Mimba ndi imodzi mwa nthawi zokongola kwambiri pa moyo wa mkazi, yomwe imatsegula mbali zatsopano za umunthu wake, imamulimbikitsa ndikudzaza ndi chisangalalo chabwino ... Amayi amayembekezera kutsogana ndi mwana wake nthawi zonse, ndi chisangalalo m'chifuwa chake ndikuchilolera kupyolera muzithunzi kuyang'anira mu ofesi ya ultrasound. Kufufuza mosamala mawu onse kuchokera pakamwa pa adokotala za momwe mwana alili, mukhoza kumva: "Kuyimitsidwa m'madzi amniotic!". Chabwino, mutalandira chidziwitso chotero, musawopsyeze, koma yesani kumvetsetsa vutolo.
Ndi "mtundu" wa mtundu wanji umene uli nkhani yosungidwa m'madzi?
Vzvesyami adayitanitsa mankhwala a moyo wa mwana wosabadwa (zosafunika zakunja), zomwe zili mu amniotic fluid. Kungakhale epithelium yosalala, tsitsi lopaka, zinthu zomwe zimakhala ndi mafuta otupa (kusungunuka), zomwe zimakhala zofalitsidwa bwino. Zoipa zotere, nthawi zambiri, zimachitika pa masabata 32-34 atakwatirana, zimachitika kawirikawiri, sizikhala ndi zotsatirapo pa chitukuko cha fetus ndipo zimasonyeza njira yachizolowezi yothetsera bere. Kukhalapo kwa nkhani yokhazikika kumapeto kwa mimba ndi chizindikiro cha kusungidwa kwake.
Kusimitsidwa m'madzi nthawi yoyamba, pamodzi ndi zizindikiro zina, zingakhale zogwirizana ndi kupezeka kwa matenda. Kotero, mwachitsanzo, chifukwa cha izi chingakhale ureaplasmosis. Ngakhale kuti ureaplasma sungathe kugonjetsa placenta, kutuluka kwa mwana wakhanda kudzera mwa kubadwa kwa amayi kungakhale ndi matenda a ziwalo zoberekera msungwana, impso, khungu ndi maso a mwanayo. Choncho, m'kati mwachiwiri ndi zitatu, muyenera kuchitidwa chithandizo chapadera.
Chitetezo cha m'mimba chimachepa pa nthawi ya mimba ndipo sichikhoza kupirira matenda, kuphatikizapo matenda opatsirana, kungachititse kuti mawonekedwe a suspended amniotic fluid apite. Kudya kwa mankhwala okhudzidwa ndi matenda opatsirana pogwiritsa ntchito mankhwala odwala matenda a m'mimba olembedwa ndi dokotala kumathandiza kuti chitetezo chitetezedwe, ndipo mwinamwake kale mutayang'anitsitsa zosafunika mumadzi kumeneko.
Nthawi zina ngati kuyimitsidwa kungakhale kuwonjezeka kwa mapuloteni mu amniotic madzi, zomwe ndi zachizolowezi, zomwe zimatchedwa "malamulo".
Malinga ndi meconium - chimbudzi choyambirira, chomwe chimachokera ku kubereka kwa feteleza chingatanthauzenso suspensions (imapezeka 10 peresenti ya kubadwa konse ndi 40% panthawi ya mimba ya pakati), ndipo malingaliro ake omwe amakhudza mwanayo amagawidwa. Akatswiri ena azachipatala amakhulupirira kuti meconium mu amniotic fluid ndi chizindikiro cha intrauterine hypoxia (oxygen njala) ya mwana wosabadwa, pamene ena amatsimikizira kuti palibe kugwirizana pakati pa zochitika izi, ndipo kudetsedwa kwa madzi ndi meconium ndi chinthu chokha chokhazikitsa chiopsezo chokhala ndi mimba chifukwa cha meconial aspiration ya mwana wakhanda.
Kuimitsidwa mu amniotic madzi - mankhwala
Monga lamulo, ngati "kuyimitsidwa mu amniotic fluid" kumapezeka, mankhwala ndi mankhwala sanagwiritsidwe. Pofuna kuteteza fetal hypoxia, ngati chinthu choopsa, ndibwino kuti mutenge "Actovegin", "Hofitol", "Fobenzym".
Popeza kuyimitsidwa, kotsimikiziridwa ndi ultrasound nthawi iliyonse ya mimba, si chizindikiro chazosazolowereka, ndiye kutsatila ndi kukonzanso kwa zotsatira za kukayikira kwa chromosomal pathologies, ngati kuganiza kwa hypoxia (chongani
- amniocenteis - kutsekemera kwa chikhodzodzo;
- Amnioscopy - kuyambitsa kachipangizo kakang'ono kotchedwa endoscopic m'kamwa lachiberekero kudzera m'mimba. Ndondomekoyi imatsutsana kwambiri ngati mukuganiza kuti placenta previa, colpitis, cervicitis, pamakhala njira zina zopatsirana pogonana komanso poopseza kutenga mimba. Zovuta pambuyo pa amnioscopy, monga kutaya msanga kwa amniotic fluid, matenda, kutuluka magazi sikungatheke.
Choncho, pozindikira kuti pali vuto lokhazikika pakati pa madzi panthawi ya mimba, choyamba, ndikofunika kumvetsetsa kuti panthawiyi pamene madokotala odziwa bwino ntchitoyi akuyesa kukambirana komanso kuyankhulana pa nkhaniyi, mtendere wanu wa maganizo udzakhala mankhwala weniweni kwa mwanayo.