Polyhydramnios

Polyhydramnios e etsahala ha amniotic fluid e ngata haholo e ntse e eketseha nakong ea bokhachane. E boetse e bitsoa amniotic fluid disorder, kapa hydramnios.

Amniotic fluid ke mokelikeli o potileng lesea le ka popelong. 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.

Ha lesea le le ka popelong, le phaphamala ka har'a mokelikeli oa amniotic. E potoloha le ho koala lesea nakong ea bokhachane. Palo ea amniotic fluid e kholo ho feta libeke tse 34 ho isa ho tse 36 tsa bokhachane. Joale chelete e fokotseha butle ho fihlela ngoana a hlaha.

Mokelikeli oa amniotic:

• E lumella lesea ho tsamaea ka popelong, ho holisa kholo ea mesifa le masapo
• E thusa matšoafo a lesea ho hola
• E sireletsa lesea ho tsoa tahlehelong ea mocheso ka ho boloka mocheso o lula o le teng
• Mesamo le ho sireletsa lesea ho maqeba a tšohanyetso a tsoang kantle ho popelo

Polyhydramnios e ka hlaha haeba lesea le sa metse le ho monya mokelikeli oa amniotic ka bongata bo tloaelehileng. Sena se ka etsahala haeba lesea le na le mathata a itseng a bophelo bo botle, ho kenyeletsoa:

• Mathata a ka mpeng, a kang duodenal atresia, esophageal atresia, gastroschisis le hernia e nang le diaphragmatic
• Mathata a tsamaiso ea boko le methapo, joalo ka anencephaly le myotonic dystrophy
• Achondroplasia
• Lefu la Beckwith-Wiedemann

Ho ka etsahala hape haeba mme a na le lefu la tsoekere le sa laoleheng hantle.

Polyhydramnios le eona e ka hlaha haeba ho hlahisoa mokelikeli o mongata haholo. Sena se ka bakoa ke:

• Mathata a mang a matšoafo ho lesea
• Ho ima hangata (mohlala, mafahla kapa mafahla a mararo)
• Hydrops fetalis ka lesea

Ka linako tse ling, ha ho na lebaka le ikhethang le fumanoang.

Bitsa mofani oa tlhokomelo ea bophelo haeba u imme 'me u hlokomele hore mpa ea hao e hola kapele haholo.

Mofani oa hau o lekanya boholo ba mpa ea hau ketelong e ngoe le e ngoe. Sena se bontša boholo ba popelo ea hau. Haeba popelo ea hau e hola kapele ho feta kamoo ho neng ho lebelletsoe, kapa e kholo ho feta e tloaelehileng bakeng sa lilemo tsa ngoana oa hau tsa boimana, mofani a ka:

• Na u khutlile kapele ho feta tloaelo ho e sheba hape
• Etsa ultrasound

Haeba mofani oa hau a fumana bothata ba tsoalo, o kanna oa hloka amniocentesis ho etsa liteko tsa lefutso.

Polyhydramnios e bonolo e hlahang hamorao nakong ea bokhachane hangata ha e bake mathata a tebileng.

Li-polyhydramnios tse matla li ka phekoloa ka meriana kapa ka ho tlosoa mokelikeli o mong.

Basali ba nang le polyhydramnios ba na le monyetla oa ho kena mesebetsing ea pelehi. Lesea le tla hloka ho pepeloa sepetlele. Ka tsela eo, bafani ba ka hlahloba bophelo bo botle ba mme le lesea hanghang mme ba fana ka kalafo ha ho hlokahala.

Ho ima - polyhydramnios; Hydramnios - polyhydramnios

• Li-polyhydramnios

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Ngolo ea Gilbert WM. Mathata a amniotic fluid. Ka: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Likokoana-hloko: Bokhachane bo tloaelehileng le ba bothata. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 35.

Suhrie KR, Tabbah SM. Lesea. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 115.