Li-Hydramnios

Hydramnios ke boemo bo etsahalang ha amniotic fluid e ngata e eketseha nakong ea bokhachane. E boetse e bitsoa amniotic fluid disorder, kapa polyhydramnios.

Amniotic fluid ke mokelikeli o potolohang le ho koala lesea le ka pōpelong (lesea le e-s'o hlahe) kahare ho popelo. E tsoa liphio tsa ngoana, 'me e kena ka popelong e tsoa morong oa lesea. Mokelikeli ona o monyeloa ha ngoana a o koenya le ka ho phefumoloha.

Palo ea mokelikeli e eketseha ho fihlela bekeng ea bo36 ea bokhachane. Ka mor'a moo, butle-butle fokotseha. Haeba lesea le etsa moroto o mongata kapa le sa metle ka ho lekaneng, amniotic fluid e ea hola. Sena se baka hydramnios.

Li-hydramnios tse bonolo li kanna tsa se ke tsa baka mathata. Hangata, mokelikeli o eketsehileng o hlahang nakong ea trimester ea bobeli o khutlela setloaeling ka bo oona. Li-hydramnios tse bonolo li atile haholo ho feta li-hydramnios tse matla.

Li-Hydramnios li ka hlaha nakong ea bokhachane bo tloaelehileng bo nang le masea a fetang a le mong (mafahla, mafahla a mararo kapa ho feta).

Li-hydramnios tse matla li ka bolela hore ho na le bothata ka lesea le ka popelong. Haeba u na le li-hydramnios tse matla, mofani oa hao oa tlhokomelo ea bophelo o tla batla mathata ana:

• Liphoso tsa tlhaho ea boko le mokokotlo oa mokokotlo
• Li-blockages tsamaisong ea tšilo ea lijo
• Bothata ba lefutso (bothata ba li-chromosome tse futsitsoeng)

Ka makhetlo a mangata, sesosa sa hydramnios ha se fumanoe. Maemong a mang, e amana le ho ima ho basali ba nang le lefu la tsoekere kapa ha lesea le le leholo haholo.

Hangata hydramnios e bonolo ha e na matšoao. Etsa bonnete ba hore o bolella mofani oa hau haeba u na le:

• Ho hema ka thata
• Bohloko ba Belly
• Ho ruruha kapa ho ruruha ha mpa

Ho lekola li-hydramnios, mofani oa hau o tla lekanya "bophahamo ba chelete" nakong ea tlhahlobo ea hau ea bakhachane. Bophahamo ba lichelete ke sebaka ho tloha lesapong la hao la pubic ho ea holimo ka popelong ea hau. Mofani oa hau o tla hlahloba kholo ea ngoana oa hau ka ho utloa popelo ea hau ka mpeng.

Mofani oa hau o tla etsa ultrasound haeba ho na le monyetla oa hore o ka ba le hydramnios. Sena se tla lekanya bongata ba amniotic fluid ho potoloha lesea la hau.

Maemong a mang, matšoao a hydramnios a ka phekoloa empa sesosa se ke ke sa phekoloa.

• Mofani oa hau a ka batla hore u lule sepetlele.
• Mofani oa hau a ka fana ka moriana ho thibela ho pepa pele ho nako.
• Ba kanna ba tlosa tse ling tsa amniotic fluid ho fokotsa matšoao a hau.
• Liteko tsa khatello ea maikutlo li ka etsoa ho netefatsa hore lesea ha le kotsing (Liteko tsa khatello ea maikutlo li kenyelletsa ho mamela ho otla ha pelo ea lesea le ho lekola ho tsitsipana ha metsotso e 20 ho isa ho e 30.)

Mofani oa hau a ka etsa liteko ho fumana hore na hobaneng o na le mokelikeli o mong. Tsena li ka kenyelletsa:

• Liteko tsa mali ho hlahloba lefu la tsoekere kapa tšoaetso
• Amniocentesis (teko e lekolang amniotic fluid)

Li-Hydramnios li ka etsa hore u qale ho beleha pele ho nako.

Ho bonolo hore lesea le nang le mokelikeli o mongata le potolohe ho phetla le ho fetoha. Sena se bolela hore ho na le monyetla o moholo oa ho ba maemong a tlase (breech) ha nako ea ho fana e fihla. Breech masea ka linako tse ling a ka fallisetsoa tlase, empa hangata a tlameha ho tlisoa ke karolo ea C.

U ke ke ua thibela hydramnios. Haeba u na le matšoao, bolella mofani oa hau hore o tle o hlahlojoe le ho phekoloa, ha ho hlokahala.

Lefu la Amniotic fluid; Polyhydramnios; Mathata a bokhachane - hydramnios

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis ea tlhaho ea tlhaho ea tlhaho. Ka: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds. Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 7.

Ngolo ea Gilbert WM. Mathata a amniotic fluid. Ka: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Li-Obstetrics tsa Gabbe: Bokhachane bo Tloaelehileng le Bothata. La 8th. Philadelphia, PA: Elsevier; 2021: khaolo ea 28.

• Mathata a bophelo bo botle nakong ea bokhachane