Ukuqhawula Amanzi: Yintoni, Izizathu, Iimpawu, kunye Nexesha Lokufuna Uncedo Lwezonyango

Ukuqhawuka kwamanzi, okukwabizwa ngokuba kukuqhambuka kwenwebu, sisiganeko esibalulekileyo ngexesha lokukhulelwa esibonisa ukuqala kokubeleka. Ibhekisela ekuqhawukeni kwengxowa ye-amniotic, equlethe ulwelo olujikelezayo nolukhusela usana. Kweli nqaku, siza kuphonononga izizathu, iimpawu, ukuxilongwa, kunye nokhetho lonyango lokuphulwa kwamanzi, kunye nexesha lokufuna unyango.

Yintoni Ukuqhawula Amanzi?

Ukuqhawulwa kwamanzi kukugqabhuka kwe-amniotic sac, kukhupha i-amniotic fluid ejikeleze usana ngexesha lokukhulelwa. Esi siganeko sidla ngokunxulunyaniswa nokuqala kokubeleka, kodwa sinokubakho ngaphambi kokuba kuqale ukuqhawuka. Kwezinye iimeko, amanzi anokwaphuka ngaphambi kwexesha, nto leyo enokufuna ungenelelo lonyango. Ngelixa amanzi akho ephuka, unokufumana i-gush okanye ithontsi lolwelo kwilungu lakho lobufazi.

Iimbangela zokuqhekeka kwamanzi

Oyena nobangela uphambili wokuqhekeka kwamanzi kukuqhubekeka kwendalo kwabasebenzi. Nangona kunjalo, kukho izinto ezininzi ezinokuthi zibe negalelo okanye zonyuse amathuba okugqabhuka kweembrane (PROM) okanye ukophuka kwamanzi kwangoko:

• Ukukhulelwa kwexesha Elipheleleyo: Ngexesha okanye kufuphi nexesha elipheleleyo, uxinzelelo oluvela kwintloko yomntwana kwi-amniotic sac inokubangela ukuba igqabhuke ngokwemvelo.
• Unyino lwezabasebenzi: Ukucutheka okunamandla kunokubeka uxinzelelo kwi-sac, ekhokelela ekubeni iqhekeze kwaye ikhuphe ulwelo.
• UKuqhekezwa Kwangaphambi Kokuba KweeMembranes (PROM): Oku kwenzeka xa amanzi ephuka ngaphambi kokuba kuqale ukuzala, okunokwenzeka ngezizathu ezahlukeneyo, ezifana nosulelo, ukwenzakala, okanye ukukhulelwa izihlandlo ezininzi.
• Usulelo: Usulelo oluchaphazela i-amniotic sac okanye umlomo wesibeleko lungenza buthathaka ingxowa kwaye ibangele ukuba igqabhuke ngaphambi kwexesha.
• Ukuzalwa Kwangethuba: Abasetyhini abafumene ukuzalwa ngaphambi kwexesha ngaphambili banokuba semngciphekweni omkhulu wokuqhawuka kwamanzi kwangethuba kukukhulelwa okulandelayo.
• Ukukhulelwa Okuninzi: Abasetyhini abathwele amawele okanye ii-multiple-order multiples banokuba nethuba elikhulu lokuqhawuka kwamanzi ngaphambi kwexesha ngenxa yoxinzelelo olongezelelweyo kwi-amniotic sac.

Iimpawu ezidityanisiweyo zokuqhekeka kwamanzi

Olona phawu luphambili lokuqhekeka kwamanzi kukukhutshwa kwe-amniotic fluid, kodwa kukho ezinye iimpawu kunye neempawu ezinokuhamba nazo:

• I-Gush okanye i-Trickle yolwelo: Olona phawu lucacileyo kukuthontsiza kolwelo oluphuma kwilungu lobufazi, nangona abanye abantu basetyhini banokufumana ukuthontsiza okucothayo kolwelo.
• Ukukhutshwa kwamanzi: Ukuba amanzi akho ayaphuka, ulwelo lunokuthi lucace okanye lube tyheli kancinane. Ukuba iluhlaza okanye i-brown, ingabonisa ukuba umntwana uye waba nesisu esiswini, efuna unyango olukhawulezileyo.
• Unyino lwezabasebenzi: Emva kokuqhawula kwamanzi, ukucutheka ngokuqhelekileyo kulandela, kubonisa ukuqala komsebenzi. Nangona kunjalo, abanye abasetyhini banokufumana ukuncipha ngaphambi kokuba amanzi aphuke.
• Ukuziva Uxinzelelo: Unokufumana uxinzelelo olongezelelweyo okanye ukungonwabi kwingingqi yakho ye-pelvic njengoko umntwana ehla ezantsi kumjelo wokuzala.
• Ukukhutshelwa kwegazi: Abanye besetyhini banokuqaphela inani elincinci legazi kulwelo okanye njengokubona, okuqhelekileyo kwiimeko ezininzi, kodwa kusafuneka kubekwe iliso.

Ixesha Lokufuna Ingqalelo Yezonyango

Kubalulekile ukufuna unyango ngokukhawuleza xa amanzi akho ephuka, ngakumbi ukuba kwenzeka ngaphambi kweeveki ezingama-37 zokukhulelwa (ngaphambi kwexesha). Ukuba amanzi akho aqhawuka phambi kokuba ubeleke, okanye ukuba ufumana naziphi na ezi mpawu zilandelayo, kufuneka uqhagamshelane nomboneleli wakho wezempilo ngokukhawuleza:

• Ukuqhawulwa kwaManzi ngaphambi kwexesha: Ukuba amanzi akho aphuka phambi kweeveki ezingama-37, oku kuthathwa njengokwangaphambi kwexesha, kwaye kufuneka ufumane unyango ngokukhawuleza.
• Ukopha kakhulu: Ukuba ufumana ukopha okukhulu kunye nokugqabhuka kweembrane, kunokubonisa ingxaki efana nokuphazamiseka kwe-placenta.
• Umbala wolwelo olungaqhelekanga: Ukuba ulwelo luluhlaza, lumdaka, okanye lunevumba elibi, oku kungabonisa usulelo okanye i-meconium kulwelo, kwaye ingqwalasela ekhawulezileyo iyimfuneko.
• Ifiva: Ukuba unomkhuhlane emva kokuphuka kwamanzi, oku kungabonakalisa usulelo, olufuna unyango olungxamisekileyo.
• UkuNtshukuma okuNcitshisiweyo kweFetal: Ukuba umntwana uhamba ngaphantsi kwesiqhelo emva kokuphuka kwamanzi akho, kubalulekile ukubonisana nodokotela wakho.

Ukuxilongwa kokuqhawulwa kwamanzi

Xa amanzi akho ephuka, umboneleli wakho wezempilo uya kwenza iimvavanyo ezininzi ukuqinisekisa ukugqabhuka kweembrane kunye nokumisela amanyathelo alandelayo okunyamekela:

• Uvavanyo loMzimba: Umboneleli wezempilo uya kukuvavanya ukujonga iimpawu zokuvuza kwe-amniotic fluid kwaye enze uvavanyo lwe-pelvic ukuvavanya umlomo wesibeleko kunye ne-amniotic sac.
• Uvavanyo lwe-Amniotic Fluid: Umboneleli unokusebenzisa i-speculum engenazintsholongwane ukuqokelela isampulu yolwelo aze enze uvavanyo lokukhangela i-amniotic fluid.
• Ultrasound: I-ultrasound inokwenziwa ukujonga ubungakanani bolwelo olujikeleze usana kunye nokubeka iliso kwimpilo yosana.
• Ukubek'esweni kwabasebenzi: Ukuba uyabeleka emva kokuqhawuka kwamanzi, umboneleli wakho uya kujonga ukufinyela, ukubetha kwentliziyo yosana, kunye nenkqubela yokubeleka.

Iinketho zoNyango lokuqhekeka kwaManzi

Unyango lokuqhekeka kwamanzi luxhomekeke ekubeni ukuzala kusondele, nokuba ukukhulelwa lixesha elipheleleyo okanye ngaphambi kwexesha, kunye nempilo yonke yomama kunye nosana:

• Ngokukhulelwa kwexesha elipheleleyo: Ukuba amanzi akho aqhawuka kwaye umsebenzi awukaqalisi, umboneleli wakho wezempilo uya kukubeka esweni ngokusondeleyo kwaye unokucebisa ukuqaliswa kokubeleka ukuba akuqali kwiiyure ezimbalwa.
• Ngokukhulelwa kwangaphambi kwexesha: Ukuba amanzi akho aphuka phambi kweeveki ezingama-37, umboneleli wakho unokukungenisa esibhedlele ukuze ubeke iliso kuwe kunye nosana ngokusondeleyo. Amayeza anokunikezelwa ukunceda ukuthintela usulelo, ukulawula ukuqhawuka, okanye ukukhawulezisa ukukhula kwemiphunga kusana.
• amachiza: Ukuba kukho umngcipheko wokusuleleka emva kokuphuka kwamanzi, i-antibiotics inokumiselwa ukukhusela iingxaki ezifana nokusuleleka kwe-amniotic sac okanye isibeleko.
• Ukuhanjiswa: Ukuba ukubeleka kuqalile okanye kubangelwa emva kokuphumla kwamanzi, iindlela ezahlukeneyo zokubeleka zinokusetyenziswa, ngokuxhomekeke kwimpilo kamama nosana. Utyando lunokwenziwa ukuba kukho iingxaki.

Iintsomi kunye neeNyaniso malunga nokuQotywa kwamanzi

Kukho iintsomi ezininzi ezijikeleze isenzeko sokuqhekeka kwamanzi. Makhe sicacise ezinye zeengcamango eziphosakeleyo eziqhelekileyo:

• Ubuxoki: Amanzi ahlala egqabhuka ngokumangalisayo.
• Nyaniso: Amanzi anokuqhawuka kancinci kancinci okanye avuze nje kancinci, angabonakali kangako.
• Ubuxoki: Nje ukuba amanzi akho agqabhuke, umsebenzi kufuneka uqale kwangoko.
• Nyaniso: Kwiimeko ezininzi, umsebenzi uqala ngokukhawuleza emva kokuphuka kwamanzi, kodwa kunokuthatha iiyure okanye iintsuku kwezinye iimeko.
• Ubuxoki: Awunako ukufumana usulelo emva kokuqhawula amanzi akho.
• Nyaniso: Ukuba amanzi akho aqhawuka kwaye umsebenzi ungaqali, kukho ingozi eyongeziweyo yosulelo, yiyo loo nto kubalulekile ukuba ufune unyango ngokukhawuleza.

Iingxaki zokuqhawulwa kwamanzi okungaphendulwanga

Ukuba amanzi aphuka ngaphambi kwexesha kwaye ashiywe engaphathwanga, kunokubakho imingcipheko emininzi kunye neengxaki:

• Usulelo: Emva kokuba i-amniotic sac igqabhukile, kukho ingozi eyongeziweyo yosulelo kumama kunye nosana, kuquka i-chorioamnionitis.
• Ukuzalwa Kwangaphambi kwexesha: Ukuqhawuka kwangaphambi kwexesha kwenwebu kunokukhokelela ekuzalweni kwangaphambi kwexesha, nto leyo enokufuna ukhathalelo olukhethekileyo losana olusanda kuzalwa ukuze kuqinisekiswe impilo yomntwana kunye nokuphila.
• I-Umbilical Cord Prolapse: Kwezinye iimeko, inkaba inokutyibilika kumlomo wesibeleko emva kokuba kuqhawuke amanzi, nto leyo enokuthintela ukuhamba kwegazi kunye neoksijini emntwaneni.

Ii-FAQ malunga nokuQhawulwa kwamanzi

1. Kuvakala njani xa amanzi akho egqabhuka?

Xa amanzi akho egqabhuka, unokuziva uqhushuza ngequbuliso okanye ulwelo olucothayo olusuka kwilungu lobufazi. Ngokuqhelekileyo ihamba kunye nokuziva uxinzelelo okanye ukungahambi kakuhle kwindawo ye-pelvic.

2. Ngaba uyakwazi ukulawula ukuqhekeka kwamanzi?

Hayi, ukuqhawulwa kwamanzi yinkqubo yendalo eyenzeka ngenxa yoxinzelelo oluvela entloko yomntwana okanye ukuqhubela phambili kwemvelo kokubeleka. Ayinakulawulwa okanye ithintelwe.

3. Kuqala ixesha elingakanani emva kokuphumla kwakho amanzi?

Umsebenzi unokuqala ngokukhawuleza emva kokuphuka kwamanzi, kodwa kunokuthatha iiyure ezininzi okanye iintsuku kwezinye iimeko. Umboneleli wakho wezempilo uya kukubeka esweni ngokusondeleyo ngeli xesha.

4. Ngaba ukuqhawuka kwamanzi kunokwenzeka ngaphandle kokucutheka?

Ewe, amanzi anokuqhawuka ngaphambi kokuba kuqalise ukuzala, okanye kusenokwenzeka ngaphambi kokuba ukufinyela kube namandla okanye rhoqo. Kule meko, kuya kufuneka ukuba kukhuthazwe umsebenzi.

isiphelo

Ukuqhawulwa kwamanzi sisiganeko esibalulekileyo kwinkqubo yokukhulelwa, ehlala ibonisa ukuqala kokubeleka. Kubalulekile ukuqonda izizathu ezinokuthi zibekho, iimpawu, kunye neengozi ezinxulumene nokuqhekeka kwamanzi. Ukuba ufumana olu phawu, kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza ukuqinisekisa ukhathalelo olufanelekileyo kuwe nosana lwakho. Ngokungenelela kwezonyango ngexesha elifanelekileyo, ukuphulwa kwamanzi kunokulawulwa ngokukhuselekileyo nangempumelelo.