Oligohydramnios woyembekezera, ndipo ndi chifukwa chiyani

Ntchito yaikulu ya madzimadzi amniotic ndi kuonetsetsa kuti mwana wa moyo: chitetezo mwangozi zinthu zina ndi machulukitsidwe wa zakudya. M'zaka zaposachedwapa makamaka anayamba kukumana ndi vuto monga oligohydramnios pa mimba. Izi zikutanthauza kuti mu thumba periconceptional lili ndi osakwanira kuchuluka kwa madzimadzi.

Mimba ina, madzimadzi amniotic nthawi zonse kusinthidwa: mawola atatu pambuyo pake, kale lili madzi latsopano. Mwana akudyetsedwa ndi madzi uyu 4 malita mowa masana. Komanso, chifukwa yoopsa Water mwayeretsa ku yoopsa mankhwala thupi zinyalala, kayendetsedwe iwo kupyolera mu njira yapadera.

Oligohydramnios pa mimba ali conventionally ogaŵikana:

• zolimbitsa
• anafotokoza

Ngati kuchuluka kwa madzimadzi amniotic ndi zosakwana hafu lita, tingakhale kulankhula za oligohydramnios. Pali wapadera index cholinga kuyeza mfundo, umatchedwa zosonyezera madzimadzi amniotic kapena chidule AFI. Malinga ndi chizindikiro ichi, anasonyeza oligohydramnios zikusonyeza kuti index ndi zosakwana 2 masentimita.

Zimenezi pamene buku la madzimadzi amniotic ali yafupika, koma amniotic madzimadzi index ukufika 5 masentimita pamwamba, anatengedwa vuto zolimbitsa oligohydramnios. Ngati amatha kudziwa kuti 3 mawu, palibe choopsa zimachitika, ndipo saopa chilichonse. Basi ayenera kuchita mayesero zina, n'zotheka ngakhale ku chipatala china, ndiye kuti tipeze chifukwa cha vutoli ndi kuchita tingachite.

Zimayambitsa wosaperewera madzi mimba ndi osiyana, kotero si kophweka kudziwa. Chifukwa ambiri ali anasamutsa tsogolo amayi matenda alionse opatsirana kapena matenda mu dongosolo mkodzo. N'zosadabwitsa kuti panali wosaperewera madzi pa mimba ngati mkazi sanafooke kusuta, kumwa mowa, kapena, oipitsitsa, mankhwala. Toxemia mimba mochedwa kapena pambuyo akuti mimba nthawi zina chifukwa cholephera wa madzimadzi amniotic.

Nthawi zina, oligohydramnios pa mimba amapezeka akazi, kuswa mapasa monozygotic. Chifukwa chisokonezo mu magazi dongosolo kufalitsidwa, mwana wosabadwayo apeza hydramnion ndi kusowa wina kutchulidwa wa madzimadzi amniotic.

Oligohydramnios pa mimba: Zizindikiro.

Ngati kuchuluka kwa madzimadzi amniotic ndi yaing'ono kwambiri, mayi woyembekezerayo adzamvera ngakhale pang'ono yogwira mtima wa mwana wosabadwayo, pamene ululu chogwirika. Pakuti madzi zizindikiro wosaperewera mulinso kumverera cha kufooka, kulemera m'mimba, kunyansidwa kwambiri ndi pakamwa youma.

Oligohydramnios ndi kungasokoneze kwambiri pa chitukuko cha mwana wosabadwayo ndi zingachititse padera. A pang'ono madzi sapereka mwanayo kusuntha momasuka, pambali pake, wake kusuntha cholakwika chirichonse kungachititse kuti choipa. Ndipotu, pamaso chipatso anali otetezedwa bwino ndiponso atazunguliridwa ndi mtundu wa "madzi khushoni". Chifukwa, Ndisanaumbidwe zimaleka kusuntha, nthawi zambiri kumabweretsa kusokonezeka kwa msana ndi ntchafu ntchito olowa. Pa yochepa, ana ndi kudwaladwala ndiponso otsika kulemera, nthawi zambiri olumala mwakuthupi.

Pofuna kupewa zotsatira ayenera kuona dokotala amene akuchititsa kugwilizana mayeso a kukula uterine nthawi zilipo. Kwenikweni muyenera kucheza ndi zina ultrasound mosamala boma la mwana wosabadwayo ndi zofooka zake kayendedwe kudzera kardiotografii.

Pambuyo pa kukhazikitsidwa kwa zimayambitsa wosaperewera madzi dokotala mu malo oyamba ukuchitika zochita kuthetsa gwero. Pokhapokha kuti amapatsidwa mankhwala patsogolo magazi pakati pa nsengwa ndi mwana wosabadwayo ndi kulimbikitsa chitukuko cha madzimadzi amniotic. Imachitika polojekiti zonse za chikhalidwe cha mayi oyembekezerayo ndi moto.