2024 Tus sau: Kevin Dyson | [email protected]. Kawg hloov kho: 2023-12-16 23:34
Thaum koj tus menyuam nyob hauv plab, lawv muaj lub hnab amniotic los tiv thaiv thaum lawv loj hlob. Lawv kuj muaj cov placenta los muab cov ntshav txaus thiab cov khoom noj thaum cev xeeb tub. Txawm tias thaum koj cev xeeb tub nrog menyuam ntxaib, feem ntau lawv txhua tus muaj lawv tus kheej lub hnab thiab lawv cov placenta. Txawm li cas los xij, qee tus menyuam ntxaib sib npaug sib koom ob lub hnab amniotic thiab lub placenta, ua rau lawv cov menyuam ntxaib monoamniotic.
Kev nkag siab Monoaminotic 'Momo' Twins
Monoamniotic ntxaib kuj tseem raug xa mus rau monochorionic, monochorionic-monoamniotic, lossis momo menyuam ntxaib. Tus mob no ua rau muaj kev pheej hmoo ntawm cov teeb meem rau ob leeg ntawm koj tus menyuam. Tsuas yog nyob ib ncig ntawm 1% ntawm kev xeeb menyuam ntxaib ua rau cov menyuam ntxaib monoamniotic.
Ntau hom kev xeeb menyuam ntxaib ntxiv rau monoamniotic suav nrog:
- Monochorionic ntxaib yog cov menyuam ntxaib zoo tib yam uas sib koom ib leeg. Lawv sawv cev ib ncig ntawm 70% ntawm cov menyuam ntxaib zoo tib yam.
- Monochorionic-diamniotic ntxaib yog cov menyuam ntxaib zoo tib yam uas sib koom nrog cov placenta, tab sis txhua tus muaj lawv lub hnab amniotic.
- Dichorionic ntxaib txhua tus muaj lawv tus kheej cov placenta thiab amniotic hnab. Lawv sawv cev ib ncig ntawm 30% ntawm cov menyuam ntxaib zoo tib yam. Cov kwv tij ntxaib kuj suav hais tias yog dichorionic.
Kev Nyab Xeeb Risks ntawm Monoaminotic Twins
Koj qhov kev pheej hmoo twb nce ntxiv thaum koj cev xeeb tub ntau dua ib tus menyuam. Nrog tsawg chav loj hlob, ntxaib cev xeeb tub feem ntau ua rau yug ntxov ntxov. Txawm li cas los xij, cov menyuam ntxaib monoamniotic ntsib cov kev pheej hmoo ntxiv vim tias lawv sib koom ib lub placenta thiab amniotic hnab. Cov kev pheej hmoo noj qab haus huv no suav nrog:
- Txiv kab ntsig uas yuav qhwv koj cov menyuam
- Txoj hlua khi uas xaus rau hauv pob thiab txiav cov ntshav
- Txoov ntshav rau txhua tus menyuam vim kev sib koom
- Cov ntshav tsis sib xws uas ua rau muaj kev loj hlob hauv plab, feem ntau cuam tshuam rau ib tus menyuam xwb thiab tseem hu ua kev txwv kev loj hlob ntawm fetal (sFGR)
- Twin-to-twin transfusion syndrome (TTTS), kev hloov ntshav sai ntawm ib tus menyuam mus rau lwm tus uas tuaj yeem ua rau lub plawv tsis ua haujlwm thiab tuag ntawm ib lossis ob tus menyuam ntxaib
- Amniotic kua abnormalities, txhais tau tias koj tus menyuam mos yuav muaj kua ntau dhau los yog tsawg dhau
- Congenital malformations, nrog rau qhov tsis xws luag ntawm lub plawv, hlab neural, lossis hlwb
- Nyob rau hauv kev sib ntsib uas yuav tsum tau ua tseem ceeb tom qab yug me nyuam
- Ntxhais uas koom ua ke yuav tsum sib cais tom qab yug
Koj kuj muaj kev pheej hmoo zoo li leej niam nqa cov menyuam ntxaib monoamniotic. Preeclampsia yog ib qho tshwm sim thiab tuaj yeem ua rau lub cev puas tsuaj yog tias tsis kho. Tom qab koj tus menyuam yug los, ntshav ntshav kuj tseem muaj peev xwm koj tus kws kho mob yuav npaj kho.
Nrhiav Tawm Koj Muaj Monoaminotic Twins
Nws yog ib qho tseem ceeb uas yuav tsum paub txog momo menyuam ntxaib thaum ntxov ntawm koj cev xeeb tub kom koj thiab koj cov menyuam yuav raug saib xyuas kom zoo rau cov teeb meem. Thaum koj cev xeeb tub menyuam ntxaib, feem ntau koj tau txais ultrasounds ntau dua li qhov koj xav tau nrog kev xeeb menyuam ib zaug vim muaj kev pheej hmoo ntau ntxiv.
Cov menyuam ntxaib Monoamniotic feem ntau raug txheeb xyuas thaum lub sijhawm ua ultrasound thawj zaug. Thaum koj cov me nyuam loj txaus, ultrasound qhia ntau yam ntxiv. Cov cim qhia tau ntawm cov menyuam ntxaib monoamniotic suav nrog:
- Ib leeg amniotic sac
- Ntseeg ib leeg xwb
- Ntau ntau lossis tsawg dua cov kua dej amniotic
Nws yog qhov nyuaj dua los txheeb xyuas cov hnab ntim amniotic vim tias daim nyias nyias nyias uas lawv yuav tsis pom tseeb ntawm kev kuaj xyuas ultrasound. Koj tus kws kho mob tuaj yeem thov kev soj ntsuam xyuas ultrasound kom pom tias daim nyias nyias nyias nyias ua ntej hu xovtooj zaum kawg seb koj puas xeeb menyuam nrog cov menyuam ntxaib monoamniotic.
Yog tias lub plab ultrasound tsis raug txaus, koj tus kws kho mob tuaj yeem thov kev kuaj mob qog nqaij hlav. Thaum cov duab ua tiav qhov chaw mos, nws feem ntau muab cov duab meej dua thiab cov txiaj ntsig tau raug dua.
Kev saib xyuas rau Monoaminotic ntxaib
Koj tus kws kho mob saib xyuas koj zoo heev thaum koj cev xeeb tub raug kuaj pom tias yog monoamniotic. Koj tus kws kho mob xav tau kev nyeem ntawv tsis tu ncua ntawm:
- Fetal growth
- Fetal heart rate and function
- Umbilical qaum tangles thiab knots
- Amniotic kua dej ntau ntau
Koj tus kws kho mob muaj cov kab kos rau qhov nruab nrab fetus loj hlob thiab nyeem ntawv thiab sib piv koj cov menyuam cov txiaj ntsig nrog qhov xav tau. Lawv kuj tuaj yeem pom tias koj tus menyuam loj npaum li cas ib lub lim tiam tom qab lub lim tiam piv nrog kev loj hlob thiab tus nqi dhau los.
Kev kuaj pom ntxov yog tus yuam sij ua kom koj cov menyuam nyob nyab xeeb hauv lub tsev menyuam kom ntev li ntev tau. Nws kuj tseem yuav pab koj tus kws kho mob kom paub tias thaum twg nws yuav yog lub sijhawm los txhawb koj txoj kev ua haujlwm lossis teem caij phais phais kom koj cov menyuam yug los sai dua.
Koj tus kws kho mob yuav siv cov tswv yim tshwj xeeb los txhim kho qhov muaj feem yuav xeeb tub mus tas li thiab tau txais txiaj ntsig zoo rau koj thiab koj cov menyuam, suav nrog:
Steroids: pom zoo kom ua kom koj tus menyuam lub ntsws loj hlob sai yog tias tsim nyog yuav tau xa ntxov
- Kev phais laser: siv yog tias koj cov menyuam raug kev txom nyem los ntawm kev mob ntxaib ntxaib hloov pauv
- Amnioreduction: ib txheej txheem uas txo cov kua amniotic hauv koj lub tsev menyuam yog tias qib siab dhau
- Tshuaj: txhais tau tias yuav tsum tsis txhob muaj kev sib kis uas muaj zog txaus los ua rau koj ua haujlwm ua ntej
- Tsev Kho Mob: rau cov xwm txheej uas muaj kev pheej hmoo siab uas koj thiab koj cov menyuam yuav tsum tau saib xyuas kom zoo dua
Thaum nws los txog rau kev xeeb tub monoamniotic, muaj qhov zoo thiab qhov tsis zoo rau txhua qhov kev txiav txim siab. Tham nrog koj tus kws kho mob txog qhov txaus ntshai thiab txiaj ntsig ntawm kev xeeb tub ntev dua piv rau kev xa koj cov menyuam sai dua. Ua ke koj tuaj yeem txiav txim siab zoo tshaj plaws rau kev noj qab haus huv ntawm koj thiab koj cov menyuam.
Pom zoo:
Xav Txog Kev Cev Xeeb Tub? Yuav Npaj Li Cas Rau Kev Cev Xeeb Tub
Yog tias koj tab tom xav tias yuav muaj menyuam, tej zaum koj yuav xav tias nws yuav siv sijhawm ntev npaum li cas kom cev xeeb tub, thaum sib deev, thiab ntau npaum li cas. Nrhiav cov lus teb rau koj cov lus nug ntawm no. Qhov txawv txav ntawm cev xeeb tub Nws yog ib lo lus nug ntau:
Mob hawb pob thiab cev xeeb tub: Puas yog Albuterol nyab xeeb siv thaum cev xeeb tub?
Vim tias koj muaj mob hawb pob tsis tau txhais hais tias koj tsis muaj peev xwm xeeb tub. Tab sis koj yuav tsum tswj koj tus mob hawb pob. Kwv yees li ib feem peb ntawm cov poj niam cev xeeb tub uas muaj mob hawb pob yuav pom lawv cov tsos mob zoo dua thaum cev xeeb tub, ib feem peb yuav mob hawb pob, thiab ib feem peb yuav muaj cov tsos mob ruaj khov.
Uterine Fibroids thiab Cev Xeeb Tub: UF cuam tshuam li cas rau kev xeeb menyuam
Fibroids yog cov qog uas loj hlob los ntawm cov leeg nqaij hauv lub tsev menyuam. Lawv tsis mob qog noj ntshav. Lawv tuaj yeem ua tau me me li txiv laum huab xeeb lossis loj dua li txiv kab ntxwv. Lawv tuaj yeem loj hlob sab nraum phab ntsa uterine, sab hauv lub tsev menyuam kab noj hniav, lossis hauv phab ntsa uterine.
Ntshav Qab Zib thiab Amputation: Yuav Ua Li Cas Tus Kab Mob cuam tshuam rau koj ob txhais ceg, taw Ntshav Qab Zib thiab Amputation: Tus kab mob cuam tshuam li cas rau koj ob txhais ceg, taw
Yog tias koj muaj ntshav qab zib, koj muaj kev pheej hmoo siab dua rau ntau yam teeb meem kev noj qab haus huv, suav nrog ko taw lossis ceg txiav. Qhov ntawd yog thaum koj tau phais kom tshem tawm ceg lossis tus lej zoo li ntiv taw lossis ntiv tes.
Lupus thiab cev xeeb tub: Cov lus qhia rau kev nyob nrog Lupus thaum cev xeeb tub
Lupus tsis txo tus poj niam txoj hauv kev xeeb tub. Tsawg dua 50% ntawm cev xeeb tub hauv cov poj niam uas muaj lupus muaj teeb meem, tab sis tag nrho cov lupus cev xeeb tub raug suav hais tias muaj kev pheej hmoo siab. Lupus tuaj yeem cuam tshuam kev xeeb tub nrog kev pheej hmoo ntawm nchuav menyuam, yug ntxov ntxov, thiab preeclampsia, nrog rau teeb meem plawv hauv tus menyuam.