Kuchuluka kwa hypochlorism mukutenga: zotsatira ndi zotsatira, matenda ndi chithandizo

thupi Female unsembe Chodabwitsa kwambiri ndinazolowera kubadwa kwa mwana ndi youmba. Chirichonse chiri mmenemo amaperekedwa kuti kuunika pa mwana amamvera chitonthozo wathunthu ndipo palibe chimene chingamulepheretse bwino ndi kukula mofulumira. Komanso, lili chitetezo pazipita cha zinthu zoipa kunja. Amniotic madzimadzi, amene ali mwana, kutenga ntchitoyo. Koma chozizwitsa yaing'ono zinali omasuka ndipo sanaone mavuto alionse, madzi ayenera kupezeka zambiri chofunika. Wongolerani oligohydramnios pa mimba zimachitika nthawi zambiri, koma musati yomweyo kuukitsa Alamu. Poyamba, muyenera kuthetsa vutoli.

Kufunika madzimadzi amniotic

Amniotic madzimadzi (dzina zachipatala) kwathunthu amapereka zonse zofunika kuti akule bwino wa mwana wosabadwayo. Mu kapangidwe kake pali mavitamini osiyanasiyana, mankhwala m'thupi ndi mpweya ndi zofunikira kwambiri kwa salt yoopsa ya mankhwala amene ali zikuluzikulu ndi kumanga zipangizo chonse cha thupi laling'ono.

Amniotic madzimadzi - si kuswana pansi mwanayo, iwo mukachikonda munjira ina iliyonse zosiyanasiyana zinthu zoipa, pang'onopang'ono kuchepetsa zotsatira thupi ndi n'chongoletsa kuukira opatsirana. Ngati mimba m'kati chiwerengero ayenera chinawonjezeka, ndipo zikuchokera - zonse kusinthidwa, monga zosowa za anthu osauka chamoyo ndi kukula ndi kusintha. Nkofunika kuti dokotala amene anaona mmene mimba mu mtima kutsatira anomalies onse ndi malfunctions kuti angagwe, makamaka, ichi ndi kuchepa madzi. vuto Zimenezi zingachititse mavuto aakulu pa gestation.

Kutanthauzira ndi miyezo

oligohydramnios zolimbitsa pa mimba - ndi pamene kuchuluka kwa madzimadzi amniotic ndi pang'ono pokha kutero. Chotero boma zambiri zosavuta kukonza. Mothandizidwa ndi zida zamakono anaonekera vuto akhoza anapezeka pa trimester 2-3. Nthawi zambiri, kudwala iyi akutchedwa silinatchulidwe kukanidwa.

Pamisinkhu yosiyanasiyana gestation ndi mphamvu akalozera awo a madzimadzi amniotic. M'nthawi ya masabata asanu nawonso ml ya 5 okha. Komanso pali kuwonjezeka zonse voliyumu awo, ndipo ndi milungu yochepa chabe khanda lingayambire pakukhala malita 1 1.5. Atangotsala pang'ono kubadwa mwa madzi amakhala zosakwana: pafupifupi 600 ml.

Intrauterine madzimadzi nthawi zonse chifukwa kusinthidwa. Mu masiteji lotsiriza la gestation, pasukuluyi lirilonse maola atatu. Per tsiku mwana ingests pafupifupi 4 malita a madzi. zopangidwa zinyalala zichokera kupyolera mu njira yapadera ndi pores wa amnion lapansi. mafuta analandira mu epithelium ndondomeko madzi chipolopolo.

Ngati pali zolakwika zazing'ono ku ponseponse mu mbali ang'onoang'ono, okhumudwa limanenedwa ngati oligohydramnios zolimbitsa pa mimba. Chithandizo ndi zotsatira za matenda angakhale osiyana, kotero vuto amafuna kuwayang'anira nthaŵi zonse akatswiri, ndipo pambuyo - cholinga kudzudzulidwa zachipatala.

Gawo

Matenda akhoza kugawidwa ndi mlingo wa nthawi mitundu aakulu ndi pachimake. vuto limene lakhuza kuti mtundu woyamba, akufotokozera pang'onopang'ono. Chithandizo Pakufunika nthawi yaitali. Popeza zotsatira mankhwala pang'onopang'ono ayamba patsogolo. fomu iyi angayambe mayi tsogolo pamaso pa matenda aakulu, monga matenda a shuga. Pofuna kuchepetsa zotsatira zoipa, mkazi ayenera pochitika mayeso onse akuchipatala ndi kutenga mankhwala oyenera.

Zokwanira wamba ndi pachimake wosaperewera madzi woyembekezera, zimayambitsa ndi zotsatira za omwe ali ndi maonekedwe wofatsa. Nthawi zambiri gwero la vutoli ndi matenda opatsirana. okhumudwa amakhala ndi mavuto ochepa ndipo kulibe njira yapadera.

Zikhoza kugawidwa matenda choyambirira chimene akufotokozera popanda kuphwanya zigoba za chamoyo ndi mtundu sekondale kuti amapezeka pa maziko a zosiyanasiyana pathologies. Mothandizidwa madzimadzi amniotic chabe umayenda.

Oligohydramnios pa mimba. Zimayambitsa ndi zotsatira

Reviews a akatswiri amakono analola kudziwa magawo mavuto oligohydramnios:

- zosamera yoopsa chitukuko. Nthawi zambiri ndi mavuto osiyanasiyana mu mapangidwe impso ndi nkhope mosiyanasiyana. Akatsimikizire pamaso pa chinthu ichi, n'zotheka, kuyambira masabata 23 pambuyo ankakhulupirira udzachitike ultrasound.
- A zosiyanasiyana matenda insufficiently ankachitira bakiteriya, amene anavutika ndi pakati. Nthawi zambiri zingakhale ndi matenda amene kale anatola mkazi ponyamula mwana wosabadwayo. Kuopsa n'zosavuta oterewa kale pa sabata la 20. Pa nthawi imeneyi anayamba mwachangu patsogolo mahomoni, potero kupangitsa wosaperewera madzi.
- kutsitsa katulutsidwe ntchito chipolopolo kuti imagwiritsidwa linagwira ndi runningaway pathological epithelium.
- kuthamanga kwa magazi si kugwa pa nthawi yonse gestation. Mu nkhani ya zodabwitsa kwambiri akhoza kutayika kuchuluka kwa madzi ambiri mu 21 TH sabata.
- Ngati mkazi umabala mwana koposera masabata 40, ndi kale ndi oligohydramnios 38 angayambe pa mimba. The oligohydramnios oopsa, tafotokozazi. Choncho analimbikitsa kupangira pobereka, monga mwana 36 masabata wokonzeka kwathunthu kuti abadwe.
- zingapo mimba. Pankhaniyi, chotero kudwala akufotokozera chifukwa kugawikana m'goli mu otaya latuluka magazi.
- kuyan'anila kuchedwa kwa njira kagayidwe kachakudya kuti amapezeka kupezeka pa masabata 21-22.

Awa ndi mavuto zazikulu zomwe zingachititse oligohydramnios pa mimba.

ndi chiopsezo Kodi

The zifukwa zimene m'pofunika dokotala, zimakhala zazing'ono kwambiri. Matenda komwe kumachitika nthawi ya trimester wachiwiri, ndi mosiyana mu chibadwa. Pa m'ma mkombero pripadaet kukula yogwira mwanayo, mu nkhani ya kuchepetsa zipatso madzi anayamba compress ndi uterine khoma. Zimenezi zingachititse kuti mapindikidwe mafupa Chigaza, kobadwa nako m'chiuno dislocation ndi kuvutika ena. Kenako ana amenewa ali kuyang'aniridwa ndi podiatrist a. Ngati nthawi kuwona katswiri zonga izi angakane uphungu.

Nkofunika kumvetsa zimene likuoneka ndi magawo ina ya mimba oligohydramnios zolimbitsa. Zoyambitsa, Zizindikiro komanso zimasiyanasiyana. Pa nthawi imeneyi, mkazi apatsira ultrasound otsiriza, zotsatira zomwe adokotala kudziwa kuchuluka kwa madzimadzi amniotic. Nthawi imeneyi, madzi kale kuyambira kugwa wokha mwa iwo wokha, koma ngati iwo adzakhala zochepa kwambiri kuposa chilengedwe, m'pofunika kupereka ulemu wapadera, chifukwa chinthu ichi zingasokoneze otaya ntchito. Ngati pali ngakhale zolimbitsa oligohydramnios, nthawi zambiri zinadzala ndi maonekedwe a mwana msanga mu dziko. Pankhani mwana wa nthawi pali kubadwa kwa mwayi kuti zidzakhudza kutsegula kwa chiberekero, monga ndi chikhodzodzo yoopsa pa nthawi yobereka amaika kupanikiza pa iye, kotero iye akuwulula.

umboni

Wongolerani wosaperewera madzi sikawirikawiri limodzi ndi zizindikiro zina, koma nthawi zina akazi kupeza nkhawa. Kenako, tikambirana mwatsatanetsatane:

1. Mu malo oyamba ayenera kukadziwitsa ululu pamimba.
2. zingaoneke kugwedeza, ndiponso nseru nthawi kayendedwe yoopsa.
3. Pa trimester wachiwiri zikuchulukirachulukira ntchito za mwanayo. Ngati sac amniotic amakhala kuchepekedwa madzimadzi kayendedwe adzachititsa mayi wovuta kwambiri.
4. dokotala angalozere kufotokoza vuto lagona pa kukula ka chiberekero, komanso siligwirizana ndi diameters wa circumference m'mimba.
5. A zipatso ang'ono kuyenda.

chithandizo

Today wakhala pafupipafupi ndithu matenda a "oligohydramnios wofatsa." Kuchiza ndi zimayambitsa akhoza kukhala wofatsa kwambiri ndipo popanda alowererepo kunja. Ndi kuchepa pang'ono madzimadzi mkati mwa 400-700 ml ya tikulimbikitsidwa kuchepetsa zofuna kukhetsa thukuta, mkulu khalidwe ndi kudyetsa mokwanira, zimawononga maofesi multivitamin ndi zonse anamuona gynecologist lapansi.

Pofuna kupewa aggravation za nkhaniyi, mungafunike zina unscheduled ultrasound. Ngati zizindikiro za kukhala yapadera kwambiri, zimayambitsa ndi mankhwala a oligohydramnios pa mimba adzakhala osiyana. Pankhaniyi, kufunika hospitalization kuvomerezedwa.

Kamodzi dotolo ali matenda, mkazi yomweyo anapita ku chipatala kuchita nkhani zofunika. Pamene kuonerera n'kupuma imachitika ndondomeko zonse zofunika, akuti:

- ultrasound (ultrasound);
- CTG (cardiotocography);
- mayesero zasayansi (magazi ndi mkodzo).

Ngati gynecologist zikusonyeza kuti wodwalayo amnionalnaya gidroreya, ndiko kuti, kutayikira la madzimadzi amniotic, onetsetsani kuti ndisiye swab wapadera. Pamene mkazi ali mu sabata 38, ndi khomo pachibelekeropo pafupifupi anamaliza kukonzekera kwa pobereka, njira anangoti kuphonya amnioscope. Ndi chida oterowo mankhwala zosavuta kudziwa kapangidwe ndi kuchuluka kwa madzi yoopsa. njirayi popanda kuphwanya mgwirizano nembanemba ndi sizidzawapweteka mwanayo. Pambuyo mayesero onse ndi mayeso ikuchitika ndi dokotala chimasonyeza kuchitira oligohydramnios pa mimba. zifukwa zimene zimachititsa mavuto amenewa kungakhale osiyana kwambiri, koma mavuto zikuluzikulu ndi njira zawo pansipa:

1. amnionalnoy gidroree mtima Kwalamulidwa okhwima bedi zina, komanso kulandira maofesi wapadera wa mavitamini ndi mankhwala, zimene zingakuthandizeni kuchepetsa kamvekedwe ka chiberekero ndi kuteteza matenda ndi nembanemba mwana. Ambiri a akazi awa pakati kuchipatala mpaka kubadwa yokha, madokotala angathe mosalekeza kuwunika udindo wa mwana wosabadwayo.
2. Ndi kofunika kudziwa zimene wosaperewera madzi ndi oopsa woyembekezera, zimayambitsa amene kugona mu matenda tizilombo. kuyan'anila zimenezi zingachititse onse a matenda. Kuti athetse vutoli muyenera kutenga kachitidwe mavairasi oyambitsa ndi bracing. Kuwonjezera mavitamini izi chofunika ndi mankhwala preparative, amene bwino magazi. Ngati dokotala kusunga azimuth zabwino, izo angalole mayi woyembekezerayo kupita kunyumba, koma nachiyika pa ulamuliro okhazikika chipatala antenatal.
3. Ngati nthenda chitukuko cha nembanemba yoopsa ayenera kugwiritsa ntchito njira umalimbana kupewa matenda intrauterine ndi kupulumutsa kamwana. Kuona zimayambitsa, matenda ndi mankhwala a wosaperewera madzi amayi apakati amachitika dipatimenti kudwala. Zedi izo kuunikira onse wodwala ndi mwana wake.
4. Pa nkhani ya perenashivanie unachitikira puncturing kuwira - amniotomy. Pambuyo njirayi, pomwepo imayamba kubereka.

Ngati ankachitira mu nthawi bungwe ndi kuthetsa vutolo, ndi odziŵa kubadwa kwa mwana wathanzi nthawi zambiri adzakhala yabwino.

zotsatira

Nthawi zambiri, ambiri osaganizira vuto ndi sindikufuna kuchitira oligohydramnios zolimbitsa pa mimba. Zimayambitsa ndi zotsatira za zinthu kusuntha akhoza kukhala osiyana kwambiri. The akuluakulu ndi kulemera otsika a ana akhanda kapena kupindika msana, ndi ntchafu dysplasia. Ngati inu mverani malangizo a akatswiri, nthawi zambiri, kuthetsa n'zongochedwetsana koteroko n'kotheka ndithu. Izi zimatheka pamene mayi woyembekezera ndi yake kupezeka chiphasochi onse inakonzedwa, ayesedwe ndipo anapanga kukwaniritsa cholinga chake dokotala nawo. Chifukwa madokotala uyu akhoza yake kuyankha vuto panopa ndi kukonza.

No zimayambitsa ndi zotsatira za wosaperewera madzi sayenera kuonedwa ngati matenda okhazikika. Umboni waukulu, amene angathe kupereka, akuyima retested. Ndi bwino anachita mu chipatala china. Izo analimbikitsanso kuchita mtima Doppler, chifukwa phunziro limeneli Zimathandizanso kudziwa kuvutika kuti amagwirizana ndi mochedwa kukula kwa mwana wosabadwayo. Njira ina ndi polojekiti mtima kwa potaya chikhalidwe cha mwana mwatsatanetsatane.

Ngati pali kuthekera, ndiye, pamodzi ndi gynecologist, amene anagwira mimba, kuganizira zinthu zonse zimene zingathe kuchepetsa madzimadzi amniotic.

zosokonezeka

Oligohydramnios woyembekezera, zizindikiro ndi zotsatira za zimenezi osiyana kwambiri, amagwiritsa ntchito mavuto enieni:

1. psinjika a ngalande umbilical. Mothandizidwa malowedwe izi mpweya kudzakhala kovuta, mwinanso kuyamba kukhazikitsa anoxia mwana. Ngati zinthu izi sapereka chidwi, mukhoza ngakhale kutaya mwana wosabadwayo.
2. Pa nkhani ya nambala osakwanira wa amniotic madzimadzi makope zidzakhala zovuta. Izo kumawonjezera Mwina wa zosayembekezereka matenda osiyanasiyana mu chiberekero. m'magazini ino lili ndi chiopsezo cha kuvulala pa yobereka.
3. Nthawi zambiri pali placental abruption, amakhala pangozi yaikulu kwambiri kuwonongeka khomo lachiberekero. M'mimbamo zikhale moieties wa zimagwira ntchito zosiyanasiyana, zomwe zina amakwiya yatsoka magazi.
4. Pa nkhani ya nembanemba lathyathyathya ndiye kuti kufooka yaikulu pa nthawi ya ntchito.
5. Ngati masabata 32 mayi woyembekezera kuika matenda zimenezi, ayenera kudziwa zimene likuoneka oligohydramnios. Zotsatira ndi zizindikiro za matenda nthawi zambiri limodzi ndi akuchedwa mapangidwe mwana wosabadwayo, zimene kusokoneza mankhwala kuchipatala.
6. Kupanda madzimadzi amniotic ambiri zoyipa kukula ndi chitukuko. Mwana osazindikira zakudya zonse wambiri lamanja.

Ngati oligohydramnios alipo, mwana amataya mwayi kusuntha momasuka. Nthawi zambiri, pambuyo pa kubadwa kwa ana awa amapezeka ndi "dysplasia m'chiuno", ndipo nthawi zambiri atathana kupindika msana. Koma ngati nthawi kulabadira zinthu, chifukwa zida zamakono kungathandize kuchepetsa zotsatira zoipa ndipo, nthawi zambiri, ngakhale kwathunthu kuthetsa izo.

Kodi n'zotheka kuteteza wosaperewera madzi?

Zizindikiro, zimayambitsa, matenda ndi mankhwala - izo n'kofunika kwambiri, koma ngati n'zotheka pasadakhale kulosera zikamera vuto ndi kuonetsetsa kuti mkaziyo anakhalabe wathanzi? Mwatsoka zonsezi njira kulibeko. Koma pali malamulo apadera, kuona kuti mungathe kuchepetsa chitukuko zosiyanasiyana pathologies. Zikuphatikizapo kukana zolimbitsa thupi amaika ndi kumapitiriza katundu wolemera.

Nkofunika mayesero onse ndi nthawi kuti ndisanabadwe kuthandiza kuthetsa matenda osiyanasiyana, omwe kenako hule oligohydramnios pa mimba. Zimayambitsa ndi zotsatira za matenda anasamutsa negative. Choncho ndi bwino kuchitapo kanthu ndi kuchipatala, bwino thanzi la mayi tsogolo ndi mwana.

Kusintha ukupeza kudya bwino. Madokotala ndi Akatswiri a zakudya amati kudya fractionally, kudya chakudya nthawi osachepera asanu pa tsiku, koma chakudya chochepa. Izi kumakhudza zabwino pa moyo wa azimayi ndi mwana.

Gestation ndi kubereka

amayi oyembekezera ndi matenda wowopsa kwambiri monga "oligohydramnios zolimbitsa" pa mimba. Zimayambitsa ndi zotsatira za matenda angakhale osiyana, kotero chinthu choyamba muyenera kuganizira mmene matendawa. Ngati kuchepa madzimadzi amniotic kuonekera mu magawo Pamapeto pake, pakalibe mwana akule wa pathologies onse kutha bwino.

Ngati oligohydramnios anamasulidwa sabata la 27, ndi bwino kuchita tinafotokoza mwatsatanetsatane za mtima - kukumana amuzolengedwa ndi ultrasound, m'manja kusanthula pa mahomoni.

Kamodzi zotsatira yonse analandira ngati mwana wosabadwayo kuyan'anila zoonekeratu zimapezeka, m'pofunika kuti atenge kusankha kovuta za mimba.

Pamene vuto liri lokhazikika mu trimester wachitatu ndi mwana amayamba kukhala ndi kuchedwa ndithu, kawirikawiri akaganiza yobereka isanakwane. Mulimonsemo chigamulo chomaliza chili ndi dokotala nawo. Izo zimatengera chochita ziriri pano, kuti tichepetse kutenga mavuto zina ndi kukonzekera akazi mu ndondomeko za pobereka.