Constriction amniotic: izimbangela, izimpawu, uphethwe, kanye nokwelashwa lwemithi

Ngezinye izikhathi omama emtholampilo uphilile uzozala izingane zinokukhubazeka morphological: yokuntuleka phalanges, nemilenze ngisho amakhanda. Umama uphelelwa yithemba, osolwa yena noma odokotela ukuthi kwakwenzekeni ingane yabo. Ngezinye izikhathi kuziwa Isivivinyo. Kodwa iyini ngempela imbangela kwasekuzalweni?

definition

constriction olusesibelethweni, kungenjalo ngokuthi "umphetho amniotic" noma "imicu Simonara" zimelela dublication amnion Indwangu okuyinto sisalokhu phakathi kwezindonga lesizalo. Njengomthetho, kungalimazi embungwini akusho pose yezinkinga ebeletha. Kodwa ezimweni ezingajwayelekile, kungaholela emiphumeleni engathí sina.

Amniotic constriction - fibre sesigcilikisha, okuyinto kuphakama esinyeni fetus. Zingase cindezela noma ukubopha umzanyana exhunywe izingxenye zomzimba umbungu, okubangela ekuzalweni (ukunqunywa izandla, izinyawo, izinzwane, noma phalanges, ngezinye izikhathi decapitation).

izizathu

Kunemibono ezimbili kungani kukhona constriction fluid. Izizathu zalokhu mkhuba ichaza uyadabuka njalo bubble amniotic ekukhulelweni ekuseni. Njengoba chorion ihleli, usongo kokuphazamiseka yentuthuko embryo ibizwa hhayi kugujwe, kodwa kunamasiko intambo ukuthi kuphakama ngenxa amakhefu, khulula-elintantayo kwi-amniotic fluid. Abakwazi azahlanganiswa emzimbeni izithelo. Ngokuhamba ukukhulelwa ingane ikhula, kodwa ngentambo ayiguquki njengoba babenjalo, ngakho kukhona kokucindezelwa we ischemia kwezicubu necrosis.

Ngemva kwesikhathi esithile, umbono wesibili, njengoba kwasekuqaleni abazange ukwanelisa abagxeki ababebona ukuthi amniotic constriction (amayunithi wezinhlamvu esiswini sowesifazane okhulelwe) avele kanyekanye nabanye kombungu esizalweni ezifana lip emfantwini noma ulwanga emfantwini. Lab 'odokotela Kuye kwasikiselwa ukuthi kukhona amaviyo ngenxa iziyaluyalu semithambo noma ukuphazamiseka kwempilo kwegazi fetus.

Enye inguqulo ye izenzakalo yizifo intrauterine, kanye nokwethuka ngesikhathi sokukhulelwa, zangasese normal (ukubuyelela kabili ka kwesibeletho, kwesibeletho esinezimpondo ezimbili , nokunye. D.), CIN (ukuhluleka wesibeletho), ukuvuvukala amnion, endometritis, oligohydramnios. Kodwa ayikho neyodwa kulezi zinkolelo-mbono ezicatshangelwayo iye yaqinisekisa lotawulungisa.

ukuhlola

Ezimweni eziningi, emitholampilo laboratory ehluleka ukuhlonza constriction fluid. Izithombe wokutadisha ultrasound uninformative, kwazise lezi izindikimba umncane kakhulu. Ngokungaqondile ungakwazi ukuhlonza nemilenze lakhulisiwe futhi ivuvukele ezindaweni kokucindezelwa. overdiagnosis Ikakhulu okwandile lokhu egunjini lokuhlolwa kwezifo. Ngakho-ke, uma udokotela okusolwa khona bands olusesibelethweni, abakhulelwe ziqondiswe MRI kanye 3D ultrasound.

Abangaphezu kwesigamu kutholakala ukuthi uphethwe yini nokuminyaniseka amniotic ku ultrasound okuphindaphindiwe ayikwazi ukutholwa ngenxa ukudabuka kwabo.

izibalo

Kuye lobuchwepheshe imishini kokubeletha nobuningi bekubona nokuminyaniseka amniotic zingahluka kusuka 1: 1200 kuya 1:15 000 izizukulwane. Kukholakala ukuthi izisu ayizinkulungwane amabili neshumi zenzeka ngenxa yalesi sizathu. amaphesenti ayisishiyagalombili imicu Simonara deform iminwe nezandla, futhi elinye amaphesenti ayishumi - a zlib of umzanyana. Lokho kumiswa ifindo e umzanyana okuholela hypoxia futhi yabakhulelwe ukufa fetus.

Ngenhlanhla, izifo eziningi "amniotic band constriction" ayisekelwa yi imicu emtholampilo noma fibrous musa abangele ingozi enkulu ezingenzeka embungwini.

ufuzo

Amathuba ukuthi nokuminyaniseka amniotic avele ngesikhathi sokukhulelwa, incane kakhulu. Lena akuyona kuyisifo esiwufuzo. Ngokuvamile, ukuguquka kwezakhi zofuzo ocwaningweni noma chromosomal zenzeka afanako, futhi kulokhu, intambo enamathiselwe okungahleliwe ngokuphelele. Uma ukukhulelwa kuqala ingane imicu Simonara waphawula, akusho ukuthi izingane okwalandela ngeke alimale. Futhi, akusho ukuthi abazali abaye bahlupheka e utero amniotic band constriction, ingane izalwe nge kombungu.

imiphumela

Nakuba nokuminyaniseka amniotic - akuyona zokugula ebulalayo, imiphumela kulo bangabantu esidumazayo kakhulu. Ngenxa yokuthi imichilo kungaba sisithandele izingxenye fetus yomzimba, ukuthuthukisa i-lymph yokujama tsi. Lokhu kuholela edema kanye necrosis. Emva kokuzalwa umlenze elinjalo elibekwe ingane kufanele anqunywe, noma ukuthuthukisa Crush-syndrome: ubuthi ezinqwabelene ekulesi izinzwa, awela kwegazi kanye nezinhlaka uzoqala ushevu ingane. Lokhu kungaholela ekufeni kwakhe. Ngakho-ke kudingekile ukuba asuse esitho, uma isisezweni kakade engasimeme. Futhi ngokushesha ngangokunokwenzeka.

Ngaphezu kwalokho, e-syndrome ka nokuminyaniseka amniotic kungase ayimigodi izitho zomzimba iminwe ku engxenyeni proximal esitho. Njalo phakathi lezi zingane umphetho izinzwane noma phalanges of iminwe yakhe nezinzwani zakhe. Ngezinye izikhathi, ngaphezu nokuminyaniseka wengane kuyagcinwa nezinye inhlamba disembriogeneza: ulwanga emfantwini ne lip engenhla. Ezimweni ezingavamile kakhulu kukhona ephule ngokuphelele emgogodleni ugebhezi ebusweni, eventration izitho besisu, atresia ka umzanyana.

Uma constriction kuthinta ezitsheni eduze inesikhala kuya esikhumbeni, okwamanje kwakhiwa hemangioma it is. Isimila emva kokuzalwa kumelwe kususwe.

Abanye ososayensi bathole uxhumano izintambo Simonara nge kokukhubazeka. Lokhu kungenxa yokuthi imilenze fetus awashintsheki fibre imicu, ngakho kwesibeletho kungaba cindezela unyawo umbungu. Amaphesenti amabili of lokhu zokugula kuyinto amabili emaceleni. Enye ingozi, okuyinto kumelwe inikeze obelethisayo - kuyinto wazalwa kungakabi isikhathi. Lokhu inkinga - into kaningi ukukhulelwa ezenzeka sifo nokuminyaniseka fluid.

ukwelashwa

Njengomthetho, e utero iyisifo ngeke welaphe. Zokwelapha, kukhona amacala ebonisa lapho ukuhlinzwa transvaginal noma laparoscopic. Kodwa-ke khona kakhulu, njengoba babancwebe izitho ezibalulekile. Kodwa kuyinto engavamile kakhulu constriction fluid. Ukwelashwa ngokuvamile eyenziwa ngemva kokuzalwa kwengane.

I imicu eminingana dissected futhi unqanyulwe ingxenye umlenze uma kunesidingo. Ukuze uthuthukise izinga lokuphila kungenziwa utshalwe iminwe phansi izikhali zakhe.

ukuba nombono ongafani ngeke

Onalesi sifo ngoba impilo yabo, ngokuvamile evumayo. Izingane ezimweni eziningi akhule ngokobudala. Minyaka yonke nasemilenzeni ngcono, ngakho ukulahlekelwa ibhodi lemisindo, isandla, umlenze aphansi noma unyawo kungenzeka ukuphakamisa esikhundleni yokufakelwa. Izingane zikhuthazwa ukuba ushintshe amazinyo njengoba zikhula. Uma constriction okubangelwa ukungasebenzi kahle ezincane obusebenzayo, isici yezimonyo luqedwe ngokudluliswa iminwe futhi phalanges yabo.

Ngo abantu sifo nokuminyaniseka amniotic azalwe izingane ephelele, njengoba lesi sifo akusilo ngofuzo.

Osaziwayo abaye bands Simonara

Sekuyisikhathi isikhathi lapho abantu esitho ukunqunywa ababecashe emizini yabo futhi wabandlululwa umphakathi. Manje ungaphila kunjalo akukho imikhawulo, ukubamba izikhundla ezibalulekile emphakathini, umsebenzi, avele kuthelevishini iqhaza ubuhle imiqhudelwano.

Abanye abantu abadumile akanamahloni azalwe ene ukunqunywa azalwa naso, kodwa kungakhathaliseki ukuthi kungenxa constriction amniotic - umbuzo evulekile.

1. Carrie Bornell - actress, eyazalelwa ngaphandle ibhodi lemisindo kwesokudla. Isebenza kusiteshi ithelevishini yezingane. Lokhu kwabangela ukusabela okuxubile phakathi izibukeli asemasha nabazali bawo, futhi anikeza ugqozi ukuvela uchungechunge izinhlelo mayelana nendlela ukutshela izingane ngokukhubazeka kanye nezici ezikhethekile zokuphila balaba bantu.
2. Dzhim Ebbot kuyinto ajwayelekile kubo bonke abalandeli baseball. He is imbiza ziyaphawuleka, okusho okuphakelayo, ngaphandle ibhulashi kwesokudla. Wabe esethatha umhlalaphansi kusukela mdlalo ekupheleni kwekhulu lamashumi amabili, kodwa isibonelo sakhe siyaqhubeka ugqozi abantu abaningi abanokukhubazeka Paralympians.
3. Teresa yukata - ubuhle Miss Melika, wazalwa ngaphandle esandleni sobunxele. Phakathi imincintiswano, angizange ukugqoka sokwenziwa ukuze abonise ukuthi kungaba mnandi futhi ngaphandle ezingxenyeni yokufakelwa.
4. Kelli Noks - imodeli phezulu ngaphandle ibhodi lemisindo ngakwesokunxele. Ngo-2008, yena won ngokoqobo show on the BBC isiteshi 3. Ngaphezu kwakhe kulo mncintiswano abathintekayo amantombazane ayisikhombisa abanokukhubazeka okuhlukahlukene.
5. Nikolas Makkarti - wopiyano odumile, eyazalelwa ngaphandle ngakwesokunene.
6. Nikolas Vuychich - umshumayeli Christian Australia. Famous for ukuzalwa ngaphandle nasemilenzeni. Yena ishicilela izincwadi zakhe futhi iya seminar emhlabeni wonke njengesibonelo, ukuthi akufanele bayeke ngisho nasezimweni ezinzima kakhulu.
7. Mark Goffeni - guitarist, ozalwa ngezandla unqanyulwe. Wafunda ukudlala izinzwane.