Auj, nws zoo kawg nkaus li uas xav txog koj tus me nyuam hauv koj lub plab! Tab sis qee zaum, peb cov menyuam tuaj rau hauv lub ntiaj teb no nrog cov teeb meem kev noj qab haus huv uas tsis tau xav txog. Hnub no, peb yuav tham txog qhov teeb meem nyuaj uas tshwm sim thaum lub sijhawm loj hlob ntawm cov hlab ntsha caj qaum, lossis cov hlab ntsha caj qaum, thaum tus menyuam tseem nyob hauv plab. Qhov no hu ua myelomeningocele. Tej zaum koj kuj tau hnov txog nws li "Qhib Spina Bifida". Qhov no yog qhov mob uas tus menyuam lub hlab ntsha caj qaum, lossis cov kwj dej caj qaum, tsis kaw kom zoo.
Myelomeningocele yog dab tsi tiag?
Hais yooj yim xwb, myelomeningocele yog ib qho teeb meem yug los uas koj tus menyuam lub pob txha caj qaum thiab lub qhov ntawm pob txha caj qaum tsis kaw tag ua ntej yug los, thaum tseem nyob hauv plab. Qhov no yog ib hom teeb meem ntawm lub hlab ntsha hauv lub hlwb (NTD). Tej zaum koj yuav nyuaj hais lub npe no, puas yog? Nws hais zoo li 'my-e-lo-men-in-go-ceil'.
Kab mob Myelomeningocele tshwm sim hauv plaub lub lis piam thawj zaug ntawm kev xeeb tub. Qhov no yog thaum tus menyuam lub raj neural tsis kaw zoo, ua rau lub hnab uas muaj kua dej tawm ntawm sab nraub qaum ntawm tus menyuam lub pob txha caj qaum. Tshwj xeeb, lub hnab yuav muaj:
- Ib feem ntawm lawv cov leeg nqaij
- Meninges - cov ntaub so ntswg uas npog lawv cov hlab ntsha
- Cov hlab ntsha
- Cov kua dej cerebrospinal (CSF) yog ib qho kua tseem ceeb uas pom muaj nyob rau hauv lub hlwb thiab tus txha caj qaum.
Myelomeningocele tuaj yeem tshwm sim txhua qhov chaw ntawm tus menyuam lub pob txha caj qaum, tab sis feem ntau pom nyob rau hauv qab nraub qaum (qhov chaw lumbar thiab sacral) , uas yog, nyob rau hauv thaj tsam ntawm lub duav.
Qhov tu siab yog tias cov hlab ntsha hauv lub hnab raug puas tsuaj. Qhov no feem ntau ua rau lub cev tsis muaj zog lossis tsis hnov mob . Qee zaum, lub hnab tuaj yeem tawg. Qhov no tuaj yeem tshwm sim vim yog kev txav mus los ib txwm ntawm tus menyuam thaum nws tseem nyob hauv plab, lossis nws tuaj yeem tshwm sim thaum yug los.
Myelomeningocele yog hom mob spina bifida hnyav tshaj plaws , thiab tuaj yeem ua rau muaj kev tsis taus nruab nrab mus rau hnyav. Piv txwv li, cov leeg nqaij tsis muaj zog, tsis tswj tau lub zais zis lossis quav, thiab/lossis tuag tes tuag taw . Txawm li cas los xij, cov menyuam mos uas muaj tus mob no qis dua tus txha nqaj qaum feem ntau muaj cov tsos mob tsawg dua li cov menyuam mos uas muaj tus mob no siab dua tus txha nqaj qaum.
Qhov teeb meem ntawm lub hlab ntsha neural yog dab tsi?
Cov teeb meem ntawm lub hlwb, pob txha caj qaum, lossis pob txha caj qaum (NTDs) yog cov teeb meem yug los (mob uas yug los) ntawm lub hlwb, pob txha caj qaum, lossis pob txha caj qaum. Feem ntau lawv tshwm sim hauv thawj lub hlis ntawm kev cev xeeb tub - qee zaum ua ntej koj paub tias koj cev xeeb tub. Ob hom teeb meem ntawm lub hlwb yog spina bifida thiab anencephaly.
Qhov no yog qhov feem ntau tshwm sim: Thaum lub hlis thawj zaug ntawm cev xeeb tub, ob sab ntawm tus menyuam hauv plab lub hlwb qaum yuav sib koom ua ke los ua ib daim ntaub thaiv rau tus menyuam hauv plab qaum, cov hlab ntsha qaum, thiab cov hlwb meninges (cov nqaij uas npog tus menyuam hauv plab qaum). Thaum lub sijhawm no, lub hlwb thiab tus menyuam hauv plab uas tseem tab tom loj hlob hu ua lub raj neural.
Yog li, yog tias muaj qhov yuam kev lossis teeb meem hauv kev tsim cov hlab ntsha neural tube no, nws hu ua qhov tsis zoo ntawm cov hlab ntsha neural tube.
Qhov txawv ntawm Spina Bifida thiab Myelomeningocele yog dab tsi?
'Spina Bifida' yog hais txog txhua yam teeb meem uas lub raj neural tube uas nyob ib puag ncig tus txha nqaj qaum tsis kaw tag.
Kab mob Spina Bifida tuaj yeem tshwm sim txhua qhov chaw ntawm tus menyuam lub pob txha caj qaum, raws li tau hais ua ntej, yog tias lub raj neural tsis kaw tag nrho thaum cev xeeb tub. Thaum qhov no tshwm sim, cov hlab ntsha caj qaum, uas tiv thaiv cov hlab ntsha caj qaum, tsis kaw kom zoo. Qhov no tuaj yeem ua rau tus menyuam lub pob txha caj qaum thiab cov hlab ntsha puas tsuaj.
Myelomeningocele yog ib hom kab mob spina bifida - thiab qhov hnyav tshaj plaws. Nws yog ib lub hnab uas muaj cov kua dej uas tawm ntawm tus menyuam nraub qaum, uas muaj ib feem ntawm cov hlab ntsha thiab cov hlab ntsha. Lwm hom kab mob spina bifida yog meningocele thiab spina bifida occulta.
Qhov txawv ntawm Meningocele thiab Myelomeningocele yog dab tsi?
Myelomeningocele thiab meningocele yog ob hom spina bifida, tab sis muaj qhov sib txawv me ntsis.
Kab mob Meningocele yog ib qho mob uas lub hnab dej puv nkaus tawm ntawm qhov qhib hauv tus menyuam nraub qaum, tab sis lub hnab tsis muaj tus menyuam lub caj dab . Qhov no feem ntau ua rau me ntsis lossis tsis muaj kev puas tsuaj rau cov hlab ntsha.
Tiam sis hauv myelomeningocele , muaj ob qho tib si ib feem ntawm cov hlab ntsha qaum thiab cov hlab ntsha hauv lub hnab ntawd, thiab lawv raug puas tsuaj . Qhov ntawd yog qhov ua rau nws hnyav dua.
Leej twg raug kev txom nyem los ntawm Myelomeningocele?
Kab mob Myelomeningocele tuaj yeem cuam tshuam rau txhua tus menyuam hauv plab. Txawm hais tias cov kws tshawb fawb tsis paub meej tias dab tsi ua rau nws, lawv tau txheeb xyuas qee yam caj ces, ib puag ncig, thiab kev noj haus uas ua rau tus menyuam muaj feem yuav mob.
Tus mob no feem ntau tshwm sim li cas?
Myelomeningocele yog ib qho mob uas tshwm sim hauv lub paj hlwb hauv nruab nrab.Qhov mob uas tshwm sim los ntawm lub cev (qhov tsis zoo ntawm lub cev yug los). Piv txwv li, qhov mob no cuam tshuam rau kwv yees li 1,645 tus menyuam mos uas yug los txhua xyoo hauv Tebchaws Meskas. Cov menyuam yaus kuj yug los nrog qhov mob no hauv Sri Lanka.
Cov tsos mob ntawm Myelomeningocele yog dab tsi?
Ib tug me nyuam uas muaj myelomeningocele muaj ib lub hnab dej uas ntws mus rau hauv tus txha nqaj qaum los ntawm nruab nrab ntawm nraub qaum . Cov kws kho mob feem ntau tuaj yeem pom qhov mob thaum cev xeeb tub nrog kev ntsuas ultrasound.
Ib tug me nyuam uas muaj myelomeningocele kuj tseem yuav muaj lwm yam teeb meem thaum yug los . Kwv yees li 8 ntawm 10 tus me nyuam uas muaj tus mob no kuj muaj tus mob hu ua hydrocephalus, uas yog cov kua dej sib sau ua ke rau ntawm lub hlwb .
Lwm yam teeb meem ntawm tus txha caj qaum lossis lub cev musculoskeletal uas tej zaum yuav cuam tshuam nrog myelomeningocele suav nrog:
- Syringomyelia (lub cyst uas muaj kua dej nyob hauv tus txha caj qaum)
- Kev tawg ntawm lub duav
Dab tsi yog cov ua rau muaj Myelomeningocele?
Cov kws kho mob thiab cov kws tshawb fawb tseem tsis tau paub qhov ua rau muaj myelomeningocele, tab sis lawv ntseeg tias nws yog ib qho mob nyuaj uas tshwm sim los ntawm kev sib xyaw ua ke ntawm cov yam ntxwv caj ces, kev noj haus, thiab ib puag ncig .
Tshwj xeeb, cov folic acid qis hauv lub cev ntawm leej niam ua ntej thiab thaum cev xeeb tub tau pom tias ua rau muaj hom kev tsis zoo no. Folic acid (tseem hu ua folate) yog qhov tseem ceeb rau kev loj hlob ntawm lub hlwb thiab tus txha caj qaum ntawm tus menyuam hauv plab.
Ua ntej tus menyuam yug los, yuav kuaj mob Myelomeningocele li cas?
Feem ntau (tab sis tsis yog txhua lub sijhawm) cov kws kho mob tuaj yeem kuaj mob myelomeningocele hauv tus menyuam hauv plab thaum cev xeeb tub. Lawv siv cov kev kuaj no:
- Kev kuaj ntshav: Koj tus kws kho mob yuav xaj kom kuaj ntshav ntawm 16 thiab 18 lub lis piam ntawm kev cev xeeb tub uas ntsuas cov tshuaj hu ua alpha-fetoprotein (AFP). Kwv yees li 75% txog 80% ntawm cov poj niam cev xeeb tub uas tab tom yug me nyuam uas muaj spina bifida muaj cov AFP no siab dua li qub. Yog tias koj cov qib kuj siab, koj tus kws kho mob yuav xaj lwm yam kev kuaj, xws li kev ntsuas ultrasound, los kuaj xyuas tus me nyuam ntxiv.
- Kev kuaj mob ultrasound thaum cev xeeb tub: Kev kuaj mob ultrasound thaum cev xeeb tub yog txoj hauv kev tseeb tshaj plaws los kuaj mob myelomeningocele. Cov kws kho mob feem ntau pom zoo kom kuaj mob ultrasound thaum cev xeeb tub thawj peb lub hlis (lub lim tiam 11-14) thiab lub hlis thib ob (lub lim tiam 18-22). Kev kuaj mob trimester thib ob tuaj yeem kuaj mob tau zoo tshaj plaws.
- Kev kuaj amniocentesis:Yog tias kev kuaj ultrasound ntawm tus menyuam hauv plab lees paub qhov mob myelomeningocele, koj tus kws kho mob yuav pom zoo kom kuaj amniocentesis. Qhov no yog ua los xyuas seb puas muaj cov mob caj ces tsis tshua muaj feem cuam tshuam nrog myelomeningocele. Qhov no cuam tshuam nrog tus kws kho mob siv koob los coj cov kua dej los ntawm lub hnab amniotic nyob ib puag ncig tus menyuam hauv plab. Muaj qee qhov kev pheej hmoo nrog qhov kev kuaj no, yog li nws tseem ceeb heev uas yuav tsum tham txog qhov no nrog koj tus kws kho mob.
Yog tias tsis pom muaj tus kab mob myelomeningocele thaum cev xeeb tub, ces yuav kuaj pom tus kab mob no tom qab tus menyuam yug los siv cov kev kuaj duab xws li MRI (Magnetic Resonance Imaging) scan lossis CT (Computed Tomography) scan.
Cov kev kho mob rau Myelomeningocele yog dab tsi?
Kev kho mob ib txwm rau myelomeningocele yog phais kom kaw qhov qhib hauv tus menyuam lub hlwb qaum .
Cov kws kho mob tuaj yeem ua qhov kev phais no ua ntej tus menyuam yug los (kev phais menyuam hauv plab) lossis sai sai tom qab yug los (kev phais tom qab yug menyuam) .
Vim tias cov menyuam mos uas muaj myelomeningocele feem ntau muaj hydrocephalus (cov kua dej sib sau ua ke rau ntawm lub hlwb), tej zaum yuav xav tau ventriculoperitoneal (VP) shunt los tshem cov kua ntxiv ntawm lub hlwb ntawm tus menyuam.
Muaj ntau tus menyuam yuav xav tau kev kho mob mus tas li kom tswj tau cov teeb meem uas ua rau lawv cov hlab ntsha thiab cov hlab ntsha puas tsuaj. Cov kev kho mob uas feem ntau muaj xws li tshuaj tua kab mob los tiv thaiv cov kab mob xws li mob hlwb (mob hlwb) lossis mob zis (UTIs) thiab kev kho lub cev.
Kev phais mob rau menyuam hauv plab rau myelomeningocele
Kev phais menyuam hauv plab yog ib txoj kev xaiv uas koj xaiv tau nyob ntawm seb tus mob myelomeningocele hnyav npaum li cas thiab leej niam cev xeeb tub noj qab haus huv zoo li cas. Hom kev phais no tab tom tshwm sim ntau zuj zus.
Txawm hais tias qhov kev phais mob no tuaj yeem tiv thaiv cov tsos mob kom tsis txhob hnyav zuj zus los xij, nws tsis tuaj yeem kho qhov kev puas tsuaj uas twb tau ua rau cov hlab ntsha lossis cov hlab ntsha lawm .
Tseem Ceeb: Muaj tej yam teeb meem uas cuam tshuam nrog cov kev phais mob ntawm tus menyuam hauv plab no, xws li muaj kev pheej hmoo ntawm kev yug menyuam ua ntej lub sijhawm thiab kev poob qis ntawm lub tsev menyuam.
Kev phais mob tom qab yug menyuam rau myelomeningocele
Yog tias koj tus menyuam tsis tau phais menyuam hauv plab los kho qhov spina bifida, yuav tsum tau phais sai li sai tau tom qab yug los - zoo tshaj plaws hauv 48 teev thawj zaug ntawm kev yug los - kom txo qhov kev pheej hmoo ntawm kev kis kab mob.
Kuv tus menyuam uas muaj mob myelomeningocele yuav tsum mus ntsib kws kho mob twg?
Muaj ntau tus menyuam uas muaj tus kab mob myelomeningocele tau txais txiaj ntsig los ntawm kev txhawb nqa ntawm pab pawg neeg sib koom tes los sib koom tes saib xyuas thiab tswj hwm lawv. Cov kws tshwj xeeb uas yuav koom nrog kev saib xyuas koj tus menyuam suav nrog:
- Kws kho mob hlwb
- Kws phais hlwb
- Kws phais menyuam hauv plab
- Kws kho mob zis
- Kws Kho Mob Pob Qij Txha
- Kws Kho Mob Tawv Nqaij
- kws kho lub cev
Cov yam ua rau muaj tus kab mob myelomeningocele yog dab tsi?
Tu siab kawg li, qhov teeb meem yug los xws li myelomeningocele tsis tuaj yeem tiv thaiv tau tag nrho - qhov kev pheej hmoo tsuas yog txo tau xwb . Feem ntau, qhov mob no tshwm sim tsis tu ncua. Tab sis cov kws tshawb fawb tau txheeb xyuas ntau yam kev pheej hmoo uas cuam tshuam nrog qhov mob no. Lawv yog:
- Tsis txaus Folate (folic acid): Folate, hom vitamin B9 ntuj, yog qhov tseem ceeb rau kev loj hlob ntawm tus menyuam hauv plab kom noj qab nyob zoo. Tsis txaus Folate ua rau muaj kev pheej hmoo ntawm spina bifida thiab lwm yam teeb meem ntawm lub hlab ntsha hauv lub cev (NTDs). Yog tias koj cev xeeb tub lossis npaj yuav cev xeeb tub, nws yog ib qho tseem ceeb uas yuav tsum noj cov vitamins ua ntej yug menyuam kom ntseeg tau tias koj tau txais folate (folic acid) thiab lwm yam khoom noj khoom haus uas koj xav tau rau kev cev xeeb tub kom noj qab nyob zoo.
- Keeb kwm tsev neeg muaj teeb meem ntawm lub hlab ntsha hauv lub hlwb: Cov neeg uas muaj ib tug menyuam uas muaj teeb meem ntawm lub hlab ntsha hauv lub hlwb muaj li ntawm 3% ntawm kev muaj tus menyuam thib ob uas muaj teeb meem. Tsis tas li ntawd, cov poj niam uas muaj teeb meem ntawm lub hlab ntsha hauv lub hlwb (NTD) muaj feem yuav muaj tus menyuam uas muaj myelomeningocele ntau dua li cov uas tsis muaj mob. Txawm li cas los xij, feem ntau cov menyuam mos uas muaj myelomeningocele yug los rau cov niam txiv uas tsis muaj keeb kwm tsev neeg ntawm mob.
- Cov tshuaj tiv thaiv kev qaug dab peg: Qee cov tshuaj tiv thaiv kev qaug dab peg tau pom tias muaj feem cuam tshuam nrog kev pheej hmoo ntawm cov hlab ntsha neural tube defects thaum noj thaum cev xeeb tub.
- Kab mob ntshav qab zib: Cov poj niam cev xeeb tub uas tsis tswj tau kab mob ntshav qab zib zoo muaj feem yuav muaj menyuam yaus uas muaj myelomeningocele ntau dua.
- Kev Rog Phem: Cov poj niam uas rog dhau ua ntej cev xeeb tub muaj feem yuav muaj menyuam yaus uas muaj qhov tsis zoo ntawm lub hlab ntsha hauv lub cev, suav nrog myelomeningocele.
- Kub ntawm lub cev nce ntxiv:Tau pom tias qhov kub ntawm lub cev thaum ntxov (hyperthermia) thaum lub sijhawm cev xeeb tub, txawm tias yog vim kub taub hau tas li lossis siv chav sauna lossis pas dej kub, ua rau muaj kev pheej hmoo ntawm myelomeningocele me ntsis.
Nco ntsoov tias, muaj ib tug me nyuam uas muaj tus kab mob myelomeningocele tsis yog koj qhov txhaum. Txhua tus neeg uas muaj hnub nyoog yug tau menyuam muaj feem yuav muaj teeb meem cev xeeb tub thaum yug los.
Yuav ua li cas thiaj paub tias tus kab mob myelomeningocele yuav zoo li cas?
Tsis muaj ob tug neeg uas muaj tus kab mob myelomeningocele raug kev txom nyem tib yam. Qhov kev kwv yees rau tus mob no nyob ntawm ntau yam. Cov no suav nrog:
- Tus mob qub ntawm lawv cov hlab ntsha thiab cov hlab ntsha.
- Qhov qhib ntawm tus txha nraub qaum siab lossis qis npaum li cas.
- Lub hnab ntawd puas qhib los yog kaw?
- Seb lawv puas tau phais ua ntej lossis tom qab yug los.
Tus nqi tuag rau cov neeg uas muaj tus kab mob spina bifida yog li ntawm 1% hauv ib xyoos ntawm hnub nyoog 5 thiab 30 xyoo. Qhov siab dua ntawm tus txha caj qaum, qhov ntau dua qhov muaj feem yuav muaj teeb meem thiab tuag.
Cov kev mob tshwm sim thiab cov teeb meem ntawm myelomeningocele tuaj yeem cuam tshuam rau lub neej zoo. Cov neeg uas muaj tus mob no feem ntau yuav muaj kev nyuaj siab, ntxhov siab, thiab kev pheej hmoo .
Cov teeb meem ntawm myelomeningocele yog dab tsi?
Cov teeb meem cuam tshuam nrog myelomeningocele yog:
- Kev tuag tes tuag taw thiab/lossis kev poob ntawm kev hnov mob hauv qhov chaw ntawm lub cev hauv qab thaj chaw ntawm lub hnab uas muaj kua dej (qhov mob).
- Txo kev txav mus los vim yog cov leeg nqaij tsis muaj zog.
- Cov teeb meem pob txha uas cuam tshuam nrog kev tuag tes tuag taw , piv txwv li scoliosis (qhov nkhaus ntawm tus txha nraub qaum), kev sib cog lus, thiab kev tawg ntawm lub duav.
- Tsis muaj peev xwm tswj tau lub zais zis thiab/lossis txoj hnyuv.
- Muaj ntau zaus muaj kab mob ntawm txoj hlab zis (UTIs).
- Kab mob hlwb (mob hlwb).
- Kev ua xua rau cov roj hmab latex.
- Kev kawm sib txawv lossis kev loj hlob qeeb (kev puas hlwb).
- Kab mob qaug dab peg `(Qaug dab peg)`.
Kuv yuav saib xyuas kuv tus menyuam uas muaj myelomeningocele li cas?
Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias tsis muaj ob tus neeg uas muaj tus kab mob myelomeningocele raug kev cuam tshuam tib yam. Tsis muaj txoj hauv kev los paub tseeb tias koj tus menyuam yuav raug kev cuam tshuam li cas. Qhov zoo tshaj plaws uas koj ua tau yog tham nrog tus kws kho mob uas tshwj xeeb hauv kev tshawb fawb thiab kho tus kab mob spina bifida thiab myelomeningocele.
Thaum koj tus menyuam loj hlob tuaj, ib pab kws kho mob tshwj xeeb yuav pab saib xyuas lawv cov kev xav tau.Nws muaj peev xwm pab tau.
Thaum twg kuv yuav tsum nrog kuv tus menyuam tus kws kho mob tham txog myelomeningocele?
Yog tias koj tus menyuam yug los muaj myelomeningocele, nws yuav tsum tau mus ntsib nws tus kws kho mob - lossis pab pawg kws kho mob - tsis tu ncua thoob plaws nws lub neej.
Tshwj xeeb, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus menyuam tus kws kho mob rau cov laj thawj no:
- Yog tias koj tus menyuam lig dhau los pib taug kev lossis lig dhau los pib nkag.
- Yog tias koj tus menyuam muaj cov tsos mob ntawm hydrocephalus, piv txwv li, muaj qhov chaw mos mos ntawm lub hauv pliaj, chim siab, tsaug zog ntau dhau, thiab nyuaj rau noj mov.
- Yog tias koj tus menyuam muaj cov tsos mob ntawm tus kab mob meningitis, lawv yuav kub taub hau, caj dab txhav, chim siab, thiab quaj nrov nrov.
Kuv yuav tsum nug kuv tus kws kho mob li cas txog myelomeningocele?
Yog tias koj tus kws kho mob xav tias muaj myelomeningocele, nws yuav pab tau koj nug cov lus nug no:
- Kuv ua tau dab tsi kom noj qab nyob zoo thaum lub sijhawm uas kuv cev xeeb tub tas?
- Koj puas tuaj yeem pom zoo cov kws kho mob thiab cov kws tshwj xeeb uas tshwj xeeb hauv Spina Bifida thiab Myelomeningocele?
- Cov kev kho mob rau myelomeningocele yog dab tsi?
- Cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev phais kho menyuam hauv plab thiab kev phais kho tom qab yug menyuam yog dab tsi?
- Kuv puas muaj feem yuav muaj lwm tus menyuam uas muaj myelomeningocele?
- Koj puas muaj cov ntaub ntawv hais txog cov pab pawg txhawb nqa rau cov neeg uas muaj mob myelomeningocele thiab cov niam txiv ntawm cov menyuam zoo li no?
Kev nrhiav pom tias koj tus menyuam muaj mob hnyav heev tuaj yeem ua rau koj ntxhov siab heev. Tab sis nco ntsoov tias koj tsis yog tib leeg xwb - muaj ntau yam kev pab los pab koj thiab koj tsev neeg. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog tus kws kho mob uas paub txog myelomeningocele kom paub ntau ntxiv txog nws cuam tshuam li cas rau koj tus menyuam thiab yuav npaj li cas.
Ib Zaj Lus Qhia Txog Peb Yuav Tsum Tau Coj Mus Tsev
Myelomeningocele yog ib qho teeb meem nyuaj heev uas yug los. Tab sis nrog kev kho mob zoo, kev txhawb nqa, thiab kev hlub, cov menyuam no tuaj yeem ua neej zoo . Nws yog ib qho tseem ceeb kom paub txog qhov teeb meem no hauv tus menyuam hauv plab thiab nrhiav kev kho mob sai. Kev ua cov kauj ruam xws li tau txais folic acid txaus kuj tseem tuaj yeem txo qhov kev pheej hmoo ntawm qhov teeb meem no. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob yig tham nrog koj tus kws kho mob.
` Myelomeningocele, spina bifida, cov teeb meem yug los tsis zoo, cov teeb meem ntawm cov hlab ntsha hauv lub paj hlwb, pob txha caj qaum, kev noj qab haus huv ntawm tus menyuam, cev xeeb tub











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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