Ntau yam txawv txav hauv cov menyuam yaus ua rau cov niam hluas ntshai. Yog li, ib qho ntawm pathologies uas ua rau ceeb ntshai tawm tsam hauv tus poj niam yog cephalohematoma ntawm tus menyuam lub taub hau. Qhov tshwm sim no tshwm sim hauv txhua 3-5 tus menyuam ntawm 1000 tauj.
Ib cephalohematoma yog o nyob rau ntawm lub taub hau ntawm tus menyuam yug tshiab, uas feem ntau zoo li mob qog. Xws li lub neoplasm sawv cev hemorrhage ntawm cov nqaij sib txuas ntawm lub taub hau thiab cov pob txha pob txha taub hau. Cov xim ntawm cephalohematoma tsis txawv ntawm daim tawv tas.
Ib cephalohematoma yog tsim thaum yug menyuam. Qhov tseeb tiag, thaum dhau tus kwj dej yug, tus menyuam lub taub hau qhov hnyav dhau heev. Cov tawv nqaij tau txav mus los thiab cov hlab ntshav tawg. Qee lub sijhawm cov tsos mob ntawm lub qog ntawd yog qhov tshwm sim ntawm kev siv forceps lossis lub tshuab nqus tsev thaum yug menyuam. Raws li cov khoom pov tseg ntawm cov hlab ntsha, cov ntshav ntxiv rau hauv qab daim tawv nqaij, thiab cov ntshav no tsis txhaws. Thiab ntau leej niam tuaj yeem soj ntsuam qhov nce ntawm cephalo lej hauv thawj ob peb hnub tom qab yug menyuam tas. Qhov ntim ntawm cov ntshav uas tuaj yeem sau rau hauv qog yog 5-150 ml.
Qhov chaw nyob ntawm cephalohematoma yog yam tsis paub txog. Nws tuaj yeem nyob ntawm ob qho tib si rau ntawm pob txha parietal thiab ntawm qaum ntawm lub taub hau, hauv pliaj, thiab cov tuam tsev.
Cov laj thawj vim li cas cephalohematoma tshwm sim
Qhov laj thawj tseem ceeb ntawm qhov tshwm sim ntawm cov qog no yog kev puas tsuaj rau lub taub hau thaum lub sijhawm yug menyuam vim muaj qhov sib txawv ntawm lub taub hau thiab qhov loj ntawm cov kwj dej yug. Ntawm qhov cov laj thawj uas yuav ua rau muaj qhov tsis sib xws, muaj tag nrho cov npe:
- lub cev nyhav heev;
- txoj haujlwm tsis-muaj sia ntawm lub cev xeeb tub thaum lub sijhawm yug menyuam, piv txwv, kev nthuav qhia los ntawm lub cev;
- ntau yam kev txhim kho ntawm intrauterine kev tsis txaus ntseeg ntawm tus menyuam;
- postmaturity;
- cov poj niam laus laus hauv plab dhau lawm;
- kev nrawm nrawm ntawm kev yug menyuam, tshwj xeeb tshaj yog nyob rau hauv primiparous;
- qhov nqaim ntawm leej niam txoj hlab pas lossis yav pelvic kev raug mob.
Qee qhov xwm txheej, qhov laj thawj ntawm kev tshwm sim ntawm cephalohematoma ntawm tus menyuam lub taub hau yog hu ua cov teeb meem paj hlwb uas tau tshwm sim los ntawm txhaws nrog txoj hlab ntaws thiab kev loj hlob ntawm hypoxia thaum yug menyuam, kev sib ntxiv ntawm cov hnoos qeev hauv tus menyuam lub qhov ncauj, thiab lwm yam.
Ib tus niam hluas yuav tsum tau npaj rau qhov tseeb tias yog tias lub cephalo lej loj, nws yuav muaj kev pheej hmoo ntawm ntshav tsawg nyob rau hauv tus menyuam mos lub cev vim ntshav txaus los ntshav txaus rau nws. Yog tias cov qog ua ntshav loj, cov ntshav tuaj yeem nkag rau hauv cov ntaub so ntswg uas nyob ze, txhawm rau hemoglobin cov kabmob. Qhov no ua rau muaj jaundice. Qee qhov xwm txheej, thaum cov txheej txheem ntawm cov ntshav resorption qeeb, lub cev pob txha deformities tshwm sim. Cephalohematoma yuav tsum tau ua kom zoo zoo, vim tias yog tias nws tseem tsis tau hloov mus ntev, kev txhawb nqa yuav tshwm sim.
Kev kho mob ntawm cephalohematoma
Tus kws kho mob xaiv hom kev kho mob raws li cov tsos, loj thiab lwm yam ntawm cov ntshav. Yog li, piv txwv li, yog tias nws me, kev kho tshwj xeeb tsis tas yuav tsum - nws tus kheej yuav tsum yaj tsis pub dhau ntau tshaj 2 hlis tom qab yug menyuam. Qee zaum cov kws kho mob pom zoo kom noj cov tshuaj vitamin K txhawm rau txhim kho ntshav txhaws. Tsis tas li, calcium gluconate, uas ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntshav, tuaj yeem tsim tshuaj nrog nws.
Yog hais tias lub cephalohematoma zoo siab rau qhov loj me los yog tau txuas rau tus menyuam lub taub hau ntev dua li nws yuav tsum tau, lub qog nqaij hlav ntawm lub qog nqaij hlav tuaj yeem tau sau tseg kom tshem nws cov ntsiab lus. Nws yog tsim nrog tshwj xeeb nyias rab koob. Tom qab kev cuam tshuam zoo li no, daim ntaub qhwv lub zog tshwj xeeb thov rau tus menyuam lub taub hau.
