Chii chinorehwa neshoko rokuti "hypochlorism"?
Sezvazvinozivikanwa, panguva yekubata muviri inonzi amniotic fluid inoramba ichichinja, uye inonyatsoenderana nechechecheche yemwana, nguva yekuzvitakura. Inowanzofungidzirwa kuti pakupera kwevhiki ye 38 yemazuva ose, gumbo ravo rinoda kusvika 1500 ml.
Zvisinei, kuongororwa kwe "mvura yakadzika" kunosimbiswa kare kare. Nokuda kwekutanga kokufungira kwekuputsa kwakadaro vanachiremba vanogona kunge vatove vhiki makumi maviri. Inogamuchirwa kugovera zvidimbu zvakasiyana zvemvura yakadzika. Mune zviitiko apo ivhu reamniotic fluid iri pasi pe1 litre nemavhiki 30-32, vanotaura nezvekuderedza mvura yakadzika. Kazhinji kacho, kuongororwa kwekuongorora kunowanikwa uchishandisa ultrasound.
Sei hypochondria ichikura panguva yekuzvitakura?
Kune zvikonzero zvizhinji zvinokonzera chirwere ichi panguva yekuita. Ndicho chikonzero nei zvakajairika mumatambudziko ekuzvibatanidza mumapoka:
- Kushamwaridzana nekuvapo kwekuzvarwa kusina kunaka mumucheche. Kazhinji kutyora kwekugadzirwa kwenhengo uye maitiro kunounza kuderera kwehuwandu hweamniotic fluid. Izvi zvinogona kuonekwa ne agenesis (kusabatwa kwechiremba), kuwirirana kwemawere, dysplasia yeitsvo.
- Inokonzerwa nehutachiona hwekuchinja mumuchechi. Kuzoputsa kwakadaro kunowanzoreva: utachiona hwemukati hwetrauterine wemwana (cytomegalovirus, chlamydia, mycoplasmosis), kunonoka kukura, kurwara muchechi yekromosome (Marfan, Down syndrome, nezvimwewo).
- Zvikonzero zvinobatana zvakananga nekushungurudzika kwemagetsi mumuviri wemukadzi ane pamuviri, izvo zvinogona kuva mugumisiro wezvirwere zvisingaperi seku:
- kushungurudzika kwemwoyo yematambudziko (thrombophlebitis, arterial hypertension, insufficiency veous);
- chirwere chepvo (renal failure, pyelo- uye glomerulonephritis);
- Zvirwere zveCollagen (systemic lupus erythematosus, dermatitis, scleroderma, rheumatism);
- chirwere cheshuga.
- placental insufficiency;
- placenta infarction;
- anomalies mukubudirira kwenzvimbo yemwana (focal sclerosis, atrophy yeimwe yemabvu).
- kuchengetedza (kubata nguva kwevhiki makumi mana nekuwedzera);
- kupera nguva isati yasvika pamakumbo emamniotic;
- iatrogenic malic acid, - inogona kukonzerwa nokushandiswa kwenguva refu kwemishonga yakadai se indomethacin, phenoprofen, naproxen.
Mishonga yakadaro inorayirwa, sekutonga, nekutyisidzira kuberekwa kusati kwapera.
Inobatwa sei?
Nekuderera kweamniotic fluid, vanachiremba, pakutanga, vanorayirwa ultrasound. Izvi zvinokubvumira kuti urege kubvisa kuvapo kwezvakaipa mukutaridzirwa kwe fetus. Mukufananidza, kuongororwa kweropa kwekuongorora zviratidzo kunoitwa. Kana pane kunyunyuta, amniocentesis inoshandiswa - kuunganidza amniotic fluid, kuitira kuti iite karyotyping uye kusabvisa chromosomal kusagadzikana.
Kana paine kushayikwa kwema hydration munguva yekuzvitakura iye zvino pane imwe nguva, musikana wacho ari muchipatara kuti aone zvikonzero uye chinangwa chekurapa. Muchipatara, amai vanouya vanorayirwa mavhitamini (B, C), zvinodhaka zvinowedzera kupararira kweropa (Kurantil), kutakura kwe okisijeni kumasukisi uye fetal systems (Actovegin). Munyaya iyi, kuenderera mberi kwekutarisa kwenyika yenguva yemberi mwana achishandisa CTG, dopplerometry.