Xwm txheej yog li ntawd, kev sib raug zoo ntawm tus me nyuam thiab leej niam pib hauv plab. Tus menyuam tau txais cov as-ham thiab oxygen los ntawm txoj hlab ntaws. Cov hlab ntsha ntawm txoj hlab ntaws tshem tawm cov khoom lwj thiab cov pa roj carbon dioxide. Qee lub sij hawm tus me nyuam coj cwj pwm zoo heev uas nws txhais tau tias "tau entangled" hauv txoj hlab ntaws. Thiab tom qab ntawd nws tsim cov voj voog uas tuaj yeem qhwv ib ncig ntawm caj dab lossis lwm qhov ntawm lub cev ib lossis ntau zaus. Nws yog ib qho tseem ceeb thiab nthuav kom paub tias yog vim li cas fetal qaum entanglement tshwm sim, yuav ua li cas zam nws thiab yuav ua li cas yog qhov teeb meem twb tshwm sim.
Fetal qaum entanglement: nws yog dab tsi?
Umbilical qaum entanglement yog ib qho kev sib haum xeeb uas cov kws kho menyuam yaus thiab kws kho menyuam yaus kuaj pom nyob rau theem kawg ntawm cev xeeb tub. Feem ntau tus me nyuam "tshuaj" qhov teeb meem ntawm nws tus kheej thiab tawm ntawm txoj hlab ntaws, tab sis qee zaum xav tau kev pab los ntawm ib tus kws kho mob. Yuav ua li cas thiab yog vim li cas qhov entanglement ntawm txoj hlab ntaws tshwm sim, txhua tus poj niam cev xeeb tub yuav tsum paub qhov ua rau ntawm tus kab mob no. Qee zaum, qhov tshwm sim ntawm pathology yog provoked los ntawm leej niam expectant, yog li nws yuav tsum tau saib xyuas nws kev noj qab haus huv thiabnyob zoo.
Ua rau kev loj hlob ntawm pathology
Raws li kev txheeb cais, 20% ntawm cev xeeb tub yog nrog rau txoj hlab ntaws entwining tus menyuam. Nws yog ib qho tseem ceeb rau leej niam uas muaj kev cia siab yuav tsum paub txog cov laj thawj rau kev cuam tshuam ntawm txoj hlab ntaws ntawm tus me nyuam hauv plab thiab, yog tias ua tau, zam kom tsis txhob raug cuam tshuam los ntawm qhov tshwm sim. Muaj cov cim qhia uas hais tias nws yog tsis yooj yim sua rau xaws, knit, weave los yog nquag koom nyob rau hauv gymnastics thaum cev xeeb tub. Ntseeg nws los tsis yog kev lag luam ntawm txhua tus niam uas xav tau, tab sis peb yuav tsum nco ntsoov tias cov no tsuas yog cov lus dag ntawm peb cov poj koob yawm txwv.
Cov kws kho mob obstetricians-gynecologists hu rau yam uas ua rau kev loj hlob ntawm kev sib txawv. Cord entanglement tuaj yeem ua rau:
- fetal hypoxia;
- kev nyuaj siab thiab ua haujlwm dhau;
- polyhydramnios;
- niam txiv tsis zoo;
- ntev qaum.
Thaum sau npe nrog lub tsev kho mob antenatal thiab rau cuaj lub hlis, cov kws kho mob txheeb xyuas qhov kev pheej hmoo ntawm kev tsim ntau yam kab mob thiab saib xyuas kev noj qab haus huv ntawm leej niam thiab tus menyuam hauv plab. Yog tias ib tug poj niam muaj kev pheej hmoo, ces nws yuav tsum mus ntsib kws kho mob tsis tu ncua thiab ua raws li nws cov lus qhia.
Ntawm lwm cov pathologies thaum cev xeeb tub, ib qho ntawm feem ntau yog qaum entanglement. Ua rau, ua rau muaj qhov tshwm sim tau kawm zoo thiab cov kws kho mob ua tiav qhov kev yug me nyuam.
Yuav ua li cas entwining ntawm fetus?
Qhov feem ntau ua rau qaum entanglement yog me nyuam hyperactivity. Tus me nyuam yuav tsis muaj oxygen, as-ham thiabtshuaj thiab nws nquag txav hauv plab hauv kev tshawb nrhiav zaub mov. Yog tias tus niam uas muaj kev cia siab ua phem rau kas fes, tshuaj yej dub, cawv, luam yeeb, ces tus menyuam xav tau oxygen ntau dua, uas nws sim tau. Kev ntxhov siab tsis tu ncua ua rau nce qib ntawm adrenaline hauv cov ntshav ntawm leej niam thiab tus menyuam, uas dhau los ua qhov laj thawj rau kev ua haujlwm ntawm tus menyuam.
Nrog polyhydramnios, tus me nyuam muaj ntau qhov chaw txav mus los, yog li nws tuaj yeem yooj yim tau tangled nyob rau hauv txoj hlab ntaws thiab txawm tias nws cov loops nruj dua. Txoj hlua umbilical ntev kuj yooj yim dua rau tangle thiab tsim kev phom sij nyob ib ncig ntawm tus menyuam lub caj dab thiab lub cev.
qhwv txoj hlua khi ncig caj dab
Qhov txaus ntshai tshaj plaws rau kev noj qab haus huv ntawm tus menyuam hauv plab yog qhov entanglement ntawm umbilical qaum nyob ib ncig ntawm caj dab. Nyob rau hauv cov ntaub ntawv no, thaum yug me nyuam, lub voj yuav zawm thiab ua rau muaj kev tshwm sim loj heev. Cov tshuaj niaj hnub no tau mus txog theem uas qhov pathology no tau kho tau zoo thiab tus menyuam yug los noj qab nyob zoo. Nws yog ib qho tseem ceeb rau cov niam txiv uas xav kom tsis tu ncua txhua qhov kev ntsuam xyuas, ua ultrasound kuaj mob thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.
ib leeg qaum entanglement
Qhov "yooj yim" tshaj plaws yog ib qho kev sib txuas nrog txoj hlab ntaws - ib lub voj yog tsim nyob ib ncig ntawm tus menyuam lub caj dab, uas tus menyuam feem ntau "tawm" ntawm nws tus kheej. Thaum yug me nyuam, qhov entanglement yog yooj yim rau loosen thiab tshem tawm ib zaug. Hom kab mob no tshwm sim feem ntau thiab tsis tshua muaj teeb meem rau tus poj niam hauv plab thiab menyuam yaus.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Twisting, nyob rau hauv uas ob los yog ntau lub voj raug tsim ntawm tus menyuam lub caj dab, hu ua ntau yam. Feem ntau cov kws kho mobob chav entanglement yog tsau, tab sis tej zaum yuav muaj peb los yog plaub loops ntawm txoj hlab ntaws. Hom kab mob no nyuaj rau cov kws kho mob kho thaum lub caij yug me nyuam, yog li kev phais mob yuav ua tiav.
Qhov tshwm sim ntawm txoj hlua khi
Qhov kev cuam tshuam ntawm txoj hlab ntaws ncig lub caj dab ua rau qhov tseeb tias tus menyuam hauv plab feem ntau ntsib kev tshaib plab, nws muaj microtraumas ntawm lub ncauj tsev menyuam vertebrae. Nyob rau hauv lub neej yav tom ntej, ib tug me nyuam yug los nrog entanglement yog nquag thiab mob taub hau, qaug zog, thiab kub siab. Kuj tseem muaj teeb meem nrog kev loj hlob ntawm tus menyuam hauv plab thiab kev noj haus ntawm tus menyuam hauv plab: txoj hlua khi hlua khi ua rau cov khoom noj tsawg dua thiab tshem tawm cov pa roj carbon dioxide pov tseg.
Cov menyuam yaus no tau txais kev kho mob tshwj xeeb, uas suav nrog kev zaws, kho lub cev, thiab tshuaj. Nws yog ib qho tseem ceeb uas yuav tau nrhiav kev pab los ntawm tus kws kho menyuam yaus, tus kws kho mob hlwb hauv lub sijhawm thiab pib kho, tom qab ntawd qhov kev pheej hmoo ntawm kev rov zoo tag nrho.
Twisting ncig lwm qhov ntawm lub cev tsis tshua muaj tshwm sim thiab tsis tshua muaj kev phom sij rau tus menyuam hauv plab. Feem ntau ob txhais ceg yog twisted, tsawg dua txhais caj npab ntawm tus me nyuam. Hauv qhov no, nws yooj yim dua rau tus menyuam tawm, yog li nws tsis tshua muaj peev xwm kho qhov kev cuam tshuam ntawm txoj hlab ntaws ntawm kev kuaj mob ultrasound. Cov laj thawj rau "npog" yog tib yam li teev saum toj no.
qhov txaus ntshai tshaj plaws yog txoj hlua khi ntawm caj dab. Qhov tshwm sim ntawm cov kab mob no tuaj yeem nyob nrog tus menyuam mus rau lub neej thiab ua rau muaj ntau yam kab mob loj: kub siab, migraine, te hauv lub hlwb,osteochondrosis, hlwb retardation.
Kev saib xyuas obstetric rau entanglement
Nyob rau hauv feem coob ntawm cov neeg mob, cord entangled cev xeeb tub xaus zoo, thiab kev yug me nyuam pib ib txwm. Kev yug me nyuam hauv cov poj niam zoo li no tsis muaj teeb meem, tus me nyuam thiab leej niam zoo siab thiab, zoo li lwm tus, raug tso tawm hauv tsev ob peb hnub. Qhov txawv tsuas yog thaum yug me nyuam, leej niam nyob rau hauv kev saib xyuas kho mob zoo dua siv Doppler lossis cov khoom siv ultrasound.
Tom qab yug tus me nyuam lub taub hau, tus kws kho mob muab tus me nyuam lub caj dab los ntawm txoj hlab ntaws thiab kev ua haujlwm txuas ntxiv mus. Tsuas yog nrog kev nruj nruj lossis ntau qhov sib txuam, ib qho kev phais mob tau raug xaiv nyob rau hauv cov txheej txheem ntawm kev yug menyuam lossis ua ntej. Qee zaum, qhov no tsuas yog txoj hauv kev kom muaj tus menyuam noj qab nyob zoo thiab zam cov teeb meem yav tom ntej.
Nws yog ib qho tseem ceeb rau tus poj niam cev xeeb tub kom saib xyuas nws tus menyuam hauv plab. Nws yuav pab tau rau tus niam yav tom ntej kom paub yuav ua li cas umbilical qaum entangles, qhov ua rau thiab qhov tshwm sim ntawm cov kab mob no. Nws tsis muaj teeb meem li cas yug mus. Qhov tseem ceeb yog tus menyuam yug los noj qab nyob zoo, thiab tus niam muaj lub zog los saib xyuas tus menyuam mos.
