Peb paub tias qhov kev xav loj tshaj plaws ntawm nej txhua tus, ua ib leej niam, yog kom yug tau ib tug me nyuam noj qab nyob zoo thiab puv sijhawm. Tab sis qee zaum, tej zaum yuav muaj teeb meem uas peb yeej tsis tau xav txog. Anencephaly yog ib qho teeb meem rhiab heev uas yuav tsum tau hnov txog. Qhov no yog qhov teeb meem yug los uas tshwm sim thaum lub hlwb thiab pob txha taub hau ntawm tus menyuam tsis loj hlob zoo. Qhov mob thiab kev poob siab uas koj hnov thaum koj kawm txog ib yam dab tsi zoo li no yog qhov tsis muaj lus hais. Tab sis nws yog ib qho tseem ceeb heev rau koj kom nkag siab txog qhov mob no kom raug thiab yooj yim. Hnub no, peb yuav tham txog qhov mob no hu ua Anencephaly.
Hauv lwm lo lus, Anencephaly yog dab tsi?
Kab mob hlwb tsis loj hlob yog ib qho mob uas tshwm sim thaum yug los. Hauv qhov xwm txheej no, qee qhov tseem ceeb ntawm lub hlwb thiab pob txha taub hau ntawm tus menyuam tsis loj hlob. Qhov no yog ib qho mob hnyav uas cuam tshuam rau tus menyuam lub paj hlwb.
Xav txog seb, thaum lub hlis thawj zaug ntawm cev xeeb tub, lub hlwb, pob txha taub hau, thiab tus txha caj qaum ntawm tus menyuam pib tsim. Cov no tau tsim los ntawm ib qho qauv tshwj xeeb hu ua 'neural tube'. Lub raj no yuav tsum kaw, ib yam li lub zipper. Hauv qhov xwm txheej ntawm anencephaly, sab saud ntawm lub neural tube no, uas yog qhov chaw uas lub hlwb thiab pob txha taub hau tsim, tsis kaw kom zoo. Yog vim li ntawd nws thiaj li hu ua neural tube defect .
Lub hlwb tswj txhua yam hauv peb lub neej, nws ua rau peb muaj sia nyob. Yog li ntawd, nws nyuaj rau ib tug menyuam kom muaj sia nyob yam tsis muaj cov feem tseem ceeb ntawm lub hlwb. Yog li ntawd, cov menyuam mos uas yug los nrog anencephaly feem ntau tsuas yog muaj sia nyob ob peb feeb, teev lossis hnub xwb. Feem ntau, cov kev xeeb tub no xaus rau hauv kev rho menyuam lossis tuag hauv plab.
Peb paub tias qhov no nyuaj heev rau koj paub. Tab sis qhov no tsis yog koj qhov txhaum. Qhov no yog ib qho teeb meem uas tshwm sim thaum ntxov ntawm cev xeeb tub, thaum koj tsis paub tias koj cev xeeb tub.
Puas muaj cov hom mob anencephaly tseem ceeb?
Yog, muaj peb hom mob anencephaly tseem ceeb. Tag nrho peb hom no muaj feem cuam tshuam loj heev rau lub neej ntawm tus menyuam.
| Hom kab mob anencephaly | Piav qhia yooj yim |
|---|---|
| Meroanencephaly | Hauv hom no, qee qhov ntawm lub hlwb thiab nruab nrab ntawm lub hlwb tseem tsim tau ib nrab. Tej zaum yuav muaj qee daim tawv nqaij thiab pob txha taub hau npog lub hlwb. |
| Holoanencephaly | Qhov no yog hom mob uas feem ntau tshwm sim. Lub hlwb tseem tsis tau loj hlob kiag li. |
| Craniorachisis | Qhov no yog hom mob hnyav tshaj plaws. Hauv qhov no, lub hlwb, pob txha taub hau, thiab tus txha caj qaum tseem tsis tau loj hlob tag nrho. |
Cov tsos mob twg uas tuaj yeem qhia tau tus mob no?
Qhov mob no tuaj yeem kuaj pom thaum ntxov los ntawm kev kuaj thaum cev xeeb tub. Cov kws kho mob tab tom ua tib zoo saib xyuas qhov no.
- Kev kuaj ntshav: Cov ntshav ntawm leej niam uas muaj cov protein hu ua alpha-fetoprotein (AFP) siab heev. Qhov no yog kev kuaj ntshav uas feem ntau ua thaum lub sijhawm peb lub hlis thib ob ntawm cev xeeb tub.
- Kev Ntsuas: Cov kua dej amniotic nyob ib puag ncig tus menyuam tej zaum yuav ntau dhau. Qhov no hu ua polyhydramnios . Tsis tas li ntawd, kev ntsuas ultrasound tuaj yeem qhia meej tias qee qhov ntawm tus menyuam lub taub hau thiab lub hlwb ploj lawm.
- Tus me nyuam lub cev: Thaum yug los, koj yuav pom tias qee qhov ntawm tus me nyuam lub taub hau ploj lawm, cov ntaub so ntswg ntawm lub hlwb raug nthuav tawm, thiab lub taub hau me dua li qhov xav tau.
Tus menyuam mos liab xav li cas?
Qhov no yog ib yam uas mob heev rau leej niam lossis leej txiv. Rau cov menyuam mos uas yug los nrog tus mob no:
- Tsis muaj kev paub.
- Tsis muaj kev pom kev.
- Tsis muaj kev hnov lus.
- Kuv tsis hnov mob.
Qee zaum, cov menyuam mos uas lub hlwb tseem loj hlob me ntsis tuaj yeem qhia qee yam kev xav thaum kov. Tej yam xws li ua pa, txav lawv ob txhais ceg. Pom cov no, koj yuav xav tias tus menyuam mos tab tom kov peb. Tab sis nws tsis yog ib yam dab tsi uas ua tiav los ntawm kev paub. Nws yog ib yam dab tsi uas tshwm sim yam tsis tas yuav ua dab tsi. Vim tias cov feem loj ntawm lub hlwb tsis nyob ntawd, tus menyuam mos tsis hnov lossis nkag siab dab tsi.
Dab tsi yog cov ua rau thiab cov yam ntxwv uas ua rau muaj tus kab mob anencephaly?
Tsis muaj peev xwm hais meej tias yog dab tsi ua rau muaj anencephaly, tab sis muaj ntau yam ua rau muaj kev pheej hmoo uas yuav ua rau muaj qhov no.
Qhov tseem ceeb yog tias qhov mob no feem ntau tsis yog los ntawm noob caj noob ces. Qhov no txhais tau tias nws tuaj yeem tshwm sim yam tsis tau npaj tseg, txawm tias tsis muaj leej twg hauv tsev neeg tau muaj nws. Txawm li cas los xij, yog tias koj tau muaj ib tug menyuam yav dhau los uas muaj qhov tsis zoo ntawm lub raj xa dej (xws li spina bifida), qhov kev pheej hmoo ntawm koj tus menyuam tom ntej yuav muaj tib yam mob siab dua me ntsis. Nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob txog qhov no.
| Qhov ua rau muaj kev pheej hmoo | Kev piav qhia thiab yuav ua li cas |
|---|---|
| Kev Tsis Txaus Folic Acid | Qhov no yog qhov tseem ceeb thiab feem ntau tiv thaiv tau qhov kev pheej hmoo no. Folic acid yog ib hom vitamin B9. Nws yog ib qho tseem ceeb kom tau txais folic acid txaus txij li thaum koj tab tom sim xeeb tub thiab thaum 3 lub hlis thawj zaug ntawm kev xeeb tub. Noj cov tshuaj pom zoo (feem ntau yog 400 mcg) txhua hnub raws li koj tus kws kho mob pom zoo. |
| Kab mob ntshav qab zib | Yog leej niam muaj tus kab mob ntshav qab zib uas tsis tau tswj hwm, qhov ntawd kuj yog ib qho kev pheej hmoo. Nws yog ib qho tseem ceeb kom tswj cov ntshav qab zib kom zoo ua ntej cev xeeb tub. |
| Qee cov tshuaj | Cov tshuaj rau qaug dab peg, mob taub hau loj, thiab qee yam mob hlwb (xws li valproic acid) tuaj yeem ua rau muaj kev pheej hmoo no ntau ntxiv. Yog tias koj noj tshuaj twg los xij, nrog koj tus kws kho mob tham txog nws sai li sai tau thaum koj npaj yuav cev xeeb tub. Tsis txhob tsum noj tshuaj yam tsis tau koj tus kws kho mob qhia. |
| Kev siv tshuaj | Kev siv cov tshuaj xws li opioids thaum ob lub hlis thawj zaug ntawm cev xeeb tub kuj tseem tuaj yeem ua rau muaj teeb meem ntawm cov hlab ntsha hauv lub cev. |
Qhov mob no yuav paub tseeb li cas thaum cev xeeb tub?
Thaum koj mus rau lub tsev kho mob thaum koj cev xeeb tub, cov kws kho mob yuav ua ntau yam kev kuaj mob kom paub txog cov teeb meem thaum yug los. Cov kev kuaj mob no feem ntau yog pab tau rau kev kuaj mob anencephaly.
- Kev Tshuaj Xyuas Plaub Lub Cim: Qhov no yog kev kuaj mob uas ua rau ntawm cov ntshav ntawm leej niam. Nws kuaj xyuas cov khoom xws li AFP kom tau txais lub tswv yim ntawm cov teeb meem ntawm lub paj hlwb thiab lwm yam mob caj ces.
- Kev kuaj mob ultrasound: Qhov no yog txoj kev siv ntau tshaj plaws. Kev kuaj mob anomaly, ua ntawm 18-20 lub lis piam, kuaj xyuas tus menyuam lub taub hau, lub hlwb, thiab tus txha caj qaum. Yog tias muaj anencephaly, nws tuaj yeem txheeb xyuas tau meej nrog kev kuaj mob no. Qee zaum nws tuaj yeem kuaj pom ua ntej dua, kwv yees li 8-12 lub lis piam.
- Fetal MRI (Magnetic Resonance Imaging): Yog tias daim duab scan qhia txog teeb meem, koj tus kws kho mob yuav pom zoo kom ua MRI los kawm txog lub hlwb thiab tus txha caj qaum kom tob dua.
- Kev kuaj amniocentesis: Hauv qhov kev kuaj no, yuav muab ib qho qauv me me ntawm cov kua amniotic uas nyob ib puag ncig tus menyuam thiab kuaj. Yog tias qib AFP hauv cov kua ntawd siab dua, nws yuav yog ib qho cim qhia txog qhov teeb meem ntawm lub hlab ntsha hauv lub cev.
Puas muaj kev kho rau qhov no?
Qhov no yog qhov tseeb ntawm zaj lus no. Tsis muaj kev kho lossis kho qhov mob anencephaly. Nws yog ib qho mob uas tsis haum rau lub neej.
Thaum koj tau txais kev kuaj mob zoo li no, cov kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob yuav muab kev txhawb nqa rau koj thiab koj tsev neeg uas koj xav tau. Lawv yuav piav qhia qhov xwm txheej rau koj, tham txog koj cov kev xaiv, thiab pab koj dhau lub sijhawm nyuaj no.
Tej zaum koj yuav txhawj tias koj tus menyuam yuav mob. Tab sis zoo li peb tau hais ua ntej lawm, cov menyuam mos uas muaj anencephaly tsis hnov mob vim tias cov feem tseem ceeb ntawm lub hlwb ploj lawm. Yog li ntawd, tsis txhob txhawj txog nws.
Puas muaj dab tsi ua tau los tiv thaiv qhov xwm txheej zoo li no?
Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj qee yam uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo. Cov no tseem ceeb heev yog tias koj tab tom npaj yuav cev xeeb tub dua.
- Noj folic acid: Qhov no yog qhov tseem ceeb tshaj plaws. Pib noj 400 mcg (micrograms) ntawm folic acid txhua hnub tsawg kawg 3 lub hlis ua ntej koj cev xeeb tub. Vim tias cov neural tube defects tshwm sim hauv ob peb lub lis piam thawj zaug ntawm cev xeeb tub, nws yog ib qho tseem ceeb kom noj folic acid txij li thaum koj tab tom sim cev xeeb tub. Yog tias koj tau muaj ib tug menyuam uas muaj neural tube defect ua ntej, koj tus kws kho mob yuav pom zoo kom noj folic acid ntau dua.
- Nrhiav kev pab tswv yim kho mob (Kev Pab Tswv Yim Ua Ntej Yuav Xeeb Tub):Yog koj npaj yuav cev xeeb tub, mus ntsib kws kho mob ua ntej koj cev xeeb tub. Tham txog cov tshuaj uas koj noj, lwm yam mob uas koj muaj (xws li ntshav qab zib), thiab tau txais cov lus qhia uas koj xav tau kom cev xeeb tub noj qab nyob zoo.
- Kev ua neej noj qab nyob zoo: Noj zaub mov kom zoo, tsis txhob haus cawv thiab haus luam yeeb. Kev saib xyuas koj txoj kev noj qab haus huv zoo yuav cuam tshuam ncaj qha rau koj tus menyuam txoj kev noj qab haus huv.
Qhov kev tu siab thiab kev poob siab ntawm kev poob ib tug me nyuam zoo li no tuaj yeem ua rau koj ntxhov siab heev. Nws yog ib qho tseem ceeb kom muaj ib tus neeg los tham thiab qhia koj txoj kev xav nrog. Tham nrog koj tus txiv, tsev neeg, thiab cov phooj ywg. Yog tias koj xav tau kev pab, tsis txhob yig los nrhiav kev pab los ntawm tus kws kho mob hlwb. Koom nrog cov pab pawg txhawb nqa nrog lwm cov niam txiv uas tau dhau los ntawm cov kev paub zoo sib xws kuj tuaj yeem yog qhov chaw zoo ntawm lub zog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anencephaly yog ib qho teeb meem loj heev uas tshwm sim los ntawm lub hlwb thiab pob txha taub hau ntawm tus menyuam tsis loj hlob zoo.
- Tsis muaj kev kho rau tus mob no, thiab nws tsis sib haum nrog tus menyuam lub neej.
- Qhov no tsis yog niam txiv lub txim. Nws yog ib qho teeb meem uas tshwm sim thaum ntxov ntawm cev xeeb tub.
- Kev noj folic acid ua ntej cev xeeb tub tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem neural tube no.
- Yog tias koj tab tom npaj yuav cev xeeb tub, tshwj xeeb tshaj yog tias koj tau muaj ib tug menyuam yav dhau los uas muaj qhov tsis zoo ntawm lub hlab ntsha hauv lub cev, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham thiab tau txais cov lus qhia tsim nyog.
- Yog tias koj pom tias nws nyuaj rau koj daws qhov kev tu siab uas ua raws li qhov kev poob zoo li no, tsis txhob yig nrhiav kev txhawb nqa los ntawm tsev neeg, cov phooj ywg, lossis tus kws pab tswv yim tshaj lij.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus