Iko Kwakanyanya Kuwanda Amniotic Fluid Chimwe Chinhu Chokunetseka Nezve?

Zvemukati

• Kupfuura dumbu hombe
• Chii chinonzi polyhydramnios?
• Chii chinokonzera?
• Ndeipi njodzi dze polyhydramnios?
• Polyhydramnios inoonekwa uye kurapwa sei?
• Chii chinoitika mushure mekuongororwa?

"Pane chakange chakanganisika"

Kwasara vhiki dzinopfuura gumi kuti ndiite nhumbu yangu yechina, ndakaziva kuti chimwe chinhu hachina kumira zvakanaka.

Ndiri kureva, ini ndanga ndagara ndiri, ahem, mukadzi mukuru ane nhumbu.

Ndinoda kutaura kuti isu vakadzi tiri padivi rakapfupika hatina iyo yekuwedzera kamuri mune yedu tosi, izvo zvinoita kuti vana ivavo vamire vakatwasuka. Asi, hongu, izvo ndezve kungoita kuti ndinzwe zvirinani.

Ini ndaive nemugove wangu wakanaka wepamuviri wepamuviri nekuwedzera nhumbu dzangu nhatu dzakapfuura uye ndakanzwa kunakidzwa kwekuburitsa 9-paundi, 2-ounce kubhechesa mukomana mukomana. Asi panguva ino kutenderera, zvinhu zvakangonzwa sekunge zvakati siyanei.

Kupfuura dumbu hombe

Kutanga, ndaive muhombe. Kufanana nekubhururuka-kwe-kwangu-kubereka-mbatya-pasina-makumi matatu-masvondo akakura.

Ini ndainetseka kutura befu, kufamba ndainzwa kunge kusuwa kuzere, tsoka dzangu dzainge dzakazvimba kupfuura nzeve yetsiva, uye usatomboita kuti nditange pakurwira kwekuyedza kuwumburuka pamubhedha wangu husiku.

Saka apo chiremba wangu paakambomira achiyera dumbu rangu pakuongororwa kwese, ndakaziva kuti chimwe chinhu chaive kumusoro.

"Hmmm…" akadaro, achirova tepi chiyero kutenderera kune kumwe kuenda. “Zvinoita sekunge wave kuyera vhiki makumi mana kare. Tichafanirwa kumboedza. ”

Hongu, iwe unoverenga izvo chaizvo - ini ndanga ndichiyera yakazara-temu masvondo makumi mana makumi matatu chete - uye ini ndakanga ndichine mwedzi inenge mitatu yakareba, inosiririsa yekuzvitakura kuenda.

Kuenderera mberi nekuyedzwa kwakaratidza kuti pakanga pasina chakakanganisika nemwana (tenda kunaka) uye ini ndakanga ndisina gestational chirwere cheshuga (chikonzero chakajairika cheakakura-kupfuura-hupenyu matumbu), asi kuti ini ndaive nenyaya yakanaka kwazvo ye polyhydramnios.

Chii chinonzi polyhydramnios?

Polyhydramnios mamiriro apo mukadzi achingova neakawandisa amniotic fluid panguva yake yepamuviri.

Muzvakanaka kutora nhumbu, pane nzira mbiri dzekuyera huwandu hweamniotic fluid muchibereko.

Yokutanga ndiyo Amniotic Fluid Index (AFI), uko huwandu hwemvura inoyerwa muhomwe ina dzakasiyana munzvimbo dzakati mukati mechibereko. Yakajairwa AFI mitsara.

Chechipiri ndechekuyera muhomwe yakadzika kwazvo yemvura mukati mechibereko. Miyero inopfuura masendimita masere inoonekwa se polyhydramnios.

Mhando yacho inoenderana nekuti uri padyo nepamuviri pako, sezvo huwandu hwemvura huchawedzera kusvika kune yako yechitatu trimester, zvobva zvadzikira.

Semutemo wechigumwe, polyhydramnios inowanzoonekwa iine AFI inopfuura makumi maviri nemana kana homwe hombe yemvura pane iyo ultrasound inopfuura masendimita masere. Polyhydramnios inofungidzirwa kuti inongoitika mune angangoita 1 kusvika 2 muzana yepamuviri. Ndine rombo!

Chii chinokonzera?

Polyhydramnios ine zvikonzero zvikuru zvitanhatu:

• kujairika mumuviri nemucheche, sekuremara kwetambo yemusana kana chekugaya system
• mapatya kana zvimwe zvakawanda
• gestational kana amaiamai chirwere cheshuga
• fetal anemia (kusanganisira kupererwa neropa kunokonzerwa neRh kusapindirana, apo amai nemwana vane mhando dzakasiyana dzeropa)
• kusakwana kwemajini kana zvimwewo zvinhu, zvakadai sehutachiona
• hapana chikonzero chinozivikanwa

Kusanzwisisika kwe fetus ndizvo zvikonzero zvinonyanya kunetsa zvepolyhydramnios, asi nerombo rakanaka, ivowo ndivo vashoma.

Muzviitiko zvakawanda zveyakareruka uye zvine mwero polyhydramnios, zvisinei, hapana chikonzero chakazivikanwa.

Iwe unofanirwa zvakare kuyeuka kuti kunyangwe nekuyedzwa kwe ultrasound, 100 muzana chaiyo kuongororwa kunogona kusakwanisika zvachose. Iko pakati peakakwidziridzwa AFI uye zvakashata mhedzisiro yemwana wako. Izvi zvinogona kusanganisira:

• yakawedzera njodzi yekutangira preterm
• yakawedzera njodzi yekugamuchirwa kuchipatara chekubereka chakanyanya (NICU)

Zvimwe zviitiko zve polyhydramnios. Zvisinei, chiremba wako acharamba achiongorora huwandu hwemvura nguva dzose kana kuongororwa kuchiitwa kuti uone kuti iwe nemwana wako munotarisirwa zvakakodzera.

Ndeipi njodzi dze polyhydramnios?

Njodzi dze polyhydramnios dzinozosiyana zvichienderana nekuti uri kure zvakadii iwe mukubata kwako uye kuti wakanyanya sei mamiriro acho. Pakati pese, iyo yakanyanya kuomarara polyhydramnios, inowedzera mukana wekupokana panguva yekuzvitakura kana yekusununguka.

Dzimwe dzenjodzi nemapolhydramnios epamberi anosanganisira:

• yakawedzera njodzi yemhepo breech mwana (iine yakawanda mvura, mwana anogona kunetseka kudzora musoro pasi)
• njodzi yakawedzera yemubilical cord prolapse, inova iyo iyo umbilical tambo inodonha ichibuda muchibereko uye kupinda mukati memukadzi usati wabereka mwana
• yakawedzera njodzi yekubuda ropa mushure mekuzvarwa
• kukurumidza kuputika kweiyo membreni, izvo zvinogona kukonzeresa kutanga kwebasa uye kuendesa
• yakawedzera njodzi yekuparara kwepasipo, uko iyo placenta inopatsanuka kubva mudumbu reu uterine usati wabereka mwana

Polyhydramnios inoonekwa uye kurapwa sei?

Kana chiremba wako achifungidzira polyhydramnios, chinhu chekutanga chavachaita kuraira kuwedzerwa kuyedzwa kuti uve nechokwadi chekuti hapana chakaipa nemwana wako. Nyoro kuenzanisa polyhydramnios inogona kusada imwe yekuwedzera kurapwa kunze kwekutarisa.

Chete mune zvisingawanzoitika, zvakakomba kesi kurapwa kunoonekwa. Izvi zvinosanganisira mishonga uye kudhonza yakawandisa amniotic fluid.

Iwe unogona kutarisira kugara uchiongorora uye kuyedza, uye vanachiremba vazhinji vachakurukura nezvekuregedzerwa kwekusiya kana vakanzwa kuti mwana akakurisa, kana breech kana kuberekwa kwemukadzi kune njodzi zvakanyanya.

Iwe zvakare zvakare ungangodaro unofanirwa kuenda kunowedzerwa kuongororwa kweshuga yeropa kuti ubvise gestational chirwere cheshuga.

Chii chinoitika mushure mekuongororwa?

Mune yangu kesi, ini ndaitariswa kazhinji ne biweekly isiri-yekuyedzwa bvunzo uye ndakashanda zvakanyanya kuti mwana wangu apinde musoro-pasi.

Paakangoita, ini nachiremba wangu takabvumirana nezvekutanga, kwakadzora kudzoreredzwa kuitira kuti asazofuratira zvakare kana kunwa mvura kumba. Akazvarwa aine hutano hwakanaka mushure mekunge chiremba wangu atyora mvura yangu - uye pakanga paine mvura yakawanda.

Kwandiri, polyhydramnios yaive chiitiko chinotyisa panguva yangu yekuzvitakura nekuti paive nezvakawanda zvisingazivikanwe nemamiriro acho.

Kana iwe ukatambira kuongororwa kumwe chete, ita shuwa yekutaura nemupi wako wezvehutano kuti utonge kunze kwechikonzero chinokonzeresa uye kuyera zvayakanakira nezvayakaipira zvekusununguka kwekutanga kuti uone nzira yakanakira iwe nemwana wako.

Chaunie Brusie, BSN, mukoti akanyoreswa ane ruzivo mukubata uye kuendesa, kutarisirwa kwakanyanya, uye kwenguva refu yekuchengeta mukoti. Iye anogara kuMichigan nemurume wake nevana vana vadiki, uye ndiye munyori webhuku "Tiny Blue Lines."