Polyhydramnios

Polyhydramnios waxay dhacdaa marka dheecaanka amniotic aad u badan uu kaco inta lagu jiro uurka. Waxaa sidoo kale loo yaqaan cilladda dareeraha amniotic, ama hydramnios.

Dheecaanka Amniotic waa dareeraha ku xeeran ilmaha caloosha ku jira (minka). Waxay ka timaadaa kelyaha ilmaha, waxayna ka galaan ilmo galeenka kaadida ilmaha. Dareeraha ayaa la nuugaa marka ilmuhu liqo iyo dhaqdhaqaaqa neefsashada.

Inta uu caloosha kujiro, cunuga ayaa dul sabeynaya dareeraha amniotic. Waxay ku wareegsan tahay oo ay barkinta u dhigtaa dhallaanka inta ay uurka leedahay. Qaddarka dheecaanka amniotic-ka ayaa ugu weyn 34 ilaa 36 toddobaad oo uur ah. Markaa qaddarku si tartiib tartiib ah ayuu hoos ugu dhacayaa illaa ilmuhu dhalayo

Dheecaanka amniotic:

• Waxay u ogolaataa ilmaha inuu uurjiifka ku dhaqaaqo, kor u qaadida murqaha iyo koritaanka lafaha
• Waxay ka caawisaa sambabaha ilmaha inay horumariyaan
• Wuxuu ka ilaaliyaa ilmaha kuleylka inuu dhinto isagoo ilaalinaya heerkulka joogtada ah
• Barkimo iyo ka ilaali ilmaha jug lama filaan ah oo kaga timaadda meel ka baxsan ilmo galeenka

Polyhydramnios way dhici kartaa haddii ilmuhu uusan liqin oo uusan qaadin dheecaanka amniotic qaddarka caadiga ah. Tani waxay dhici kartaa haddii ilmuhu leeyahay dhibaatooyin caafimaad qaarkood, oo ay ka mid yihiin:

• Dhibaatooyinka caloosha, sida duodenal atresia, hunguriga atresia, gastroschisis, iyo hernia diaphragmatic
• Dhibaatooyinka nidaamka maskaxda iyo neerfaha, sida anencephaly iyo myotonic dystrophy
• Achondroplasia
• Beckwith-Wiedemann syndrome

Sidoo kale way dhici kartaa haddii hooyadu si xun u xakameyso cudurka macaanka.

Polyhydramnios sidoo kale way dhici kartaa haddii dheecaan badan la soo saaro. Tan waxaa u sabab ah:

• Ciladaha sanbabada qaarkood ee ku dhaca ilmaha
• Uurro badan (tusaale ahaan, mataano ama saddex mataano ah)
• Hydrops fetalis oo ku jirta ilmaha

Mararka qaarkood, sabab gaar ah lama helo.

Wac bixiyaha xanaanada caafimaadkaaga hadii aad uur leedahay una fiirso in calooshaadu si dhakhso leh u weyneyneyso.

Bixiyahaagu wuxuu cabbiraa cabirka calooshaada booqasho kasta. Tani waxay muujineysaa cabirka calooshaada. Haddii uurkaagu u korayo si ka dhakhso badan sidii la filayay, ama uu ka weyn yahay sida caadiga ah da'da uurka ilmahaaga, adeeg bixiyuhu wuxuu:

• Ma waxaad ka soo noqotay wax ka dhakhso badan sidii caadiga ahayd si aad mar kale u hubiso
• Samee ultrasound

Haddii bixiyahaagu helo cilad dhalasho, waxaad u baahan kartaa amniocentesis si loo baaro cillad xagga hidde ah.

Polyhydramnios khafiif ah oo muujiya goor dambe ee uurka badiyaa ma keeno dhibaatooyin daran.

Polyhydramnios daran ayaa lagu daaweyn karaa daawo ama iyadoo dheecaan dheeri ah lagaa saarayaa.

Haweenka qaba polyhydramnios waxay u badan tahay inay ku foolato foosha hore. Ilmuhu wuxuu u baahan doonaa in lagu dhalo isbitaal. Habkaas, adeeg bixiyeyaashu isla markiiba way hubin karaan caafimaadka hooyada iyo ilmaha waxayna siin karaan daaweyn haddii loo baahdo.

Uurka - polyhydramnios; Hydramnios - polyhydramnios

• Polyhydramnios

Buhimschi CS, Mesiano S, Muglia LJ. Cudurka 'Pathogenesis' ee dhalashada hore ee dhalashada. Gudaha: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy iyo Daawada Hooyada-Uur-qaadista ee Resnik: Mabaadi'da iyo Tababarka. 8aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 7.

Gilbert WM. Ciladaha dareeraha amniotic. Gudaha: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Uurka: Uurka Caadiga ah iyo Dhibaatada. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 35.

Suhrie KR, Tabbah SM. Uurjiifka Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 115.