Chorioamnionitis waa infakshanka bakteeriyada ee xuubka uurjiifka ku wareegsan ilmo-galeenka (chorion iyo amnion) iyo dareeraha amniotic (dareeraha uurjiifku ku dhaco) xilliga uurka. Xaaladdan waxay ku dhacdaa qiyaastii 2 boqolkiiba dhalmada, iyo marka aan la ogaanin lana daweyn, waxay keeni kartaa dhibaatooyin daran oo hooyada iyo ilmaha .
Cawaaqibka ah "chorioamnionitis" way kala duwan yihiin. Xaaladaha ugu fiican, marka infekshanka la ogaado oo lagu daaweeyo waqtigaa, ma jiri karto dhibaatooyin mudo dheer ah adiga ama ilmahaagu aad uga sii gudbi kartid. Dhakhaatiirtu waxay kormeeri doonaan ilmahaaga calaamadaha caabuqa soo hoyay, laakiin sida laga soo xigtay bishii March ee Dimes, nasiib wanaag, qiyaastii 95 ilaa 97 boqolkiiba ilmaha qaba infekshanka nooca B, mid ka mid ah noocyada bakteeriyada laga helo chorioamnionitis, ka soo kabashada caawimada antibiotics. Ilmaha uurku waa mid aad u nugul in uu ku dhaco dhibaatooyin halis ah ama dhimasho sabab u ah infakshanka.
Sababaha iyo Ciladaha Halista ah
Chorioamnionitis waxay dhacdaa marka bakteeriyadu ay jebiso difaaca caadiga ah ee ilmo-galeenka, sida badanaa ka soo baxa hoosta xubinta taranka. Ciqaabayaasha caamka ah waxaa ka mid ah kooxo B iyo E. coli . Waxa aad u badan tahay inaad yeelatid chorioamnionitis haddii aad haysato dhalmo waqti dheer ka dib marka xuubahaagu ay dillaaceen, oo sidoo kale loo yaqaan markii biyahaagu jabo.
Chorioamnionitis badiyaa waxay dhacdaa inta badan dhalmada ka horeysa .
Astaamaha
Haddii caabuqu dhaco inta lagu jiro foosha ama dhalmada, calaamadaha chorioamnionitis waxaa ka mid ah:
- Qandho
- Dhidid
- Qiyaasta wadnaha ee uur-jiifka ama hooyada
- Xanuun uterineine
- Kalluun aan caadi ahayn oo aan caadi ahayn
Haddii uu cudurku dhaco inta uurka le'eg, waxaa laga yaabaa inaadan arag wax calaamado ah.
Ciladeynta iyo Daaweynta
Haddii dhakhtarku uu ka shakiyo inaad qabto chorioamnionitis ka hor intaadan galin foosha, waxay ku ogaan karaan caabuqa amniocentesis iyo baaritaanka dheecaanka amniotic ee calaamadaha bakteeriyada. Haddii xaalad la tuhunsan yahay inta lagu jiro foosha, dhakhtarkaagu wuxuu sameyn karaa baaritaan caafimaad wuxuuna dooran karaa daaweyn ku salaysan calaamadaha bukaan-socodka.
Sida dhakhtarkaaga ula dhaqmo cudurkaaga waxay kuxirantahay xaalladaada shakhsi ahaaneed. Caadi ahaan, daaweyntu waxay ku lug leedahay antibiyootika xididdada. Kiisaska kale waxay ubaahan yihiin dhalashada degdegga ah ee ilmaha. Ka dib dhalmada, adiga iyo cunugaaga labadaba waxaa laga yaabaa inay u baahdaan in ay sii wadaan qaadashada antibiotics maalin ama laba.
Haddii xaalada daran tahay ama aan la daaweyn, waxaa laga yaabaa inaad la kulanto dhibaatooyin macquul ah sida infakshanka caloosha ama miskaha, sepsis (infekshanka dhiigga), endometritis (infekshanka kudubka ilmagaleenka), ama xinjir dhiig oo ku jira sanbabada ama miskaha. Dhibaatooyinka cunuggaaga waxaa ka mid noqon kara sepsis, dhibaatooyinka neefsiga, iyo meninjir (cudur ku dhaca maskaxda iyo xangulada laf-dhabarka).
Xaaladaha qaarkood, gaar ahaan marka chorioamnionitis ay ku dhacdo horraan xilliga uurka, waana asymptomatic, infekshanku wuxuu sababi karaa foosha shaqada ama xataa dhalashada. Cilmi baaris ayaa soo jeedinaysa in chorioamnionitis ay tahay arrin caan ku ah dhalmada aan la garaneynin, waxaana jira caddayn muujinaysa in xaalad lafteedu ay sabab u tahay dhalashada xaaladahaas.
Nasiib daro, wax badan maahan in la ogaado qatarta ku saabsan cidda laga yaabo in ay halis u tahay caabuqyada asymptomatic goor hore ama sida ugu wanaagsan ee loo baadho loona daweeyo caabuqyada hore.
Ilaha:
Chorioamnionitis. Jaamacadda Nidaamka Caafimaadka ee Virginia.
Cagaarshowga B ee Cagaarshowga. March ee Dimes.
Holzman, Claudia, Ximin Lin, Patricia Senagore iyo Hwan Chun. "Maadada Chorioamnionitis iyo Deletery Deletery." Somali Journal of Epidemiology 2007 166 (7): 786-79.
Lahra MM, Gordon A, Jeffery HE. "Chorioamnionitis iyo jawaabta uurjiifka ee dhalashada." Am J. Obstet Gynecol. 2007 Mar; 196 (3): 229.e1-4.
Moyo SR, Hägerstrand I, Nyström L, Tswana SA, Blomberg J, Bergström S, Ljungh A. "Dhalashada iyo infakshanka intrauterine, chorioamnionitis histolopathyology iyo natiijooyinka microbiological." Int J Gynaecol Obstet. 1996 Aug; 54 (2): 115-23.
Xanuunka infalawansada wuxuu noqon karaa sabab weyn oo ah dhalashada Iswidhan. " Acta Obstet Gynecol Scand. 2001 Juun; 80 (6): 511-8.