Nws yog ib qho ib txwm muaj uas yuav ntshai thiab txhawj me ntsis yog tias koj tus kws kho mob ua qhov kev soj ntsuam thaum cev xeeb tub thiab hais tias, "Muaj dej tsawg dua me ntsis nyob ib puag ncig tus menyuam." Los yog yuav ua li cas yog tias tus menyuam lub plawv dhia qeeb me ntsis thaum lub sijhawm yug menyuam thiab koj tau hais tias nws yog vim tsis muaj dej? Hauv cov xwm txheej no, peb yuav tham txog kev kho mob tshwj xeeb thiab tseem ceeb uas cov kws kho mob siv los pab ob leeg niam thiab tus menyuam.
Hauv lwm lo lus, amnioinfusion yog dab tsi?
Kev txhaj tshuaj amniotic yog ib txoj kev kho mob uas rov qab kho cov kua amniotic uas tau poob lawm los ntawm kev txhaj tshuaj tshwj xeeb rau hauv koj lub tsev menyuam, qhov chaw uas koj tus menyuam nyob. Hais yooj yim xwb, nws yog kev muab cov kua dej zoo li saline rau koj lub tsev menyuam. Qhov no suav nrog kev txhaj tshuaj saline lossis lactated Ringer's solution rau hauv koj lub tsev menyuam siv ib lub raj nyias hu ua catheter . Qhov kev rov ua kom cov kua dej uas ploj lawm no pab kom koj tus menyuam lub plawv dhia ruaj khov thiab tiv thaiv tus menyuam kom tsis txhob tau txais oxygen tsawg dhau.
Ua ntej nkag siab txog kev kho mob no, cia peb paub txog tej yam no thiab.
Ua ntej peb yuav tham txog qhov kev kho mob no ntxiv, cia peb tham luv luv txog ob lub ntsiab lus tseem ceeb hauv qhov no.
Cov kua dej amniotic yog dab tsi?
Cov kua amniotic yog cov kua tiv thaiv uas nyob ib puag ncig tus menyuam hauv plab. Nws ua haujlwm zoo li lub ncoo tiv thaiv rau tus menyuam. Cov kua no tiv thaiv tus menyuam ntawm kev kis kab mob, tiv thaiv txoj hlab ntaws ntawm kev nias, thiab pab tus menyuam txav mus los hauv plab yam tsis muaj teeb meem. Tsis tas li ntawd, cov kua amniotic no tseem ceeb rau kev txhim kho tus menyuam txoj kev ua pa thiab zom zaub mov, thiab rau kev tswj qhov kub ntawm lub cev. Yog li ntawd, yog tias tsis muaj cov kua no txaus, nws tuaj yeem cuam tshuam rau tus menyuam txoj kev noj qab haus huv thiab kev yug menyuam.
Txoj Hlab Ntsws (Umbilical Cord) yog dab tsi?
Txoj hlab ntaws yog txoj hlab sia ntawm tus menyuam hauv plab. Nws yog qhov no uas txuas tus menyuam mus rau lub tsev menyuam. Tus menyuam tau txais cov pa oxygen, cov khoom noj khoom haus, thiab cov ntshav uas nws xav tau los ntawm txoj hlab ntaws no. Yog li, thaum cov kua amniotic txo qis, txoj hlab ntaws no tuaj yeem raug nias. Yog tias qhov ntawd tshwm sim, cov pa oxygen thiab cov khoom noj khoom haus uas tus menyuam tau txais yuav tsis zoo, thiab tus menyuam tuaj yeem tsis xis nyob (fetal distress).
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 siv nws rau ob peb rooj plaub xaiv xwb. Cia peb saib seb nws yog dab tsi.
| Mob | Kev piav qhia |
|---|---|
| Cov kua amniotic tsawg (Oligohydramnios) | Qhov no yog qhov laj thawj tseem ceeb. Kev kho mob no raug txiav txim siab yog tias cov dej nyob ib puag ncig tus menyuam qis dua li qub . |
| Kev Sib Tsoo ntawm Txoj Hlab Ntsws | Thaum cov kua dej amniotic tsawg, txoj hlab ntaws yuav raug nias. Qhov no ua rau tus menyuam lub plawv dhia hloov pauv. Thaum cov kua dej raug ntxig rau hauv, txoj hlab ntaws yuav ntab tau ywj pheej. |
| Tiv thaiv kom tsis txhob yug ntxov ntxov (Preterm Premature Rupture of Membranes) | Qee zaum, cov dej yuav tawg ua ntej lub sijhawm. Yog tias qhov no tshwm sim, tshwj xeeb tshaj yog thaum lub sijhawm cev xeeb tub thaum ntxov, cov kua dej yuav raug txhaj rau hauv lub tsev menyuam kom tsim ib puag ncig zoo rau tus menyuam kom nyob hauv plab ntev dua. |
| Yuav kom tiv thaiv tau qhov mob meconium aspiration syndrome | Meconium yog thawj cov quav uas tus menyuam tso tawm hauv plab. Nws tuaj yeem sib xyaw nrog cov kua amniotic. Nws muaj kev phom sij ntau dua yog tias tus menyuam nqos nws, tab sis nws kuj tuaj yeem nqus tau. Amnioinfusion txo qhov kev pheej hmoo no los ntawm kev ua kom cov meconium yaj. |
Qhov tseem ceeb tshaj plaws yog rau koj tus kws kho mob txiav txim siab seb koj puas xav tau kev kho mob no lossis tsis xav tau, thiab nws cov txiaj ntsig thiab qhov tsis zoo yog dab tsi, raws li koj tus mob.
Puas muaj tej yam xwm txheej uas yuav tsum tsis txhob ua amnioinfusion?
Yog lawm, qee zaum qhov kev kho mob no tsis tsim nyog vim tias nws muaj kev nyab xeeb dua los yug tus menyuam sai dua li kho nws thaum ntawd.
- Yog tias tus menyuam hauv plab muaj kev nyuaj siab heev, kev kho mob no yuav tsum tsis txhob ncua sijhawm txawm tias ob peb feeb xwb los tau.
- Yog tias koj muaj tus kab mob uas tseem muaj sia nyob xws li mob herpes ntawm qhov chaw mos lossis lwm yam kab mob ntawm lub tsev menyuam.
- Yog tias koj muaj lub placenta qis (placenta previa) lossis yog tias muaj kev xav tias lub placental abruption.
- Yog tias tus me nyuam nyob rau hauv lub pob tw lossis lwm qhov chaw txawv txawv, es tsis txhob taub hau nqes.
Kev kho mob no ua li cas?
Qhov no yuav zoo li ntshai me ntsis, tab sis nws tau ua tiav zoo heev.
Ua ntej, tus kws kho mob yuav xyuas kom meej tias tus menyuam nyob rau hauv qhov chaw uas yog lub taub hau ua ntej. Koj lub qhov ncauj tsev menyuam yuav tsum tau qhib tsawg kawg yog 1-2 centimeters.
Tom qab ntawd, ib lub raj tshwj xeeb hu ua Intrauterine Pressure Catheter (IUPC) raug ntxig rau hauv lub tsev menyuam. Lub raj no txuas nrog ntau lub cuab yeej. Ib qho ntsuas lub plawv dhia ntawm tus menyuam, lwm qhov ntsuas qhov kev sib cog lus ntawm lub tsev menyuam, thiab qhov thib peb txhaj cov kua ntsev.
Yuav maj mam muab cov kua ntsev uas kub li chav tsev tso rau hauv lub tsev menyuam li 10 txog 30 feeb. Thaum lub sijhawm no, cov kws kho mob thiab cov kws tu mob yuav saib xyuas koj thiab koj tus menyuam ze ze. Tej zaum koj yuav hnov qhov tsis xis nyob lossis mob tom qab kev kho mob, uas yog qhov ib txwm muaj.
Cov txiaj ntsig ntawm kev kho mob amnioinfusion 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 muaj kev phais cesarean (C-section).
- Txo qhov xav tau cov cuab yeej xws li forceps lossis lub tshuab nqus tsev.
- Txhim kho cov ntshav thiab cov pa oxygen mus rau tus menyuam los ntawm txoj hlab ntaws.
- Pab ncua me ntsis kev yug me nyuam kom tiv thaiv tau cov teeb meem los ntawm kev yug ntxov.
- Txo qhov concentration ntawm cov kua dej amniotic uas muaj meconium.
- Tus menyuam cov qhab nia Apgar - ib qho kev ntsuas ntawm tus menyuam txoj kev noj qab haus huv tom qab yug los - yog siab.
- Txo qhov kev pheej hmoo ntawm kev mob endometritis tom qab yug menyuam, uas tuaj yeem tshwm sim vim tsis muaj kua amniotic.
Puas muaj tej yam txaus ntshai lossis teeb meem nrog qhov no?
Feem ntau, kev txhaj tshuaj amnioinfusion yog ib txoj kev kho mob uas muaj kev nyab xeeb thiab ua tau zoo. Txawm li cas los xij, zoo li lwm txoj kev kho mob, muaj qee qhov kev pheej hmoo. Cov no tsis tshua muaj.
| Kev Pheej Hmoo / Teeb Meem | Kev piav qhia |
|---|---|
| Mob Chorioamnionitis | Kev kis kab mob ntawm lub placenta thiab amniotic kua. |
| Kev tawg ntawm txoj hlab ntaws | Txoj hlab ntaws nqes los ntawm lub qhov ncauj tsev menyuam. Qhov no yog xwm txheej ceev. |
| Cov kua dej ntau ntau hauv lub cev | Kev nce ntxiv ntawm cov kua dej amniotic hauv tsev menyuam. |
| Kev nthuav ntawm lub tsev menyuam | Lub tsev menyuam loj zuj zus vim muaj kua dej ntau ntxiv. |
| Kev tho qhov ntawm lub tsev menyuam | Tsis tshua muaj, kev puas tsuaj rau phab ntsa uterine vim yog lub catheter. |
Koj tus kws kho mob yuav qhia koj txog txhua yam kev pheej hmoo no thiab saib xyuas koj kom zoo thaum lub sijhawm kho mob thiab tom qab kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev txhaj tshuaj amnioinfusion yog ib txoj kev kho mob uas ua rau cov kua amniotic rov qab zoo li qub thaum lub sijhawm lossis ua ntej yug menyuam los ntawm kev txhaj cov kua dej zoo li saline rau hauv lub tsev menyuam.
- Lub hom phiaj tseem ceeb ntawm qhov no yog tiv thaiv kom txoj hlab ntaws tsis txhob raug nias, rov qab ua kom tus menyuam lub plawv dhia zoo, thiab xyuas kom tus menyuam tau txais cov pa oxygen.
- Txawm hais tias qhov no feem ntau yog ib qho kev kho mob muaj kev nyab xeeb, zoo li txhua txoj kev kho mob, muaj tej yam txaus ntshai.
- Yog koj xav tias koj cov kua dej tawm ntawm koj lub qhov chaw mos thaum cev xeeb tub, mus ntsib koj tus kws kho mob tam sim ntawd kom paub seb nws puas yog cov kua tawm ntawm qhov chaw mos.
- Yog koj muaj lus nug txog kev kho mob no lossis koj cov calcium hauv cov ntshav, tsis txhob yig nrog koj tus kws kho mob tham. Nws yuav piav qhia txhua yam rau koj.
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