Gaskets rau kev txiav txim siab cov kua dej amniotic to: piav qhia nrog cov duab, lub hom phiaj, cov lus qhia rau kev siv, tshuaj xyuas cov poj niam cev xeeb tub thiab gynecologist
Gaskets rau kev txiav txim siab cov kua dej amniotic to: piav qhia nrog cov duab, lub hom phiaj, cov lus qhia rau kev siv, tshuaj xyuas cov poj niam cev xeeb tub thiab gynecologist
Anonim

Kev xeeb tub yog lub sijhawm zoo siab rau tus poj niam, uas tuaj yeem cuam tshuam los ntawm ntau yam teeb meem uas yuav tsum tau mus ntsib kws kho mob sai. Xws li ib tug pathology yog kev puas tsuaj rau daim nyias nyias, nrog rau los ntawm cov kua amniotic. Koj tuaj yeem paub qhov teeb meem raws sij hawm nrog kev pab los ntawm gaskets tshwj xeeb. Lub hauv paus ntsiab lus ntawm lawv txoj haujlwm yog dab tsi thiab yuav siv li cas kom raug, peb yuav kawm ntxiv.

Qhov tseem ceeb ntawm cov kua dej amniotic

Lub zais zis ntawm tus menyuam hauv plab yog ntim nrog cov kua amniotic, uas tsim kom muaj kev nyab xeeb thiab xis nyob rau tus menyuam mos thiab yog ib qho kev tiv thaiv kab mob thiab kev cuam tshuam sab nraud. Cov dej ua kom lub cev muaj zog ntawm tus menyuam hauv plab, tiv thaiv tus poj niam los ntawm kev poob siab tam sim ntawd.

Thaum kawg ntawm lub sijhawm cev xeeb tub, tus nqi ntawm cov kua hauv lub cev yog 1.5 litres. Thaum cev xeeb tub, cov dej tau hloov kho tas li. ATFeem ntau, qhov tawg ntawm lub fetus membrane yuav tsum tshwm sim tsis pub dhau 38 lub lis piam. Tab sis hauv 10% ntawm cov neeg mob, cov kua amniotic pib xau ntau ua ntej, uas tuaj yeem ua rau tus menyuam noj qab haus huv lossis ua rau yug ntxov ntxov.

Cov cim qhia txog kev xau

Kev ua txhaum ntawm kev ncaj ncees ntawm lub zais zis ntawm fetus yog nrog los ntawm kev tso dej loj heev, thiab cov txheej txheem no nyuaj rau nco. Tab sis qee zaum cov amnion ruptures me ntsis thiab ntws me me ntawm cov kua, uas tuaj yeem tsis meej pem nrog qhov chaw mos lossis tso zis, qee zaum tso tawm tsis tuaj yeem thaum cev xeeb tub, vim tias lub tsev menyuam ua rau lub zais zis.

Nws yog qhov nyuaj heev los txiav txim siab txog kab mob ntawm koj tus kheej, yog li, yog tias muaj qhov tsis txaus ntseeg, nws raug pom zoo tias cov poj niam cev xeeb tub siv cov ntaub qhwv rau cov kua dej amniotic, uas tuaj yeem yuav ntawm cov khw muag tshuaj. Cov txheej txheem no yuav tshem tawm qhov yuav tshwm sim ntawm cov teeb meem, thiab yog tias qhov tshwm sim zoo, nrhiav kev pab kho mob nyob rau lub sijhawm los tiv thaiv tus menyuam hauv plab thiab kab mob septic ntawm leej niam.

Cov dej xau yog ib qho teeb meem loj
Cov dej xau yog ib qho teeb meem loj

Tshaj tawm hauv tsev

Amniotic kua paug pawm yog ib qho kev sim uas tsis yog-invasive uas tso cai rau koj los soj ntsuam nws tus kheej tias muaj kev ncua lossis cuam tshuam ntawm cov kua dej amniotic. Qhov kev ntsuam xyuas muaj peev xwm paub qhov txawv ntawm qhov chaw mos hnyav, cov kab mob ntawm cov phev thiab cov zis los ntawm cov kua amniotic los ntawm kev txheeb xyuas pH qib.

Pads yog lwm txoj hauv kev zoo rau kev kuaj mob, uas xav tau nyiaj txiag thiabcov nuj nqis ib ntus. Kev tsom xam ntawm kev ncaj ncees ntawm cov qog amniotic kuj ua tiav hauv cov tsev kho mob maternity. Kev ntsuam xyuas hauv tsev yuav qhia rau koj paub tseeb seb puas muaj qhov xau los yog nws puas yog "teeb tsis tseeb", yam tsis muaj kev ntxhov siab mus rau cov chaw kho mob.

Test strips yog cov ris tsho hauv qab uas yuav tsum tau hnav rau ib lub sijhawm, saib xyuas qhov xwm txheej thiab xim ntawm qhov tso tawm.

Duab "Frautest amnio" (Israel)
Duab "Frautest amnio" (Israel)

Qhov tseem ceeb ntawm kev kuaj mob ntxov

Cov kua dej amniotic ua rau muaj kev pheej hmoo kis mob rau tus menyuam hauv plab thiab niam, yog vim li cas nws tseem ceeb heev kom kuaj xyuas qhov teeb meem raws sijhawm. Los ntawm kev siv cov ntaub qhwv los kuaj xyuas cov kua dej amniotic to:

  • txo qis kev pheej hmoo ntawm pathology thaum cev xeeb tub rau poj niam thiab menyuam;
  • tuaj rau lub tsev kho mob maternity xa tuaj raws sijhawm;
  • tshem tawm kev txhawj xeeb txog kev xav txog kev puas tsuaj.

cov txheej txheem ua haujlwm li cas?

Amniotic kua muaj pH ntau tshaj 6.5, hos lub qhov paum pH ntawm 3.8-4.5. Amniotic kua xau kuaj pads ua hauj lwm zoo li litmus daim ntawv. Cov kab ntawv xeem muaj cov patented polymer uas muaj qhov taw qhia colorimetric uas hloov xim nyob ntawm acidity ntawm cov kua. Lub ncoo tig xiav lossis ntsuab yog tias qhov paug tawm txawv ntawm pH siab dua 5.5, uas yog, muaj kev pheej hmoo ntawm cov kua dej los ntawm lub tsev menyuam lossis muaj qhov tseeb.vaginal infections.

Cov ntaub nplaum polymer tsis tuaj yeem tiv nrog tus poj niam lub cev, vim nws nyob nruab nrab ntawm ob txheej nqus dej ntawm lub ncoo.

Duab "Al-sense" (Hungary)
Duab "Al-sense" (Hungary)

txiaj ntsig ntawm kev xeem

Amniotic kua to pads tso cai rau leej niam uas xav tau:

  1. Ua kom muaj kev ywj pheej ntawm kev tawm ntawm qhov chaw mos, tiv thaiv ntau yam pathologies, yug ntxov ntxov, thiab yog tias pom tias muaj pa tawm, hu rau gynecologist hauv lub sijhawm.
  2. Kev kuaj mob yam tsis muaj kev cuam tshuam sab hauv, uas yog, nyob rau hauv txoj kev tsis cuam tshuam, muaj kev nyab xeeb thiab tib lub sijhawm rhiab heev.
  3. Rau 12 teev, nrog ib lub ncoo, saib.
  4. Thov qhov kev xeem nyob rau hauv ib qho xwm txheej.
  5. Tsuas decipher qhov kev kuaj mob.
  6. Nyob zoo rau koj tus me nyuam.

Yog vim li cas rau kev tshuaj xyuas tsis raug

Cov kua dej amniotic xau kuaj lub ncoo muab cov txiaj ntsig hauv qab no:

  • cuav zoo - yog tias muaj kab mob ntawm qhov chaw mos;
  • cuav tsis zoo - vim tsis ua raws li cov lus qhia rau kev siv;
  • tsis muaj kev cuam tshuam thaum daim nyias nyias ruptured ntev dhau los.
Duab "AmniSure" yog protein rhiab heev
Duab "AmniSure" yog protein rhiab heev

Special Recommendations

Yuav kom cov ntaub qhwv uas kuaj pom cov kua dej amniotic to muab cov lus teb zoo, nws yog ib qho tseem ceeb ua raws li cov lus qhia hauv qab no los ntawm gynecologists:

  • siv qhov ntsuas tsis pub dhau 12 teev tom qab kev sib raug zoo, douching lossis kev tswj hwm cov tshuaj suppositories;
  • yog tias muaj qhov tshwm sim tsis zoo thiab ua rau lub cev hnyav ntev, nws yuav tsum rov ua qhov kev tshuaj ntsuam xyuas lossis tiv tauj tus kws kho mob;
  • yog tias muaj qhov pom, qhov ntsuas yuav tsum tau txiav txim siab los ntawm tus kws tshaj lij;
  • ntsuab-xiav staining yuav qhia tau tias muaj kab mob hauv qhov chaw mos, koj yuav tsum mus ntsib kws kho mob;
  • yog tias cov tsos mob ntawm daim tawv nqaij khaus tshwm, tsum tsum tsis txhob siv lub ncoo;
  • thaum tso zis rau ntawm qhov taw qhia, nws hloov ntsuab lossis xiav, tab sis tom qab 30 feeb nws rov daj dua.
Duab "Al-rekah" (Israel)
Duab "Al-rekah" (Israel)

Testing algorithm

Ua kom lub pob raug kaw. Cov kua dej amniotic leak detection pads yog siv ib zaug.

  1. Qhib pob thiab coj mus kuaj.
  2. Muab lub ncoo rau hauv cov ris tsho hauv qab nrog cov ntug protruding nyob rau hauv pem hauv ntej thiab cov kab daj nyob rau hauv qhov chaw mos.
  3. Tshem lub gasket tom qab 12 teev lossis sai li sai tau thaum koj hnov cov kua dej tawm.
  4. Npaj cov ntaub ntawv yas muab nrog rau kev xeem.
  5. Tshem tawm qhov taw qhia ntawm lub gasket los ntawm rub rau ntawm qhov protruding.
  6. Tso cov ntxig rau ntawm daim ntaub dawb hauv rooj plaub thiab kaw nws. Cov lus teb yuav tuaj hauv 30 feeb.

Deciphering the results

A lus teb zoo. Cov tsos ntawm ntsuab lossis xiav me ntsis ntawm ntau yam duab ntawm lub gasket,Kev siv zog thiab qhov chaw hauv cheeb tsam qhia tau tias muaj cov kua dej amniotic los yog muaj cov kab mob vaginosis. Nws yog qhov ceev kom mus ntsib kws kho mob kom paub meej / tsis suav nrog qhov muaj peev xwm ntawm to lossis kis kab mob ntawm qhov chaw mos.

Cov tshuaj tiv thaiv tsis zoo. Qhov tsawg tshaj plaws ntawm cov kua amniotic yuav raug kho ntawm lub ncoo. Yog tias qhov taw qhia daj, cov kua uas raug kuaj yog qhov chaw mos los yog tso zis.

Koj tuaj yeem pom cov txiaj ntsig ntawm kev tshuaj xyuas hauv daim duab ntawm cov ntaub qhwv rau cov kua dej amniotic, muab tso rau hauv cov lus qhia.

Muaj peev xwm xeem tau
Muaj peev xwm xeem tau

Test pads rau amniotic kua leakage: tshuaj xyuas cov poj niam cev xeeb tub thiab gynecologists

Obstetricians muaj tus cwj pwm zoo rau kev kuaj hauv tsev kom pom cov kua dej amniotic to, vim tias siv txoj kev no, tus niam uas muaj kev cia siab tuaj yeem ua siab ntev lossis, pom muaj teeb meem raws sijhawm, nrhiav kev pab kho mob yam tsis muaj kev ncua.

Yog tias qhov kev tshuaj ntsuam tau ua tiav lawm, nws qhia qhov tseeb, tab sis cov kev hloov pauv nrog cov lus teb tsis zoo tsis suav nrog. Gynecologists pom zoo kom muab kev nyiam rau cov kev ntsuam xyuas uas tsis yog raws li kho cov acidity ntawm qhov chaw mos, tab sis nyob rau hauv lub hauv paus ntsiab lus ntawm kev kuaj protein (immunochromatography). Hauv cov xwm txheej tsis txaus ntseeg, cov txheej txheem no yog siv rau hauv tsev kho mob antenatal, tsev kho mob maternity thiab chaw kho mob.

Kev tshuaj xyuas los ntawm cov niam uas xav tau txog cov ntawv xeem feem ntau yog qhov zoo. Rau lawv tus kheej, lawv nco txog qhov yooj yim ntawm kev siv qhov kev sim, nws muaj thiab muaj peev xwm siv nws hauv tsev.

Cov npe nrov tshaj plaws yog Al-sense, Frautest amnio, Al-rekah, AmniSure.

Npaj rupture ntawm daim nyias nyias
Npaj rupture ntawm daim nyias nyias

Results

Thaum qhov tsis ntseeg me ntsis txog tus poj niam txoj kev noj qab haus huv thiab kev xav tias cov kua dej amniotic to, nws yog ib qho tseem ceeb uas yuav tau hu rau lub tsev kho mob antenatal lossis ua ib qho kev kuaj hauv tsev kom pom cov kua dej amniotic to.

Yog tias cov lus teb zoo, cov kws tshaj lij yuav muab kev pabcuam tsim nyog rau lub sijhawm los tswj lub cev xeeb tub thiab nws cov kev kawm tiav ntxiv. Qhov tshwm sim tsis zoo yuav ua rau tus niam uas muaj kev cia siab txuas ntxiv mus txaus siab rau lub sijhawm zoo ntawm kev yug menyuam.

Pom zoo: