Kodi Pali Zamadzimadzi Zambiri Zamtundu wa Amniotic Zomwe Zikudetsa nkhawa?

Zamkati

• Kuposa mimba yayikulu
• Kodi polyhydramnios ndi chiyani?
• Zimayambitsa chiyani?
• Kodi kuopsa kwa ma polyhydramnios ndi kotani?
• Kodi polyhydramnios imapezeka bwanji ndikuchiritsidwa?
• Kodi chimachitika ndi chiyani atapezeka?

“China chake sichinali bwino”

Kutatsala milungu yopitilira 10 kuti ndikhale ndi pakati pachinayi, ndidadziwa kuti china chake sichili bwino.

Ndikutanthauza, ndakhala ndili woyembekezera, ahem, wamkulu.

Ndimakonda kunena kuti azimayi omwe tili kufupikitsika alibe chipinda chowonjezera m'mapiko athu, zomwe zimapangitsa anawo kuonekera molunjika. Koma, kumene, ndikungodzipangitsa kuti ndizimva bwino.

Ndinali ndi gawo lokwanira lolemera ndi mimba yanga itatu yapitayi ndipo ndinasangalala ndikupereka mwana wamwamuna wokwana mapaundi 9, 2-ounce. Koma nthawi ino mozungulira, zinthu zimangomverera mosiyana pang'ono.

Kuposa mimba yayikulu

Poyambira, ndinali wamkulu. Monga kutulutsa-kwa-kwanga-zovala-mopanda-masabata makumi atatu akulu.

Ndinali ndi vuto la kupuma, kuyenda ndimamva ngati chisoni chonse, mapazi anga anali otupa kuposa khutu la womenya nkhonya, ndipo osandipangitsa kuti ndiyambe kulimbana ndikuyesera kuti ndikulumire pakama panga usiku.

Chifukwa chake pomwe dotolo wanga adayima kaye kwinaku akuyesa mimba yanga nthawi zonse akundipima, ndidadziwa kuti china chake sichili bwino.

“Hmmm…” iye anatero, akukwapula tepi yake mozungulira ulendo wina. "Zikuwoneka kuti mukuyesa kale masabata 40 kale. Tiyenera kuyesa. "

Inde, mwawerenga izi molondola - ndimayeza masabata 40 mulimonse zaka 30 zokha - ndipo ndinali ndi miyezi itatu yayitali, yomvetsa chisoni yoyembekezera.

Kuyesedwa kwina kunavumbula kuti panalibe cholakwika ndi mwanayo (zikomo ubwino) ndipo ndinalibe matenda ashuga ochitisa kuti akhale mayi (chifukwa chofala cha mimba zazikulu kuposa moyo), koma ndimakhala ndi vuto la polyhydramnios.

Kodi polyhydramnios ndi chiyani?

Polyhydramnios ndimikhalidwe yomwe mayi amakhala ndi amniotic madzimadzi ochulukirapo ali ndi pakati.

Muzochitika zapakati pathupi, pali njira ziwiri zodziwira kuchuluka kwa amniotic madzimadzi pachiberekero.

Yoyamba ndi Amniotic Fluid Index (AFI), pomwe kuchuluka kwa madzimadzi kumayesedwa m'matumba anayi osiyanasiyana m'malo ena amkati mwa chiberekero. Masamba wamba a AFI.

Lachiwiri ndikuti muyese thumba lakuya kwambiri lamadzi mkati mwa chiberekero. Miyeso yopitilira masentimita 8 imadziwika kuti polyhydramnios.

Mtunduwu umadalira kutalika kwa nthawi yomwe muli ndi pakati, popeza madzi amadzimadzi amakula mpaka trimester yanu yachitatu, kenako amachepetsa.

Monga lamulo la thumbu, ma polyhydramnios nthawi zambiri amapezeka ndi AFI yoposa 24 kapena thumba lalikulu lamadzimadzi pa ultrasound yopitilira 8 cm. Polyhydramnios akuti imachitika pafupifupi 1 mpaka 2 peresenti ya mimba. Zabwino zonse!

Zimayambitsa chiyani?

Polyhydramnios ili ndi zifukwa zazikulu zisanu ndi chimodzi:

• zachilendo pathupi, monga kupindika kwa msana wam'mimba kapena kutsekeka kwa dongosolo lam'mimba
• mapasa kapena kuchulukitsa kwina
• matenda ashuga oyembekezera kapena amayi
• kuchepa kwa magazi m'thupi (kuphatikizapo kuchepa kwa magazi komwe kumachitika chifukwa chosagwirizana kwa Rh, pomwe mayi ndi mwana ali ndi mitundu yamagazi)
• zofooka za chibadwa kapena zina, monga matenda
• palibe chifukwa chodziwika

Zovuta za fetus ndizomwe zimawononga kwambiri ma polyhydramnios, koma mwatsoka, nawonso ndi ocheperako.

Nthawi zambiri ma polyhydramnios ochepa pang'ono, komabe, palibe chifukwa chodziwika.

Muyeneranso kukumbukira kuti ngakhale atayesedwa ndi ultrasound, 100% yolondola yolondola mwina sichingatheke. Pali pakati pa AFI yokwera komanso zotsatira zoyipa za mwana wanu. Izi zingaphatikizepo:

• chiwopsezo chowonjezeka chakubereka asanakwane
• chiwopsezo chowonjezeka chololedwa kuchipatala cha neonatal (NICU)

Nthawi zina ma polyhydramnios. Komabe, dokotala wanu apitiliza kuwunika kuchuluka kwa madzimadzi nthawi zonse akapezedwa kuti muwonetsetse kuti inu ndi mwana wanu mukuyang'aniridwa moyenera.

Kodi kuopsa kwa ma polyhydramnios ndi kotani?

Kuopsa kwa ma polyhydramnios kumasiyana kutengera kutalika kwa nthawi yomwe muli ndi pakati komanso momwe kuliri koopsa. Mwambiri, ma polyhydramnios owopsa, amakhala ndi chiopsezo chazovuta zambiri panthawi yapakati kapena yobereka.

Zina mwaziwopsezo zomwe zili ndi ma polyhydramnios apamwamba ndi monga:

• chiopsezo chowonjezeka cha mwana wopuma (ndi madzi ambiri, mwanayo amatha kukhala ndi vuto kugwa mutu)
• chiopsezo chowonjezeka cha umbilical chingwe, chomwe ndi pamene umbilical chimatuluka kuchokera m'chiberekero ndikupita kumaliseche mwana asanabadwe
• chiopsezo chowonjezeka chotuluka magazi atabadwa
• Kuphulika msanga kwa nembanemba, zomwe zingayambitse ntchito yobereka isanakwane
• chiopsezo chowonjezeka cha kuphulika kwapakhosi, kumene nsengwa imasiyanitsidwa ndi khoma lachiberekero mwana asanabadwe

Kodi polyhydramnios imapezeka bwanji ndikuchiritsidwa?

Ngati dokotala akukayikira ma polyhydramnios, chinthu choyamba chomwe angachite ndikuitanitsa kuyesedwa kowonjezera kuti atsimikizire kuti palibe cholakwika ndi mwana wanu. Ma polyhydramnios ochepa osafunikira sangafunikire chithandizo china kupatula kuwunika.

Pazosowa kwambiri, pamavuto akulu pomwe chithandizo chimaganiziridwa. Izi zimaphatikizapo mankhwala ndikutsitsa amniotic madzimadzi owonjezera.

Mutha kuyembekezera kuwunika pafupipafupi ndikuwayesa, ndipo madotolo ambiri amakambirana za njira yoberekera ngati akuwona kuti mwanayo ndi wamkulu kwambiri, kapena kubereka kapena kubereka kumakhala koopsa kwambiri.

Muyeneranso kuti mukayesedwe shuga wambiri m'magazi kuti muchepetse matenda ashuga.

Kodi chimachitika ndi chiyani atapezeka?

Kwa ine, ndinkayang'aniridwa pafupipafupi ndimayeso osakhala opanikizika a biweekly ndipo ndimagwira ntchito molimbika kuti mwana wanga agundike.

Atachita izi, ine ndi dokotala wanga tinagwirizana zololedwa koyambirira, koyendetsedwa bwino kuti asabwererenso kapena kupumira madzi kunyumba. Adabadwa wathanzi atadwala dokotala - ndipo panali madzi ambiri.

Kwa ine, polyhydramnios inali vuto lowopsa panthawi yomwe ndinali ndi pakati chifukwa panali zambiri zosadziwika ndi vutoli.

Mukalandira matenda omwewo, onetsetsani kuti mukulankhula ndi omwe amakuthandizani kuti akuthandizeni kudziwa zomwe zimayambitsa mavuto anu ndikuwunika zabwino ndi zoyipa pakubereka koyambirira kuti mudziwe njira yabwino kwa inu ndi mwana wanu.

Chaunie Brusie, BSN, ndi namwino wovomerezeka wodziwa ntchito ndi yobereka, chisamaliro chovuta, ndi unamwino wanthawi yayitali. Amakhala ku Michigan ndi amuna awo ndi ana ang'onoang'ono anayi, ndipo ndiye wolemba buku la "Tiny Blue Lines."