Xidhiidhka dheecaanka amniotic ee dhiigga socodka hooyada inta lagu jiro foosha waxaa loo yaqaanaa embolism. Tani waa cudur khatar ah oo uur leh oo uurjiif ah oo keeni kara dhimashada hooyada iyo ilmaha caloosha, sidoo kale loo yaqaan amniotic embolism ama tromboembolism.
Sababaha embolism leh dheecaanka amniotic
Gelitaanka dheecaanka amniotic ee ku jira maraakiibta waaweyn iyo halbowlaha sambabada ayaa suurtagal ah sababtoo ah:
- dillaaca ilmo galeenka inta lagu guda jiro dhalashada ama ilmo-galeenka laftiisa;
- qaybta qaliinka;
- anomalies ee horumarinta qolofka;
- isgaadhsiinta udhaxeeya kanaalka kaniisada iyo amniotiga hooyada.
Cilaaqaadyada keenaya xanuunkaan waa:
- Mandaqada mandheerta;
- daraasad tayada liita ee dareeraha amniotic;
- Xannibista hore ee guntinta, taas oo ka horeysa dheecaanka amniotic dhiig;
- cadaadis kororka ilmo-galeenka oo leh polhydramnios, uur aad u yar, xannibaad, shaqo adag.
Pathogenesis ee embolism by dheecaanka amniotic
Meconium, dufan qoyan, unugyada maqaarka, mandheerta, xarigga xuddunta iyo dheecaanka amniotic iyada oo la marayo maraakiibta waxyeeladu waxay galaan xididada waaweyn. Dhawaan ayay naftooda ka helayaan xagalka saxda ah iyo sambabada. Inta badan, dhibaatooyinka noocan ahi waxay dhacaan dhammaadka dhalashada. Saacadaha khatarta badan ayaa soo baxa:
- jidhka shisheeye wuxuu sababaa xasaasiyad anaphylactic ama xitaa anaphylactic shock ;
- walxaha biyaha, ku dhaqanka sida xayawaanka dufanka leh, carqaladeeya shaqada habka wareegga dhiigga;
- dheecaanka amniotic wuxuu kordhiyaa isqurxinta dhiigga, kaas oo horseedaya isku-duubnaanta iskudhafka.
Calaamadaha caafimaadku waxay si toos ah ugu tiirsan yihiin:
- farsamaynta iyo sababaha biyaha gardarada ah;
- mugga biyaha ku xanniban dhiigga;
- astaamaha difaaca haweenka;
- muddada dhalashada;
- wadno-xanuun (pathology).
Calaamadaha iyo noocyada embolism leh dheecaanka amniotic
Astaamaha caafimaad ee caadiga ah ee cudurka waa kuwa soo socda:
- neefta gaaban;
- dareen cabsi, cabudhin;
- xanuunka ka dambeeya daacuunka;
- heerkulka jidhka oo kordhay;
- muuqaalka kicinta;
- qufac;
- dawakh iyo daciifnimo;
- gaar ahaan, laakiin garaaca wadnaha;
- cyanosis oo caan ah oo caan ah iyo wajiga;
- miyir beelid.
Iyadoo ku xiran calaamadaha, Dhakhtarka dhalmada ayaa kala duwan noocyada kala duwan ee amniotic-embolism:
- collaptoid;
- gariir;
- edematous;
- hemorrhagic;
- iftiin degdeg ah, taas oo lagu gartey xawaare degdeg ah.
Ciladeynta dhiig-shiideeynta amniotic
Cilmi-baarista cilmi-baarista waxaa badanaa ka mid ah:
- sameynta daraasad (electrocardiographic) (ECG) oo awood u leh in lagu ogaado nooca loo yaqaan 'cervicardia sinuscardia', wadnaha sambabada, hypoxia ee miyokardium;
- qaadista raajo laabta ah si loo ogaado barar isdaba-joog ah oo u eg baalal-baalasha baalasha;
- baaritaanka dhiigga.
Daaweynta embolism leh dheecaanka amniotic
Caawimada lagu ogaanayo amniotic embolism waxaa ka mid ah:
- caadeysiga neefsiga;
- joojinta shoog;
- kahortagga iyo daaweynta degdega ah ee dhibaatooyinka dhiig karka;
- qabashada hawlaha lagama maarmaanka ah.
Daaweynta gurmadka degdegga ah waxay ka kooban tahay maamulka galmada ee dimedrol, promedol, diazepam, antispasmodics, glycosides wadnaha iyo corticosteroids iyadoo la eegayo kormeer joogto ah oo ah diureed, CVP, AD, ECG, CBS, dheelitirka hematocrit iyo electrolyte. Ka dib marka la fuliyo tallaabooyinka degdegga ah ee kor ku xusan, waxaa lagula talinayaa in qayb ka mid ah feejignaanta degdegga ah ee degdegga ah. Haddii maadada 'embolism-ka uu ku dhaco marxaladda labaad ee foosha, u isticmaal xoog-mashiinka' obstetricpsps '. Xidhiidhka dheecaanka amniotic ee haweenka uurka leh ee dhiigga ku jira ayaa ah sababta ugu weyn ee dhalmada. Sababtan awgeed, ka hortagga embolism waa mid aad muhiim u ah, kaas oo la wadaagaya dhakhtar coagulo iyadoo la adeegsanayo hababka saamaynta habka isku dhiska.