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Zoo Siab

Txoj kev kuaj ntshav thiab qaum ntshav ua hauj lwm zoo li cas?

Txoj hlab ntshav yog cov ntshav uas tso rau txoj hlab ntaws me nyuam tom qab yug tau los. Txoj hlab ntaws yog txoj hlua zoo li txoj kab uas txuas tus niam rau nws tus menyuam hauv plab thaum cev xeeb tub. Nws muaj cov hlab ntsha uas nqa khoom noj khoom haus rau tus menyuam thiab tshem cov khoom pov tseg. Tom qab yug menyuam tas, txoj hlua txiav nrog ib qho me me uas seem. Cov thooj ntawd yuav kho tau thiab ua rau tus menyuam lub plab khawm.

Txoj kev kuaj ntshav rau txoj hlab ntshav

Thaum txoj hlab ntaws txiav tau, tus kws saib xyuas kev noj qab haus huv tuaj yeem nqa ib qhov ntshav ntawm txoj hlab ntshav mus kuaj. Cov kev kuaj no tuaj yeem ntsuas ntau yam thiab ntsuas seb puas muaj kab mob lossis lwm yam txawv.

Txoj hlab ntshav ntshav

Qee tus neeg xav khaws nyiaj (khaws thiab khaws cia) cov ntshav los ntawm lawv tus menyuam txoj hlab ntaws rau kev siv kho mob yav tom ntej. Txoj hlab ntaws muaj cov qe tshwj xeeb hu ua qia hlwb. Tsis zoo li lwm cov qe, cov qia hlwb muaj peev xwm loj hlob mus ua ntau hom hlwb sib txawv. Cov no suav nrog cov hlwb pob txha, hlwb ntshav, thiab cov hlwb hlwb. Qia qog nyob rau hauv ntshav cov ntshav tuaj yeem siv los kho qee yam mob ntshav tsis txaus, suav nrog mob ntshav daj, kab mob Hodgkin, thiab qee yam ntshav tsis muaj zog. Cov kws tshawb nrhiav tau kawm tias qog qia kuj tuaj yeem kho lwm yam kabmob.


Txoj kev kuaj ntshav qaum yog siv rau dab tsi?

Tej zaum yuav siv txoj kev kuaj ntshav siv txoj hlua ntshav:

  • Ntsuas cov roj ntshav. Qhov no pab txhawm rau saib seb tus menyuam cov ntshav puas muaj oxygen thiab lwm yam khoom noj qab haus huv zoo.
  • Ntsuas cov qib bilirubin. Bilirubin yog cov khoom pov tseg tsim los ntawm daim siab. Cov qib bilirubin ntau tuaj yeem ua lub cim ntawm daim siab mob siab.
  • Ua kab lis kev cai ntshav. Qhov kev ntsuas no tuaj yeem ua tau yog tias tus neeg zov me nyuam xav tias tus menyuam muaj mob.
  • Ntsuas qhov sib txawv ntawm cov ntshav nrog ib qho kev ua tiav ntawm cov ntshav. Qhov no yuav tau ua ntau zaus rau cov menyuam yug ua ntej.
  • Xyuas seb puas pom tus me nyuam kis tus me nyuam noj tshuaj tsis raug cai los yog cov tshuaj tsis raug cai uas niam tau noj nyob rau thaum cev xeeb tub. Umbilical qaum ntshav cov ntshav tuaj yeem qhia cov tsos mob ntawm ntau yam tshuaj, nrog rau opiates; xws li heroin thiab fentanyl; yeeb; tshuaj maj; thiab sedatives. Yog tias ib qho twg ntawm cov tshuaj pom hauv cov ntshav qaum, tus kws kho mob tuaj yeem kho tus menyuam thiab pab kom tsis txhob muaj teeb meem xws li kev loj hlob qeeb.

Txoj hlab ntshav hlab ntshav siv rau dab tsi?

Koj yuav tau xav txog tso koj tus menyuam cov ntshav cov ntshav yog tias koj:


  • Muaj keeb kwm ntawm tsev neeg muaj teeb meem ntshav lossis qee yam mob qog nqaij hlav. Koj tus menyuam cov qe ntshav yuav yog lub chaw ze rau nws cov kwvtij lossis lwm tus neeg hauv tsev neeg. Cov ntshav tuaj yeem pab kho mob tau.
  • Xav tiv thaiv koj tus menyuam los ntawm kev mob yav tom ntej, txawm hais tias nws tsis zoo li tus menyuam tuaj yeem kho nws tus kheej los yog cov kab mob qia rau. Yog vim hais tias tus me nyuam tus kheej lub hlwb qia yuav muaj cov teeb meem tib yam uas ua rau muaj tus kabmob thib ib.
  • Xav pab lwm tus. Koj tuaj yeem pub koj tus menyuam cov ntshav txoj hlab ntshav rau lub chaw khomob uas muab cov roj hlwb khaws rau cov neeg mob uas xav tau kev pab.

Kev khaws ntshav qaum li cas?

Tsis ntev tom qab koj tus menyuam yug los, txoj hlab ntaws yuav raug txiav los cais tus menyuam ntawm koj lub cev. Txoj hlua siv tau ib txwm tsum txiav tom qab yug me nyuam, tab sis cov koom haum saib xyuas kev noj qab haus huv tam sim no pom zoo kom tos tsawg kawg ib feeb ua ntej txiav. Qhov no pab txhim kho cov ntshav ntws mus rau tus menyuam, uas yuav muaj txiaj ntsig kev noj qab haus huv ntev ntev.

Tom qab txoj hlab ntshav txiav tau lawm, tus kws saib xyuas kev noj qab haus huv yuav siv ib qho cuab yeej hu ua clamp los nres lub qaum los ntshav. Tus kws zov me nyuam mam li siv rab koob tshem tawm cov ntshav tawm ntawm cov hlab. Cov ntshav hlab ntshav yuav muab ntim thiab xa mus rau chav kuaj ntshav lossis kuaj ntshav hauv lub qhov txhab ua haujlwm ntev.


Txoj hlab ntshav muaj hlab ntshav li cas?

Muaj ob txoj hlab ntaws hlab ntshav.

  • Cov tsev txhab nyiaj ntiag tug. Cov chaw no txuag koj tus menyuam cov ntshav txoj hlab ntshav rau koj tsev neeg kev siv nws tus kheej. Cov chaw no yuav tau them tus nqi coj los sau thiab khaws cia. Txawm li cas los xij, tsis muaj kev tiv thaiv cov ntshav qaum yuav zoo rau kev kho koj tus menyuam lossis ib tus neeg hauv koj tsev neeg yav tom ntej.
  • Cov tsev txhab nyiaj. Cov chaw no siv cov ntshav sib tsoo los pab lwm tus thiab ua kev tshawb fawb. Cov ntshav muaj txoj hlab ntshav hauv cov tsev txhab nyiaj tej zaum siv tau los ntawm cov neeg xav tau.

Puas muaj kev npaj dab tsi rau kuaj ntshav los sis txhab nyiaj?

Kuj tsis muaj kev npaj tshwj xeeb dab tsi rau kev kuaj ntshav hauv lub hlwb. Yog koj xav txhab nyiaj rau koj tus menyuam cov ntshav ntshav, tham nrog koj tus kws kho mob thaum ntxov koj cev xeeb tub. Qhov no yuav muab sijhawm rau koj tau txais cov ntaub ntawv ntau ntxiv thiab soj ntsuam koj cov kev xaiv.

Puas muaj kev pheej hmoo los soj ntsuam ntshav lossis qiv nyiaj hauv tuam txhab?

Tsis muaj kev pheej hmoo rau qaum kev kuaj ntshav. Txoj kev siv ntshav hlab ntaws hauv ib lub tsev ntiav tu neeg yuav kim heev. Tus nqi feem ntau tsis nrog kev tuav pov hwm.

Kev kuaj ntshav ntawm tes qaum txhais li cas?

Cov txiaj ntsig ntawm txoj kev kuaj ntshav yuav nce nyob ntawm yam tshuaj ntsuas twg. Yog tias qhov kuaj pom tsis zoo, tham nrog koj tus kws kho mob kom saib seb koj tus menyuam puas xav tau kev kho mob.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj ntshav los sis txhab nyiaj?

Txawm hais tias koj muaj keeb kwm tsev neeg muaj mob ntshav los yog mob qog noj ntshav, nws tsis zoo li koj tus menyuam cov ntshav yuav pab koj tus menyuam lossis koj tsev neeg. Tab sis kev tshawb fawb tseem niaj hnub thiab yav tom ntej ntawm kev siv qia qia rau kev kho zoo li muaj kev cia siab. Tsis tas li, yog tias koj cawm koj tus menyuam cov ntshav liab ntawm lub tsev txhab nyiaj, koj tuaj yeem pab cov neeg mob tam sim no.

Yog xav paub ntxiv txog ntshav ntshav thiab / lossis cov qia ntshav, nrog koj tus kws kho mob tham.

Ua tim khawv

  1. ACOG: Asmeskas Kev Sib Tham ntawm Obstetricians thiab Gynecologist [Is Taws Nem]. Washington D.C .: American Congress ntawm Obstetricians thiab Gynecologist; c2020. ACOG Txhawb Qhov Ncauj Quav Tsis Taug Hlav Clamping rau txhua tus Menyuam Mos Noj Qab Nyob Zoo; 2016 Dec 21 [raug nplua 2020 Aug10]; [txog 3 ntxaij]. Muaj los ntawmhttps://www.acog.org/news/news-releases/2016/12/acog-recommends-delayed-umbilical-cord-clamping-for-all- kho mob-
  2. ACOG: Asmeskas Kev Sib Tham ntawm Obstetricians thiab Gynecologist [Is Taws Nem]. Washington D.C .: American Congress ntawm Obstetricians thiab Gynecologist; c2019. Lub Koom Haum ACOG Lub Tswv Yim Xav: Lub Luag Txhaws Ntshav Qib Siab; 2015 Dec [hais tawm 2019 Aug 21]; [txog 3 ntxaij]. Muaj los ntawm: https://www.acog.org/Clinical-Guidance-and-Publications/Commtees-Opinions/Commtees-on-Genetics/Umbilical-Cord-Blood-Banking
  3. Armstrong L, Stenson BJ. Kev siv txoj hlab ntaws ntshav soj ntsuam hauv qhov kev ntsuas tus menyuam. Koov Dis Me Nyuam Tus Me Nyuam Lub Cev Neonatal Ed. [Is Taws Nem]. 2007 Nov [hais tawm 2019 Aug 21]; 92 (6): F430–4. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2675384
  4. Calkins K, Roy D, Molchan L, Bradley L, Grogan T, Elashoff D, Walker V. kwv yees tus nqi ntawm txoj hlab ntshav bilirubin rau hyperbilirubinemia nyob rau hauv neonates ntawm kev pheej hmoo rau leej niam-menyuam hauv plab cov ntshav pawg tsis txaus ntseeg thiab tus mob ntawm tus menyuam mos. J Neonatal Perinatal Med. [Is Taws Nem]. 2015 Oct 24 [muab tawm 2019 Aug 21]; 8 (3): 243–250. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699805
  5. Carroll PD, Nankervis CA, Iams J, Kelleher K. Umbilical qaum ntshav los hloov chaw rau kev nkag mus ua tiav cov ntshav suav hauv cov menyuam mos ua ntej. J Perinatol. [Is Taws Nem]. 2012 Feb; [hais tawm 2019 Aug 21]; 32 (2): 97–102. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3891501
  6. ClinLab Navigator [Is Taws Nem]. ClinLabNavigator; c2019. Cov Ntshav Hlaws ntshav [hais tawm 2019 Aug 21]; [txog 2 ntxaij]. Muaj los ntawm: http://www.clinlabnavigator.com/cord-blood-gases.html
  7. Farst KJ, Valentine JL, Hall RW. Kev tshuaj ntsuam xyuas rau cov me nyuam mos kis mus rau cov tshuaj txhaum cai nyob hauv cev xeeb tub: pitfalls thiab pearls. Rau menyuam J. [Is Taws Nem]. 2011 Jul 17 [raug nplua 2019 Aug 21]; Xyoo 2011: 956161. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139193
  8. Harvard Kev Noj Qab Haus Huv Kev Tshaj Tawm: Harvard Medical School [Is Taws Nem]. Boston: Tsev Kawm Harvard; Xyoo 2010–2019. Vim li cas niam txiv yuav tsum cawm lawv tus menyuam cov ntshav liab-thiab muab nws tso; 2017 Oct 31 [hais tawm 2019 Aug 21]; [txog 3 ntxaij]. Muaj los ntawm: https://www.health.harvard.edu/blog/parents-qaw-babys-cord-blood-give-away-2017103112654
  9. HealthyChildren.org [Is Taws Nem]. Itasca (IL): American Academy of Pediatrics; c2019. AAP Txhawb Txoj Kev Siv Cov Pej Xeem Cov Qib Tseem Ceeb; 2017 Oct 30 [qhia tawm 2019 Aug 21]; [txog 3 ntxaij]. Muaj los ntawm: https://www.healthychildren.org/English/news/Pages/AAP- Txhawb nqa-Use-of- Republic-Cord-Blood-Banks.aspx
  10. Kev Noj Qab Haus Huv Menyuam Yaus los ntawm Nemours [Is Taws Nem]. Jacksonville (FL): Lub Chaw Nemours; c1995–2019. Cord Ntshav Tuam Txhab [hais tawm 2019 Aug 21]; [txog 2 ntxaij]. Muaj los ntawm: https://kidshealth.org/en/parents/cord-blood.html
  11. Lub Peb Hlis Dimes [Is Taws Nem]. Arlington (VA): Lub Peb Hlis Ntuj ntawm Dimes; c2019. Umbilical Cord Tej yam kev mob [hais tawm 2019 Aug 21]; [txog 3 ntxaij]. Muaj los ntawm: https://www.marchofdimes.org/complications/umbilical-cord-conditions.aspx
  12. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Txoj hlab ntshav hauv ntshav-thiab yog nws zoo dua rau siv cov chaw pej xeem lossis chaw ntiav? 2017 Lub Plaub Hlis 11 [muab tawm 2019 Aug 21]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/healthy-loojtiag/labor-and-delivery/expert-answers/cord-blood-banking/faq-20058321
  13. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Bilirubin ntshav kuaj ntshav: Saib tag nrho [kho tshiab 2019 Aug 21; hais tawm 2019 Aug 21]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/bilirubin-blood-test
  14. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2019. Txoj kev kuaj ntshav hu ua Cord: Saib tag nrho [kho tshiab 2019 Aug 21; hais tawm 2019 Aug 21]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/cord-blood-testing
  15. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Kev Noj Qab Haus Huv Phau Ntawv Teev Npe: Kev Txhim Kho Quav ntshav [hais tawm 2019 Aug 21]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=160&contentid=48
  16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Cov Ntaub Ntawv Noj Qab Haus Huv: Cev Xeeb Tub: Kuv Puas Yuav Tsum Kuv Tus Menyuam Txoj Hlab Liab Hlaws? [kho tshiab 2018 Sep 5; hais tawm 2019 Aug 21]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/decisionpoint/pregnancy-should-i-bank-my-baby-s-umbilical-cord-blood/zx1634.html

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.

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