Ukwakhiwa Kwesikhumba Esandulela Ngaphambi Kokuqala, okuvame ukufushaniswa njenge-PROM, kusho ukuthi i-sac amniotic yamamazi ephuka noma ivuza amanzi ngaphambi kokusebenza. Kulaba besifazane abaningi, i-membrane ihlukana - okuhlangenwe nakho okuyaziwa ngokuthi "ukuphuza kwamanzi" - ngesinye isikhathi ngesikhathi sokubeletha hhayi ngaphambi kokuba kuqale.
Naphezu kwegama elithi "ngaphambi kwesikhathi," i-PROM ivame kakhulu ngemva kwamasonto angu-37 - lapho ingane ingabe isabhekwa khona ngaphambi kwesikhathi.
Kodwa cishe ngo-3% wokukhulelwa, i-membranes ihlukana ngaphambi kwamasonto angu-37, okwenza isimo esibizwa ngokuthi "preterm" PROM. I-preterm PROM ingaba yingozi yokubeletha noma ukulahlekelwa usana ngaphambi kwesikhathi .
Kungani i-PROM iyingozi:
Izibungu ezivuthwe ngokuvamile zenza umama angene ekusebenzeni. Lokhu akuyona inkinga ngemuva kwamasonto angu-37, kodwa nge-pre-PROM izingozi ziphakeme kakhulu. Izingane ezizalwa ngaphambi kwamasonto angu-37 zibhekene nezinkinga ezingase zibe khona zokungabi nesikhathi sokuqala . Ukwethulwa kwangaphambi kwesikhathi kwangaphambili kungasho ukulahlekelwa ngumntwana.
Ngaphezu kwalokho, lapho odokotela befuna ukuhlehlisa umsebenzi kubantu besifazane abane-PROM yesandulela ngculazi, kukhona ingozi eyengeziwe yokutheleleka kanye nokucindezelwa kwentambo nezinkinga zempilo yengane.
Izimpawu ze-PROM:
Izimpawu ze-PROM zihlanganisa ukuqubuka okungazelelwe kwamanzi okuphuma emzimbeni noma ukuvuza okuqhubekayo ketshezi. Ngezinye izikhathi i-PROM ingabonakala ingakwazi ukuyeka ukuchama. (Ngokusobala, uma unenkinga yokuthi ungaba ne-PROM, bheka udokotela ngokushesha.)
Izingosi Nezimbangela Zengozi:
Izinhlobo ezithile zokutheleleka zibonakala zikwazi ukudala i-PROM yangaphambili, futhi ezimweni ezingavamile izinqubo ezifana ne- amniocentesis zingabangela i-PROM, kodwa abacwaningi abakholelwa ukuthi kukhona imbangela eyodwa yalesi simo. Okulandelayo yizici ezithile eziyingozi:
- Isimo sezomnotho esezansi
- umlando we-PPROM
- ukuphuma ngesikhathi sokukhulelwa
- Ukubhema
- Ngaphambi kokuzalwa ngaphambi kokuzalwa
- Izifo ezithathelwana ngocansi
- Ukukhulelwa okuningi
- Polyhydramnios
Ukwelashwa:
Uma i-PROM ikhiqizwa ngemva kwamasonto angu-37, ukwelashwa okuvamile ukugqugquzela umsebenzi uma umama engena emisebenzini ngokwemvelo, futhi ngaleso sikhathi, umntwana angase azalwe ngaphandle kwezinkinga.
Ngaphambi kwamasonto angu-37 nge-PROM yesandulela, ukwelashwa kuyinkimbinkimbi. Uma umama ephakathi kwamaviki angu-34 no-36, udokotela uzophatha ama-antibiotics eqenjini lama-B ahlukanisa bese ehambisa umntwana. Izingane ezizalwa phakathi kwamasonto angama-34 kuya kwangu-36 ngokuvamile azizinkinga ezinkulu, nakuba zingase zidingeke zihlale ezinakekela izingane ezikhethekile izinsuku ezimbalwa noma amasonto ambalwa.
Ngaphambi kwe-PROM ngaphambi kwamasonto angu-34, udokotela uzovamise ukuvakashela umama bese ezama ukuyeka umsebenzi kuze kube yilapho ingane ikhulile, ihlinzeka ngama-steroids ekuthuthukiseni ukuthuthukiswa kwamaphaphu, kanye nama-antibiotics nokuqapha izimpawu zokutheleleka. Uma ukutheleleka kwenzeka esibelethweni, umntwana angadinga ukukhululwa ngokushesha. Nakuba odokotela banganikeza imithi yokuyeka umsebenzi, iningi labesifazane abanesandulela ngculazi PROM baqeda ukuletha izingane zabo phakathi nesonto elilodwa. Kuncike ekuzalweni kokuzalwa, lokhu kungasho ukuthi ingozi yokukhula kwezingane isanda.
Futhi, izindlela ziyahluka uma i-PPROM ikhona phakathi kwamasonto angu-32 no-34. Abanye odokotela bayokhuthaza ukuletha ingane ngokushesha lapho abanye bekhetha ukuyeka umsebenzi bese bephethe ama-steroid.
I-Preterm PROM ngaphambi kwamasonto angu-24 kunenkinga enkulu kakhulu yomphumela omuhle. Izinkinga zokusinda kwengane ziphansi kakhulu, ikakhulukazi uma odokotela bengakwazi ukulibala ukuqala komsebenzi noma uma sekukhona isifo uma isimo sesitholakala. Ngokuvamile, abantwana abazalwa ngaphambi kwamasonto angu-22 abanalo ithuba lokusinda. Ngesikhathi odokotela bebambezela ukubeletha kuze kufike amasonto angama-23 noma angu-24, umntwana angaphila kwezinye izimo kodwa ezinzima kakhulu ezinkingeni zesikhathi eside zentuthuko ngenxa yokuzalwa ngaphambi kwesikhathi.
Imithombo
Everest, NJ, SE Jacobs, uPG Davis, L. Begg, noS. S. Rogerson, "Imiphumela emva kokuqedwa kwangaphambi kwesikhathi ngaphambi kwesikhathi." I-Archives of Disease ebuntwaneni - I-Fetal ne-Neonatal Edition 2008. Yatholakala ngo-31 Agasti 2008.
Farooqi, A., PA Holmgren, S. Engberg, noF. F. Serenius, "Ukusinda kanye nomphumela weminyaka emibili ngokulawulwa okulindelekile kokuqhekeka kwamagundane." I-Obstetrics & Gynecology 1998. Ithole 18 Aug 2008.
UMedina, uTanya M. noD. Ashley Hill, "Ukutholwa Kwesikhumba Esandulela Ngaphambi Kokuqala: Ukuxilongwa Nokuphathwa." I-American Family Physician 15 Feb 2006. Ukutholakala 18 Aug 2008.