Norms kwisalathisi amniotic fluid neveki. Oonobangela, isifo kwaye afumane unyango lwe nokunqongophala kwamanzi abasetyhini abakhulelweyo

Igama elisemthethweni yonyango kolwelo fluid - fluid. It is a medium engamanzi eziphilayo esebenzayo, esemfuleni inwebu foetal kwaye ivale mbungu.

Imisebenzi ye fluid

fluid ngomnye wemiba yobomi komntwana esibelekweni. Le bume eziphilayo luphawulwa iimpawu ezininzi:

• Ukuqinisekisa ubonelelo iziqhamo. Le ulwelo siqulathe nobuninzi kwezondlo. Kweli xesha lokuqala emva kokukhulelwa, kokuba ifunxwe eluswini umntwana, yaye kamva - itakane yedwa edla inani elithile kubo.
• Ukugcina uxinzelelo efanelekileyo kunye obushushu ngaphakathi 37 ° ^C.
• Ukubonelela ngophuhliso ukhuselo umntwana kwiimpembelelo mechanical lwangaphandle. Amniotic fluid ukunciphisa kakhulu xi jolts, leyo evela kokusingqongileyo.
• Inkxaso inzalo, nto leyo ukukhusela umntwana ezahlukeneyo zizifo. Njengenxalenye fluid lot of immunoglobulins. Ukongeza, indima ebalulekileyo eyadlalwa yengxinano elililo lwe inwebu. Inzalo kuqinisekiswa nokuhlaziya rhoqo fluid, esiphela kuphela emva kokuzalwa komntwana.
• Ukuqinisekisa intshukumo simahla umntwana isibeleko.
• Uyeke ingxolo enamandla lwangaphandle.

Eyona engundoqo izalathi si zokunikwa fluid

Kuyo yonke le ukukhulelwa ubume kunye nenani ulwelo fluid zibaluleke kakhulu. Kukho iimeko ezininzi xa baphambuka norm izikhombisi alatha nokusekwa kunye nophuhliso ezimbi ezahlukeneyo. Ngenxa yoko, nathi ngexesha ukubona yaye alungise okanye ngokufanelekileyo bakulungele ukwenza izenzo kuyimfuneko emva kokuzalwa komntwana.

amniotic isalathisi fluid (Afi), - inani emele umthamo wayo sesinye periconceptional.

Xa wenza uxilongo specialist ithathele ingqalelo ezi zikhombisi zilandelayo:

• Umbala kunye nokungafihlisi. Cala umbala ulwelo - ecacileyo, oluselubala, kunye imali encinane ukungcola.
• Volume. Ngomhla umlinganiselo wokubanzi kuchaphazela ixesha sokukhulelwa. Ngenxa yoko, izinga ulwelo fluid ixhomekeke ezintathu yokukhulelwa. Umzekelo, amniotic isalathisi fluid kwiveki 21 (norm) - 88-143-233 ml, apho isalathisi yokuqala - rate ophantsi, kwaye inani lesibini - avareji, eyesithathu - nelona qondo liphezulu. ukwanda imihla 40-45 ml ulwelo kuyaqhubeka de iiveki-32 zokukhulelwa. Emva kwisalathiso ulwelo fluid kwiveki yama-32 (ngesilinganiso 144 ml) lalonyukile - umthamo wamanzi ngcembe kunciphisa. Ngaphambi kokuba ukuhanjiswa, oku ml 500-1500 kuphela.
• Umxholo hormone.
• Hormone cytologic amalungiselelo.

Izalathisi amniotic fluid

Uninzi bemfuno ulwazi yokunqaba kwamanzi kweli xesha lethu - ultrasound. Kwesi sifundo, ugqirha imisela Afi kunye ubuninzi epokothweni nkqo. Ukuba la manani musa ukufikelela uluhlu eqhelekileyo ubudala banikwa sokukhulelwa, isiphelo ibonisa yokunqongophala kwamanzi.

pocket nkqo - ligama ubude iphezulu inxalenye simahla fluid, nto leyo amalungiselelo phakathi iziqhamo kunye nodonga sobuKristu esiswini. Ukongeza, indawo igcinwa akuvumelekanga kwinxalenye engamanzi simahla intambo yosana okanye umntwana imilenze. ubude eqhelekileyo ezipokothweni nkqo - 5-8 cm, kancinane phambi kokusebenzisa ultrasound ayilungiswanga component esebenzayo kuphela.

amniotic fluid index norms

Ke kaloku isixa ulwelo fluid yavavanywa yi Afi. Ngokuba lo gqirha ngengqondo yahlula nesisu lezabelo 4 nge ngesibetho ezimbini nkqo ezidibanayo inkaba. Emva koko, ngasinye kwezi imimandla ulinganiswa ipokotho eliphezulu nkqo. Ukuze ufumane ixabiso lokugqibela fluid index fluid, zonke izalathisi ethatyathwe kufuneka ongezwe.

index fluid ibalwa norm ngu ukukhulelwa ngeveki, ukuqala kwiveki ye-16. ixabiso labo kwandisa kancinci. Eliphezulu Isalathisi se ulwelo fluid kwi kwiiveki 32 - izinga ukusuka ml 77 ukuya 169. Kulandelwa ukwehla Afi.

nemigangatho Uludwe Afi

Standards amniotic index fluid neveki lucaciswa kule theyibhile.

Xa ukungangqinelani kwezi zalathisi ukuba imigca ethe ngqo zokukhulelwa zenzeka polyhydramnios okanye oligohydramnios.

Oligohydramnios ngexesha lokukhulelwa

Oligohydramnios kakhulu mnandi kunye Kuyaziwa kakhulu ngexesha lokukhulelwa. Ukuba isixa ukuphambuka kolwelo fluid ukusuka amniotic fluid index norms ngeveki ezincinane - uxilongwe "oligohydramnios oluphakathi." Ukuze alungise loo nto, ungakwazi ukusebenzisa ukutya, ukutya kakuhle kunye yokuphila esempilweni. Emva kwexesha elithile, umthamo wamanzi babuyela eziqhelekileyo, yaye akukho ndlela kuchaphazela imeko yomntwana.

Uxilongo "oligohydramnios" ibekwa kwimeko apho kuvunyelwa konke konke ukutenxa kule amniotic fluid index nezithethe kangangeeveki ecaleni ezincinci mkhulu. Nale sifo kufuneka esibhedlele ngokungxamisekileyo kunye nokuziphatha in-izigulane unyango. Oku kungenxa amathuba aphezulu neziphumo ezibi umntwana.

Ukuba index kolwelo fluid emva kweeveki ezingama-20 (ngabadlwenguli) kuluhlu 86-230 iziphumo ml kunye ultrasonography zibonisa umthamo elincinci kakhulu ngokwenene fluid, ukuba ekhohlo lunganyangwa oko kunokubangela wokungaphuhliswa amalungu abalulekileyo, lo deformation amathambo ngamathambo, uphuhliso ukungaqheleki ezahlukeneyo Palsy. Ngoko ke lixesha kubaluleke kakhulu ukuze uqalise oligohydramnios unyango.

Xa index aphantsi ulwelo fluid ezichazwe kwi kwiiveki 34 (norm - umlinganiselo 142 ml), ngaphandle sele zikhona ukungaqheleki kakuhle kuchaziwe kuphuhliso komntwana - amaninzi umbuzo kokupheliswa lokukhulelwa, njengoko unyango kulo mzekelo engamampunge kwaye ayiyi azise nayiphi na iziphumo.

Izinto ezibangela yokunqaba kwamanzi

Kukho izizathu ezininzi ukuze kwakhiwe yamanzi ephantsi. Eyona kuzo zezi:

• imifinya hypoplasia okanye nokuphungulwa secretion amanzi;
• Palsy engaqhelekanga (kwizintso zakhe, skeletal);
• uxinzelelo lwegazi oluphezulu, umama okhulelweyo, ingakumbi xa utyeshelo olumandla kwisiqhelo;
• kwezifo, leyo ingangena iphecana angasese kuphela, kodwa kwakhona ngqo kwi fluid;

• ukukhulelwa ezininzi, kunye uphuhliso olungalinganiyo ngumkhaya, unika igazi flow nganye ezahlukeneyo kwimveku;
• perenashivanii;
• zaphazanyiswa yokucolwa emzimbeni womfazi, ingakumbi xa kukho ubunzima obugqithisileyo.

Iimpawu zonyango yokunqaba kwamanzi

Awunako nokuba baphathe oligohydramnios ngcathu yedwa. Kuphela ngokusekelwe ngaphambili iimvavanyo ugqirha angaxabisa unobangela ukwenzeka anomaly, ubukhali izifo, imeko olungekazalwa kwaye amisele ikhondo unyango.

Ukuba kukho ukutyeba, ukutya kakuhle, kuya kuba yimfuneko ukuba ukulandela ukutya, adle, badle iivithamini kunye amayeza nokuphucula igazi kuqukuqela ngumkhaya. Unyango lwe polyhydramnios nganiso engenziwa qho kwesibhedlele. inyathelo kuthiwa baphathwa kuphela esibhedlele. Kungakhathaliseki indlela esi sifo kukho imfuneko ukunciphisa inani umsebenzi emzimbeni umthambo, umandlalo ukuphumla.

Ngexesha unyango, kuya kuba yimfuneko rhoqo ngakumbi kunesiqhelo, ukuba wenze ultrasound kunye Doppler umisela ukuchongwa kwangethuba utshintsho emzimbeni abakhulelweyo kunye nosana.

Ukuba iziphumo ultrasound yabonisa index esezantsi ulwelo fluid kwiiveki 33 (norm - avareji 143 ml) kunye kamva, xa umntwana ukulungele ukuba azalwe, - nogqirha angakunika delivery ekuqaleni.

Xa efumanise oku akuyomfuneko ukuba ndidandathekile. Kunjalo uyakwazi mayilungiswe - iqonga eliphakathi zifo. Phambi yokunqongophala kwamanzi ngexesha lokukhulelwa wangaphambili kufuneka uqiniseke ukuba wazise ugqirha wakho. Kulo mzekelo, uya kukwazi ukubona ngexesha kunye nokusombulula le ngxaki.