Ntawm tej yam uas koj hnov thiab hnov thaum cev xeeb tub, tej zaum koj yuav xav paub me ntsis, tej zaum txawm ntshai, txog qhov 'dej tawg' no. Tom qab pom tej xwm txheej zoo li hauv cov yeeb yaj kiab uas dej tawg tam sim ntawd thiab koj txhawj xeeb, koj puas xav tias qhov no yuav tshwm sim? Qhov tseeb, nws tsis tshwm sim rau txhua tus. Qee zaum nws tuaj yeem ntub me ntsis. Yog li ntawd, tsis txhob ntshai, cia peb kawm paub meej txog qhov no.
Hais yooj yim xwb, 'dej tawg' txhais li cas?
Thoob plaws koj cev xeeb tub, koj tus menyuam raug kaw hauv ib lub hnab uas muaj dej nyob hauv koj lub tsev menyuam. Qhov no yog qhov peb hu ua lub hnab amniotic. Cov kua dej zoo li dej hauv lub hnab no hu ua kua amniotic. Cov kua no tiv thaiv tus menyuam kom tsis txhob raug co thiab tiv thaiv cov kab mob.
Yog li, 'lub hnab dej tawg' txhais tau hais tias lub hnab tiv thaiv uas nyob ib puag ncig tus menyuam maj mam raug rhuav, thiab cov kua dej hauv nws maj mam lossis tam sim ntawd tawm los ntawm qhov chaw mos. Qhov no yog ib qho cim tseem ceeb uas qhia tias tus menyuam yuav yug los. Qhov no tuaj yeem tshwm sim ua ntej pib yug menyuam, thaum lub sijhawm yug menyuam, lossis txawm tias ua ntej tus menyuam yug los. Qee zaum, tus kws kho mob nws tus kheej rhuav lub hnab dej. Qhov no hu ua "Amniotomy".
Koj paub tseeb li cas yog tias koj lub hnab dej tawg lawm?
Qee zaum nws yuav nyuaj rau paub seb qhov no tsuas yog me ntsis zis xwb los yog lwm yam kua tawm los. Yog tias koj xav li no, ua tib zoo mloog.
- Muaj lub suab 'tock' tam sim ntawd los ntawm lub qhov chaw mos, ua raws li cov kua dej me me tawm .
- Muaj ib qho kev xav tias cov kua ntws los rau hauv koj lub ris tsho hauv qab lossis khaub ncaws. Nws yuav ntau lossis me me.
- Cov kua no feem ntau tsis muaj ntxhiab thiab meej lossis daj daj.
- Cov kua dej uas tsis tuaj yeem tswj tau, xws li zis.
- Cov kua no tsis tuab zoo li cov kua tawm ntawm qhov chaw mos, tab sis nyias thiab ua dej.
- Thaum cov kua dej tawm los , qhov mob pib hnyav dua li yav dhau los.
Yog koj xav tias koj cov kua dej ntws tawm, tsis txhob ntshai. Hnav khaub ncaws hauv qab huv si thiab siv daim ntaub so quav. Tsis txhob siv lub tampon. Pw hauv av li 15-30 feeb thiab tom qab ntawd sawv ntsug ncaj. Yog tias cov kua dej tseem tawm los, tej zaum nws yog cov kua amniotic.
Qhov no puas yog cov kua dej amniotic? Los yog nws yog zis? Koj paub li cas?
Nws yog ib qho ib txwm muaj cov zis tawm thaum lub sijhawm kawg ntawm cev xeeb tub vim lub tsev menyuam nias rau ntawm lub zais zis. Yog li ntawd, muaj feem ntau uas yuav ua rau ob qho tib si tsis meej pem. Nov yog ib daim ntawv uas yuav pab koj nkag siab yooj yim txog qhov txawv ntawm ob qho tib si.
| Yam ntxwv | Cov kua dej amniotic (dej nyob hauv lub hnab dej) | Cov zis |
|---|---|---|
| Tsw ntxhiab | Feem ntau tsis muaj ntxhiab dab tsi li. Tej zaum yuav muaj ntxhiab qab zib me ntsis. | Nws muaj ib qho ntxhiab tsw zoo li ammonia. |
| Xim | Dej ntshiab los yog daj me ntsis zoo li dej (tej zaum yuav liab dawb los yog xim av) | Feem ntau nws yog xim daj tsaus. |
| Kev Tswj | Qhov dej ntws tawm tsis tuaj yeem tswj lossis nres tau. Nws tseem ntws tawm me ntsis. | Feem ntau, koj tuaj yeem nres nws los ntawm kev ua kom koj cov leeg nruj. |
| Loj | Qhov ntau yuav nce ntxiv thaum nws txuas ntxiv xau. Tej zaum yuav muaj ntau ntxiv tawm thaum cov dej ntws tawm. | Thaum nws tawm los lawm, nws yuav tsum tsis tawm. Nws yuav tsis tawm dua kom txog thaum lub zais zis puv. |
Txawm li cas los xij, yog tias koj muaj lus nug txog qhov no, qhov zoo tshaj plaws uas yuav tsum ua yog nrog koj tus kws kho mob tham. Nws tuaj yeem kuaj koj thiab paub tseeb tias qhov no yog dab tsi.
Lub hnab dej puas tawg tau ntxov?
Yog, nws tuaj yeem tshwm sim. Thaum cov dej tawg ua ntej 37 lub lis piam ntawm kev xeeb tub, peb hu nws tias "Premature Rupture of Membranes (PROM)". Qhov no tuaj yeem tshwm sim li ntawm 8 txog 10 ntawm 100 tus cev xeeb tub. Muaj ntau yam uas ua rau muaj kev pheej hmoo ntawm qhov no.
- Yog koj haus luam yeeb
- Yog tias koj tau los ntshav ntawm qhov chaw mos hauv lub trimester thib ob lossis thib peb ntawm cev xeeb tub
- Yog koj muaj kab mob hauv koj lub cev lossis qhov chaw mos
- Yog qhov no tau tshwm sim hauv cev xeeb tub yav dhau los
- Yog koj muaj lub qhov ncauj tsev menyuam luv luv
Thaum lub sijhawm zoo li no, tus kws kho mob yuav txiav txim siab seb yuav ua li cas raws li koj lub lis piam.
- Yog tias ntau tshaj 34 lub lis piam: Kev yug menyuam feem ntau yog qhov kev xaiv zoo tshaj plaws.
- Yog tias nws tsawg dua 34 lub lis piam: Tus kws kho mob yuav sim ua kom tus menyuam nyob hauv plab rau ob peb hnub ntxiv. Rau qhov ntawd,
- Tus me nyuam mos tau muab tshuaj tua kab mob kom tiv thaiv kev kis kab mob.
- Cov tshuaj txhaj tshuaj steroid raug muab los pab kom tus menyuam lub ntsws loj hlob sai dua.
- Magnesium sulfate yog muab los pab kom tus menyuam lub hlwb loj hlob.
Tag nrho cov no yog ua nyob rau hauv tsev kho mob, nyob rau hauv kev saib xyuas ze heev.
Thaum twg kuv yuav tsum hu rau kws kho mob yog tias kuv cov dej tawg?
Yog koj xav tias koj cov dej tawg lawm, hu rau koj tus kws kho mob lossis tsev kho mob tam sim ntawd. Tsis txhob ncua sijhawm.
Cov kua dej amniotic yog ib yam khoom tiv thaiv rau tus menyuam. Thaum nws ploj mus, tus menyuam yuav muaj feem kis tau kab mob ntau dua. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Thaum koj tham, tus kws kho mob yuav nug cov lus nug zoo li no:
- Cov kua dej tawm los ntau npaum li cas?
- Nws yog xim dab tsi? (Yog tias nws yog xim ntsuab, qhia rau kuv paub tam sim ntawd.)
- Puas muaj ntxhiab tsw?
- Koj puas muaj mob kub taub hau tam sim no?
- Koj puas tau raug kuaj xyuas seb puas muaj cov kab mob '(Group B Streptococcus - GBS)'?
- Koj cev xeeb tub tau pes tsawg lub lis piam lawm?
Npaj teb cov lus nug no. Nws tseem ceeb heev uas yuav tsum nyob twj ywm thiab tsis txhob ntshai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- 'Koj cov kua dej tawg' yog ib qho cim qhia tias koj yuav muaj menyuam. Qhov no tsis muaj dab tsi yuav tsum ntshai.
- Nws tsis yog ib tug dej loj zoo li hauv cov yeeb yaj kiab tas li. Nws kuj tseem tuaj yeem yog ib qho uas ntub me ntsis.
- Sim paub qhov txawv seb cov kua tawm yog amniotic kua los yog zis.
- Yog koj xav tias koj lub hnab dej tawg lawm los yog koj muaj kab mob hauv txoj hlab zis , hu rau koj tus kws kho mob lossis tsev kho mob tam sim ntawd.
- Ua ntej koj hais lus, ua tib zoo saib seb koj muaj xim, tsw qab, thiab qhov ntau npaum li cas ntawm cov kua tawm, thiab seb koj puas muaj cov tsos mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum nyob twj ywm. Koj tus kws kho mob yuav muab cov lus qhia tsim nyog rau koj.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 'water breaking' / PROM thaum cev xeeb tub yog dab tsi?
Tus me nyuam hauv plab nyob hauv 'Lub Hnab Amniotic'! Qhov no puv nrog peb cov dej nyab xeeb. 'Dej Tawg' yog thaum tus me nyuam npaj yuav yug los (thaum muaj 9 lub hlis), lub hnab ntawd tawg thiab ib liv dej kub (kua) ntws tawm ntawm qhov chaw mos (tsis tuaj yeem tswj tau) (Kev tawg ntawm cov ntaub so ntswg). Qhov no tsis yog tso zis, qhov no txhais tau tias tus me nyuam yuav tawm sai sai no!
💬 Kev tawg ntawm daim nyias nyias ua ntej lub sijhawm (PPROM) yog dab tsi? Nws txaus ntshai npaum li cas?
Qhov no feem ntau tshwm sim tom qab 37 lub lis piam (9 lub hlis). Txawm li cas los xij, rau qee tus neeg, lub hnab dej cia li tawg 'ua ntej 37 lub lis piam' (ua ntej tus menyuam yug los) (Preterm PROM)! Qhov no yog ib qho mob hnyav heev! Qhov laj thawj rau qhov no yog tias cov kab mob hnyav / kab mob (Kev kis kab mob / UTI) hauv qhov chaw mos ua rau lub hnab lwj thiab tawg. Yog tias qhov no tshwm sim, tus menyuam yug ntxov tuaj yeem yug tau, thiab muaj feem ntau uas tus menyuam yuav tuag hauv plab los ntawm cov kab mob hnyav.
💬 Tej yam tseem ceeb uas yuav tsum ua thiab 'kev phom sij txog kev tuag taus' thaum niam cev xeeb tub lub mis tawg yog dab tsi?
Txawm koj cov dej ntws thaum koj muaj 9 lub hlis los tsis tawg los xij, thaum koj hnov tias cov dej ntws me ntsis (nrog rau daim ntaub qhwv) koj yuav tsum mus rau tsev kho mob / chav yug menyuam tam sim ntawd hauv ib teev! Qhov txaus ntshai tshaj plaws thiab txaus ntshai tshaj plaws yog 'umbilical cord prolapse', qhov twg tus menyuam txoj hlab ntaws tawm hauv qhov chaw mos nrog cov dej thiab daig! Yog tias qhov ntawd tshwm sim, tus menyuam yuav tuag hauv ob peb feeb xwb, vim tias cov pa oxygen yuav nres, thiab cov kws kho mob yuav tsum tau ua qhov phais cesarean tam sim ntawd (C-Section).
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