Dzemunharaunda ose Líquido mvura indekisi nevhiki. Zvinokonzera, chirwere uye kurapwa chemvura chishoma vakadzi vane pamuviri

Zita yepamutemo dzokurapa pane Líquido mvura - Líquido amniótico. Imvura pakugadzira kushingaira unosvikirwa, riri fetus membranes uye rinofukidza embryo.

Mashandiro anoita Líquido mvura

Líquido Urume mumwe zvinhu woupenyu mwana ari mudumbu. Izvi chaivo ezvinhu dzinoratidzwa akawanda zvinhu:

• Kuona chibereko rive. mvura iyi rine muzvizhinji nezvinovaka muviri. In yokutanga nguva pashure muchangosangana, vari woga kuburikidza paganda mwana, uye gare gare - mbudzana oga ingests imwe nhamba vavo.
• Kuramba dzakakodzera kumanikidzwa netembiricha mukati 37 ° ^C.
• Kupa dzichiri mwana kudzivirirwa kwokunze zvemaziso zvinofurira. Líquido Urume kuderedza dzvinyiriro uye jolts, izvo zvinobva zvakatipoteredza.
• Rutsigiro kusabereka, ndiko kudzivirira mwana kubva siyana zvirwere. Senzira Líquido mvura ndiyo vazhinji immunoglobulins. Uyezve, basa rinokosha iri kuridzwa ne mhedziso tightness pakati membranes. Kusabereka kunosimbiswa nemashoko kuramba updating pamusoro Líquido fluid iyo inoguma chete pashure kuberekwa kwomwana.
• Kuona vakasununguka kwebasa mwana ari dumbu.
• Muting simba kwokunze ruzha.

The chikuru zviratidzi ari Líquido mvura

Munguva yose pamuviri murwiyo uye uwandu Líquido mvura zvakakosha zvikuru. Pane zvakawanda zviitiko apo vakatsauka kubva ndozvakajairwa zviratidzi dzinotaura kuti paumbwe uye kugadzira pathologies siyana. Saka, tinogona nenguva rokuongorora uye kururamisa akadaro kana zvakakodzera kugadzirira basa zviito zvakafanira pashure kuzvarwa kwemwana.

Líquido Urume indekisi (AFI), - nhamba inomiririra inzwi rayo periconceptional dundira.

Kana tichiita Diagnostics nyanzvi kufungawo zvinotevera zviratidzi:

• Ruvara uye pachena. Kwazvakarerekera mvura ruvara - yakajeka, segirazi, pamwe shoma tsvina.
• Volume. On kuwanda emura kunokanganisa gestational kumwedzi. Naizvozvo, mwero Líquido mvura kunoenderana trimester akazvitakura. Somuenzaniso, Líquido mvura indekisi iri vhiki 21 (wokuyera) - 88-143-233 Rine mamiririta, apo indekisi yokutanga - chimbadzo uye nhamba yechipiri - paavhareji, wechitatu - rokumusoro muganhu. Daily Zvakawanikwa 40-45 Rine mamiririta emura mberi kusvikira vhiki 32 pamuviri. Pashure Indekisi Líquido mvura pa vhiki 32 (avhareji yevanhu 144 Rine mamiririta) kwakanyanyisa - yakawanda mvura zvishoma nezvishoma shoma. Usati wakurukura, ndiko Rine mamiririta 500-1500 chete.
• Hormone kugutsikana.
• Nemakemikari uye cytologic gadziriro.

Zviratidzi ose Líquido mvura

Most zvakwo chokuratidza mvura chishoma munguva yedu - Ultrasound. Muchidzidzo ichi, chiremba anosarudza kuti AFI uye multiplicity dzaibva kumusoro muhomwe. Kana nhamba izvi regai kusvika chakaipa chikuva pamamiriro gestational zera, mhedziso rinoratidza mvura chishoma.

Vertical homwe - ndiro zita kunonyanyisa urefu wakasununguka mugove Líquido fluid riri akaronga pakati muchero uye Anterior abdominal rusvingo. Mukuwedzera, nzvimbo haabvumirwi mune wakasununguka mvura chikamu achiine rukuvhute tambo kana mwana maoko nemakumbo. Normal urefu kutwasuka Homwe - 5-8 cm zvishoma usati kushandisa Ultrasound kugadziridzwa chete kushingaira zvinoriumba.

Líquido amniótico indekisi dzemunharaunda

Zvino uwandu Líquido mvura yakanga dzinoongororwa nokuda AFI. Nokuti chiremba uyu anokamura dumbu mukati 4 zvikamu mupfungwa Via zviviri perpendicular sitiroko intersecting kweguvhu. Pashure pacho, mumwe nomumwe zvikamu izvi kunoyerwa kunonyanyisa wehunyambiri muhomwe. Kuti vawane kwokupedzisira kukosha Líquido mvura indekisi, zvose pacharo zviratidzi anofanira kuwedzerwa.

Líquido Urume indekisi dzaona wokuyera vhiki pamuviri, kubvira rechi16 vhiki. ukoshi hwavo inowedzera zvishoma nezvishoma. The soro Indekisi Líquido mvura pa vhiki 32 - mwero kubva 77 kusvika 169 Rine mamiririta. Uchiteverwa kuderera mune AFI.

Table AFI mitemo

Standards Líquido Urume indekisi nevhiki vari dzaitaurwa tafura.

At musiyano pakati zviratidzo izvi kuti dzakananga mitsetse pamuviri kuitika polyhydramnios kana oligohydramnios.

Oligohydramnios panguva pamuviri

Oligohydramnios kusingafadzi chaizvo uye zvakajairika chaizvo chiitiko panguva yepamuviri. Kana kutsaudzira uwandu Líquido mvura kubva Líquido mvura indekisi dzemunharaunda vhiki diki - vari chirwere "mwero oligohydramnios." Kugadzirisa kuti, unogona kushandisa zvokudya, kudya zvinovaka muviri, uye utano hwakanaka. Kwapera nguva, uwandu mvura vakadzokera dzose, uye hapana nzira kunokanganisa mamiriro ezvinhu mwana.

Chirwere "oligohydramnios" anoiswa panyaya apo nokutsauka kubva Líquido mvura indekisi dzemunharaunda kwevhiki parutivi duku riri guru. With chirwere ichi vanoda rokukurumidzira muchipatara uye mufambiro mu-murwere kurapwa. Izvi imhaka yakakwirira ndingangokuvara taisireva nokuda mwana.

Kana indekisi pakati Líquido mvura pa vhiki 20 (romuzvarirwo) ari siyana 86-230 Rine mamiririta uye ultrasonography zvabuda vanoratidza chiduku zvikuru Vhoriyamu chairo Líquido fluid kana akasiya untreated inogona kukonzera underdevelopment zvinokosha zvomukati, ari deformation mapfupa ari marangwanda, kuvandudzwa siyana fetus abnormalities. Saka inguva inokosha chaizvo kutanga kurapwa oligohydramnios.

Apo rinotsanangurwa yakaderera Indekisi Líquido mvura pa vhiki 34 (ndozvakajairwa - avhareji 142 Rine mamiririta), kunze yatovapo yakajeka abnormalities ari kwomwana - kazhinji mubvunzo kuti kugumiswa pamuviri, sezvo kurapwa kana ichi maturo uye haangazvidembi kuunza chero zvabuda.

The zvinokonzera mvura chishoma

Pane zvikonzero zvakawanda paumbwe mvura shoma. The chikuru vavo sezvo:

• hypoplasia membranes kana kwakaderedza secretion mvura;
• kanganisika fetus (itsvo dzake, skeletal);
• BP, amai vane pamuviri, kunyanya kana zvinokosha zvarakasiya kubva ndozvakajairwa;
• zvinokonzerwa noutachiona, izvo zvinopfuura yokubereka turakiti kwete chete, asiwo zvakananga kunyika Líquido mvura;

• vakawanda pamuviri, pamwe gogonera Kugadzirwa placenta, achipa mumwe akasiyana ropa riyerere kuti mudumbu;
• perenashivanii;
• vakanetseka muviri mumuviri mumwe mukadzi, kunyanya pamberi yokufutisa.

Features kurapwa mvura chishoma

Haugoni kunyange kubata mwero oligohydramnios oga. Chete pahwaro ari kare vakaita nemiedzo chiremba anogona kuyera mhaka anomaly kuwanika kwokuomerwa chirwere, mamiriro ezvinhu mudumbu uye varayire nzira yokurapa.

Kana paine kufutisa, havachanyatsogoni muviri, zvichaita zvakafanira kutevera zvokudya, idyai, idyai mavhitaminzi uye mishonga kuti kuvandudza ropa riyerere kuti placenta. Treatment pakati nepakati polyhydramnios kunogona kuitwa pamusoro outpatient hwaro. Iziviswe danho vari kubatwa chete muchipatara. Pasinei chimiro chirwere panodikanwa kushomeka uwandu kurovedza muviri uye kurovedza, mubhedha zororo.

Panguva kurapwa, zvichava zvakafanira kakawanda kupfuura dzose, kuita Ultrasound uye Doppler nokuda nenguva kuziva kuchinja kwomuviri pamuviri uye mwana.

Kana Ultrasound zvabuda wakaratidza pasi indekisi pamusoro Líquido mvura iri 33 mavhiki (wokuyera - paavhareji 143 Rine mamiririta) uye gare gare, apo mwana akagadzirira kuzvarwa, - chiremba anogona mishonga mangwanani pakusununguka.

Pamusoro kuonekwa chokwadi ichi hakudi mwoyo. Achiri anogona kugadziriswa - zvine mwero Danho rinorapika. In pamberi mvura chishoma munguva yakapfuura pamuviri vanofanira kuva nechokwadi kuzivisa chiremba wako. Muchiitiko chino, iye achakwanisa nenguva zvikavengwa kugadzirisa nyaya iyi.