Puas muaj ntshav hauv tus menyuam mos lub taub hau? Qhov no puas yog ntshav hauv qab plab? Cia peb tham!

Koj yuav tsum zoo siab heev tom qab koj tus menyuam yug los rau hauv lub ntiaj teb no, puas yog? Tab sis tib lub sijhawm, qee zaum koj ntshai txog tej yam me me. Tshwj xeeb tshaj yog tias kev yug me nyuam nyuaj me ntsis, nws yog ib qho ib txwm muaj kev txhawj xeeb yog tias koj pom qhov kev hloov pauv me me hauv tus menyuam lub taub hau. Hnub no peb yuav tham txog ib qho mob uas tuaj yeem tshwm sim hauv lub taub hau thaum lub sijhawm zoo li no, thiab koj yuav tsum ceev faj me ntsis.

Qhov kev los ntshav hauv qab lub plab no yog dab tsi? Cia peb nkag siab yooj yim heev!

Hais yooj yim xwb, qhov no yog cov ntshav uas nyob hauv qab daim tawv nqaij ntawm tus menyuam mos lub taub hau, ntawm cov txheej ntawm cov nqaij mos saum lub taub hau. Xav txog seb, peb lub taub hau kuj muaj cov txheej sib txawv hauv qab daim tawv nqaij. Ib yam li ntawd, hauv qab daim tawv nqaij ntawm tus menyuam lub taub hau, muaj ib daim nyias nyias ua los ntawm cov nqaij sib txuas ua ke, uas cov kws kho mob hu ua '(galea aponeurotica)'. Hauv qab ntawd, muaj lwm daim nyias nyias nyob ib puag ncig cov pob txha ntawm lub taub hau, uas hu ua '(periosteum)'. Qhov kev los ntshav no, lossis kev sau cov ntshav, tshwm sim ntawm ob txheej ntawd.

Qhov laj thawj tseem ceeb rau qhov no yog tias muaj cov hlab ntsha me me uas txuas los ntawm lub taub hau mus rau sab hauv ntawm lub taub hau. Cov no hu ua "emissary veins". Cov hlab ntsha no mus ncig los ntawm cov qhov me me ("foramen") hauv lub taub hau. Qee zaum, thaum lub sijhawm yug menyuam nyuaj, cov hlab ntsha no tuaj yeem rub thiab tawg thaum tus menyuam yug los. Thaum ntawd cov ntshav ntws los ntawm qhov ntawd thiab sau rau hauv qhov sib txawv.

Qhov no yuav ua rau muaj kev phom sij me ntsis. Vim tias, cov ntshav ntau heev, ntawm 20% thiab 40% ntawm tag nrho lub cev ntawm tus menyuam, tuaj yeem sib sau ua ke hauv lub taub hau li no. Tab sis tsis txhob txhawj, yog tias qhov no raug lees paub thiab kho sai thiab sai, nws tuaj yeem kho tau tag nrho. Qhov mob no feem ntau yuav zoo dua hauv ob mus rau peb lub lis piam.

Leej twg yuav muaj feem yuav mob no tshaj?

Qhov mob no, hu ua "Subgaleal Hemorrhage", yog ib qho mob tsis tshua muaj rau txhua tus menyuam uas yug los ntawm kev yug menyuam ib txwm. Txawm li cas los xij, thaum tus menyuam nyuaj tawm los, cov kws kho mob yuav tsum siv qee yam khoom siv los pab yug menyuam. Piv txwv li, yog tias siv "lub tshuab nqus tsev" (peb hu nws ua "lub tshuab nqus tsev" hauv kev sib tham) lossis "forceps" (lub cuab yeej zoo li forceps), qhov kev pheej hmoo siab dua.

Qhov teeb meem no muaj ntau npaum li cas? Peb puas yuav tsum ntshai?

Qhov tseeb, qhov no yog ib qho mob tsis tshua muaj. Qhov ntawd yog, nws tsis yog ib yam dab tsi uas pom ntau zaus. Qhov no tau tshaj tawm hauv kwv yees li 4 tus menyuam ntawm 10,000 tus menyuam yug tsis siv cov khoom siv. Puas yog qhov ntawd tsis yog tus lej tsawg heev? Txawm li cas los xij, zoo li kuv tau hais ua ntej, yog tias siv lub cuab yeej zoo li "lub tshuab nqus tsev" los tshem tus menyuam, tus lej no yuav nce me ntsis. Hauv cov xwm txheej zoo li no, cov ntaub ntawv kho mob hais tias kwv yees li 60 tus menyuam ntawm 10,000 tus menyuam yug tuaj yeem muaj tus mob no. Tab sis qhov ntawd tsis yog qhov tseeb rau txhua tus.

Vim li cas thiaj muaj cov ntshav hauv qab plab no? Dab tsi yog cov ua rau muaj qhov no?

Raws li kuv tau hais ua ntej lawm, qhov ua rau qhov no yog thaum cov hlab ntsha me me (cov hlab ntsha emissary) uas mus ntawm lub taub hau mus rau lub taub hau tawg vim muaj qee qhov kev nyem thaum yug menyuam. Tom qab ntawd, cov ntshav ntawd sau rau hauv qhov chaw ntawm daim tawv nqaij thiab lub taub hau (qhov chaw subgaleal). Qhov no tsuas yog tshwm sim thaum yug menyuam ib txwm , qhov xwm txheej no tsis tshwm sim thaum lub sijhawm cesarean.

Qee zaum kev yug menyuam yuav nyuaj dua li peb xav. Thaum ntawd cov kws kho mob yuav tsum siv cov khoom siv xws li "lub tshuab nqus tsev" lossis "forceps" los tshem tus menyuam kom huv si. Nov yog qee qhov laj thawj uas ua rau kev yug menyuam nyuaj:

• Tus menyuam lub taub hau lossis lub cev loj dhau lawm tsis tuaj yeem nkag mus rau hauv niam lub plab mog. Cov kws kho mob hu qhov no tias "cephalopelvic disproportion".
• Tus me nyuam tsis nqis los zoo thiab tsis muaj kev nyab xeeb los ntawm txoj hlab ntaws yug (fetal dystocia).
• Tus menyuam qhov hnyav siab dua li qub (macrosomia).
• Kev yug menyuam ntev yog thaum tus menyuam tsis yug ntau tshaj 20 teev tom qab pib yug menyuam.
• Qee zaum, kev yug menyuam tuaj yeem tshwm sim sai heev, tsuas yog peb teev xwb, thiab tus menyuam yuav yug los ('kev yug menyuam sai'). Qee zaum teeb meem tuaj yeem tshwm sim rau lub sijhawm no thiab.

Qhov mob no feem ntau yuav tshwm sim thaum siv lub tshuab nqus tsev los rho tus menyuam tawm. Vim tias, thaum lub khob zoo li lub khob ntawm lub (nqus tsev) txuas rau tus menyuam lub taub hau, lub zog rub uas nws tsim tuaj yeem rub daim tawv nqaij ntawm lub taub hau tawm ntawm lub pob txha taub hau me ntsis. Tom qab ntawd cov ntaub so ntswg sib txuas hauv qhov chaw (subgaleal space) yuav xoob, tsim kom muaj chaw rau cov ntshav sau. Yog tias cov ntshav sau ntau dhau li no, nws tuaj yeem ua rau tus menyuam tuag taus. Yog vim li ntawd cov kws kho mob thiaj li ceev faj txog qhov no.

Cov tsos mob ntawm qhov no yog dab tsi? Koj yuav paub nws li cas yog tias koj pom nws?

Cov tsos mob ntawm "Subgaleal Hemorrhage" pib tshwm sim tom qab tus menyuam yug los. Nov yog qee yam uas koj tuaj yeem pom:

• Tus menyuam daim tawv nqaij zoo li raug mob , tshwj xeeb tshaj yog ntawm lub taub hau thiab caj dab.
• Lub plawv dhia ceev heev (tachycardia).
• Muaj ntshav siab qis.
• Cov xim tawv nqaij zoo li daj ntseg heev ('pallor').
• Vim yog lub cev poob ntshav ntau heev, cov qib ntawm cov khoom hauv cov ntshav hu ua "hemoglobin" thiab "hematocrit" txo qis.
• Yuav muaj qhov o uas zoo li dej rau ntawm tus menyuam lub taub hau (boggy o). Qhov no yog los ntawm cov ntshav sib sau ua ke sab hauv. Qhov o no kuj tseem yuav kis mus rau tom qab tus menyuam pob ntseg thiab mus rau ntawm caj dab.

Zoo hmoo, tsis yog txhua tus menyuam mos muaj cov tsos mob hnyav. Tsawg dua 25% ntawm txhua tus neeg mob uas muaj cov ntshav hauv qab plab muaj cov tsos mob uas hnyav txaus kom ua rau tuag taus. Cov no suav nrog:

• Kev los ntshav sab hauv ntau dhau los yog teeb meem nrog kev txhaws ntshav (coagulopathy).
• Ib yam mob hu ua 'hypovolemic lossis hemorrhagic shock', uas tshwm sim thaum lub cev poob dej thiab ntshav ntau dhau mus txog rau qhov uas lub plawv tsis tuaj yeem tso ntshav tau zoo.
• Ua pa nyuaj (ua pa nyuaj).
• Tsis muaj oxygen txaus rau lub hlwb thaum lub sijhawm yug menyuam (intrapartum hypoxia).
• Maj mam ua tsis tau haujlwm ntawm cov kabmob sab hauv, xws li lub raum (kev ua tsis tau haujlwm ntawm cov kabmob).

Cov kws kho mob kuaj mob li cas? Lawv ua cov kev kuaj dab tsi?

Thaum tus me nyuam yug los, pab neeg kho mob yuav ua tib zoo saib xyuas tus me nyuam seb puas muaj cov tsos mob uas tau hais ua ntej. Piv txwv li, lawv yuav saib ze rau daim tawv nqaij ntawm tus me nyuam seb puas dawb, lub taub hau o, lossis puas muaj qhov txhab txawv txawv.

Yog tias muaj kev xav me ntsis txog "Subgaleal Hemorrhage", tus kws kho mob yuav xaj ntau qhov kev kuaj tshwj xeeb rau ntawm tus menyuam lub taub hau.

• Ib qho ultrasound ntawm lub taub hau.
• Tej zaum yog ib qho '(CT scan - Computed Tomography scan)'.
• Los yog MRI (Magnetic Resonance Imaging).
• Qee zaum yuav tau thaij duab X-ray.

Cov kev kuaj no tuaj yeem qhia meej tias cov ntshav hauv qab daim tawv nqaij zoo li cas thiab nws loj npaum li cas.

Xav txog tias muaj lub tshuab nqus tsev uas tau siv los tshem koj tus menyuam. Yog tias qhov ntawd tshwm sim, txawm tias koj tus menyuam tsis muaj tsos mob loj tam sim ntawd, cov kws kho mob yuav cia koj tus menyuam nyob hauv chav zov menyuam lossis, yog tias tsim nyog, chav saib xyuas menyuam mos (NICU) rau ob peb teev kom saib xyuas nws ze. Qhov no yog vim qee zaum cov ntshav sib sau ua ke thiab cov nqaij puas tsuaj uas ua rau daim tawv nqaij tsis zoo yuav siv sijhawm ntev los tsim. Qhov no txhais tau tias cov tsos mob no tuaj yeem tshwm sim txhua qhov chaw txij li ib teev mus txog 72 teev (3 hnub) tom qab tus menyuam yug los.

Yuav kho qhov no li cas? Tus me nyuam puas yuav zoo sai sai no?

Thaum cov kws kho mob paub tseeb tias nws yog "Subgaleal Hemorrhage", lawv pib kho tam sim ntawd. Kev kho mob no feem ntau ua nyob rau hauv chav saib xyuas menyuam mos (NICU) .

Qhov tseem ceeb tshaj plaws yog kom rov qab muaj cov ntshav ntawm tus menyuam yog tias nws txo qis. Qhov no ua tau los ntawm kev muab cov khoom xws li ntshav thiab plasma rau tus menyuam.

Tsis tas li ntawd xwb, pab neeg kho mob ntawm tus menyuam yuav txuas ntxiv saib xyuas tus menyuam cov ntshav (hemoglobin, hematocrit), lub plawv dhia, thiab ntshav siab. Tus menyuam lub taub hau ncig kuj tseem yuav raug ntsuas tsis tu ncua kom pom tias qhov o ploj zuj zus lossis nce ntxiv.

Qee zaum, yog tias qhov kev los ntshav hnyav heev thiab tsis tuaj yeem tswj tau nrog kev hloov dej, kev phais mob ceev yuav tsim nyog, tsawg kawg nkaus. Qhov no yog ua los tiv thaiv kev los ntshav ntawm qhov chaw los ntshav hauv lub taub hau thiab tshem tawm cov ntshav uas tau sau tseg.

Tus me nyuam yuav zoo sai npaum li cas tom qab kho mob?

Thaum kev kho mob tsis los ntshav lawm, qhov o ntawm lub taub hau yuav maj mam txo qis thiab lwm yam tsos mob yuav ploj mus. Feem ntau cov tsos mob no yuav ploj mus li ntawm ob mus rau peb lub lis piam.

Txawm li cas los xij, koj yuav tsum txuas ntxiv mus nrog koj tus menyuam cov kws kho mob sib txuas lus thoob plaws hauv thawj xyoo ntawm tus menyuam, thiab mus rau cov chaw kho mob thiab kev kuaj mob uas lawv pom zoo. Qhov no yog los xyuas seb puas muaj lwm yam tsos mob uas yuav cuam tshuam rau koj tus menyuam txoj kev loj hlob. Feem ntau, kwv yees li 75% ntawm cov neeg mob, yog tias kev kho mob ua tiav, tus menyuam yuav rov zoo thiab koj yuav tuaj yeem mus tsev nrog koj tus menyuam.

Puas muaj ib txoj hauv kev los txo qhov tshwm sim ntawm hom xwm txheej no?

Nws yeej nyuaj heev rau kev tiv thaiv kom tsis txhob muaj "Subgaleal Hemorrhage" kiag li. Qhov no yog vim nws feem ntau tshwm sim los ntawm qhov tshwm sim tsis tau xav txog thaum muaj teeb meem yug menyuam. Feem ntau, qhov muaj teeb meem zoo li no tsuas pom thaum lub sijhawm yug menyuam xwb.

Txawm li cas los xij, nws yog ib qho tseem ceeb kom tau txais kev saib xyuas ua ntej yug me nyuam thiab ua raws li koj tus kws kho mob cov lus qhia thaum koj cev xeeb tub. Thaum lub sijhawm kuaj ultrasound ua ntej yug me nyuam, koj tus kws kho mob yuav saib qhov chaw ntawm tus menyuam, qhov loj me, thiab qhov loj ntawm koj lub duav kom txiav txim siab seb kev yug me nyuam ib txwm yog qhov kev xaiv zoo tshaj plaws rau koj thiab koj tus menyuam, lossis koj puas yuav tsum xav txog lwm txoj kev xaiv.

Yog tias kuv tus menyuam muaj tus mob no, yuav ua li cas? Kuv puas yuav tsum txhawj?

Tu siab kawg li, muaj ib feem pua ​​me me ntawm cov menyuam mos (ntawm 10% thiab 25%) tuag thaum lawv tseem yau vim yog los ntshav ntau dhau. Qhov no tu siab uas hnov. Txawm li cas los xij, ntau dua 75% ntawm cov menyuam mos uas kuaj pom tias muaj "Subgaleal Hemorrhage" rov zoo thiab ua neej nyob li qub. Kev kuaj pom thiab kho thaum ntxov yog txoj hauv kev zoo tshaj plaws los pab koj tus menyuam. Yog vim li cas cov kws kho mob thiaj li ceev faj txog qhov no.

Qhov kev los ntshav hauv qab glottic no yuav kav ntev npaum li cas?

Feem ntau, tom qab kho mob, koj tus menyuam cov tsos mob ntawm "(Subgaleal Hemorrhage)," tshwj xeeb tshaj yog qhov o ntawm lub taub hau , yuav luag ploj mus tag hauv ob mus rau peb lub lis piam. Cov kws kho mob yuav txuas ntxiv saib xyuas tus menyuam txoj kev noj qab haus huv txawm tias tom qab nws tawm hauv tsev kho mob lawm. Lawv yuav xyuas seb puas muaj kev tsis haum tshuaj rau kev kho mob, yog tias qhov o tau poob qis tag, thiab yog tias tus menyuam lwm yam kabmob ua haujlwm zoo.

Koj yuav saib xyuas ib tug me nyuam uas muaj tus mob no li cas? Koj yuav tsum saib xyuas koj tus kheej thiab!

Koj tus menyuam mos uas muaj ntshav hauv qab plab yuav raug khaws cia rau hauv NICU lossis chav menyuam mos tshwj xeeb rau ob peb hnub kom txog thaum cov kws kho mob txiav txim siab tias tus menyuam noj qab nyob zoo thiab ruaj khov txaus kom raug xa mus tsev.

Txawm tias tom qab tus me nyuam rov qab los tsev lawm los, nws tseem ceeb heev uas yuav tsum coj nws mus rau lub tsev kho mob raws li cov kws kho mob tau teem tseg thaum lub xyoo thawj zaug. Cov kev kuaj no yog qhov uas lees paub seb kev kho mob puas ua tiav thiab seb puas muaj lwm yam teeb meem mus sij hawm ntev uas yuav tshwm sim vim yog tus mob no.

Qhov no tseem ceeb heev:Thaum tej yam ntxhov siab thiab ntxhov siab heev tom qab koj yug me nyuam, nws yog ib qho tseem ceeb rau koj ua ib leej niam kom saib xyuas koj tus kheej. Qhov no tsis yog lub sijhawm yooj yim. Nrhiav kev txhawb nqa los ntawm koj tsev neeg, koj tus txiv, thiab koj cov phooj ywg. Yog tias koj xav tias ntxhov siab, ntxhov siab, tu siab, lossis ntshai, thov nrog koj tus kws kho mob lossis tus kws pab yug me nyuam tham. Tsis txhob txaj muag thov kev pab yog tias koj xav tau.

Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?

Tom qab koj tus menyuam rov qab los tsev, mus ntsib kws kho mob yog tias koj pom ib qho ntawm cov hauv qab no:

• Yog tias qhov o ntawm tus menyuam lub taub hau tsis poob qis tom qab kho mob, tseem zoo li qub lossis nce ntxiv.
• Yog tias koj tus menyuam daim tawv nqaij tseem dawb, lossis yog tias lawv lub qhov muag dawb lossis daim tawv nqaij zoo li daj (zoo li mob ntshav qab zib).
• Yog tias koj tus menyuam txoj kev loj hlob - xws li luag nyav, tuav lawv lub caj dab, thiab dov - zoo li poob qis dua lwm tus menyuam hauv lawv thawj xyoo,

Thaum twg koj yuav tsum mus rau tsev kho mob (ER) tam sim ntawd?

Yog tias ib tug me nyuam uas muaj (lossis muaj) "Subgaleal Hemorrhage" muaj qaug dab peg, nws yog ib qho xwm txheej ceev hauv kev kho mob. Kev qaug dab peg tuaj yeem yog los ntawm:

• Tus me nyuam zoo li tsis nco qab ib pliag.
• Kuv ob txhais ceg tshee hnyo thiab tshee hnyo tas li.
• Tus me nyuam mos tam sim ntawd zoo li ntxhov siab, ntshai, lossis ua tej yam txawv txawv.

Feem ntau qaug dab peg yuav kav ntev li ntawm 30 vib nas this mus txog ob feeb. Txawm li cas los xij, yog tias qaug dab peg ntev tshaj tsib feeb, nws muaj kev phom sij heev. Tshwj xeeb tshaj yog tias tus menyuam ua pa nyuaj, hu rau 911 tam sim ntawd, lossis coj tus menyuam mus rau chav kho mob ceev ze tshaj plaws sai li sai tau.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum lub sijhawm zoo li no, tej zaum koj yuav muaj ntau lo lus nug hauv koj lub siab. Tej zaum yuav pab tau yog koj nug koj tus kws kho mob cov lus nug no:

• "Kws kho mob, kuv tus menyuam mob hnyav npaum li cas?"
• "Tus me nyuam puas yuav tsum tau phais qhov no? Los yog puas muaj lwm yam kev kho mob?"
• "Kuv mam li coj tus me nyuam mus tsev thaum twg los ntawm tsev kho mob?"
• "Puas muaj ib txoj kev tshwj xeeb uas kuv yuav tsum saib xyuas tus me nyuam tom qab kuv mus txog tsev lawm?"

Qhov txawv ntawm Hemorrhage thiab Hematoma yog dab tsi?

Tej zaum koj twb tau hnov ​​ob lo lus no lawm. Lo lus "Subgaleal" txhais tau hais tias qhov chaw uas qhov mob no tshwm sim. Uas yog, qhov chaw ntawm daim tawv nqaij thiab lub taub hau ntawm lub taub hau.

• 'Kev Los Ntshav' txhais tau hais tias tseem muaj kev los ntshav, lossis tias tseem muaj kev los ntshav tas mus li, nyob rau hauv thaj chaw 'subgaleal' ntawm lub taub hau. Ntawd yog, kev los ntshav tas mus li.
• 'Hematoma' txhais tau hais tias cov ntshav tau sib sau ua ke rau hauv ib qho chaw thiab khov . Qhov no txhais tau hais tias cov ntshav, uas yog kua, tau tuab me ntsis thiab ua zoo li ib lub pob.

Hauv qhov "Subgaleal Hemorrhage" no, thaum xub thawj muaj kev los ntshav (hemorrhage), thiab tom qab ntawd cov ntshav tuaj yeem txhaws tau raws sijhawm (hematoma). Ob qho no tshwm sim thaum cov hlab ntsha hauv thaj chaw ntawd raug puas tsuaj vim qee qhov kev raug mob lossis kev puas tsuaj.

Thaum kawg, tej yam koj yuav tsum nco ntsoov ...

Tom qab yug me nyuam nyuaj, ua ib leej niam, nws yog ib qho ib txwm muaj uas yuav muaj kev ntxhov siab thiab kev ntxhov siab ntau thaum cov kws kho mob maj nrawm los ua haujlwm txog kev noj qab haus huv ntawm koj tus menyuam. Thaum lub sijhawm zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum nyob ib puag ncig koj tus kheej nrog koj tsev neeg, tus txiv, thiab cov phooj ywg rau lawv txoj kev hlub thiab kev txhawb nqa, es tsis txhob nyob ib leeg. Qhia koj txoj kev xav rau lawv.

Yog koj tus menyuam kho sai thiab ceev faj, koj tus menyuam yuav muaj feem ntau dua rau qhov tshwm sim zoo. Thaum koj tus menyuam rov zoo hauv tsev kho mob, koj yuav coj nws mus tsev nrog koj hauv koj lub xub ntiag. Yog li ntawd, nyob twj ywm. Xav kom koj thiab koj tus menyuam rov zoo sai sai!

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