Ob peb hnub dhau los, tus kws kho mob nrog Instagram profile ntawm ib lub tsev kho mob tau tshaj tawm qhov tsis sib haum xeeb nkag. Nyob rau hauv nws, nws thov kom cov poj niam cev xeeb tub kaw lub tub yees thiab "zoo li Ewa" - tus kws kho mob neonatologist uas tseem slim ntawm 30 lub lis piam ntawm cev xeeb tub. Kev yoo mov tau pom tias yog kev tawm tsam rau cov poj niam cev xeeb tub rog. Puas yog cev xeeb tub thiab rog dhau yog qhov tsis zoo? Peb tham nrog gynecologist Rafał Baran los ntawm Superior Medical Center hauv Krakow txog kev rog rog thaum cev xeeb tub.
- « Kaw lub tub yees thiab noj rau ob, tsis yog rau ob. Koj yuav ua kom lub neej yooj yim dua rau peb thiab rau koj tus kheej » - kab lus no ua rau muaj kev ntxhov siab hauv kev sib raug zoo. Nws tau pom tias yog kev tawm tsam rau cov poj niam uas tawm tsam nrog kev rog
- Cev xeeb tub, thaum niam's BMI siab dua 30, yog qhov txaus ntshai dua. Txoj kev xav ntawm tus me nyuam yuav muaj teeb meem
- Cov teeb meem kuj tseem tuaj yeem tshwm sim thaum cev xeeb tub, yug menyuam, thiab puerperium.
- Xav paub ntau ntxiv tuaj yeem pom ntawm Onet homepage.
Nws kawm tiav los ntawm Medical University of Silesia hauv Katowice, thiab tam sim no ua haujlwm ntawm Gynecological Endocrinology thiab Gynecology Clinic ntawm University Tsev Kho Mob hauv Krakow. Nyob rau txhua hnub, nws ua chav kawm nrog cov tub ntxhais kawm txawv teb chaws ntawm cov tshuaj ntawm Lub Tsev Kho Mob, ua ib feem ntawm Tsev Kawm Ntawv rau Cov Neeg Txawv Tebchaws ntawm Collegium Medicum ntawm Jagiellonian University. Nws kuj tseem ua haujlwm hauv kev tshawb fawb.
Nws qhov kev nyiam tshaj plaws yog kev tiv thaiv thiab kev kho mob ntawm cov kab mob hauv lub cev xeeb tub, kev xeeb tub thiab kev kuaj mob ultrasound.
Agnieszka Mazur-Puchała, Medonet: cev xeeb tub "kaw lub fridge thiab noj rau ob, tsis yog rau ob. Ua kom lub neej yooj yim dua rau peb thiab rau koj tus kheej ”- peb nyeem hauv cov lus tsis sib haum xeeb ntawm qhov profile ntawm Lub Nroog Tsev Kho Mob Complex hauv Oleśnica. Tus poj niam rog rog puas yog lub nra rau cov neeg ua haujlwm kho mob?
Hneev. Rafał Baran, kws kho mob gynecologist: Cov ncej no yog ib qho tsis muaj hmoo. Kuv vam thiab cia siab tias tus kws kho mob uas luam tawm nws tsis yog npaj rau kev ntxub ntxaug rau cov neeg mob rog. Hauv cov xwm txheej zoo li no, qhov kev pheej hmoo ntawm cov teeb meem thaum cev xeeb tub, kev yug menyuam thiab puerperium tau nce ntxiv. Kev rog dhau tuaj yeem ua rau nws nyuaj rau cev xeeb tub. Txawm li cas los xij, peb txoj haujlwm, raws li kws kho mob, yog qhov tseem ceeb tshaj plaws, ua tib zoo saib xyuas qhov teeb meem no thiab saib xyuas tus neeg mob rog kom zoo tshaj plaws, thiab tsis txhob thuam nws.
Cia peb rhuav nws mus rau hauv qhov tseem ceeb. Kev rog dhau thiab rog ua rau nws nyuaj rau cev xeeb tub?
Ua ntej, peb yuav tsum to taub dab tsi yog rog dhau thiab dab tsi yog rog. Qhov kev tawg no yog ua raws li BMI, uas yog qhov piv ntawm qhov hnyav rau qhov siab. Nyob rau hauv rooj plaub ntawm BMI tshaj 25, peb tab tom tham txog kev rog dhau. BMI ntawm qib 30 - 35 yog rog rog ntawm 35st degree, ntawm 40 thiab 40 rog rog ntawm 35nd degree, thiab tshaj XNUMX yog rog rog ntawm XNUMXrd degree. Yog tias tus neeg mob npaj cev xeeb tub muaj kab mob xws li kev rog rog, peb yuav tsum saib xyuas nws tshwj xeeb thiab piav qhia tias muaj teeb meem nrog kev xeeb tub. Lawv tuaj yeem muaj keeb kwm sib txawv. Kev rog rog nws tus kheej nrog BMI saum toj XNUMX yog qhov muaj feem pheej hmoo, tab sis kuj muaj cov kab mob uas feem ntau nrog nws, xws li polycystic zes qe menyuam syndrome lossis hypothyroidism, uas yuav ua rau muaj kev cuam tshuam ntawm ovulation, thiab nyob rau hauv cov xwm txheej no nws nyuaj rau cev xeeb tub. Ntawm qhov tod tes, kev rog dhau tsis cuam tshuam rau fertility.
Yam teeb meem ntawm cev xeeb tub yuav tshwm sim li cas hauv tus neeg mob rog?
Ua ntej, muaj kev pheej hmoo ntau dua ntawm cov ntshav qab zib gestational lossis ntshav siab, suav nrog pre-eclampsia. Qhov thib ob, kuj tseem muaj cov teeb meem thromboembolic, thiab hmoov tsis yog qhov teeb meem loj tshaj plaws, xws li kev tuag ntawm tus menyuam hauv plab.
Vim yog cov kev pheej hmoo no, peb xav kom cov poj niam rog rog uas npaj yuav cev xeeb tub hu rau tus kws kho mob ua ntej. Tus neeg mob yuav tsum muaj lub ntsiab lus lipid profile, ua tiav kev kuaj mob rau ntshav qab zib thiab insulin tsis kam, ntsuas cov thyroid thiab circulatory system ua haujlwm, ntsuas ntshav siab thiab ECG. Kev noj zaub mov kom raug raws li kev saib xyuas ntawm tus kws kho mob noj zaub mov thiab kev ua si lub cev kuj raug pom zoo.
Yuav ua li cas yog ib tug poj niam rog twb cev xeeb tub? Puas yog qhov kev txo qis tseem yog ib qho kev xaiv?
Yog, tab sis nyob rau hauv kev saib xyuas ntawm ib tug dietitian. Nws tsis tuaj yeem yog kev txwv lossis tshem tawm kev noj haus. Nws yuav tsum tau zoo sib npaug. Qhov kev pom zoo yog txwv tsis pub lub zog ntawm cov zaub mov noj rau 2. kcal ib hnub. Txawm li cas los xij, yog tias qhov kev noj no ua ntej cev xeeb tub yog siab heev, kev txo qis yuav tsum tau maj mam - tsis pub ntau tshaj 30%. Kev noj zaub mov ntawm tus poj niam cev xeeb tub rog yuav tsum muaj peb pluas noj tseem ceeb thiab peb qhov me me, nrog cov carbohydrates nrog qhov qis tshaj glycemic Performance index los tiv thaiv cov tshuaj insulin. Tsis tas li ntawd, peb kuj pom zoo kom ua si lub cev - tsawg kawg peb zaug hauv ib lub lis piam rau 15 feeb, uas yuav ua rau koj cov metabolism thiab pab kom poob phaus.
Dab tsi yog qhov nyuaj ntawm kev yug menyuam hauv ib tus poj niam rog?
Kev yug me nyuam hauv tus neeg mob rog rog yog qhov xav tau heev thiab muaj kev pheej hmoo siab dua. Koj yuav tsum npaj kom raug. Qhov tseem ceeb yog, ua ntej ntawm tag nrho cov, qhov tseeb kev ntsuam xyuas ntawm tus me nyuam qhov hnyav thiaj li yuav txiav txim tawm macrosomia, uas yog hmoov tsis nyuaj vim lub fact tias cov ntaub so ntswg adipose tsis muaj ib tug zoo pob tshab rau lub ultrasound yoj. Tsis tas li ntawd, kev saib xyuas kev noj qab haus huv ntawm tus menyuam hauv plab los ntawm CTG yog qhov nyuaj dua thiab muaj kev pheej hmoo siab dua. Hauv cov neeg mob rog rog, fetal macrosomia feem ntau kuaj pom - tom qab ntawd tus menyuam tsuas loj dhau rau nws lub hnub nyoog gestational. Thiab yog tias nws loj dhau lawm, qhov chaw mos yuav cuam tshuam nrog cov teeb meem xws li lub xub pwg dystocia, ntau hom kev raug mob perinatal hauv tus menyuam thiab leej niam, lossis tsis muaj kev vam meej hauv kev ua haujlwm, uas yog qhov qhia txog kev nrawm lossis xwm txheej ceev.
Yog li leej niam rog rog tsis yog qhov qhia ncaj qha rau Caesarean yug?
Tsis yog. Thiab nws tseem zoo dua tias tus poj niam cev xeeb tub uas rog rog yuav tsum yug los ntawm qhov xwm txheej. Ib txoj kev caesarean yog ib qho haujlwm tseem ceeb hauv nws tus kheej, thiab hauv cov neeg mob rog rog peb kuj muaj teeb meem thromboembolic. Tsis tas li ntawd, txoj kev hla ntawm phab ntsa plab mus rau lub tsev menyuam yog qhov nyuaj. Tom qab ntawd, qhov txiav qhov txhab kuj zoo zuj zus.
Puas muaj lwm yam kab mob, sib nrug los ntawm macrosomia, ntawm tus poj niam rog?
Cev xeeb tub rog ua rau muaj kev pheej hmoo ntawm meconium aspiration syndrome. Nws kuj tseem ua tau hypoglycemia, hyperbilirubinemia lossis ua tsis taus pa hauv tus menyuam mos. Tshwj xeeb tshaj yog yog hais tias ib tug caesarean seem yog tsim nyog. Nws yog ib nqi sau cia hais tias nyob rau hauv cov ntaub ntawv ntawm cov poj niam cev xeeb tub rog rog, tsis zoo li macrosomia, fetal hypotrophy kuj yuav tshwm sim, tshwj xeeb tshaj yog thaum cev xeeb tub yog nyuaj los ntawm kub siab.
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Cov ntsiab lus ntawm medTvoiLokony lub vev xaib yog npaj los txhim kho, tsis hloov, kev sib cuag ntawm Tus Neeg Siv Lub Vev Xaib thiab lawv tus kws kho mob. Lub vev xaib no yog npaj rau kev qhia xov xwm thiab kev kawm nkaus xwb. Ua ntej ua raws li cov kev paub tshwj xeeb, tshwj xeeb tshaj yog cov lus qhia kho mob, muaj nyob hauv peb Lub Vev Xaib, koj yuav tsum sab laj nrog kws kho mob. Tus Thawj Coj yuav tsis ris tej yam tshwm sim los ntawm kev siv cov ntaub ntawv muaj nyob rau ntawm Lub Vev Xaib. Koj puas xav tau kev sab laj kev kho mob lossis e-phau ntawv? Mus rau halodoctor.pl, qhov chaw koj yuav tau txais kev pab online - sai sai, nyab xeeb thiab tsis tawm hauv koj lub tsev.