I-amniotic fluid yiyo "amanzi" abhekisela kuwo xa athi "amanzi aphule." Ngexesha lokukhulelwa, umntwana uqulethwe kwisibilini esizaliswe nalo mkhuhlane, okubalulekileyo ekuphuculeni ukukhula komntwana kunye nokukhulelwa okunempilo. I-membrane ibizwa ngokuqhelekileyo ngokuthi "isikhwama samanzi".
Iimpawu
- I-Amniotic umthamo ngokuqhelekileyo iyacaca kumbala ophuzi umbala.
- Kumele ibe yintlaka, okanye ibe mnandi kumnandi-nangona abanye bethetha ukuba kunevumba le-bleach.
- Ubungakanani bokunyuka komnxeba phakathi kokukhulelwa de malunga neeveki ezingama-34, xa liqala ukunciphisa.
- Umkhuhlane wenziwe ngamanzi, i-electrolytes, iiprotheni, i-carbohydrate, i-lipids, i-phospholipids kunye ne-urea, kwakunye neeseli zesisu
Injongo
Amniotic fluid
- Iingcushi kunye nokukhusela umntwana.
- Ivumela umntwana ukuba ahambe kwaye aphuhlise.
- Uzalisa imiphunga ngexesha lomntwana "ukuphefumula," okuncedisa ukuphuhliswa kakuhle kwemiphunga ngaphambi kokuzalwa.
- Unika ubushushu obusondeleyo kwintsana.
- Yenza umchamo womntwana.
Iingxaki eziqhelekileyo
- Umbala ongaqhelekanga - I-fluid ingaba yinto eluhlaza, emdaka, okanye egazini. Ukukhulelwa kwexesha elide okanye elifutshane, ukuluhlaza okomhlaza okanye obomvu kungabonisa ukuba umntwana unentshukumo yokuhamba ( meconium ), ebangela ukuba utshintsho lombala. Oku kungabonakalisa umntwana osenkingeni okanye nje ukuba ukukhulelwa kuye kwandisa ngokwaneleyo ukuba umntwana adlulise okokuqala kwisitulo.
I-amniotic fluid ingaba negazi, ingakumbi ngelixa lezemisebenzi, ukuba umlomo wesibeleko uqale ukuxubusha, okanye ukuba kukho iingxaki ze-placental. Ubumnyama obumnyama bunokubonwa nokuphelelwa kwesisu somntwana (IUFD) xa umntwana efile ngexesha lokukhulelwa.
- Iphunga elingaqhelekanga - Ukuba umkhuhlane unomsindo ococekileyo ngokuqhelekileyo ngumqondiso wesifo. Abasetyhini abaphuphuma amanzi ekhaya kufuneka baqhagamshelane nodokotela ngokukhawuleza ukuba umbane unomdaka ococekileyo. (Oku kunokwenzeka okanye akunakwenzeka ngokuhambelana nomkhuhlane.)
- Oligohydramnios - (Ngokuqhelekileyo kuthiwa nguOligo.) Oku kuthetha ukuba kunomlinganiselo owehla we-amniotic fluid kwisibeleko ngenxa yokukhupha umkhuhlane okanye ingxaki yokuzalwa nomntwana okanye i-placenta. Oku kungavumelekanga ukuba kwenzeke ukuba umntwana sele eneengxaki zeengtso - umntwana uhlawule umkhiqizo we-urine kwaye ngenxa yoko ayikho i-amniotic fluid. Umthamo womlambo unokulinganiswa nge-ultrasound.
- I-Polyhydramnios - Kule meko, kukho uketshezi ngaphezu kokuqhelekileyo, ngokuqhelekileyo kubangelwe ukungabikho komntwana ongaphantsi kwintsana, ukukhulelwa okuphindaphindiweyo (njengamawele okanye kathathu), okanye isifo sikashukela sesifo sikashukela. Kwezinye iimeko, isizathu asikwaziwa. Okungaqhelekanga nako kunokulinganiswa nge-ultrasound.
- Ukuqala Kwangaphambi Kwemimbrane (Prepm Premature) Ukukhutshwa Kwemimbrane (PPROM) - Iingxaki zingaphakama kokubili umama kunye nomntwana xa isondo se-amniotic "siphula" kakhulu ekukhulelwe. Iingxaki zibandakanya ukusuleleka, ukuphuhliswa kokukhulelwa komntwana, okanye ukuqaliswa kwabasebenzi bokuqala. Ngokuqhelekileyo injongo yokulibazisa abasebenzi ngokukhawuleza ukuba kunokwenzeka ukuba unomama kunye nomntwana. Oku kungabiza ukulaliswa esibhedlele, ukuphumla kombhede, ii-antibiotics ze-IV kunye ne-corticosteroids ukukhawuleza ukukhula komfutho we-lungal, okungazibambezela umsebenzi kwaye ukwandise amathuba omntwana wokuzalwa xa ezalwa ngokukhawuleza.
Qaphela ukuba kukho uluhlu olubanzi lwezinto "eziqhelekileyo" ngokubhekiselele kumbala we-amniotic fluid, isixa, kunye nevumba. Qiniseka ukujonga kunye nomniki wakho kwaye ubuze imibuzo ecacileyo kwimeko yakho.
Eyaziwayo njenge- Bag of Water, i-Bag Water
Imithombo:
Cunningham, F., Gant, N., et al. U-Williams Obstetrics, u-21st Edition. 2001.
UTomas, C., ed. I-Cyclopedic Medical Dictionary, i-18th Edition. 1997.
Varney, H., Kriebs, J., et al. I-Varney's Midwifery, i-Fourth Edition. 2003.
Ehlelwe nguRobin Elise Weiss, i-LCCE