Amniotic fluid ke mokokotlo oa metsi o potolohileng lesea la hau nakong ea bokhachane. E fana ka monyetla oa hore ngoana a hōle ka popelong mme o fana ka tšireletso mokokotlong oa mobi e le ho o sireletsa hore o se ke oa hatelloa ka popelong. Kamora hoo e ka bang halofo ea boimana nakong ea bokhachane, amniotic fluid e tlisoa ke motsoako oa motsoako oa masea le matšoafo a matšoafong.
Ngoana o noa metsi a amniotic le ho e ntša metsi. Kamora hoo e ka bang beke ea bo36 ea bokhachane , amniotic fluid e qala ho theoha ho fihlela ho tsoaloa.
Le hoja amniotic fluid e ka fapana ka bongata, ho na le mefuta e 'meli e feteletseng ea amniotic fluid e ka bakang mathata kapa e le pontšo ea mathata. Ea pele e tsejoa e le polyhydramnios kapa metsi a mangata haholo; ea bobeli ke oligohydramnios kapa mokelikeli o monyane haholo.
Ka linako tse ling ho nahanoa hore amniotic fluid ke e 'ngoe kapa e' ngoe ka ho otlolla mpa kapa ho lekanya bolelele ba fundal, mekhoa e tloaelehileng ea tlhokomelo ea bakhachane. Haeba litekanyo li felile, ngaka ea hau kapa motlatsi oa hao a ka khothaletsa e-ultrasound ho hlahloba litebelisuoa tsa mokelikeli ka popelong.
Ho sebelisa ultrasound ho fumana hore na metsi a tlaase a amniotic ke efe, tsela e molemo ka ho fetisisa ke ho sebelisa tekanyo e tebileng ea pocket. Mona ke moo pocket e kholo ka ho fetisisa, e tebileng haholo ea metsi e lokelang ho lekanya ho feta 2 cm ka 1 cm e le boemo bo phetseng hantle ba amniotic fluid.
E ka tlaasana ho ena le 'mè o fumanoa a e-na le oligohydramnios. Ho sebelisa ultrasound ho na le monyetla oa hore ho bonolo ho o etsa le ho fumaneha hohle ka likotsi tse seng kae ho 'mè, lesea kapa ho ima.
Joale ke'ng se etsang hore 'mè a be le li-amniotic tse nang le metsi a fokolang? Ho na le lintho tse 'maloa tse thehiloeng historing ea' mè oa bongaka ho kenyelletsa:
- Ho felloa ke metsi
- Ho se sebetse ka tsela e hlabang
- Likokoana-hloko tse hlahisitsoeng
Hape ho na le mabaka a lesea, a ka kenyeletsang:
- Mefokolo ea bokhachane , ho kenyeletsa bothata ba liphio tsa lesea
- Thibelo ea ho Hōla (ho se be le sebaka se lekaneng)
- Kamora nako (libeke tse 42 tse fetileng)
- Meriana e meng
Ka kakaretso, ho na le butle-butle tlhahiso ea amniotic fluid ha 'mè a atamela ho sebetsa ka nakoana. Hona ho ka ba thata ho khetholla ho litšoaneleho tse ling. Ka lebaka leo, ho qeta ho sebetsa habonolo, hobane feela amniotic fluid e tlaase, e ka 'na ea se ke ea e-ba eona e sireletsehileng ka ho fetisisa. U ka 'na ua batla ho sheba lintlha tsohle pele u etsa qeto ea hore ena ke tsela eo u ka e nkang.
U ka etsa'ng ka metsi a tlaase a amniotic? Haeba motho ea belaelang hore sesosa sa hae ke ho felloa ke metsi, 'mè a ka noa metsi le ho phomola. Sena se ka fokotsa kotsi ea ho felloa ke metsi 'meleng' me sa etsa hore litebelisoa tsa metsi li be le maemo a tloaelehileng. Kaha ho felloa ke matla ho metsi ho ameha ka ho khetheha lehlabuleng, sena ke khothalletso e akaretsang ea lingaka tse ngata tsa ho lula li le metsi. Lintlha tse ling li ka 'na tsa se ke tsa hlaka le ho kenya letsoho mosebetsing e ka ba mokhoa o motle ka ho fetisisa oa ho etsa.
Monyetla o moholo ka ho fetisisa oa bo-'mè ke ho kenya letsoho ho ka fumanoang ke lefu la oligohydramnios. Bo-'mè ba nang le ts'ebetso ea ho sebetsa ba na le menyetla ea ho ba le mehato e itseng e kenyeletsang tsoalo ea lesarea ho tloha ho palo ea boipheliso.
Le hoja bafuputsi ba pheha khang mabapi le ho khaoloa ha metsi, ho boetse ho na le linyeoe tsa oligohydramnios tse hlahang ka mathata a mang, joalo ka ho ba le bothata ba ho tsoaloa, kapa tlhahlobo e hlōlehileng ea khatello ea kelello . Tsena li ka 'na tsa hloka ho phekoloa ho feta' mè ka nako e nang le ketsahalo e le 'ngoe ea tlaase ea amniotic fluid.
Mosebeletsi, ka kakaretso, a ka ba le bothata bo phahameng ba ho tsoaloa ke fetal kapa ho tsoaloa ha lesea, empa maemong a mangata, sena se bakoa haholo ke lebaka la tekanyo e tlaase ea amniotic fluid ho feta tekanyo e tlaase ea mokelikeli.
Lisebelisoa
> Brace, RA (1997). "Physiology ea amniotic fluid regulation regulation." Clin Obstet Gynecol40 (2): 280-289.
Chauhan SP, et al. Tlhahlobo ea ultrasonographic ea amniotic fluid ha e bontše hantle amniotic fluid volume. Am J Obstet Gynecol. 1997 Aug; 177 (2): 291-6; puisano 296-7.
Feldman, I., M. Friger, et al. (2009). "Na oligohydramnios e tloaelehile haholo nakong ea lehlabula?" Arch Gynecol Obstet 280 (1): 3-6.
Glantz, JC (2005). Ho khetholla likhetho khahlanong le mekhatlo ea basebetsi e ikemetseng le liphello. Leqephe la Meriana ea Batsoallo, 50 (4), 235-240.
McCurdy CM Jr, Peo ea JW. Oligohydramnios: mathata le phekolo. Semin Perinatol. 1993 Jun; 17 (3): 183-96. PMID: 7690990
Naba ea Nabhan, Abdelmoula YA. Amniotic fluid index ho feta pocket e le 'ngoe e tebileng ka ho fetisisa e le teko ea ho hlahloba ho thibela ho ima ho bohloko. Database ea Cochrane ea Tlhahlobo e Tsitsitseng 2008, Khatiso ea 3. Art. Che: CD006593. DOI: 10.1002 / 14651858.CD006593.pub2.
Patrelli, TS, S. Gizzo, et al. (2012). "Phekolo ea meriana ea maternal e ntlafatsa bongata ba amniotic fluid le ho ima ha bokhachane ka boraro-boraro ba oligohydramnios e le mong feela: teko e laoloang ea taolo ea lits'ebeletso." J Ultrasound Med 31 (2): 239-244.