Koj yuav tsum yog ib leej niam uas muaj kev hlub uas tab tom yuav muaj menyuam tam sim no. Peb ceev faj npaum li cas niaj hnub no, puas yog? Peb xav ob zaug txog txhua yam los ntawm yam peb noj mus rau yam peb haus. Tab sis qee zaum, muaj teeb meem kev noj qab haus huv uas peb tsis tau hnov dua, tab sis tuaj yeem loj heev. Niaj hnub no, peb tab tom tham txog kev kis kab mob loj heev uas tuaj yeem tshwm sim thaum cev xeeb tub , uas tuaj yeem cuam tshuam rau leej niam thiab tus menyuam hauv plab.
Chorioamnionitis yog dab tsi?
Hais yooj yim xwb, Chorioamnionitis yog ib qho kab mob uas tshwm sim hauv lub tsev menyuam, ib puag ncig uas tus menyuam nyob. Nws feem ntau tshwm sim ze rau lub sijhawm yug menyuam. Qhov kab mob no tuaj yeem cuam tshuam rau txhua yam nqaij uas nyob ib puag ncig tus menyuam.
Xav txog nws li no, tus menyuam nyob hauv plab, zoo li lub hnab tiv thaiv dej. Peb kuj hu qhov no ua 'lub hnab dej'. Cov hauv qab no yog cov khoom uas feem ntau cuam tshuam los ntawm tus kab mob no:
- Placenta : Qhov tseem ceeb tshaj plaws uas muab cov pa oxygen thiab cov khoom noj rau tus menyuam.
- Chorion thiab Amnion: Ob lub membranes tiv thaiv uas nyob ib puag ncig tus menyuam.
- Cov kua dej amniotic: Cov kua uas ua rau tus menyuam ntab thiab tiv thaiv.
Tus mob no cuam tshuam txog li 1%-5% ntawm cov menyuam mos uas yug puv sijhawm, tab sis tuaj yeem cuam tshuam rau 40%-70% ntawm cov menyuam yug ua ntej lub sijhawm . Nws kuj yog ib qho ua rau menyuam yug ua ntej lub sijhawm . Yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj teeb meem loj rau niam thiab menyuam.
Vim li cas thiaj muaj hom kab mob no?
Qhov laj thawj tseem ceeb rau qhov no yog cov kab mob. Feem ntau, ntau hom kab mob sib txawv nyob hauv peb lub cev, tshwj xeeb tshaj yog nyob rau hauv qhov chaw mos thiab qhov quav. Raws li qhov xwm txheej ib txwm muaj, cov no tsis ua rau muaj kev phom sij. Tab sis qee zaum, cov kab mob no tuaj yeem mus ncig mus rau hauv qhov chaw mos thiab nkag mus rau hauv lub tsev menyuam.
Cov kab mob no ua haujlwm ua ib txoj hauv kev nkag mus rau hauv tsev ntawm tus menyuam. Qhov kev pheej hmoo no nce ntxiv tshwj xeeb tshaj yog tom qab lub hnab amniotic tawg.
Qee hom kab mob uas feem ntau ua rau muaj tus kab mob no yog:
- E. coli
- `Cov kab mob Streptococcus Group B (GBS)`
- ` Urea plasma`
- Mycoplasma hominis
Leej twg muaj feem yuav muaj qhov teeb meem no tshaj?
Tsis yog txhua tus poj niam cev xeeb tub muaj tus mob no. Tab sis muaj tej yam uas ua rau muaj kev pheej hmoo no ntau ntxiv. Koj tus kws kho mob yuav qhia koj txog qhov no. Cia peb saib seb lawv yog dab tsi.
| Qhov Ua Rau Muaj Kev Pheej Hmoo | Piav qhia yooj yim |
|---|---|
| Kev tawg ntawm lub hnab dej thaum ntxov | Thaum cov dej ntws tawm ua ntej lub sijhawm, nws yuav yooj yim dua rau cov kab mob nkag mus. |
| Qhov xwm txheej ntev ntawm tus kab mob | Qhov kev pheej hmoo ntawm kev kis kab mob yuav nce ntxiv thaum lub sijhawm yug menyuam ntev ntau teev. |
| Kev kuaj mob qhov chaw mos ntau zaus | Cov kws kho mob kuaj qhov chaw mos ntau zaus dua thaum cev xeeb tub. |
| Muaj lwm yam kab mob sib kis | Muaj cov kab mob xws li qhov chaw mos, txoj hlab zis, lossis cov kab mob sib kis los ntawm kev sib deev (STIs). |
| Cev xeeb tub thawj zaug | Qhov kev pheej hmoo yuav siab dua me ntsis rau cov niam thawj zaug. |
| Tshuaj yeeb, luam yeeb, cawv | Siv cov khoom zoo li no ua rau leej niam tsis muaj zog tiv thaiv kab mob thiab ua rau muaj kev pheej hmoo ntawm kev kis kab mob. |
| Lub cev tiv thaiv kab mob tsis muaj zog | Kev tiv thaiv kab mob qis vim muaj lwm yam kab mob. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Qee zaum, tshwj xeeb tshaj yog thaum cev xeeb tub thaum ntxov, tus kab mob no tuaj yeem tshwm sim yam tsis muaj tsos mob . Qhov ntawd yog qhov txaus ntshai ntawm no. Tab sis feem ntau, ib lossis ntau yam ntawm cov tsos mob hauv qab no yuav pom.
Cov tsos mob tseem ceeb thiab feem ntau yog kub taub hau , uas yog lub cev kub tshaj 100.4 F (38 C).
Lwm cov tsos mob yuav muaj xws li:
- Leej niam lub plawv dhia ceev (ntau tshaj 100 zaus ib feeb).
- Tus menyuam lub plawv dhia hauv plab sai heev (ntau tshaj 160 zaus ib feeb).
- Hnov mob thaum koj siv koj txhais tes nias lub tsev menyuam (uterine tenderness).
- Tawm hws ntau dua li qub.
- Cov kua tawm ntawm qhov chaw mos nrog ntxhiab tsw phem .
Qhov no tuaj yeem yog qhov xwm txheej txaus ntshai heev rau leej niam thiab tus menyuam. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob no. Tsis txhob tsis quav ntsej lawv li ib yam me me.
Tus kws kho mob kuaj mob li cas?
Vim qhov no yog ib qho mob hnyav heev, tsuas yog koj tus kws kho mob thiaj li kuaj tau qhov tseeb. Yog tias koj muaj cov tsos mob xws li kub taub hau, koj tus kws kho mob yuav kuaj koj.
- Kev kuaj lub cev: Xyuas seb puas muaj tej yam xws li kub taub hau, lub plawv dhia, thiab mob plab.
- Kev kuaj ntshav: Yuav muab cov ntshav coj mus kuaj seb puas muaj kab mob hauv lub cev. Kev suav cov ntshav tag nrho (CBC) yog qhov tseem ceeb heev, uas ntsuas tus lej ntawm cov qe ntshav dawb.
- Kev kuaj zis: Tshawb xyuas seb puas muaj kab mob hauv txoj hlab zis.
- Kev kuaj GBS: Yuav muab ib daim ntaub so qhov chaw mos coj mus kuaj seb puas muaj cov kab mob Group B Strep (GBS) thaum lub sijhawm peb lub hlis kawg ntawm cev xeeb tub.
- Cov qauv kua amniotic: Qee zaum, yog tias koj cov dej tawg, cov qauv kua uas tawm los ntawm nws tuaj yeem coj mus kuaj seb puas muaj kab mob.
Yuav kho li cas? Thiab muaj teeb meem dab tsi?
Kab mob Chorioamnionitis yog ib yam mob uas yuav tsum tau kho tam sim ntawd . Yog tias kev kho mob ncua ntev, ces yuav muaj kev pheej hmoo ntau dua rau niam thiab menyuam.
Kev kho mob tseem ceeb yog tshuaj tua kab mob . Feem ntau cov tshuaj no muab ncaj qha rau hauv lub cev los ntawm cov leeg ntshav (tshuaj tua kab mob hauv cov hlab ntshav lossis IV), tsis yog ua tshuaj ntsiav. Cov tshuaj xws li paracetamol kuj tseem muab rau kom txo qhov kub taub hau.
Yuav tsum noj cov tshuaj tua kab mob kom txog thaum tus kab mob zoo tag. Kev kho mob no yuav tsum txuas ntxiv mus txawm tias tom qab yug me nyuam lawm los xij.
Feem ntau, tus kws kho mob yuav txiav txim siab yug tus menyuam sai li sai tau (ua kom lub cev yug me nyuam).Qhov laj thawj rau qhov no yog vim tias nws yog qhov zoo tshaj plaws kom tshem tus menyuam tawm ntawm qhov chaw muaj kab mob sai li sai tau. Tom qab tus menyuam yug los, tus menyuam kuj raug kuaj seb puas muaj kab mob thiab muab cov tshuaj tua kab mob "IV" yog tias tsim nyog.
Tej yam teeb meem uas yuav tshwm sim
Cov teeb meem uas tuaj yeem tshwm sim los ntawm tus mob no tuaj yeem loj heev.
| Teeb meem | |
|---|---|
| Cov teeb meem uas yuav tshwm sim rau hauv niam | |
| Kev los ntshav tom qab yug me nyuam, kev kis kab mob hauv tsev menyuam (endometritis), pelvic abscesses, kev kis kab mob hauv cov ntshav (sepsis), thiab tsis tshua muaj, txawm tias tuag taus. | |
| Tej yam teeb meem uas yuav tshwm sim rau tus menyuam | |
| Cov mob ntev xws li kev kis kab mob hauv cov ntshav (Sepsis), mob hlwb meningitis, mob ntsws (Pneumonia), qaug dab peg, mob hlwb uas ua rau lub hlwb puas tsuaj, thiab thaum mob hnyav, txawm tias tuag tau los xij. |
Puas muaj txoj hauv kev los tiv thaiv qhov no?
Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj tej yam koj ua tau los txo qhov kev pheej hmoo.
- Mus ntsib kws kho mob tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj cov kws kho mob txhua hli tsis tu ncua kom tej yam xws li kev kis kab mob hauv qhov chaw mos thiaj li nrhiav tau thiab kho tau thaum ntxov.
- Kev kuaj GBS: Kev kuaj GBS uas ua ntawm 35-37 lub lis piam ntawm cev xeeb tub tuaj yeem kuaj pom tias muaj cov kab mob no. Yog tias muaj, tshuaj tua kab mob tuaj yeem muab thaum lub sijhawm yug menyuam kom tiv thaiv kev kis kab mob rau tus menyuam.
- Kev saib xyuas thaum cev xeeb tub: Cov neeg ua haujlwm kho mob ceev faj kom tsis txhob kuaj qhov chaw mos ntau zaus tshwj tsis yog tias tsim nyog kiag li.
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob uas tau hais hauv tsab xov xwm no, mus ntsib koj tus kws kho mob lossis mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd . Lub sijhawm yog qhov tseem ceeb hauv qhov xwm txheej no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Chorioamnionitis yog ib qho kab mob loj heev uas tshwm sim hauv lub tsev menyuam thaum cev xeeb tub.
- Yuav tsum paub txog cov tsos mob xws li kub taub hau, lub plawv dhia ceev, mob plab, thiab cov kua tawm ntawm qhov chaw mos uas tsw ntxhiab tsw phem.
- Tus mob no tuaj yeem ua rau muaj teeb meem txaus ntshai heev rau leej niam thiab tus menyuam hauv plab.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob ncua sijhawm thiab mus ntsib koj tus kws kho mob tam sim ntawd .
- Cov tshuaj tua kab mob yog muab los ua kev kho mob, thiab qee zaum cov kws kho mob yuav txiav txim siab yug menyuam ntxov.
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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