Basa rinokosha zvikuru mumutambo wakazara wekudzivirira rinotambidzwa nekuumbwa kwemvura pedyo ne fetus uye nhamba yakakwana. Kune nzira dzakawanda dzekuona idzi zviyero. Iyo yakatendeseka ndeyekugadzwa kweamniotic fluid index mu cm.
Kuti chiremba we ultrasound ape ruzivo rwakanyatsonaka pamusoro pekudzidza amniotic fluid, mazuva ano mashandisi e-ultrasound ane zvigadziriro zvakakosha zvine zvinyorwa zveamniotic fluid zvigadziro uye zvinongotanga kuverenga index inoda. Migumisiro yekuongororwa kwakadaro inoratidza kuberekwa kwakadai sekudzivirira semapirhydramnios kana hypochlorism pakuzvitakura .
Kutsunga kwemaitiro eamniotic fluid
Dhaka inotarisirwa inofanira kuverengwa kuti ione kana amniotic fluid yakakwanira kugadzikana kwepamusoro uye kwakakwana kwomwana. Pane nzira mbiri dzekuwana zvakagadziriswa:
- Chinangwa chechinangwa. Icho chibereko chinoparidzirwa muzvikamu zvose uye mhepo inonzi ultrasound inotaridzika kuverenga index.
- Tsanangudzo inonzwisisika. Ultrasound inoshandiswa zvakare, asi munguva yekudzidza iyo yakawanda yepamusoro quadrants yemubereki inopfupiswa, iyo yakaenzana nenhamba ye amniotic fluid.
Amniotic fluid index table
Mifananidzo inowanikwa semugumisiro we ultrasound kuongorora inofananidzwa nefurafura ye amniotic fluid. Zvakakosha kuziva kuti chigadziro chimwe nechimwe chakagadzirwa nehuwandu hwayo petafura, iyo inogona kuchinja zvakanyanya, zvisinei, pane zvimwe zvishoma kana zvishoma. Nhamba dzehurukuro ndiyo chikonzero chekugadzirisa zvirwere zvakadaro se polyhydramnios kana hypochlorism. Zvisinei, haasi mutungamiri wekutora matanho, sezvo chiremba achatsanangura akawanda akawanda emushandi.
Amniotic fluid index nevhiki
Penguva yose yekutakura, amniotic fluid inoramba ichichinja huwandu hwehuwandu hwehutano hwakanaka uye hunoenderana nehutachiona uye kukura kwechecheche. Nevhiki imwe neimwe, ivhu remvura inowedzera, pavhareji, ne40-50 ml uye inogona kusvika 1-1.5 malita asati asununguka pachake uye inogona kuderera zvimwe. Zvisinei, kuongororwa kwegore rimwe chete kwehuwandu hwemvura hakugoni kuvimbwa, sezvo fetus inoramba ichichinja nzvimbo.
Itafura yakatarwa yeamniotic fluid ine dhesi yemavhuni anowanzoitwa amniotic fluid kwevhiki imwe neimwe yekubata uye yepamusana pekuregererwa kunobvumirwa kubva kune dzinowanzogamuchirwa.
Kuti utaure pamusoro peiyo chaiyo polyhydramnios kana amniotic fluid inoshaya, zvakakosha kusarudza kunyatsoparadzana kubva pamitemo yakawanda inogamuchirwa isingakodzeri mukati memiganhu yemiganhu yakagamuchirwa yakawanda. Saka, somuenzaniso, kana nhamba yeamniotic fluid ye 11 cm inowanikwa muvhiki 32 yekubata muviri, saka hapana chikonzero chekufunganya. Asi kuvapo kwemvura yakadai pamvura yechi22 kana 26 yevhiki kunoratidza kare zvakasara.
Kuziva nezvemiganhu yemuchina we amniotic fluid zvichienderana nehutano hwemazuva ano huchabatsira amai vamangwana kuti vazviongorore zvakanakira migumisiro yekudzidza kana asina kugamuchira tsanangudzo dzechinangwa kubva kune gynecologist. Kusanzwisisa kwemigumisiro ye ultrasound kupupurirwa kwakazara nezvinetso mukugadzirisa kubvisa mutoro, uye
- kubuda kweamniotic fluid isati yasvika;
- simbe nzira yekuendesa;
- oksijeni nzara ye fetus uye kukura kwayo kusina kukwana;
- kuwedzera kukumanikidza pamudonzvo wembilical;
- postpartum hemorrhages, kuputika kwechigadziko chinoputika nezvimwe zvakadaro.
Inofanira kunzwisiswa kuti chiyero che amniotic fluid hazvibvi pane mararamiro uye mararamiro emudzimai ane pamuviri, sezvo iri chizvarwa chechizvarwa chechizvarwa chisingawanzogadziriswa nemishonga.