Kubatana kweamniotic fluid muropa reamai panguva yebasa rinonzi embolism. Ichi chinhu chakaipa chekudzivirira chirwere chinogona kutungamirira kurufu rweamai uye fetus, inonziwo amniotic embolism kana thromboembolism.
Zvinokonzera embolism na amniotic fluid
Kupinda kweamniotic fluid mumidziyo mikuru uye mishonga yemapurmoni inokwanisika nekuda kwe:
- kupera kwechirwere munguva yebasa kana chibereko;
- chikamu chikamu;
- anomalies mukugadzirwa kwemakanda;
- Kukurukurirana pakati pemakumbo emasculaire uye amniotic emukadzi.
Zvimwe zvinokonzera chirwere ichi ndechekuti:
- placenta previa;
- kudzidza kusina kunaka kweamniotic fluid;
- kutanga kuputika kwepascental, iyo inotangira amniotic fluid neropa;
- kuwedzera kukurudzirwa mukati mechiberekero ne polyhydramnios, kutora mimba yakawanda, kubvongodzwa, kushanda zvakaoma.
Pathogenesis ye embolism ne amniotic fluid
Meconium, mafuta anonyorova, masero eganda, placenta, mutsara wembilical uye amniotic fluid kuburikidza nemidziyo yakakanganiswa inopinda mishonga yakawanda. Nenguva isipi vanozviwana ivo pachavo muchengeti chaiyo uye mishonga yemapurmita. Kazhinji kazhinji, matambudziko akadaro anowanzopera pakuzvarwa. Nguva dzinokuvadza dzinomuka zvakanyanya:
- miviri yekunze inokonzera anaphylactic reaction kana kunyange anaphylactic shock ;
- zvikamu zvemvura, kushanda sechimbichimbi chemafuta, kushatisa kushanda kwehutachiona;
- amniotic fluid inowedzera ropa coagulability, iyo inotungamirira kuparadzirwa kwepravascular coagulation.
Chipatara chinoratidzwa zvakananga kubva pane:
- nzira uye zvinokonzera mvura ingress;
- iyo mvura yakavhara muropa;
- zviratidzo zvemukadzi;
- nguva yekuberekwa;
- concomit pathology.
Zviratidzo uye zvakasiyana-siyana zvekumbolism neamniotic fluid
Izvozvo zvinowanzoonekwa zvirwere zvechirwere izvi zvinotevera:
- kupfupika kwemhepo;
- pfungwa yekutya, kugumbuka;
- kurwadziwa shure kwe sternum;
- kuwedzera kwekushisa kwemuviri;
- kuonekwa kwechills;
- chifuva;
- chizungu uye utera;
- ari oga, asi asina simba kupisa;
- kunonzi cyanosis yepamusoro bhokisi uye chiso;
- kurasikirwa kwekuziva.
Zvichienderana nezviratidzo izvi, vazivi vezvipfeko vanosiyanisa maitiro akawanda emamniotic embolism:
- collaptoid;
- convulsive;
- edematous;
- hemorrhagic;
- mheni inokurumidza, iyo inoratidzirwa nekukurumidza ikozvino.
Kuongororwa kwe thromboembolism ne amniotic fluid
Kuongororwa kwehutano kazhinji kunosanganisira:
- kuita svondo (electrocardiographic) (ECG) yekudzidza inogona kuona kuti inonzi sinus tachycardia, inonzi pulmonary heart, hypoxia ye myocardium;
- kutakura bhokisi x-ray kuti vaone kupindira kwemukati kunofanana nemapapiro eflyfly;
- kuongorora ropa.
Kurapa kwe embolism neamniotic fluid
Kubatsira pakuona amniotic embolism kunosanganisira:
- chimiro chekufema;
- shock stop;
- kudzivirira nekukurumidza kurapwa kwezvinetso zvakakomba;
- achiita basa rakakodzera.
Emergency therapy inosanganisira intravenous administration ye dimedrol, promedol, diazepam, antispasmodics, glycosides mwoyo uye corticosteroids pasi pekuchengetedzwa nguva dzose kwe diuresis, CVP, AD, ECG, CBS, hematocrit uye electrolyte balance. Mushure mokuita zviyero zvinotaurwa zvakakurukurwa, chikamu chekucherechedza asi chinokurumidza chinokurudzirwa. Kana kubatana kunowedzera muchikamu chechipiri chebasa, shandisa zvinoshandiswa zvisiri izvo. Kubatana kweamniotic fluid mumadzimai ane pamuviri muropa ropa ndiyo inokonzera kubereka. Nokuda kwechikonzero ichi, kudzivirira kubatana kunokosha zvikuru, kunoitwa pamwe chete ne coagulologist achishandisa nzira yekukurudzira kubatana.