Imikhuba ye amniotic Inkomba uketshezi ngesonto. Izimbangela, ukuxilongwa kanye nokwelashwa nokuntuleka kwamanzi kubantu besifazane abakhulelwe

Igama olusemthethweni yezokwelapha-amniotic fluid - amniotic fluid. It iyithuluzi eziphila abakhuthele ketshezi, elisetendeni nolwelwesi fetus ihlanganisa i-embryo.

Imisebenzi ye-amniotic fluid

amniotic fluid ingenye izici zokuphila komntwana esibelethweni. Lokhu imvelo yemvelo libhekene izici eziningana:

• Ukuqinisekisa isithelo supply. Lo luketshezi siqukethe sebuningini izakhamzimba. Esikhathini esiyiminyaka yokuqala emva kokukhulelwa, basuke bumuncwa isikhumba ingane, futhi kamuva - lembuzi kuphela edla inani elithile kuzo.
• Ukulondoloza ingcindezi ofanele futhi izinga lokushisa ngaphakathi 37 ° ^C.
• Ukunikeza nokuthuthukisa yokuvikela ingane yangaphandle amathonya lokukhanda. Amniotic fluid kakhulu ukunciphisa ingcindezi futhi jolts, okuyinto zivela imvelo.
• Ukusekela inzalo, okuyinto ukuvikela ingane kusukela ezihlukahlukene nezifo. Njengengxenye ye-amniotic fluid eziningi immunoglobulin, ayisiza. Ngaphezu kwalokho, indima ebalulekile udlalwa ngu yobunzima eliphelele ulwelwesi. Inzalo kuqinisekiswa Ukuvuselela njalo-amniotic fluid, okuyinto iphela kuphela ngemva kokuzalwa kwengane.
• Ukuqinisekisa ukuhamba mahhala ingane esibelethweni.
• Ukuthulisa umsindo eqinile wangaphandle.

Izinkomba eyinhloko-amniotic fluid

Kuyo yonke ukukhulelwa ukwakheka kanye nenombolo ye-amniotic fluid abaluleke kakhulu. Kukhona Ezimweni eziningi lapho aphambuka kuyinsakavukela izinkomba ukhombe ukubunjwa nokuthuthukiswa kwezinhlangano pathologies ezehlukene. Ngakho, nathi singakwethemba esifike ngesikhathi ukuhlonza bese ulungisa enjalo noma efanele lelungiselelwe ukwenza izenzo ezidingekayo ngemva ukuzalwa komntwana.

amniotic Inkomba uketshezi (Afi), - inombolo elimelela umthamo yayo esinyeni periconceptional.

Lapho efeza umsebenzi ukuhlola Uchwepheshe acabangele izinkomba ezilandelayo:

• Umbala kanye nokuvuleleka. Ngiphakathi nendawo ketshezi umbala - ecacile, obala, kokuncinyane amanyela.
• Ivolumu. On obusamanzi kuthinta isikhathi sokukhulelwa. Ngakho-ke, izinga amniotic fluid incike senyanga yokukhulelwa. Ngokwesibonelo, amniotic Inkomba uketshezi ngesonto 21 (kuyinsakavukela) - 88-143-233 ml, lapho uhlu lokuqala - Izinga eliphansi kanye nenombolo yesibili - Ngokwesilinganiso, eyesithathu - mkhawulo. ukwanda Daily 40-45 ml ketshezi uyaqhubeka kuze amasonto 32 okukhulelwa. Ngemva Inkomba ye-amniotic fluid uma sebehlanganisa amasonto angu-32 (ngesilinganiso esingaba 144 ml) kwafinyelela umvuthwandaba - Inani lamanzi kancane kancane kunciphisa. Ngaphambi ukulethwa, kuba ml 500-1500 kuphela.
• okuqukethwe kwama-hormone.
• amalungiselelo kwamakhemikhali kanye cytologic.

Izinkomba-amniotic fluid

umbandela Iningi ulwazi ka nokuntuleka kwamanzi esikhathini sethu - ultrasound. Kulesi sifundo, lo dokotela inquma Afi kanye kaningi ephaketheni mpo. Uma lezi zinombolo musa sifinyelele uhla evamile elinikeziwe yobudala sokukhulelwa, esiphethweni kubonisa nokuntuleka kwamanzi.

ephaketheni Kuqondile - yigama ubude bezinhlamvu ingxenye mahhala kwi-amniotic fluid, okuyinto ahlelwe phakathi izithelo kanye anterior udonga besisu. Ngaphezu kwalokho, indawo ayivunyelwe kule khulula ingxenye liquid umzanyana womntwana noma umntwana nasemilenzeni. ubude Jwayelekile emaphaketheni mpo - 5-8 cm, kancane ngaphambi kokusebenzisa ultrasound kushintshwe ingxenye esebenzayo kuphela.

amniotic fluid Inkomba kwezinkambiso

Manje inani amniotic fluid nohlolwe Afi. Ngenxa yalesi udokotela uhlukanisa ngokwengqondo esiswini ibe izingxenye 4 nge unhlangothi ezimbili perpendicular intersecting inkaba. Ngemva kwalokho, ngamunye ala maqembu kukalwa esiphezulu ephaketheni mpo. Ukuze bathole ukubaluleka yokugcina amniotic Inkomba uketshezi, kumele zonke izinkomba etholakala wanezela.

Amniotic fluid Inkomba ibalwa kuyinsakavukela ngeviki sokukhulelwa, kusukela ngesonto 16. Inani labo kwandisa kancane kancane. The esiphezulu Inkomba ye-amniotic fluid uma sebehlanganisa amasonto angu-32 - izinga kusuka 77 kuya 169 ml. Kulandelwa ukwehla Afi.

amazinga Ithebula Afi

Amazinga amniotic Inkomba uketshezi ngesonto ethulwa ethebuleni.

Ngezinye iphutha lezi izinkomba imigqa eqondile sokukhulelwa kwenzeka polyhydramnios noma oligohydramnios.

Oligohydramnios ngesikhathi sokukhulelwa

Oligohydramnios kuyinto ngempela kabi Kuyaziwa kakhulu phakathi nenkathi yokukhulelwa. Uma inani lemali ukuphambuka amniotic fluid kusukela amniotic fluid Inkomba kwezinkambiso masonto onke encane - uxilongwe "oligohydramnios okusesilinganisweni." Ukukulungisa, ungasebenzisa Ukudla, umsoco ofanele nendlela yokuphila enempilo. Ngemva kwesikhathi esithile, umthamo wamanzi wabuyela esimweni esivamile, futhi neze kuthinta isimo ingane.

Sifo "oligohydramnios" ibekwa icala lapho ukuphambuka kusukela amniotic fluid Inkomba kwezinkambiso amasonto ohlangothini ezincane likhulu. Nale uphethwe kudingeka esibhedlela esiphuthumayo futhi ukuziphatha e-nesineke ukwelashwa. Lokhu kungenxa awokuthi nemiphumela eyinhlekelele ingane.

Uma Inkomba ye-amniotic fluid uma sebehlanganisa amasonto angu-20 (evamile) ungaphakathi uhla 86-230 Imiphumela ml futhi ultrasonography ukukhombisa ezincane kakhulu ivolumu yangempela ye-amniotic fluid, uma iyekwa ingelashwa kungabangela nokungathuthuki kwezitho esibalulekile, ukusonteka of amathambo asemzimbeni, ukuthuthukiswa kwezinso ahlukahlukene fetus. Ngakho-ke sekuyisikhathi kubaluleke kakhulu ukuze uqale oligohydramnios ukwelashwa.

Lapho kuchazwa Inkomba ongaphakeme amniotic fluid uma sebehlanganisa amasonto angu-34 (kuyinsakavukela - isilinganiso 142 ml), ngaphandle kakade kwezinso kahle kuchaziwe kwengane - ngokuvamile kuba umbuzo ukukhipha izisu, njengoba ukwelashwa kuleli cala lutho futhi ngeke abalethanga Imiphumela.

Izimbangela nokuntuleka kwamanzi

Kunezizathu eziningi ukuze kwakhiwe amafishane. The main wabo zimi:

• hypoplasia ulwelwesi noma uketshezi esincishisiwe amanzi;
• ukukhula fetus (izinso yakhe, lwamathambo);
• high blood pressure, umama okhulelwe, ikakhulukazi uma ngeziphambeko okukhulu kusukela kuyinsakavukela;
• izifo ezithathelwanayo ezibangelwa amagciwane, okuyinto zingene ipheshana zangasese hhayi kuphela, kodwa futhi ngqo kwi-amniotic fluid,

• nokukhulelwa izingane eziningi ngasikhathi, ne nentuthuko engalingani yi-placenta, enika ngasinye igazi ligeleze umbungu;
• perenashivanii;
• siyabhubha umzimba emzimbeni womuntu wesifazane, ikakhulukazi khona isisindo okweqile.

Izici nokwelashwa nokuntuleka kwamanzi

Awukwazi ngisho aphathe oligohydramnios ngokulinganisela wedwa. Kuphela ngesisekelo the esenziwe ngaphambili ukuhlolwa udokotela angase ahlole imbangela nesenzakalo anomaly, nobukhali isifo, isimo fetus linqume indlela yokwelashwa.

Uma kukhona ukukhuluphala, umzimba ukuphazamiseka kwengqondo, kuyodingeka ukulandela ukudla, adle, adle amavithamini kanye nemithi ukuthi ngcono igazi ligeleze placenta. Ukwelashwa of polyhydramnios ngokulinganisela engenziwa esigulini esingalalisiwe esibhedlela. Isinyathelo kuthiwa ziphathwa kuphela esibhedlela. Kungakhathaliseki indlela lesi sifo kukhona isidingo silinganisela umsebenzi nalapho uvivinya umzimba, embhedeni ukuphumula.

Phakathi ukwelashwa, kuyodingeka isikhathi esiningi kunokujwayelekile, ukwenza i-ultrasound futhi Doppler zokukhomba esifike izinguquko emzimbeni okhulelweyo umntwana.

Uma ultrasound imiphumela yabonisa Inkomba ongaphakeme amniotic fluid emasontweni 33 (kuyinsakavukela - isilinganiso 143 ml) futhi kamuva, lapho umntwana usuke esekulungele ukuba azalwe, - udokotela angakunika umuthi ukulethwa ekuseni.

Phezu ukuthola leli qiniso akadingi bacindezelekile. Namanje ezingelapheka - esigabeni ngokulinganisela esilaphekayo. Ephambi kwezinduna nokuntuleka kwamanzi ngesikhathi sokukhulelwa odlule kumele qiniseka yazisa udokotela. Kulokhu, lapho uzokwazi ngesikhathi esifanele ukuthola ukuxazulula le nkinga.