Ho kopana ha amniotic fluid maling a 'mè nakong ea boima ho bitsoa embolism. Ena ke boloetse bo kotsi ba ho kula ho ka lebisang lefung la 'mè le lesea le bitsoang fetni, e boetse e bitsoa amniotic embolism kapa thromboembolism.
Lisosa tsa ho kopana le amniotic fluid
Ho kenngoa ha amniotic fluid ka likepe tse khōlō le methapo ea pulmonary e ka khoneha ka lebaka la:
- ho phatloha ha sefuba nakong ea pelehi kapa lesea ka boeona;
- karolo ea likarolo;
- ho senyeha ha likhetla;
- puisano pakeng tsa methapo ea mamello le ea amniotic ea 'mè.
Lisosa tse bakang lefu lena ke:
- placenta previa;
- tlhahlobo e mpe ea boleng ba amniotic fluid;
- ho senyeha hoa pele ho nako, e leng pele ho amniotic fluid le mali;
- khatello e eketsehileng ka popelong le polyhydramnios, bokhachane bo bongata, ho senyeha, ho sebetsa ka thata.
Pathogenesis ea embolism ke amniotic fluid
Meconium, mafura a mongobo, lisele tsa letlalo, placenta, mohala oa mobi le amniotic fluid ka likepe tse senyehileng li kena methapong e kholo. Kapelenyana ba iphumana ba le setsing se nepahetseng sa methapo ea 'mele. Hangata mathata a joalo a etsahala qetellong ea tsoalo. Linako tse kotsi li hlaha haholo:
- mele e tsoang linaheng tse ling e etsa hore motho a tšoaroe ke lefu la anaphylactic kapa a ferekane le anaphylactic ;
- likaroloana tsa metsi, ho sebetsa e le sekontiri sa mafura, ho senya ts'ebetso ea tsamaiso ea potoloho;
- Amniotic fluid e eketsa mali a coagulability, e leng se lebisang ho ajoeng ha li-intravascular coagulation.
Litlhahiso tsa meriana ea bongaka li itšetlehile ka:
- mekhoa le lisosa tsa ho kenella ka metsi;
- molumo oa metsi a kenngoeng mali;
- likarolo tsa 'mele tsa mosali;
- nako ea ho beleha;
- ho khotsofatsa mafu.
Matšoao le mefuta e sa tšoaneng ea embolism le amniotic fluid
Matšoao a tloaelehileng a lefu lena ke a latelang:
- phefumoloho e khutšoanyane;
- boikutlo ba ho tšaba, ho tepella;
- bohloko bo bakoang ke sternum;
- mocheso oa 'mele o eketsehileng;
- ponahalo ea maqhubu;
- ho khohlela;
- botsoa le bofokoli;
- tse ikhethang, empa tse fokolang likhase;
- Ho phatlalatsoa cyanosis ea sefuba le sefahleho se ka holimo;
- ho lahleheloa ke kelello.
Ho itšetlehile ka matšoao, litsebi tsa setsebi li khetholla mefuta e sa tšoaneng ea embniism ea amniotic:
- motlakase;
- ho hlaba;
- ho hlohlelletsa;
- hemorrhagic;
- lehalima ka potlako, le khetholloang ke hona joale.
Tlhahlobo ea thromboembolism le amniotic fluid
Tlhahlobo ea mafu a tloaelehileng e kenyeletsa:
- ho etsa thuto ea electrocardiographic (ECG) e khonang ho lemoha sinus tachycardia, pelo e matla ea pulmone, hypoxia ea myocarimone;
- ho jara x-ray sefubeng ho lemoha ho ruruha ha methapo e kang mapheo a serurubele;
- liteko tsa mali.
Phekolo ea embolism le amniotic fluid
Thuso ea ho lemoha embolism ea amniotic e akarelletsa:
- tloaelo ea ho hema;
- tšisinyeho ea setjhaba;
- ho thibela le ho potlakisa phekolo ea mathata a tšabehang;
- ho etsa mesebetsi e hlokahalang.
Phekolo ea meriana ea tšohanyetso e na le ho tsamaisoa ha dimedrol, promedol, diazepam, antispasmodics, li-glycosides tsa pelo le corticosteroids tlas'a tataiso ea diuresis, CVP, AD, ECG, CBS, hematocrit le electrolyte. Ka mor'a ho etsa mehato e potlakileng e boletsoeng ka holimo, karolo ea tlhokomelo e hlokolosi le e potlakileng e hlahisoang. Haeba mokotla o hlahella karolong ea bobeli ea mosebetsi, sebelisa likhohlopo. Ho kopana ha amniotic fluid ho basali ba nang le bakhachane maling ke eona sesosa se ka sehloohong sa ho beleha. Ka lebaka lena, thibelo ea embolism ke ea bohlokoa haholo, e etsoang hammoho le coagulologist e sebelisang mekhoa ea ho susumetsa mokhoa oa ho kopanya.