Lambar ruwan amniotic a cikin jini na uwarsa a lokacin aiki ana kiransa embolism. Wannan lamari ne mai hadarin gaske wanda zai iya haifar da mutuwar mahaifi da tayin, wanda ake kira amoliotic embolism ko thromboembolism.
Dalilin kunya tare da ruwa mai amniotic
Shigar da ruwan amniotic a cikin manyan jirgi kuma yunkurin tarin hankalin yana yiwuwa saboda:
- rupture na cervix lokacin haihuwa ko cikin mahaifa kanta;
- Wadannan sassan
- Abubuwa a ci gaba da bawo;
- sadarwa a tsakanin tashar jinsin jini da kuma amniotic mahaifiyar.
Abubuwan da ke haifar da wannan pathology sune:
- Rafaffen precent;
- bincike mara kyau na nazarin ruwan mahaifa;
- farkon gurguntaccen gurguntaccen ƙwayar cuta, wadda ta rigaya ta riga ta kamu da jini;
- Ƙara karuwa a cikin mahaifa tare da polyhydramnios, ƙwaƙwalwar ciki, bincike, aiki mai tsanani.
Hanyoyin haɓaka ta hawan mahaifa
Meconium, grease maiko, fatar jiki, launi, launi na umbilical da ruwa mai amniotic a cikin lalacewar tasoshin shiga manyan sutura. Ba da da ewa sun sami kansu a cikin hagu na dama da ƙuƙwarar jini. Mafi sau da yawa, irin wannan rikitarwa ya faru a ƙarshen haihuwar. Lokacin hadari yakan tashi da yawa:
- Ƙasashen waje na haifar da cutar anaphylactic ko ma anaphylactic shock ;
- abubuwa na ruwa, yin aiki a matsayin mai laushi mai fatalwa, ya rushe aiki na tsarin sigina;
- Hanyoyin amniotic yana kara yawan jini, wanda zai haifar da rarraba ƙwayar intravascular.
Bayanin na asibiti ya dogara da:
- inganci da kuma haddasa motsi na ruwa;
- yawan ruwa ya kama cikin jini;
- Abune fasali na mace;
- lokacin haihuwa;
- concomitant pathology.
Kwayar cututtuka da kuma irin nau'in haɓaka tare da ruwa mai amniotic
A hankula na asibiti bayyanar cututtuka na cutar su ne wadannan:
- rashin ƙarfi na numfashi;
- jin tsoro, damuwa;
- zafi a bayan sternum;
- ƙara yawan yawan zafin jiki;
- bayyanar sanyi;
- tari;
- dizziness da rauni;
- masu zaman kansu, amma rauni bugun jini;
- furta cyanosis na babban kirji da fuska;
- asarar sani.
Dangane da bayyanar cututtuka, obstetricians rarrabe nau'i-nau'i masu yawa na haɓaka amniotic:
- aboki;
- maras kyau;
- harshe;
- hadaddiya;
- tsawawar walƙiya, wanda yake halin da ake ciki yanzu.
Sanin asali na thromboembolism tare da ruwa mai amniotic
Binciken ilimin pathology ya hada da:
- gudanar da bincike na electrocardiographic (ECG) da ke iya gano sinus tachycardia, wani zuciya mai kwakwalwa, hypoxia na myocardium;
- ɗauke da rayukan rayukan kirji don gano murfin da ya yi kama da fuka-fukin malam buɗe ido;
- gwaje-gwaje na jini.
Jiyya na kunya tare da ruwa mai amniotic
Taimako a gano ƙwaƙwalwar amniotic ya haɗa da:
- daidaituwa na numfashi;
- dakatarwa;
- rigakafi da kuma magance matsalolin haɗari;
- aiwatar da ayyukan da ake bukata.
Harkokin gaggawa sun ƙunshi gwamnatin intravenous dimedrol, promedol, diazepam, antispasmodics, glycosides cardiac da corticosteroids karkashin kulawar diuresis, CVP, AD, ECG, CBS, hematocrit da ma'auni na electrolyte. Bayan kammala abubuwan da aka ambata a cikin gaggawa, ana bada shawara ga wani sashe mai kula da hankali amma mai sauri. Idan embolism tasowa a mataki na biyu na aiki, yi amfani da ƙarfi obstetric. Lambar hawan mahaifa a cikin mata masu ciki a jini shine babban dalilin haifuwa. A saboda wannan dalili, yin rigakafin kunya yana da mahimmanci, wanda aka gudanar tare da mai koyarwa ta hanyar amfani da hanyar amfani da tsarin coagulation.