Polyhydramnios

Polyhydramnios inoitika kana yakawandisa amniotic fluid inovaka panguva yekuzvitakura. Iyo inonziwo amniotic fluid disorder, kana hydramnios.

Amniotic fluid ndiyo mvura inokomberedza mwana ari mudumbu (uterus). Iyo inouya kubva kuitsvo dzemwana, uye inopinda muchibereko kubva kune weti yemwana. Urume hunotorwa kana mwana achimedza uye nekufema.

Paanenge ari mudumbu, mwana anoyangarara muamniotic fluid. Inotenderedza uye inokochekera mucheche panguva yekuzvitakura. Kuwanda kweamniotic fluid kwakanyanya pamasvondo makumi matatu nemakumi matatu nemana ekuzvitakura. Ipapo huwandu hunodzikira zvishoma nezvishoma kusvikira mwana azvarwa.

Iyo amniotic fluid:

• Inobvumira mwana kufamba mudumbu, achikurudzira mhasuru uye bone kukura
• Inobatsira mapapu emwana kukura
• Inodzivirira mwana kubva pakurasikirwa kwekupisa nekuchengetedza tembiricha nguva dzose
• Makusheni uye anodzivirira mwana kubva pakarepo kurohwa kubva kunze kwedumbu

Polyhydramnios inogona kuitika kana mwana akasamedza uye nekumwisa amniotic fluid muhuwandu hwakaenzana. Izvi zvinogona kuitika kana mwana aine mamwe matambudziko ehutano, anosanganisira:

• Matambudziko emimba, senge duodenal atresia, esophageal atresia, gastroschisis, uye diaphragmatic hernia
• Uropi uye huta hurongwa matambudziko, akadai anencephaly uye myotonic dystrophy
• Achondroplasia
• Beckwith-Wiedemann chirwere

Izvo zvinogona zvakare kuitika kana amai vasina kunyatso kudzora chirwere cheshuga.

Polyhydramnios zvakare inogona kuitika kana yakawandisa mvura inogadzirwa. Izvi zvinogona kukonzerwa ne:

• Zvimwe zvinetso zvemapapu mumwana
• Multiple nhumbu (semuenzaniso, mapatya kana matatu)
• Hydrops fetalis mumucheche

Dzimwe nguva, hapana chikonzero chaicho chinowanikwa.

Fonera wako mupi wehutano kana iwe uri nepamuviri uye uone kuti dumbu rako riri kukura nekukurumidza zvakanyanya.

Wako mupi anoyera kukura kwedumbu rako pakushanya kose. Izvi zvinoratidza kukura kwechibereko chako. Kana dumbu rako richikura nekukurumidza kupfuura zvaitarisirwa, kana rakakura kupfuura zvakajairwa zera remwana wako rekubata, mupi anogona:

• Wakadzoka nekukurumidza kupfuura zvakajairwa kuti utarise zvakare
• Ita ultrasound

Kana mupi wako awana kuremara kwekuzvarwa, ungangoda amniocentesis kuyedza chiremara.

Nyoro polyhydramnios iyo inoratidzira gare gare mukuzvitakura kazhinji haikonzere matambudziko akakomba.

Yakanyanya polyhydramnios inogona kurapwa nemushonga kana nekuwedzera mvura.

Vakadzi vane polyhydramnios vanowanzoenda mukutanga basa. Mwana anozoda kuendeswa muchipatara. Nenzira iyoyo, vanopa vanogona kubva vatarisa hutano hwaamai nemwana uye vopa kurapwa kana zvichidikanwa.

Kubata - polyhydramnios; Hydramnios - polyhydramnios

• Polyhydramnios

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: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 35.

Suhrie KR, Tabbah SM. Chibereko. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 115.