Polyhydramnios

Polyhydramnios imachitika pamene amniotic fluid yambiri imakula panthawi yapakati. Amatchedwanso amniotic fluid disorder, kapena hydramnios.

Amniotic fluid ndiye madzi omwe amazungulira mwana m'mimba (chiberekero). Zimachokera ku impso za mwana, ndipo zimalowa m'chiberekero kuchokera mumkodzo wa mwana. Timadzimadzi timayamwa mwana akameza komanso popumira.

Ali m'mimba, mwana amayandama m'madzi amniotic. Amamuzungulira ndikumukhanda khanda panthawi yapakati. Kuchuluka kwa amniotic madzimadzi kumakhala kwakukulu pamasabata 34 mpaka 36 atakhala ndi pakati. Kenako ndalamazo zimachepa pang'onopang'ono mpaka mwana atabadwa.

Amniotic madzimadzi:

• Amalola mwana kuyenda m'mimba, kulimbikitsa kukula kwa minofu ndi mafupa
• Amathandiza mapapu a mwana kukula
• Zimateteza mwana ku kutentha kwa kutentha mwa kusunga kutentha nthawi zonse
• Zimateteza komanso kuteteza mwana kumavuto mwadzidzidzi ochokera kunja kwa chiberekero

Polyhydramnios imatha kuchitika ngati mwana sameza komanso kuyamwa amniotic madzimadzi muyezo wabwinobwino. Izi zitha kuchitika ngati mwana ali ndi mavuto azaumoyo, kuphatikiza:

• Matenda am'mimba, monga duodenal atresia, esophageal atresia, gastroschisis, ndi diaphragmatic hernia
• Mavuto a ubongo ndi mitsempha, monga anencephaly ndi myotonic dystrophy
• Achondroplasia
• Matenda a Beckwith-Wiedemann

Zikhozanso kuchitika ngati mayi alibe matenda a shuga.

Polyhydramnios amathanso kuchitika ngati madzi ambiri atuluka. Izi zitha kuchitika chifukwa cha:

• Matenda ena am'mapapo mwa mwana
• Kutenga mimba kangapo (mwachitsanzo, mapasa kapena atatu)
• Hydrops fetalis mwa mwana

Nthawi zina, palibe chifukwa chenicheni chomwe chimapezeka.

Itanani yemwe akukuthandizani ngati muli ndi pakati ndipo zindikirani kuti mimba yanu ikukula msanga kwambiri.

Wothandizira anu amayesa kukula kwa mimba yanu nthawi iliyonse mukapita. Izi zikuwonetsa kukula kwa chiberekero chanu. Ngati chiberekero chanu chikukula msanga kuposa momwe amayembekezera, kapena ndichachikulu kuposa zaka za mwana wanu wamwamuna, woperekayo atha:

• Kodi mwabwerako mwachangu kuposa masiku onse kuti mudzayang'anenso
• Chitani ultrasound

Ngati wothandizira wanu akupeza vuto lobadwa nalo, mungafunike amniocentesis kuti muyese vuto la chibadwa.

Ma polyhydramnios ofatsa omwe amawonekera pambuyo pathupi nthawi zambiri samayambitsa mavuto akulu.

Ma polyhydramnios owopsa amatha kuthandizidwa ndi mankhwala kapena kuchotsedwa kwamadzimadzi owonjezera.

Amayi omwe ali ndi polyhydramnios amatha kupita kukagwira ntchito koyambirira. Mwanayo adzafunika kuti aberekere kuchipatala. Mwanjira imeneyi, opereka chithandizo amatha kuwunika thanzi la mayi ndi mwana ndikupereka chithandizo pakafunika kutero.

Mimba - polyhydramnios; Ma Hydramnios - ma polyhydramnios

• Polyhydramnios

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis yobadwa msanga. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 7.

Gilbert WM. Matenda a Amniotic madzimadzi. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 35.

Suhrie KR, Tabbah SM. Mwana wosabadwayo. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 115.