Hydramnios

Hydramnios mamiriro ezvinhu anoitika kana yakawandisa amniotic fluid inovaka panguva yekuzvitakura. Iyo inonziwo amniotic fluid disorder, kana polyhydramnios.

Amniotic fluid chinhu chinokomberedza nekugumha fetus (mwana asati azvarwa) mukati mechibereko. Iyo inouya kubva kuitsvo dzemwana, uye inopinda muchibereko kubva kune weti yemwana. Urume hunotorwa kana mwana achimedza uye nekufema.

Kuwanda kwemvura kunowedzera kusvika pavhiki rechimakumi matatu nenhatu repamuviri. Mushure meizvozvo, zvishoma nezvishoma inoderera. Kana fetus ikaita weti yakawandisa kana isingamedze zvakakwana, amniotic fluid inovaka. Izvi zvinokonzera hydramnios.

Hunyoro hydramnios haigone kukonzera chero matambudziko. Kazhinji, mamwe emvura anoonekwa panguva yechipiri trimester anodzokera kune akajairwa ega. Hunyoro hydramnios yakajairika kupfuura yakaoma hydramnios.

Hydramnios inogona kuitika mune zvakajairika kubata pamuviri kune anopfuura mumwe mwana (mapatya, matatu, kana kupfuura).

Yakakura hydramnios inogona kureva kuti pane dambudziko nemwana mudumbu. Kana iwe uine zvakanyanya hydramnios, wako mupi wezvehutano anotarisa matambudziko aya:

• Kuremara kwekuzvarwa kwehuropi uye musana wechipfuva
• Blockages mune yekugaya system
• Dambudziko rekubereka (dambudziko nema chromosomes anowanikwa nhaka)

Kazhinji, chikonzero chehydramnios hachiwanikwi. Mune zvimwe zviitiko, inosanganisirwa nepamuviri mune vakadzi vane chirwere cheshuga kana kana fetus iri yakakura kwazvo.

Hunyoro hydramnios kazhinji haina zviratidzo. Ive neshuwa yekuudza mupi wako kana iwe uine:

• Nguva yakaoma kufema
• Belly kurwadziwa
• Kuzvimba kana kuzvimba dumbu rako

Kuti utarise mahydramnios, mupi wako anoyera yako "fundal height" panguva yako yekutarisa prenatal. Kukwirira kwemari ndiko kureba kubva kune yako pubic bone kusvika kumusoro kwechibereko chako. Mubatsiri wako anozoongorora zvakare kukura kwemwana wako nekunzwa chibereko chako kuburikidza nedumbu rako.

Wako mupi achaita ultrasound kana paine mukana wekuti iwe uve nehydramnios. Izvi zvichayera huwandu hweamniotic fluid yakatenderedza mwana wako.

Mune zvimwe zviitiko, zviratidzo zvehydramnios zvinogona kurapwa asi chikonzero hachigone kurapwa.

• Mupiki wako anogona kuda kuti ugare muchipatara.
• Wako mupi anogona zvakare kupa mishonga yekudzivirira preterm kuburitsa.
• Vanogona kubvisa mamwe emamwe amniotic fluid kuti abvise zviratidzo zvako.
• Kuongorora kusiri kwekushushikana kunogona kuitwa kuti uve nechokwadi chekuti "fetus" haisi mungozi (Bvunzo dzeNonstress dzinosanganisira kuteerera kurova kwemoyo wemwana uye kutarisa kunetsa kwemaminitsi makumi maviri kusvika makumi matatu.)

Wako mupi anogona zvakare kuita bvunzo kuti uone kuti nei uine mamwe emvura. Izvi zvinogona kusanganisira:

• Kuongororwa kweropa kutarisa chirwere cheshuga kana hutachiona
• Amniocentesis (bvunzo inoongorora amniotic fluid)

Hydramnios inogona kukonzera kuti iwe uende kunoshanda munguva yekutanga.

Izvo zviri nyore kune fetus ine yakawanda yemvura yakatenderedza iyo kuti ifirize uye itendeuke. Izvi zvinoreva kuti pane mukana mukuru wekuve mune tsoka-pasi chinzvimbo (breech) kana yave nguva yekununura. Breech vacheche dzimwe nguva vanogona kuendeswa kumusoro-pasi chinzvimbo, asi ivo vanowanzo fanirwa kuendeswa neC-chikamu.

Iwe haugone kudzivirira hydramnios. Kana iwe uine zviratidzo, udza mupi wako kuti iwe ugone kuongororwa uye kurapwa, kana zvichidikanwa.

Amniotic fluid chirwere; Polyhydramnios; Kubata pamuviri - hydramnios

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis yekuzvarwa preterm kuberekwa. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.

Gilbert WM. Amniotic fluid kusagadzikana. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 8th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 28.

• Matambudziko Ehutano Mukubata