Tikanga o waimatū taupū inu i te wiki. Take, te tātaritanga me te maimoatanga o te scarcity wai i roto i nga wahine hapu

Ko te ingoa hauora e pā ana o waikahu - waikahu. Ko te reo kaha biologically wai, i te mea i roto i te kiriuhi fetal me hipokina te ira.

Functions o waikahu

waikahu Ko tetahi o nga āhuatanga o te ora o te tamaiti i roto i te kopu. Tenei taiao koiora āhuatanga e rave rahi āhuatanga:

• Whakarite i te supply hua. Kei tēnei wai o te plurality o ngā matūkai. I roto i te wā tuatahi i muri i te kikiritanga, e riro ratou i roto i te kiri o te tamaiti, a muri mai - i te koati anake ingests he tetahi maha o ratou.
• Te whakaū i te pēhanga e tika ana, me te pāmahana i roto i 37 ° ^C.
• Whakarato whakawhanake tiaki tamaiti i te mau mana aunoa waho. Waimatū inu tino whakaiti pēhanga me jolts, e haere mai i te taiao.
• Tautoko mō te sterility, i te mea ki te te tiaki i te tamaiti i te momo o te mate. Hei wāhanga o te waikahu ko te rota o immunoglobulins. I tua atu, te takaro he wāhi nui e te tightness tino o te kiriuhi. whakarite sterility e whakahōu tamau o waikahu, e mutu i muri i anake te whanautanga o te tamaiti.
• Whakarite i te kaupapa noa o te tamaiti i roto i te kōpū.
• Muting kaha haruru waho.

Ko te tohu matua o te waikahu

Puta noa i te hapūtanga e tino nui te hanganga me te maha o te waikahu. He maha ngā take ka peka ke i te täkupu tohu tohu ki te hanganga me te whanaketanga o ngā pathologies. Ko te kupu, Ka taea e tatou te wā tātari me te whakatika i taua ranei tika mateuteu ki te kawe i te mahi e tika ana i muri i te whanautanga o te tamaiti.

waimatū taupū inu (AFI), - he maha e tohu tona rōrahi i roto i te tōngāmimi periconceptional.

A, no te mau ana i roto i te tātaritanga tango mātanga ki pūkete te tohu e whai ake nei:

• Tae me te mārama. tae wai kūpapa - mārama, mārama, me te nui iti o poke.
• Rōrahi. I runga i te nui o te wai pānga wā gestational. Na reira, ko te tere o te waikahu tei runga i te huatū o te hapūtanga. Hei tauira, waimatū taupū inu i roto i te wiki 21 (täkupu) - 88-143-233 ml, te wahi i te taupū tuatahi - auau raro me te tau tuarua - toharite, te tuatoru - te rohe o runga. hua Daily o 40-45 ml wai tonu tae noa ki 32 wiki o te hapūtanga. I muri i te taupū o te waikahu i 32 wiki (tere toharite o 144 ml) tiketike - nui o te wai āta heke. I mua i te tuku, ko reira 500-1500 anake ml.
• ihirangi hormonal.
• Matüora me cytologic taka.

Tohu o waikahu

paearu nuinga kōrero o te scarcity wai i roto i to tatou wa - ultrasound. I roto i tenei ako, te tākuta whakatau te AFI me te tini o te pute poutū. Ki te kore e tae enei tau te awhe noa mo te tau gestational hoatu, te mutunga tohu scarcity wai.

pute poutū - ko te ingoa o te roa mōrahi o te wahi noa o te waikahu, whakaritea nei i waenganui i te hua, me te taiepa puku he mārōrō. I tua atu, e kore e whakaaetia te wāhi i roto i te wahi wai noa o te uho nga wahi tamaiti ranei. roa Normal o whitiki poutū - 5-8 cm, paku i mua i te whakamahi i ultrasound whakaritea wāhanga hohe anake.

waimatū tikanga taupū inu

Na i arotakea te nui o waikahu e AFI. Hoki tenei tākuta hinengaro tuwhatuwhaia te kopu ki te 4 ngā wāhanga mā rua patunga hāngai rīpeka te pito. I muri iho, whanganga ia o enei rohe kei te pute poutū mōrahi. I roto i te tikanga ki te whiwhi i te uara whakamutunga o te taupū waikahu, me te tāpiri tohu ahu katoa.

taupū waikahu tātai täkupu i wiki hapūtanga, timata i te wiki 16. faarahi āta ratou uara. Ko te teitei taupū o waikahu i 32 wiki - te auau i 77 ki te 169 ml. Aru e te heke i roto i te AFI.

paerewa AFI Ripanga

Paerewa taupū waikahu i te wiki e te aroaro i roto i te tepu.

I rerekētanga o enei tohu ki rārangi motuhake o te hapūtanga puta polyhydramnios oligohydramnios ranei.

Oligohydramnios i roto i te hapū

Ko te tino kino, me te tītohunga rawa noa i roto i te hapū Oligohydramnios. Ki te te nui ine o waikahu i te waimatū tikanga taupū inu wiki iti - e pāngia ki "oligohydramnios āhua." Hei whakatika i reira, ka taea e koe te whakamahi i te kai, kai tōtika tika me te āhua noho hauora. I muri i te tahi mau wa, te nui o te wai ka hoki ki noa, a i roto i kore ara pānga te huru o te tamaiti.

Tātaritanga "oligohydramnios" whakanohoia te i roto i te take te wahi i te ine i te waimatū tikanga taupū inu mō ngā wiki i roto i te taha iti he nui. Ki tenei tātaritanga hiahia hohipera akiaki me te whakahaere i roto i-manawanui maimoatanga. Ko e tika ana ki te tūponotanga nui o nunu'a fakatupu 'auha mo te tamaiti tenei.

Ki te ko te taupū o te waikahu i te 20 wiki (noa) i roto i te whānuitanga whakaatu 86-230 hua ml, me te ultrasonography he rōrahi tūturu nui iti o waikahu, ki te mahue kore maimoatia e taea ai te underdevelopment o nga whekau faufaa, te deformation o wheua o te kōhiwi, te whanaketanga o ngā abnormalities fetal. Na reira ko te reira te wa tino nui ki te timata oligohydramnios maimoatanga.

A, no te te taupū iti tautuhia o waikahu i 34 wiki (te täkupu - he toharite o 142 ml), haunga te tīari kē abnormalities pai-tautuhi i te whanaketanga o te tamaiti - he maha reira he pātai o te whakamutunga o te hapūtanga, ka rite ki te maimoatanga i roto i tenei take horihori, a kore e kawea tetahi hua.

Ko te take o te scarcity wai

He maha ngā take mō te hanganga o te wai iti. Ko te matua o ratou e rite:

• kiriuhi hypoplasia secretion iti o te wai ranei;
• whanaketanga fetal rerekē (tona whatukuhu, kōhiwi);
• pēhanga toto tiketike, he whaea expectant, tautautefito ki he taimi nui ine i te täkupu;
• mate kitakita, e tomo wahi taihemahema kore anake, engari ano hoki tika ki te waikahu;

• hapūtanga maha, ki te whanaketanga pāhiwihiwi o te ewe, hoatu ia rere toto rerekē ki te kukune;
• perenashivanii;
• ohorere pākia i roto i te tinana o te wahine, rawa i roto i te aroaro o te taimaha i te taikaha.

Āhuatanga o te maimoatanga o te scarcity wai

E kore e taea e koe te ara hamani oligohydramnios āhua anake. Anake i runga i te pūtake o te rata whakamātautau i hanga i mua kia arotake te take o te tupu Pākatokato, pakeke o mate, te huru o te kukune, me whakahau te akoranga o te maimoatanga.

Ki te reira he mōmona, pākia waimaero, ka waiho reira e tika ana ki te whai i te kai, e kai, kai huaora me ngā rongoā e whakapai ake rere toto ki te ewe. Maimoatanga o polyhydramnios āhua taea te whakamana i runga i te kaupapa tūroro. E tukinotia taahiraa korerotia anake i roto i te fare ma'i. Ahakoa o te ahua o te mate i reira ko te hiahia ki te whakawhāiti i te nui o te mahi tinana, me te mahi, moenga okiokinga.

I roto i te maimoatanga, ka waiho reira tika atu maha atu i mua, ki te mahi i ultrasound me Doppler mo te tāutu wā o huringa i roto i te tinana o te hapu me te tamaiti.

Ki te whakakitea hua ultrasound te taupū iti o te waikahu i roto i te 33 wiki (täkupu - toharite 143 ml) me muri mai, ka he rite ki te e whanau he tamaiti, - he tākuta e taea whakahau te tuku wawe.

Ki runga ki te rapunga o tenei meka e kore e hiahia ana ki te kia pouri. Tonu taea te papaki - te atamira āhua treatable. I roto i te aroaro o te scarcity wai i roto i te hapūtanga o mua kia tino ki te whakamōhio i tō tākuta. I roto i tenei take, ka taea ki te wā kitea me te whakatau i tenei take ia.