Koj tus menyuam lub ntsws puas tau raug cuam tshuam los ntawm thawj qhov hnoos? (Meconium Aspiration Syndrome) Cia peb tham txog qhov no!

Ua ib tug niam txiv, koj ntshai npaum li cas thaum koj pom ib tug menyuam mos ua pa nyuaj? Qee zaum qhov ua rau tus menyuam ua pa nyuaj yog thawj tus menyuam quav, hu ua meconium, nkag mus rau hauv tus menyuam lub ntsws. Hnub no, peb yuav tham txog qhov mob no hu ua '(Meconium Aspiration Syndrome)'.

Meconium yog dab tsi? Yuav ua li cas yog tias nws nkag mus rau hauv lub ntsws ntawm tus menyuam?

Hais yooj yim xwb, meconium yog koj tus menyuam thawj zaug quav, lossis quav. Nws tsis zoo li quav ib txwm. Nws yog ib yam khoom tuab, nplaum, ntsuab-dub tsaus, zoo li tar. Nws yog ua los ntawm cov khoom uas koj tus menyuam nqos thaum nyob hauv plab. Qhov ntawd txhais tau tias nws yog ua los ntawm cov hlwb tawv nqaij ntawm tus menyuam, cov hnoos qeev (zoo li cov hnoos qeev), cov plaub mos mos ntawm tus menyuam (lanugo), cov kua tsib, thiab lwm yam.

Feem ntau cov menyuam mos tso zis tawm hauv 48 teev tom qab yug los. Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog tias tus menyuam muaj kev nyuaj siab lossis tsis xis nyob hauv plab ('(Fetal Distress)'), tus menyuam tuaj yeem tso zis tawm qee yam ua ntej yug los, uas yog, thaum tseem nyob hauv plab. Yog tias nws tso zis tawm, cov zis tawm ntawd yuav raug ntxiv rau cov kua dej amniotic nyob ib puag ncig tus menyuam.

Meconium Aspiration Syndrome (MAS) yog ib qho mob uas tus menyuam ua pa nyuaj vim muaj meconium sib xyaw nrog cov kua amniotic nkag mus rau hauv tus menyuam lub ntsws. Cov kua amniotic sib xyaw no tuaj yeem nkag mus rau hauv tus menyuam lub ntsws thaum tus menyuam ua pa, ua ntej lossis thaum yug los.

Xav txog seb yuav muaj dab tsi tshwm sim thaum cov quav meconium tuab thiab nplaum zoo li tar nkag mus rau hauv tus menyuam cov zis thiab lub ntsws.

• Nws tuaj yeem thaiv txoj hlab pa ntawm tus menyuam .
• Lub ntsws tuaj yeem raug puas tsuaj .
• Meconium kuj tseem tuaj yeem thaiv kev ua haujlwm ntawm cov tshuaj tseem ceeb hu ua "Surfactant", uas pab cov ntsws kom nqus pa thiab ua haujlwm kom zoo.

Qhov no ua rau nws nyuaj heev rau tus menyuam ua pa. Qee zaum, qhov mob no tuaj yeem ua rau tuag taus . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Tus mob no feem ntau tshwm sim li cas?

Qhov nruab nrab, kwv yees li ntawm 12 txog 20 ntawm txhua 100 tus menyuam yug los yuav muaj cov quav meconium sib xyaw rau hauv cov kua dej amniotic. Peb hu qhov no ua "cov kua dej amniotic uas muaj xim meconium." Qhov mob no feem ntau tshwm sim rau cov menyuam mos uas yug puv sijhawm (40 lub lis piam) thiab tom qab 42 lub lis piam.

Tiam sis ntawm no yog ib yam dab tsi uas koj tuaj yeem xav txog. Tsis yog txhua tus menyuam mos uas yug los nrog cov dej uas muaj meconium yuav tsim "MAS". Tsuas yog ib feem pua ​​me me, ntawm 2% thiab 10% ntawm cov menyuam mos, yuav tsim cov mob "MAS" no.

Cov tsos mob ntawm tus menyuam yaus uas nqus tau meconium yog dab tsi?

Tam sim no peb paub tias cov quav meconium tuaj yeem ua rau muaj kev phom sij yog tias nws nkag mus rau hauv lub ntsws. Yog li, yog tias koj tus menyuam tau nqus cov quav meconium, lawv yuav muaj cov tsos mob xws li:

• Ua pa nyuaj:Zoo li tus me nyuam ua pa nyuaj.
• Lub plawv dhia qeeb dua: Tus menyuam lub plawv dhia qeeb dua.
• Tawv nqaij xiav (Cyanosis): Tus menyuam daim tawv nqaij, tshwj xeeb tshaj yog daim di ncauj thiab cov ntiv tes, dhau los ua xiav. Qhov no yog vim lub cev tsis tau txais oxygen txaus.
• Ua pa sai: Qee zaum tus menyuam ua pa sai heev.
• Ua pa nrog lub suab snoring: Lub suab zoo li "Huh ... Huh ..." yog ua thaum ua pa.
• Lub hauv siab poob qis: Lub hauv siab zoo li poob qis thaum ua pa.
• Tsis Muaj Sia Nyob: Tus me nyuam zoo li tsis muaj sia nyob thiab tsis muaj sia nyob.

Yog koj pom cov tsos mob zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov laj thawj tseem ceeb uas ua rau cov quav meconium nkag mus rau hauv lub ntsws yog kev ntxhov siab uas tus menyuam muaj thaum lub sijhawm cev xeeb tub lossis thaum yug los . Muaj ntau yam ua rau muaj kev ntxhov siab no. Piv txwv li:

• Muaj kev kis kab mob rau leej niam lossis tus menyuam.
• Kev nqus pa oxygen tsawg dua rau tus menyuam.

Hauv qhov xwm txheej ntxhov siab no, tus me nyuam mam li ua pa tob tob thiab sai sai. Ib yam li peb ua pa tsis taus thaum peb ntshai heev. Lub sijhawm ntawd, cov kua tuab (thiab meconium yog tias nws nyob ntawd) mus rau hauv tus me nyuam lub ntsws. Tom qab ntawd cov meconium tuab ntawd yuav lo rau hauv cov hnab cua ('(Alveoli)') ntawm lub ntsws, ua rau nws nyuaj rau ua pa.

Koj paub li cas tias meconium nyob hauv dej?

Cov kua dej amniotic feem ntau yog xim ntshiab. Txawm li cas los xij, thaum ntxiv meconium rau hauv nws, cov kua uas tawm los thaum cov dej tawg yuav hloov mus ua xim ntsuab-xim av . Tsis tas li ntawd, cov menyuam mos uas raug meconium yuav muaj daim tawv nqaij daj thiab rau tes thaum yug los. Tab sis tsis txhob txhawj, koj cov kws kho mob thiab cov kws tu mob paub zoo txog qhov no. Lawv tab tom nrhiav cov cim zoo li no.

Puas yog teeb meem yog tias tus menyuam nqos meconium?

Qhov no kuj yog ib qho teeb meem uas ntau tus niam muaj. Nws yog ib qho ib txwm rau tus menyuam yaus nqos cov kua amniotic thaum nyob hauv plab. Nws kuj tseem ceeb rau tus menyuam txoj kev loj hlob. Yog li, yog tias me ntsis meconium sib xyaw nrog cov kua amniotic thiab tus menyuam nqos nws, nws yuav tsis yog teeb meem loj. Qhov txaus ntshai yog kev nqus cov meconium rau hauv lub ntsws, tsis yog kev nqos.

Cov kws kho mob kuaj mob li cas? Cov kev kho mob yog dab tsi?

Yog koj cov dej tawg thiab koj pom meconium nyob rau hauv koj cov kua amniotic, cov kws kho mob yuav saib xyuas koj tus menyuam kom zoo zoo rau cov cim ntawm "MAS" tom qab yug los. Raws li tau hais ua ntej, tsis yog txhua tus menyuam yaus muaj tus mob no vim yog meconium.

Cov kev kuaj mob tseem ceeb yog:

• Saib xyuas tus menyuam lub cev: Tus menyuam txoj kev ua pa, xim cev, thiab kev ua ub ua no raug saib xyuas.
• Mloog lub hauv siab: Mloog tus menyuam lub hauv siab nrog lub stethoscope kom paub seb puas muaj suab txawv txawv.
• X-ray hauv siab:Qhov no tuaj yeem pom tseeb tias meconium puas daig hauv lub ntsws lossis yog tias cov kua dej tau sib sau ua ke.
• Kev Ntsuas Roj Ntshav: Qhov kev xeem no pab txiav txim siab seb cov pa oxygen thiab carbon dioxide nyob rau hauv cov ntshav ntawm tus menyuam thiab qhov ua pa nyuaj npaum li cas.

Kev kho mob zoo li cas?

Kev kho mob nyob ntawm seb tus me nyuam noj cov meconium ntau npaum li cas, nws tuab npaum li cas, thiab tus me nyuam ua pa nyuaj npaum li cas.

• Yog tias tus me nyuam quaj zoo thaum yug los thiab nws muaj zog heev, feem ntau tsis tas yuav kho mob tshwj xeeb.
• Kev Nqus Pa: Qhov no yog thawj kauj ruam. Siv ib lub raj me me los rho cov quav tawm ntawm tus menyuam lub qhov ncauj, qhov ntswg, thiab caj pas. Qee zaum, kuj tseem muab ib lub raj me me rau hauv tus menyuam lub raj cua (trachea) kom tshem tawm cov quav uas nyob ntawd.
• Muab oxygen: Yog tias tus me nyuam tseem ua pa nyuaj, muab oxygen los ntawm kev muab lub npog ntsej muag oxygen rau ntawm lub ntsej muag.

Tej tus menyuam mos uas muaj MAS hnyav yuav tsum tau mus rau chav saib xyuas menyuam mos (NICU) kom tau txais kev saib xyuas tshwj xeeb. Cov no suav nrog:

• Txuas rau lub tshuab ua pa: Yog tias tus menyuam yaus ua pa nyuaj rau lawv tus kheej, lub tshuab no yuav pab tau.
• Kev Kho Mob Surfactant: Ib yam khoom hu ua surfactant yog siv los pab kom lub ntsws qhib.
• Cov tshuaj tua kab mob: Yog tias muaj kev kis kab mob hauv lub ntsws, lawv raug muab los kho nws.
• ECMO (Extracorporeal Membrane Oxygenation): Qhov no yog kev kho mob tshwj xeeb uas siv rau cov mob hnyav heev. Lub plawv thiab lub ntsws ntawm tus menyuam tau so, thiab siv lub tshuab los ntxiv cov pa oxygen rau hauv cov ntshav.
• Lub Tshuab Ua Kom Sov: Pab tswj tus menyuam lub cev kub.
• Lub tshuab CPAP (Continuous Positive Airway Pressure): Pab kom tus menyuam lub ntsws qhib.

Nco ntsoov tias, tag nrho cov kev kho mob no yog ua los pab koj tus menyuam kom zoo sai. Cov kws kho mob thiab cov kws tu mob yuav muab kev saib xyuas zoo tshaj plaws uas koj tus menyuam xav tau.

Puas tiv thaiv tau kom tsis txhob nqus cov quav tawm hauv lub cev? Tej yam uas ua rau muaj kev pheej hmoo yog dab tsi?

Yog hais qhov tseeb, tsis muaj ib txoj kev twg los tiv thaiv kom tus menyuam tsis txhob nqus tau meconium kiag li . Vim tias qhov no yog ib yam dab tsi uas tshwm sim nrog tus menyuam txoj kev ntxhov siab. Txawm li cas los xij, cov kws kho mob yeej ib txwm ua tib zoo saib seb puas muaj meconium nyob rau hauv cov kua amniotic thiab seb tus menyuam puas nyob hauv "Fetal Distress". Yog tias qhov mob no raug lees paub thaum ntxov, nws muaj peev xwm tiv thaiv kom tsis txhob nqus tau meconium hnyav thiab pib kho sai.

Muaj qee yam ua rau muaj kev pheej hmoo uas tuaj yeem ua rau muaj tus mob meconium aspiration syndrome:

• Cev xeeb tub tom qab lub sijhawm:Qhov ntawd txhais tau tias ncua lub cev xeeb tub dhau 42 lub lis piam.
• Leej niam muaj mob ntshav qab zib lossis ntshav siab.
• Ua haujlwm ntev lossis nyuaj.
• Cov pa oxygen hauv tus menyuam thaum cev xeeb tub tsawg zuj zus.
• Kev Txwv Kev Loj Hlob ntawm Me Nyuam Hauv plab (FGR).

Cov kws kho mob ua tib zoo saib xyuas cov menyuam mos uas yug los ntawm cov niam uas muaj cov yam ntxwv no.

Tej yam teeb meem uas yuav tshwm sim muaj li cas? Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Cov teeb meem mus sij hawm ntev ntawm MAS tsis tshua muaj thiab feem ntau tuaj yeem tswj hwm thiab kho tau hauv ob peb hnub.

Txawm li cas los xij, cov menyuam mos uas muaj "MAS" yuav muaj feem yuav mob cov mob no ntau dua li lwm cov menyuam mos:

• Mob ntsws ( mob ntsws)
• Mob hawb pob
• Mob Ntshav Siab Ntawm Tus Menyuam Mos (PPHN)
• Kev tawg ntawm lub ntsws '(Pneumothorax)'
• Tsis muaj pa oxygen txaus (Hypoxia)

Tiam sis nco ntsoov, tsis yog txhua tus menyuam uas nqos cov quav meconium yuav muaj teeb meem "(MAS)," thiab tsis yog txhua tus menyuam uas muaj "(MAS)" yuav muaj cov teeb meem no. Yog tias paub thiab kho thaum ntxov, qhov no feem ntau yog ib qho mob uas kho tau.

Feem ntau cov menyuam mos yuav zoo los ntawm kev nqus cov quav meconium hauv ob peb teev. Hauv cov xwm txheej hnyav dua, tus menyuam yuav tsum nyob hauv NICU ob peb hnub lossis ob peb lub lis piam, lossis yuav tsum tau siv cov pa oxygen ntxiv.

Peb yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Meconium Aspiration Syndrome yog ib qho mob hnyav, tab sis kho tau, uas tuaj yeem tshwm sim rau cov menyuam mos. Koj tus kws kho mob yuav kuaj xyuas koj tus menyuam cov kua dej amniotic kom paub seb puas muaj meconium thaum yug los. Yog tias koj tus menyuam muaj cov cim qhia tias muaj kev nyuaj siab, lawv yuav ua cov kauj ruam tam sim ntawd los tshem tawm cov meconium ntawm lawv lub qhov ntswg thiab qhov ncauj.

Qhov tseem ceeb tshaj plaws yog kom paub txog qhov mob no thaum ntxov thiab kho nws sai sai. Ua li ntawd, qhov muaj feem yuav muaj teeb meem tsawg heev. Feem ntau cov menyuam mos yuav zoo tag nrho hauv ob peb hnub, thiab cov kev mob tshwm sim mus sij hawm ntev tsis tshua muaj.

Thiab, nco ntsoov tias, tsis yog txhua tus menyuam mos uas muaj meconium hauv lawv cov kua amniotic yuav muaj tus mob meconium aspiration syndrome. Yog li ntawd, tsis txhob ntshai tsis tsim nyog. Ntseeg koj pab neeg kho mob. Lawv yuav muab kev saib xyuas zoo tshaj plaws rau koj thiab koj tus menyuam.

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