I-amniotic fluid yiyona "amanzi" abhekisela kuwo lapho ethi "amanzi aphukile." Ngesikhathi sokukhulelwa, i-fetus iqukethe ngaphakathi kwebhulethi egcwele le fluid, okubalulekile ekuthuthukiseni ukukhulelwa kahle nokukhulelwa okuphephile. I-membrane nayo ibizwa ngokuthi "isikhwama samanzi".
Izici
- I-Amniotic fluid ivame ukucaca kumbala ophuzi obala.
- Kumele kube ne-odorless, noma ibe mnandi emnandi - nakuba abanye bethi kunomsindo ofana ne-bleach.
- Inani lomswakama liyakhula phakathi nokukhulelwa kuze kube amasonto angama-34, uma iqala ukwehla kancane.
- I-fluid yenziwe ngamanzi, i-electrolytes, amaprotheni, ama-carbohydrate, lipids, i-phospholipids, ne-urea, kanye nama-fetal cells
Injongo
Amniotic fluid
- Ama-cushions futhi avikela umntwana.
- Ivumela ingane ukuba ihambe futhi ithuthukise.
- Ugcwalisa amaphaphu ngesikhathi sokuphefumula, "ukuphefumula," okusiza ukuthuthukiswa kwamaphaphu efanele ngaphambi kokuzalwa.
- Inikeza ukushisa okungavamile kwengane.
- Ukwenza umchamo we-fetus.
Izinkinga ezivamile
- Umbala ongajwayelekile - I-fluid ingaba yiluhlaza, i-brown, noma i-blood in the color. Ngesikhathi sokukhulelwa isikhathi eside noma esiseduzane, uketshezi oluhlaza okombala noma oluhlaza oluthile lungabonisa ukuthi ingane iye yahamba ngokunyakaza ( meconium ), okwenza kube nomphumela wokushintsha umbala. Lokhu kungaba yisibonakaliso somntwana osenkingeni noma nje ukuthi ukukhulelwa kuye kwandisa ngokwanele ukuba ingane idlule ukuthi isitulo sokuqala ku-utero.
I-amniotic fluid ingaba negazi, ikakhulukazi ngesikhathi sokubeletha, uma umlomo wesibeletho usuqala ukuxubha, noma uma kunezinkinga ze-placental. Uketshezi olumnyama kungabonakala nokushona kwe-intrauterine fetus (IUFD) lapho ingane ishona ngesikhathi sokukhulelwa.
- Iphunga elingajwayelekile - Uma umkhuhlane unomunuka ovuthiwe ngokuvamile kuyisibonakaliso sokutheleleka. Abesifazane abanamanzi aphumula ekhaya kufanele baxoxe nodokotela ngokushesha uma umkhuhlane unomuncu ocolekileyo. (Lokhu kungenzeka noma kungenzeki ngokuhambisana nomkhuhlane.)
- I-Oligohydramnios - (Ngokuvamile nje kuthiwe u-Oligo.) Lokhu kusho ukuthi kukhona inani elincane le-amniotic fluid esiswini esibelethweni ngenxa yokukhuphuka kwamanzi noma inkinga yokubeletha ne-fetus noma i-placenta. Lokhu kungavamile kungase kwenzeke uma ingane isenenkinga yezinso - lo fetus inciphise umkhiqizo we-urine ngakho-ke akunawo amniotic fluid amaningi. Umthamo wetshezi ungalinganiswa nge-ultrasound.
- I-Polyhydramnios - Kulesi simo, kukhona uketshezi olwedlula ukwedlula okuvamile, okuvame ukubangelwa ukungaboni kahle komntwana ebusweni, ukukhulelwa okuningi (njengamawele noma kathathu), noma isifo sikashukela sokukhulelwa. Kwezinye izimo, imbangela ayifakazi nje. Lokhu okungavamile nakho kungalinganiswa nge-ultrasound.
- Ukukhulelwa Kwangaphambi Kokuqala Kwamabhungane (PPROM) - Izinkinga zingase ziphakame kokubili umama nomntwana uma isaka se-amniotic "siphula" kusenesikhathi sokukhulelwa. Izinkinga zibandakanya ukutheleleka, ukuthuthukiswa kokukhulelwa kwentombazane, noma ukukhulelwa kokuqala nokubeletha. Ngokujwayelekile umgomo ukulibazisa umsebenzi uma nje kungenzeka ukuthi unomama nomntwana uvikelekile. Lokhu kungase kudingeke ukuba izibhedlela, ukuphumula kombhede, ama-antibiotic e-IV, kanye nama-corticosteroids ukusheshisa ukuvuthwa kwe-lung fetal, okungase kubambezele umsebenzi futhi kwandise amathuba omntwana wokubeletha uma ezalwa kusenesikhathi.
Qaphela ukuthi kunezinhlobonhlobo zezinto ezijwayelekile "ngokwejwayelekile" ngokuya kombala we-amniotic fluid, inani, nephunga. Qiniseka ukuhlola nomhlinzeki wakho bese ubuza imibuzo ecacile esimweni sakho.
Eyaziwa nangokuthi: Igijimi Yamanzi, I-Bag Yamanzi
Imithombo:
Cunningham, F., Gant, N., et al. Williams Obstetrics, Edition 21. 2001.
Thomas, C., ed. I-Cyclopedic Medical Dictionary, i-18th Edition. 1997.
U-Varney, H., Kriebs, J., et al. I-Varney's Midwifery, i-Fourth Edition. 2003.
Ihlelwe nguRobin Elise Weiss, i-LCCE