I-Chorioamnionitis yi-infection yebhaktheriya yezinambuzane ezizungeze ingane ebelethweni (i-chorion kanye ne-amnion) kanye ne- amniotic fluid (i-liquid ukuthi i-fetus ihamba ngaphakathi) ngesikhathi sokukhulelwa. Lesi simo sibonakala cishe ngamaphesenti angu-2 okuzalwa, futhi uma singatholakali futhi siphathwe, singabangela izinkinga ezinkulu kumama nengane .
Imiphumela ye-chorioamnionitis ihlukahlukene. Ezimweni ezinhle kakhulu, lapho ukutheleleka kutholakala futhi kuphathwa ngendlela efike ngesikhathi, kungase kube khona izinkinga zesikhathi eside kuwe noma ingane yakho engapheli kokubeletha. Odokotela bazoqapha ingane yakho ngezibonakaliso zokuthola ukutheleleka okubangelwa yiyo, kodwa ngokusho kukaMashi kaM Dimes, ngenhlanhla, amaphesenti angaba ngu-95 kuya kwangu-97 ezinsana ezithintekile ngeqembu B, enye yezinkinga ze-bacteria ezitholakala ku-chorioamnionitis, zilulame ngosizo ama-antibiotics. Izingane ezingakazalwa zisengozini enkulu ekuthuthukiseni izinkinga ezinkulu noma ezifa ngenxa yezifo.
Izimbangela Nezici Zengozi
I-Chorioamnionitis ivela lapho amabhaktheriya ephula ukuzivikela okujwayelekile kwesibeletho, ngokuvamile ekhuphuka esuka phansi emkhathini. Amacala ajwayelekile ahlanganisa ukusakaza kweqembu B no- E . coli . Kungenzeka ukuthi uthuthukise i-chorioamnionitis uma uthola ukulethwa isikhathi eside ngemuva kokuthi izikhwama zakho ziqhekekile, waziwa nokuthi uma amanzi akhophuka.
I-chorioamnionitis ivela kakhulu kuvame ukuzalwa kwangaphambi kokuzalwa .
Izimpawu
Uma ukutheleleka kwenzeka ngesikhathi sokubeletha noma ukulethwa, izimpawu ze-chorioamnionitis zingafaka:
- Fever
- Ukuphunga
- Isilinganiso senhliziyo esiphezulu se-fetal noma somama
- Ubuhlungu besisu
- Ukuphunga okungajwayelekile kwe-amniotic fluid
Uma ukutheleleka kwenzeka ngesikhathi sokukhulelwa, ungase ungaboni izimpawu.
Ukuxilongwa Nokunakekelwa
Uma udokotela esolwa ukuthi une-chorioamnionitis ngaphambi kokuba uqale ukubeletha, angakwazi ukuhlolisisa ukutheleleka nge-amniocentesis nangokuhlola i-amniotic fluid ngezibonakaliso zamabhaktheriya. Uma isimo sikholelwa ngesikhathi sokubeletha, udokotela wakho angase ahlaziye futhi akhethe ukwelashwa ngokusekelwe ezimpawu zomtholampilo.
Indlela udokotela wakho aphatha ngayo ukutheleleka kwakho kuxhomeke ezimweni zakho ngabanye. Ngokuvamile, ukwelashwa kuhilela ama-antibiotic emithi. Amanye amacala adinga ukulethwa kwezingane ngokushesha. Ngemva kokubeletha, wena nomntanakho kungase kudingeke uqhubeke nokuthatha ama-antibiotic ngosuku noma ezimbili.
Uma isimo sinzima noma singelashwa, ungase ubhekane nezinkinga ezinokwenzeka njengokutheleleka kwesisu noma se-pelvic, i-sepsis (ukutheleleka kwegazi), i-endometritis (ukutheleleka emgqeni wesibeletho), noma ama-blood clots emaphashini noma isikhumba. Izinkinga ezinganeni yakho zingabandakanya i-sepsis, izinkinga zokuphefumula, kanye ne-meningitis (isifo sobuchopho nentambo yomgogodla).
Kwezinye izimo, ikakhulukazi lapho i-chorioamnionitis ivela ngaphambi kokukhulelwa futhi ingabonakali, ukutheleleka kungabangela abasebenzi ngaphambi kwesikhathi noma ngisho nokubeletha. Ucwaningo lubonisa ukuthi i-chorioamnionitis iyinto ejwayelekile ekuzalweni okungaqondakali, kanti kukhona nobufakazi bokuthi isimo ngokwalo singase sibe imbangela yokubeletha kulezi zimo.
Ngeshwa, akuyona into eyaziwa kakhulu kule nkinga mayelana nokuthi ubani ongase abe engozini yokutheleleka kokuqala okungenakwenzeka noma indlela yokuhlola kangcono futhi aphathe izifo zakuqala.
Imithombo:
I-Chorioamnionitis. I-University of Virginia Health System.
I-B ye-Strep Infection. March we-Dimes.
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