Innocent

Innocent's disease overview

The amniotic fluid is a liquid surrounding the fetus, a liquid environment that helps the fetus grow during pregnancy. Amniotic fluid plays a very important role such as helping to protect the fetus from injury when in the womb, a sterile environment to avoid special infections in the lungs, nutrition for the fetus, support to keep it. The fetus has an appropriate stable body temperature. The amniotic fluid is mostly derived from the fetus, due to the repetitive urine output produces an appropriate amount of amniotic fluid.

amniotic fluid is a phenomenon of amniotic fluid less than normal physiology, when AFI amniotic fluid index is less than 5cm and the amniotic fluid is intact. Potential amniotic fluids such as lung minimum, umbilical cord compression, chi chi, ....

Heavy than amniotic fluid when amniotic fluid is measured through ultrasound (AFI index) less than 3cm

Lack of amniotic fluid most appears in pregnancy that is too birth, the pregnancy is retarded in the uterus, a few appear early in the first months of pregnancy in this case, the prognosis is often worse, often involved in any unrelated. Normal fetal

Intellinable amniotic fluid has many risks, so early detection helps the process of good prognosis

Amniotic fluid appears at different stages of pregnancy, potentially different risks:

Innocent in the first 3 months of high risk of miscarriage accounts for 65-80%

amniotic fluid in 3 months between high risk of pregnancy deformities

Innocent in the last 3 months of high risk of malnutrition

Causes of Innocent's disease

Causes of amniotic fluid may be due to mother, pregnancy or other factors. Specifically:

The cause of the mother

Mothers suffering from a number of diseases such as hypertension, pre -eclampsia, liver disease, which makes pregnancy underdeveloped and reduced the function of regeneration of amniotic fluid

Mothers use some drugs during pregnancy: inhibit the enzyme, inhibit the synthesis of prostagladin, cancer chemotherapy ...

Causes from pregnancy:

Chromosomal abnormalities

birth defects: urinary, digestive, respiratory such as brainless brain, rootyops, meningeal meninges, navel, detectors esophagus-trachea, duodenal atrophy, lung loss, no kidneys, kidney property, kidney property, kidney cysts

Pregnancy underdevelopment

Expected date of birth

Pregnancy infection

The cause of the appendage of pregnancy

Non -ruptured, early rupture of amniotic fluid

Vegetable cakes

Fetal blood transfusion syndrome during twins

unknown cause accounts for 30%

Symptoms of Innocent's disease

Poor amniotic fluid symptoms are often difficult to detect through clinical examination, sometimes accidentally detected through periodic ultrasound.

There may be manifestations such as abdomen not growing up, abdomen not equivalent to gestational age, fetal movement

Clinical examination shows that the uterus increases slowly, touching the parts of the fetus right next to the abdomen

AFI ultrasound is less than 5cm, can detect some defects through ultrasound

People at risk for Innocent's disease

Mothers suffer from a number of diseases such as hypertension, pre -eclampsia, liver disease, use some drugs such as prostagladin, cancer radiation, ...

Drink less water below 2l/day

Inadequate nutritional nutrition

Excessive labor

twins, multiple pregnancy

Expected date of birth

Prevention of Innocent's disease

Before pregnancy, it is necessary to completely cure or stabilize medical diseases before deciding to get pregnant

Periodic prenatal check -ups under the instructions of the obstetrician for early monitoring and timely treatment

The habit of drinking plenty of water per day is about 2l/ day, this is a measure to prevent amniotic fluid, especially in the last 3 months of pregnancy combined with nutrition every day

Diagnostic measures for Innocent's disease

Diagnosis is based on small abdominal clinical signs that are not equivalent to the age of the gestational, can be touched with parts of the fetus right next to the abdomen, asking for a use of signs of vaginal water to stool Especially with amniotic fluid, clinical examination found the amniotic fluid intact.

Defined diagnosis based on amniotic fluid: AFI less than 5cm is an amniotic fluid, AFI is less than 3cm, which is shallow.

Diagnosis of the cause based on tests such as ultrasound, amniocentesis test

Innocent's disease treatments

amniotic fluid is treated by cause. In each pregnancy period, there are different causes from which to propose timely and timely treatment and treatment:

Ask for medical history, clinical examination and vaginal test to eliminate amniotic fluid, rupture

Pre -production ultrasound to survey and detect fetal morphological abnormalities, especially fetal urinary system pathology such as kidney dysplasia, urinary tract obstruction.

Ultrasound fetal echocardiography, doppler ultrasound (AFI, doppler aortic artery), obstetric monitor in case of accompanying fetus underdevelopment in the uterus.

Depending on the gestational age and the direction of treatment and treatment, specifically as follows:

amniotic fluid in the first 3 months: the ability to pathology about the fetus is high, the cause from the workpiece eggs and the disease of the mother. Therefore, it is necessary to determine the cause, may end the pregnancy when detecting the cause from the mother or the embryo, then treat the cause of the million to especially the pathology from the mother

Innocent in the middle 3 months: Determining the cause of amniotic fluid, especially the disease defects in the urinary system with other birth defects that need to terminate the fetus. period, ultrasound periodically 1-2 times/week until birth. Can be used to become lungs from week 34 onwards

Last 3 months of amniotic fluid: rest, drink plenty of water every day on average 3l of water/day, can be hospitalized. Ultrasound periodically 1-2 times/week until birth. Can be used to become lungs from week 34 onwards

Can carry out amniotic fluid in case of too little amniotic fluid, need to consider because the accident may occur during the procedure. Need advice on benefits and complications for patients and family members.

Method of termination of pregnancy:

labor initials to end the pregnancy in an adult organs that have sufficient doses of lung support in premature pregnancy can be raised. P>

Caesarin surgery in the abnormalities (AFI <2cm) or there are signs of suspicion of fetal, amniotic fluid.

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