Amniotic Fluid Embolism

Zvemukati

• Amniotic fluid embolism
• Chii chinokonzera?
• Ndezvipi zviratidzo?
• Zvakakomba zvakadii?
• Inorapwa sei?
• Amai
• Mucheche
• Inogona kudzivirirwa here?
• Ndeapi maonero?
• Amai
• Mucheche

Amniotic fluid embolism

Amniotic fluid embolism (AFE), inozivikanwawo seanaphylactoid syndrome yekuzvitakura, kusangana kwepamuviri kunokonzeresa kutyisidzira hupenyu, sekushaya moyo.

Inogona kukukanganisa iwe, mwana wako, kana mese muri vaviri. Izvo zvinoitika kana amniotic fluid (iyo yakasviba yakakomberedza mwana wako asati aberekwa) kana fetal maseru, vhudzi, kana zvimwe zvinokanganisa zvinopinda muropa rako.

AFE ishoma. Kunyangwe fungidziro dzichisiyana, iyo AFE Foundation inoshuma mamiriro acho anoitika mune kamwe chete kubva pamakumi mana ezviuru zvinotumirwa kuNorth America (uye 1 mune yega yega 53,800 kuendesa muEurope). Zvisinei, ndicho chikonzero chikuru chekufa panguva yebasa kana nguva pfupi mushure mekuberekwa.

Chii chinokonzera?

AFE inogona kuitika panguva yekusununguka kana nguva pfupi mushure mekuzvara mune ese emadzimai uye ekuzvarwa kwekuzvarwa. Muzviitiko zvisingawanzoitika, zvinogona kuitika panguva yekubvisa nhumbu kana paine sampuro diki yeamniotic fluid inotorwa kuongororwa (amniocentesis).

AFE yakaipa maitiro inoitika kana amniotic fluid inopinda yako yekutenderera system. Haikwanise kudzivirirwa, uye chikonzero nei kuita uku kuchiitika hakuzivikanwe.

Ndezvipi zviratidzo?

Chikamu chekutanga cheAFA chinowanzo kukonzera kusungwa kwemoyo uye kukurumidza kufema kufema. Kusungwa kwemoyo kunoitika kana moyo wako ukamira kushanda, uye iwe unorasikirwa nehana uye kumira kufema.

Kukurumidza kufema kufema kunoitika kana mapapu ako asingakwanise kupa oxygen yakakwana muropa rako kana kubvisa yakakwana carbon dioxide kubva pairi. Izvi zvinoita kuti zvive zvakaoma zvikuru kufema.

Zvimwe zvinogona kuitika zvinosanganisira:

• kushushikana kwechibereko (zvinoratidza kuti mwana haana kugadzikana, kusanganisira shanduko mumoyo wemwana kana kushomeka kwekufamba mudumbu)
• kurutsa
• kusvotwa
• pfari
• kushushikana kwakanyanya, kusagadzikana
• kushanduka kweganda

Vakadzi vanopona zviitiko izvi vanogona kupinda muchikamu chechipiri chinonzi chikamu chekubuda ropa. Izvi zvinoitika kana paine kubuda kwakanyanya kweropa kungave kwakange kwakabatanidzwa placenta kana, mune yekuzvarwa kwekusiyiwa, panguva yekusaiswa.

Zvakakomba zvakadii?

AFE inogona kuuraya, kunyanya panguva yekutanga nhanho. Kazhinji kufa kweAFA kunoitika nekuda kweinotevera:

• kamwe kamwe kusungwa kwemoyo
• kurasikirwa neropa kwakanyanya
• zvakanyanya kufema kutambudzika
• kuwanda kwenhengo kutadza

Sekureva kweAFA Foundation, mune angangoita makumi mashanu muzana ezviitiko, vakadzi vanofa mukati meawa rimwe mushure mekunge zviratidzo zvatanga.

Inorapwa sei?

Amai

Kurapa kunosanganisira kugadzirisa zviratidzo uye kudzivirira AFE kutungamira kune coma kana kufa.

Oxygen therapy kana mhepo inofema inogona kukubatsira kufema. Kuita shuwa kuti iwe uri kuwana yakakwana oxygen kwakakosha kuitira kuti mwana wako avewo neoksijeni yakakwana.

Anopa hutano hwako anogona kukumbira kuti pulmonary arteri catheter iiswe kuitira kuti vagone kuongorora moyo wako. Mishonga inogona zvakare kushandiswa kubata rako reropa.

Muzviitiko zvakawanda, kuwanda kweropa, platelet, uye kuwedzerwa plasma kunodiwa kutsiva ropa rakarasika mukati mechikamu chekubuda ropa.

Mucheche

Mutapi wako wezvehutano anoongorora mwana wako uye otarisa zviratidzo zvekutambudzika. Mwana wako anokwanisa kununurwa nekukurumidza kana mamiriro ako akagadzikana. Izvi zvinowedzera mikana yavo yekurarama. Muzviitiko zvakawanda, vacheche vanoendeswa kunzvimbo yekuchengetedza zvakanyanya kuti vanyatsocherechedzwa.

Inogona kudzivirirwa here?

AFE haigone kudzivirirwa, uye zvinonetsa kune vanoona nezvehutano kufanotaura kana zvichizoitika. Kana iwe wakave uine AFE uye uchironga kuita mumwe mwana, zvinokurudzirwa kuti utaure nachiremba ane njodzi huru kutanga.

Ivo vachataura nezve njodzi dzekuzvitakura kare uye nekukutarisa zvakanyanya kana ukava nepamuviri zvakare.

Ndeapi maonero?

Amai

Per iyo AFE Foundation, inofungidzirwa mwero wekufa kwevakadzi vane AFE akasiyana. Mishumo yevakuru inofungidzira kuti kusvika pamakumi masere muzana evakadzi havapone, kunyange hazvo ruzivo rwekupedzisira rwunofungidzira kuti nhamba iyi ingangoita makumi mana muzana.

Vakadzi vanopona AFE vanogona kuve nematambudziko enguva refu, ayo anogona kusanganisira:

• ndangariro kurasikirwa
• nhengo kutadza
• kukuvara kwemoyo kunogona kuita kwenguva pfupi kana zvachose
• matambudziko etsinga
• chikamu kana kukwana hysterectomy
• kukuvara kune pituitary gland

Mafungiro epfungwa uye emanzwiro anogonawo kuitika, kunyanya kana mwana asingararame. Mamiriro ehutano anogona kusanganisira postpartum kushushikana uye post-kunetseka kunetseka kusagadzikana (PTSD).

Mucheche

Zvinoenderana neiyo AFE Foundation, inofungidzirwa kufa kwevana vacheche vane AFE kwakasiyanawo.

Around ne AFE usararame, pane imwe ongororo ya2016 yakaburitswa mu Zvinyorwa zveAnesthesiology Clinical Pharmacology.

Iyo AFE Foundation inoshuma kuti mwero wekufa kwevacheche vachiri muchibereko ingangoita 65 muzana.

Vamwe vacheche vanopona vanogona kuva nematambudziko kwenguva refu kana eupenyu hwese kubva kuAFA, iyo inogona kusanganisira:

• huta hwehurongwa hwekuremara hunogona kuve hunyoro kana hwakanyanya
• isina oxygen yakakwana kuuropi
• cerebral palsy, chinova chirwere chinokanganisa huropi nehurongwa hwekutyaira