Ukuvuza amniotic fluid nobe kukhishwa: kanjani ukuqonda? Izimpawu ukuvuza amniotic fluid

Phakathi nenkathi yokukhulelwa, i-fetus esibelethweni sizungezwe amniotic fluid, okuthiwa yi-amniotic fluid. Zibalulekile maqondana nokuthuthukiswa umbungu, ngakho kuthululwa yabo evamile ukugeleza sokukhulelwa kwenzeka kuphela kwenkathi ethile zomsebenzi.

Uma amanzi aqala ukuhoxisa ngaphambi kwesikhathi, usongela isinqumo ngaphambi kwesikhathi futhi iba sina kuyisici esiyingozi. Kuyadingeka ukuba baqonde ukuthi lezi zimo ziyingozi lo wesifazane obaleke nengane. Umbuzo kanjani ukuba siqonde ukuthi amanzi abasephula, kufanele zihlolwe njalo umama okhulelwe.

Izimpawu ukulahlekelwa amniotic fluid

Abesifazane abaningi esikhathini ekuqaleni unesithakazelo kangakanani ukuqonda ukuthi amanzi waphula. I physiology abesifazane kuhlelwe ngendlela yokuthi ngesikhathi III senyanga yokukhulelwa, enika olukhulu ngokwengeziwe, futhi kuyinto eliphelele lokubusa. Kuyadingeka ukuba embule ubunjalo lokhu kubonakaliswa, kunalokho kufanele babandakanywe wezifo zabesifazane, ukukhulelwa ehola. Kodwa umama okhulelwe ukuphepha kwabo futhi impilo umntwana ngokwalo kufanele ukwazi ukunquma ukuthi waqala ukudedelwa kwanoma ketshezi. Kubalulekile ukuba bazi futhi baqonde ukuthi kwenzekani emzimbeni: ukuvuza amniotic fluid nobe kukhishwa.

Izimpawu main ukuthi ungenza lesi sixwayiso, itholakala lezi zinto ezilandelayo:

• Ukuthululwa komoya uketshezi luyanda ngokushintsha ukuma kanye nokunyakaza.
• Uma kwakuba khona ukudabuka abalulekile ulwelwesi, ketshezi uqala ukugeleza phakathi kwemilenze. Female zangasese ngisho ukuphoqelela imisipha ngeke siyeke ukugeleza.
• Uma umonakalo bubble ngesibonakhulu, ukuvuza kunqunywa kuphela yi-stroke e emtholampilo noma ukuhlolwa okukhethekile.

umehluko zangaphandle

Hlukanisa amabili uthi - ukuvuza amniotic fluid nobe kukhishwa - kungaba zibe nemiklamo ukubukeka ku zangaphansi noma izindlu zangasese. Amanzi abe umbala esobala (ngezinye izikhathi nge Pinkish, umbala ogqamile, tint sinombala), kukhona okuncane akucacile. Ukwabiwa ungase ube ukungaguquguquki obukhulu esimhlophe, aphuzi-white, tint sinombala. Amniotic amanzi, umbala zazo zikude esobala, futhi kufanele wazise omama esizayo.

ukuhlolwa okubalulekile ekhaya wokuhlola

Ukuze uqonde ukuthi yini ngempela eyenzekayo (ukuvuza amniotic fluid nobe kukhishwa), ukusiza ukuhlolwa ahloselwe ngokukhethekile ukuhlola abesifazane ekhaya. Indlela ephumelela kakhulu ezibhekwa izindlela ezimbili zocwaningo, ngokuyisisekelo okuyinto kanje:

• Ngaphambi ukuhlolwa kuyadingeka ukuya endlini yangasese ukuze ahlanze indawo obuseduze, uyakwesula eyomile ithawula. Ngemva kwalokho-ke Kunconywa ukuba alale phezu ahlanzekile, ishidi ezomile noma inabukeni. Uma namabala, awokuthi ukudabuka nisebancane imizuzu amabili phezu kudala. Ukuthembeka le ndlela imayelana 80%.
• I angase alahlekelwe Singakwazi yini ukuthola okungeziwe. Gaskets phezu ukudabuka we-amniotic fluid angathengwa ekhemisi ngokwesilinganiso ngoba ruble 300.

izindlela ezikhethekile ukuhlolwa

Ezinye weenhlahla ukukhiqiza pads okhethekileko ukuvuza-amniotic fluid. Ngokwe-izici sangaphandle yokuhlanzeka ngokuphelele ejwayelekile iphakethe. Umehluko omkhulu wukuthi ngomkhiqizo ngamunye uqukethe reagents ekhethekile. Basiza thembeke ukuhlonza ngisho nengxenye ubuncane yokuthululwa komoya.

Ukuhlolwa ulula: umkhiqizo unamathele zangaphansi washiya amahora 12. I reagents basabela kuphela amniotic fluid kanye upende pad e-celadon. Lolu cwaningo ivumela ukuhlukanisa incontinence urinary, khona uketshezi kusukela okumqoka. napkins yenhlanzeko nje ngeke kushintshe nombala.

Lapho kuvela izimpawu zokuqala yokuthululwa komoya kuyadingeka ukuze uxhumane udokotela wezifo zabesifazane, ngoba simo zisongele impilo umbungu kanye nonina. Futhi kungcono uye kudokotela uyofuna icebiso uma owesifazane ukhathazekile iyiphi izinsolo. Kuphela onguchwepheshe kungasiza ukususa ukwesaba ezingadingekile futhi ukusungula ngokuqiniseka ukuthi owesifazane avuzayo amniotic fluid noma ocucuzayo, okuyizinto wuphawu ukusebenza okunempilo emzimbeni. Kunoma ikuphi, udinga ulalelisise isimo sakhe.

Indlela ukuqaphela ukuvuza amniotic fluid nge ezingeni lelisetulu ithemba?

ukusebenza kahle High ukunikeza amasu ukuhlolwa lochwepheshe. Phakathi ngihlolwa eyenziwa uphethwe olunemininingwane ethe xaxa. Aphethe ithuluzi ekhethekile - esibukweni izifo zabesifazane - obelethisayo uhlola wesibeletho. Kungenzeka ukuthi owesifazane kufanele abe baqaphe ngokukhethekile. Uma okwamanje uzoqala uketshezi ezinkulu esinyeni fetus kungalimala, futhi udokotela kunquma ukuthi liphindele amniotic fluid. Kuye imiphumela yocwaningo yakha amacebo okwengeziwe yezenzo.

zokukhwabanisa ezengeziwe

ukuhlolwa kwezokwelapha for ukuvuza amniotic fluid kutfola pH sangasese. Uma medium kungokwemvelo, ne-asidi eningi uyokwambulwa. Nokulahlekelwa amniotic fluid, kuba kancane ane-alikhali noma hlangothi. Le ndlela futhi ikuvumela ukuba kutholakale khona yizifo ezihlukahlukene ezithathelwanayo.

Ngokuvamile obelethisayo lucwaningo Cytology - ukuhlolwa okukhethekile-amniotic fluid. Ukuchithwa izidakamizwa lisetshenzisiwe ingilazi. Ngemuva omiswe, kunqunywa ukuthi: amanzi noma Ukukhetha bokuphila. ngesonto 40 indlela eside alisetshenziswa

Uma odokotela bathethelele izinsolo zabo ukuphela eyenziwa ultrasound ukunquma inani eliqondile-amniotic fluid. Uma umthamo wabo lingaphansi kunalokhu okujwayelekile, lokho kutholakala ukuthi uphethwe yini oligohydramnios.

engcupheni

• Izifo yaleli pheshana zangasese, livelile ngaphambi kokuqala bekhulelwe noma kusaqalwa.
• Kombungu kwesibeletho (ikakhulukazi azalwa naso).
• esingamahlalakhona wesibeletho. I compactness wesibeletho kubi hhayi angabhekana ngayo ngokuphumelelayo ingcindezi umbungu okhulayo.
• Polyhydramnios. Ukuxilongwa kwenziwa emva ultrasound.
• Chorionic villus izibonelo zalokho, cordocentesis, amniocentesis. izifo ezibangelwa ufuzo.
• ukulimala Mechanical wathola ngenkathi elinde ingane.
• Imphumelelo ngokucindezela ingxenye nekwetfula umbungu. Ngokuvamile kubonakala abesifazane izinkalo emincane futhi ebukhoneni kwezinso yakhe zentuthuko.
• nokukhulelwa izingane eziningi ngasikhathi.

Yini kuyinto evamile?

sokukhulelwa Healthy nokubeletha ezihilela ukulandelana elandelayo imicimbi: uma 38, 39, 40 ngesonto yokukhulelwa, nganoma yisiphi isikhathi ungaqala zabasebenzi. Lapho omunye okuphuma Kufinyeta, isinye, lapho okuvalelwe amniotic fluid, siphuka, futhi omunye ukugeleza, bephumela ngaphandle. Uma lokhu kungenzeki, lo obelethisayo lucwaningo wokubhoboza ophoqelelwe libizwa amniotomy.

ngezigaba

Kuye isikhathi lapho kukhona kuthululwa, futhi kanjani avuzayo amniotic fluid, ngezigaba elandelayo yasungulwa:

• Ngesikhathi esifanele. Ukuqala ekupheleni esigabeni sokuqala zabasebenzi kudalulwe noma kakhulu egcwele wesibeletho.
• Ngaphambi kwesikhathi. Lapho kukhona 39 amasonto 40 okukhulelwa, ngaphambi kokuqala umsebenzi ozinzile.
• Early. Ukuvuza in inqubo zomsebenzi, kodwa ukuvezwa wesibeletho.
• Belated. Kwenzeka ngenxa kwabantu eliphezulu ulwelwesi. Ukuthululwa komoya iqala esigabeni zomsebenzi yesibili.
• ulwelwesi High ukudabuka. Kuthatha indawo ezingeni we pharynx ngenhla wesibeletho lesizalo.

Kungakuhle ukudabuka kumele ngokunembile kuphelelwe. Kodwa ukukhulelwa umnyuziki eside, isikhathi lapho lidlula amasonto 37, iyiphi okufana kungaba nenzuzo uma ekugcineni ukuthuthukisa lwemishikashika evamile. isimo esinjalo uyingozi, ngaphandle isikhathi esifushane kuka amasonto 37.

I ukuvuza esiyingozi?

Ukuze uyiqonde kahle imiphumela egcwele okusongelayo osenyameni ngaphambi kwesikhathi, kubalulekile ukubhekana imisebenzi ukuthi kukhona-amniotic fluid:

• Barrier ukulawula ukutheleleka. Ukutheleleka nge umthondo kamama ungathola ingane mpo.
• Ukuvimbela enkabeni intambo kokucindezelwa. Amanzi kusiza ukwakha kophuzo igazi ukuze ingane.
• umsebenzi Mechanical. Isithelo uvikelekile kwamathonya amabi zangaphandle, ezifana uthuthumele noma ukuwa. It kudala izimo ukunyakaza mahhala ingane.
• Ngokwemithetho yempilo imvelo isebenza. Phakathi kukamama imvuthu kuyinto exchange njalo amakhemikhali uketshezi.

Endabeni ukwephulwa ezithinta yonke imisebenzi, kodwa inkinga eziyingozi kakhulu ukutheleleka intrauterine kuba, ngoba ukuvuza kwenzeka ngenxa ukulahlekelwa ubuqotho ulwelwesi. Ngenxa yalokho, walahlekelwa yobunzima medium, kokushiya isivikelo emathonyeni zangaphandle, inzalo siphukile. Ukuze i-fetus iyakwazi ukungena amagciwane, isikhunta.

Uma kutholakala kuthululwa ...

Uma kuthululwa kwenzeka ngesikhathi senyanga yesibili, lokho kungase kubangele isifo i-fetus izifo ezihlukahlukene ukuthi akukho zithiyo uzokwazi ukuba inqobe zonke Ukuvikelwa. Ngokushesha nje lapho umbelethisi uyoqinisekisa ukuthi kukhona ukuvuza, owesifazane ethunyelwe ultrasound ukuhlola. Lolu cwaningo uyasiza ekuboneni degree of ukuvuthwa nomntwana esizalweni. Uma izinso umgudu wokuphefumula umbungu isilungele ukusebenza ngokugcwele ngaphandle kwesibeletho, wenziwa ukushukuma zomsebenzi. Lokhu kuvimbela ukungcoliswa ukutheleleka kwengane.

Uma umbungu akakabi isilungele umsebenzi ezimele ukuphila, izinyathelo lwenteke okuhloswe ngaso ngelula sokukhulelwa - odokotela ukuthi ulindelwe embungwini sokuzalwa. Ukwelashwa simiswe ngalendlela lelandzelako:

• Ukuqokwa izidakamizwa elwa namagciwane. Lokhu kuzosiza ukuvimbela ukutheleleka intrauterine.
• Okuqinile embhedeni ukuphumula. Phumula futhi isikhundla esitebeleni kusiza yokwelapha eqhubekayo.
• ukuqapha unomphela isimo impilo yengane, ngoba kucatshangwa ukuthi kubaluleke nsuku zonke. Kid unakho sikhule esimweni iphila esibelethweni. Uhlaziya egazini lakhe, wiggling.
• Umama sihamba izifundo laboratory kulinganiswa lokushisa lomzimba.
• In the ukungabikho izimpawu zokutheleleka uyaqhubeka ukuphathwa okhulelwe. Kungaba kwenziwe ukuqeqeshwa yaleli pheshana zokuphefumula wengane ekusebenzeni ezimele, ama-ejenti hormone angabelwa ize. Akukhona eziyingozi, zonke izinyathelo ezihlose nokugcina impilo kamama nengane.

esikhundleni isiphetho

Ngaphambi kwesikhathi amanzi ukuvuza ingavinjelwa uma owesifazane phambi engcupheni oqhuba izinyathelo ezifanele. Ngokwesibonelo, ukusebenza ukwelashwa esifike esingamahlalakhona wesibeletho, lapho umphetho yethulwa ekhethekile singasebenza wesibeletho pessary azoya. Kwezinye izimo, eyenziwa ekulondolozeni yokwelapha, ukuvuselelwa ipheshana zangasese nezinye ezingaba foci ezithathelwanayo (imithi, caries zamazinyo, namathansela). Onalesi sifo elihle kunawo kwakhiwa ngesikhathi kuthululwa e ukukhulelwa umnyuziki eside. Nokho, umama esizayo kungaba Ungethuki, kungcono sihlale sizolile bese ulandela yonke imiyalelo udokotela wakho.