Cev xeeb tub yog lub sijhawm uas txhua tus niam muaj kev cia siab ntau thiab me ntsis ntshai. Thaum lub sijhawm no, koj ib txwm xav txog kev loj hlob ntawm tus menyuam hauv koj lub plab thiab nws txoj kev noj qab haus huv. Qee zaum, thaum lub sijhawm luam theej duab, tus kws kho mob hais tias, "Muaj dej ntau dhau nyob ib puag ncig tus menyuam." Nws yog ib txwm muaj kev ntshai heev thaum lub sijhawm ntawd. Tab sis tsis txhob txhawj, yog tias koj nkag siab qhov no kom raug , koj tuaj yeem daws qhov xwm txheej no zoo. Hnub no peb tab tom tham txog qhov 'dej ntau ntxiv nyob ib puag ncig tus menyuam' lossis lo lus kho mob 'Hydramnios' lossis 'Polyhydramnios'.
Hauv lwm lo lus, Polyhydramnios yog dab tsi?
Hauv koj lub tsev menyuam, koj tus menyuam nyob hauv ib lub hnab uas muaj dej hu ua lub hnab amniotic. Cov kua dej hauv lub hnab no hu ua kua amniotic. Cov kua dej no tseem ceeb heev rau koj tus menyuam. Nws zoo li lub ncoo tiv thaiv. Nws tiv thaiv koj tus menyuam kom tsis txhob dhia ib ncig, tswj koj tus menyuam lub cev kub, thiab pab koj tus menyuam lub ntsws thiab lub plab zom mov loj hlob.
Feem ntau, cov kua dej no yuav tsum nyob rau ntawm ib qib twg thoob plaws lub sijhawm cev xeeb tub. Polyhydramnios yog thaum muaj kua amniotic ntau dua li qub. Qhov xwm txheej no tshwm sim rau kwv yees li 1 lossis 2 ntawm 100 cev xeeb tub.
Tus mob no yuav mob me me, mob nruab nrab, lossis mob hnyav. Feem ntau, yog tias tus mob no pib thaum ntxov cev xeeb tub, muaj feem yuav muaj cov kua dej ntau ntxiv. Thaum cov kua dej ntau ntxiv, qhov kev pheej hmoo ntawm cov teeb meem thiab tus menyuam yuav muaj qee yam teeb meem thaum yug los yuav nce me ntsis.
Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov laj thawj rau qhov no?
Thaum cev xeeb tub ib txwm, cov kua dej amniotic no feem ntau yog ua los ntawm cov zis ntawm tus menyuam. Tus menyuam nqos cov kua no, thiab tom qab ntawd tso nws tawm dua ua zis. Qhov no tshwm sim hauv ib lub voj voog. Yog li ntawd, yog tias muaj teeb meem nyob rau hauv lub voj voog no, cov kua dej tuaj yeem nce ntxiv. Piv txwv li, yog tias tus menyuam tso zis ntau dhau, lossis yog tias tus menyuam tsis tuaj yeem nqos cov kua dej kom raug, qhov xwm txheej no tuaj yeem tshwm sim.
Tiam sis feem ntau, uas yog, kwv yees li ntawm 60% -70% ntawm cov neeg mob, tsis muaj qhov ua rau mob tshwj xeeb. Peb hu nws tias 'Idiopathic Polyhydramnios'. Txawm li cas los xij, qee zaum, muaj ntau yam ua rau qhov no.
| Ua rau | Ib qho lus piav qhia luv luv |
|---|---|
| Kab mob ntshav qab zib thaum cev xeeb tub | Vim tias leej niam cov ntshav qab zib siab, tus menyuam cov ntshav qab zib kuj nce ntxiv, ua rau tus menyuam tso zis ntau dua. Qhov no yog qhov ua rau feem ntau tshwm sim. |
| Teeb meem nrog tus menyuam | Nyuaj nqos dej vim muaj teeb meem hauv txoj hnyuv plab, lub paj hlwb, lossis cov chromosomal tsis zoo. |
| Cov Menyuam Ntxaib (Twin-to-Twin Transfusion Syndrome) | Qee tus menyuam ntxaib muaj cov ntshav tsis sib npaug los ntawm lub placenta, uas tuaj yeem ua rau muaj kua dej ntau dua nyob ib puag ncig ib tus menyuam thiab muaj kua tsawg dua nyob ib puag ncig lwm tus. |
| Teeb meem plawv ntawm tus menyuam | Tso zis ntau dhau vim muaj teeb meem nrog tus menyuam lub plawv ua haujlwm. |
| Kev kis kab mob thaum cev xeeb tub | Qee cov kab mob, xws li parvovirus B19, tuaj yeem ua rau tus menyuam tsis muaj ntshav txaus thiab khaws cov kua dej. |
| Lwm yam mob caj ces | Cov mob caj ces tsis tshua muaj uas cuam tshuam rau tus menyuam lub raum, xws li Bartter Syndrome. |
Yuav paub qhov mob no li cas?
Feem ntau kuaj pom tias muaj dej ntau hauv cov dej amnios los ntawm kev siv ultrasound scan . Tej zaum yuav kuaj pom thaum koj mus kuaj mob lossis thaum mus kuaj mob rau lwm yam tsos mob.
Qee zaum, yog tias koj lub tsev menyuam loj hlob sai dhau rau koj cev xeeb tub, lossis yog tias koj xav tias koj tus menyuam tsis txav ntau, koj tus kws kho mob yuav xav tias qhov no thiab xa koj mus rau kev soj ntsuam.
Thaum lub sijhawm luam theej duab, tus kws kho mob lossis tus kws kho mob ntsuas cov kua dej hauv lub tsev menyuam thiab xam tag nrho cov kua dej. Kev luam theej duab kuj tseem ceeb rau kev txiav txim siab seb tus menyuam puas muaj qhov tsis zoo thaum yug los.
Tej zaum koj yuav muaj cov tsos mob dab tsi?
Yog koj muaj cov kua dej me me, koj yuav tsis pom muaj tsos mob dab tsi li. Tab sis thaum cov kua dej ntau zuj zus, koj yuav pib hnov qee qhov tsis xis nyob .
Qhov tseem ceeb tshaj plaws yog tsis txhob xav tias cov tsos mob no zoo li cov mob thaum cev xeeb tub ib txwm muaj. Yog tias koj xav tias muaj dab tsi txawv txawv, qhia rau koj tus kws kho mob tam sim ntawd.
Cov no yog cov tsos mob uas pom tau feem ntau:
- Ua pa nyuaj : Tej zaum koj yuav hnov ua pa nyuaj thaum lub tsev menyuam loj hlob thiab nias rau koj lub ntsws.
- Mob plab thiab hnyav: Vim tias lub plab loj heev, muaj kev xav tias hnyav thiab tsis xis nyob.
- Lub tsev menyuam loj dua li nws yuav tsum yog: Piv txwv li, txawm tias nws yog 32 lub lis piam, nws zoo li lub plab 36 lub lis piam.
- Mob plab ua ntej hnub yug : Mob plab pib ua ntej hnub yug.
- Kev o ntawm lub cev qis: Kev o ntawm cov cheeb tsam xws li ob txhais ceg thiab pob luj taws.
Qhov no ua rau muaj teeb meem dab tsi?
Yog tias cov kua dej ntau heev hauv lub amnios hnyav heev, ces yuav muaj kev pheej hmoo ntawm cov teeb meem thaum cev xeeb tub thiab yug menyuam. Nco ntsoov tias, cov no tsis tshwm sim rau txhua tus, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog cov kev pheej hmoo.
| Kev nyuaj siab | Ib qho lus piav qhia yooj yim |
|---|---|
| Cov teeb meem ntawm tus menyuam hauv plab | Kwv yees li ntawm 20% ntawm cov menyuam mos uas muaj polyhydramnios yuav muaj qee yam kev puas tsuaj thaum yug los (tshwj xeeb tshaj yog lub plawv). |
| Yug ntxov ntxov | Yug ntxov vim yog lub tsev menyuam ncab ntau dhau. |
| Kev tawg ntawm lub hnab dej thaum ntxov | Kev tawg ntawm lub hnab amniotic ua ntej lub sijhawm vim muaj kev ntxhov siab ntau dhau. |
| Kev tawg ntawm placental | Lub placenta tawm ntawm phab ntsa uterine vim yog lub tsev menyuam contractions sai sai tom qab cov dej tawg. |
| Kev tawg ntawm txoj hlab ntaws | Thaum cov dej tawg, txoj hlab ntaws thiab cov kua dej nkag mus rau hauv qhov chaw mos ua ntej lub taub hau ntawm tus menyuam. Qhov no yog qhov xwm txheej ceev. |
| Tus me nyuam nyob rau hauv qhov chaw tsis raug | Vim muaj cov kua dej ntau dhau, tus menyuam muaj chaw ntau dhau hauv lub tsev menyuam. Yog li ntawd, nws yuav pw rau sab es tsis yog nyob rau hauv qhov chaw raug ( lub taub hau nqes) rau kev yug menyuam. |
| Yuav tsum tau phais cesarean (C-section) | Cov teeb meem saum toj no ua rau kev yug menyuam nyuaj thiab yuav tsum tau phais cesarean. |
| Los ntshav ntau tom qab yug menyuam | Los ntshav ntau dhau tom qab yug menyuam vim yog cov leeg nqaij ntawm lub tsev menyuam ncab ntau dhau vim yog cov kua dej ntau dhau. |
Cov kev kho mob rau qhov no yog dab tsi?
Koj txoj kev kho mob yuav nyob ntawm seb koj tus mob hnyav npaum li cas, theem ntawm koj cev xeeb tub, thiab qhov ua rau.
- Cov mob me me: Yog tias cov kua dej tsuas yog nce me ntsis xwb, feem ntau tsis tas yuav kho mob. Txawm li cas los xij, koj tus kws kho mob yuav saib xyuas koj thiab koj tus menyuam ze dua. Lawv yuav hais kom koj tuaj rau lub tsev kho mob ntau zaus dua li niaj zaus, thiab yuav ua qhov kev soj ntsuam ntau zaus.
- Cov mob hnyav: Yog tias cov kua dej ntau dhau thiab koj muaj teeb meem, kev kho mob yuav tsim nyog.
- Kev Kho Mob Qhov Ua Rau: Yog tias qhov ua rau muaj tus mob no yog ntshav qab zib thaum cev xeeb tub, kev kho nws kom zoo tuaj yeem pab tswj tau qhov ntim dej.
- Kev kuaj amnioreduction: Siv ib rab koob nyias nyias los rho cov kua ntau dhau ntawm lub tsev menyuam. Qhov no zoo ib yam li kev kuaj amniocentesis. Qhov no yuav tsum tau ua ntau zaus.
- Tshuaj: Qee zaum muab tshuaj ('Indomethacin') uas txo cov zis uas tus menyuam tso tawm. Txawm li cas los xij, qhov no tsis pom zoo tom qab 31 lub lis piam ntawm kev xeeb tub.
- Kev yug menyuam ntxov: Yog tias muaj teeb meem ntau thiab tus menyuam lub ntsws tau tsim kho, tus kws kho mob yuav txiav txim siab yug tus menyuam ua ntej hnub yug me ntsis.
- Kev soj ntsuam tas mus li: Nrog rau qhov no, tus menyuam lub plawv dhia thiab kev loj hlob raug kuaj xyuas tas li. Yog tias muaj kev xav tias muaj teeb meem nrog tus menyuam lub plawv, kev tshuaj xyuas tshwj xeeb xws li 'Fetal Echocardiogram' kuj tseem yuav ua tau.
Yog tias koj muaj Hydramnios, koj yuav tsum ua li cas?
Tom qab koj paub txog qhov teeb meem no lawm, koj yuav tsum tau hloov me ntsis koj txoj kev ua neej thiab koj cov phiaj xwm.
- So kom txaus: Sim tsis txhob ua kom koj lub cev nruj ntau li ntau tau. So kom koj ob txhais ceg siab. Yog tias ua tau, mus so menyuam ua ntej me ntsis.
- Npaj rau tus menyuam yug ntxov: Tsis txhob xav tias koj yuav tos tau txog hnub yug. Npaj cov khoom tsim nyog rau tus menyuam, xws li khaub ncaws, ntaub so ntswg, thiab lub txaj menyuam, ua ntej.
- Npaj ib txoj kev npaj thaum muaj xwm txheej ceev: Tham nrog koj tus txiv, tsev neeg, thiab kws kho mob txog yam yuav ua yog tias koj cov dej ntws tawm ntxov thiab yuav mus rau tsev kho mob li cas.
- Qhia rau koj tus kws kho mob txog tej yam tsis xis nyob uas koj tab tom ntsib (ua pa nyuaj, mob). Nws yuav qhia koj txog tej yam uas yuav pab kom koj tsis txhob mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Polyhydramnios yog qhov nce ntxiv ntawm cov kua dej amniotic nyob ib puag ncig tus menyuam hauv tsev menyuam.
- Feem ntau, tsis muaj qhov ua rau mob no, tab sis tej yam xws li ntshav qab zib thaum cev xeeb tub kuj tseem yuav ua rau mob no thiab.
- Tus mob no raug kuaj pom los ntawm kev kuaj ultrasound.
- Feem ntau cov kua dej me me tsis tas yuav kho, tab sis kev saib xyuas ze ntawm tus kws kho mob yog qhov tseem ceeb.
- Hauv cov mob hnyav, kev kho mob suav nrog kev ntws cov kua dej tawm, muab tshuaj, lossis yug menyuam ntxov.
- Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai tsis tsim nyog, sib cuag nrog koj tus kws kho mob tas li, thiab ua raws li nws cov lus qhia kom meej.Tham nrog nws txog tej kev tsis ntseeg lossis tej teeb meem.
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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