Okuqukethwe
Ukuqhekeka kwesikhwama samanzi
Ngesikhathi sokukhulelwa, noma yikuphi ukulahlekelwa uketshezi olucacile, olungenaphunga kudinga iseluleko sezokwelapha njengoba kungasho ukuthi isikhwama samanzi siqhekekile futhi umbungu awusavikelekile ezifweni.
Kuyini ukuqhekeka kwephakethe lamanzi?
Njengazo zonke izilwane ezincelisayo, i-fetus yomuntu ikhula esikhwameni se-amniotic esakhiwe ulwelwesi oluphindwe kabili (i-chorion ne-amnion) olushintshayo futhi olugcwele uketshezi. Icacile futhi iyinyumba, le yokugcina inezindima ezimbalwa. Igcina umbungu emazingeni okushisa angaguquki angu-37 ° C. Ibuye isetshenziselwe ukumunca umsindo ovela ngaphandle kanye nokushaqeka okungase kube khona esiswini sikamama. Ngokuphambene, ivikela izitho zamuva ekunyakazeni kombungu. Le ndlela eyinyumba futhi iyisithiyo esibalulekile ngokumelene nezifo ezithile.
I-membrane ephindwe kabili eyakha isikhwama samanzi iyamelana, iyanwebeka futhi i-hermetic ngokuphelele. Ezimweni eziningi, akuphuki ngokuzenzakalelayo futhi ngokungananazi ukuthi ngesikhathi sokubeletha, lapho ukukhulelwa sekuphelile: lokhu "ukulahlekelwa kwamanzi" okudumile. Kodwa kungenzeka ukuthi iqhekeke ngaphambi kwesikhathi, ngokuvamile engxenyeni engenhla yesikhwama samanzi, bese ivumela amanani amancane e-amniotic fluid ukuthi ageleze ngokuqhubekayo.
Izimbangela kanye nezici zobungozi ze-crack
Akwenzeki ngaso sonke isikhathi ukukhomba umsuka wokuqhekeka kwengxenye yephakethe lezikhumba. Ziningi izici ezingaba ngempela umsuka wokuqhekeka. Ulwelwesi kungenzeka lwenziwe buthaka ngenxa yokutheleleka komchamo noma kwabesifazane, ngokuhlukaniswa kwezindonga zabo (amawele, i-macrosomia, isethulo esingajwayelekile, i-placenta previa), ngenxa yokulimala okuhlobene nokuwa noma ukushaqeka kwesisu, ngokuhlolwa kwezokwelapha ( ukubhoboza intambo, i-amniocentesis)… Siyazi futhi ukuthi ukubhema, ngoba kuphazamisa ukukhiqizwa okuhle kwe-collagen edingekayo ukuze ulwelwesi lunwebeka, kuyisici esiyingozi.
Izimpawu zesikhwama samanzi ziyaqhekeka
Ukuqhekeka kwesikhwama samanzi kuyabonakala ngokulahleka okungapheli koketshezi. Abesifazane abakhulelwe bavame ukukhathazeka ngokuthi abakwazi ukwehlukanisa nokuvuza komchamo kanye nokuphuma komchamo esithweni sangasese, okuvame ukuvama kakhulu ngesikhathi sokukhulelwa. Kodwa esimweni sokulahlekelwa kwe-amniotic fluid, ukugeleza kuyaqhubeka, kusobala futhi akunaphunga.
Ukuphathwa kwesikhwama samanzi kuqhekeka
Uma unokungabaza okuncane, ungangabazi ukuya ewodini lababelethayo. Ukuhlolwa kwezifo zabesifazane, uma kunesidingo okungezwe ngokuhlaziywa koketshezi olugeleza (ukuhlolwa nge-nitrazine) kuzokwenza ukwazi ukuthi isikhwama samanzi siqhekekile. I-ultrasound ingase futhi ibonise ukwehla okungenzeka kwenani le-amniotic fluid (oligo-amnion).
Uma ukuxilongwa kuqinisekisiwe, ukuphathwa kwe-fissure kuncike ngobukhulu bayo kanye nesikhathi sokukhulelwa. Kodwa-ke, kuzo zonke izimo kudinga ukuphumula okuphelele endaweni elele, ngokuvamile ngokulaliswa esibhedlela ukuze kuqinisekiswe ukuqapha okuphelele. Inhloso empeleni wukwelula isikhathi sokukhulelwa eduze ngangokunokwenzeka esikhathini sakho ngenkathi kuqinisekiswa ukungabikho kokutheleleka.
Izingozi kanye nezinkinga ezingase zibe khona kuso sonke isikhathi sokukhulelwa
Uma kwenzeka kube nokuqhekeka esikhwameni samanzi, uketshezi lapho umbungu uguquka khona alusanyumba. Ngakho-ke ukutheleleka kuyinkimbinkimbi esatshwa kakhulu yokuqhekeka futhi le ngozi ichaza ukusungulwa kokwelashwa ngama-antibiotic okuhambisana nokuqapha okuvamile.
Uma ukuqhekeka kwenzeka ngaphambi kwamasonto angama-36 e-amenorrhea, kuveza futhi ubungozi bokungakabi yisikhathi, yingakho isidingo sokuphumula okuphelele kanye nokuqaliswa kokwelashwa okuhlukahlukene, ikakhulukazi ukusheshisa ukuvuthwa kwamaphaphu e-fetus kanye nokwandisa isikhathi sokukhulelwa.
Ngokuqondene nomama okhulelwe, ukuqhekeka kwandisa ingozi yokutheleleka futhi ngokuvamile kudinga ingxenye yokuhlinzwa.