Yog tias koj yog ib leej niam uas yuav yug menyuam, koj yuav tsum tau hnov txog cov dej uas nyob ib puag ncig koj tus menyuam hauv koj lub tsev menyuam. Hauv kev kho mob, peb hu qhov no ua ' amniotic fluid '. Cov kua no zoo li lub hauv ncoo tiv thaiv rau koj tus menyuam. Cov kua no yog qhov tseem ceeb los tiv thaiv, pub mis, thiab cia koj tus menyuam txav mus los. Tab sis qee zaum, qhov ntau ntawm cov kua no tuaj yeem ntau dua li qub. Qhov ntawd yog qhov mob uas peb hu ua Polyhydramnios. Tsis txhob ntshai thaum koj hnov lub npe no. Cia peb tham txog nws kom meej thiab yooj yim hnub no.
Ua ntej, cia peb saib, cov kua amniotic no yog dab tsi?
Hais yooj yim xwb, koj tus menyuam nyob hauv ib lub hnab uas muaj kua dej nyob hauv koj lub tsev menyuam. Peb hu lub hnab no ua lub hnab amniotic. Cov kua dej ntshiab sab hauv hu ua amniotic fluid. Qhov no yog qhov tseem ceeb rau koj tus menyuam txoj kev loj hlob. Tus menyuam nqos cov kua dej no thiab ntxiv nws rov qab rau hauv cov kua dej ua zis. Qhov no yog li cas cov kua dej thiaj li sib npaug.
Qhov ntau ntawm cov kua no hloov pauv thoob plaws lub sijhawm cev xeeb tub. Qhov nruab nrab, muaj li ntawm 800 milliliters ntawm cov kua thaum txog li 34 lub lis piam. Txawm li cas los xij, thaum lub sijhawm yug menyuam los txog, thaum txog li 40 lub lis piam, qhov ntau no txo qis mus rau li ntawm 600 milliliters. Qee zaum, qhov ntau ntawm cov kua no tuaj yeem tsawg dua li qub (Oligohydramnios) lossis ntau dua li qub (Polyhydramnios) .
Yog li ntawd, polyhydramnios yog dab tsi?
Raws li tau hais ua ntej lawm, polyhydramnios yog thaum muaj kua amniotic ntau dhau hauv lub tsev menyuam. Qhov no tuaj yeem ua rau koj lub tsev menyuam loj dua li qub. Qhov no feem ntau pom thaum kawg ntawm cev xeeb tub. Txawm li cas los xij, nws tuaj yeem tshwm sim thaum ntxov li 16 lub lis piam.
Qhov tseem ceeb yog qhov no yog ib qho mob tsis tshua muaj . Nws tsuas cuam tshuam rau 1% txog 2% ntawm cov poj niam cev xeeb tub xwb. Yog li ntawd, tsis tas yuav txhawj txog nws yam tsis tsim nyog.
Dab tsi yog qhov ua rau muaj qhov dej ntau ntxiv hauv plab?
Feem ntau nws nyuaj rau txheeb xyuas qhov ua rau muaj qhov teeb meem no, tab sis muaj ob peb yam ua rau muaj qhov teeb meem no uas cov kws kho mob tau txheeb xyuas.
| Ua rau | Piav qhia yooj yim |
|---|---|
| Cov teeb meem yug los ntawm tus menyuam | Tus me nyuam yuav tsis nqos tau dej vim muaj teeb meem nrog tus me nyuam lub cev zom zaub mov lossis lub paj hlwb. |
| Kab mob ntshav qab zib ntawm niam | Kab mob ntshav qab zib thaum cev xeeb tub los yog kab mob ntshav qab zib uas twb muaj lawm uas tsis tau tswj hwm. |
| Cov menyuam ntxaib | Kev tsis sib npaug ntawm cov ntshav ncig ntawm cov menyuam ntxaib zoo sib xws (Twin-to-twin transfusion syndrome). |
| Kev mob ntshav tsis txaus hauv menyuam hauv plab | Cov qe ntshav liab hauv tus menyuam mos txo qis. |
| Teeb meem ntawm lub plab | Muaj teeb meem nrog lub placenta, uas muab zaub mov thiab oxygen rau tus menyuam. |
| Kev tsis sib haum xeeb ntawm hom ntshav | Tsis sib haum xeeb ntawm cov ntshav ntawm leej niam thiab tus menyuam (tshwj xeeb tshaj yog Rh factor). |
| Kev kis kab mob | Qee cov kab mob uas tshwm sim rau leej niam thaum cev xeeb tub. |
Yog tias koj muaj Polyhydramnios, koj yuav muaj cov tsos mob dab tsi?
Yog tias koj lub plab zoo li nws loj dua hauv lub sijhawm luv luv, nws yuav yog ib qho cim ntawm polyhydramnios, ib qho mob uas tshwm sim thaum cov kua dej tsim thiab muab siab rau lub tsev menyuam thiab cov kabmob ib puag ncig.
- Yog tias cov kua dej ntau dhau me ntsis xwb (polyhydramnios me ntsis): Tej zaum koj yuav tsis muaj tsos mob dab tsi.
- Yog tias cov kua dej ntau dhau (Mob polyhydramnios hnyav): Tej zaum koj yuav muaj ib lossis ntau yam tsos mob hauv qab no:
- Lub plab tawv heev.
- Ua pa nyuaj.
- Teeb meem zom zaub mov thiab mob hauv siab.
- Cem quav .
- Kev o ntawm ob txhais ceg, ob txhais ceg, thiab ob txhais taw.
- Kev tsis xis nyob ntawm lub tsev menyuam lossis kev sib cog lus.
- Qhov chaw ntawm lub fetus tsis zoo.
- Tsis tshua muaj kev xav ntawm tus menyuam txoj kev txav mus los.
Vim muaj tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Yog tias cov kua dej ntau dhau thaum pib cev xeeb tub (mob polyhydramnios hnyav), ces yuav muaj teeb meem. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no, tab sis nco ntsoov tias cov no tsis tshwm sim rau txhua tus.
- Yug ua ntej lub sijhawm: Yug ua ntej 37 lub lis piam.
- Kev tawg ntawm cov ntaub so ntswg ua ntej lub sijhawm: Kev tawg ntawm lub hnab amniotic (lub hnab dej) ua ntej yug menyuam.
- Placental abruption: Lub placenta tawm ntawm phab ntsa uterine ua ntej tus menyuam yug los.
- Txoj hlab ntaws poob qis: Txoj hlab ntaws nkag mus rau hauv qhov chaw mos ua ntej tus menyuam yug los.
- Kev loj hlob ntawm tus menyuam: Tus menyuam loj zuj zus.
- Yuav tsum tau phais cesarean (C-section).
- Yug Tuag: Qhov no yog qhov tshwm sim tsawg heev.
- Los ntshav ntau tom qab yug menyuam.
Tsis txhob ntshai hnov tej yam no. Koj tus kws kho mob paub zoo txog tej kev pheej hmoo no. Yog vim li ntawd nws thiaj yuav kuaj xyuas koj thiab koj tus menyuam tsis tu ncua thiab muab kev saib xyuas zoo tshaj plaws.
Tus kws kho mob kuaj mob li cas?
Yog tias koj muaj cov tsos mob saum toj no, koj tus kws kho mob yuav ua qhov kev kuaj ultrasound ua ntej. Qhov no yuav ntsuas qhov ntau ntawm cov kua hauv koj lub plab. Muaj ob txoj hauv kev siv rau qhov no:
1. AFI (Amniotic Fluid Index): Xav txog seb koj puas faib koj lub tsev menyuam ua plaub ntu, ntsuas qhov tob tshaj plaws ntawm cov kua dej hauv txhua ntu, thiab muab lawv tag nrho ntxiv ua ke. Yog tias qhov sib npaug ntau dua 24-25 centimeters, nws suav tias yog Polyhydramnios.
2. MPV (Lub Hnab Ntsug Siab Tshaj): Qhov no ntsuas qhov tob ntawm lub hnab kua dej tob tshaj plaws hauv lub tsev menyuam. Yog tias tus nqi no sib npaug lossis ntau dua 8 centimeters, nws kuj raug kuaj pom tias yog Polyhydramnios.
Tsis tas li ntawd xwb, lwm yam kev kuaj mob tuaj yeem ua tau los nrhiav qhov ua rau:
- Kev kuaj ntshav: Txhawm rau xyuas seb leej niam puas muaj kev kis kab mob lossis tej yam mob xws li ntshav qab zib.
- Kev kuaj amniocentesis: Qhov no suav nrog kev siv ib rab koob me me los rho me ntsis kua dej los ntawm lub tsev menyuam thiab kuaj nws. Qhov no tuaj yeem muab cov ntaub ntawv hais txog tej yam xws li teeb meem caj ces hauv tus menyuam.
Thaum kuaj pom tus mob no lawm, koj tus kws kho mob yuav saib xyuas koj thiab koj tus menyuam tsis tu ncua. Rau qhov no, koj yuav tsum tau ua qhov kev kuaj mob tsis ntxhov siab .Cov kev kuaj xws li kev kuaj lub plawv dhia ntawm tus menyuam hauv plab (xam xyuas lub plawv dhia ntawm tus menyuam) thiab daim duab biophysical (kev ntsuas uas feem ntau xyuas tus menyuam txoj kev txav mus los, kev ua pa, thiab cov kua dej hauv lub cev).
Cov kev kho mob rau polyhydramnios yog dab tsi?
Qhov xov xwm zoo yog tias feem ntau cov mob uas tsis tshua muaj kua dej ntau tsis tas yuav kho . Qhov mob no yuav ploj mus nws tus kheej raws sijhawm. Nws kuj tseem tuaj yeem zoo dua thaum kho qhov ua rau mob, xws li ntshav qab zib,.
Txawm li cas los xij, yog tias cov kua dej ntau dhau (hnyav) thiab koj ua pa nyuaj, mob plab, lossis muaj cov cim qhia tias koj yug menyuam ua ntej lub sijhawm, koj yuav xav tau kev kho mob. Tej zaum koj yuav xav tau mus pw hauv tsev kho mob.
Raws li cov txheej txheem kev kho mob:
- Tshem Tawm Cov Kua: Ib yam li kev kuaj amniocentesis, siv ib rab koob los tshem tawm cov kua ntau dhau ntawm lub tsev menyuam. Txawm li cas los xij, vim tias txoj kev kho mob no muaj kev pheej hmoo me me ntawm kev tawg ua ntej lub sijhawm, koj tus kws kho mob tsuas yog ua qhov no yog tias tsim nyog tiag tiag.
- Tshuaj: Tej zaum yuav muaj kws kho mob sau ntawv kom muab tshuaj xws li Indomethacin rau koj. Cov tshuaj no yuav txo cov zis uas tus menyuam tso tawm thiab txo cov kua dej hauv lub cev. Txawm li cas los xij, cov tshuaj no yuav tsum muab ua ntej 31 lub lis piam ntawm kev cev xeeb tub. Vim tias cov tshuaj no muaj qee yam cuam tshuam rau lub plawv ntawm tus menyuam, tus kws kho mob yuav kuaj xyuas lub plawv ntawm tus menyuam tas li.
Qhov tseem ceeb tshaj plaws yog tias tag nrho cov kev txiav txim siab no yog koj tus kws kho mob ua. Nws yuav txiav txim siab seb qhov twg zoo tshaj plaws rau koj, xav txog koj tus mob thiab kev noj qab haus huv ntawm koj tus menyuam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Polyhydramnios yog cov kua dej amniotic ntau dhau hauv lub tsev menyuam. Qhov no yog ib qho mob tsis tshua muaj.
- Feem ntau nws nyuaj rau nrhiav qhov ua rau qhov no meej, tab sis ntshav qab zib, yug ntau tus menyuam, thiab qee qhov teeb meem nrog tus menyuam tuaj yeem yog cov yam ua rau muaj qhov no.
- Cov mob me me feem ntau tsis ua rau muaj tsos mob. Cov mob hnyav tuaj yeem ua rau muaj tsos mob xws li ua pa nyuaj thiab mob plab.
- Tus mob no raug kuaj pom los ntawm kev kuaj ultrasound.
- Yog tias cov kua dej tsuas yog ntau dhau me ntsis xwb, feem ntau tsis tas yuav kho thiab yuav kho nws tus kheej.
- Tsuas yog tias qhov mob hnyav heev thiaj li kho tau nrog kev rho cov kua dej tawm lossis tshuaj.
- Tsis txhob ntshai xav txog txhua yam ntawm koj tus kheej. Tham txog txhua yam nrog koj tus kws kho mob . Nws yuav muab kev saib xyuas zoo tshaj plaws rau koj thiab koj tus menyuam.
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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