Tus menyuam mos uas mob ntshav qab zib niam

Kev xeeb menyuam (menyuam mos) ntawm leej niam muaj ntshav qab zib tuaj yeem raug cov ntshav muaj piam thaj ntau ntau, thiab ntau lwm yam khoom noj muaj txiaj ntsig, thoob plaws lub sijhawm xeeb tub.

Muaj ob hom mob ntshav qab zib thaum cev xeeb tub:

• Mob Ntshav Qab Zib hauv ntshav - ntshav qab zib (ntshav qab zib) uas pib lossis kuaj thawj zaug hauv plab
• Ntshav qab zib ua ntej los yog ib ce muaj peev xwm - twb muaj ntshav qab zib ua ntej ua ntej xeeb tub

Yog tias ntshav qab zib tsis tau tswj hwm zoo thaum cev xeeb tub, tus me nyuam muaj feem cuam tshuam rau hauv cov ntshav qab zib. Qhov no tuaj yeem cuam tshuam rau tus menyuam thiab leej niam thaum cev xeeb tub, thaum yug menyuam, thiab tom qab yug menyuam.

Cov menyuam mos ntawm cov leej niam muaj ntshav qab zib (IDM) feem ntau loj dua li lwm tus menyuam, tshwj xeeb yog cov ntshav qab zib tsis tau tswj kom zoo. Qhov no yuav ua rau qhov chaw mos yug tau los nyuaj thiab yuav ua rau muaj kev raug mob hlab ntaws thiab lwm yam kev tawm tsam thaum yug los. Kuj, kev phais plab menyuam yog cov muaj feem ntau.

Ib qho IDM ntau dua yuav muaj ntu ntu ntshav qab zib tsawg (ntshav qab zib hauv siab) sai sai tom qab yug me nyuam, thiab thawj ob peb hnub ntawm lub neej. Qhov no yog vim hais tias tus menyuam tau siv cov piam thaj ntau dua qhov xav tau los ntawm leej niam. Lawv muaj cov qib insulin ntau dua li xav tau tom qab yug. Cov tshuaj ntshav txo qis cov ntshav qab zib. Nws tuaj yeem siv sijhawm ntau hnub rau cov menyuam yaus cov qib insulin los hloov tom qab yug.

Cov IDMs yog cov yuav muaj:

• Ua tsis taus pa nyuaj vim tsis tshua lub ntsws
• Muaj cov ntshav liab nyob hauv siab (polycythemia)
• Qib siab bilirubin (me nyuam mos daj)
• Thickening ntawm lub plawv mob nruab nrab ntawm cov chav loj (ventricles)

Yog tias cov ntshav qab zib tsis tau tswj hwm tau zoo, muaj feem yuav nchuav menyuam lossis menyuam yaus hauv plab tseem muaj ntau dua.

Ib qho IDM muaj qhov pheej hmoo ntawm kev yug me nyuam ntau dua yog tias leej niam muaj cov ntshav qab zib ua ntej uas tsis tau muaj kev tswj hwm tau zoo txij li thaum pib.

Cov menyuam mos feem ntau loj dua li ib txwm tau rau cov menyuam uas yug tom qab tib lub sijhawm hauv leej niam lub cev (loj rau nruab hnub nyoog muaj hnub nyoog). Muaj qee kis, tus me nyuam yuav me dua (me me rau hnub nyoog muaj hnub nyoog).

Lwm cov tsos mob tuaj yeem suav nrog:

• Xiav tawv nqaij xiav, lub plawv dhia ceev ceev, ua pa sai (cim ntawm lub ntsws tsis loj lossis lub plawv tsis ua haujlwm)
• Kev ua tsis tau zoo, ua tsis taus pa, quaj tsis muaj zog
• Mob chua leeg (kos npe rau ntawm cov ntshav qab zib qis heev)
• Pluag mov noj
• Puffy ntsej muag
• Ntshai lossis tshee sai tom qab yug
• Jaundice (daj tawv daj)

Ua ntej yug menyuam:

• Ultrasound tau ua ntawm leej niam hauv ob peb lub hlis dhau los ntawm kev xeeb tub los saib xyuas qhov loj ntawm tus menyuam txheeb ze rau qhov qhib rau ntawm tus kwj dej yug.
• Kev kuaj lub ntsws tsis tuaj yeem ua tiav ntawm cov kua dej amniotic. Qhov no tsis tshua muaj ua tab sis tej zaum yuav pab tau yog tias hnub so tsis tau txiav txim thaum ntxov hauv lub cev xeeb tub.

Tom qab yug tus menyuam:

• Tus me nyuam cov piam thaj hauv ntshav yuav raug kuaj xyuas hauv thawj teev lossis ob teev tom qab yug, thiab rov kuaj dua kom txog thaum nws ib txwm nyob. Qhov no yuav siv sijhawm ib hnub lossis ob hnub, lossis ntev dua.
• Tus menyuam yuav raug saib rau ntawm cov phiajcim teeb meem lub plawv lossis lub ntsws.
• Yuav kuaj tus me nyuam bilirubin ua ntej mus tsev ntawm tsev kho mob, thiab ntxov yog tias muaj tus tsos mob siab daj ntseg.
• Kev ntsuas tus mob echocardiogram tuaj yeem saib xyuas qhov loj hauv lub plawv ntawm tus menyuam.

Txhua tus menyuam mos yug los rau leej niam uas muaj ntshav qab zib yuav tsum kuaj ntshav qab zib kom qis, txawm tias lawv tsis muaj tsos mob dab tsi.

Kev mob siab rau ua kom ntseeg tau tias tus menyuam muaj piam thaj hauv ntshav txaus:

• Kev pub mis sai tom qab yug me nyuam tuaj yeem tiv thaiv kom tsis muaj ntshav qab zib tsawg hauv qee kis. Txawm hais tias txoj kev npaj yuav pub mis niam, tus menyuam yuav xav tau qee mis thaum thawj 8 mus rau 24 teev yog tias cov piam thaj hauv ntshav qis.
• Ntau lub tsev kho mob tau muab tshuaj dextrose (piam thaj) rau sab hauv tus me nyuam sab plhu es tsis muab mis rau yog tias tsis muaj leej niam cov kua mis txaus.
• Cov ntshav qab zib tsawg uas tsis txhim kho nrog kev pub mis yog kho cov kua dej uas muaj suab thaj (qabzib) thiab cov dej muab los ntawm txoj hlab ntshav (IV).
• Thaum muaj mob hnyav, yog tias tus menyuam xav tau cov piam thaj ntau, cov kua muaj cov piam thaj yuav tsum muab los ntawm txoj hlab ntaws (lub plab hauv plab) cov hlab ntshav tau ob peb hnub.

Tsawg tsawg, tus menyuam mos yuav xav tau kev pab ua pa lossis tshuaj los kho lwm yam mob ntshav qab zib. High theem bilirubin raug kho nrog kho kho lub teeb (kho duab ci).

Feem ntau, cov tsos mob ntawm tus minyuam mos yuav ploj mus tsis pub dhau ob peb teev, hnub, lossis ob peb lim piam. Txawm li cas los xij, lub siab mob siab tuaj yeem siv sijhawm ob peb lub hlis kom tau zoo dua.

Tsis tshua muaj, cov piam thaj hauv ntshav yuav tsawg li ua rau lub hlwb puas.

Txoj kev pheej hmoo ntawm txoj kev tuag tseem yuav muaj ntau dua rau cov poj niam uas mob ntshav qab zib uas tsis tuaj yeem tswj tau zoo. Kuj tseem muaj kev pheej hmoo siab ntau rau cov me nyuam yug los yog teeb meem:

• Congenital plawv tsis xws luag.
• Qib bilirubin (hyperbilirubinemia).
• Lub cev ntsws.
• Neonatal polycythemia (ntau cov qe ntshav liab ntau dua li ib txwm). Qhov no tuaj yeem ua rau txhaws hauv cov hlab ntsha lossis hyperbilirubinemia.
• Mob sab laug sab laug. Qhov no ua rau cov tsos mob ntawm lub plab hnyuv.

Yog tias koj xeeb tub thiab tau txais kev saib xyuas ua ntej, kev kuaj ib ce yuav qhia tau yog tias koj muaj ntshav qab zib mob tsis tsaug zog.

Yog tias koj cev xeeb tub thiab mob ntshav qab zib uas tsis tuaj yeem tswj tau, hu rau koj tus kws kho mob sai.

Yog tias koj cev xeeb tub thiab tsis tau txais kev saib xyuas ua ntej, hu rau tus kws khomob kom teem sijhawm.

Cov poj niam muaj ntshav qab zib xav tau kev saib xyuas tshwj xeeb thaum cev xeeb tub txhawm rau tiv thaiv teeb meem. Kev tswj cov ntshav qab zib tuaj yeem tiv thaiv ntau yam teeb meem.

Ua tib zoo saib xyuas tus menyuam hauv thawj teev thiab hnub tom qab yug menyuam tuaj yeem tiv thaiv kev noj qab haus huv vim tsis muaj ntshav qab zib ntau.

IDM; Mob ntshav qab zib mob Gestational - IDM; Neonatal zov - cov niam ntshav qab zib

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