Yog tias koj yog ib leej niam cev xeeb tub, tej zaum koj tau hnov ntau yam txog cov dej uas nyob ib puag ncig tus menyuam, lub 'hnab dej'. Tej zaum koj kuj paub txog zaj dab neeg ntawm 'koj cov dej tawg'. Qhov no yog li cas koj thiaj paub tias tus menyuam yuav los. Yog li cov kua amniotic no yog dab tsi? Nws tseem ceeb npaum li cas rau tus menyuam? Koj tuaj yeem nrhiav cov lus teb rau txhua lo lus nug uas koj muaj hauv koj lub siab hauv tsab xov xwm no. Cia peb tham txog qhov no yooj yim thiab meej.
Cov kua amniotic yog dab tsi tiag?
Thaum cev xeeb tub, koj tus menyuam loj hlob hauv ib lub hnab tiv thaiv. Peb hu lub hnab no ua lub hnab amniotic. Xav txog nws zoo li lub npuas me me tiv thaiv. Cov kua dej ntshiab hauv lub hnab no hu ua kua amniotic . Koj tus menyuam ntab thiab vam meej hauv cov kua no. Hais yooj yim, cov kua no yog koj tus menyuam lub hauv ncoo tiv thaiv thiab yog qhov chaw tseem ceeb rau kev loj hlob ntawm koj tus menyuam.
Cov kua no ua li cas thiab muaj dab tsi nyob hauv?
Lub hnab amniotic no pib tsim li ntawm 12 hnub tom qab cev xeeb tub. Thaum tus menyuam loj hlob, lub hnab no puv nrog cov kua amniotic.
Thaum pib cev xeeb tub, cov kua dej no feem ntau yog dej los ntawm koj lub cev. Tab sis raws sijhawm, thaum cev xeeb tub mus ntxiv, cov khoom xyaw ntawm cov kua dej no hloov pauv.
Muaj dab tsi nyob hauv cov kua no?
Thaum pib, nws yog 98% dej thiab cov zaub mov hu ua electrolytes. 2% seem yog ua los ntawm cov khoom tseem ceeb tshaj plaws.
- Cov Tshuaj Tiv Thaiv Kab Mob: Cov no yog cov tshuaj uas koj tus menyuam tau txais los ntawm koj lub cev tiv thaiv kab mob thiab tiv thaiv nws ntawm kev kis kab mob.
- Cov tshuaj hormones : cov tshuaj xa xov tsim nyog rau kev loj hlob ntawm tus menyuam.
- Cov Khoom Noj Muaj Quav: Cov khoom noj muaj quav uas tus menyuam xav tau, xws li cov protein, carbohydrates, lipids, thiab cov vitamins.
Qhov xav tsis thoob me ntsis yog tias tom qab 20 lub lis piam, cov kua no feem ntau yog ua los ntawm tus menyuam cov zis. Nws huv si thiab tsis muaj kab mob. Nws kuj sib xyaw nrog cov kua qaub ncaug los ntawm lub ntsws thaum tus menyuam 'ua pa' (ua pa nkag thiab tawm) rau hauv cov kua no.
Cov dej no muaj xim dab tsi? Puas txaus ntshai yog tias nws ntsuab?
Feem ntau, cov kua dej amniotic tsis muaj xim (zoo li dej) lossis daj ntseg .
Tab sis qee zaum cov kua no yog xim ntsuab lossis xim av.Nws tuaj yeem tshwm sim. Qhov no tshwm sim thaum tus menyuam tso nws thawj zaug quav hauv plab. Peb hu qhov no ua meconium . Feem ntau, cov menyuam yaus muaj lawv thawj zaug tso quav tom qab lawv yug los.
Yog tias cov kua qaub ncaug no tam sim ntawd sib xyaw nrog cov kua amniotic, nws tuaj yeem ua rau tus menyuam muaj kev phom sij me ntsis. Vim tias tus menyuam nqos cov kua no, cov kua qaub ncaug sib xyaw tuaj yeem nkag mus rau hauv tus menyuam lub ntsws. Yog tias qhov ntawd tshwm sim, tus menyuam tuaj yeem muaj teeb meem ua pa hnyav. Qhov mob no hu ua Meconium Aspiration Syndrome . Yog vim li ntawd, thaum koj cov dej tawg, cov kws kho mob thiab cov kws tu mob yuav nug txog nws cov xim. Tus menyuam uas muaj qhov mob no yuav xav tau kev kho mob tshwj xeeb tom qab yug los.
Vim li cas cov kua amniotic no thiaj li tseem ceeb?
Cov kua no ua haujlwm zoo heev rau tus menyuam. Nws zoo li tus menyuam lub ' txhawb nqa txoj sia ' hauv plab.
| Kev ua haujlwm ntawm cov kua dej | Hais yooj yim xwb... |
|---|---|
| Kev tiv thaiv thiab kev nplij siab | Txawm yog kov me ntsis los yog npuaj me ntsis rau ntawm leej niam lub plab los kuj tiv thaiv tau tus menyuam kom tsis txhob raug mob. |
| Kev tiv thaiv txoj hlab ntaws | Tiv thaiv txoj hlab ntaws, uas nqa cov pa oxygen thiab cov as-ham los ntawm leej niam mus rau tus menyuam, kom tsis txhob raug nias. |
| Kev tswj kub | Tus menyuam hauv plab tseem kub tas li. |
| Kev tiv thaiv los ntawm kev kis kab mob | Cov tshuaj tiv thaiv kab mob ntawm leej niam tiv thaiv tus menyuam ntawm cov kab mob. |
| Pab txhawb kev loj hlob ntawm cov kab ke hauv lub cev | Thaum tus me nyuam nqos cov kua no, nws lub cev zom zaub mov yuav loj hlob tuaj, thaum nws 'ua pa' nws lub ntsws yuav loj hlob tuaj, thiab thaum nws ntab thiab txav nws ob txhais ceg, nws cov leeg thiab pob txha yuav loj hlob tuaj. |
Yuav tsum muaj dej ntau npaum li cas? Yog tias muaj dej tsawg dhau los yog ntau dhau, yuav ua li cas?
Cov kua dej no hloov pauv thoob plaws cev xeeb tub. Feem ntau nws nce siab tshaj plaws thaum txog li 34 lub lis piam , ntawm li 800 milliliters (ml) . Tom qab ntawd, thaum tus menyuam ze rau yug los, qhov ntau maj mam pib txo qis. Thaum txog 40 lub lis piam, nws tau txo qis mus txog li 600 ml.
Qee zaum cov kua dej no yuav tsawg dhau (Oligohydramnios) lossis ntau dhau (Polyhydramnios) . Txawm hais tias ob qho mob no tuaj yeem ua rau muaj teeb meem thaum cev xeeb tub, cov menyuam mos feem ntau yug los muaj kev noj qab haus huv . Txawm li cas los xij, kev saib xyuas kho mob yog qhov tseem ceeb.
| Xwm txheej | Kev piav qhia |
|---|---|
| Cov dej tsawg (Oligohydramnios) | Nruab nrab ntawm 32-36 lub lis piam, cov kua dej tsawg dua 500ml. Qhov no tuaj yeem yog vim muaj tej yam xws li lub hnub nyoog cev xeeb tub thiab qee yam mob ntawm leej niam. Cov Teeb Meem: Tus me nyuam loj hlob qeeb, tsis tau txais cov pa oxygen thiab kev noj haus zoo rau tus me nyuam vim yog txoj hlab ntaws raug nias, thiab qee zaum yuav tsum tau phais cesarean. |
| Cov dej ntau ntxiv (Polyhydramnios) | Cov kua dej ntau dhau hauv plab. Qhov no yog ib qho mob tsis tshua muaj. Nws tuaj yeem tshwm sim los ntawm cov yam xws li menyuam ntxaib thiab ntshav qab zib thaum cev xeeb tub hauv leej niam. Cov Teeb Meem: Yug ntxov ntxov, tus menyuam loj dhau, placental abruption, los ntshav ntau tom qab yug menyuam. |
Kws kho mob, koj yuav kuaj cov dej ntau npaum li cas?
Koj tus kws kho mob siv cov kua amniotic no los xyuas seb tus menyuam puas noj qab haus huv thaum cev xeeb tub.
- Kev Ntsuas Ultrasound:Koj tuaj yeem ntsuas qhov ntau ntawm cov kua dej no thaum lub sijhawm luam theej duab. Cov kws kho mob siv cov kev ntsuas xws li Amniotic Fluid Index (AFI) .
- Kev kuaj amniocentesis: Qhov no yog ib qho kev kuaj tshwj xeeb. Ib rab koob me me siv los rho tawm me ntsis cov kua amniotic ntawm lub tsev menyuam. Cov kua no muaj cov hlwb ntawm tus menyuam, uas tuaj yeem kuaj xyuas kom paub seb tus menyuam puas muaj cov kab mob caj ces, cov teeb meem yug los tsis zoo, lossis lwm yam teeb meem kev noj qab haus huv. Qhov no feem ntau ua raws li kev qhia ntawm tus kws kho mob yog tias muaj kev pheej hmoo.
Qhov tseem ceeb tshaj plaws yog qhia rau koj tus kws kho mob lossis tsev kho mob tam sim ntawd yog tias koj xav tias muaj kua dej tawm hauv koj lub qhov chaw mos thaum koj cev xeeb tub. Lawv yuav kuaj xyuas seb nws puas yog kua amniotic lossis tsis yog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov kua dej amniotic yog cov kua tseem ceeb uas tiv thaiv, pub zaub mov, thiab pab tus menyuam loj hlob.
- Qhov ntau thiab xim ntawm cov kua no qhia txog cov ntaub ntawv tseem ceeb txog kev noj qab haus huv ntawm tus menyuam.
- Yog tias koj muaj cov kua dej tawm ntawm qhov chaw mos thaum cev xeeb tub, tsis txhob txhawj txog qhov ntawd thiab hu rau koj tus kws kho mob lossis mus rau tsev kho mob tam sim ntawd .
- Txawm hais tias haus dej tsawg lossis ntau tsis yog ib qho teeb meem loj tas li, nws yeej xav tau kev saib xyuas ze los ntawm kws kho mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia thiab ua koj cov kev soj ntsuam raws sijhawm.
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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