Litloaelo tsa amniotic mokelikeli li-index ke beke. Sesosa, phumano le kalafo ea khaello ea metsi ka basali ba baimana

Semmuso lebitso bongaka mokelikeli amniotic - amniotic mokelikeli. Ke mokelikeli biologically mafolofolo nakong mahareng, e ka lera ka fetal le aparetsoe ke embryo.

Mesebetsi ya mokelikeli amniotic

Amniotic mokelikeli ke e 'ngoe ea lintlha tsa bophelo ba ngoana ka pōpelong. Ena tikoloho ya tsa likokoana-hloko tšoauoa ka makgetha a ho 'maloa:

• Etsa bonnete ba phepelo litholoana. mokelikeli ona le bopilwe ka plurality limatlafatsi. Ka nako ea pele ka mor'a peō, li ikakhela ka setotsoana ka letlalo la ngoana, 'me hamorao - potsanyane feela ingests itseng palo ea tsona.
• Ho Boloka khatello e tse loketseng le tse mocheso ka hare ho 37 ° ^C.
• Ho Fana ka ho ntshetsa pele ya tshireletso ngoana litšusumetsong Link phetha molao feela. Amniotic mokelikeli fokotsa khatello le jolts, e tsoa tikoloho.
• Support tsa nyopa, a tlang ho sireletsa ngoana mefuta e fapaneng ya ho tsoaetsoa mafu a. E le karolo ea mokelikeli amniotic ke mangata immunoglobulins. Ho phaella moo, karolo ea bohlokoa e bapaloang ke sa tightness feletseng lera la. Nyopa e tiisa ka ho ntlafatsoa kamehla mokelikeli amniotic, eo e fella feela ka mor'a tsoalo ea ngoana.
• Ho etsa bonnete ba e sa lefelloeng motsamao oa lesea ka popelo ka.
• Muting matla Link lerata.

The litsupa khōlō ea mokelikeli amniotic

Ho pholletsa le ho ima ho ea ho hlophisoa 'me palo ea mokelikeli amniotic ke tsa bohlokoa haholo. Ho na le maemong a mangata ha khelohile le ntho e tloaelehileng litsupa supa hore ho thehoe le ntshetsopele ya pathologies tse sa tšoaneng. Kahoo, re ka nako e loketseng hlahloba le lokisa joalo kapa bomaleba ikemiselitse ho ikemisetsa ho etsa liketso tse hlokahalang ka mor'a ho tsoaloa ha lesea.

amniotic mokelikeli li-index (AFI), - palo eo e emela molumo ka senya periconceptional.

Ha ho phetha tlhathoba setsebi hlokomele litsupa latelang:

• Mmala le ho sebeletsa pepeneneng. Nke lehlakore mokelikeli mmala - e hlakileng, e sebeletsang pepeneneng, le e nyenyane ea litšila.
• Buka ea. Ka palo ea mokelikeli ama gestational nako. Ka lebaka leo, tekanyo ea mokelikeli amniotic itšetlehile ka trimester ea bokhachane. Mohlala, amniotic mokelikeli index ea ka beke 21 (ntho e tloaelehileng) - 88-143-233 di ml, moo pele, index - sekhahla ka tlaase 'me palo e ea bobeli - kakaretso, oa boraro e - tekanyong e ka holimo. Daily keketseho ea 40-45 di ml mokelikeli o tsoela pele ho fihlela libeke tse 32 tsa boimana. Ka mor'a ho index of mokelikeli amniotic ka libeke tse 32 (karolelano tekanyo ea 144 di ml) qadile ho eketseha ka - palo ya metsi butle-butle decreases. Pele fana ka puo, e le di ml 500-1500 feela.
• Hormonal dikahare.
• Skeletal le cytologic litokisetso.

Litsupa mokelikeli amniotic

Fetisisa rutang criterion la khaello ea metsi mehleng ea rōna - oa ultrasound. Thutong ena, ngaka e etsang qeto ea AFI le multiplicity tsa paatsepama pokothong. Ha linomoro tsena u se ke ua finyella fapaneng tlwaelehileng bakeng sa fanoeng lilemo gestational, qetello e bontša khaello ea metsi.

Lathe pokothong - ke lebitso la bolelele palo e kahodimodimo ea karolo e itseng o se nang mokelikeli amniotic, e leng e lokisetsa pakeng tsa litholoana le anterior mpeng leboteng. Ho phaella moo, sebaka sa e sa lumelloa ka mahala mokelikeli karolo e itseng ea thapo lelana kapa lesea maoto le matsoho. bolelele tloaelehileng ea lipokothong paatsepama - 5-8 cm,, hanyenyane pele ho sebelisa ultrasound maemong a fetola feela motho ea mafolofolo motsoako.

amniotic mokelikeli index ea ditlwaelo

Hona joale palo ea mokelikeli amniotic ile hlahlojoa ke AFI. Bakeng sa ngaka ena kelellong arola ka mpa ka likarolo 4 ka tsela e 'meli perpendicular leqeba intersecting ea mokhubung. Ka mor'a moo, e mong le e ba libaka tsena e lekanya palo e kahodimodimo paatsepama pokothong. E le hore ho fumana boleng ea ho qetela ea amniotic mokelikeli li-index, tsohle litsupa nkiloeng tlameha ho eketsa.

Amniotic mokelikeli li-index balwa ntho e tloaelehileng ke ea bokhachane beke, ho qala ho tswa ho beke bo16 la lilemo. bohlokoa ba 'ona eketsa butle-butle. Phahameng ka ho fetisisa index of mokelikeli amniotic ka libeke tse 32 - ba nomoro e pakeng tsa ml tse 77 ho tse 169. Lateloa ke e fokotseha ka AFI.

melao-motheo ea tafole AFI

Melao-motheo ea amniotic mokelikeli li-index ke beke tse hlahisoang tafoleng.

Ka kganetsano tsa litsupa tsena mela e itseng ea bokhachane etsahala polyhydramnios kapa oligohydramnios.

Oligohydramnios nakong ea bokhachane

Oligohydramnios ke haholo sa thabiseng le lipono tse makatsang tloaelehileng haholo nakong ea bokhachane. Ha ho kheloha palo ea mokelikeli amniotic tswa amniotic mokelikeli ditlwaelo index ea beke le beke tse nyenyane - ba na le boloetse ba "oligohydramnios itekanetseng." Ho lokisa, u ka sebelisa ho ja, phepo e nepahetseng le ho phela bophelo bo phetseng hantle. Ka mor'a nako e itseng, ka tjhelete e ya metsi a khutlela ho tloaelehile, 'me ho hang ha e ama boemo ba ngoana eo.

Fumanoe "oligohydramnios" e kenngoa ka le joalo moo ho kheloha ho tswa ho amniotic mokelikeli ditlwaelo index ea bakeng sa libeke tse ka lehlakoreng nyenyane e kgolo. Le phumano ena hloka bookelong e potlakileng le boitšoaro ka-ba le mamello kalafo. Sena ke ka ntlha ya go kgonego phahameng la liphello tse bohloko tsa ngoana.

Ha index of mokelikeli amniotic ka libeke tse 20 (e tloaelehileng) e fapaneng 86-230 di ml le ultrasonography diphetho bontša e nyenyane haholo bophahamo ba modumo ea sebele ea mokelikeli amniotic, haeba setseng untreated e ka etsa hore ntshetsopele e fokolang ea litho tsa bohlokoa, le deformation ea masapo a masapo le, ntshetsopele ya tsela e sa tloaelehang tse fapa-fapaneng fetal. Ka lebaka leo, ho ke ke nako ea bohlokoa haholo ho qala kalafo oligohydramnios.

Ha ho hlalositswe tlaase index of mokelikeli amniotic ka libeke tse 34 (e leng ntho e tloaelehileng - e leng karolelano ea 142 di ml), ntle ho se le teng e sa tloaelehang hantle-hlalositswe ntshetsopeleng ngwana - hangata ho potso ea qetello ea bokhachane, e le kalafo tabeng ena lefeela le ke ke tlisa efe kapa efe diphetho.

Lisosa tsa khaello ea metsi

Ho na le mabaka a mangata a ho bōptjoa ha metsi a tlaase. Ba ka sehloohong ba bona ba ka:

• lera la hypoplasia kapa fokoletse theko ea secretion ea metsi;
• e sa tloaelehang fetal (a liphio hae, ya marapo);
• khatello e phahameng ea mali, e leng 'mè oa moimana, haholo-holo ha bopengwi bohlokoa ho tswa tloaelehileng ea;
• tsoaetsanang baktheria, e phunyeletse pampitšana genital e seng feela, empa hape ka ho toba ka mokelikeli amniotic;

• bokhachane multiple, le ntshetsopeleng lekane ya placenta ho, a le fa mong le e phallo fapaneng mali ho lesea le;
• perenashivanii;
• tšoenngoa metabolism 'meleng oa mosali e mong, haholo-holo ka ho ba teng ha boima ba' mele ho feteletseng.

Features ya kalafo ea khaello ea metsi

U ke ke ua esita le ho tšoara oligohydramnios itekanetseng feela. Feela motheong oa pele entse liteko Ngaka e ka ho hlahloba sesosa sa ketsahalo e anomaly, ho tiea tsa lefu, boemo ba lesea le ho hlalosa 'nete hore ea phekolo.

Haeba ho na le botenya, phytoteratology metabolism, e tla ba ho hlokahala hore ho latela lijo tse, ho ja, ho ja livithamine le meriana eo ho ntlafatsa phallo ea mali ho placenta ho. Phekolo ea polyhydramnios itekanetseng ka ho phethwa ka outpatient motheo oa. mohato bitsoa ba tšoaroa feela ka sepetlele. Ho sa tsotellehe hore mokgwa wa lefu lena le ho nang le tlhokahalo ho fokotsa palo ea ho ikoetlisa le ho ikoetlisa, bethe phomolo.

Nakong ea kalafo, ho tla ba hlokahala hangata ho feta tloaelo, ho etsa tsa ultrasound le Doppler bakeng sa boitsebiso ka nako e loketseng ea ho fetoha ha 'mele oa ima' me ho lesea.

Ha diphetho tsa ultrasound o ile a bontša ka index ea tlaase ea mokelikeli amniotic ka libeke tse 33 (ntho e tloaelehileng - karolelano ea 143 di ml), 'me hamorao, ha lesea le e loketse ho tla tsoaloa, ba - ngaka ka ho laela pelehi pele.

Holim 'a ba bonoa ntlha ena ha ho hlokahale hore ho tepella maikutlo. Leha ho le joalo ka ho khalemeloa - ho ba sethaleng ka tsela e itekanetseng phekoleha. Ka ho ba teng ha khaello ea metsi nakong ea bokhachane tse fetileng e lokela ho ba bonnete ba hore ho tsebisa ngaka ea hao. Tabeng ena, o tla kgona ho nako e loketseng lemoha le ho rarolla ka taba ena.