I-Chorioamnionitis yintsholongwane yebhaktheriya yezibilini ezijikeleze umntwana kwisisu (i-chorion kunye ne-amnion) kunye ne- amniotic fluid (i-liquo i-fetus ehamba kuyo) ngexesha lokukhulelwa. Le meko ivela malunga nama-2 ekhulwini okuzalwa, kwaye xa ingafumaneki kwaye iphathwe, ingakhokelela kwiinkathazo ezinzulu kumama nosana .
Imiphumo ye-chorioamnionitis iyahluka. Kwiimeko ezintle, xa usulelo lufunyenwe kwaye luphathwa ngexesha elifanelekileyo, kunokungabi neengxaki zexesha elide kuwe okanye umntwana wakho ohlala ngaphaya kokunikezelwa. Oogqirha baya kujonga umntwana wakho ngeempawu zokusuleleka kwintsholongwane, kodwa ngokuxhomekeke kuMatshi weDemes, ngenhlanhla, malunga neepesenti ezingama-95 ukuya ku-97 zentsholongwane ye-B strep, enye ye-bacterial strains etholakala kwi-chorioamnionitis, ibuyiswe ngoncedo antibiotics. Iintsana ezisemgangathweni zisengozini kakhulu ekuveliseni iingxaki ezinzulu okanye ezifa ngenxa yezifo.
Izizathu kunye neengozi
I-Chorioamnionitis ivela xa ibhaktheriya iphula ukukhusela okuqhelekileyo kwesibeleko, ngokuqhelekileyo ikhuphuka ukusuka kumzantsi kwisini. Izigwenxa eziqhelekileyo ziquka udidi lwe-B kunye no- E . coli . Uyakwazi ukuhlakulela i-chorioamnionitis xa unika ixesha elide emva kokuba iimbumba zakho ziphuluke, ziyaziwa xa amanzi akho aphule.
I-Chorioamnionitis ivela ngokuqhelekileyo ekuzalweni kwangaphambi kokuzalwa .
Iimpawu
Ukuba intsholongwane yenzeka ngexesha lomsebenzi okanye ukuhanjiswa, iimpawu ze-chorioamnionitis zingaquka:
- Fever
- Ukuxela
- Ukukhula komntwana wesisu okanye intliziyo yesisu
- Ubunzima bomzimba
- Ukungcola okungaqhelekanga kwe-amniotic fluid
Ukuba usulelo luya kwenzeka ngexesha lokukhulelwa, awukwazi ukufumana nayiphi na impawu.
Ukuxilongwa kunye noTyango
Ukuba ugqirha ugxeka ukuba une-chorioamnionitis ngaphambi kokuya emsebenzini, banokufumanisa ukusuleleka ngo-amniocentesis kunye nokuvavanya i-amniotic fluid ngempawu zeebhaktheriya. Ukuba le nto ikhunjulwa ngexesha lobulungisa, ugqirha wakho unokufumana unyango kwaye ukhethe unyango olusekelwe kwiimpawu zeklinikhi.
Indlela ugqirha wakho athatha ngayo intsholongwane yakho kuxhomekeka kwiimeko zakho. Ngokuqhelekileyo, unyango luquka i-antibiotics e-intravenous. Ezinye iimeko zifuna ukuziswa ngokukhawuleza kwengane. Emva kokuhambisa, wena kunye nomntwana wakho unokufuna ukuba uqhubeke nokuthatha i-antibiotics ngosuku okanye ezimbini.
Ukuba imeko leyo iyingozi okanye ingaphathwa, unokujamelana neengxaki ezinjengeesisu okanye isifo se-pelvic, i-sepsis (ukusuleleka kwegazi), i-endometritis (usulelo kwimbumba yesisu), okanye i-blood clots kwimiphunga okanye i-pelvis. Iingxaki kumntwana wakho zingabandakanya i-sepsis, iingxaki zokuphefumula, kunye ne-meningitis (usulelo lwengqondo kunye nentambo yomthambo).
Kwezinye iimeko, ngokukodwa xa i-chorioamnionitis ivela ngaphambi kokukhulelwa kwaye ingabonakali, usulelo luya kubangela ukuba abasebenzi bangaphaya kwexesha okanye mhlawumbi bazalwa. Uphando lubonisa ukuba i-chorioamnionitis yinto eqhelekileyo kwizinto ezingabonakaliyo, kwaye kukho ubungqina bokuba imeko ngokwayo ingaba yimbangela yokubeleka kwezi ziko.
Ngelishwa, akukho nto eyaziwa kakhulu kweli nqanaba malunga nokuba ngubani osemngciphekweni wokusuleleka kwiintsholongwane zokuqala okanye indlela yokufumanisa ngokugqithiseleyo uphathe unyango olusakhulayo.
Imithombo:
Chorioamnionitis. IYunivesithi yaseVirginia yeMpilo.
Iqela le-Strep Infection. Matshi weDimes.
Holzman, Claudia, Ximin Lin, uPatricia Senagore noHwan Chun. "I-Histologic Chorioamnionitis ne-Preterm Delivery." I-American Journal of Epidemiology 2007 166 (7): 786-79.
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