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KAB MOB RAU ME NYUAM YAUS UA NTEJ YUG (NEONATAL ABSTINENCE SYNDROME): COV TSOS MOB THIAB KEV KHO MOB

Article Translations: (English) (Spanish) (Somali)

Kab Mob Rau Me Nyuam Yaus Ua Ntej Yug (Neonatal Abstinence Syndrome) yog dab tsi?

Ntau yam tshuaj kho mob los yog tshuaj siv los ntawm leej niam tuaj yeem mus txog tus me nyuam thaum lawv nyob hauv plab. Thaum tus me nyuam yug los, tus me nyuam tsis tau txais cov tshuaj los ntawm lawv niam lub cev, thiab tus me nyuam yuav raug tshem tawm. Qhov no hu ua Kab Mob Rau Me Nyuam Yaus Ua Ntej Yug (Neonatal Abstinence Syndrome, NAS), los yog Cov Mob Tshem Tawm Cov Kuab Tshuaj Ntawm Me Nyuam Yug Tshiab (Neonatal Opioid Withdrawal Syndrome, NOWS)

Cov tshuaj twg ua rau muaj cov tsos mob ntawm NAS?

Muaj ntau yam tshuaj kho mob los sis tshuaj uas tuaj yeem ua rau muaj mob NAS tab sis yam uas tshwm sim ntau tshaj yog:

Yeeb: methadone, buprenorphine (Buprenex® thiab Suboxone®), morphine, oxycodone (OxyContin® thiab Percocet®), oxymorphone, hydromorphone (Dilaudid®), hydrocodone (Norco® thiab Vicodin®), codeine thiab fentanyl (Duragesic®), yeeb dawb

Benzodiazepines: lorazepam (Ativan ®), diazepam (Valium ®)

Lwm yam tshuaj muaj yees: cocaine, ecstasy, tshuaj nees.

Yuav kuaj pom tus mob NAS tau li cas?

Cov me nyuam feem coob pib muaj cov tsos mob tshem tawm kuab tshuaj li ntawm 2 txog 4 hnub tom qab yug. Txawm li cas los xij, qee tus me nyuam mos yuav muaj cov tsos mob no ua ntej thiab lwm tus yuav tsis muaj cov tsos mob txog tom qab ntawd. Cov tsos mob no tej zaum yuav mob me thiab ploj mus sai los yog yuav txuas ntxiv mus rau ntau lub hlis. Nws yog ib qho nyuaj rau kev kwv yees seb tus me nyuam yuav raug cuam tshuam li cas los ntawm hom tshuaj kho mob los sis siv tshuaj, thaum twg cov tshuaj tau siv kawg, thiab yog tias muaj ntau yam tshuaj siv tib lub sij hawm.

Cov me nyuam mos uas muaj kev pheej hmoo ntawm NAS yuav coj lawv cov zis thiab thawj cov quav (hu tias meconium) xa coj mus kuaj cov tshuaj. Nws yog ib qho tseem ceeb uas yuav tsum tau qhia rau koj tus kws kho mob txog cov tshuaj los sis tshuaj siv thaum cev xeeb tub. Qhov no yuav pab lawv muab kev saib xyuas zoo tshaj plaws rau koj thiab koj tus me nyuam, muab cov tshuaj kom raug yog tias xav tau, thiab tso koj tus me nyuam mus tsev sai li sai tau. Koj pab neeg saib xyuas kev noj qab haus huv yuav qhia cov txiaj ntsig ntawm txhua qhov kev sim ua tiav thiab tseem yuav pab koj nkag siab cov cim ntawm kev tshem tawm thiab yuav saib xyuas koj tus me nyuam li cas.

Kev tshem tawm cov tsos mob uas tej zaum koj yuav pom hauv koj tus me nyuam

  • Kev ntxhov siab, kev nyuaj siab ntau dhau
  • Kev ntxhov siab
  • Kev nquag quaj (tej zaum yuav muaj suab nrov)
  • Kev siv zog nqus lub mis
  • Tawm Fws
  • Raws plab
  • Txhaws ntswg
  • Ua npaws
  • Noj nyuaj
  • Tsaug zog nyuaj
  • Txog siav
  • Ntuav
  • Nquag ua ntsos thiab txham
  • Mob caj npab, ceg thiab nraub qaum
  • Qaug dab peg (lub cev tshee uas ua rau nres/tswj tsis tau)

Kev saib xyuas rau koj tus me nyuam mos

Koj yog tus neeg tseem ceeb tshaj plaws rau koj tus me nyuam. Cia koj tus me nyuam nyob ze koj, puag, muaj sij hawm puag tawv nqaij puab tawv nqaij, pub mis thiab tu koj tus me nyuam nyob rau hauv ib qho chaw ntsiag to tau pom tias pab cov me nyuam mos uas pom cov tsos mob ntawm kev tshem tawm. Nyob ze koj tus me nyuam kom ntau li ntau tau yuav pab tau koj paub koj tus me nyuam thiab yuav ua li cas thiaj xis nyob rau koj tus me nyuam. Koj pab pawg kws kho mob nyob ntawm no los pab txhawb koj.

Qhov txheej txheem Noj, Pw Tsaug Zog, Tuav Tswj 

Txhua tus me nyuam mos noj, pw tsaug zog, thiab xav tau qee yam kev nplij siab thoob plaws nruab hnub thiab hmo ntuj. Qee cov me nyuam mos uas muaj NAS xav tau kev pab ntxiv.

Qhov txheej txheem kev noj, pw tsaug zog, tuav tswj saib ntawm:

  • Noj: Koj tus me nyuam tuaj yeem noj tau raws li lawv lub hnub nyoog.
  • Pw tsaug zog: Koj tus me nyuam tuaj yeem pw tsis tsaug zog yam tsis muaj qhov cuam tshuam yam tsawg kawg ib teev.
  • Kev tuav tswj (raug ntxias): Koj tus me nyuam tuaj yeem ntsiag tau hauv 10 feeb.

Thaum koj nyob hauv tsev kho mob, koj pab pawg kws saib xyuas kev noj qab haus huv yuav qhia koj paub yuav ua li cas paub txog me nyuam yug tshiab cov cwj pwm yuav tshwm sim nrog rau cov cim ntawm cov me nyuam yug tshiab tshem tawm. Ua ke nrog koj pab neeg saib xyuas kev noj qab haus huv, koj yuav pab txiav txim siab seb koj tus me nyuam noj li cas, pw tsaug zog li cas, thiab tuaj yeem ntxias tau lawv yooj yim npaum cas. Cov kws saib xyuas neeg mob yuav koom tes nrog koj txhua 3-4 teev los saib xyuas koj tus me nyuam txoj kev noj qab haus huv tag nrho thiab yuav tsim cov phiaj xwm kev saib xyuas uas tsim tshwj xeeb rau koj tus me nyuam. Koj yuav tau txais ib Phau Ntawv Teev Npe Kev Kho Mob Tshiab los pab tshuaj xyuas seb koj tus me nyuam noj mov ntau npaum li cas, koj tus me nyuam tsaug zog ntev npaum li cas, thiab tuaj yeem txias tau yooj yim npaum li cas.

Nco ntsoov, koj yog qhov kev kho mob zoo tshaj plaws rau koj tus me nyuam thiab koj txoj kev koom tes tseem ceeb heev. Yog tias koj tsis tuaj yeem nyob nrog koj tus me nyuam hauv tsev kho mob, koj tuaj yeem xaiv cov neeg hauv tsev neeg thiab cov phooj ywg uas tuaj yeem pab txhawb koj tus me nyuam mos. Txawm tias peb muaj cov neeg ua hauj lwm pab dawb uas tuaj yeem pab qee lub sij hawm, tab sis lawv tsis muaj sij hawm khoom 24/7.

Ob peb txoj hauv kev los ntxias tus me nyuam mos uas muaj cov tsos mob tshem tawm tuaj yeem suav nrog:

  • Ua kom chav nyob ntsiag to thiab tsis muaj suab - txwv cov qhua, txo cov suab tshwj tsis yog cov suab nrov me thiab ua kom lub teeb qis hauv chav
  • Puag tus me nyuam tawv nqaij puab tawv nqaij
  • Siv maj mam chwv - muab cov khoom muag, maj mam txav yuav ua rau koj tus me nyuam ntsiag
  • Hais lus mos nrog rau lub suab lus nqee
  • Kev nqee lub suab pab txhawb lub suab uas koj tus me nyuam hnov hauv plab
  • Qhwv koj tus me nyuam nrog ob txhais tes sib ze rau lawv lub qhov ncauj
  • Muab leej niam mis/taub mis pub thiab lub ua kom me nyuam ntsiag
  • Maj mam, muab me nyuam tso pw ntxeev tiaj

Kev pub niam mis

Txhua qhov xwm txheej muaj qhov sib txawv. Txawm tias nws yuav muaj kev nyab xeeb dua rau cov me nyuam mos feem coob uas tau noj niam mis los xij, koj pab pawg kws saib xyuas kev noj qab haus huv thiab cov kws pab tswv yim pub mis me nyuam tuaj yeem pab txiav txim siab seb kev pub niam mis puas zoo rau koj tus me nyuam. Cov kua mis yog qhov zoo tshaj rau koj tus me nyuam. Peb txhawb nqa kev pub niam mis thiab yuav ua txhua yam ua tau kom ua tiav koj lub hom phiaj pub mis. Yog tias koj tseem tsis tau txais lo lus qhia tias koj tuaj yeem pub niam mis rau me nyuam yam nyab xeeb, nws yog ib qho tseem ceeb kom paub tias tsis txhob pub niam mis kiag tam sim ntawd yuav ua rau koj tus me nyuam cov tsos mob tshem tawm. Ua ntej koj tso tseg, koj yuav tsum tham nrog koj tus kws kho mob yuav ua li cas kom tsis txhob pub koj tus me nyuam mos los ntawm kev pub niam mis.

Pub thaum nyuam qhuav pib tshaib plab

Pub mis koj tus me nyuam thaum lawv qhia tias lawv tshaib plab. Pub koj tus me nyuam tsawg kawg txhua 4 teev (feem ntau txhua 2-3 teev) kom txog thaum lawv lub cev hnyav tuaj.

Tawv nqaij puab tawv nqaij

Siv sij hawm ntau npaum li ntau tau "tawv nqaij puab tawv nqaij" nrog koj tus me nyuam thaum koj tsaug zog. Qhov no yuav pab koj tus me nyuam noj thiab pw tsaug zog zoo dua thiab yuav pab ntxias koj tus me nyuam mos. Nws tseem tuaj yeem pab txo qis lwm cov tsos mob ntawm kev tshem tawm thiab pab kom koj muaj kua mis yog tias pub niam mis.

Qhwv me nyuam/puag

Puag koj tus me nyuam los yog qhwv koj tus me nyuam hauv ib daim pam. Tsuas yog nyob ze ib tug neeg yuav pab koj tus me nyuam kom muaj kev nyab xeeb thiab xis nyob.

Chav nyob ntsiag to

Lub suab nrov thiab lub teeb ci tuaj yeem ua rau koj tus me nyuam chim siab. Pab kom nyob ntsiag to hauv chav thiab ntsiag to nrog lub teeb taws qis. Looj lub mloog pob ntseg yog tias koj xav saib TV/vis dis aus. Txwv kev siv koj lub xov tooj ntawm tes ntau li ntau tau thiab tso lub suab txhee. 

Nqus

Koj tus me nyuam yuav xav nqus lub txiv mis los sis tus ntiv tes huv, txawm tias tom qab pub mis zoo lawm. Nco ntsoov xyuas kom koj tus me nyuam tsis tshaib plab ua ntej.

Txwv cov qhua tuaj saib

Sim kom muaj ib los sis ob tus qhua hauv koj chav hauv ib lub sij hawm xwb txhawm rau pab tswj kom muaj kev nyob ntsiag to thiab tsis muaj suab nrov hauv ib puag ncig.

Saib xyuas koj tus kheej

Thov qhia rau peb paub yog tias koj xav tau kev pab txhawb los saib xyuas koj tus me nyuam mos los pab kom koj tau so me ntsis.

Me Nyuam Mos Kev Nyab Xeeb thiab Kev Tsaug Zog Nyab Xeeb

Cia koj tus me nyuam hauv txaj thaum tsis muaj neeg puag lawm. Tsis txhob muab koj tus me nyuam pw saum txaj thiab tawm mus ncig. Txawm tias cov me nyuam yug tshiab los yeej tuaj yeem poob.

Hauv teb chaws, muaj cov ntawv tshaj tawm txog kev raug mob uas muaj me nyuam yaus poob rau hauv pem teb hauv tsev kho mob thaum cov niam txiv tsaug zog thaum pub mis los sis puag lawv cov me nyuam. Kuj tseem muaj qhov xwm txheej uas tus me nyuam yuav luag raug nias los ntawm niam txiv tsaug zog.

Tej zaum koj yuav mob siab puag koj tus me nyuam txhua lub sij hawm, tab sis koj yuav sab heev. Hu rau koj tus neeg pab txhawb los sis cov neeg ua hauj lwm hauv tsev kho mob kom pab tu koj tus me nyuam kom koj thiaj li tau txais cov seem uas koj xav tau kom rov zoo.

Tsis txhob pw nrog koj tus me nyuam thaum so hauv txaj, ntawm lub rooj zaum so los sis hauv lub tog zaum.

  • Kev sab heev los sis muaj tshuaj kho mob hauv koj lub cev yuav ua rau koj muaj feem yuav tsaug zog thaum puag koj tus me nyuam.
  • Thaum koj pw tsaug zog los sis npaj pw tsaug zog, muab koj tus me nyuam tso rau hauv txaj.
  • Hu rau koj tus kws kho mob yog tias koj xav tau kev pab. Nyeem cov ntaub ntawv hauv koj lub hnab ntawv txog kev pw tsaug zog nyab xeeb thiab kev pw seem uas zoo tshaj plaws rau koj tus me nyuam tsaug zog.

Tshuaj kho mob thiab kev kho mob

Yog tias koj tus me nyuam noj tau, pw tsaug zog, thiab ntxias tau yooj yim, lawv yuav tsis xav tau tshuaj thiab yuav nyob hauv tsev kho mob li 5 hnub rau kev mob siab rau soj ntsuam. Yog tias koj tus me nyuam muaj teeb meem noj mov, pw tsaug zog, thiab nyuaj rau kev ntxias vim muaj cov tsos mob tshem tawm, lawv yuav xav tau tshuaj los pab lawv los ntawm kev tshem tawm. Ua ke, koj thiab koj pab neeg saib xyuas yuav txiav txim siab seb puas yuav tsum tau siv tshuaj los kho cov tsos mob. Yog tias xav tau tshuaj kho, koj tus me nyuam mos yuav raug saib xyuas hauv Lub Tsev Saib Xyuas Kho Mob Tshwj Xeeb (Special Care Nursery) los sis Lub Tsev Kho Mob Lub Chaw Saib Xyuas Kho Mob Cov Me Nyuam Mos (Neonatal Intensive Care Unit).

Qee tus me nyuam yaus xav tau ob peb koob tshuaj thaum lwm tus yuav xav tau tshuaj rau 10 mus rau 14 hnub. Qee lub sij hawm, cov me nyuam xav tau tshuaj kho mob sij hawm ntev dua. Nws yog ib qho tseem ceeb rau koj los sis lwm tus neeg hauv tsev neeg yuav tsum koom nrog koj tus me nyuam txoj kev saib xyuas thoob plaws lub sij hawm kho hauv tsev kho mob.

Npaj rau Mus Tsev

Koj pab pawg kws saib xyuas kev noj qab haus huv tseem yuav tshuaj xyuas koj tus me nyuam thiab txiav txim siab thaum twg koj tus me nyuam npaj txhij mus tsev. Koj tus me nyuam npaj txhij mus tsev thaum lawv:

  • Pub mis yooj yim thiab muaj qhov hnyav nce tuaj
  • Ua kom lub plawv noj qab nyob zoo, ua pa thiab lub cev sov
  • Muaj peev xwm noj, pw tsaug zog thiab ntxias tau los ntawm koj, lawv tus kws saib xyuas xub thawj
  • Muaj ib tus kws kho mob xub thawj thiab teem caij mus ntsib kws kho mob
  • Muaj kev xa mus rau lub chaw pab txhawb hauv zej zog, yog tias tsim nyog

Saib xyuas hauv tsev

Thaum koj tus me nyuam nyob hauv tsev, cov tsos mob tshem tawm tuaj yeem txuas ntxiv mus ob peb lub lim tiam. Cov tsos mob no, uas yuav tsum mob me thaum koj tus me nyuam mus tsev, yuav maj mam zoo mus. Kev so kom txaus rau koj thiab koj tus me nyuam tuaj yeem pab txo kev ntxhov siab rau neb ob leeg.

Tej zaum yuav teem caij rau tus kws kho mob mus saib xyuas hauv tsev. Tus kws saib xyuas neeg mob yuav kuaj xyuas koj tus me nyuam cov tsos mob, ntsuas koj tus me nyuam mos, tshuaj xyuas koj tus me nyuam cov tshuaj, thiab teb cov lus nug uas koj muaj. Tus kws saib xyuas neeg mob hauv tsev tuaj yeem pab qhia koj txog kev saib xyuas koj tus me nyuam thiab tshem tawm nrog rau ntau yam kev saib xyuas koj tus me nyuam mos. Koj paub koj tus me nyuam zoo dua lwm tus. Ntseeg siab rau koj txoj kev xav. Tham nrog koj tus me nyuam tus kws saib xyuas mob hauv tsev los sis tiv tauj koj tus kws kho mob txhua lub sij hawm koj xav tias muaj qee yam tsis raug.

Yog tias koj tus me nyuam tau txais cov tshuaj los pab rau lawv cov tsos mob tshem tawm thaum nyob hauv tsev kho mob, lawv yuav raug xa mus rau cov kev pab cuam thaum ntxov los ntawm lub xeev thiab Lub Chaw Taug Qab Kho Mob Me Nyuam Mos (Intensive Care Follow-Up Clinic) los ntawm Children's Minnesota. Koj yuav tsum cia siab tias yuav hu xov tooj los ntawm kev saib xyuas thaum ntxov (Help Me Grow los sis Birth to 3) txhawm rau teeb tsa kev ntsuam xyuas thiab los ntawm Lub Chaw Taug Qab Kho Mob Me Nyuam Mos (Intensive Care Follow-Up Clinic) txhawm rau kev teem caij ntsib. Lub hom phiaj ntawm cov kev pab cuam no yog pab koj tus me nyuam mus txog lawv txoj kev loj hlob raws sij hawm.

Saib xyuas tom tsev kho mob

Nws yog ib qho tseem ceeb uas yuav tau xaiv tus kws kho mob xub thawj thiab/los sis lub tsev kho mob uas koj yuav coj koj tus me nyuam rau kev teem caij ntsib. Koj yuav raug hais kom teem sij hawm rau koj tus me nyuam ua ntej lawv mus tsev tom tsev kho mob. Qhov kev teem caij no thiab txhua qhov kev teem caij mus ntsib yog ib qho tseem ceeb heev kom koj tus me nyuam muaj kev noj qab nyob zoo. Nws kuj yog lub sij hawm zoo rau koj los nug cov lus nug. Yog tias koj tus me nyuam noj tshuaj tiv thaiv kev tshem tawm, koj yuav tsum coj koj tus me nyuam mus rau qhov chaw kho mob txhua 7-10 hnub. Hauv tsev kho mob, cov neeg ua hauj lwm yuav:

  • Ua kom tiav kev kuaj me nyuam mos nyob zoo (kom paub tseeb tias koj tus me nyuam hnyav thiab loj hlob zoo)
  • Saib xyuas koj tus me nyuam cov tsos mob ntawm kev tshem tawm
  • Txiav txim siab seb koj tus me nyuam puas tuaj yeem noj nws cov tshuaj noj
  • Sau koj tus me nyuam daim ntawv sau tshuaj ntxiv, yog tias xav tau

Cov chaw pab cuam ntawm Children's Minnesota:

Chaw Kuaj Mob Me Nyuam Yaus
Chaw Kuaj Mob Minnesapolis: 612-813-6107
Chaw kuaj mob St. Paul: 651-220-6700

Breastfeeding Resource Center
Minneapolis: 612-813-6250
St. Paul: 651-220-6368

Children’s Home Care
612-813-6246

Puas muaj lus nug?

Daim ntawv no tsis yog qhia kiag rau koj tus me nyuam xwb tab sis muab cov ntaub ntawv raws li ncua dav. Yog tias koj muaj lus nug dab tsi, ces thov hu rau koj lub chaw kuaj mob.

 6/2024

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