Tej zaum koj yuav nyob rau lub lim tiam kawg ntawm koj cev xeeb tub. Los yog koj yuav nyob hauv chav yug menyuam. Tam sim ntawd, tus kws kho mob tuaj txog thiab hais tias, "Tus menyuam lub plawv dhia qeeb me ntsis, thiab cov dej nyob ib puag ncig tus menyuam zoo li qis." Thaum lub sijhawm zoo li no, peb yuav tham txog kev kho mob tshwj xeeb uas cov kws kho mob siv los tiv thaiv koj thiab koj tus menyuam. Tsis txhob ntshai thaum koj hnov qhov no, qhov no yog kev kho mob zoo heev hauv feem ntau.
Hauv lwm lo lus, amnioinfusion yog dab tsi?
Kev txhaj tshuaj amnioinfusion yog ib txoj kev kho mob uas ib qho kua tshwj xeeb raug txhaj rau hauv koj lub tsev menyuam, qhov chaw uas koj tus menyuam nyob. Nws zoo li rov ntim ib lub thawv me me uas tau zaum ib pliag. Qhov no ua tiav thaum koj tus menyuam lub plawv dhia tsis xwm yeem lossis qeeb thaum lub sijhawm yug menyuam. Qhov laj thawj tseem ceeb rau qhov no yog vim tias cov dej nyob ib puag ncig koj tus menyuam txo qis.
Tam sim no tej zaum koj yuav xav paub tias cov kua no yog dab tsi. Cov no tsis ua rau koj lossis koj tus menyuam muaj teeb meem. Cov kws kho mob siv cov kua hu ua kua saline lossis kua lactated Ringer . Cov no yog cov kua huv, tsis muaj kab mob uas zoo ib yam li cov kua hauv peb lub cev.
Thaum cov kua no raug txhaj rau hauv lub tsev menyuam, nws hloov cov kua amniotic uas tau poob lawm. Qhov no tiv thaiv txoj hlab ntaws kom tsis txhob thawb, rov qab tau cov pa oxygen rau tus menyuam, thiab ua kom tus menyuam lub plawv dhia ruaj khov.
Yog li ntawd, cov kua amniotic no yog dab tsi?
Cov kua dej amniotic zoo li ib lub ncoo sov so uas tiv thaiv koj tus menyuam hauv koj lub tsev menyuam. Nws muab kev tiv thaiv zoo rau koj tus menyuam.
- Tiv thaiv tus menyuam ntawm cov kab mob los ntawm sab nraud.
- Tiv thaiv kom txoj hlab ntaws tsis txhob nruj.
- Nws tiv thaiv tus menyuam ntawm lwm yam kev raug mob thaum nws txav mus los hauv lub tsev menyuam.
- Pab tus menyuam lub ntsws thiab lub plab zom mov loj hlob.
- Nws pab kom tus menyuam lub cev kub tsis hloov pauv.
Yog tias cov kua dej amniotic tseem ceeb no ploj mus, tus menyuam tuaj yeem muaj teeb meem kev noj qab haus huv thiab teeb meem thaum yug menyuam.
Qhov tseem ceeb ntawm lub cev xeeb tub
Txoj hlab ntaws yog txoj hlab sia ntawm tus menyuam hauv plab. Nws yog qhov txuas tus menyuam mus rau lub tsev menyuam. Tus menyuam tau txais tag nrho cov pa oxygen, ntshav, thiab cov as-ham tseem ceeb uas nws xav tau los ntawm txoj hlab ntaws no. Yog li ntawd, yog tias txoj hlab ntaws no raug nias, tag nrho cov khoom noj no rau tus menyuam tuaj yeem raug txiav tawm. Qhov ntawd tuaj yeem ua rau muaj kev phom sij heev rau tus menyuam.
Hauv cov xwm txheej twg uas yuav tsum tau kho amnioinfusion?
Txoj kev kho mob no tsis yog rau txhua tus. Cov kws kho mob tsuas yog pom zoo rau ob peb qho xwm txheej tshwj xeeb xwb . Feem ntau nws yog ua rau cov xwm txheej uas muaj cov dej tsawg dua nyob ib puag ncig tus menyuam, uas yog ib qho mob hu ua Oligohydramnios .
Daim ntawv teev lus hauv qab no tuaj yeem pab koj nkag siab qhov no kom meej dua.
| Mob uas xav tau kev kho mob | Hais yooj yim xwb, qhov kev tshwm sim |
|---|---|
| Kev nias ntawm txoj hlab ntaws | Thaum tsis muaj dej txaus nyob ib puag ncig tus menyuam, txoj hlab ntaws yuav raug daig ntawm phab ntsa tsev menyuam thiab tus menyuam lub cev. Qhov no cuam tshuam rau tus menyuam cov ntshav thiab cov pa oxygen. Qhov no ua rau tus menyuam muaj kev ntxhov siab heev (kev nyuaj siab ntawm tus menyuam hauv plab). Kev ntxiv dej los ntawm kev txhaj tshuaj amnio ua rau txoj hlab ntaws ntab tau yooj yim. |
| Kev tawg ntawm cov membranes ua ntej lub sijhawm | Qee zaum, cov dej ntws tawm ua ntej lub sijhawm thiab cov kua amniotic pib tawm ntawm qhov chaw mos. Yog tias qhov no tshwm sim, tshwj xeeb tshaj yog ua ntej peb lub hlis thib peb ntawm kev cev xeeb tub, kev kho mob no tuaj yeem pab tswj kom muaj ib puag ncig zoo hauv tsev menyuam thiab tiv thaiv kev yug ntxov. |
| Tiv thaiv tus menyuam kom tsis txhob nqus pa meconium | Cov quav thawj zaug uas tus menyuam tso tawm hauv plab hu ua meconium. Feem ntau lawv yog cov khoom tuab, ntsuab tsaus. Qee zaum, thaum tus menyuam ntxhov siab, cov quav no sib xyaw nrog cov kua amniotic. Qhov no tuaj yeem ua rau muaj kev phom sij yog tias cov kua no nkag mus rau hauv tus menyuam lub ntsws. Thaum dej ntxiv los ntawm kev txhaj tshuaj amnioinfusion, qhov kev pheej hmoo no raug txo qis vim tias nws tau diluted. |
Qhov tseem ceeb tshaj plaws, koj tus kws kho mob yuav txiav txim siab seb qhov kev kho mob no puas yog rau koj, raws li koj keeb kwm kev noj qab haus huv thiab cev xeeb tub.
Puas muaj tej lub sijhawm uas yuav tsum tsis txhob ua qhov kev kho mob no?
Yog, yeej muaj tseeb. Muaj qee kis uas kev kho mob amnioinfusion tsis tau ua thiab yuav tsum tau ua lwm yam kev ntsuas hloov.
- Yog tias tus menyuam muaj kev nyuaj siab heev:Yog tias tus menyuam lub plawv dhia qis heev, txhua feeb tseem ceeb. Thaum lub sijhawm zoo li no, cov kws kho mob yuav txiav txim siab yug tus menyuam sai li sai tau (piv txwv li, los ntawm kev phais mob thaum muaj xwm txheej ceev) es tsis txhob nkim sijhawm nrog kev kho mob no.
- Yog tias koj muaj kev kis kab mob uas tseem muaj sia nyob, xws li mob herpes ntawm qhov chaw mos: Kev kho mob no tsis pom zoo yog tias koj muaj kev kis kab mob rau lub tsev menyuam.
- Yog tias muaj teeb meem nrog lub placenta: Kev kho mob no tsis ua yog tias muaj kev xav tias muaj mob xws li placenta previa (lub placenta pw qis hauv lub tsev menyuam) lossis placental abruption (lub placenta sib cais ntawm phab ntsa uterine).
- Yog tias tus me nyuam tsis nyob hauv qhov chaw zoo: Kev kho mob no tsis haum yog tias tus me nyuam tsis taub hau nqes, tsis khoov pob tw, lossis nyob rau hauv lwm qhov chaw tsis zoo.
Kev kho mob amnioinfusion no ua li cas?
Tsis txhob ntshai nug seb ua li cas. Feem ntau nws tsis mob. Koj tus kws kho mob thiab cov kws tu mob yuav zaum ntawm koj ib sab thiab saib xyuas txhua yam.
Ua ntej, tus kws kho mob yuav xyuas kom meej tias tus menyuam nyob hauv txoj hauj lwm tso taub hau rau hauv qab. Tsis tas li ntawd, koj lub qhov ncauj tsev menyuam yuav tsum qhib tsawg kawg 1-2 centimeters.
Tom qab ntawd, ib lub raj nyias nyias thiab yoog tau hu ua Intrauterine Pressure Catheter (IUPC) raug muab ntxig rau hauv koj lub tsev menyuam kom zoo. Lub raj no txuas rau ib sab rau lub monitor uas ntsuas lub plawv dhia ntawm tus menyuam thiab lub tsev menyuam. Ntawm qhov tod tes, nws txuas rau lub raj uas txhaj cov kua saline.
Tom qab ntawd, tus kws kho mob yuav maj mam txhaj cov tshuaj saline uas kub li chav tsev rau hauv koj lub tsev menyuam. Qhov no feem ntau yuav siv sijhawm li ntawm 10 thiab 30 feeb. Thaum lub sijhawm no, tus kws kho mob thiab cov neeg ua haujlwm yuav saib xyuas koj thiab koj tus menyuam ze. Lawv kuj tseem yuav txuas ntxiv mus xyuas kom paub tseeb tias cov kua dej hauv koj lub tsev menyuam txaus.
Koj yuav hnov me ntsis tsis xis nyob tom qab kev kho mob, tab sis qhov ntawd yog qhov ib txwm muaj.
Cov txiaj ntsig ntawm kev kho mob no yog dab tsi?
Ntxiv rau qhov kho kom tus menyuam lub plawv dhia rov qab zoo li qub, kev kho mob no muaj ntau yam txiaj ntsig ntxiv.
- Txo qhov kev pheej hmoo ntawm kev phais cesarean (c-section): Kev phais cesarean thaum muaj xwm txheej ceev feem ntau yog ua vim tus menyuam lub plawv dhia qis. Yog tias kev kho mob no tuaj yeem tiv thaiv qhov mob ntawd, koj yuav muaj feem ntau dua los yug menyuam ib txwm.
- Txo kev siv cov cuab yeej: Qhov xav tau siv cov cuab yeej xws li forceps lossis lub tshuab nqus tsev yuav raug txo.
- Tus me nyuam tau txais cov ntshav thiab cov pa oxygen zoo: Vim tias txoj hlab ntaws tsis muaj dab tsi thaiv, tus me nyuam tau txais cov pa oxygen thiab cov khoom noj khoom haus yam tsis muaj dab tsi thaiv.
- Pab kom ncua kev yug ntxov:Raws li tau hais ua ntej lawm, yog tias cov dej tawg ntxov, qhov no tuaj yeem pab kom tus menyuam nyob hauv plab tau ob peb hnub ntxiv.
- Cov qhab nia Apgar zoo dua : Cov qhab nia Apgar yog ib qho txheej txheem ntsuas kev noj qab haus huv ntawm tus menyuam tam sim ntawd tom qab yug los. Cov qhab nia no siab dua thaum tus menyuam yug los noj qab nyob zoo vim yog kev kho mob no.
- Txo qhov kev pheej hmoo ntawm kev kis tus kab mob rau leej niam: Thaum cov kua amniotic poob, leej niam kuj tuaj yeem kis tus kab mob. Piv txwv li, postpartum endometritis . Kev kho mob no txo qhov kev pheej hmoo ntawd.
Puas muaj tej yam kev pheej hmoo uas yuav tshwm sim?
Ib yam li lwm yam kev kho mob, muaj tej yam txaus ntshai me me xwb. Tiam sis tej no tsis tshua muaj tshwm sim. Koj tus kws kho mob yuav saib xyuas txhua yam no zoo.
- Kev kis kab mob (Chorioamnionitis): Muaj feem me me heev uas yuav kis kab mob rau lub placenta thiab cov kua amniotic.
- Txoj hlab ntaws poob qis: Tsis tshua muaj, txoj hlab ntaws tuaj yeem nqis mus rau hauv qhov chaw mos ua ntej tus menyuam yug los.
- Polyhydramnios: Muaj kev pheej hmoo ntawm cov kua dej ntau dua hauv lub tsev menyuam dua li qhov tsim nyog.
- Kev puas tsuaj rau lub tsev menyuam: Tsis tshua muaj, lub tsev menyuam tuaj yeem ncab dhau (uterine overditention) lossis phab ntsa uterine tuaj yeem perforated (perforated uterus).
Cov kev pheej hmoo no tsawg heev. Cov kws kho mob ua qhov kev kho mob no nrog kev paub zoo thiab ua txhua yam kev ceev faj tsim nyog. Yog li ntawd, tsis txhob ntshai nws.
Kev kho mob no zoo npaum li cas?
Kev kho mob amnioinfusion feem ntau ua tau zoo. Qhov nthuav yog, qhov tsawg dua dej nyob ib puag ncig tus menyuam, qhov ntau dua qhov kev kho mob yuav ua tau zoo.
Cov kws kho mob muaj ib txoj kev los ntsuas qhov ntau ntawm cov kua dej nyob ib puag ncig koj tus menyuam. Nws hu ua Amniotic Fluid Index (AFI) . Cov kev tshawb fawb tau pom tias:
- Txoj kev kho mob no tau ua tiav zoo hauv 63% ntawm cov neeg mob uas muaj tus nqi AFI tsawg dua 4 centimeters thaum ntsuas thawj zaug.
- Tus nqi ua tiav rau cov neeg uas muaj AFI ntawm 4 thiab 8 centimeters yog 44% .
Qhov ntawd txhais tau tias, rau ib tus neeg uas lub cev qhuav dej heev thiab xav tau kev pab, cov txiaj ntsig ntawm kev kho mob no zoo heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev txhaj tshuaj amnioinfusion yog ib txoj kev kho mob uas muaj kev nyab xeeb thiab ua tau zoo uas yog txhaj cov kua dej uas muaj kev nyab xeeb rau hauv lub tsev menyuam yog tias cov kua dej amniotic nyob ib puag ncig tus menyuam txo qis thaum lub sijhawm yug menyuam.
- Lub hom phiaj tseem ceeb ntawm qhov no yog los tiv thaiv txoj hlab ntaws kom tsis txhob raug nias, txo tus menyuam kom tsis txhob muaj kev nyuaj siab, thiab pab tus menyuam yug los noj qab nyob zoo.
- Txoj kev kho mob no tsis yog rau txhua tus. Tsuas yog koj tus kws kho mob thiaj li txiav txim siab tau seb qhov no puas tsim nyog lossis tsim nyog rau koj, raws li koj qhov xwm txheej tshwj xeeb.
- Tsis txhob ncua kev mus ntsib kws kho mob thoob plaws koj cev xeeb tub. Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas koj thiab koj tus menyuam txoj kev noj qab haus huv.
- Yog koj xav tias muaj kua dej tawm hauv koj lub qhov chaw mos thaum cev xeeb tub, tsis txhob tsis quav ntsej. Tej zaum nws yog kua amniotic. Hu rau koj tus kws kho mob tam sim ntawd lossis mus rau tsev kho mob ze tshaj plaws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus