<產前胎兒貧血之診斷>
大人會貧血,寶寶也會貧血。最近遇到相關case,來整理一下。
完整文章請看:
https://drjessicakang.blogspot.com/2021/08/blog-post.html
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以下重點整理節錄:
#胎兒貧血的原因:
1. 溶血: 最多是血型不合的溶血,在產前以Rh血型較常見,另外比較少見的是Kell、Duffy和Lewis。
2. 感染: Parvovirus B19會抑制紅血球生成,因此也會造成貧血。如果可以即時進行胎兒輸血來校正,通常撐過去後預後都不錯。
3. 胎兒母體間出血 (Fetomaternal hemorrhage)
4. 雙胞胎輸血症候群/twin anemia polycythemia sequence
#產前要怎麼確定胎兒貧血的狀況?
1. #超音波!!! (我們最常使用 #非侵入性的工具)
目前公認的就是16週以後量測 #中大腦動脈的血流流速 (MCA PSV)。
我們會比較MCA PSV的MOM值(課本或網路都可以查到週數對照的值),MOM>1.25會要開始懷疑有貧血的狀況,如果MOM>1.5則有可能需要進行胎兒輸血了。
2. 臍帶血
3. KB test
另外抽血也可檢驗血型的抗體濃度。當抗體過高超過一定濃度,搭配MCA血流出現變化,會要更密集的追蹤! (大約1-2週就要追蹤中大腦動脈的血流)
#產前可以做甚麼
胎兒治療的部分就是進行胎兒輸血。
1. 臍靜脈: 和臍帶血穿刺的方式一樣,以羊膜穿刺的針目標對準臍靜脈。
2. 胎兒腹內的肝門靜脈
3. 腹腔內輸血: 適合週數小,血管較小的案例。
#胎兒貧血
#fetalanemia
#產前超音波
#產前診斷
#子宮內輸血
#IntraUterineTransfusion
anemia test 在 Facebook 的最佳解答
I get fatigue, cool feet, and dizzy easily especially when I bend down to pick up things. These happened quite often but I’m not sure the why until I did my Iron Deficiency Assessment. 😱😱
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Then I found out that I have anemia or iron deficiency. I started to take BiO-LiFE Ferrovit that contains Iron, Folic Acid, and Vitamin B12. It comes in an individual blister packing for convenient, easy handling, and prevent oxidation. ✨✨
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Now I feel more energetic and wake up looking fresher. The dizziness and fatigue symptoms also subside gradually. 🥰🥰
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Hey! Head over to Bio-Life Malaysia to complete your Iron Deficiency Assessment (IDA) on their website. You will receive RM3 off voucher via email after you have completed your IDA Health Test. 👌👌
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#irondeficiency #healthylifestyle #health #igmy #igmalaysia #kellyselfcare
anemia test 在 Amandalyn Chen Facebook 的精選貼文
• 9.8.2021 •
Iron is an important mineral in your body, but chances are many of us aren't getting enough 😣
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Do you know if you're getting enough iron?
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@biolifemy
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