Ukukhutshwa kweMimbranes ngaphambi kokusesikweni, ngokufuthi kufutshane njengePROM, kuthetha ukuba umama we-amniotic uyaphula okanye uvuza umbane ngaphambi kokusebenza. Kwinkoliso yabasetyhini, iimbumba ziyaqhekeza - amava awaziwa ngokuba "ukuphuka kwamanzi" - ngexesha elithile ngexesha lokubambisa kwaye kungekafiki kuqala.
Ngaphandle kwegama elithi "ngaphambi kwesikhathi," i-PROM ixhaphake kakhulu emva kweiveki ezingama-37 - apho umntwana engasayi kuthathwa njengengaphambi kwexesha.
Kodwa malunga ne-3% yokukhulelwa, iimbumba ziyaqhekeka phambi kweveki ezingama-37, kubangela imeko ebizwa ngokuba yi "PR Prem". Iprogram ye-PROM ingaba ngumngcipheko wokubeleka okanye ukulahleka kwexesha elidala .
Kutheni i-PROM iyingozi:
Iimbumba ezivuthweyo zivame ukudala umama ukuba asebenze. Oku akuyona ingxaki emva kweeveki ezingama-37, kodwa nge-PROM kwangaphambili izingozi ziphezulu kakhulu. Iintsana ezizalwe ngaphambi kweveki ezingama-37 zijongene neengxaki ezinokubakho kokuqala kwangaphambili . Ukuhanjiswa kwangaphambili kwangaphambili kunokuthi ukulahlekelwa ngumntwana.
Ukongezelela, xa oogqirha befuna ukuhlehlisa umsebenzi kwabasetyhini ngeprogram ye-PROM, kukho ingozi eyongezelelekileyo yentsholongwane kunye nentambo yokuxinwa kunye neengxaki zempilo zengane.
Iimpawu zePROM:
Iimpawu ze-PROM ziquka ukuqukuqela ngokukhawuleza kokuphuma kumanzi okanye ukuqhuba okuqhubekayo komlambo. Ngamanye amaxesha i-PROM ibonakala ngathi ayikwazi ukuyeka ukuchama. (Ngokucacileyo, ukuba unenkxalabo yokuba unakho i-PROM, khangela udokotela ngokukhawuleza.)
Izizathu Neengozi:
Ezinye iintlobo zentsholongwane zibonakala zikwazi ukwenza iprogram ye-PROM, kwaye kwiimeko ezinqabileyo ezinjenge- amniocentesis zingabangela i-PROM, kodwa abaphandi bakholelwa ukuba kukho enye imbangela yeso simo. Ezi zilandelayo zizinto ezinobungozi ezaziwayo:
- Ubume bezoqoqosho
- imbali yePPROM
- kuphuma ngexesha lokukhulelwa
- Ukutshaya
- Ngaphambi kokuzalwa kokuqala
- Izifo ezithathelwana ngesondo
- Ukukhulelwa okuninzi
- Polyhydramnios
Unyango:
Xa i-PROM ivela emva kweiveki ezingama-37, ukunyanga okuqhelekileyo kukunyusa abasebenzi ukuba umama angangeni emisebenzini ngokwemvelo, kwaye ngelo xesha, umntwana unokuzalwa engenakho ingxaki.
Ngaphambi kweiveki ezingama-37 ngeprogram ye-PROM, unyango luyinkimbinkimbi. Ukuba umama uphakathi kweeveki ezingama-34 neye-36, ugqirha uya kulawula ii-antibiotics kwiqela B ubeka ibhaktheriya aze avelise umntwana. Iintsana ezizalwe phakathi kweeyure ezingama-34 neye-36 zihlala zingenazo iingxaki ezinzima, nangona zifuna ukuba zihlale ezincinci zokunyamekela iintsuku okanye iiveki ezimbalwa.
Ngaphambi kwee-PROM phambi kweveki ezingama-34, ugqirha uya kudlalisa esibhedlele umama aze azame ukuyeka umsebenzi kuze kube yilapho imiphunga yomntwana ikhulile, inika i-steroids ekuphuculeni intuthuko yemiphunga, kunye ne-antibiotics kunye nokubeka esweni iimpawu zentsholongwane. Ukuba intsholongwane ivela kwisibeleko, umntwana usenokufuneka athululwe kwangoko. Nangona oogqirha banokunika imishanguzo yokuyeka umsebenzi, ininzi yabasetyhini be-PROM iphelile ekuhambiseni iintsana zabo ngeveki enye. Ngokuxhomekeke ekuzaleni kokuzalwa, oku kungathetheka ingozi yokulahlekelwa yintsana.
Kwakhona, iindlela ziyahluka xa i-PPROM ivela phakathi kweeveki ezingama-32 ne-34. Abanye oogqirha bayakukhuthaza ukuhambisa umntwana ngokukhawuleza, kanti abanye bakhetha ukuyeka umsebenzi kunye nokulawula i-steroids.
IPR Preterm phambi kweeveki ezingama-24 zineengxaki ezimbi kakhulu kwiziphumo ezilungileyo. Iingxaki zokusinda kwengane ziphantsi kakhulu, ngakumbi ukuba oogqirha abanako ukulibazisa ukuqala komsebenzi okanye ukuba sele ususuleleka xa imeko ifunyanwe. Ngokuqhelekileyo, iintsana ezelwe ngaphambi kweeveki ezingama-22 zinawo amathuba okuphila. Xa oogqirha banokulibazisa ukuzalwa de ubuncinane kwii-23 okanye kwiiveki ezingama-24, umntwana angaphila kwezinye iimeko kodwa ngeengxaki eziphambili zeengxaki zenkqubela phambili ngenxa yokuzalwa kwangaphambi kokuzalwa.
Imithombo
Everest, NJ, SE Jacobs, uPG Davis, uL. Begg, noS. S. Rogerson, "Iziphumo emva kwexesha elide lokuqhekeka kwangaphambili kweembrane." IiNqoloba zeZifo ebuntwaneni - Uhlobo lwe-Fetal ne-Neonatal 2008. Kufumaneka ngomhla wama-31 ku-Agasti 2008.
Farooqi, A., PA Holmgren, S. Engberg, noFe Serenius, "Ukusinda kunye nomphumo weminyaka emi-2 kunye nokulawulwa okulindelekileyo kwe-second-trimester ye-membranes." I-Obstetrics & Gynecology 1998. Kufumaneka ngomhla we-18 Agasti 2008.
IMedina, uTanya M. kunye no-D. Ashley Hill, "UkuPhambi kweMimbrane ngaphambi kokuqala kweMimbrane: Ukuxilongwa noLawulo." Ugqirha Wentsapho yaseMelika 15 Feb 2006. Ukufikelela kwi-18 Agasti 2008.