Polyhydramnios thaum cev xeeb tub: ua rau, kuaj mob thiab qhov tshwm sim

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:34

Polyhydramnios thaum cev xeeb tub yog ib yam mob cuam tshuam nrog cov kua dej amniotic ntau dhau.

Txawm hais tias qhov tseeb tias cov khoom noj khoom haus ntawm cov kua amniotic yog qhov tseem ceeb, nws cov khoom sib xyaw ntau dhau ua rau kev tsim cov kab mob ntawm cev xeeb tub thiab yug menyuam. Hmoov zoo, qhov tshwm sim no tshwm sim hauv 1.5 - 2% ntawm cov poj niam, yog kuaj tau yooj yim thiab tuaj yeem kho tau raws sijhawm.

Yog vim li cas

Cov laj thawj xwm txheej rau kev tsim cov kua dej amniotic ntau ntxiv suav nrog:

1. Kab mob kis tau tus kab mob ntawm tus niam uas xav tau. Lub cev, ib txwm tawm tsam cov neeg ua haujlwm txawv teb chaws, pib tsim cov kua amniotic, sim tiv thaiv tus menyuam hauv plab los ntawm qhov tsis zoo. Nyob rau tib lub sijhawm, tus poj niam cev xeeb tub muaj qhov thickening ntawm phab ntsa ntawm lub zais zis, ua txhaum ntawm permeability ntawm cov as-ham los ntawm placental barrier.
2. Exacerbation ntawm cov kab mob ntev, qhov tshwm sim ntawm kev tsis ua haujlwm loj ntawm lub cev tiv thaiv kab mob. Kev ua xua, co toxins, tshuaj, cuam tshuam ntawm qee lub cev thiab lub cev yog lub hauv paus ua rau polyhydramnios. Tsis tas li ntawd, muaj peev xwm ua txhaum caikev loj hlob ntawm tus me nyuam hauv plab, nws qhov kev hloov pauv.
3. Rhesus tsis sib haum. Cov kab mob pathological cuam tshuam nrog kev tsis lees paub ntawm tus menyuam los ntawm cov ntshav tuaj yeem ua rau muaj ntau ntawm cov kua amniotic, nchuav menyuam, kev loj hlob ntawm jaundice lossis asphyxia ntawm tus menyuam mos.
4. tus cwj pwm phem.
5. Lwm yam ua tau.

Symptoms

Ntau cov tsos mob uas, vim lawv qhov hnyav qis, tsis quav ntsej los ntawm cov ntxhais feem ntau thaum cev xeeb tub. Polyhydramnios yog qhov tshwj xeeb tshaj yog nto moo rau qhov no, vim nws feem ntau muaj ntau yam tsos mob.

Cov tsos mob thawj peb lub hlis twg

Cov hauv qab no yog cov tsos mob tseem ceeb hauv theem pib ntawm cev xeeb tub:

• hnyav thiab tsis xis nyob hauv daim ntawv ntawm kev mob ntau zaus hauv cheeb tsam plab;
• muaj qhov tsis muaj zog hauv lub cev;
• dyspnea ntawm kev tawm dag zog.

Dab tsi los ntawm qhov siab aperture:

• nce siab hauv lub plawv dhia;
• o ntawm qee qhov ntawm lub cev;
• o ntawm lub plab ib ncig ntawm lub plab;
• pom kev ncab ntawm lub plab;
• nquag sloshing kua hauv plab;
• nce hauv qhov loj ntawm lub tsev menyuam;
• nce amniotic kua.

Ntev cov tsos mob

Cov tsos mob ntawm polyhydramnios thaum cev xeeb tub lig yog raws li hauv qab no:

• muaj qhov nro tas li hauv thaj tsam ntawm lub tsev menyuam;
• nce qhov loj ntawm lub tsev menyuam;
• kev ua haujlwm siab thiab kev ntxhov siab ntawm fetus;
• nceuterus.

Raws li qhov ntim ntawm lub tsev menyuam nce, muaj kev pheej hmoo ntawm kev cuam tshuam ntawm tus menyuam hauv plab nrog txoj hlab ntaws. Ib qho cim ntawm qhov mob hnyav ntawm tus kab mob yog qhov ntse, tsis pub dhau ob teev, nce hauv cov kua dej amniotic. Ib qho cim qhia txog kev mob ntev yog tias cov kua amniotic tsim maj mam.

Diagnosis

Polyhydramnios yog ib yam kab mob uas yuav tsum tau kuaj xyuas thiab kho raws sijhawm.

Yog li ntawd, ntawm txhua qhov kev ntsuam xyuas, tus kws kho mob hauv zos obstetrician-gynecologist palpates lub pob nyiaj ntawm lub tsev menyuam kom ua raws li lub hnub nyoog gestational.

Cov tsos mob pom tseeb ntawm cov kua dej amniotic tsub zuj zuj yog:

1. Kev nce ntxiv hauv qhov ntim ntawm lub zais zis ntawm tus menyuam hauv plab, nrog rau tus neeg mob qhov kev tsis txaus siab ntawm qhov tsis xis nyob thiab mob hauv plab plab.
2. Qhov muaj huab cua paug qhov chaw mos. Cov tsos mob no kuj tseem yuav qhia tau tias cov kua dej amniotic tawm los ntawm kev tawg ntawm lub hnab yug menyuam, prolapse ntawm lub tsev menyuam, kev sib deev thaum cev xeeb tub.
3. Ntseev cov kab mob, hnoos qeev, impurities hauv kev tsom xam cov zis. Qhov cuam tshuam ntawm cov neeg ua phem ntawm ib puag ncig sab nraud yog 100% qhia txog kev txhim kho ntawm cov kab mob no. Rau qhov kev lees paub zaum kawg ntawm polyhydramnios, kev tshuaj ntsuam xyuas kho vajtse tau ua tiav.
4. Pom tsis pom zoo thaum kuaj ultrasound.
5. Kev lees paub tsis ncaj ntawm polyhydramnios:

• Rhesus teeb meem;
• SARS, anemia;
• placental insufficiency;
• mob plawvpathology;
• genetic mutations.

Tom qab kev kuaj mob, qhov ua rau polyhydramnios thaum cev xeeb tub yuav tsim kev ntseeg siab.

Txhais tau

Polyhydramnios yog ib yam mob uas ua rau muaj teeb meem ntau yam thaum yug menyuam thiab ua rau tus menyuam noj qab nyob zoo.

Yog li ntawd, tus kws kho mob hauv obstetrician-gynecologist ua qhov kev npaj caesarean, txhawm rau tiv thaiv kev txhim kho ntawm ntau yam teeb meem.

Cov teebmeem tsis zoo ntawm polyhydramnios thaum cev xeeb tub:

• tawg ntawm cov hlab ntsha thaum lub sij hawm kis ntawm tus me nyuam hauv plab los ntawm txoj kev yug me nyuam;
• npaum los ntshav hauv plab;
• breech, breech nthuav qhia;
• lig miscarriage (preterm yug);
• lub cev qhuav dej vim ntuav tsis tu ncua;
• late preeclampsia. Kev tawg ntawm lub hnab amniotic;
• prolapse ntawm lub tsev menyuam lossis txoj hlab ntaws.

Tseeb rau tus menyuam

Dab tsi yog qhov phom sij ntawm polyhydramnios thaum cev xeeb tub rau tus menyuam hauv plab? Cov teeb meem tseem ceeb yog raws li hauv qab no:

• asphyxia;
• fetal death;
• fetoplacental insufficiency;
• txo qis kev tiv thaiv;
• nkag mus ntawm tus kab mob;
• developmental qeeb;
• yug tsis hnyav;
• yug ntxov ntxov;
• kev puas tsuaj rau hauv nruab nrog cev - daim siab, gallbladder. Raws li qhov tshwm sim, jaundice tsim;
• neurological ntshawv siab.

Kev kho mob

Yog tias tus poj niam muaj polyhydramnios, nws yuav mus pw hauv tsev kho mob tam sim ntawd. Qhov no yog vim qhov tseeb tias tus kab mob no tsis nkag siab tag nrho. Ua ntej pib kho, cov kws kho mob tshwj xeeb yuav tsum kuaj tus neeg mob.

Tsis tas li ntawd, kev kho mob yog ua raws li kev txheeb xyuas uas ua rau polyhydramnios. Tab sis muaj cov xwm txheej thaum qhov ua tsis tau qhia meej, hauv qhov kev xaiv no, kev kho mob nyuaj yog ua los txhawm rau txo cov kua dej amniotic thiab ntxiv dag zog rau lub cev ntawm niam thiab menyuam.

Cov tshuaj ntau tshaj plaws uas tau sau tseg, uas suav nrog cov vitamins B, C thiab E, broad-spectrum antibacterial tshuaj, diuretics, tshuaj tsim los txhim kho cov ntshav ncig hauv tsev menyuam thiab cov tshuaj uas txhim kho lub tsev menyuam. Nws nyob ntawm seb puas muaj polyhydramnios nruab nrab thaum cev xeeb tub lossis siab dua li qub.

Thaum lub sijhawm kho, nws yog ib qho tsim nyog yuav tsum tau saib xyuas qhov xwm txheej ntawm leej niam thiab tus menyuam, muab tshuaj tswj qhov hnyav, siab ntawm tus neeg mob. Cov theem ntawm tus kab mob nyob ntawm tus nqi ntawm amniotic kua. Yog li ntawd, lawv tau saib xyuas tas li thiab, nrog kev txo qis, lawv sim ncua kev xeeb tub mus txog 38 lub lis piam.

Yog tias kuaj pom tus kab mob tsis muaj zog, ces cov tshuaj tua kab mob hauv zos tau raug tshuaj. Yog tias kuaj pom tus kab mob hnyav, ces tus kws kho mob muaj cai sau tshuaj tua kab mob muaj zog. Txij li thaum muaj kev pheej hmoo ntawm cov kev mob tshwm sim ntawm cov tshuaj tua kab mob, qhov zaus ntawm kev ntsuam xyuas nce. Tsis tas li ntawd, cardiotocography thiab fetal ultrasound tau ua los kuaj pom kab mob.

Yog qhov kev kho mob tsis tshwm simKev txhim kho lossis mob hnyav tshwm sim, tom qab ntawd txoj kev qhib kev xa tawm yog qhov tsim nyog ntsuas, tsis hais lub hnub nyoog gestational. Nrog rau qhov txo qis ntawm cov kua amniotic thiab thaum tsis muaj contraindications, kev xa khoom ntawm qhov chaw mos raug pom zoo.

Ntau tus neeg nug yog tias polyhydramnios tuaj yeem kho tau thaum cev xeeb tub 30 lub lis piam. Nws yog qhov ua tau, txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum paub tias qhov txawv txav ntawm kev loj hlob ntawm tus menyuam hauv lub lim tiam 30 tuaj yeem ua rau muaj cov dej ntau ntxiv, uas yuav ua rau muaj qhov hnyav dua, mus txog rau qhov chaw mos. Qhov tseem ceeb uas yuav tau ua kom kho tau zoo yog kom txo cov dej maj mam kom tsis txhob ua rau uterine spasm.

Thaum cov tsos mob ntawm polyhydramnios tshwm sim, nws yog ib qho tsim nyog, tsis tas tos kom muaj teeb meem, mus ntsib kws kho mob uas, yog tias kuaj pom tus kab mob, yuav tau sau ntawv kho mob. Koj yuav tsum tsis txhob tsis kam mus rau tsev kho mob, vim tias kev txheeb xyuas tsis tu ncua ntawm kev ua txhaum cai tuaj yeem ua rau tus menyuam tuag taus.