Ua ib leej niam los yog ib leej txiv, nej tos ntsoov hnub uas nej tus menyuam yuav los txog. Tiam sis qee zaum, tej yam tsis mus raws li nej tau npaj tseg. Yog tias nej tus menyuam yug ua ntej lub sijhawm lossis muaj teeb meem kev noj qab haus huv nyuaj thaum yug los, nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab heev. Tiam sis tsis txhob txhawj. Muaj ib tug kws kho mob uas tau kawm tshwj xeeb los saib xyuas koj tus menyuam me thaum lub sijhawm nyuaj no. Peb hu tus kws kho mob ntawd ua Neonatologist . Niaj hnub no, cia peb tham txog tus kws kho mob no yog leej twg thiab nws ua dab tsi.
Leej twg yog tus kws kho mob neonatologist tiag?
Hais yooj yim xwb, tus kws kho mob menyuam yaus yog tus kws kho mob uas tshwj xeeb hauv cov menyuam mos tshiab. Tab sis tsis yog txhua tus menyuam mos tshiab. Qhov no yog tus kws kho mob uas kho cov menyuam mos uas yug ua ntej lub sijhawm , lossis cov neeg uas yug los muaj mob hnyav, kev tsis taus uas yug los, lossis lwm yam uas ua rau muaj kev pheej hmoo.
Xav txog tias koj tus menyuam yug ua ntej 37 lub lis piam. Nws cov kabmob, tshwj xeeb tshaj yog nws lub ntsws thiab lub plawv, tej zaum yuav tsis tau loj hlob tag nrho. Los yog tus menyuam yuav muaj mob plawv uas tau kuaj pom thaum yug los. Hauv cov xwm txheej zoo li no, tus kws kho mob menyuam yaus yuav saib xyuas tus menyuam.
Cov kws kho mob no feem ntau ua haujlwm hauv cov chav saib xyuas menyuam mos (NICUs) hauv tsev kho mob. Qhov no yog chav uas muab kev saib xyuas tshwj xeeb 24 teev rau cov menyuam mos uas mob lossis yug tsis tau sijhawm. Qee zaum, yog tias muaj teeb meem tshwm sim thaum lub sijhawm luam theej duab ua ntej koj tus menyuam yug los, tus kws kho mob menyuam mos yuav koom nrog koj cev xeeb tub txij thaum ntawd los. Lawv kuj tseem yuav nyob hauv chav yug menyuam los muab kev saib xyuas rau koj tus menyuam tom qab yug los.
Lub luag haujlwm tseem ceeb ntawm tus kws kho mob neonatologist yog dab tsi?
Tus kws kho mob menyuam yaus lub luag haujlwm yog dav heev. Nws tsis yog tsuas yog muab tshuaj rau tus menyuam xwb. Lawv txoj haujlwm tseem ceeb yog los sib koom tes txhua yam uas xav tau los cawm txoj sia ntawm tus menyuam yaus me me uas muaj mob hnyav.
Cia peb nkag siab nws kom meej dua los ntawm lub rooj hauv qab no.
| Txoj Haujlwm | Piav qhia yooj yim |
|---|---|
| Kev kuaj mob thiab kev kho mob | Lawv nrhiav seb tus menyuam mos muaj kab mob dab tsi, kev kis kab mob, thiab lwm yam teeb meem dab tsi, thiab tom qab ntawd pib kho mob. |
| Kev tswj hwm thiab kev sib koom tes saib xyuas | Yog tias tus me nyuam xav tau kev phais, lossis yog xav tau kev pab los ntawm lwm tus kws kho mob, xws li kws kho mob plawv lossis kws kho mob hlwb, txhua yam yuav tsum tau ua kom tiav kom ntseeg tau tias tus me nyuam tau txais kev kho mob zoo tshaj plaws. |
| Ua cov kev xeem | Cov kev kuaj xws li kev kuaj ntshav, X-rays, echocardiograms, lossis ultrasounds raug txiav txim siab los saib xyuas tus menyuam tus mob. |
| Kev lees paub txog kev noj haus | Tus me nyuam mob tej zaum yuav tsis pub niam mis tau zoo. Yog li ntawd, peb yuav tsum xyuas kom tus me nyuam tau txais cov khoom noj khoom haus zoo. Yog tias tsim nyog, peb yuav siv cov raj pub mis. |
| Kev txhawb nqa cov niam txiv | Cov niam txiv muaj kev ntxhov siab ntau thaum lawv tus menyuam nyob hauv NICU. Yog li ntawd, nws yog ib txoj haujlwm tseem ceeb ntawm cov kws kho mob no los qhia rau cov niam txiv txog tus menyuam tus mob thiab kev kho mob, thiab muab kev txhawb nqa rau lawv lub hlwb uas lawv xav tau. |
Thaum twg koj xav tau kev pab los ntawm tus kws kho mob neonatologist?
Feem ntau, yuav tsum tau mus ntsib kws kho mob menyuam yaus sai sai thiab tsis tau xav txog ua ntej. Txawm li cas los xij, qee zaum, yuav tsum tau kev pab los ntawm kws tshwj xeeb thaum cev xeeb tub.
Nov yog qee cov rooj plaub zoo li no:
- Yog tias koj cev xeeb tub muaj kev pheej hmoo siab: Yog tias koj muaj mob xws li ntshav qab zib lossis ntshav siab, tus menyuam yuav raug cuam tshuam.
- Yog tias muaj feem ntau uas tus menyuam yuav yug ua ntej lub sijhawm: Yog tias cov kws kho mob tau txheeb xyuas qhov no ua ntej, koj tuaj yeem nrhiav kev pab los ntawm tus kws kho mob menyuam yaus.
- Yog tias tus menyuam hauv plab raug kuaj pom tias muaj tus kab mob uas muaj txij thaum yug los:Yog tias cov duab scans pom muaj teeb meem nrog tus menyuam lub plawv, lub hlwb, lossis lwm yam hauv lub cev, tus kws kho mob neonatologist yuav npaj ua ntej tus menyuam yug los.
- Yog tias tus menyuam yug ua ntej hnub yug.
- Yog tias tus menyuam raug mob (kev raug mob thaum yug menyuam) thaum yug menyuam.
- Yog tias tus menyuam yug los muaj kab mob lossis kab mob.
- Yog muaj teeb meem tsis tau xav txog tshwm sim thaum lub sijhawm lossis tom qab yug menyuam.
Qhov tseem ceeb tshaj plaws yog kom paub tias koj tsis yog tib tug uas muaj qhov teeb meem no. Nco ntsoov tias koj muaj ib pab kws kho mob uas muaj peev xwm muab kev saib xyuas zoo tshaj plaws rau koj tus menyuam.
Cov mob uas kws kho mob neonatologist kho feem ntau
Tus kws kho mob neonatologist kho ntau yam mob nyuaj, suav nrog:
- Menyuam yug ua ntej lub sijhawm: Qhov no ua rau muaj teeb meem nrog cov kabmob (tshwj xeeb tshaj yog lub ntsws) uas tsis tau loj hlob tag nrho.
- Qhov hnyav thaum yug los tsawg: Tus menyuam mos uas hnyav tsawg dua 2500 grams lossis tus menyuam hauv plab loj hlob qeeb.
- Cov teeb meem tsis zoo uas muaj thaum yug los: Cov mob uas muaj thaum yug los, xws li qhov hauv lub plawv (qhov tsis zoo ntawm lub qhov ntswg), teeb meem ntawm lub paj hlwb.
- Teeb meem ua pa: Tus me nyuam ua pa nyuaj rau nws tus kheej.
- Kab mob plawv: Tej yam mob xws li lub plawv dhia tsis xwm yeem (bradycardia) lossis lub plawv tsis ua haujlwm.
- Teeb meem ntawm lub hlwb: Cov mob hnyav xws li qaug dab peg lossis los ntshav hauv lub hlwb.
- Cov ntshav qab zib qis (Hypoglycemia).
- Jaundice: Ib qho mob uas tshwm sim ntau tab sis qee zaum loj heev rau cov menyuam mos.
- Kev raug mob thaum yug los.
Qhov txawv ntawm tus kws kho mob neonatologist thiab tus kws kho mob menyuam yaus yog dab tsi?
Qhov no yog ib yam dab tsi uas ua rau ntau tus neeg tsis meej pem. Hais yooj yim xwb, txhua tus kws kho mob menyuam yaus yog kws kho mob menyuam yaus.
Xav txog nws li no. Kws kho mob menyuam yaus yog ib tug kws kho mob uas kho txhua yam mob ntawm ib tug menyuam, muab tshuaj tiv thaiv kab mob rau lawv, thiab saib xyuas lawv txoj kev loj hlob txij li hnub uas lawv yug los txog thaum lawv muaj li ntawm 18 xyoo. Nws yog koj tus "kws kho mob rau menyuam yaus."
Tiamsis tus kws kho mob menyuam yaus yog tus kws kho mob menyuam yaus uas tau siv ntau xyoo tshwj xeeb hauv cov menyuam mos, tshwj xeeb tshaj yog cov neeg uas muaj mob hnyav. Lawv lub hom phiaj yog kho cov mob uas ua rau tuag taus uas tshwm sim hauv ob peb hnub lossis ob peb lub lis piam thawj zaug ntawm tus menyuam lub neej. Thaum koj tus menyuam rov zoo thiab rov qab los tsev ntawm NICU, koj tus kws kho mob menyuam yaus ib txwm yuav saib xyuas koj tus menyuam.
Tus kws kho mob neonatologist muab kev kho mob dab tsi?
NICU yog ib qho chaw uas muaj cov khoom siv niaj hnub. Tus kws kho mob menyuam mos siv cov khoom siv no thiab ntau yam kev kho mob los pab cawm koj tus menyuam txoj sia.
| Txoj kev kho mob | Piav qhia yooj yim |
|---|---|
| Pab ua pa | Cov khoom siv xws li CPAP thiab lub tshuab ua pa siv los pab tus menyuam ua pa. |
| Kev tswj qhov kub ntawm lub cev | Cov menyuam mos uas yug tsis tau sijhawm muaj teeb meem tswj lawv lub cev qhov kub, yog li ntawd lawv thiaj raug muab tso rau hauv cov khoom siv sov xws li lub tshuab ua kom menyuam mos. |
| Kev kho mob siv lub teeb | Cov menyuam mos uas muaj mob daj ntseg raug kho los ntawm kev muab lub teeb xiav tshwj xeeb rau lawv. |
| Kev kho mob IV | Tus me nyuam yuav tau muab cov kua dej, tshuaj tua kab mob, thiab lwm yam tshuaj los ntawm kev siv saline. Kuj tseem yuav tau ntxiv ntshav yog tias tsim nyog. |
Yog koj tus menyuam xav tau kev kho mob los ntawm tus kws kho mob menyuam yaus, tus kws kho mob yuav piav qhia txhua yam rau koj txog koj tus menyuam tus mob, kev kho mob uas tau muab, thiab lawv cov kev pheej hmoo. Xav nug tus kws kho mob txhua yam lus nug lossis kev txhawj xeeb uas koj muaj. Nws yog koj txoj cai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tus kws kho mob menyuam mos yog tus kws kho mob uas muaj kev cob qhia tshwj xeeb rau cov menyuam mos, tshwj xeeb tshaj yog cov menyuam yug ua ntej lub sijhawm lossis muaj mob hnyav.
- Yog tias koj tus menyuam xav tau kev kho mob hauv NICU, tus menyuam yuav raug saib xyuas los ntawm pab pawg kws kho mob uas coj los ntawm tus kws kho mob Neonatologist.
- Cov kws kho mob no tswj hwm tus menyuam txoj kev kuaj mob, kev kho mob, kev noj zaub mov zoo, thiab kev saib xyuas tag nrho.
- Yog koj muaj lus nug txog koj tus menyuam tus mob lossis kev kho mob, thov nug koj tus kws kho mob. Koj muaj cai tau txais cov ntaub ntawv meej.
- Tus kws kho mob menyuam mos yog ib tus neeg uas mob siab rau kev muab lub neej noj qab haus huv rau koj tus menyuam. Yog li ntawd, ntseeg pab pawg kws kho mob.
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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