Zotsatira za gulu la Amniotic

Amniotic band sequence (ABS) ndi gulu la zofooka zobadwa nazo zomwe zimaganiziridwa kuti zimachitika pamene thumba la amniotic likulumikiza ndikukulunga mbali za mwana m'mimba. Zolakwazo zimatha kukhudza nkhope, mikono, miyendo, zala, kapena zala zakumapazi.

Magulu amniotic amalingaliridwa kuti amayamba chifukwa cha kuwonongeka kwa gawo la placenta lotchedwa amnion (kapena amniotic membrane). Placenta imatenga magazi kupita kwa mwana yemwe akukula m'mimba. Kuwonongeka kwa pulasitala kumatha kuletsa kukula bwino ndikukula.

Kuwonongeka kwa amnion kumatha kupanga magulu onga amtundu wa fiber omwe amatha kumata kapena kupondereza mbali za mwana yemwe akukula. Zingwezi zimachepetsa kupezeka kwa magazi kumadera ndikuwapangitsa kuti azichita bwino.

Komabe, zovuta zina za kufooka kwa ABS zimatha chifukwa cha kuchepa kwa magazi popanda zizindikilo zamagulu kapena kuwonongeka kwa amnion. Palinso milandu yosawerengeka yomwe imawoneka ngati chifukwa cha zolakwika za majini.

Kukula kwa kupundaku kumatha kusiyanasiyana, kuyambira kaching'onoting'ono pachala chakuphazi kapena chala mpaka gawo lonse la thupi lomwe likusowa kapena likukula pang'ono. Zizindikiro zimaphatikizapo:

• Kusiyana kosazolowereka kumutu kapena kumaso (ngati kungodutsa pankhope, kumatchedwa mphanda)
• Zonse kapena gawo la chala, chala, dzanja kapena mwendo zikusowa (kobadwa nako)
• Cholakwika (chobowola kapena dzenje) pamimba kapena pachifuwa (ngati gulu lili m'malo amenewo)
• Gulu lokhalitsa kapena cholumikizira mozungulira mkono, mwendo, chala, kapena chala

Wopereka chithandizo chamankhwala amatha kuzindikira vutoli nthawi ya prenatal ultrasound, ngati ili yolimba mokwanira, kapena panthawi yoyeza mwana wakhanda.

Chithandizo chimasiyanasiyana. Nthawi zambiri, kupundako sikumakhala koopsa ndipo palibe chithandizo chofunikira. Kuchita opaleshoni mwana ali m'mimba kumathandizira kukonza zotsatira zina, koma sizikudziwika kuti ndi ana ati omwe adzapindule nawo. Zina zimasintha kapena kuthetsa asanabadwe. Pazochitika zowopsa kwambiri, opaleshoni yayikulu imafunikira kukonzanso gawo lonse kapena gawo lina la thupi. Milandu ina imakhala yovuta kwambiri kotero kuti singakonzedwe.

Ndondomeko ziyenera kupangidwa pobereka mosamala ndikuwongolera vutoli atabadwa. Mwanayo ayenera kuperekera kuchipatala komwe akatswiri ali nako pakusamalira makanda omwe ali ndi vutoli.

Momwe khanda limakhalira bwino zimadalira kukula kwa vutoli. Nthawi zambiri amakhala ofatsa ndipo mawonekedwe antchito abwinobwino ndiabwino. Milandu yowopsa imakhala ndi zoteteza zambiri.

Zovuta zimatha kuphatikizira kutayika kwathunthu kapena pang'ono kwa gawo la thupi. Magulu obadwa nawo omwe amakhudza ziwalo zazikulu za thupi amabweretsa mavuto ambiri. Milandu ina imakhala yovuta kwambiri kotero kuti singakonzedwe.

Matenda amniotic band; Amniotic constriction magulu; Matenda a constriction band; ABS; Zolimba zolimbitsa thupi; Mphete zotsekera; Thupi lakumtunda lopindika

Crum CP, Laury AR, Hirsch MS, Quick CM, Peters WA. Amniotic band. Mu: Crum CP, Laury AR, Hirsch MS, Quick CM, Peters WA. okonza. Matenda a Gynecologic ndi Obstetric. Philadelphia, PA: Elsevier; 2016: 776-777.

Jain JA, Fuchs KM. (Adasankhidwa) Zotsatira za gulu la Amniotic. Mu: Copel JA, D'Alton ME, Feltovich H, et al, olemba. Kujambula Kwam'mimba: Kuzindikira Kwa Mwana Mayi ndi Kusamalira. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 98.

Obican SG, Odibo AO. Mankhwala owopsa a fetus. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 37.