Ntau cov kws kho mob tau pom tias cov kws kho mob yuav tsum tau saib xyuas zoo. Qhov tseeb hais tias poj niam lub cev yog qhov tsim los ntawm kev coj ntawm ib tus me nyuam rau ib tug cev xeeb tub, yog li ntawd rau ob tug me nyuam tsis tau txaus oxygen thiab cov as-ham, nws yuav zoo ua ke, thiab qhov no ua rau kom muaj teeb meem ntau.
Ob lossis ib?
Kev ntsuam xyuas ntawm kev loj hlob ntawm kev loj hlob ntawm ntau tus menyuam yog qhov ua tau rau cov theem thaum ntxov. Ultrasound tuaj yeem ntes cov quav ntawm ob lub plab me me ntawm lub sij hawm 8-12 lub lis piam, tab sis cov kev ntsuam xyuas thawj zaug tseem tsis tuaj yeem pom qhov kawg. Muaj qee lub sijhawm thaum cov txiv hmab txiv ntoo raug npaj kom pom ib qho thib ob qab lawv, thiab nrhiav tau ntawm ob lub plab hauv plab tsis tau txhais hais tias lawv txoj kev loj hlob tag nrho. Hauv ib nrab lub hli, kwv yees li ntawm 15-20% ntawm ntau tus cev xeeb tub ua ib tus niam txiv vim yog tuag ntawm ib lub qe - nws yuav tsis tsim thiab tshua nyob hauv tsev menyuam mus txog thaum yug heev.
Hauv kev saib xyuas
Yog tias txoj kev tshawb fawb pom tias tsis yog ib tus me nyuam tau pib tsim, tus niam txiv yav tom ntej yuav tau mus xyuas cov poj niam sab laj ntau dua lwm tus. Hauv seem thib peb - txhua kaum hnub, thiab hauv 3 - txhua lub lim tiam. Tsis tas li ntawd, tus poj niam nws tus kheej yuav tsum tau saib xyuas nws kev noj qab haus huv thiab ua raws li nws qhov mob, pib nrog hnyav (rau ntau tus cev xeeb tub, nws yuav tsum loj hlob dua li niaj zaus - tag nrho kev loj hlob mus 9 lub hlis yuav ncav cuag 18-20 kg) thiab xaus nrog cov cim qhia txog kev mob toxicosis, anemia, kev ua txhaum ntawm ob lub raum, lub plawv.
Anemia yog ib qho ntawm feem ntau cov teeb meem thaum nqa tus menyuam ntxaib. Nrog "ntshav tsis tseem ceeb", cov qe ntshav liab liab (ntshav liab) thiab hemoglobin (oxygen xa khoom) nyob rau hauv cov ntshav ua rau ntshav tsawg, vim li ntawd, tus poj niam tuaj yeem nkees, pheej xav tias tsis muaj zog, nws lub taub hau qis thiab nws cov tawv nqaij daj ntseg, dyspnea, plawv palpitations, thaum mob hnyav, nws tseem mus rau qhov tsis nco qab tom qab tus menyuam yaus ntsig.Qhov feem ntau cov ntshav tsawg tshwm sim nrog rau cov tsis muaj hlau, thiab cov vitamin B 9 (folic acid), ob yam tshuaj uas yuav tsum muaj rau kev loj hlob thiab kev loj hlob tab sis tshwj xeeb tshaj yog cov tsho me nyuam hauv plab (hauv plab) Cov poj niam cev xeeb tub yog ib qho me me xwb (tshwj xeeb tshaj yog tias koj noj cov tshuaj tshwj xeeb - cov zaub mov tsis tu ncua tsis tuaj yeem txhawm rau qhov kev xav tau kom muaj zog ntxiv), ces nyob ntawm tus menyuam ntxaib nws nce siab, thiab nrog rau kev tu tsiaj txhu tsis tu ncua yog qhov yuav luag tsis txaus siab. Ib qho thiab ib nrab npaug ntau yuav tshwm sim toxicosis, qhov kev pheej hmoo ntawm kev nce nqi mus rau 40%, cov teeb meem tshwm sim ntau zaus thaum yug me nyuam, muaj teeb meem nrog kev pub niam mis. Cov menyuam yaus uas yug rau cov niam txiv uas tsis muaj ntshav qab zib yuav kis tau tus mob (lawv muaj qis dua kev tiv thaiv kab mob), yog cov tsos mob tshwm sim.
Yuav ua li cas kom tsis txhob muaj teeb meem?
- Ua raws nraim li koj tus mob, nyob rau lub sijhawm, tiv tauj koj tus kws kho mob.
- Siv cov kev kuaj ntshav - ntshav siab txiav txim siab los ntawm kev kuaj ntshav txhua hnub.
- Nqa cov tshuaj noj. Raws nraim! Tsis yog cov neeg uas ib zaug tshuaj, uas koj tau pom hauv kev tshaj tawm ... Ua ntej, hlau npaj rau cov poj niam cev xeeb tub muaj lawv tus kheej cov khoom tshwj xeeb, thiab ob zaug, kev siv tshuaj rau yav tom ntej leej niam yog xaiv ib tus zus, raws li kev soj ntsuam thiab kev lub xeev. Tsis txhob txo tus kheej cov tshuaj noj: Yog tias cov tshuaj ua rau xeev siab (tshwj xeeb yog feem ntau nws tshwm sim, ntawm chav kawm, nrog toxicoses), koj yuav tsum mus ntsib kws kho mob thiab thov kom koj tuaj tos lwm cov tshuaj. Yog tias koj tsis tuaj yeem nqos tau cov tshuaj ntsiav tag, koj yuav tau ua cov tshuaj. Thiab ib tug yuav tsum tsis txhob cia siab rau anemia tsuas yog nrog "iron-rich" diet.Fruits thiab zaub, uas nyob rau hauv xws li mob "sau" ntau zoo-xav, feem ntau, yog cov tseem ceeb, cia li mus muab hlau thiab folic acid nyob rau hauv xws li ntau, uas yuav tsum tau txhaj rau ntau tus cev xeeb tub, lawv yuav tsum tau noj ntau dua li tus neeg mob siab tshaj plaws thiab muaj zog tshaj plaws.
Mob toxicosis
Cev xeebtub rau cov pojniam uas muaj menyuam hauv plab los ntawm ntau tus menyuam muaj hnoob nyoog 4 zaus dua li qub. Los ntawm qhov li ib txwm rau ntau cov tshuaj toxicosis hauv cov theem thaum ntxov, nws txawv, tag nrho txhua qhov, vim tias nws muaj peev xwm ua teeb meem ntau dua rau cov menyuam yaus tshaj rau leej niam. Kev mob gestosis, xeev siab thiab ntuav yeej tsis muaj tshwm sim, tab sis muaj zuaj zis, muaj protein ntau nyob hauv cov zis, ntshav nce zuj zus, thiab tseem ceeb tshaj plaws - toxicosis muaj feem xyuam rau plab plab, cuam tshuam qhov khoom qub ntawm cov me nyuam (los yog cov me nyuam) nrog oxygen thiab cov khoom noj. Ntawm chav kawm, qhov no tsis yog qhov zoo tshaj plaws los cuam tshuam kev loj hlob, thiab tshwj xeeb tshaj yog (siv rau hauv cov ntsiab lus uas lub ntsiab lus) - nyob rau hauv lub paj hlwb. Thiab lub hnub yug ntawm cov poj niam nrog gestosis feem ntau yog txoj ...
Predisposition to latexicosis tuaj yeem muaj niam muaj txiv, tab sis txhua tus poj niam uas yug dhau ntxov (muaj hnub nyoog 18 xyoo) lossis tom qab (tom qab 35 xyoo), tag nrho ntau dhau (thaum yug ntawm cov menyuam yau tshaj ob xyoos), leej niam nrog ntau tus menyuam nrog ntau, thiab nrog cev xeeb tub - nrog txhua tus menyuam qhov kev pheej hmoo siab). Muaj kev ntxhov siab lossis tsis muaj kev ntxhov siab ntawm leej niam yav tom ntej, Rh-tsis sib haum xeeb, kub siab thiab lwm yam kab mob kuj tseem ceeb heev.
Nws ua li cas? Ib yam ntawm cov tsos mob ntawm kev mob gestosis yog ib qho nqos tau dej heev, thiab tus neeg mob haus dej ntau heev (thiab feem ntau cov kua dej - thaum suav, koj yuav tsum nqa mus rau hauv cov kua roj ntsha thiab tag nrho cov dej haus), tiam sis cov zis yog tsawg dua. Qhov no qhia tau hais tias qhov ua txhaum cai ntawm dej-ntsev metabolism: feem ntau ntawm cov kua dej yog tsis tshem tawm ntawm lub cev, tab sis nyob hauv cov ntaub so ntswg thiab ua rau mob paug latent. Yog hais tias txwv tsis pub haus dej thiab ntsev rau hauv kev noj haus tsis pab, yog tias muaj xeev siab, mob taub hau, kiv taub hau, ntshav siab, koj yuav tsum tau mus ntsib kws kho mob sai li sai tau thiab ua raws li nws daim ntawv qhia. Cov kws kho mob muaj peev xwm ua tau rau tus poj niam cev xeeb tub nyob rau hauv lub tsev kho mob - nrog rau ntau lub cev xeeb tub, koj yuav tsum npaj kom sai dua los yog tom qab yuav tsum tau vim muaj ntau yam teeb meem, thiab txawm tias txhua yam yog qhov qub, twb 2 lub lis piam ua ntej xaus lub sijhawm nws kev saib xyuas tas mus li thiab pib npaj rau kev yug menyuam.
Kev tiv thaiv ntawm gestosis
Twb tau nyob rau hauv Trimester thib ob (thiab yeej kiag li - nyob rau hauv ib nrab ntawm cev xeeb tub thib ob), nws yog ib qhov tsim nyog yuav tsum tsis txhob noj kib thiab ntsim tais diav, los ntawm ntsim seasonings, smoked thiab salted. Lub sijhawm tom kawg yog qee zaum tseem ceeb rau niam txiv, tab sis, alas - tas, txwv tsis pub nws yuav tsis yooj yim kom tsis txhob tshee. Chocolate tseem yuav tsum tau hloov nrog lwm cov khoom qab zib - vim yog muaj zog rau cov kab mob hauv lub cev. Noj zoo, taug kev hauv huab cua ntau zaus thiab tsis txhob ntxhov siab ntau li ntau tau - leej niam yuav tsum tau menyuam ntxaib, koj yuav tsum saib koj tus kheej ntau dua li lwm tus.
Me me
Pib nrog lub Trimester thib peb, ib qho teeb meem loj dua yuav tsum tau xav txog: qhov ua rau me nyuam me thiab qhov xaus ntawm cev xeeb tub. Raws li kev txheeb cais, kwv yees li 50 feem pua ntawm cov poj niam uas muaj ntau hom kev tuaj yeem ntsib kev phom sij ntawm ib tus los yog lwm theem neeg hauv plab. Nws ntseeg tias qhov no yog vim muaj ntau qhov ncab ntawm cov leeg ntawm cov leeg ua rau los ntawm ntau ntau ntawm nws lub ntim. Yog li, nrog rau kev mob hauv qis qis thiab qis qis dua, zoo nkaus li nrawm sab hauv lub tsev menyuam, yuav tsum tau nrhiav kev pab tam sim ntawd thiab, yog tias tsim nyog, mus rau hauv tsev kho mob kom txuag: nws yog ib qhov ua tau kom cov kws kho mob yuav tsum tau ntsuas kev kub ntxhov lub sijhawm rau cov menyuam yaus tsim tau zoo. Yuav ua li cas kom tsis txhob muaj teeb meem?
Pib ntawm 20 lub asthiv, koj yuav tsum tsis txhob ua si (tshwj xeeb tshaj yog hom tsiaj). Tej zaum tus kws kho mob yuav txwv kom tsis txhob muaj kev sib deev (nws muaj feem cuam tshuam txog tus txheej txheem ntawm lub tsev menyuam), yog tias ua tau - tsis ua haujlwm (thiab tshwj xeeb tshaj yog tsis pub ncua ntawm kev pub niam txiv, uas yog thaum muaj ntau yam kev pabcuam los ntawm lub lim tiam 28th) thiab tshwj tsis yog pw tsaug zog tag hmo tsawg tshaj 4-6 teev, thiab los ntawm qhov kawg ntawm lub sij hawm - txog li 8 teev. Txhob nco cov kev sib ntsib rau cov poj niam kev sab laj. Qhov tsawg kawg yog ib zaug ob lub lis piam twg, tus ginecologist yuav tsum tau txiav txim seb lub plab ntawm lub tsev me nyuam, tshwj xeeb yog lub ncauj tsev menyuam: yog tias nws pib luv dua li ntawm lub lim piam 23, qhov kev hu ua poj niam txiv neej qis qis qaum ua - kev kho yog siv los txo cov kev pheej hmoo ntawm kev yug ntxov. Tom qab cov hnub, cov neeg ua hauj lwm tocolytic yog siv rau tib lub hom phiaj - kev npaj tshwj xeeb rau kev kho mob.
Nws yog lub sij hawm muab yug
Rau ntau hom kev sib tw, ob peb yam kev mob nkeeg ntau dhau - qhov no yuav tsum nco txog thiab tsis sib luag hauv peb cov kev npaj rau cov sij hawm niaj hnub ua. Tom qab tag nrho, thaum kawg ntawm kev xeeb tub, cov me nyuam hauv kuv niam lub plab tsuas tsis muaj chaw, pa, los yog khoom noj khoom haus, thiab lawv twb tau tsim kho kom lawv lub neej nyias nyob nyias ntawm niam lub cev. Cov xwm txheej tau saib xyuas cov me nyuam yaus kom sai li sai tau: thaum muaj kev sib thooj ntau zaus, ntau tus me nyuam mos tau tib lub sij hawm - lawv lub caij nyoog "lub caij nyoog" thiab tag nrho poj niam lub cev npaj rau kev yug.
Rau triplets, lub sijhawm lub hnub yug yog 34-36 lub lim tiam ntawm cev xeeb tub, menyuam ntxaib muaj me ntsis sij hawm - txog 36-38 lub lim tiam. Muaj li ntawm 50 feem pua ntawm cov menyuam yug los uas muaj cov hnyav tsis txaus (los ntawm kev ntsuas li niaj zaus) - txog li 2.5 kg, thaum ntawm cov menyuam yaus muaj qhov sib txawv ntawm 200-300 gram.Yog ntau tshaj (li 1 kg), qhov no twb qhia tau teeb meem nrog kev txhim kho ib qho ntawm lawv, tab sis nyob rau hauv ib lub tsev niam txiv tshiab thiab qhov teeb meem no feem ntau daws tau: qhov txawv ntawm qhov loj yog pom meej meej nrog ultrasound, thiab neonatologist yuav npaj txhua yam tsim nyog los pab tus me nyuam ntxov ntxov. Peb pom tias, ntau dua cov teeb meem xa cov me nyuam loj xwb - muaj qee zaum muaj thaum ob tug me nyuam yaus loj hlob txog li 5-6 kg, yog li thiab qhov muag tau nws nyuaj heev (tias nws tsis muaj kev xav tau - nyob rau ntawm lub tsev menyuam yog qhov yuav tsum tau loj heev), thiab yug los tsis tau kev pab ntawm cov kws phais feem ntau tsuas yog tsis yooj yim sua.
Feem ntau, tus txheej txheem ntawm tus me nyuam tsis yog ib qho, tab sis ob peb cov me nyuam, ntawm chav kawm, ntau nyuaj dua li ib txwm. Yog li ntawd, nyob rau hauv kev npaj rau lub txais tos ntawm triplets (tsis hais ntxiv ntau ntxiv tsev neeg) cov kws kho mob feem ntau xav kom ib tug mob caj npab. Cov menyuam ntxaib feem ntau yug me nyuam yaus tib yam li txhua tus neeg, tab sis kuj muaj teeb meem. Nws zoo dua tsis txhob tso tus me nyuam yog tias cov kws kho mob muab cov tshuaj loog ua ke: yog tias muaj teeb meem tsis pom kev, qhov no yuav cawm tau lub sijhawm.