Kūmau o amniotic loli 'inideka ma ka hebedoma. Kumu,ʻike, a me ka hana ana o ka wai wī i loko o hapai wahine

I ka oihana lapaau inoa o amniotic loli - amniotic loli. He He kinowai biologicallyʻeleu meakino, i mea i loko o ka fetal membranes, a uhi i ka embryo.

Oihana o amniotic loli

Amniotic loli o kekahi o nā kumumea o ke ola ana o ke keiki i loko o ka opu. Kēia liluwelo 'ia wehewehe aku ma kekahi mau hiʻona:

• Kaulike i ka hua lako. Kēia wai ninoieo o ka ai iiiaanoaa o ka mahuaola. I ka wā mua ma hope o fertilization, ka mea, i ke kemu ma ka ili o ke keiki, a me ka hope - i ke kao keiki wale ingests i kekahi helu o ia.
• Malama pono puʻe a me ka wela i loko o 37 ° ^C.
• E hoomanao e ulu keiki palekana mai mawaho me mechanical ololi. Amniotic loli me ka nui loa ho'ēmi i ka puʻuwai a me ka lele li ili, i hele mai, mai ke kaiapuni.
• Kākoʻo no ka sterility, i mea e pale aku i ke keiki, mai keʻano o nā mea palahēhē. E like me kekahi hapa o ka amniotic loli mea he hailona o immunoglobulins. Eia hou kekahi, a Mānoa nui i ua pâʻani 'o ia ma ke kāpae tightness o na membranes. Sterility ua lako pono e ikaika aku i hōʻano hou 'o amniotic loli, a welau a ma hope o ka hanau ana o ke keiki wale nō.
• Kaulike no ka noa ana o ke keiki i loko o ka uterus.
• Muting ikaika mawaho leo.

Ke kumu nui nā hoailona o ka amniotic loli

Ma ka hāpai keiki ka haku mele 'ana, a me ka helu o amniotic loli i mea nui. He nui na hihia wā deviated mai ke kūmau nā hoailona kuhikuhi ana i ke kahua a me ka hoʻomohala o like pathologies. Pela, ua hiki manaʻoi hoʻokoe 'diagnose, a hooponopono i na paha suitably makaukau e hana i ka mea hana ma hope o ka hanau ana o ke keiki.

amniotic loli 'inideka (Afi), - i ka helu i ho kona leo i loko o periconceptional bladder.

I ka lawe ana mai lapaʻau 'hoʻomalu lawe i ka mooolelo o ka kēia nā hoailona:

• Waihoʻoluʻu a me ka mäliko. 'ākilikai nā wai kala like 'ole - akaka, aniani moakaka, me ka uuku nui o impurities.
• Volume. Ma o ka nui o ka wai e loli ai gestational wā. No ia mea, o ka uku o ka amniotic loli hilinaʻi nui ma luna o ka trimester o ka hāpai keiki. No ka laʻana, amniotic loli 'inideka ma ka hebedoma 21 (kūmau) - 88-143-233 ml, ma ka mua' inideka - haʻahaʻa uku, a me ka lua o ka helu - awelika, ke kolu - ka luna palena. Kela la i keia mahuahua ana o 40-45 ml wai a mau a hiki i ka 32 pule o ka hāpai keiki. Ma hope o ka 'inideka o amniotic loli i 32 pule (mńmń holo' awelika o ka 144 ml) ihu lua - nui o ka wai i nā emi. Mamua o haawi, ia mea wale 500-1500 ml.
• Hormonal maʻiʻo.
• Biochemical a me ka cytologic hoomakaukau.

Nā hoailona o amniotic loli

Most informative ana o ka wai wī i loko o mākou manawa - ultrasound. Ma keia ao, ke kauka e hoʻoholo i ka Afi a me ka multiplicity o vertical eke. Inā mau helu e i hiki i ka maʻamau huahelu no ka haawi gestational makahiki, i ka hopena Hōʻike wai wī.

Vertical eke - o ka inoa o ka mea i kā mākou lōʻihi o ka noa hapa o ka amniotic loli, a ua hoʻonohonoho ma waena o ka hua, a me ka anterior abdominal pa. Eia hou, ua i ae i ka wahi i loko o ka noa wai a hapa o ka piko a me ke keiki lala. Normal ka loa o verticalʻekeʻeke - 5-8 knm, iki ma mua hoʻohana ultrasound like waleʻeleu ke keʻena.

amniotic loli 'inideka kūmau

Ano, Ua ana kūpono e Afi i ke dala o amniotic loli. No keia Kauka mentally i hookaawale ai i ka'ōpū i 4 māhele Via mau p ÷ haku mapuna intersecting i ka piko. Mahope, kēlā i kēia mau cii ua anaia mai ka manawa i kā mākou vertical eke. I mea e loaa i ke kumukuai hope o ka amniotic loli 'inideka, a pau loko nā hoailona pono e hou.

Amniotic loli 'inideka pōpilikia kūmau ma ka hebedoma hāpai keiki, e hoʻomaka ana mai o ka hebedoma 16th. Kā lākou waiwai maoli i nā. I ka lani kiekie loa Index o amniotic loli i 32 hebedoma - ka uku mai ka 77 a hiki i 169 ml. Ukali ia e ka emi i loko o ka Afi.

Table Afi hae

Standards amniotic loli 'inideka ma ka hebedoma e hōʻike mai iā ia i loko o ka papaʻaina.

At discrepancy o kēia nā hoailona i kekahi laina o ka hāpai keiki ana polyhydramnios paha oligohydramnios.

Oligohydramnios i hāpai keiki

Oligohydramnios mea nō kaʻawaʻawa loa, a nui loa, he pono ole kŰia i hāpai keiki. Inā ka haiahū kūmau dala o amniotic loli mai ka amniotic loli 'inideka kūmau pule uuku - e diagnosed me "lōpū oligohydramnios." I ka hooponopono ia, e hiki ke hoʻohana i kaʻai, pono kino a me ke ola i ke Aloha Hawaii. Ma hope o kekahi manawa, i ka nui o ka wai hoi i ka maʻamau, a maʻaʻohe ala e loli ai i ka ano o ke keiki.

ʻike, "oligohydramnios" ua waiho i loko o ka hihia ma ka haiahū kūmau, mai ka amniotic loli 'inideka kūmau no ka pule ma kaʻaoʻao uuku mea nui. Me keiaʻike, e pono ai kaʻenaʻena hospitalization a me ka hana i loko o-hoʻomanawanui lapaau. O ke kumu ho i ka pahiki kiʻekiʻe o disastrous hopena no ke keiki.

Inā ka 'inideka o amniotic loli i 20 pule (maʻamau) o ma ka laulā 86-230 ml a me ka ultrasonography hualoaʻa hōʻike he nui uuku maoli ka leo o amniotic loli, ina haʻalele untreated mea hiki i underdevelopment o ka nui nā loko, i ka deformation o iwi o ka iwi, o ka hooulu ana o nā fetal abnormalities. No ia mea, ia mea koʻikoʻi manawa e hoʻomaka lapaau oligohydramnios.

A hiki aku ka mea i ho'ākāka 'haahaa Index o amniotic loli i 34 pule (ke kūmau - ka awelika o ka 142 ml), he okoa na ano nei pono-ho'ākāka' abnormalities ma? Acaeoey ke keiki ka - ia mea pinepine i ka ninau o ke hoopau wale o ka hāpai keiki, e like me ka hana maikaʻi i loko o keia hihia meaningless, a e ole lawe mai i kekahi hualoaʻa.

Nā kumu o ka wai wī

He nui nā kumu no ka ho okumu ana i haʻahaʻa ka wai. Ke kumu nui o ia e like:

• hypoplasia membranes a ho'ēmi i kā secretion o ka wai;
• 'āno'ē fetal ulu (kona hakuʻala, skeletal);
• kiʻekiʻe ke koko, he expectant makuwahine, o ka oi aku ka wā nui deviations mai ke kūmau;
• mea koʻohune nā mea palahēhē, i komo ole wale wahine'āpana, akā, i 'ana i loko o ka amniotic loli;

• mau hāpai keiki, me ka haoʻa i kūpono 'ana o ke keiki, e haawi ana kekahi i kekahi koko i ka fetus;
• perenashivanii;
• pilikia pūnao i loko o ke kino o kekahi wahine, o ka oi aku i loko o ke alo o ka oi kaumaha.

Hiʻona o ka hana maikaʻiʻole o ka wai wī

Oe hiki ole i hana lōpū oligohydramnios wale. Wale nō ma ka kumu o ka mua i ho'āʻo ai i kahuna lapaau e pono ke loiloi i ke kumu o anomaly hanana, ka oolea o ka maʻi, ke ano o ka fetus, a kau mai i ka papa o ka nohoʻana.

Inā he mea obesity, hoʻopōʻino pūnao, ka mea e e pono e hahai i kaʻai, eʻai, ai nā wikamina a me ka lapaʻauʻia i ka hoʻoikaika 'ana i ke koko kahe ana i ke keiki. Lapaʻau o lōpū polyhydramnios hiki ke hana ma kekahi outpatient manawa. Haʻiʻanuʻu e hana wale nō i loko o ka haukapila. Nānā 'ole o ka palapala o ka maʻi he mea he pono e kali i ka nui o physical hana a me ka hoʻokō, moe koena.

Ma lapaʻau, ka mea e pono ai e oi ma mua o mau pinepine, e hana ultrasound a me Doppler no ka mea 'eleu' ike o nā loli i loko o ke kino o ka hapai keiki, a me ka bebe.

Inā ultrasound hualoaʻa hōʻike i ka haʻahaʻa 'inideka o amniotic loli i loko o ka 33 pule (kūmau - awelika 143 ml) a ma hope, i ka wa a ka makaukau ia e hanau i ka pēpē, - he kauka hiki ke hoakaka ia ka wanaʻao hānau.

I ka loaʻaʻana o kēia mea, aole ia e pono i ke kaumaha. Mau nō hiki e? Ee - ka lōpū ke kahua treatable. Ma ke alo o ka wai wī i loko o ka mua hāpai keiki e eʻoiaʻiʻo, e hai aku i kou kauka. Ma keia hihia,ʻo ia nō e hiki i ka manaʻoi hoʻokoe 'huai ae, a hoʻonā i kēia pukana.