fluid 'ngamanzi' abantu ababhekisa kuwo xa besithi 'amanzi am aqhekekile' ekupheleni kokukhulelwa xa umntwana sele eza kungena emhlabeni. Ngexesha lokukhulelwa, umbungu uqulethwe ngaphakathi kwimbumba egcwele ulwelo, oluyimfuneko kuphuhliso olululo lomntwana kunye nokukhulelwa okunempilo. Inwebu yaziwa ngokuba 'yipokotho yamanzi'
Iimpawu ze-Amniotic fluid
I-Amniotic fluid ikhanya ngokutyheli kwaye imhlophe ngombala, ihlala ingenasiporho, nangona abanye besithi inuka kamnandi okanye yomelele, njengebhlitshi. Inani le-amniotic fluid lixhomekeke ekukhulelweni ngakunye, kodwa akuqhelekanga ukuba ukusuka kwiveki ye-34 yokukhulelwa iqala ukwehla kancinci ngenxa yobungakanani bosana. Ngesi sizathu, oogqirha kule veki bahlawula ingqalelo ekhethekileyo kwi-amniotic fluid ukusukela ukuba ubungakanani bayo bulahlekile okanye kwenzeka okuthile okungalunganga kunokuba yingozi kwimpilo yosana.
Amniotic fluid yenziwa ngamanzi, ii-electrolyte, iiproteni, ii-carbohydrate, i-lipids, i-phospholipids, kunye ne-urea, ukongeza kwiiseli zomntwana.
Yintoni na?
Amniotic fluid inenjongo esisiseko yokukhulelwa okuhle. Olu lwelo lubonelela ngokugcina kunye nokukhuselwa kosana, kuba ke ukuba umama ufumana ukubethwa kancinci esiswini somntwana, ayisayi kumchaphazela kwaphela.
Ukongeza, ikwavumela umntwana ngelixa ekhula kwaye ekhula esibelekweni, ukuba akwazi ukuhamba kakuhle. Ukukhula kakuhle kosana kukwaxhomekeke kulwelo lwe-amniotic analo umama esiswini sakhe.
Olu lwelo luzalisa imiphunga yosana ngexesha 'lokuphefumla komntwana'. Oku kunceda umphunga womntwana ukuba ukhule kakuhle ngaphambi kokuzalwa. Kubalulekile ukuba imiphunga yomntwana ikhule kakuhle ukuqinisekisa ukuba iyakwazi ukuphefumla xa ingena emhlabeni, nangona imiphunga izakuqhubeka nokukhula emva kokuba umntwana ezelwe.
Njengokuba oko kwakungonelanga, ukongeza kuyo yonke le misebenzi, i-amniotic fluid ikwabonelela ngeqondo lobushushu elingaguquguqukiyo nelaneleyo ukugcina imisebenzi ebalulekileyo yosana kwaye luziva lukhululekile kwaye lufudumele esibelekweni.
Ulwelo lwe-amniotic lwenza nomchamo wombungu ongekazalwa ukuze uginywe kwaye wetyiswe ngaphandle kwengxaki ngumntwana osakhulayo.
Ezona ngxaki zixhaphakileyo
Kukho iingxaki eziqhelekileyo kulwelo lwe-amniotic ekufuneka luvavanywe ngoogqirha kwaye luvavanye ukuba ingaba yingozi kangakanani (okanye hayi) kuphuhliso lomntwana. Ezinye zezi ngxaki zixhaphakileyo zezo sinazo apha ngezantsi.
Umbala ongaqhelekanga
Umkhuhlane unokuba luhlaza, umdaka, okanye uxineke igazi. Ekukhulelweni kwexesha elifutshane okanye elifutshane, ulwelo oluhlaza okanye oluntsundu lungabonisa ukuba umntwana ubenentshukumo yamathumbu (meconium), enegalelo kutshintsho lombala. Oku kunokuba luphawu lokuba umntwana usengozini okanye ngokulula ukuba ukhulelwe sele isasazeke ixesha elide ngokwaneleyo ukuba umntwana enze izitulo zokuqala esibelekweni.
Xa ichaphazelwe ligazi
I-Amniotic fluid inokudyojwa ligazi, ngakumbi xa kuzalwa umntwana, ukuba umlomo wesibeleko uqalile ukudakumba, okanye ukuba kukho iingxaki zeplacental. Amanzi amnyama anokubonwa nangokuzalwa kwe-intrauterine xa umntwana eswelekile ngexesha lokukhulelwa.
Ivumba elingaqhelekanga
Ukuba ulwelo lunevumba elibi, luhlala luphawu losulelo. Abasetyhini xa bephula amanzi ekhaya kufuneka banxibelelane nogqirha ngoko nangoko ukuba ulwelo lunevumba elibi.
Oligohydramnios
Ikwabizwa ngokuba yiOligo. Oku kuthetha ukuba kukho isixa esincitshisiweyo se-amniotic fluid esibelekweni njengesiphumo sokuvuza kolwelo okanye ingxaki yokuzalwa komntwana engekazalwa okanye kwi-placenta.
Oku kungaqhelekanga kunokwenzeka ukuba umntwana sele enengxaki yezintso: umbungu uye wehlisa ukuphuma komchamo kwaye ngenxa yoko akubi kangako nge-amniotic fluid. Umthamo wolwelo unokulinganiswa nge-ultrasound.
Iipolyhydramnios
Kule meko, kukho ulwelo oluninzi kunesiqhelo, oluhlala lubangelwa kukungazalwa komntwana ongekazalwa, ukukhulelwa okuninzi (njengamawele okanye kathathu), okanye isifo seswekile sokukhulelwa. Kwezinye iimeko, unobangela awaziwa nje. Oku kungaqhelekanga kunokulinganiswa nge-ultrasound.
Ukuqhekeka kwangaphambili kweeMembranes zaphambi kwexesha (PPRM)
Iingxaki zinokuvela kumama nakwimveku engekazalwa ukuba isaga se-amniotic "siyaphuka" kwangoko kakhulu ngexesha lokukhulelwa. Iingxaki zibandakanya usulelo, ukukhula komntwana okhubazekileyo, okanye ukuqala kwangaphambi kokubeleka kunye nokuhanjiswa
Ngokwesiqhelo, injongo kukulibazisa ukusebenza ixesha elide kangangoko kunokwenzeka kumama nakwimveku engekazalwa. Oku kunokufuna ukulaliswa esibhedlele, ukuphumla ebhedini, i-antibiotics efakwa ngaphakathi, kunye ne-corticosteroids ukukhawulezisa ukukhula komntwana kwimiphunga., ezinokulibazisa ukusebenza kunye nokwandisa amathuba okusinda komntwana ukuba uzalwe ngaphambi kwexesha.
Kuya kufuneka wazi ukuba kukho uluhlu olubanzi lwento "eqhelekileyo" ngokwembonakalo ye-amniotic fluid, ubungakanani kunye nevumba. Ukuba unamathandabuzo, kuya kufuneka uye kugqirha wakho ubuze nayiphi na inkxalabo yakho. Xa ukhulelwe ngekhe ukwazi ukuba unayo okanye awunayo i-amniotic fluid enokungaqheleki kuba ayihlali ibonisa iimpawu, ngaphandle kokuba kukho ezinye izinto ezinxulumene nokukhulelwa. Iya kuba ngugqirha wakho oya kuthi avavanye ukuba unengxaki okanye kufuneka unyango oluthile kwimeko yakho ethile.
Khumbula ukuba ukuze ukhulelwe kakuhle kufuneka uye kwiindawo zakho zaphambi kokubeleka kwaye ugqirha wakho angakujonga ukukhulelwa kwakho kakuhle. Landela imiyalelo yabo ukuze ube sempilweni kwaye ukuba umntwana wakho akhule ngokuchanekileyo. Kwimeko apho kukho nasiphi na isiphene okanye uphawu ocinga ukuba aluqhelekanga, yiya kugqirha okanye kwigumbi likaxakeka ukuvavanya impilo yakho kunye neyomntwana wakho.