preterm premature membrane rupture.

Preterm Premature Rupture of Membranes (PPROM) "Burbur hore ee keydiyaha uurka ka hor waqtigii loogu talagalay." Waxaa loola jeedaa burburka boorsada amniotic-ka (boorsada ilmaha ku jirta) kahor inta aysan dhalan ilmuhu ama kahor 37 toddobaad ee uurka, taasoo keeni karta in biyaha uurka ka soo daataan (amniotic fluid).

Qodobbada Muhiimka ah ee PPROM:

1. Khatarta uku jira:
• Caabuqyada (sida caabuqyada kaadi mareenka ama caabuqyada galmada)
• Uurka badan (laba ilmaha, saddexda ilmaha, iwm)
• Uurka hore ee soo go’aya ama PPROM
• Xaaladaha caafimaad ee gaarka ah (sida sonkorow, cadaadis dhiig sare)
• Dhaawac ama tallaabooyin caafimaad oo lala xiriirin karo uurka (sida amniocentesis)
• Sigaarka ama isticmaalka maandooriyaha
2. Astaamaha:
• Dhacdo degdeg ah oo biyaha uurka ka soo daataan ama sii daataan
• Dhiig ama dareere biyo leh oo ka soo baxa xubinta taranka
• Mararka qaarkood, wax astaamo ah ma jiraan haddii burburka uu si tartiib ah u dhacayo.
3. Sida loo ogaado:
• Baadhista caafimaad: Dhaqtarku wuxuu baarayaa calaamadaha biyaha ka soo daatay.
• Tijaabooyin: Tijaabooyin kala duwan ayaa lagu xaqiijin karaa PPROM, sida tijaabada nitrazine (tijaabada pH), tijaabada ferning (tijaabada microscopic), ama ultrasound si loo hubiyo heerka biyaha uurka.
4. Maareynta:
• Isbitaal: Haweenka qaba PPROM waxaa badanaa la dhigaa isbitaalka si loo kormeero xaaladooda iyo caafimaadka ilmaha.
• Antibiotics: Si loo yareeyo khatarta infekshinka iyo in uurka la dheereeyo.
• Corticosteroids: Si loo dardar geliyo horumarka sambabada ilmaha haddii uu uurku soo dheeraado.
• Tocolytics: Daawooyin ayaa loo isticmaali karaa in lagu dadajiyo ka-hortagga dhalmada.
• Dhalmada: Haddii infekshinka dhacdo ama haddii ilmaha uu ku filan yahay (badanaa ka dib 34 toddobaad), dhalmo ayaa loo qorsheyn karaa. Haddii uurku hore yahay, kooxda caafimaadku waxay si dhow u kormeerayaan xaaladda waxayna isku dayayaan inay hakadaan dhalmada.
5. Cawaaqibka:
• Infekshinka: Khatarta infekshinka sida chorioamnionitis (caabuqa boorsada amniotic) iyo sepsis.
• Dhalmada hore: PPROM badanaa waxay keentaa dhalmo hore, taasoo khatar ku ah caafimaadka ilmaha, oo ay ku jiraan dhibaatooyinka sambabada iyo dhibaatooyinka kale ee horumarka.
• Ibida inay baxsato: Xadhigga ilmaha ayaa isku dari kara kana baxsan karaa kanaalka dhalmada, taasoo keeni karta in xadhigga ilmaha uu cadaadis saaro oo dhiigga ilmaha uu istaago.