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      羊水穿刺是什么

      【导读】羊水穿刺检查在孕期很多人都会做,不过还是有很多人都不知道羊水穿刺是什么,这其实是产前诊断的一个方法,帮助了解胎儿的发育情况,也能及时发现胎儿出现的情况。这个检查是怎么做的呢,今天就给大家介绍一下羊水穿刺是什么。

      羊水是我们大家都知道,怀孕之后胎儿就是生长在羊水里面,羊水穿刺最简单的解释就是用针刺入羊水中,然后吸取一点羊水用来做检查。

      羊水穿刺检查是产前诊断的一种方法,一般是适合中期妊娠的产前诊断。羊水是在羊膜腔内的。做羊水穿刺的最佳时间是在妊娠16-24周,这个时候胎儿小,羊水相对较多,胎儿漂在羊水中,周围有较宽的羊水带,这样做羊水穿刺时,不容易伤到胎儿。

      做羊水穿刺之前要先做B超,确定胎儿位置,胎儿的情况,以免误伤胎儿,在选好进针点后,消毒皮肤,铺消毒巾,局部麻醉,然后用带针心的腰穿针在选好的地方垂直刺入,针穿过腹壁和子宫壁时有两次的落空感,取出针心,用2ml注射器抽吸羊水2ml,再用20ml空针抽吸羊水20ml。

      抽吸羊水之后,取出针头,盖上消毒纱布,压迫2-3分钟,这个时候孕妇要卧床休息2小时。做完羊水穿刺在洗澡的时候也要非常的小心,不要触碰到。

      羊水穿刺能够检查胎儿的哪些情况呢,下面就给大家介绍下。

      1、检测宝宝是否有窘迫现象。一旦发现有就要立刻接触原因,或者采取必要的措施,像剖腹产等。胎儿多半能够得到挽救,如果发现不及时,拖延了施救时间,就会胎死腹中。

      2、检测宝宝是否畸形。羊水穿刺检查宝宝是否畸形是最有诊断意义的一种,胎儿畸形的形成,可能是多种原因引起的,遗传因子问题和妊娠期间用药都有可能。

      3、检测宝宝的性别。羊水内的染色体可以判断胎儿的性别,而且可以经过羊水内所含有的内分泌物来测定,从而加以确定。这样方法操作很简单,也很准确。

      4、检测宝宝的成熟度。胎儿发育是否成熟是预产期不能明确判断的,这时候就可以适当的抽取羊水做内容易行之分析,来确定胎儿的成熟程度。

      羊水穿刺检查是产前诊断的一种方法,一般是适合中期妊娠的产前诊断。羊水是在羊膜腔内的。做羊水穿刺的最佳时间是在妊娠16-24周,这个时候胎儿小,羊水相对较多,胎儿漂在羊水中,周围有较宽的羊水带,这样做羊水穿刺时,不容易伤到胎儿。

      做羊水穿刺之前要先做B超,确定胎儿位置,胎儿的情况,以免误伤胎儿,在选好进针点后,消毒皮肤,铺消毒巾,局部麻醉,然后用带针心的腰穿针在选好的地方垂直刺入,针穿过腹壁和子宫壁时有两次的落空感,取出针心,用2ml注射器抽吸羊水2ml,再用20ml空针抽吸羊水20ml。

      抽吸羊水之后,取出针头,盖上消毒纱布,压迫2-3分钟,这个时候孕妇要卧床休息2小时。做完羊水穿刺在洗澡的时候也要非常的小心,不要触碰到。如果发现有任何的不适,要立即去医院做检查。

      羊水穿刺是产前检查项目之一,通过抽取孕妇的羊水标本,获得胎儿健康和发育的一些情况,到现在这个检查已经有了几十年的历史,它也成为了产前诊断的一个部分,在我国,目前被运用的非常广泛。这个方法能检测到胎儿出现的问题,很多准妈妈在产前都做过这个手术。

      做完羊水穿刺检查一般是在4周之后去取结果,如果检查结果呈阳性则会第一时间通知检查人,一般没有通知的情况,就表示是正常的情况。大家不要紧张,放松心情,然后做定期的复查,注意营养的补充,宝宝也会非常健康。

      不过具体的羊水穿刺结果还是根据医院的规定来的,每个医院的出结果时间是不同的,一般都是在3周左右,4周之前。

      羊水穿刺是一项有创性检查,因此也会存在一些风险:

      1、羊水穿刺是把细针穿刺进入羊膜腔,这可能会造成孕妇出血,出血性休克,羊水外流,流产,伤到胎儿的可能。

      2、可能因为子宫畸形,胎盘位于前壁,羊水过少等原因导致穿刺失败。

      3、手术后孕妇如果卫生条件不佳,可能会发生宫内感染。

      4、孕妇如果有心脑血管疾病,由于疼痛,紧张等,可能会造成心脑血管意外的可能。

      5、由于羊水细胞培养系脱落细胞体外培养受羊穿时间、标本是否混血、培养基污染等多种因素影响,羊水培养有失败的可能,有时因为崁合体而不能诊断。

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