Thaum koj yog ib leej niam tshiab, koj xav tsis thoob rau txhua yam me me uas koj tus menyuam ua, thiab qee zaum txawm tias ntshai me ntsis. Tshwj xeeb tshaj yog thaum koj hloov koj tus menyuam daim pam thawj zaug, koj yuav tsum xav tsis thoob me ntsis. Cov khoom dub tsaus nti, zoo li roj av, tuab no yog dab tsi? Nws tsis zoo li 'quav' ib txwm muaj! Tsis txhob txhawj, qhov no yog qhov peb hu ua 'meconium'. Hais yooj yim, qhov no yog koj tus menyuam thawj zaug quav. Yog li, cia peb paub nws zoo dua, puas yog?
Meconium yog dab tsi tiag?
Meconium yog koj tus menyuam thawj zaug tso quav. Nws txawv ntawm cov quav menyuam ib txwm uas peb pom. Nws yog xim dub tsaus lossis ntsuab tsaus , tuab zoo li roj av , thiab nplaum heev . Lwm yam txog nws yog tias nws tsis muaj ntxhiab zoo li cov quav ib txwm.
Tam sim no tej zaum koj yuav xav paub tias, qhov no tshwm sim li cas ua ntej koj tus menyuam haus mis tau? Nws yooj yim heev. Thaum koj tus menyuam nyob hauv koj lub tsev menyuam, muaj cov kua dej nyob ib puag ncig tus menyuam, puas yog? Peb hu nws tias 'Amniotic Fluid'. Tus menyuam pheej nqos cov kua dej no. Nrog rau cov kua dej no, tus menyuam cov tawv nqaij, cov plaub hau me me (lanugo), thiab cov hnoos qeev mus rau hauv tus menyuam txoj hnyuv. Tom qab cov hnyuv nqus qee cov dej hauv cov kua dej no, cov khoom tuab thiab nplaum seem raug sau rau hauv cov hnyuv ua meconium. Thaum tus menyuam yug los, tus menyuam txoj hnyuv loj puv nrog meconium no.
Yog li, los ntawm kev dhau lub meconium no hauv thawj 24-48 teev tom qab yug los, peb tuaj yeem ua kom ntseeg tau tias tus menyuam lub plab zom mov ua haujlwm zoo.
Puas muaj kev phom sij yog tias tus menyuam tso zis meconium thaum tseem nyob hauv plab?
Qhov no yog ib lo lus nug uas ntau tus niam txiv nug. Qee zaum, ua ntej yug menyuam, thaum tus menyuam tseem nyob hauv plab, cov quav meconium tuaj yeem tawm los. Thaum qhov no tshwm sim, cov quav meconium sib xyaw nrog cov kua amniotic nyob ib puag ncig tus menyuam. Qhov no hu ua 'Meconium Staining'. Hloov chaw ntawm qhov tseeb, cov kua amniotic hloov mus ua xim ntsuab lossis xim av.
Tus mob no tshwm sim ntawm 12% thiab 20% ntawm cov menyuam yug, tshwj xeeb tshaj yog thaum cev xeeb tub dhau sijhawm.
Tam sim no cia peb saib seb qhov kev pheej hmoo no yog dab tsi.
- Nqos cov quav meconium: Kev nqos cov kua amniotic uas muaj cov quav meconium thaum tus menyuam tseem nyob hauv plab feem ntau tsis ua rau muaj kev phom sij ntau .
- Kev Nqus Pa/Kev Nqus Meconium: Qhov no yog qhov teeb meem tiag tiag pib. Yog tias tus menyuam nqus cov kua nplaum zoo li meconium no, uas txhais tau tias yog nws nkag mus rau hauv lub ntsws , nws tuaj yeem ua rau mob hnyav.
Xav txog nws, nws tsis ua li cas haus me ntsis dej, tab sis yog tias me ntsis dej nkag mus rau hauv lub ntsws (thiab nqes mus rau hauv caj pas) nrog koj txoj pa, nws yuav nyuaj npaum li cas rau peb ua pa? Qhov no yog tib yam. Vim tias meconium yog ib yam khoom tuab thiab nplaum, nws tuaj yeem lo rau hauv tus menyuam txoj hlab pa, yuav luag thaiv kev ua pa.
Peb hu qhov mob no ua Meconium Aspiration Syndrome (MAS) . Nws tuaj yeem ua rau ua pa nyuaj heev, mob ntsws, thiab tsis tshua muaj, txawm tias tuag. Tab sis tsis txhob txhawj, cov kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob yeej ib txwm npaj rau qhov xwm txheej no.
Cov kws kho mob yuav ua li cas yog tias tus menyuam mos nqus pa meconium?
Thaum pom cov quav meconium hauv cov kua amniotic thaum lub sijhawm yug menyuam, pab pawg kws kho mob yuav ua tib zoo saib xyuas tus menyuam. Lawv tuaj yeem qhia tau tias tus menyuam puas muaj kev nyuaj siab los ntawm tej yam xws li kev hloov pauv ntawm tus menyuam lub plawv dhia.
Thaum tus me nyuam yug los,
- Yog tias tus me nyuam ua si thiab quaj zoo: Feem ntau tsis tas yuav kho mob tshwj xeeb. Qhov ntawd txhais tau tias tus me nyuam noj qab nyob zoo.
- Yog tias tus me nyuam tseem nyob twj ywm thiab ua pa nyuaj: Pab neeg kho mob npaj txhij ua haujlwm tam sim ntawd. Thawj qhov lawv ua yog nqus tus me nyuam lub qhov ntswg, qhov ncauj, thiab caj pas , uas txhais tau tias lawv ntxig ib lub raj nyias nyias kom tshem tawm cov quav meconium.
- Yog tias qhov mob hnyav heev: Qee zaum, yuav tsum tau muab ib lub raj nyias nyias ntxig rau hauv tus menyuam lub qhov ncauj (intubation) kom nqus cov meconium tawm. Tom qab ntawd yuav muab ib lub npog ntsej muag oxygen rau ntawm tus menyuam kom pab lawv ua pa tau yooj yim dua.
Tag nrho cov no yog ua los ntxuav tus menyuam lub ntsws sai li sai tau thiab cia tus menyuam ua pa tau zoo dua.
Yog tias tus menyuam tsis tso zis meconium hauv ob hnub thawj zaug, yuav ua li cas?
Feem ntau, tus menyuam yuav tsum tso zis meconium hauv 24 txog 48 teev tom qab yug los. Tom qab ntawd, thaum koj pib pub mis niam rau koj tus menyuam (tshwj xeeb tshaj yog colostrum) lossis mis mos, koj tus menyuam cov quav yuav maj mam hloov xim. Nws yuav hloov ntawm dub mus rau ntsuab, tom qab ntawd daj. Qhov no txhais tau tias koj tus menyuam cov hnyuv ua haujlwm zoo thiab koj tus menyuam tau txais mis txaus.
Txawm li cas los xij, yog tias koj tus menyuam tsis tau tso zis meconium tom qab 48 teev , nws yuav yog ib qho cim qhia txog teeb meem kev noj qab haus huv. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob tam sim ntawd. Muaj ntau yam mob uas tuaj yeem ua rau qhov no.
| Tej zaum yuav muaj mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Meconium Ileus | Kev txhaws hauv txoj hnyuv vim tias cov quav meconium tuab thiab nplaum heev. Qhov no qee zaum tuaj yeem yog ib qho tsos mob ntawm tus mob hu ua cystic fibrosis . |
| Kev thaiv plab hnyuv | Ib feem ntawm txoj hnyuv raug thaiv vim yog ntswj, nqaim, lossis lwm yam. |
| Kab mob Hirschsprung | Qhov kev sib cog lus uas tsim nyog rau kev txav mus los ntawm txoj hnyuv tsis tshwm sim vim yog kev loj hlob tsis raug ntawm cov hlwb ntawm qee qhov ntawm txoj hnyuv loj. |
| Qhov quav tsis loj hlob | Lub qhov quav lossis lub qhov quav tsis tau loj hlob zoo. |
Tus kws kho mob yuav kuaj xyuas seb koj puas muaj tus mob no thiab xa koj mus rau kev kho mob uas tsim nyog. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ntshai thiab nrhiav kev pab kho mob raws sijhawm.
Kev nqus pa meconium puas ua rau lub hlwb puas tsuaj?
Qhov no kuj yog ib yam uas ntau tus neeg ntshai. Kev ua pa meconium tuaj yeem ua rau tus menyuam ua pa nyuaj heev. Yog tias qhov no tshwm sim, tus menyuam lub cev tau txais oxygen yuav txo qis. Tsis tshua muaj , yog tias qhov tsis muaj oxygen txuas ntxiv mus ntev, muaj qhov ua rau lub hlwb puas tsuaj (Hypoxia). Txawm li cas los xij, zoo li kuv tau hais ua ntej, cov pab pawg kho mob tau npaj zoo rau qhov xwm txheej zoo li no, thiab lawv muab oxygen rau tus menyuam sai li sai tau thiab yuav luag tshem tawm qhov kev pheej hmoo no. Yog li, tsis txhob ntshai qhov no yam tsis tsim nyog.
Puas siv tau meconium rau kev kuaj tshuaj?
Yog, qhov no kuj yog ib yam uas tsim nyog paub. Koj tuaj yeem kuaj cov qauv meconium kom pom tias leej niam puas tau siv cawv, luam yeeb, lossis lwm yam tshuaj thaum cev xeeb tub. Kev kuaj meconium tuaj yeem muab cov ntaub ntawv tseeb dua txog seb leej niam puas tau siv tshuaj rau ntau lub lis piam lossis ntau lub hlis dua li kev kuaj zis.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov quav meconium tsis yog ib yam uas yuav tsum txhawj txog: nws yog thawj qhov quav uas koj tus menyuam yuav tsum tau tso tawm. Tsis txhob txhawj txog nws cov xim dub tsaus thiab tuab.
- Yuav tsum tso zis tsis pub dhau 48 teev: Tus menyuam yuav tsum tso zis meconium tsis pub dhau ob hnub tom qab yug los. Yog tias nws tsis tso zis, qhia rau koj tus kws kho mob tam sim ntawd.
- Qhov kev pheej hmoo tseem ceeb yog kev ua pa: Qhov txaus ntshai dua li kev nqos meconium yog thaum tus menyuam ua pa nws mus rau hauv lub ntsws thaum tseem nyob hauv plab (Meconium Aspiration).
- Cov kws kho mob npaj txhij lawm: Yog tias muaj meconium thaum lub sijhawm yug menyuam, cov pab pawg kho mob yeej ib txwm npaj txhij los muab kev kho mob tsim nyog.
- Feem ntau cov menyuam mos rov zoo sai: Txawm tias lawv nqus pa meconium, nrog kev kho mob kom zoo, feem ntau cov menyuam mos rov zoo sai yam tsis muaj kev phiv mus sij hawm ntev.
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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