Nzira yekuziva sei polyhydramnios?
Izvi zvinoratidzika semamwe zviratidzo, izvo zvinotanga kukonzera kusagadzikana kumukadzi ane pamuviri. Iyi manzwiro ekuremera uye kusuruvara mukati mamuviri, kuputika kwemigumo, kuwedzerwa kwemwoyo yemafungiro uye huwandu hwemamiriro ekushaya malaise. Uyewo, kana pane polyhydramnios ine ziso rakashama, munhu anogona kuona kumwe kukanganisa pakati pehukuru hwemuviri mukuru kune imwe nguva yekubata.
Asi kuongororwa kunogona kuitwa mushure mokunge kuendwa kwezviedzo zvakasiyana uye kupera kwe ultrasound. Mumwe nyanzvi anoziva achakwanisa kuongororodza rondedzero ye amniotic fluid uye kuenzanisa mugumisiro pamwe chete nemararamiro akaenzana. Iwe unogona kuona zviyero zvinowanikwa mumararamiro akaenzana ekudzivirira achishandisa tafura.
Zvinokonzerwa ne polyhydramnios pamuviri
Chii chinovhiringidza ichi chirwere? Kusvikira zvino, masayendisiti haagoni kupa mhinduro imwechete kumubvunzo uyu.
Kune rimwe boka risina ngozi, vakadzi vanobva kwavari vanowanzosangana nehuwandu hwehuwandu hweamniotic fluid.
Chokutanga pane zvose, uku ndiko kutora mimba yakawanda. Muchiitiko ichi, kazhinji kusashaiwa kweamniotic fluid yemumwe fetus kunobhadharwa nekuwandisa kweumwe.
Zvirwere zvisingaperi zvakadai sechirwere cheshuga, zvirwere zvehutano hwemwoyo uye urinary tract zvinogonawo kumutsa chirwere chacho.
Rhesus-kukakavadzana pakati peamai nemwana, pamwe chete nekromosomal kusagadzikana kwebhumusi (Down's syndrome, Edwards) kazhinji kunotungamirira kuwandisa kweamniotic fluid.
Kunyange zvakadaro, masayendisiti anodana zvikonzero zvakadaro zve polyhydramnios panguva yekuzvitakura, sekuwedzera kwekukura kwe fetus kana congenital pathologies mukukura kwayo. Kukanganisa kuduku mubasa remwoyo, maitiro asina kukwana kana sophagus, shandura chikamu.
Pakati pezvimwe zvikonzero, zvakajairika kufunga nezvekudiridza mumadzimai akazvitakura sezvirwere zvinotapukira - rubella, toxoplasmosis, syphilis, nezvimwewo. Zvishoma nezvishoma, sechinokanganisa, zvipembenene zvinokonzera kana matambudziko ane umbilical arteri inooneka.
Mushonga we polyhydramnios
Usati wasarudza chirongwa chekurapa, chiremba anoita kuti aongororwe zvakakwana kuti anzwisise kuti zvii zvinokonzera zviyero zve polyhydramnios.
Kuti uongorore, mukadzi anopa ropa kuongororwa (total, glucose, rhesus-kukaka), murini. Kuraira ndima ye ultrasound, cardiotocography, Doppler.
Kuwedzera kumwe kurapwa zvakananga kunoenderana nezvinokonzera chirwere chacho. Sezvo mutemo, iyi inogamuchirwa mavitamine, antibacterial therapy uye madhiragi anowedzera utero-placental ropa kuyerera.
Kune marudzi mazhinji e polyhydramnios - yakaoma, isingaperi uye ine unyoro. Muhosha yakaoma, zviratidzo zvinonyatsojeka, uye munguva dzakawanda zvakaoma kuchengetedza fetus.
Chronic polyhydramnios inoda nguva dzose kuongororwa. Pakuchengeta zvinyorwa zvose zvinokwanisika kubereka mwana ane utano. Muchidimbu polyhydramnios zvinenge zvisingazviratidzi sechiratidzo chechimiro. Asi imwe inofanira kugara ichicherechedza kuchinja mu amniotic fluid.
Migumisiro inogoneka
Sezvo wakaziva zvikonzero zve polyhydramnios, munhu anofanirwawo kunzwisisa zvinogona kuitika:
- kusununguka nguva isati yasvika, iyo inogona kukonzerwa nekusava nenguva yakasviba yemvura;
- kukura kwehutachiona hwehutachiona hwemucheche - kuputsika kwehutachiona kana chirwere chepamuviri;
- hypoxia kana utachiona hwe fetus;
- mharidzo isina kukodzera yemuchetura, tambo nemudonzvo wembilical;
- kazhinji uterine kubuda ropa.
Polyhydramnios haisi mutongo. Nekuonekwa kwehutano uye kurapwa kwenguva yakakodzera, zvinokwanisika kubereka vana vane utano hwakanaka.