Yog tias koj yog ib leej niam uas tab tom cev xeeb tub, ib qho ntawm koj txoj kev cia siab loj tshaj plaws hauv koj lub siab yog yug ib tug menyuam noj qab nyob zoo rau hauv lub ntiaj teb no thaum lub sijhawm zoo. Tab sis qee zaum, tsis tau xav txog, koj yuav ntshai me ntsis txog kev yug koj tus menyuam ua ntej hnub yug. Qhov no yog ib yam dab tsi uas ntau tus niam xav. Niaj hnub no, peb tab tom tham txog qhov 'yug ntxov' lossis, hauv kev kho mob, kev yug ntxov . Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub txog qhov no kom zoo .
Kev Ua Haujlwm Ua Ntej Lub Sijhawm Yog Dab Tsi?
Hais yooj yim xwb, qhov nruab nrab cev xeeb tub kav li 40 lub lis piam. Yog tias peb pib muaj kev mob thiab lub qhov ncauj tsev menyuam nthuav ua ntej lub lis piam 37, peb hu qhov mob ntawd ua Preterm Labor .
Qhov teeb meem tseem ceeb ntawm qhov no yog tias cov kab mob ntawm tus menyuam yug los rau hauv txoj kev no, tshwj xeeb tshaj yog lub ntsws thiab lub hlwb, tsis tau tsim tag nrho. Qhov no ua rau tus menyuam muaj feem ntau yuav muaj ntau yam teeb meem. Kwv yees li 10% ntawm kev cev xeeb tub xaus rau kev yug ntxov. Tsis tas li ntawd, kwv yees li 60% ntawm cov teeb meem loj lossis kev tuag ntawm cov menyuam mos yog tshwm sim los ntawm cov kev yug ntxov no.
Yog tias tus menyuam yug ua ntej lub sijhawm, yuav muaj kev pheej hmoo dab tsi?
Muaj ib tug menyuam yug tsis tau raws sijhawm tuaj yeem yog ib qho kev paub txaus ntshai heev rau ib tug niam. Qhov laj thawj rau qhov no yog qhov ntshai ntawm qhov yuav tshwm sim rau nws tus menyuam. Muaj ntau yam teeb meem uas ib tug menyuam yug tsis tau raws sijhawm yuav tsum tau ntsib.
- Lub ntsws tsis loj hlob zoo: Qhov no yog qhov teeb meem loj tshaj plaws. Yog tias tus menyuam lub ntsws tsis tau loj hlob tag nrho, nws yuav nyuaj rau nws ua pa ntawm nws tus kheej. Tom qab ntawd tus menyuam yuav tsum tau txuas nrog lub tshuab (lub tshuab ua pa) uas pab nws ua pa . Txawm tias thaum muab oxygen rau hauv txoj kev no, lwm yam teeb meem kuj tuaj yeem tshwm sim.
- Nyuaj tswj qhov kub ntawm lub cev: Tus me nyuam yuav tsis muaj peev xwm tswj tau qhov kub ntawm lub cev ib txwm. Qhov no kuj hu ua hypothermia . Qhov no txhais tau tias qhov kub ntawm lub cev poob qis heev. Yog li ntawd, yuav tsum muaj cov khoom siv tshwj xeeb (incubator) los ua kom tus me nyuam sov.
- Nyuaj siab nqus mis: Qee zaum cov leeg nqaij uas yuav tsum tau nqus mis rau tus menyuam lub mis tseem tsis tau loj hlob tag nrho. Hauv qhov no, tej zaum yuav tsum tau muab cov khoom noj ua kua rau hauv cov hlab ntsha lossis pub tus menyuam noj los ntawm ib lub raj uas ntxig los ntawm lub qhov ntswg thiab lub plab.
- Lwm yam teeb meem: Tsis tas li ntawd xwb, muaj kev pheej hmoo ntxiv ntawm kev kis kab mob loj xws li los ntshav hauv lub hlwb, mob hlwb meningitis thiab sepsis , teeb meem kev ua haujlwm ntawm lub raum thiab mob daj ntseg.Tej xwm txheej zoo li no tuaj yeem tshwm sim.
Qhov tseem ceeb tshaj plaws yog tias cov kev pheej hmoo no nce ntxiv nyob ntawm seb tus menyuam yug ntxov npaum li cas. Yog tias muaj tsawg lub lis piam, qhov kev pheej hmoo ntawd yuav nce ntxiv.
Leej twg muaj feem yuav raug qhov no ntau dua?
Muaj ib txhia niam uas muaj feem yuav muaj tus mob no ntau dua li lwm tus. Mus saib daim ntawv hauv qab no kom nkag siab txog cov yam uas ua rau muaj kev pheej hmoo no.
| Qhov Ua Rau Muaj Kev Pheej Hmoo | Piav qhia yooj yim |
|---|---|
| Kev xeeb tub yav dhau los | Yog tias koj tau muaj menyuam yug ntxov ua ntej lossis yog tias muaj qhov xwm txheej zoo sib xws tshwm sim. |
| cev xeeb tub ntau zaus | Muaj ntau tshaj ib tug menyuam hauv plab, xws li menyuam ntxaib lossis menyuam peb. |
| Teeb meem nrog lub tsev menyuam lossis lub qhov ncauj tsev menyuam | Lub tsev menyuam zoo li tsis zoo, lub caj dab tsis muaj zog, lossis tau phais lub caj dab yav dhau los (cone biopsy) . |
| Hnub nyoog | Muaj hnub nyoog qis dua 18 xyoo lossis hnub nyoog tshaj 40 xyoo. |
| Kev noj qab haus huv thiab kev ua neej | Haus luam yeeb, siv yeeb tshuaj, rog dhau ua ntej cev xeeb tub, thiab ua haujlwm hnyav heev. |
| Cov kab mob sib kis | Cervical mobMuaj cov kab mob xws li pawg B streptococci, gonorrhea, thiab chlamydia. |
| Tsis txhob mus ntsib kws kho mob poj niam thiab kws kho mob poj niam | Tsis tau txais cov lus qhia kho mob kom zoo thiab mus ntsib kws kho mob thaum cev xeeb tub. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob no, yog li koj tuaj yeem ua haujlwm sai.
- Kev Sib Nraus: Yog tias koj lub tsev menyuam tawv thiab tawv zoo li pob zeb ntau tshaj plaub zaug hauv ib teev. Qee zaum qhov no yuav tsis mob.
- Mob plab qis : Mob nraub qaum lossis mob plab qis, zoo ib yam li mob plab thaum muaj hli.
- Mob nraub qaum: Mob tob tob, mob tas li hauv qab nraub qaum.
- Kev nyem ntawm lub duav: Ib qho kev xav zoo li muaj ib yam dab tsi thawb rau ntawm sab ntawm lub qhov chaw mos.
- Kev Hloov Pauv ntawm Cov Kua Paug Hauv Qhov Chaw Mos: Kev hloov pauv ntawm qhov ntau lossis qhov xwm txheej ntawm cov kua paug hauv qhov chaw mos, tshwj xeeb tshaj yog kev tso tawm sai sai ntawm cov kua dej lossis maj mam xau.
- Mob plab los yog o: Qee zaum, cov tsos mob xws li mob plab, cov tsos mob zoo li mob gastritis , lossis o kuj tseem yuav tshwm sim.
Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tso tseg. Hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws.
Koj yuav ua li cas thiaj paub tseeb qhov no, kws kho mob?
Thaum koj mus rau tsev kho mob, cov kws kho mob yuav ua ntau qhov kev kuaj mob kom paub tseeb tias koj puas yug menyuam ua ntej lub sijhawm tiag.
1. Kev Saib Xyuas: Muaj ob txoj siv sia nyob ib ncig ntawm koj lub plab kom sau tau lub plawv dhia ntawm tus menyuam thiab lub tsev menyuam uas raug mob.
2. Kev kuaj xyuas qhov chaw mos: Tus kws kho mob yuav kuaj sab hauv ntawm lub qhov ncauj tsev menyuam seb nws puas qhib lossis nyias.
3. Kuaj lub hnab dej: Yog tias koj hais lossis xav tias koj lub hnab dej tawg lawm, yuav muab cov kua dej uas tawm hauv koj lub qhov chaw mos los kuaj seb puas yog cov kua dej amniotic nyob ib puag ncig tus menyuam.
4. Lwm yam kev kuaj: Cov qauv ntawm qhov chaw mos thiab zis raug coj mus rau chav kuaj mob kom kuaj seb puas muaj kab mob. Qee zaum yuav muaj kev siv tshuab ultrasound tshwj xeeb los ntsuas qhov ntev ntawm lub qhov ncauj tsev menyuam.
Cov kev kho mob rau qhov no yog dab tsi?
Yog tias koj raug kuaj pom tias koj yug menyuam ua ntej lub sijhawm, kev kho mob yuav nyob ntawm seb koj yug tau pes tsawg lub lis piam, koj tus menyuam lub cev zoo li cas, thiab koj tus kheej lub cev zoo li cas. Lub hom phiaj tseem ceeb yog ncua kev yug menyuam kom ntau li ntau tau thiab cia tus menyuam nyob hauv plab ntev dua.
- Haus dej rau hauv cov hlab ntsha thiab pw tsaug zog: Kauj ruam thib ib yog pw tsaug zog thiab muab dej ntsev rau hauv cov hlab ntsha. Tej yam yooj yim no qee zaum tuaj yeem tiv thaiv kev mob plab.
- Tshuaj Tua Kab Mob: Cov tshuaj xws li magnesium sulfate lossis terbutaline raug muab rau hauv cov hlab ntsha kom tsis txhob mob plab. Cov no ua haujlwm los ntawm kev so cov leeg ntawm lub tsev menyuam thiab tiv thaiv qhov mob.
- Cov tshuaj pab kom tus menyuam lub ntsws loj hlob: Txawm tias tsis tuaj yeem nres kev yug menyuam los xij, yog tias nws tuaj yeem ncua sijhawm tsawg kawg yog ob hnub, leej niam yuav tau txhaj tshuaj steroid thaum lub sijhawm no. Qhov no pab tus menyuam lub ntsws loj hlob sai dua.
- Tso Cai Rau Kev Yug Me Nyuam: Qee zaum, cov kws kho mob txiav txim siab txuas ntxiv kev yug me nyuam yam tsis tau tso tseg. Piv txwv li, yog tias leej niam muaj kab mob hnyav, ntshav siab (preeclampsia) , lossis yog tias tus menyuam tsis zoo hauv plab, nws yuav muaj kev nyab xeeb dua rau niam thiab tus menyuam yug ntxov.
Peb ua tau dab tsi los tiv thaiv qhov no?
Txawm hais tias qhov xwm txheej no tsis tuaj yeem tiv thaiv tau 100% los xij, muaj ntau yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo.
Qhov tseem ceeb tshaj plaws thiab thawj qhov yog mus ntsib kev saib xyuas ua ntej yug menyuam raws sijhawm txij li hnub koj paub tias koj cev xeeb tub.
Koj tus kws kho mob yuav kuaj koj, txheeb xyuas koj cov yam uas ua rau muaj kev pheej hmoo, thiab muab cov lus qhia tsim nyog rau koj.
Yog tias koj pib muaj cov tsos mob uas tau tham ua ntej, ntawm no yog yam yuav tsum ua:
1. Tsum qhov koj tab tom ua tam sim ntawd.
2. Mus rau chav dej thiab tso zis. (Qee zaum lub zais zis puv kuj tuaj yeem ua rau mob plab.)
3. Haus li ob khob dej los yog kua txiv hmab txiv ntoo.
4. Tig mus rau sab laug thiab so.
5. Yog tias qhov mob tseem mob tshaj plaub zaug hauv ib teev txawm tias ua tej yam no los xij, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau tsev kho mob yam tsis ncua sijhawm ntxiv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov pib mob ua ntej 37 lub lis piam ntawm cev xeeb tub hu ua 'Preterm Labor', thiab nws tuaj yeem ua rau muaj kev pheej hmoo rau tus menyuam.
- Nco ntsoov ceev faj txog cov tsos mob xws li mob plab, mob plab qis, mob nraub qaum, thiab kev hloov pauv ntawm cov kua tawm ntawm qhov chaw mos.
- Mus koom cov chaw kho mob raws sijhawm thiab raws sijhawm yog txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo.
- Yog koj muaj tej yam tsos mob, tsis txhob ntshai, so, haus dej, thiab qhia rau koj tus kws kho mob lossis tsev kho mob tam sim ntawd. Kev ua sai sai feem ntau yuav ncua kev yug menyuam.
- Txawm tias nyob rau hauv qhov xwm txheej no los xij, muaj ntau yam uas ua tau los tiv thaiv koj thiab koj tus menyuam raws li kev tshawb fawb kho mob niaj hnub no. Yog li ntawd, nyob twj ywm.
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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