Malamulo a amniotic madzimadzi index mwa sabata. Zoyambitsa, matenda ndi mankhwala a wosaperewera madzi amayi apakati

Chikalata dzina mankhwala a madzimadzi amniotic - amniotic madzimadzi. Ndi madzi biologically yogwira sing'anga, amene ali nembanemba ndi yoopsa ndi chimakwirira umawonongeka.

Nchito ya madzimadzi amniotic

Amniotic madzimadzi ndi chimodzi mwa zinthu za moyo wa mwana amene sanabadwe. Izi chilengedwe kwachilengedwenso yodziwika ndi zinthu zingapo:

• Kuonetsetsa okwanira zipatso. madzi Izi imakhala ndi kuchuluka kwa zakudya. Mu nthawi yoyamba pambuyo umuna, iwo ali odzipereka kudzera pakhungu la mwana, ndipo kenako - kamwana yekha ingests wina chiwerengero cha iwo.
• Kukhalabe kuthamanga abwino ndi kutentha mkati 37 ° ^C.
• Kupereka osauka chitetezo mwana asatengere kunja mawotchi. Amniotic madzimadzi kuchepetsa kuthamanga ndi jolts, amene adza kwa chilengedwe.
• Support kwa sterility, lomwe ndi kuteteza mwana zosiyanasiyana matenda. Monga mbali ya madzimadzi amniotic zambiri immunoglobulins. Kuwonjezera apo, udindo ndi ankaimba ndi zikayamba mtheradi wa nembanemba lapansi. Sterility anaonetsetsa ndi kasinthidwe zonse madzimadzi amniotic, amene umatha pambuyo pa kubadwa kwa mwana.
• Kuonetsetsa ufulu kayendedwe ka mwana mu chiberekero.
• Muting amphamvu kunja phokoso.

Zowonetsera madzimadzi amniotic

Kwa mimba kapangidwe ndi chiwerengero cha madzimadzi amniotic kwambiri. Pali nthawi zambiri pamene adasokera ponseponse zizindikiro zimaloza ku mapangidwe ndi chitukuko cha pathologies zosiyanasiyana. Choncho, tingathe yake oterewa ndi kukonza amenewa kapena suitably okonzeka kuyamba kuchita zinthu zogwirizana atabadwa mwana.

amniotic madzimadzi index (AFI), - nambala imene ikuimira buku zake chikhodzodzo periconceptional.

Pamene tikugwira diagnostics katswiri kuganizira zizindikiro zotsatirazi:

• Mtundu ndi chilungamo. Ndale madzi mtundu - bwino, chilungamo, ndi pang'ono zosafunika.
• Volume. Kuchuluka kwa madzi amakhudza gestational nthawi. Choncho, mlingo wa madzimadzi amniotic zimadalira trimester mimba. Mwachitsanzo, amniotic madzimadzi index mu sabata 21 (ponseponse) - 88-143-233 ml, kumene woyamba index - pakafukufuku ndi chiwerengero chachiwiri - ambiri, wachitatu - malire chapamwamba. Daily kuchuluka kwa 40-45 ml ya madzi akupitiriza mpaka masabata 32 a mimba. Pambuyo zosonyezera madzimadzi amniotic pa masabata 32 (pafupifupi mlingo wa 144 ml) peaked - kuchuluka kwa madzi pang'onopang'ono amachepetsa. Pamaso yobereka, ndi ml ya 500-1500 yekha.
• Mahomoni okhutira.
• Amuzolengedwa ndi cytologic kukonzekera.

Indicators wa madzimadzi amniotic

Kwambiri nkhani muyezo wosaperewera madzi mu nthawi yathu - ultrasound. Mu phunziro limeneli, dokotala ndiyo AFI ndi multiplicity wa ofukula mthumba. Ngati chiwerengero samafuna zosiyanasiyana zachilendo kwa anapatsidwa zaka gestational, mapeto limasonyeza wosaperewera madzi.

Ofukula mthumba - dzina la kutalika pazipita gawo ufulu wa madzimadzi amniotic, amene anakonza pakati pa zipatso ndi zapambuyo m'mimba khoma. Komanso, malo sikuloledwa mu ufulu madzi gawo la chingwe umbilical kapena mwana miyendo. zotalika Normal wa matumba ofukula - 5-8 cm, pang'ono patsogolo ntchito ultrasound kusintha okha yogwira chigawo.

amniotic madzimadzi index mchikhalidwe

Tsopano kuchuluka kwa madzimadzi amniotic anali ayesedwa ndi AFI. Pakuti dokotalayu maganizo ukugawa m'mimba m'magulu 4 kudzera awiri perpendicular sitiroko intersecting Mchombo. Kenako, aliyense n'kupita izi chimaonekera pazipita ofukula mthumba. Pofuna kupeza phindu yomaliza ya amniotic madzimadzi index, onse zizindikiro anachokera ayenera zidzawonjezedwa.

Amniotic madzimadzi index masamu wakudziko ndi mimba sabata, kuyambira sabata la 16. phindu kumawonjezera pang'onopang'ono. Mwapamwamba index wa madzimadzi amniotic pa masabata 32 - mlingo ku ml ya 77 169. Akutsatiridwa ndi kuchepa mu AFI.

mfundo tebulo AFI

Mfundo amniotic madzimadzi index ndi mlungu ndi kuperekedwa ku gome.

Pa zikusiyana zizindikiro izi mizere yeniyeni ya mimba kumachitika polyhydramnios kapena oligohydramnios.

Oligohydramnios pa mimba

Oligohydramnios kwambiri zosasangalatsa chodabwitsa sizachilendo pa mimba. Ngati kupatuka kuchuluka kwa madzimadzi amniotic ku amniotic madzimadzi malamulo index mlungu kakang'ono - amapezeka ndi "oligohydramnios zolimbitsa." Kusintha, mungathe kugwiritsa ntchito zakudya, kudya zakudya zopatsa nthanzi ndi moyo wathanzi. Patapita nthawi, kuchuluka kwa madzi zinayambanso kuyenda bwino, ndipo palibe njira amakhudza chikhalidwe cha mwanayo.

Matendawa "oligohydramnios" aikidwa mu choncho kumene kupatuka pa amniotic madzimadzi malamulo index kwa milungu ingapo mbali ang'onoang'ono waukulu. Ndi matenda amafunika hospitalization msanga komanso khalidwe mu mtima chithandizo. Ichi ndi chifukwa Mwina mkulu wa mavuto adzaoneni chifukwa cha mwanayo.

Ngati index wa madzimadzi amniotic pa masabata 20 (yachibadwa) ndi mu osiyanasiyana 86-230 ml ya ndipo ultrasonography zotsatira kusonyeza laling'ono kwambiri buku weniweni wa madzimadzi amniotic, ngati sanalandire chithandizo zingayambitse underdevelopment ziwalo yofunika kwambiri mapindikidwe a mafupa a mafupa, ndi chitukuko cha kuvutika zosiyanasiyana yoopsa. Choncho nthawi zofunika kwambiri kuyamba chithandizo oligohydramnios.

Pamene kumatanthauza otsika index wa madzimadzi amniotic pa masabata 34 (ponseponse - avareji 142 ml), kupatula alipo kale kuvutika bwino akufotokozera chitukuko mwanayo - nthawi zambiri funso kuchotsa mimbayo, monga mankhwala Pankhaniyi tanthauzo ndi Sindizakubweretsanso iliyonse zotsatira.

Zimayambitsa wosaperewera madzi

Pali zifukwa zambiri mapangidwe madzi otsika. Zikuluzikulu za iwo ali monga:

• nembanemba hypoplasia kapena wotsikirapo katulutsidwe wa madzi;
• nthenda yoopsa chitukuko (impso ake chigoba);
• BP, mayi woyembekezera, makamaka pamene zolakwika kwambiri mwakale;
• matenda bakiteriya, amene kudutsa thirakiti maliseche osati kokha, komanso mwachindunji mu madzimadzi amniotic;

• mimba angapo, ndi chitukuko m'goli la latuluka, kupereka chilichonse otaya osiyana magazi kwa mwana wosabadwayo;
• perenashivanii;
• anawawidwa kagayidwe mu thupi la mkazi, makamaka pamaso pa kulemera owonjezera.

Features ya chithandizo cha wosaperewera madzi

Simungathe ngakhale kuchitira oligohydramnios zolimbitsa yekha. Kokha pamaziko a kale anapanga mayesero dokotala akhoza kuonanso bwino chifukwa cha yatsoka anomaly, kukula kwa matenda, mmene mwana wosabadwayo ndi mankhwala njira ya chithandizo.

Ngati pali kunenepa, mkhutu kagayidwe, izo zidzakhala zofunikira kutsatira zakudya, kudya, kudya mavitamini ndi mankhwala kuti kusintha otaya magazi kwa latuluka lapansi. Chithandizo cha polyhydramnios zolimbitsa angathe kuchitidwa pa outpatient maziko. sitepe Akadzauzidwa asonyezedwa yekha m'chipatala. Kaya mawonekedwe a matenda pali kufunika kuchepetsa kuchuluka zolimbitsa thupi ndi thupi, bedi zina.

Pa mankhwala, izo zidzakhala zofunikira zambiri kuposa masiku, kuchita ultrasound ndi Doppler kwa chizindikiritso yake ya kusintha mu thupi la pakati ndi mwana.

Ngati zotsatira ultrasound anasonyeza index otsika a madzimadzi amniotic mu masabata 33 (ponseponse - pafupifupi 143 ml) ndipo kenako, pamene mwana akhoza kubadwa, - dokotala akhoza mankhwala yobereka oyambirira.

Pa kudziwika mfundo imeneyi sayenera maganizo. Komabe tiyenera tikonze - siteji zolimbitsa mankhwala. Pamaso pa wosaperewera madzi pa mimba yapita ayenera kuonetsetsa kudziŵitsa dokotala. Pankhaniyi, adzakhala wokhoza yake kudziwa ndi kuthetsa nkhaniyi.