Polyhydramnios

Polyhydramnios tshwm sim thaum kua dej ntau dhau lawm thaum lub cev xeeb tub. Nws kuj tseem hu ua amniotic kua tsis meej, lossis hydramnios.

Cov kua dej hauv cov kua ntshav hauv lub cev yog cov kua uas npuab tus menyuam hauv plab (tsev menyuam). Nws tawm los ntawm tus menyuam lub raum, thiab nws nkag rau hauv lub tsev menyuam los ntawm tus menyuam cov zis. Cov kua dej yog nqus tau thaum tus menyuam nqos nws thiab los ntawm kev ua pa.

Thaum tseem nyob hauv lub tsev menyuam, tus menyuam nyob hauv lub cev kua dej. Nws puag ncig thiab zaws lub menyuam mos thaum xeeb menyuam. Tus nqi ntawm cov kua tshuaj amniotic yog qhov loj tshaj nyob ntawm 34 txog 36 lub lim tiam ntawm cev xeeb tub. Tom qab ntawv tus nqi yuav maj mam tsawg zuj zus kom txog thaum yug los.

Cov kua dej amniotic:

• Tso cai rau tus menyuam txav mus nyob rau hauv lub tsev menyuam, txhawb nqa nqaij thiab pob txha loj
• Pab ua rau menyuam lub ntsws loj hlob
• Tiv thaiv tus me nyuam los ntawm kev kub tawm los ntawm kev ua kom qhov kub thiab txias
• Lub ncoo thiab tiv thaiv tus menyuam los ntawm kev sib tawg tam sim ntawd sab nraud lub tsev menyuam

Polyhydramnios tuaj yeem tshwm sim tau yog tias tus menyuam tsis nqos thiab nqus cov kua dej amniotic nyob rau hauv ib txwm. Qhov no tuaj yeem tshwm sim yog tias tus menyuam muaj qee yam teebmeem kev noj qab haus huv, suav nrog:

• Kev mob plab zom mov, xws li duodenal atresia, esophageal atresia, gastroschisis, thiab diaphragmatic hernia
• Lub hlwb thiab cov hlab ntsha muaj teeb meem, xws li anencephaly thiab myotonic dystrophy
• Achondroplasia
• Beckwith-Wiedemann syndrome

Nws kuj tseem tuaj yeem yog tias leej niam tswj tsis tau tus kab mob ntshav qab zib kom tsawg.

Polyhydramnios kuj tseem tuaj yeem tshwm sim yog tias muaj dej ntau dhau. Qhov no tuaj yeem yog vim:

• Muaj qee cov ntsws nyob hauv tus menyuam
• Ntau lub sijhawm cev xeeb tub (piv txwv li menyuam ntxaib lossis triplets)
• Hydrops fetalis nyob rau hauv tus menyuam

Qee zaum, tsis muaj lub laj thawj tshawb pom.

Hu koj tus kws kho mob yog tias koj cev xeeb tub thiab pom tias koj lub plab tau sai heev.

Koj tus kws kho mob ntsuas qhov luaj li cas ntawm koj lub plab txhua zaus tuaj ntsib. Qhov no qhia tau hais tias koj lub plab loj npaum li cas. Yog tias koj lub plab tau nce nrawm dua li qhov xav tau, lossis nws loj dua li ib txwm ntawm koj tus menyuam lub hnub nyoog, tus kws khomob yuav:

• Koj puas tau rov qab los sai dua li ib txwm kuaj xyuas nws dua
• Ua ib qho ultrasound

Yog tias koj tus kws kho mob pom tias muaj teeb meem yug me nyuam, koj yuav tsum tau kuaj ntshav (amniocentesis) kom sim ntsuas qhov mob caj ces.

Cov polyhydramnios me uas qhia thaum ntxov cev xeeb tub feem ntau tsis ua teeb meem loj.

Kev kho mob polyhydramnios hnyav tuaj yeem kho nrog tshuaj lossis los ntawm kev tso dej tawm ntxiv.

Cov poj niam nrog polyhydramnios feem ntau yuav mus rau hauv kev yug menyuam thaum ntxov. Tus menyuam yuav tsum raug xa hauv tsev kho mob. Txoj kev ntawd, cov kws khomob tuaj yeem tshawb xyuas kev noj qab haus huv ntawm leej niam thiab menyuam thiab muab kev kho mob yog tias xav tau.

Cev xeeb tub - polyhydramnios; Hydramnios - polyhydramnios

• Polyhydramnios

Buhimschi CS, Mesiano S, Muglia LJ. Pathogenesis ntawm qhov tshwm sim muaj hnub yug ntxov. Hauv: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Nyiaj RM, eds. Kev Tsim Nyog thiab Resnik Cov Tshuaj Tiv Thaiv Leej Niam: Cov Ntsiab Cai thiab Kev UaCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 7.

Gilbert WM. Amniotic kua ntshawv siab. Hauv: Gabbe SG, Niebyl JR, Simpson JL, li al, eds. Obstetrics: Li Qub thiab Teeb Meem NtxigCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 35.

Suhrie KR, Tabbah SM. Tus me nyuam. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 115.