Ua ib tug niam uas yuav yug me nyuam, tej zaum koj yuav tos ntsoov kom koj tus menyuam yug los rau hauv ntiaj teb no noj qab nyob zoo. Txawm li cas los xij, qee zaum tej teeb meem kev noj qab haus huv uas tsis tau xav txog yuav tshwm sim. Hnub no, peb yuav tham txog qhov teeb meem loj heev uas ntau tus neeg tsis tau hnov dua. Qhov no hu ua Anencephaly. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Anencephaly yog dab tsi tiag?
Hais yooj yim xwb, anencephaly yog ib qho mob uas tus menyuam yug los tsis muaj kev loj hlob zoo ntawm cov hlwb thiab pob txha taub hau. Qhov no yog ib qho mob tsawg heev thiab mob hnyav heev.
Cia peb nkag siab qhov no ntxiv me ntsis. Thaum koj cev xeeb tub, thaum ob peb lub lis piam thawj zaug, koj tus menyuam lub hlwb thiab tus txha caj qaum pib tsim ua ib lub disc tiaj tiaj ntawm cov hlwb. Xav txog nws zoo li dov ib daim nplooj tiaj tiaj rau hauv ib lub raj, thiab lub disc ntawm cov hlwb no maj mam quav thiab tsim ib lub qauv zoo li lub raj. Peb hu qhov no ua lub raj neural . Lub raj neural no yuav tsum kaw tag nrho los ntawm 28-32 hnub tom qab cev xeeb tub.
Txawm li cas los xij, yog tias muaj qee qhov laj thawj uas lub raj neural no tsis kaw tag, tseem muaj qhov qhib me me. Qhov no yog qhov peb hu ua neural tube defects . Anencephaly yog ib qho ntawm cov neural tube defect. Hauv qhov no, lub neural tube tseem qhib ntawm lub hauv paus ntawm lub taub hau. Yog li ntawd, lub hauv ntej thiab sab saud ntawm lub hlwb thiab cov feem cuam tshuam ntawm lub taub hau tsis loj hlob.
Dab tsi ua rau muaj anencephaly?
Nws nyuaj rau nrhiav tau ib qho ua rau qhov no. Tej zaum yuav muaj ntau yam ua rau qhov no. Cov yam ntxwv tseem ceeb ntawm noob caj noob ces, kev tsis noj zaub mov zoo, thiab tej yam uas leej niam raug thaum cev xeeb tub yog cov yam tseem ceeb.
Cia peb piav qhia ntxiv txog cov yam txaus ntshai no hauv lub rooj hauv qab no.
| Qhov ua rau muaj kev pheej hmoo | Kev piav qhia |
|---|---|
| Kev Tsis Txaus Folic Acid | Qhov ua rau tseem ceeb yog vim tsis tau txais folic acid txaus ua ntej thiab thaum cev xeeb tub. Cov vitamin no yog qhov tseem ceeb rau kev loj hlob ntawm lub raj neural ntawm tus menyuam. |
| Qee cov tshuaj | Qee cov tshuaj siv los kho cov qaug dab peg, cov kab mob hlwb xws li kev puas siab puas ntsws bipolar, thiab mob taub hau migraines, xws li Phenytoin, Carbamazepine, thiab Valproic acid , yuav ua rau muaj kev pheej hmoo ntxiv. |
| Kab mob ntshav qab zib uas tsis tswj tau | Yog leej niam muaj ntshav qab zib thiab nws cov ntshav qab zib tsis raug tswj kom zoo thaum cev xeeb tub, nws tuaj yeem cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam. |
| Kub cev siab | Thaum lub sijhawm cev xeeb tub thaum ntxov (thaum lub neural tube tab tom tsim), nws tuaj yeem ua rau muaj kev phom sij yog tias kub taub hau lossis nyob hauv dej kub heev, xws li lub pas dej kub lossis chav sauna. |
| Kev rog dhau | Qhov hnyav ntawm leej niam nce ntau dhau yog ib qho uas tuaj yeem cuam tshuam rau kev loj hlob ntawm tus menyuam thaum ntxov ntawm cev xeeb tub. |
| Cov mob caj ces | Kab mob Anencephaly kuj tseem tuaj yeem tshwm sim los ntawm qee yam mob caj ces, xws li Trisomy 18. Txawm li cas los xij, cov no feem ntau tsis yog los ntawm noob caj ces, tab sis yog kev hloov pauv caj ces tsis raws cai. |
| Kev siv tshuaj opioid | Qee qhov kev tshawb fawb tau qhia tias cov menyuam ntawm cov niam uas siv cov tshuaj opioid tua kab mob xws li Codeine, Tramadol, thiab Morphine thaum ob lub hlis thawj zaug ntawm cev xeeb tub yuav muaj feem ntau dua rau qhov muaj cov teeb meem ntawm cov hlab ntsha hauv lub paj hlwb. |
Puas kuaj tau tus mob no thaum cev xeeb tub?
Yog, tau kawg. Ua ib feem ntawm koj txoj kev saib xyuas ua ntej yug menyuam, koj tus kws kho mob yuav ua ntau qhov kev kuaj mob kom paub seb puas muaj cov teeb meem ntawm cov hlab ntsha hauv lub paj hlwb no.
- Kev Ntsuas Ultrasound:Qhov no yog txoj kev tseem ceeb. Daim duab scan no tso cai rau tus kws kho mob pom cov qauv ntawm lub taub hau ntawm tus menyuam, lub hlwb, thiab tus txha caj qaum. Feem ntau, anencephaly tuaj yeem pom tseeb ntawm daim duab scan.
- Kev Ntsuas Ntshav Quad Marker Screen: Qhov no yog kev kuaj ntshav ntawm leej niam. Nws ntsuas qib ntawm cov tshuaj hu ua Alpha-fetoprotein (AFP) hauv leej niam cov ntshav. AFP yog tsim los ntawm lub siab ntawm tus menyuam. Yog tias qib AFP hauv leej niam cov ntshav siab heev, nws yuav qhia tau tias tus menyuam muaj qhov tsis zoo ntawm lub raj xa ntshav (xws li anencephaly).
- Kev Ntsuas MRI ntawm Lub Cev Me Nyuam: Yog tias muaj qee yam tsis meej los ntawm kev ntsuas ultrasound, kev ntsuas MRI tuaj yeem ua tau kom tau txais cov duab meej dua, ntxaws ntxiv ntawm lub hlwb thiab tus txha caj qaum ntawm tus menyuam.
- Kev kuaj amniocentesis: Hauv qhov kev kuaj no, tus kws kho mob siv ib rab koob me me los kuaj cov kua amniotic uas nyob ib puag ncig tus menyuam. Cov kua no raug kuaj seb puas muaj cov enzyme hu ua AFP thiab acetylcholinesterase ntau dhau. Cov no ntau dhau kuj yog ib qho cim qhia txog qhov tsis zoo ntawm lub raj xa dej.
Puas muaj kev kho rau qhov no?
Qhov no yog qhov tu siab tshaj plaws ntawm zaj lus no.
Tu siab kawg li, tsis muaj kev kho lossis kho tau tus kab mob anencephaly.
Qhov no yog ib qho nyuaj heev rau kev ris. Ntau tus cev xeeb tub uas muaj teeb meem ntawm lub paj hlwb xaus rau kev rho menyuam. Ib txhia menyuam mos uas muaj anencephaly yug los ua menyuam tuag. Txawm hais tias tus menyuam yug los muaj sia nyob, nws lub neej tsuas yog ob peb teev lossis ob peb hnub xwb.
Yog tias pom qhov teeb meem no, koj tus kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob yuav muab kev txhawb nqa rau koj thiab koj tsev neeg. Thaum tus menyuam yug los, lawv yuav muab cov kev pabcuam tsim nyog los siv sijhawm nrog tus menyuam ntau li ntau tau thaum lub sijhawm luv luv ntawd.
Peb ua tau dab tsi los txo qhov kev pheej hmoo?
Txawm hais tias peb tsis tuaj yeem tiv thaiv tau 100% ntawm lub sijhawm, muaj ntau yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo. Qhov no tseem ceeb heev rau cov poj niam uas tab tom npaj yuav pib tsev neeg.
- Folic Acid: Qhov no yog qhov tseem ceeb tshaj plaws. Yog tias koj npaj yuav muaj menyuam , pib noj 400 micrograms (400 mcg) ntawm folic acid txhua hnub rau tsawg kawg 3 lub hlis ua ntej cev xeeb tub.Koj yuav tsum noj cov tshuaj no rau 3 lub hlis tom qab koj cev xeeb tub. Koj tus kws kho mob yuav qhia koj kom noj raws li koj xav tau.
- Ceev faj txog cov tshuaj: Yog tias koj npaj yuav muaj menyuam, nrog koj tus kws kho mob tham txog cov tshuaj uas koj tab tom noj tam sim no (tshwj xeeb tshaj yog rau cov mob xws li qaug dab peg lossis mob hlwb). Nws tuaj yeem pom zoo lwm txoj hauv kev nyab xeeb dua yog tias tsim nyog.
- Tsis txhob noj cov tshuaj opioid uas ua rau mob plab: Yog tias koj xav tias koj cev xeeb tub lossis cev xeeb tub, tsis txhob noj cov tshuaj opioid uas ua rau mob plab yam tsis tau koj tus kws kho mob qhia.
- Tswj koj lub cev kub: Tsis txhob mus rau lub pas dej kub thiab chav sauna thaum cev xeeb tub. Yog tias koj kub taub hau, nrog koj tus kws kho mob tham txog yuav ua li cas kom txo qhov kub taub hau kom zoo.
- Tswj kom muaj qhov hnyav noj qab nyob zoo: Sim tswj kom muaj qhov hnyav noj qab nyob zoo txawm tias ua ntej muaj menyuam.
- Tswj Kab Mob Ntshav Qab Zib: Yog tias koj muaj kab mob ntshav qab zib, nrog koj tus kws kho mob tham txog yuav ua li cas thiaj tswj tau nws zoo tshaj plaws ua ntej koj cev xeeb tub thiab thoob plaws koj cev xeeb tub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anencephaly yog ib qho teeb meem loj heev uas ua rau tuag taus thaum tus menyuam lub hlwb thiab pob txha taub hau tsis loj hlob zoo.
- Tsis muaj kev kho mob rau tus mob no.
- Yog koj npaj yuav muaj menyuam, nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj folic acid ob peb lub hlis ua ntej koj xeeb tub. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem ntawm cov hlab ntsha hauv lub cev.
- Ua ntej koj yuav xeeb tub, nrog koj tus kws kho mob tham txog tej tshuaj uas koj noj thiab tej yam mob xws li ntshav qab zib.
- Kev kuaj mob thaum cev xeeb tub tuaj yeem kuaj pom cov mob no thaum ntxov. Yog li ntawd, tsis txhob hla mus rau chaw kho mob.
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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