Leej twg yog tus kws kho mob perinatologist uas tshwj xeeb hauv kev xeeb tub uas muaj kev pheej hmoo siab? Cia peb nrhiav txhua yam!

Yog tias koj cev xeeb tub lossis yuav muaj menyuam sai sai no, tej zaum koj twb tau hnov ​​​​​​cov lus 'kev xeeb tub muaj feem ntau'. Nws yog ib qho ib txwm muaj kev ntxhov siab me ntsis thaum koj hnov ​​​​​​ib yam dab tsi zoo li ntawd. Tej zaum koj yuav txhawj xeeb, "Yuav ua li cas rau kuv thiab kuv tus menyuam?" Tab sis tsis txhob txhawj! Muaj cov kws kho mob txawj ntse uas tuaj yeem muab kev saib xyuas tshwj xeeb thiab kev pab rau koj thiab koj tus menyuam hauv plab hauv qhov xwm txheej zoo li no. Ib tus kws tshwj xeeb zoo li no yog 'perinatologist' . Qee tus neeg kuj hu lawv tias 'maternal-fetal medicine (MFM) specialists '. Hauv tsab xov xwm no, peb yuav tham txog tus kws tshwj xeeb no yog leej twg, nws ua dab tsi, thiab koj tuaj yeem tau txais kev pab los ntawm nws li cas.

Leej twg yog tus kws kho mob Perinatologist? Hais yooj yim xwb...

Hais yooj yim xwb, tus kws kho mob poj niam yog tus kws kho mob poj niam (OBGYN) . Tab sis nws tau txais kev cob qhia tshwj xeeb ntau dua li tus kws kho mob poj niam ib txwm. Koj puas paub vim li cas? Lawv saib xyuas thiab kho cov cev xeeb tub uas muaj kev pheej hmoo siab . Qhov ntawd txhais tau tias yog tias leej niam lossis tus menyuam hauv plab muaj teeb meem kev noj qab haus huv, cov kws kho mob no tau kawm los muab kev saib xyuas tshwj xeeb rau ob leeg thoob plaws lub cev xeeb tub, thaum yug menyuam, thiab tom qab ntawd.

Xav txog tias koj muaj ib qho mob ntev uas koj tau muaj ua ntej koj cev xeeb tub. Ces koj yuav tsum mus ntsib ib tus kws tshwj xeeb zoo li no thaum koj npaj yuav cev xeeb tub, lossis txawm tias thaum koj cev xeeb tub thaum ntxov. Lossis, yog tias muaj ib qho mob tshiab tshwm sim thaum cev xeeb tub uas xav tau kev kuaj mob thiab kev saib xyuas ntxiv, ces koj kuj yuav xav tau kev pab los ntawm tus kws kho mob plab. Qee zaum, yog tias muaj kev xav tias tus menyuam hauv plab muaj teeb meem yug los lossis kev yug tsis zoo , cov kws tshwj xeeb no kuj tuaj yeem tshawb xyuas nws.

Yog li, tus kws kho mob perinatologist ua dab tsi?

Tus kws kho mob plab yog ib tus kws kho mob uas tshwj xeeb hauv kev saib xyuas cov niam thiab cov menyuam mos uas muaj teeb meem thaum cev xeeb tub, yug menyuam, lossis lub sijhawm tom qab yug menyuam. Lawv kho cov mob uas twb muaj lawm thiab cov mob tshiab uas tshwm sim thaum cev xeeb tub. Lawv tshwj xeeb hauv kev kho cov poj niam cev xeeb tub, kuaj mob rau cov menyuam mos, thiab tswj lawv.

Tus kws kho mob perinatologist feem ntau pab txhawb rau cov hauv qab no:

• Kev sab laj ua ntej cev xeeb tub:Peb yuav qhia koj ua ntej yog tias koj muaj tej yam mob uas twb muaj lawm uas yuav ua rau muaj teeb meem thaum cev xeeb tub. Piv txwv li, yog tias koj muaj ntshav qab zib , ntshav siab , lossis kab mob plawv, nws yog ib qho tseem ceeb uas yuav tsum tham txog tej no ua ntej koj cev xeeb tub.
• Kev saib xyuas thiab kuaj mob ua ntej yug menyuam tsis tu ncua rau cov cev xeeb tub uas muaj kev pheej hmoo siab: Yog tias koj cev xeeb tub muaj kev pheej hmoo siab, koj yuav xav tau kev kuaj mob ntau dua thiab mus ntsib kws kho mob ntau zaus dua li cev xeeb tub ib txwm. Tus kws tshwj xeeb no yuav npaj txhua yam no.
• Kev tswj cov mob uas twb muaj lawm lossis mob tshiab hauv leej niam cev xeeb tub: Yog tias leej niam tus mob uas twb muaj lawm hnyav zuj zus thaum cev xeeb tub, lossis yog tias muaj mob tshiab tshwm sim (piv txwv li, ntshav qab zib thaum cev xeeb tub , preeclampsia ), nws raug kho.
• Siv kev kuaj ultrasound lossis lwm yam kev kuaj mob los nrhiav cov kab mob caj ces lossis cov teeb meem yug los: Lawv tuaj yeem ua cov kev kuaj mob tshwj xeeb thiab kev kuaj mob caj ces kom paub seb tus menyuam puas muaj cov kab mob yug los. Lawv kuj tseem tuaj yeem muab cov ntaub ntawv meej rau koj txog qhov mob yuav cuam tshuam rau tus menyuam li cas.
• Pab yug menyuam yog tias tsim nyog: Hauv qee kis nyuaj, kev koom tes ntawm tus kws tshwj xeeb no yuav tsim nyog txawm tias thaum yug menyuam .
• Kev tswj cov teeb meem tom qab yug me nyuam: Yog tias leej niam muaj teeb meem (piv txwv li, los ntshav ntau dhau) tom qab yug me nyuam , cov teeb meem ntawd kuj raug kho.

Kev Xeeb Tub Uas Muaj Kev Pheej Hmoo Siab Yog Dab Tsi? Puas yog qhov ntawd yuav tsum ntshai tiag?

Thaum lawv qhia rau koj tias koj cev xeeb tub yog 'muaj kev pheej hmoo siab', nws txhais tau tias koj xav tau kev saib xyuas thiab kev saib xyuas ntxiv kom ntseeg tau tias cev xeeb tub thiab yug menyuam tau zoo. Tsis txhob ntshai nug koj tus kheej tias, "Puas muaj teeb meem dab tsi nrog kuv tus menyuam?" lossis "Kuv cev xeeb tub puas muaj kev phom sij tiag?"

Qhov tseem ceeb tshaj plaws: Kev muaj 'kev pheej hmoo siab' tsis tau txhais hais tias muaj teeb meem nrog tus menyuam lossis koj cev xeeb tub muaj kev phom sij. Nws tsuas txhais tau tias koj thiab koj tus menyuam raug saib xyuas ze dua vim tias muaj kev pheej hmoo siab dua li qub ntawm qee qhov teeb meem. Nws zoo li ceev faj me ntsis thaum koj mus ncig ua si tseem ceeb.

Nov yog qee yam uas ua rau muaj kev pheej hmoo siab rau cev xeeb tub:

• Kev nce hnub nyoog ntawm niam: Tshwj xeeb tshaj yog tias muaj hnub nyoog tshaj 40 xyoo.
• Cev xeeb tub ntau zaus:Yog li ntawd, yog tias muaj ntau tshaj ib tug menyuam hauv plab, xws li menyuam ntxaib lossis menyuam peb.
• Tau muaj kev rho menyuam lossis yug menyuam tuag yav dhau los.
• Muaj teeb meem caj ces hauv ib tug neeg hauv tsev neeg.
• Tau muaj teeb meem thaum cev xeeb tub yav dhau los: Piv txwv li, cov mob xws li preeclampsia , yug ntxov, lossis ntshav qab zib thaum cev xeeb tub .
• Koj muaj ib qho mob hnyav: tej yam xws li kab mob plawv, ntshav qab zib , ntshav siab, kab mob plab hnyuv, lossis kab mob autoimmune .

Vim li cas kuv thiaj raug xa mus rau tus kws kho mob perinatologist?

Koj tus kws kho mob poj niam thiab kws kho mob poj niam (OBGYN) yuav xa koj mus rau kws kho mob poj niam yog tias koj cev xeeb tub muaj kev pheej hmoo siab, lossis yog tias muaj kev xav tias koj tus menyuam hauv plab muaj teeb meem kev kho mob nyuaj lossis muaj mob txij thaum yug los.

Feem ntau, cov kws kho mob poj niam cev xeeb tub feem ntau tuaj yeem tswj hwm cov teeb meem me me thaum cev xeeb tub (piv txwv li, tswj tau ntshav siab zoo, ntshav qab zib thaum cev xeeb tub ). Txawm li cas los xij, yog tias qhov mob hnyav zuj zus, lossis yog tias nws dhau qhov kev txawj ntse ntawm kws kho mob poj niam cev xeeb tub, lawv yuav xa koj mus rau tus kws kho mob poj niam-me nyuam hauv plab, hu ua tus kws kho mob perinatologist. Qee zaum, cov kws kho mob poj niam cev xeeb tub kuj tseem yuav sab laj nrog tus kws kho mob perinatologist kom tau txais kev pom zoo thib ob.

Ua ntej koj cev xeeb tub, tej zaum koj yuav paub tias koj cev xeeb tub yuav muaj kev pheej hmoo heev. Yog li ntawd, koj tuaj yeem ntsib kws kho mob plab ua ntej koj cev xeeb tub. Hauv lwm cov xwm txheej, kev cev xeeb tub yuav ua rau muaj mob tam sim ntawd.

Nov yog qee qhov laj thawj vim li cas koj tus kws kho mob yug menyuam thiaj li xa koj mus rau tus kws kho mob perinatologist:

• Cov mob uas twb muaj lawm: xws li kab mob plawv, lupus , lossis ntshav qab zib .
• Ntshav siab heev los yog preeclampsia.
• Yog tias muaj kev pheej hmoo ntawm kev yug menyuam ua ntej lub sijhawm.
• Yog koj muaj keeb kwm mob plawv, qaug dab peg, lossis teeb meem raum.
• Yog tias koj tau muaj ntau qhov kev rho menyuam lossis kev yug menyuam tuag.
• Yog koj muaj qhov tshwm sim txawv txav los ntawm kev kuaj mob ua ntej yug menyuam.
• Yog tias koj xav tias yuav muaj ntau tus menyuam, xws li menyuam ntxaib lossis menyuam peb.

Tom qab koj yug me nyuam lawm, tej zaum koj yuav tsum mus ntsib kws kho mob poj niam cev xeeb tub yog tias koj los ntshav ntau dhau ntawm qhov chaw mos, muaj kev kis kab mob, lossis lwm yam teeb meem kev noj qab haus huv.

Tus kws kho mob perinatologist kho cov mob dab tsi?

Cov kws kho mob plab pab kho cov kab mob ntev uas koj muaj thiab uas tuaj yeem cuam tshuam rau koj cev xeeb tub lossis tus menyuam. Qee qhov mob no suav nrog:

• Kab mob ntshav qab zib
• Ntshav siab
• Kev mob ntshav thiab ntshav txhaws
• Kab mob plawv
• Kab mob raum
• Cov kab mob autoimmune (piv txwv li, lupus)
• Cov kab mob caj ces , piv txwv li , cystic fibrosis lossis sickle cell kab mob .

Tsis tas li ntawd xwb, yog tias koj tau muaj kev pheej hmoo siab lossis muaj teeb meem ntawm cev xeeb tub yav dhau los, koj yuav tsum mus ntsib kws kho mob plab hnyuv. Piv txwv ntawm cov teeb meem ntawm kev cev xeeb tub yav dhau los suav nrog:

• Ua ntej lub sijhawm lossis tawg ua ntej lub sijhawm ntawm cov ntaub so ntswg.
• Kev rho menyuam lossis kev yug menyuam tuag.
• Kev txwv kev loj hlob ntawm tus menyuam hauv plab.
• Cov kab mob uas muaj txij thaum yug los lossis cov kab mob caj ces.
• Cov teeb meem ntawm cov placental, piv txwv li , placental abruption lossis placenta previa .

Qhov txawv ntawm tus kws kho mob poj niam thiab kws kho mob poj niam (OBGYN) thiab tus kws kho mob perinatologist yog dab tsi?

Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Tus kws kho mob poj niam kuj yog tus kws kho mob poj niam thiab kws kho mob poj niam (OBGYN). Txawm li cas los xij, lawv tau txais kev cob qhia tshwj xeeb ntxiv ob mus rau peb xyoos (kev sib raug zoo) hauv kev cev xeeb tub uas muaj kev pheej hmoo siab. Kev cob qhia no qhia lawv tob txog yuav kho cov teeb meem kev kho mob thiab phais mob uas tshwm sim thaum cev xeeb tub, nrog rau yuav ua li cas txheeb xyuas thiab tswj cov mob xws li cov kab mob caj ces hauv tus menyuam hauv plab (menyuam mos).

Tsuas yog vim koj mus ntsib kws kho mob plab tsis tau txhais hais tias lawv yuav yog koj tus kws kho mob tseem ceeb. Feem ntau, koj txoj kev saib xyuas cev xeeb tub yuav muaj koj tus kws kho mob poj niam (OBGYN) thiab kws kho mob plab. Koj tus kws kho mob poj niam yuav txiav txim siab seb koj yuav tsum mus ntsib kws kho mob plab ntau npaum li cas. Tus kws kho mob plab yuav koom nrog ntau yam ntawm koj cev xeeb tub thiab yug menyuam. Lossis, koj tsuas yog yuav pom lawv ib lossis ob zaug thaum koj cev xeeb tub.

Puas yog 'Maternal-Fetal Medicine' thiab 'Perinatologist' yog tib yam?

Yog! Ob lub npe no hais txog tib tus kws tshwj xeeb.Qhov ntawd txhais tau tias, txawm koj hu nws ua 'Maternal-Fetal Medicine specialist' lossis 'Perinatologist', ob leeg yog cov kws kho mob uas saib xyuas cov kev xeeb tub uas muaj kev pheej hmoo siab lossis cov mob nyuaj thaum cev xeeb tub.

Yuav siv sijhawm ntev npaum li cas los ua tus kws kho mob perinatologist?

Qhov no zoo kawg uas paub, puas yog? Perinatology yog ib qho kev tshwj xeeb ntawm Obstetrics thiab Gynecology. Yuav kom ua tau tus kws kho mob perinatologist, koj yuav tsum tau txais daim bachelor's degree ua ntej thiab tom qab ntawd mus kawm ntawv kho mob. Tom qab plaub xyoos ntawm kev cob qhia nyob hauv kev kho mob obstetrics thiab gynecology, koj yuav tsum ua tiav ob txog peb xyoos ntawm kev cob qhia ua haujlwm hauv perinatology. Nws yog thaum lub sijhawm kev cob qhia tshwj xeeb no uas koj kawm tob txog yuav kho cov teeb meem cev xeeb tub li cas thiab cov kab mob cuam tshuam li cas rau tus poj niam cev xeeb tub thiab tus menyuam hauv plab.

Thaum koj mus ntsib kws kho mob perinatologist thawj zaug, koj yuav tsum xav li cas?

Qhov no yuav txawv nyob ntawm seb vim li cas koj thiaj li raug xa mus rau tus kws kho mob perinatologist thiab koj qhov teeb meem. Feem ntau, koj thawj zaug mus ntsib kws kho mob yuav suav nrog kev sau koj keeb kwm kev noj qab haus huv , lossis tham txog koj tus mob thiab nws yuav cuam tshuam li cas rau koj cev xeeb tub.

Koj tus kws kho mob perinatologist tuaj yeem qhia koj txog tej yam mob caj ces lossis tej yam mob uas koj tus menyuam muaj, thiab kuj tuaj yeem tham txog hom kev kho mob uas koj tus menyuam yuav xav tau tom qab yug los. Qee zaum, tus kws kho mob perinatologist kuj tseem yuav ua kev kuaj mob caj ces, kev ntsuas ultrasound , kev saib xyuas menyuam hauv plab, thiab lwm yam kev kuaj mob los kuaj mob.

Koj yuav tsum xav kom koj tus kws kho mob poj niam cev xeeb tub ua haujlwm nrog koj tus kws kho mob yug menyuam (OBGYN) thiab lwm tus kws kho mob hauv koj pab neeg saib xyuas thoob plaws koj cev xeeb tub thiab thaum yug menyuam. Lawv kuj tseem yuav ua haujlwm nrog tus kws kho mob menyuam mos lossis kws kho mob menyuam yaus .

Tus kws kho mob perinatologist ua cov kev kuaj mob dab tsi?

Cov kws kho mob poj niam cev xeeb tub ua ntau yam kev kuaj mob los nrhiav cov mob caj ces thiab cov kab mob thaum cev xeeb tub. Qee qhov ntawm lawv yog:

• Kev kuaj mob Ultrasound: Cov no tuaj yeem yog kev luam theej dav dav, tab sis qee zaum lawv tuaj yeem ua kom ntxaws dua.
• Kev kuaj ntshav: Txheeb xyuas qee yam mob ntawm leej niam thiab tej zaum tus menyuam.
• Kev kuaj mob ua ntej yug menyuam: Kev kuaj mob kom paub seb tus menyuam puas muaj mob caj ces.
• Amniocentesis: Qhov no suav nrog kev coj me me ntawm cov kua amniotic nyob ib puag ncig tus menyuam thiab kuaj nws.
• Chorionic Villus Sampling (CVS): Qhov no suav nrog kev coj ib qho qauv me me ntawm cov ntaub so ntswg los ntawm lub placenta thiab kuaj nws.

Cov kws kho mob perinatologists puas yug menyuam? Lawv puas ua phais?

Qee zaum yog. Nws nyob ntawm koj tus mob thiab tej yam teeb meem uas yuav tshwm sim. Feem ntau, koj tus kws kho mob yug me nyuam (OBGYN) yuav yug tus me nyuam. Txawm li cas los xij, tus kws kho mob perinatologist yuav nyob hauv chav yug me nyuam yog tias xav tau.

Koj tus kws kho mob poj niam thiab kws kho mob poj niam yuav saib xyuas feem ntau ntawm koj txoj kev kho mob. Lawv yuav tham txog koj cov kev xav tau ntsig txog koj cev xeeb tub, yug menyuam, thiab cov mob ntsig txog kev kho mob nrog koj tus kws kho mob poj niam.

Cov kws kho mob perinatologists ua qee qhov kev phais tshwj xeeb . Piv txwv li:

• Kev phais mob Caesarean uas nyuaj heev (C-sections)
• Kev Kho Mob Cerclage ntawm lub qhov ncauj tsev menyuam (ib txoj kev kho mob los txhawb lub qhov ncauj tsev menyuam yog tias nws tsis muaj zog)
• Kev phais tshem menyuam thaum muaj xwm ceev

Qhov tseem ceeb tshaj plaws uas peb xav coj mus tsev los ntawm zaj dab neeg no (Cov Lus Qhia Coj Mus Tsev)

Cov kws kho mob poj niam cev xeeb tub yog cov kws tshwj xeeb uas tshwj xeeb hauv kev xeeb tub uas muaj kev pheej hmoo siab lossis muaj teeb meem nyuaj. Thaum koj raug xa mus rau kws kho mob poj niam cev xeeb tub, nws tuaj yeem ua rau koj ntshai me ntsis. Tab sis nws tsis tau txhais hais tias muaj teeb meem loj nrog koj cev xeeb tub. Nws tsuas yog txhais tau tias koj pab neeg kho mob tab tom sim muab kev saib xyuas zoo tshaj plaws thiab tsim nyog rau koj thiab koj tus menyuam .

Nco ntsoov: Xav tias dawb tham nrog koj tus kws kho mob yug menyuam (OBGYN) thiab tus kws kho mob perinatologist txog txhua lo lus nug, kev txhawj xeeb, lossis kev txhawj xeeb uas koj muaj. Tsis txhob ntshai nug lawv cov lus nug. Nws yog ib qho tseem ceeb rau koj kom nkag siab meej txog koj tus mob thiab kev kho mob. Lawv yuav piav qhia txhua yam rau koj. Koj tsis nyob ib leeg, thiab muaj ib pab kws kho mob tsim nyog los pab koj.

`Kws Kho Mob Plawv, Kev Xeeb Tub Uas Muaj Kev Pheej Hmoo Siab, Kev Kho Mob Rau Niam Thiab Me Nyuam, Kev Saib Xyuas Kev Xeeb Tub, Kev Pab Yug Me Nyuam, Kev Noj Qab Haus Huv Rau Me Nyuam, Kws Tshwj Xeeb