Shaken me nyuam mob

Shaken baby syndrome yog hom mob hnyav ntawm kev tsim txom menyuam yaus los ntawm kev sib ntau los ntawm kev tsuj tus menyuam mos lossis menyuam yaus.

Kev xav tshee menyuam yaus tuaj yeem tshwm sim txij li 5 feeb ntawm kev co.

Cov menyuam mos uas raug tsaj no feem ntau ua rau menyuam yaus hnub nyoog qis dua 2 xyoos, tabsis yuav pom rau cov menyuam yaus txog 5 xyoos.

Thaum tus menyuam mos lossis menyuam me tau tshee, lub hlwb bounces rov qab los rau ntawm lub pob txha taub hau. Qhov no tuaj yeem ua rau doog ntshav ntawm lub hlwb (kis rau hlwb), o, nias siab thiab los ntshav hauv lub hlwb. Txoj hlab ntshav loj raws sab nraud ntawm lub hlwb yuav ntuag, ua rau kom ntshav ntxiv, o, thiab nce siab. Qhov no tuaj yeem yooj yim ua rau lub hlwb tas li lossis tuag.

Kev co ib tus menyuam lossis tus menyuam yaus ua rau lwm tus raug mob, xws li ua rau puas caj dab, txha nraub qaum, thiab qhov muag.

Feem ntau, cov niam txiv npau taws lossis tus saib xyuas muab tus menyuam tsub kom rau txim lossis ntsiag to tus menyuam. Qhov tshee no feem ntau yuav muaj tshwm sim thaum tus minyuam mos quaj yam tsis tsim nyog thiab tus neeg zov me nyuam tswj tsis tau tus kheej. Ntau lub sijhawm cov neeg zov menyuam tsis xav ua phem rau tus menyuam. Tseem, nws yog ib daim ntawv ntawm kev tsim txom menyuam yaus.

Kev raug mob yog feem ntau tshwm sim thaum tus me nyuam shaken thiab ces tus me nyuam lub taub hau tsoo ib yam dab tsi. Txawm hais tias kov cov khoom muag muag, xws li daim txaj lossis tog hauv ncoo, tej zaum yuav tuaj yeem ua rau raug mob rau cov menyuam mos thiab menyuam mos. Cov menyuam yaus lub hlwb yog softer, lawv lub caj dab cov leeg thiab cov leeg tsis muaj zog, thiab lawv lub taub hau loj thiab hnyav ua kom sib luag ntawm lawv lub cev. Qhov txiaj ntsig yog ib hom ntawm whiplash, zoo ib yam li dab tsi tshwm sim hauv qee qhov pib tsheb.

Shaken tus me nyuam lub ntsej muag tsis yog los ntawm maj mam txhaws, ua si viav vias lossis tos tus me nyuam hauv huab cua, lossis dhia nrog tus menyuam. Nws kuj tsis tshua muaj xwm txheej tshwm sim los ntawm kev raug xwm txheej xws li ntog lub rooj zaum lossis hauv qab ntaiv, lossis poob rau hauv kev sib tsoo los ntawm tus neeg zov lub caj npab. Lub caij nplooj zeeg luv luv yuav ua rau lwm hom kev raug mob taub hau, txawm hais tias cov no feem ntau tseem me.

Cov tsos mob tuaj yeem sib txawv, nyob ntawm me me mus rau mob hnyav. Lawv suav nrog:

• Qhov duav (qaug dab peg)
• Tsawg dua kev ceev faj
• Kev chim siab lossis lwm yam kev hloov pauv ntawm tus cwj pwm
• Qias neeg, pw tsaug zog, tsis ntxhi
• Tsis nco qab
• Tsis pom kev
• Tsis ua pa
• Tawv daj lossis xiav tawv nqaij
• Pluag noj tsis qab, tsis qab los noj mov
• Ntuav

Yuav tsis muaj cov tsos mob ntawm lub cev, xws li ua pob, los ntshav, lossis o. Hauv qee kis, tus mob tuaj yeem kuaj mob tsis yooj yim thiab tej zaum yuav tsis pom thaum lub sijhawm mus ua haujlwm ntawm chaw haujlwm. Txawm li cas los xij, cov pob txha caj qaum yog ntau thiab tuaj yeem pom ntawm xoo hluav taws xob.

Tus kws kho qhov muag yuav pom pom qab los ntshav menyuam cov qhov muag lossis caj pas. Txawm li cas los xij, txawm li cas los xij, lwm qhov teeb meem los ntshav tom qab lub qhov muag thiab lawv yuav tsum raug txiav txim siab ua ntej kev kuaj mob cov menyuam yaus uas txawv txav. Lwm yam yuav tsum tau txiav txim siab.

Hu 911 lossis koj tus lej kub ceev hauv ib cheeb tsam. Kev kho mob sai sai yog qhov tsim nyog.

Yog tias tus me nyuam tsis ua pa ua ntej kev pab thaum muaj xwm ceev tuaj, pib CPR.

Yog tias tus me nyuam ntuav:

• Thiab koj tsis xav tias muaj qhov txha caj qaum, tig tus menyuam lub taub hau ib sab los tiv thaiv tus menyuam txhawm chim thiab ua pa ntawm ntuav mus rau hauv lub ntsws (kev xav).
• Thiab koj puas xav tias muaj qhov txha caj qaum, ua tib zoo yaug tus menyuam lub cev tag nrho rau ib sab tib lub sijhawm (zoo li dov lub cav) thaum tiv thaiv caj dab kom tiv thaiv txhawm chim thiab mob siab.

• Tsis txhob khaws los yog tshee me nyuam kom nws tsa nws.
• Tsis txhob sim muab dab tsi los ntawm qhov ncauj rau tus me nyuam.

Hu koj tus kws kho mob yog tias ib tug me nyuam muaj cov yam ntxwv saum toj no, tsis hais lawv yuav hnyav npaum li cas los sis mob hnyav. Tsis tas li ntawd hu yog tias koj xav tias tus menyuam muaj mob dab tsi.

Yog koj xav tias menyuam yaus raug xwm txheej ceev vim kev tsis saib xyuas, koj yuav tsum hu 911. Yog koj xav tias muaj menyuam raug kev tsim txom, ceeb toom qhia tam sid. Feem ntau cov xeev muaj tus xovtooj qhia kev tsim txom menyuam yaus. Koj kuj tseem siv tau Childhelp National Child Abuse Hotline ntawm 1-800-4-A-Child (1-800-422-4453).

Cov kauj ruam no tuaj yeem pab txo tus mob shaken menyuam yaus qhov kev pheej hmoo:

• Tsis txhob co menyuam mos lossis menyuam yaus hauv kev ua si lossis hauv kev npau taws. Txawm maj mam tshee yuav ua tsaus muag tshee thaum koj npau taws.
• Tsis txhob puag koj tus menyuam thaum muaj kev sib cav.
• Yog tias koj pom koj tus kheej npau taws lossis npau taws rau koj tus menyuam, muab tus menyuam tso rau hauv lawv lub txaj menyuam thiab tawm hauv chav. Sim ua kom siab nqig. Hu rau ib tug neeg kom pab txhawb nqa.
• Hu rau cov phooj ywg lossis cov txheeb ze kom tuaj nrog thiab nyob nrog tus menyuam yog tias koj tsis tuaj yeem tswj tau.
• Hu rau tus xov tooj kub ntxhov ceev hauv zej zos lossis xov tooj tswj kev tsim txom me nyuam kom tau txais kev pab thiab kev qhia.
• Nrhiav kev pab ntawm tus kws pab tswv yim thiab tuaj koom chav kawm kev ua niam ua txiv.
• Tsis txhob quav ntsej txog cov phiajcim yog tias koj xav tias yog kev tsim txom menyuam yaus hauv koj tsev lossis hauv tsev ntawm tus neeg koj paub.

Shaken cuam tshuam cuam tshuam; Whiplash - shaken menyuam mos liab; Kev tsim txom me nyuam - ntxau menyuam

• Shaken cov tsos mob ntawm tus menyuam

Carrasco MM, Woldford JE. Kev tsim txom me nyuam thiab kev tsis saib xyuas. Hauv: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas ntawm Kev Kuaj Mob Kuaj MobCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2018: chap 6.

Dubowitz H, Txoj Kab WG. Raug tsim txom thiab saib tsis taus menyuam. Hauv: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Phau Ntawv ntawm PediatricsCov. 20 tus ed. Philadelphia, PA: Elsevier; 2016: chap 40.

Mazur PM, Hernan LJ, Maiyegun S, Wilson H. Kev tsim txom menyuam yaus. Hauv: Fuhrman BP, Zimmerman JJ, eds. Kev Saib Xyuas Menyuam YausCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2017: cha 122.