Ukukhishwa Kwesikhumba Ngaphambi Kwesikhashana (PROM)
Sivame ukuhlobanisa amanzi aphula ngokusebenza. Ngezinye izikhathi, amanzi angaphula ngaphambi kokuqala komsebenzi. Lokhu kwaziwa ngokuthi ukuqhekeka kwangaphambi kwesikhathi kwe-membrane (PROM). Uma amanzi akho ephuka ngaphambi kokuthi unamaviki angu-37 ukhulelwe, lokhu kubizwa ngokuthi i-preterm ngaphambi kokuqedwa kwamakhanda (PPROM).
Okufanele Ukwenze Uma Ukuphuza Kwakho Amanzi
Uma amanzi akho ephuka ngaphambi kokuba uqale ukuhlukana , uzonikezwa izinketho ezimbalwa ngokusekelwe kwezinye izimpawu zakho kanye nomlando wakho wezokwelapha.
Izinketho onayo zizonikwa udokotela noma umbelethisi wakho. Nonke unganquma ukuthi yini engcono kuwe. Ezinye izincomo kungenzeka zingaphephile futhi kungenzeka ukuthi ungaphenduli kwabanye, unikezwe umlando wakho wezokwelapha.
Uzophinde ufune ukuxoxa lapho kufanele uye esibhedlela noma ehhovisi likadokotela, noma uma uhlela ukuzalwa ekhaya uma udokotela wakho efika kuwe ukuyohlola wena nomntwana.
Ukulinda okuqaphile
Ngezinye izikhathi kuzothatha amahora ambalwa ukuphambana nokukhahlela kumagesi. Uma nje wena nodokotela wakho uhamba kahle, ukulinda isikhashana kungase kudingeke ukuthi ucabange ukuthi wena nomntwana wenza kahle. Lokhu kusho ukuthi:
- Awekho amabhati
- Akukho ocansini
- Akukho okungena emkhathini wakho
Ama-antibiotic ayinconywa kuwo wonke abesifazane abathola i-PROM. Uma kungekho ukutheleleka, azikho izinzuzo zokuzisebenzisa futhi zikhona izingozi ezingase zihlotshaniswe nokusetshenziswa kwazo.
Kukhona futhi umbuzo wokuthi ngabe ukunakekelwa kufanele kunikezwe ekhaya noma endaweni yesibhedlela.
Njengamanje, asinayo idatha eyanele yokusho ukuthi omunye uba nomphumela ongcono. Kwabaningi, kuyintandokazi yomuntu siqu.
Ngokuvamile, kuphephile ukuhlala ekhaya uma nje ungabonakali izimpawu zokutheleleka: awusebenzisi umkhuhlane, akukho nphunga elimnandi, futhi akukho okuketshezi oluthile. Ucwaningo olulodwa lwabika ukuthi ukulinda kwaze kwafika emahoreni angu-24, eyaziwa ngokuthi ukuphathwa okulindelekile, akubanga ukwanda kwezinkinga uma nje umama nomntwana bengenalo isifo.
Izindlela Zokukhuthazwa Kwezemvelo
Ungakhetha ukungena emsebenzini usebenzisa izindlela zemvelo. Ungazama ukuvuselela i-ingono, usebenzisa izandla zakho, noma ipompo lesifuba ukukhuthaza izingono zakho . Lokhu kusiza ukhiqize i- oxytocin , engasiza ekuqeni ukuqala kokuphambana . Uma ungenayo ipompo yebele ungase uthole eyodwa kusuka kumxhumanisi wesibhedlela esibhedlela.
Ungazama futhi ukuhamba uhamba ukuze uthole umsebenzi. Ukuhamba nxazonke endlini noma ngaphandle kungakusiza. Ukuphefumula kungase kube usizo. Lokhu kuhilela ukusebenzisa ukucindezela kwamanye amabala emzimbeni wakho, njengophahla lomlomo wakho, ukusiza ukuvuselela i-oxytocin kanye nokusebenza.
Izindlela Zezokwelapha Zokuthola Umsebenzi Ukuhamba
Uma udokotela wakho ancoma, ukungenelela kwezokwelapha kungasiza futhi uma ungafuni ukulinda. I-Pitocin iyindlela yokwenza i - oxytocin , umsebenzi wemvelo obangela i-hormone. Inikezwa nge-IV ehlanganiswe nepompe ekhethekile ehlinzeka nje ngomthamo ofanele.
Inikezwa kuphela ezibhedlela ezinokuqapha okuhle kokubeletha ngenxa yezingozi ezikhulayo kuwe nomntanakho, njengokucindezeleka komntwana , ukucindezeleka komntwana , ukuphika okunamandla noma okude , nokuhlukana komzimba.
Kuthiwani Nge-PPROM?
Ukuqhekeka kwangaphambi kokuqanda kwamakhanda akufani. Inkambo yesenzo iyoxhomeke kakhulu ekutheni uhlala kangakanani ekukhulelweni kwakho futhi uma abahlinzeki bakho bokunakekelwa kwezempilo bangakwazi ukubona imbangela yokuphulwa kwamanzi.
Isibonelo, uma amanzi akho ephukile ngenxa yesifo, ama-antibiotic e-IV angase aqale ngokushesha ngenkathi enquma ukuthi ngabe ingane idinga ukuhanjiswa ngokushesha.
Enye inkambo yokusebenza kungase kube ukusebenzisa i-corticosteroids ukusiza amaphuphu wengane yakho evuthiwe uma ukukhulelwa kwakho kungaphezu kwamasonto angama-32 ukubeletha. Ngenkathi ungase usenalo ingane yakho kusenesikhathi, ama-steroids asiza ukunciphisa inani lezinkinga ingane yakho eke yazalwa ngayo.
Izwi elivela ku-Verywell
Uma uhlangabezana nokuphuza kwamanzi ngaphambi kokuqala komsebenzi, shayela umbelethisi wakho noma udokotela ukuze uxoxe ngezimpawu zakho. Lokhu kuzokusiza ukuba ukhethe inkambo yokuphepha enhle kunazo zonke kulokhu kukhulelwa.
Yazi ukuthi ngokuqhubekayo uvela ngosuku lwakho olufanele, kungenzeka ukuthi udinga ukunakekelwa okusekelwe esibhedlela ukukusiza ukuthi ube nomntwana onempilo.
> Imithombo:
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> I-Chandra I, Sun L. Ingxenye yesithathu ye-trimester kanye ne-term break of prembranes: Ingabe kukhona umehluko kubunina bomama kanye nemiphumela yokukhulelwa? J Chin Med Assoc. 2017 Apr 18. pii: S1726-4901 (17) 30060-6. i-doi: 10.1016 / j.jcma.2016.12.006. [I-Epub ngaphambi kokuphrinta]
> Dussaux C, Senat MV, Bouchghoul H, Benachi A, Mandelbrot L, Kayem G. Ukuqedwa kwangaphambi kwesimiso: ukunakekelwa ekhaya kuyamukeleka? I-Matern Fetal Fetal Neonatal Med. 2017 Jun 14: 1-18. i-doi: 10.1080 / 14767058.2017.1341482. [I-Epub ngaphambi kokuphrinta]
> Lorthe E, Goffinet F, Marret S, Vayssiere C, Flamant C, Quere M, Benhammou V, Ancel PY, Kayem G. Tocolysis emva kokuqedwa kwesandulela sezinambuzane kanye nomphumela we-neonatal: ukuhlaziywa kwe-propensity-score. Am J Obstet Gynecol. 2017 Apr 13. pii: S0002-9378 (17) 30516-1. doi: 10.1016 / j.ajog.2017.04.015. [I-Epub ngaphambi kokuphrinta]
> Wojcieszek AM, Stock OM, Flenady V. Ama-antibiotics okuqhekeka kokuqala kwezingqimba esikhathini noma eduze. Database Cochrane Yokuhlolwa Okuhlelekile 2014, Issue 10. Art. Cha: CD001807. I-DOI: 10.1002 / 14651858.CD001807.pub2