Kodi kudziwa polyhydramnios?
Matendawa amadziwika ngati zizindikilo zinazake, zomwe zimayamba kuvulaza amayi oyembekezera. Izi zimakhala zowawa kwambiri komanso zowawa m'mimba, kutukuka kwa mapeto, kuwonjezeka kwa mtima komanso kukula kwa mtima. Ndiponso, ngati ma polyhydramnios ali ndi diso lakuda, wina amatha kuzindikira kusiyana pakati pa kukula kwa mimba yaikulu kwambiri kwa nthawi yeniyeni.
Koma matendawa angapangidwe pokhapokha atayesedwa mayeso angapo komanso njira ya ultrasound. Katswiri wodziwa bwino adzatha kudziwa ndondomeko ya amniotic fluid ndi kuyerekeza zotsatirayo ndi magawo oyenera. Mukhoza kuona zizindikiro zomwe zimachitika pa nthawi yomwe mayi ali ndi pakati pogwiritsa ntchito tebulo.
Zifukwa za polyhydramnios mimba
Kodi n'chiyani chimayambitsa matendawa? Mpaka pano, asayansi sangathe kupereka yankho limodzi ku funso ili.
Palinso gulu lina loopsya, omwe amapezeka mwa iwo omwe ali ndi mphamvu yochuluka ya amniotic fluid.
Choyamba, izi ndi mimba yambiri. Pachifukwa ichi, nthawi zambiri kusowa kwa amniotic madzi a mwana mmodzi kumaperekedwa chifukwa cha kuchuluka kwake kwa wina.
Matenda osaneneka monga matenda a shuga, matenda a mtima wamaganizo komanso makoswe amatha kuyambitsa matendawa.
Nkhondo ya Rhesus pakati pa mayi ndi mwana, komanso matenda osokoneza bongo a m'mimba (Down's syndrome, Edwards) nthawi zambiri amachititsa kuti amniotic fluid yambiri.
Komabe, asayansi amatchula kuti zimayambitsa polyhydramnios pa nthawi ya mimba, monga kukula kwa fetus kapena congenital pathologies mu chitukuko chake. Kuphwanyidwa kochepa kuntchito ya mtima, m'magulu osayenerera kapenanso malo osasinthika, kusintha kusinthana.
Zina mwazifukwazi, zimakhala zachilendo kulingalira kuthirira kwa amayi omwe ali ndi pakati monga matenda opatsirana - rubella, toxoplasmosis, syphilis, etc. Pang'ono ndi pang'ono, monga chokhumudwitsa, zotupa zopweteka kapena mavuto a umbilical artery zimawonekera.
Kuchiza kwa polyhydramnios
Asanasankhe chithandizo chamankhwala, dokotala amachititsa kuti adziwe bwinobwino zomwe zimayambitsa polyhydramnios.
Pofufuza, mayi amapereka magazi (totali, shuga, rhesus-mkangano), mkodzo. Kuika gawo la ultrasound, cardiotocography, Doppler.
Njira zina zothandizira mwachindunji zimadalira zomwe zimayambitsa matendawa. Monga lamulo, uwu ndi phwando la mavitamini, mankhwala oletsa antibacterial ndi mankhwala omwe amachititsa kuti utero-otsika magazi aziyenda.
Pali mitundu yambiri ya polyhydramnios - yovuta, yachilendo ndi yofatsa. Mu matenda ovuta, zizindikiro zimveka bwino, ndipo nthawi zambiri zimakhala zovuta kupulumutsa mwanayo.
Ma polyhydramnios osowa amafunika kuyang'aniridwa nthawi zonse. Pokumbukira malemba onse ndizotheka kubereka mwana wathanzi. Ma polyhydramnios ochepa samadziwonetsera okha ngati chizindikiro cha chizindikiro. Koma munthu ayenera kuyang'ana nthawi zonse kusintha kwa amniotic madzi.
Zotsatira zotheka
Pozindikira zomwe zimayambitsa polyhydramnios, munthu ayenera kumvetsetsa zotsatira zake:
- kubadwa msanga, komwe kungayambitsidwe ndi kutaya kwadzidzidzi kwa madzi;
- kukula kwa matenda aakulu a mwana - kusokonezeka kwa dongosolo la mitsempha kapena m'mimba;
- hypoxia kapena matenda a fetus;
- chithunzi cholakwika cha mwana, mwanayo ndi chingwe cha umbilical;
- nthawi zambiri umatine magazi.
Polyhydramnios si chigamulo. Pozindikira kuti matendawa ndi othandiza komanso omwe amachiritsidwa nthawi yake, ndizotheka kubereka ana abwino.