Kev xeeb tub yog ib yam zoo nkauj heev. Feem ntau, nws yog ib qho txheej txheem ntuj tsim. Ib leej niam ua tiav nws hnub yug thiab yug tau ib tug menyuam noj qab nyob zoo . Hauv ib lossis ob hnub, nws rov qab los tsev los ntawm tsev kho mob thiab pib lub neej nrog ib tug tswv cuab tshiab hauv tsev neeg. Txawm li cas los xij, tsis yog txhua qhov kev xeeb tub yuav du thiab tsis muaj teeb meem. Ib txhia niam yuav tsum ntsib qhov uas cov kws kho mob hu ua "kev xeeb tub muaj kev pheej hmoo siab."
Hais yooj yim xwb, cev xeeb tub uas muaj kev pheej hmoo siab yog cev xeeb tub uas muaj kev pheej hmoo ntawm cov teeb meem uas yuav cuam tshuam rau leej niam, tus menyuam, lossis ob leeg. Hauv cov xwm txheej zoo li no, kev saib xyuas kws kho mob tshwj xeeb yog qhov tseem ceeb kom ntseeg tau tias leej niam thiab tus menyuam muaj kev noj qab haus huv zoo tshaj plaws.
Cov yam dab tsi ua rau cev xeeb tub 'muaj kev pheej hmoo'?
Muaj ntau yam ua rau cev xeeb tub muaj kev pheej hmoo. Cia peb saib txhua yam.
Niam lub hnub nyoog
Qhov no yog qhov feem ntau thiab feem ntau muaj kev pheej hmoo . Yog tias leej niam hnub nyoog qis dua 17 xyoo lossis tshaj 35 xyoo thaum lub sijhawm xeeb tub, qhov kev pheej hmoo ntawm cov teeb meem siab dua li cov niam hnub nyoog ib txwm. Qhov kev pheej hmoo ntawm kev poob qis thiab cov teeb meem caj ces hauv tus menyuam nce ntxiv, tshwj xeeb tshaj yog tom qab hnub nyoog 40 xyoo.
Cov mob uas twb muaj lawm ua ntej cev xeeb tub
Yog tias koj muaj mob uas twb muaj lawm, nws kuj tseem yuav cuam tshuam rau koj txoj kev xeeb tub. Hauv cov xwm txheej zoo li no, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham ua ntej koj xav txog kev muaj menyuam. Koj tus kws kho mob mam li khiav cov kev kuaj mob tsim nyog, hloov kho koj cov tshuaj, thiab qhia koj txog yam koj yuav tsum ua los tiv thaiv koj thiab koj tus menyuam txoj kev noj qab haus huv.
| Cov mob uas twb muaj lawm uas yuav ua rau muaj kev pheej hmoo rau kev xeeb tub | |
|---|---|
| Ntshav siab | Kab mob ntsws, mob raum, lossis mob plawv |
| Kab mob ntshav qab zib | Kev Nyuaj Siab |
| Kev rog dhau | Cov kab mob autoimmune |
| Cov kab mob sib kis los ntawm kev sib deev (STDs) | Cov kab mob mus sij hawm ntev xws li HIV |
Ntxiv rau, kev poob cev xeeb tub yav dhau los, teeb meem thaum cev xeeb tub yav dhau los, lossis keeb kwm tsev neeg ntawm cov kab mob caj ces kuj suav tias yog cov yam ua rau muaj kev pheej hmoo .
Cov kab mob uas tshwm sim thaum cev xeeb tub
Qee zaum, txawm tias koj noj qab nyob zoo thaum koj cev xeeb tub los xij, koj yuav muaj tej yam mob tshiab thaum cev xeeb tub. Nov yog peb yam uas feem ntau tshwm sim.
- Kab mob Preeclampsia: Qhov no yog ib yam mob uas muaj ntshav siab, protein nyob rau hauv cov zis, thiab o. Yog tias tsis tswj hwm kom zoo, nws tuaj yeem ua rau tuag taus rau leej niam thiab tus menyuam. Txawm li cas los xij , nrog kev kho mob kom zoo, feem ntau cov niam yug tau cov menyuam noj qab nyob zoo . Qhov mob no yuav tshwm sim ntau dua yog tias koj laus dua, rog dhau, lossis muaj ntshav siab lossis ntshav qab zib ua ntej cev xeeb tub.
- Kab mob ntshav qab zib thaum cev xeeb tub: Qhov no yog ib hom kab mob ntshav qab zib uas tsuas tshwm sim thaum cev xeeb tub xwb. Yog tias koj ua raws li txoj kev kho mob uas koj tus kws kho mob muab, koj tuaj yeem muaj tus menyuam noj qab nyob zoo yam tsis muaj teeb meem dab tsi. Hom kab mob ntshav qab zib no feem ntau ploj mus tom qab tus menyuam yug los. Txawm li cas los xij, cov niam uas muaj tus mob no muaj feem yuav mob ntshav qab zib hom 2 tom qab ntawd.
- Kev Nyuaj Siab: Kev hloov pauv ntawm cov tshuaj hormones, qaug zog, thiab teeb meem hauv tsev neeg thaum cev xeeb tub tuaj yeem ua rau muaj kev nyuaj siab thiab kev tu siab. Qhov mob no cuam tshuam rau ntawm 14% thiab 23% ntawm cov poj niam cev xeeb tub. Qhov no tuaj yeem ua rau muaj teeb meem thaum yug menyuam thiab qhov hnyav qis thaum yug los. Yog li ntawd, yog tias koj xav li no, tsis txhob txaj muag tham nrog koj tus kws kho mob txog nws.
Lwm yam teeb meem ntsig txog kev xeeb tub
Qee zaum, nws tuaj yeem muaj kev pheej hmoo vim muaj teeb meem tshwm sim los ntawm kev cev xeeb tub nws tus kheej, txawm tias tsis muaj teeb meem dab tsi nrog leej niam txoj kev noj qab haus huv los xij.
- Kev yug menyuam ua ntej lub sijhawm : Kev yug menyuam pib ua ntej 37 lub lis piam ntawm kev cev xeeb tub. Cov menyuam uas yug ua ntej lub sijhawm yuav muaj teeb meem kev noj qab haus huv ntau dua.
- Yug ntau tus menyuam: Yug ntau tshaj ib tug menyuam (ntxhais ntxaib, menyuam peb). Qhov no ua rau muaj kev pheej hmoo ntawm kev yug ntxov, ntshav qab zib thaum cev xeeb tub, thiab ntshav siab.
- Qhov Placenta Previa: Qhov no yog thaum lub placenta npog lub qhov ncauj tsev menyuam. Qhov no tuaj yeem ua rau los ntshav. Yog tias qhov mob no tseem muaj txawm tias nyob ze lub sijhawm yug menyuam, koj tus kws kho mob yuav pom zoo kom phais cesarean.
- Teeb Meem Me Nyuam Yaus: Qee zaum kev kuaj ultrasound tuaj yeem qhia txog teeb meem nrog kev loj hlob ntawm tus menyuam. Kwv yees li 2% - 3% ntawm txhua tus menyuam mos muaj teeb meem me me lossis teeb meem loj hauv kev loj hlob.
Yuav ua li cas los xyuas seb tus menyuam puas noj qab nyob zoo thaum cev xeeb tub uas muaj kev pheej hmoo siab?
Rau cov niam uas cev xeeb tub uas muaj kev pheej hmoo siab, koj tus kws kho mob yuav pom zoo kom kuaj xyuas tshwj xeeb los xyuas seb koj tus menyuam hauv plab puas noj qab haus huv. Nws hu ua Biophysical Profile (BPP) . Qhov no feem ntau ua tom qab 28 lub lis piam ntawm cev xeeb tub.
Ib qho Biophysical Profile (BPP) yog kev sib xyaw ua ke ntawm kev sim tsis ntxhov siab (NST) thiab kev ntsuas ultrasound.
Qhov kev xeem NST suav nrog kev txuas lub monitor rau ntawm niam lub plab thiab saib seb tus menyuam lub plawv dhia hloov li cas raws li tus menyuam txav mus los. Qhov kev xeem BPP muab cov ntaub ntawv tob dua.
| Cov khoom sim hauv qhov kev xeem BPP | Qhab nia |
|---|---|
| Kev ua pa ntawm tus menyuam hauv plab | Txhua yam khoom muaj qhab nia txij li 0 txog 2, thiab tag nrho yog suav tawm ntawm 10. Qhov qhab nia ntawm 8 lossis 10 suav tias yog qhov nruab nrab. |
| Kev txav ntawm tus menyuam hauv plab | |
| Lub suab ntawm tus menyuam hauv plab | |
| Qhov ntim ntawm cov kua dej nyob ib puag ncig tus menyuam (Amniotic fluid volume) | |
| Qhov tshwm sim ntawm kev sim tsis ntxhov siab (NST) |
Yuav ua li cas thiaj tiv thaiv thiab tswj tau cov teeb meem?
Txawm tias koj tsis muaj teeb meem kev noj qab haus huv tam sim no los xij, nws yog ib qho tseem ceeb uas yuav tsum tau teem caij nrog koj tus kws kho mob ua ntej koj xav txog kev muaj menyuam. Ua li no, koj tuaj yeem txo qis txhua yam kev pheej hmoo uas yuav muaj.
Cov no yuav pab koj kom noj qab nyob zoo thoob plaws koj cev xeeb tub:
- Noj tsawg kawg yog 400 micrograms ntawm folic acid txhua hnub ua ntej thiab thoob plaws hauv cev xeeb tub.
- Tau txais txhua yam kev txhaj tshuaj tiv thaiv kab mob uas tau pom zoo.
- Noj zaub mov kom zoo thiab tswj qhov hnyav kom haum.
- Txog thaum koj tus kws kho mob hais tias tsis tau, ua kom koj lub cev tawm dag zog me me uas tsim nyog rau koj.
- Tsis txhob haus luam yeeb, haus cawv, thiab siv yeeb tshuaj kiag li.
- Tsuas yog siv cov tshuaj uas koj tus kws kho mob pom zoo xwb.
- Mus koom cov chaw kho mob raws li hnub teem tseg. Tsis txhob ncua hnub twg li.
- Ua haujlwm nrog koj tus kws kho mob kom tswj tau cov mob xws li ntshav qab zib thiab ntshav siab.
Qhov tseem ceeb tshaj plaws yog tias yog koj hnov muaj dab tsi txawv txawv, xws li mob lossis los ntshav , qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
Yog tias koj cev xeeb tub raug suav hais tias muaj kev pheej hmoo siab, koj tus kws kho mob yuav xa koj mus rau kws kho mob poj niam , kws kho mob poj niam thiab kws kho mob poj niam uas muaj kev cob qhia tshwj xeeb hauv kev cev xeeb tub uas muaj kev pheej hmoo siab. Tus kws tshwj xeeb no yuav ua haujlwm nrog koj cov kws kho mob, cov kws tu mob, thiab lwm cov kws tshaj lij kev kho mob kom ntseeg tau tias qhov tshwm sim zoo tshaj plaws rau koj thiab koj tus menyuam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev cev xeeb tub uas muaj kev pheej hmoo siab tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws yog ib qho tseem ceeb kom paub txog nws thiab nyob hauv kev saib xyuas kho mob kom zoo.
- Yog koj xav muaj menyuam, nrog koj tus kws kho mob tham ua ntej. Yog koj muaj mob dab tsi, nws yog ib qho tseem ceeb kom tswj tau lawv ua ntej cev xeeb tub.
- Ua raws li koj tus kws kho mob cov lus qhia kom meej thoob plaws koj cev xeeb tub. Tsis txhob hla ib zaug mus ntsib kws kho mob.
- Ua neej noj qab nyob zoo. Kev noj zaub mov zoo, kev tawm dag zog me me, thiab kev noj qab haus huv ntawm lub hlwb yog qhov tseem ceeb heev.
- Yog koj muaj tej yam tsos mob txawv txawv, tsis txhob ncua sij hawm qhia rau koj tus kws kho mob. Yog koj tswj tau zoo, koj yuav kov yeej tau ntau yam kev pheej hmoo thiab yug tau ib tug me nyuam noj qab nyob zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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