Polyhydramnios Phakathi: oonobangela, iimpawu, unyango

polyhydramnios Moderate - yinto mali ngokugqithiseleyo fluid. Le Uxilongo sibekwe phezu naliphi na inqanaba lokukhulelwa. Asinto ingxaki eqhelekileyo kakhulu. Efunyanwa kulo malunga 2-3 abafazi 99. oomama abakhulelweyo ngexesha lokukhulelwa kuyimfuneko ukuqwalasela umlinganiselo wokubanzi. Oko kukuthi, kuyimfuneko ukuba aye US elicwangcisiweyo uze uye rhoqo yokwamkela ukuya ugqirha.

Ukuze uphuhliso okuqhelekileyo ukukhulelwa, isixa ulwelo fluid mayingagqithi iilitha 1-1.5. Le nto ndiyibhalayo iiprotheni, iityuwa calcium, isodiyam, chlorine, amanzi, nto leyo nama-96%. Ngenxa fluid umntwana ufumana zonke izinto eziyimfuneko ukuze oko kuqhelekile. Omnye umsebenzi kukuba ukukhusela toddler emanzini. Kuyo, yena Ungasa kwaye uzulazule ngaphandle esichengeni ukwenzakala okanye enye umonakalo.

Iimpawu fluid

fluid unawo mihlaba ilandelayo:

• Ikhusela mbungu evela kwizinto ezingaphandle: ingxolo, ukothuka, ukothuka.
• Kugcina idatha imfesane yosana.
• Oku kunciphisa ubuhlungu xa yabasebenzi.
• Kuyanceda ukuvula up wesibeleko.
• Kuthintela ukungena kwezinto yingozi kwimveku ehlabathini ngaphandle.
• Ine immunoglobulins.

yinto yamihla le

Ubungakanani utshintsho ulwelo ngexesha lokukhulelwa. ezintathu ngamnye imithetho yayo. Yintoni ke esinokuyifunda kule theyibhile ingezantsi.

Ukususela kwiiveki 39-40 kwaye phezulu ukuya ubungakanani unikezelo lwamanzi lifinyele. Amagqirha utsaleleka nge-avareji. Kwaye ukuba kukho isiphoso macala banesifo oligohydramnios okanye polyhydramnios ngomlinganiselo.

UNorma emva kweeveki ezingama-30 zokukhulelwa

Lokufunyaniswa polyhydramnios ugqirha ufake naliphi na inqanaba lokukhulelwa. Ke ukuba bathi ukulahlwa kunokwenzeka kuphela emva kweeveki ezingama-20. Ukuba ultrasound kwesifo eyesibini ayiqinisekiswanga, ixesha elizayo ufumana kuphela ultrasound lwesiqhelo polyhydramnios lesithathu ngcathu. kwiiveki 32 - ixesha xa imfuneko rhoqo ukuya kwikliniki kokubeleka. An ugqirha onamava kunceda ulawulo abakhulelweyo imeko yabo. Yena luxilonga ngxaki, lo mfazi nokuba akukho zikhalazo.

Ngendlela, ukuba kunokwenzeka ukuze babone nje kuphela kwi-US, koko Doppler, kwaye ngexesha lokuhlolwa. Moderate hydramnion ngexesha lokukhulelwa (iiveki 32) wabeka xa imali ulwelo fluid ifikelela 1500-1900 ml. Kulo mzekelo, umfazi uziva ngathi yamanzi rolls isisu sam, yaye ngumntwana senza. kuyaphela ngolo hlobo unokuziva wamitha, yaye emva koko. Ngenyanga yesibhozo intuthumbo yayo unako ukongamela polyhydramnios. kwiiveki 34 - kwelinye ithuba ezibalulekileyo. Kule kota eso sifo lwenziwa xa isixa eqhelekileyo ulwelo ligqithe yi 200-400 ml.

Izizathu ezinokubangela polyhydramnios

Okwangoku, oogqirha baye okwangoku ukuqonda ngokupheleleyo izizathu ngenxa apho kukho polyhydramnios ngcathu ngexesha lokukhulelwa. Kodwa wachaza inani lemiba putative ukuba kungabangela le ngxaki:

1. Na ukungaqheleki kuphuhliso olungekazalwa.
2. uhlobo ezosulelayo zesi sifo, owayefumene umfazi.
3. izifo virus.
4. Ezinye izifo olujikeleza nentliziyo.
5. Impixano RH into kwi kwimveku kunye nonina.
6. igazi iswekile ephakamileyo abafazi abakhulelweyo.
7. isifo sezintso (pyelonephritis kunye like).
8. Xa ukuphuhlisa iziqhamo ezimbalwa.
9. Ukuba umntwana mkhulu ngokwaneleyo.

Nokuba kukho isizathu engatshatanga kuvela polyhydramnios ngomlinganiselo.

iimpawu

Ukuqaphela ukuvela ezingaqhelekanga ezinxulumene polyhydramnios, kunokwenzeka ngenxa mpawu zilandelayo:

• isisu ezandisiweyo, engaquki ukuhlangabezana imiqathango.
• Ngexesha auscultation intliziyo umntwana kunzima ukuva.
• ukushukumiseka Ukwanda olungekazalwa.
• Ukuphelelwa umoya.
• Ubuthathaka.
• Sivakale sidumbile.
• Heartburn.
• Efakwe kwi esiswini.
• Imbonakalo kwamanqaku twa.

Xa uhlolo kunye Ngokucofa esiswini izaziso ugqirha ombane kunye nendawo aphezulu nokunikezela inxaxheba. Amaninzi, xa kuphambuka ekhulelwe nzima ukubona ngokuzimeleyo polyhydramnios.

unyango

polyhydramnios Moderate baphathwa ngokususa unobangela ngenkangeleko yakhe. Emva ukubeka zonke iimvavanyo kunye neemviwo kuyimfuneko ugqirha uza kukwazi ukubona unobangela kwesi sifo. Therapy sinzima. Oku kuquka womchamo (womchamo), elwa iivithamini. Banceda ukunciphisa umlinganiselo wamanzi, etshabalalisa Cya eziyingozi, ukuphucula inkqubo yomzimba nokuphucula impilo. Ukuba unyango alusebenzi, kwezinye iimeko, ukuzalwa. Oku kwenzeka phambi 35 kwiiveki zokukhulelwa.

Ubungozi izifo

Umahluko kuyingozi kuba oko kungabangela neziphumo kakhulu kumama nomntwana. Ezi ziquka:

1. sokuzalwa kwexesha.
2. abruption Placental.
3. ukufa Fetal.
4. umahluko inkangeleko yophuhliso yosana lwakho.
5. isifo esisulelayo umama nomntwana.
6. Prolapse le imfesane yosana okanye imilenze Palsy.
7. previa amdaka kunye uncommitted.
8. Ukopha.
9. Gestosis yemvelo ezahlukeneyo.

Kwakhona, umntwana akakwazi ukuthatha indawo eqhelekileyo, ekubeni ityhalela rhoqo ngenxa isixa esikhulu samanzi.

Prevention zokugula

Ukwenzela ukuthintela ukwenzeka kwayo, imithetho embalwa ezilula kufuneka isetyenziswe. Umama okhulelweyo Kunconywa:

• Hambisa ngaphezulu.
• Nganye ezinga malungu abantu ukusebenzisa ulwelo.
• feed Balanced.
• Sela iivithamini kunye amachiza ezonyango emiselwe ngugqirha.
• Ngexesha elililo yaye zibekwe esweni rhoqo iimvavanyo.
• Bona ugqirha wakho.

Kwakhona usaqala kuyimfuneko ukuphelisa ungquzulwano RH into kwi umama olungekazalwa. Ukuba uyazihlonela zonke iingcebiso kwaye ulandele le mithetho elula, ngoko ke amathuba ukulahlwa lifinyele kangangoko kunokwenzeka. Hi ndlela leyi, ngezifo kwenzeka amaninzi ngenxa izifo nongquzulwano RH factor. Ngoko ke, ngaphambi kokuba ukukhulelwa malicande zeemviwo unyango, xa kukho imfuneko.