Loj fetus thaum cev xeeb tub: ua rau thiab qhov tshwm sim

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:26

Ntawm peb niam thiab txiv, muaj kev xav tias ib tug me nyuam yug los luj loj yog "tus phab ej", "tus txiv neej muaj zog" thiab lwm yam. Qhov tseeb, qhov no tsis yog qhov qhia txog kev noj qab haus huv. Lub fetus loj thaum cev xeeb tub yog ib qho ntawm cov kab mob uas tuaj yeem ua rau muaj ntau yam teeb meem rau kev noj qab haus huv ntawm poj niam thiab menyuam, nrog rau teeb meem thaum yug me nyuam.

txiv hmab txiv ntoo loj yog dab tsi?

Txhawm rau tshem tawm qhov kev ntshai ntawm cov niam uas muaj kev cia siab thiab txhais lub tswv yim ntawm cov kab mob no, peb qhia meej tias tus me nyuam hauv plab loj (los yog macrosomia) yog qhov kev loj hlob ntawm tus menyuam hauv plab, uas txawv ntawm kev loj hlob ib txwm nyob rau hauv cov ntsiab lus ntawm cov ntsuas. Nrog macrosomia, kev loj hlob ntawm tus me nyuam hauv plab yog ua ntej ntawm cov qauv tsim rau lub sijhawm tshwj xeeb. Thaum yug los, cov menyuam uas muaj qhov kev kuaj mob no yuav hnyav tshaj plaub kilograms. Ntxiv rau qhov hnyav, qhov siab ntawm tus menyuam kuj nce ntxiv. Ib txwm yog 48-54 centimeters. Cov menyuam yaus uas muaj macrosomia siab dua 56 centimeters. Qee zaum lawv txawm yug los qhov siab ntawm 70 centimeters.

Yog thaum yug tus menyuam hnyav tsib lossis ntau dua kilograms, ces qhov no hu ua giantKev yug me nyuam loj yog ib qho tshwm sim tsawg heev uas tshwm sim ib zaug hauv ntau txhiab tus yug.

Ib tug me nyuam loj los nrog ntau yam kev pheej hmoo uas koj yuav tsum paub txog thiab tiv thaiv tau raws sijhawm.

Signs

Cov tsos mob ua rau tus poj niam xav tias nws muaj menyuam hauv plab loj tuaj yeem tshwm sim thaum nruab nrab ntawm cev xeeb tub. Qhov ncig ntawm lub plab ntawm leej niam expectant yog pom tau nce txhua hnub. Nws yog tsim nyog sau cia tias qhov no tej zaum yuav tsis yog ib tug me nyuam loj. Kev nce hauv qhov ncig ntawm lub plab tuaj yeem ua haujlwm raws li polyhydramnios, uas kuj muaj ntau heev.

Thaum cev xeeb tub, koj yuav tsum tswj koj qhov hnyav. Qhov ntawd yog qhov taw qhia ntawm tus menyuam loj.

Nyob qhov hnyav rau tus poj niam cev xeeb tub

Txog 20 lub lis piam	700 grams tauj ib asthiv
20 txog 30 lub lis piam	400 grams tauj ib asthiv
Lub Limtiam 30 txog 40	350 grams tauj ib asthiv

Ntxiv rau koj qhov hnyav, koj yuav tsum saib xyuas qhov kev loj hlob thiab qhov hnyav ntawm tus menyuam. Cov tshuab ultrasound niaj hnub muab cov ntaub ntawv no.

Tus nqi nce siab thiab qhov hnyav ntawm tus menyuam

Lub sijhawm cev xeeb tub weekly	Me nyuam mos, gram	me nyuam loj hlob, centimeters
20th week	320g	25cm
24th week	700g	32cm
28th week	1300g	38cm
34th week	2700g	46cm
40th week	3500g	52cm

Tus kws kho mob gynecologist tuaj yeem kuaj xyuas qhov tseeb tshaj plaws tsuas yog ze rau qhov pib ntawm peb lub hlis thib peb. Nws yog nyob rau lub sijhawm no uas ib tus tuaj yeem txiav txim siab los ntawm qhov ncig ntawm lub plab: yog tias lub duav ntawm tus niam expectant twb tshaj 100 centimeters, ces tus kws kho mob xav tias muaj ib tug loj fetus. Tom qab ntawd, tus poj niam cev xeeb tub raug xa mus rau ultrasound los txiav txim tawm polyhydramnios. Ntxiv rau, ob peb yam haujlwm ntxiv yuav tsum tau ua ob peb lub lis piam ua ntej hnub kawg:

• pom qhov hnyav ntawm tus menyuam ntawm ultrasound;
• dhau mus kuaj ntshav rau kev ua kom qabzib thiab yuav tsum mus ntsib kws kho mob endocrinologist;
• txwv lossis tsum tsis txhob noj tshuaj anabolics (cov tshuaj tsom rau kev txhim kho kev tsim thiab rov ua dua tshiab ntawm cov hlwb thiab cov ntaub so ntswg);
• tshem tawm cov hmoov nplej, khoom qab zib thiab lwm yam khoom noj uas muaj carbohydrates thiab rog;
• ua kev kho mob txhua hnub.

lus qhia tseem ceeb rau txhua tus niam-rau-ua! Koj yuav tsum tsis txhob ntshai thiab chim yog tias koj pom los ntawm tus menyuam loj. Nws yog ib qho tseem ceeb kom raug txheeb xyuas qhov ua tau ntawm tus me nyuam hauv plab loj thaum cev xeeb tub. Yog hais tias yog vim li cas yog khoom noj khoom haus - qaug zog koj tus kheej nrog kev noj haus yog txaus ntshai heev rau tus me nyuam thiab rau leej niam. Nyob rau tib lub sijhawm, kev ntxhov siab ntau dhau tuaj yeem ua rau yug ntxov ntxov, uas tuaj yeem ua rau muaj ntau yam tshwm sim.

Ntxiv rau, cov xwm txheej ntxhov siab tuaj yeem cuam tshuamntxiv kev puas siab puas ntsws lub xeev ntawm tus me nyuam: nws muaj peev xwm yug tau nyob tsis tswm. Hauv qhov xwm txheej no, koj yuav tsum tso siab rau cov kws kho mob thiab ua raws txhua qhov kev pom zoo.

Yog vim li cas

Nws yuav tsum tam sim ntawd tshem tawm cov lus dab neeg rau cov neeg uas muaj lub cev loj. Koj tuaj yeem hnov tias yog tias cov niam txiv tsis me, yog vim li cas tus me nyuam yuav yug tau peb-kis. Hauv qhov no, heredity tsis ua lub luag haujlwm. Tus qauv ntawm daim duab yog kis mus rau tus menyuam ntau tom qab. Yog li ntawd, yog hais tias tus kws kho mob hais nyob rau hauv ib tug ultrasound scan tias ib tug poj niam muaj ib tug fetus loj, qhov no tsis yog vim lub cev tag nrho ntawm nws los yog leej txiv ntawm tus me nyuam. Tus me nyuam tsis tuaj yeem tau txais txoj cai nruj txawm nyob hauv lub tsev menyuam.

Qhov ua rau muaj menyuam hauv plab loj tuaj yeem ua rau ntau yam, paub txog qhov ua ntej, koj tuaj yeem tiv thaiv kev pheej hmoo ntawm kev poob rau hauv pawg no.

khoom noj tsis zoo

Ib qho ntawm cov laj thawj tseem ceeb ntawm tus me nyuam hauv plab loj yog precisely overeating thaum cev xeeb tub. Ua kom qab los noj mov yog qhov qub. Qhov no yog vim qhov tseeb tias tus menyuam loj hlob thiab tseem xav tau zaub mov. Hauv utero, tus menyuam tau txais cov khoom tsim nyog rau kev loj hlob ntawm leej niam cov zaub mov.

Cov poj niam cev xeeb tub feem ntau ntsib teeb meem ntawm kev tshaib kev nqhis tas li txhua hnub. Sim kom poob dej tawm, tus niam expectant noj tas li. Qhov no yog qhov ua rau qhov hnyav nce ntawm tus menyuam thiab leej niam. Raws li koj paub, tom qab yug me nyuam, nws nyuaj heev rau leej niam kom tshem tau phaus ntxiv.

Yog li ntawd, raukom tus me nyuam tsis hnyav sai, leej niam expectant yuav tsum ua raws li kev noj haus. Thiab nrog kev xav ntawm kev tshaib kev nqhis uas yuav tshwm sim ntawm cov pluas noj ntawm cov pluas noj tseem ceeb, koj yuav tsum xaiv cov khoom noj txom ncauj tsawg-calorie. Nws tuaj yeem yog zaub, noj mov ci, yogurt, tsev cheese lossis txiv hmab txiv ntoo.

Tshuaj

Vim tus yam ntxwv ntawm tus kheej thaum cev xeeb tub, qee tus poj niam tau muab qee yam tshuaj. Yog hais tias thaum cev xeeb tub muaj teeb meem nrog kev khaws cia ntawm tus me nyuam los yog tsis txaus cov ntshav uteroplacental, cov tshuaj tshwj xeeb raug sau tseg los tiv thaiv kev xeeb tub. Nws yog cov tshuaj no uas tuaj yeem ua rau muaj menyuam hauv plab loj. Thaum siv ntau yam tshuaj, tus niam uas muaj kev cia siab yog pom los ntawm tus kws kho mob gynecologist, yog li txhua qhov kev hloov pauv raug kaw thiab muab tso tseg yog tias lawv muaj kev cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam.

Tus lej yug

Yog tus poj niam tsis tau yug thawj zaug, ces txhua tus menyuam tom ntej yuav yug loj dua tus qub. Txawm hais tias tus menyuam hauv plab loj hauv thawj lub cev xeeb tub kuj tshwm sim.

kev ua neej nyob tsis ntev

Yog tus poj niam cev xeeb tub coj txoj kev ua neej nyob tsis muaj zog, qhov no kuj ua rau nws hnyav dua rau nws thiab tus menyuam. Ntawm chav kawm, cov niam expectant xav tau ntau so, tab sis nyob rau hauv moderation. Muaj kev qoj ib ce rau cov poj niam cev xeeb tub. Qhov no yog ib txoj hauv kev zoo los coj txoj kev ua neej nyob nruab nrab, ua kom haum, thaum tsis ua phem rau tus menyuam.

BQee cov poj niam muaj ntshav qab zib gestational thaum cev xeeb tub. Tej zaum nws yuav yog vim muaj noob neej. Yog tias ib tug neeg hauv tsev neeg muaj ntshav qab zib, qhov no tuaj yeem kis mus rau tus niam uas xav tau, txij li thaum lub sijhawm yug menyuam lub cev muaj kev cuam tshuam hormonal loj heev.

Tsis tas li, qhov ua rau mob ntshav qab zib tuaj yeem yog kab mob sib kis thiab cov kab mob autoimmune ntawm leej niam expectant. Lawv cuam tshuam rau pancreas, uas yog lub luag haujlwm rau kev tsim cov tshuaj insulin hauv tib neeg lub cev.

Lwm yam ua rau gestational ntshav qab zib tuaj yeem yog tus menyuam yug los dhau 4.5 kilograms lossis tseem yug los yam tsis paub.

Qhov chaw tso quav

Yog tias cov placenta txuas rau sab nraub qaum ntawm lub tsev menyuam, ces cov khoom noj muaj txiaj ntsig zoo dua. Tsis tas li ntawd, yog tias nws thickened nyob rau hauv nws tus mob, nws yuav tsum tau siv intrauterine noj ntawm tus me nyuam, uas yuav ua rau ib tug loj fetus thaum cev xeeb tub.

Postterm Pregnancy

Postterm cev xeeb tub yog hais txog thaum tus poj niam tsis yug hauv kaum plaub hnub tom qab 40 lub lis piam. Nws yog lub sij hawm no tus me nyuam nquag nce qhov hnyav thiab nce siab. Tsis tas li ntawd, thaum yug los, tus me nyuam muaj cov tawv nqaij qhuav, cov rau tes ntev thiab cov ntiv taw, tsis muaj roj lubrication, thiab cov pob txha pob txha pob txha twb tawv lawm.

Rhesus teeb meem

Yog leej niam-rau-tau yog Rh-negative thiab tus menyuam yog Rh-zoo, tuaj yeem muaj ntau yam tshwm sim. Ib qho ntawm lawv yog cov dej khaws cia hauv cov ntaub so ntswg.fetus, uas cuam tshuam qhov hnyav ntawm tus menyuam.

Qhov ua rau Rhesus tsis sib haum xeeb yuav yog qhov qub txeeg qub teg ntawm leej txiv cov ntshav los ntawm tus menyuam. Nws kuj tseem tuaj yeem tshwm sim yog leej niam-rau-tus tau muaj cov txheej txheem xws li kev hloov ntshav.

Kev tshwm sim ntawm tus menyuam hauv plab loj

Tsis yog txhua tus, tus menyuam loj tuaj yeem ua rau muaj teeb meem loj. Tab sis kom meej meej qhov ua rau thiab qhov tshwm sim ntawm ib tug me nyuam hauv plab loj thaum cev xeeb tub yog nrog los ntawm lub peculiarities ntawm yug me nyuam. Cov teeb meem loj tshaj plaws uas tus poj niam yuav ntsib yuav nyob rau lub lim tiam kawg ntawm cev xeeb tub: qaug zog, digestive teeb meem thiab ua tsis taus pa hnyav, cem quav. Qhov hnyav dua tus menyuam, qhov tsis xis nyob ntau dua rau leej niam. Tej zaum yuav muaj mob hauv tav thiab sab nraub qaum, nrog rau cov leeg varicose thiab fainting nyob rau hauv txoj hauj lwm supine. Tsis tas li ntawd, qhov tsos ntawm stretch marks ntawm daim tawv nqaij ntawm lub plab mog, hmoov tsis, yog yuav luag inevitable.

Raws li qhov ua rau thiab qhov tshwm sim ntawm tus menyuam hauv plab loj hauv tus poj niam cev xeeb tub, cov lus nug tau hais txog tus qauv ntawm kev yug menyuam. Yog hais tias tus niam expectant muaj lub pelvis nqaim, thiab tus me nyuam loj, ces kev yug me nyuam ntuj tsis pom zoo. Nrog ib tug me nyuam hauv plab loj, ib tug caesarean seem yog qhov kev xaiv zoo tshaj plaws.

Yog tus menyuam loj, ces thaum yug menyuam, muaj ntau yam tshwm sim tuaj yeem tshwm sim: kev raug mob thaum yug menyuam, fistulas thiab kua muag ntawm leej niam. Yog hais tias tus me nyuam hauv plab tsuas yog siab dua me ntsis, ces koj yuav tsum tsis txhob hais rau ntawm qhov chaw caesarean. Niam yuav yug tau nws tus kheej. Tsis tas li ntawd, nrog lub sijhawm txheeb xyuas qhov laj thawj vim li cas tus menyuam yaus ua ntej ntawm kev loj hlob hauv lub tsev menyuam, thaum kawg ntawm cev xeeb tub, nws txoj kev loj hlob tuaj yeem ua tau.yog lawm.

Qhov tseem ceeb tshaj plaws rau yav tom ntej niam yog nws tus menyuam. Yog li ntawd, nws yuav tsum ua siab mos siab muag, tsim nyog, mloog cov kws kho mob thiab tau txais txhua yam kev kuaj mob uas tsim nyog. Ces tus me nyuam yuav noj qab nyob zoo thiab niam zoo siab.