Ukuphakanyiswa kweMimbrane ngexesha lokugqibela (PROM)
Sivame ukudibanisa amanzi aphula kunye nabasebenzi. Ngamanye amaxesha, amanzi angaphula ngaphambi kokuqala komsebenzi. Oku kwaziwa njengokuqhekeka kwangaphambili kweembrane (PROM). Ukuba amanzi akho aphule phambi kokuba ube neveki ezingama-37 ezikhulelwe, oku kubizwa ngokuba yi-premerm premature rupture of membranes (PPROM).
Yintoni ongayenza ukuba amanzi akho aphule
Ukuba amanzi akho aphule phambi kokuba ulwaphulo lwakho luqale, uya kunikwa iinqunto ezimbalwa ngokusekelwe kwezinye iimpawu kunye nembali yakho yezokwelapha.
Izinketho ozifumanayo ziya kunikwa ugqirha okanye umbeleki wakho. Nonke unokugqiba isigqibo sokuba kukuphi okulungileyo kuwe. Ezinye iziphakamiso zingenakukhuseleka kwaye kungenzeka ukuba ungaphenduli kwabanye, unikwe imbali yakho yezobugcisa.
Uya kufuna kwakhona ukuxoxa xa kufuneka uye esibhedlele okanye kwi-ofisi yegqirha, okanye ukuba uceba ukuzalwa ekhaya xa ugqirha wakho efika kuwe ukuba ahlole wena nomntwana.
Ukulindela
Ngamanye amaxesha kuya kuthatha iiyure ezimbalwa ukwenzela ukuchaswa ukukhaba kwiigesi. Ngethuba nje wena kunye nomsebenzi wakho ulungile kakuhle, ukulinda ixesha elithile kunokufanelekile ukucinga ukuba wena kunye nosana wenza kakuhle. Oku kuthetha ngokubanzi:
- Akukho mabhati
- Akukho zesondo
- Akukho nto ingena kwisisu sakho
I-antibiotics ayinyanzelwanga kubo bonke abafazi abafumana i-PROM. Ukungabikho kwintsholongwane, akukho zibonelelo zokuzisebenzisa kwaye zikhona iingozi ezinokuthi zibandakanyeke nokusetyenziswa kwazo.
Kukho umbuzo wokuba unonophelo kufuneka unikezwe ekhaya okanye kwisibhedlele esibhedlele.
Njengamanje, asinayo idatha eyaneleyo yokuthetha ukuba enye iphumela kwiziphumo ezingcono. Kwabaninzi, lukhetho lomntu.
Ngokuqhelekileyo, kukhuselekile ukuhlala ekhaya ngaphandle nje kokuba ungabonakali nayiphi na impawu zentsholongwane: awukwazi ukuqhuba umkhuhlane, akukho mvumba ococekileyo, kwaye akukho mthombo ococekileyo. Olunye uphando lwabikwa ukuba ukulinda ukuya kwiiyure ezingama-24, ezibizwa ngokuba ngabaphathi abalindelekileyo, akukwandanga umngcipheko weengxaki xa nje umama nosana bengenayo intsholongwane.
Iindlela zokuThuthukiswa kwabasebenzi beNdalo
Unokukhetha ukungena ekusebenziseni usebenzisa iindlela zendalo. Unokuzama ukuvuselela ingono, usebenzisa izandla zakho, okanye ipompu yebele ukuze uvuselele iinjunu zakho . Oku kunceda i- oxytocin , enokukunceda ukuqala ukuqhekeka kokuqala . Ukuba awunayo ipompo yebele , usenokufumana isilathisi se-lactation esibhedlele.
Unokuzama ukuhamba uhamba ukuze ufumane abasebenzi. Ukuhamba ngeenxa zonke kwindlu okanye nangaphandle kungakunceda. I-Acupressure ingasiluncedo. Oku kuquka ukusetyenziswa kwengcinezelo kwiindawo ezithile emzimbeni wakho, njengophahla lomlomo wakho, ukukunceda ukuvuselela i-oxytocin kunye nokusebenza.
Iinkqubo Zonyango Zokufumana Umsebenzi
Ukuba ugqirha wakho uncoma, ukungenelela kwezonyango kunokuba luncedo xa ungafuni ukulinda. I-Pitocin yindlela yokwenza i - oxytocin , umsebenzi wezemvelo obangela i-hormone. Inikwe nge-IV edibeneyo kumpompo okhethekileyo onika kuphela i dose efanelekileyo.
Unikwe kuphela kwizibhedlele ezinokubeka iliso elifanelekileyo lokutshatyalaliswa ngenxa yobunzima obuninzi kuwe kunye nosana lwakho, olunjengokuxinzezeleka komntwana , ukunyamezela kakhulu okanye ukudeka kwexesha elide kunye nokuphuka komzimba.
Kuthiwani ngePPROM?
Ukuqhekeka kwangaphambili kweembrane kuyahluka. Inkqubo yesenzo iya kuxhomekeke ekubeni kude kangakanani nawe ekukhulelweni kwakho kwaye ukuba ngababoneleli bezempilo bakho banokubangela isizathu sokuphuka kwamanzi.
Umzekelo, ukuba amanzi akho aphule ngenxa yentsholongwane, ii-antibiotiki ze-IV zingaqaliswa ngokukhawuleza xa zigqiba ukuba umntwana uya kuziswa ngokukhawuleza.
Enye inkqubo yesenzo kunokusebenzisa i-corticosteroids ukunceda ukukhula kwemiphunga yengane yakho ukuba ukukhulelwa kwakho kungaphaya kwamaviki angama-32. Ngelixa usenokuba usana lwakho kusasa, i-steroids inceda ukunciphisa inani leengxaki zakho umntwana ozelwe ngazo.
Igama elivela kwi-Verywell
Ukuba ufumana ukuphuka kwamanzi ngaphambi kokuqala komsebenzi, biza umbelethi wakho okanye ugqirha ukuba uxoxe ngeempawu zakho. Oku kuya kukunceda ukhethe inkqubo ekhuselekileyo yezenzo kuwe kule khulelwe.
Yazi ukuba uhamba ngokude uvela kumhla wakho wokugqibela, mhlawumbi uya kufuneka unonophelo olusekelwe esibhedlele ukuze uncede unomntwana onempilo.
> Imithombo:
> Abou El Senoun G, uDowswell T, Mousa HA. Ukucwangciswa ekhaya ngokubhekiselele ekubhedlele esibhedlele ukwenzela ukuphambuka kwangaphambili kweembrane (PPROM) phambi kweeveki ezingama-37. I-Cochrane Database yeeNkqubo eziPhezulu zoViwo lweeNkqubo zoMgaqo-nkqubo ka-2014, Inkcazo 4. Ubugcisa Inombolo: CD008053. INGXELO: 10.1002 / 14651858.CD008053.pub3
> I-Chandra I, uLanga L. I-third-trimeter preterm kunye nexesha lokuqhekeka kwangaphambili kweembrane: Ngaba kukho nahluko phakathi kweempawu zomama kunye neziphumo zokukhulelwa? J Chin Med Assoc. 2017 Apreli 18. pii: S1726-4901 (17) 30060-6. I-doi: 10.1016 / j.jcma.2016.12.006. [Epub ngaphambi kokuprinta]
> Dussaux C, iSenat MV, Bouchghoul H, uBenachi A, Mandelbrot L, Kayem G. Ukuqhekeka kwangaphambili kweembrane: ukunyamekelwa ekhaya kuya kwamkeleka? I-Matern Fetal Neonatal Med. 2017 Juni 14: 1-18. i-doi: 10.1080 / 14767058.2017.1341482. [Epub ngaphambi kokuprinta]
> ULorthe E, iGoffinet F, uMarret S, uVayssiere C, i-Flamant C, i-Quere M, i-Benhammou V, i-Ancel PY, i-Kayem G. I-Tocolysis emva kokuphambana kwangaphambili kweembrane kunye nesiphumo se-neonatal: uhlalutyo lwamanqaku. IJ Obstet Gynecol. 2017 Apr 13. pii: S0002-9378 (17) 30516-1. i-doi: 10.1016 / j.ajog.2017.04.015. [Epub ngaphambi kokuprinta]
> Wojcieszek AM, i-Stock OM, i-Flenady V. ii-Antibiotics zokuqhekeka kwangaphambili kweembrane ngexesha okanye ngasekupheleni. I-Cochrane Database yoVavanyo oluHlolo ngo-2014, iNqaku 10. Ubugcisa. Hayi: CD001807. INGXELO: 10.1002 / 14651858.CD001807.pub2