Ua ib leej niam yog ib qho kev paub zoo nkauj thiab muaj lub luag haujlwm hauv lub neej, puas yog? Yog li, thaum lub sijhawm muaj nqis no, qhov tseem ceeb tshaj plaws yog rau koj thiab tus menyuam me uas loj hlob hauv koj lub tsev menyuam kom noj qab nyob zoo thiab zoo siab. Kev kho mob uas koj tau txais thaum cev xeeb tub, lossis tsuas yog 'Kev Saib Xyuas Ua Ntej Yug Me Nyuam', pab tau ntau heev. Yog li, hnub no peb yuav tham txog qee yam tseem ceeb uas koj yuav tsum paub txog.
Vim li cas kev saib xyuas ua ntej yug menyuam thiaj li tseem ceeb?
Xav txog seb, thaum muaj ib tug tswv cuab tshiab los rau hauv koj lub neej, koj xav ua txhua yam kom raug.
Kev saib xyuas ua ntej yug menyuam yog kev saib xyuas kev noj qab haus huv uas koj tau txais txij li thaum koj cev xeeb tub mus txog thaum tus menyuam yug los. Nws zoo li cog ib tsob nroj thiab ywg dej thiab muab chiv rau nws kom txog thaum nws loj hlob. Los ntawm kev mus ntsib kws kho mob
sai li sai tau thiab tsis tu ncua , koj yuav tau txais kev txhawb nqa zoo hauv kev ua kom koj thiab koj tus menyuam noj qab haus huv. Vim tias, yog tias muaj teeb meem dab tsi, cov kws kho mob yuav tuaj yeem
txheeb xyuas nws thaum ntxov thiab pib kho mob tsim nyog . Qee zaum, nws yog qhov zoo tshaj plaws los nrhiav kev pab tswv yim kho mob txawm tias ua ntej koj cev xeeb tub. Tom qab ntawd koj tuaj yeem pib koj txoj kev taug kev tshiab kom noj qab haus huv.
Nco ntsoov: Nrhiav kev pab tswv yim kho mob thaum ntxov thiab txuas ntxiv mus yog thawj kauj ruam rau kev yug me nyuam kom noj qab nyob zoo!
Kuv yuav siv tau cov kev pab kho mob ua ntej yug menyuam no li cas?
Tam sim no tej zaum koj yuav xav paub tias, "Leej twg tuaj yeem pab kuv lub sijhawm no?" Feem ntau, ib leej niam uas muaj kev xeeb tub zoo thiab tsis muaj teeb meem tuaj yeem tau txais kev pabcuam los ntawm:
- Kws Kho Mob Yug Me Nyuam : Cov kws kho mob no yog cov uas tshwj xeeb hauv kev cev xeeb tub thiab yug menyuam .
- Cov Kws Kho Mob Yug Me Nyuam/Kws Kho Mob Poj Niam (OB/GYNs): Cov no yog cov kws kho mob uas tshwj xeeb hauv kev cev xeeb tub, kev yug menyuam, thiab kev noj qab haus huv ntawm cov poj niam . Feem ntau, ob tug no yog tib yam.
- Cov Kws Kho Mob Tsev Neeg: Qee cov kws kho mob tsev neeg kuj muab kev pab kho mob ua ntej yug menyuam thiab kev yug menyuam. Koj tuaj yeem nug koj tus kws kho mob tsev neeg txog qhov no.
- Cov Kws Pab Yug Me Nyuam: Qhov kev pabcuam no tseem ceeb heev hauv peb lub tebchaws. Cov kws pab yug me nyuam pab koj ntau heev thaum cev xeeb tub, yug menyuam thiab tom qab yug tus menyuam, tshwj xeeb tshaj yog thaum cev xeeb tub uas muaj teeb meem tsawg. Hauv qee lub tebchaws, muaj cov uas muaj ntau qib kev cob qhia sib txawv, xws li '(Certified Nurse-Midwives)'.
Tiam sis, qee zaum koj
Tej zaum yuav xav tau kev saib xyuas tshwj xeeb. Yog tias yog li ntawd, koj tus kws kho mob yuav xa koj mus rau tus kws kho mob tshwj xeeb Maternal-Fetal Medicine (MFM) lossis Perinatologist . Cov no yog cov xwm txheej:- Yog koj muaj mob ntev xws li mob ntshav qab zib lossis mob plawv .
- Yog tias muaj kev pheej hmoo ntawm kev yug menyuam ua ntej hnub yug (kev yug ntxov ntxov) siab.
- Yog tias koj muaj hnub nyoog tshaj 35 xyoo.
- Yog koj muaj ntau tshaj ib tug menyuam hauv koj lub plab (xws li menyuam ntxaib).
- Yog koj muaj lwm yam teeb meem uas yuav ua rau koj muaj feem yuav mob hnyav.
Cov kev teem caij kho mob thiab kev kuaj mob li cas feem ntau thaum cev xeeb tub?
Thaum koj paub tias koj cev xeeb tub lawm, koj yuav tsum teem sijhawm mus ntsib kws kho mob ua ntej yug menyuam thawj zaug. Feem ntau qhov no yog li ntawm 6 txog 8 lub lis piam thaum koj cev xeeb tub , lossis thaum koj lub sijhawm lig 2 txog 4 lub lis piam. Qee zaum, thawj zaug tuaj yeem teem sijhawm tom qab 8 lub lis piam yog tias tsis muaj teeb meem ua ntej ntawd. Yog tias koj noj qab nyob zoo thiab tsis muaj tej yam tshwj xeeb uas ua rau muaj kev pheej hmoo, tus naj npawb ntawm lub sijhawm uas koj yuav tsum mus ntsib koj tus kws kho mob yog raws li nram no:- Txhua 4 lub lis piam mus txog rau lub lim tiam 28 ntawm cev xeeb tub.
- Tom qab ntawd, txhua 2 lub lis piam mus txog rau lub lim tiam 36 .
- Tom qab ntawd, ib zaug ib lub lim tiam kom txog thaum tus menyuam yug los .
Yuav luag txhua zaus mus ntsib kws kho mob, koj qhov hnyav thiab ntshav siab yuav raug sau tseg. Tsis tas li ntawd, pib txij li lub lim tiam 22, koj lub tsev menyuam yuav raug ntsuas qhov loj thiab cov duab kom pom tias koj tus menyuam puas loj hlob thiab txhim kho zoo. Qee zaum mus ntsib kws kho mob, koj yuav muab cov zis kuaj thiab kuaj seb puas muaj qabzib thiab protein. Cov no yog cov kev kuaj tseem ceeb heev. Cov kev kuaj tshwj xeeb twg ua thaum cev xeeb tub (Kev kuaj ua ntej yug me nyuam)?
Kev kuaj ua ntej yug me nyuam tuaj yeem pab cov kws kho mob nrhiav seb tus me nyuam puas muaj qhov tsis zoo lossis teeb meem chromosomal . Lawv kuj tuaj yeem nrhiav tau cov mob uas leej niam muaj uas tuaj yeem cuam tshuam rau tus me nyuam, xws li ntshav qab zib thaum cev xeeb tub, ntshav tsis txaus, lossis kab mob. Cov kev kuaj no ua thaum lub sijhawm peb lub hlis thawj, ob, thiab peb ntawm cev xeeb tub. Qee qhov kev kuaj tsuas yog qhia txog qhov ua tau ntawm teeb meem (Kev Kuaj Xyuas) . Lwm qhov kev kuaj tuaj yeem qhia koj kom paub tseeb (Kev Kuaj Mob) .Txawm muaj teeb meem los tsis muaj. Qee zaum, tom qab Kev Ntsuas Xyuas, kev kuaj mob kuj raug ua. Qhov no suav nrog kev kuaj ntshav, '(Amniocentesis)', '(CVS - Chorionic Villus Sampling)' thiab '(Ultrasound)' scans. Tag nrho cov no yog ua rau kev nyab xeeb ntawm koj thiab koj tus menyuam. Cov teeb meem kev noj qab haus huv uas feem ntau tshwm sim thaum cev xeeb tub yog dab tsi?
Tej zaum ib txhia niam yuav txhawj me ntsis txog tej yam mob uas twb muaj lawm xws li ntshav qab zib, xav tias, "Qhov no puas yuav cuam tshuam rau kuv tus menyuam?" Yog tias koj muaj ib tug, nco ntsoov nrog koj tus kws kho mob tham. Nws yuav hloov tau koj cov tshuaj lossis muab lus qhia rau koj kom txo qhov koj txhawj xeeb. Kuj tseem muaj qee yam mob tshiab uas tuaj yeem tshwm sim thaum cev xeeb tub. Cia peb saib seb lawv yog dab tsi:- Kab mob Preeclampsia: Kuj hu ua '(Toxemia of Pregnancy). Qhov no yog thaum koj cov ntshav siab nce siab , tsis hais thaum cev xeeb tub ib nrab lossis tom qab tus menyuam yug los. Qhov mob no tuaj yeem ua rau muaj teeb meem nrog raum (protein hauv cov zis), siab, qhov muag, thiab lub ntsws. Ib txhia neeg yuav muaj ntau yam tsos mob, thaum lwm tus yuav tsis muaj tsos mob li. Yog tias nws cuam tshuam rau lub hlwb, qaug dab peg lossis tsis nco qab tuaj yeem tshwm sim. Qhov no hu ua eclampsia. Qee zaum '(Eclampsia )' tuaj yeem tshwm sim txawm tias tsis muaj cov tsos mob '(Preeclampsia)'. Yog tias qhov no tsis raug kho kom zoo, nws tuaj yeem ua rau tuag taus rau niam thiab tus menyuam, tab sis qhov no tsis tshua muaj.
- Niam Rh-negative thiab tus menyuam hauv plab Rh-positive (Rh Incompatibility): Feem ntau cov neeg muaj Rh factor hauv lawv cov qe ntshav liab (lawv yog Rh positive). Cov neeg uas tsis muaj nws yog Rh negative. Kev kuaj ntshav yooj yim tuaj yeem qhia koj tias koj Rh factor yog dab tsi. Xav txog tias koj yog Rh negative, tab sis koj tus menyuam yog Rh positive. Tom qab ntawd, yog tias tus menyuam cov qe ntshav nkag mus rau hauv koj cov ntshav, teeb meem tuaj yeem tshwm sim. Koj lub cev pib tsim cov tshuaj tiv thaiv kab mob tawm tsam tus menyuam cov qe ntshav. Cov tshuaj tiv thaiv kab mob no tuaj yeem nkag mus rau hauv tus menyuam cov ntshav thiab rhuav tshem nws cov qe ntshav liab.
Txawm hais tias cov mob no loj heev los, lawv tswj tau . Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv thiab tham nrog koj tus kws kho mob. Yuav ua li cas thiaj tswj tau kev noj haus thiab qhov hnyav nce thaum cev xeeb tub?
Nws yog ib qho ib txwm kom hnyav nce thaum cev xeeb tub, tab sis nws yuav tsum yog nyob rau hauv txoj kev noj qab haus huv.- Qhov nruab nrab, ib leej niam uas muaj qhov hnyav ib txwm thiab tab tom yuav muaj ib tug menyuam yuav tsum nce ntawm 25-35 phaus (kwv yees li 11-16 kilograms) thaum cev xeeb tub.
- Yog koj yog ib leej niam uas rog dhau thaum cev xeeb tub, koj tsuas yog yuav tsum nce ntawm 15-25 phaus (kwv yees li 7-11 kilograms) .
- Yog koj rog dhau, koj yuav tsum nce li ntawm 28-40 phaus (kwv yees li 13-18 kilograms) .
- Yog koj muaj ntau tshaj ib tug menyuam (xws li menyuam ntxaib), koj yuav tsum nce phaus ntau dua.
Nws yuav nyuaj rau tswj koj qhov hnyav thaum lub sijhawm kawg ntawm cev xeeb tub. Yog li, tsis txhob nce hnyav ntau dhau ib zaug hauv ob peb lub hlis thawj zaug . Txawm li cas los xij, yog tias koj tsis nce hnyav txaus, teeb meem tuaj yeem tshwm sim ; xws li kev loj hlob qeeb lossis kev yug menyuam ua ntej lub sijhawm. Cev xeeb tub tsis yog lub sijhawm zoo rau kev noj zaub mov kom zoo, tab sis nws yog lub sijhawm zoo los txais yuav tus qauv noj zaub mov kom noj qab nyob zoo!
Cov kws kho mob hais tias ib leej niam uas muaj ib tug menyuam yuav tsum noj ntxiv 300-400 calories ib hnub thaum lub sijhawm peb lub hlis thib ob . Koj xav tau ntau me ntsis hauv peb lub hlis thib peb . Feem ntau ntawm cov calories ntxiv no yuav tsum los ntawm cov protein . Koj kuj yuav tsum noj ntau cov txiv hmab txiv ntoo tshiab, cov nplej, thiab zaub . Ib qho khoom noj txom ncauj zoo yuav yog ib khob mis tsis muaj roj, ib nrab lub sandwich, lossis ib khob mis nyuj yogurt nrog ob peb lub txiv ntoo walnuts thiab ib daim txiv hmab txiv ntoo. Ib txhia neeg, xws li cov niam hluas lossis cov niam ntawm cov menyuam ntxaib, yuav xav tau ntau calories. Koj tus kws kho mob yuav sau ntawv kom noj cov vitamin ua ntej yug menyuam . Qhov no yuav pab kom koj tau txais hlau txaus, calcium, thiab folic acid . Tsis tas li ntawd, nws zoo heev rau kev ua si tsis tu ncua, tsis muaj kev cuam tshuam thaum lub sijhawm no. Kuv yuav tsum paub dab tsi ntxiv?
Rau qhov zoo ntawm koj thiab koj tus menyuam, koj yuav tsum tau saib xyuas koj tus kheej zoo thaum cev xeeb tub. Nco ntsoov ua raws li cov hauv qab no:- Tsis txhob haus luam yeeb, haus cawv, lossis siv yeeb tshuaj.
- So kom txaus.
- Noj zaub mov kom noj qab nyob zoo.
Tsis tas li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog thiab paub txog cov no:- Kev Nyab Xeeb Txog Tshuaj
- Kev Nyab Xeeb Khoom Noj
- Cov tshuaj tiv thaiv kab mob
- Kev Nyab Xeeb ntawm Kev Ua Si
Tham txog txhua yam no nrog koj tus kws kho mob thiab ua raws li lawv cov lus qhia. Qhov tseem ceeb ntawm kev tham nrog koj tus kws kho mob
Thaum lub sijhawm no muaj kev hloov pauv hauv koj lub cev, tej yam yuav tshiab rau koj. Yog li, nws yuav nyuaj me ntsis los tham txog txhua yam nrog koj tus kws kho mob. Tej zaum koj xav paub tias, "Kuv puas tuaj yeem sib deev thaum lub sijhawm no?", "Kuv tuaj yeem ua dab tsi txog hemorrhoids lossis cem quav?", lossis tej zaum koj ntshai txog kev muaj menyuam. Tej zaum koj yuav txaj muag nug cov lus nug no. Tab sis tsis txhob xav li ntawd. Tej zaum koj tus kws kho mob tau nug tag nrho cov lus nug no ua ntej lawm.Yog li ntawd, sau koj cov lus nug rau ntawm daim ntawv thiab nug lawv txhua zaus koj mus ntsib kws kho mob. Nws yuav pab tau koj ntau heev. Tsis tas li ntawd, yog tias muaj tej yam zoo li no tshwm sim, hu rau koj tus kws kho mob tam sim ntawd:- Yog tias muaj ntshav ntws hnyav heev .
- Kev poob kua dej sai sai.
- Yog koj xav tias koj tus menyuam txoj kev txav mus los tau txo qis.
- Yog tias koj muaj ntau tshaj peb qhov kev mob plab hauv ib teev.
Cov no yog xwm txheej ceev, yog li koj yuav tsum tau ceev faj txog qhov no thiab. Thaum kawg, nco ntsoov qhov no (Cov Lus Coj Mus Tsev)
Yog tias koj yuav los ua niam, ces kev saib xyuas ua ntej yug menyuam yog qhov tseem ceeb heev kom ua rau txoj kev taug kev no zoo kawg nkaus. Mus ntsib koj tus kws kho mob tas li, ua raws li lawv cov lus qhia, thiab tham nrog lawv txog txhua lo lus nug lossis kev txhawj xeeb uas koj muaj. Tom qab ntawd koj tuaj yeem txais tos koj tus menyuam me rau hauv lub ntiaj teb no ua ib leej niam noj qab nyob zoo thiab zoo siab. Kuv xav kom koj muaj hmoo zoo tshaj plaws! Kev Saib Xyuas Cev Xeeb Tub, Kev Saib Xyuas Ua Ntej Yug Me Nyuam, Cov Lus Qhia Kho Mob Thaum Cev Xeeb Tub, Kev Saib Xyuas Ua Ntej Yug Me Nyuam, Kev Ntsuas Cev Xeeb Tub, Kev Xeeb Tub Noj Qab Nyob Zoo, Kev Yug Me Nyuam
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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