Tso lub cev tam sim ntawd

Tus me nyuam txuas cov me nyuam hauv plab (niam hauv plab) rau leej niam lub tsev menyuam. Nws pub rau tus menyuam kom tau txais zaub mov noj, ntshav thiab oxygen thiab leej niam los ntawm leej niam. Nws tseem pab tus menyuam kom tshem tawm cov khoom pov tseg.

Cov tshuaj tiv thaiv placenta abruptio (tseem hu ua placental abruptio) yog thaum tus placenta sib cais los ntawm phab ntsa sab hauv ntawm lub tsev menyuam ua ntej tus menyuam yug.

Feem ntau ntawm cov cev xeeb tub, cov placenta nyob qis qis ntawm ntu ntawm qaum ntawm tus phab ntsa uterine.

Hauv qee qhov kev xeeb menyuam, cov placenta tshem tawm (rub nws tus kheej ntawm phab ntsa ntawm lub tsev menyuam) thaum ntxov dhau. Yuav luag txhua lub sijhawm, tsuas yog qee ntu ntawm tus me nyuam rub tawm xwb. Lwm lub sij hawm nws cia li nkaum kiag. Yog tias qhov no tshwm sim, nws feem ntau nyob hauv peb hlis thib 3.

Lub cev yog qhov nyob ntawm tus me nyuam lub neej. Teeb meem loj tshwm sim yog tias nws cuam tshuam. Tus menyuam tau txais oxygen thiab tsawg dua qub. Qee tus menyuam yaus dhau los ua kev loj hlob txwv (me me heev), thiab ntawm qee kis, nws yog neeg tuag taus. Nws tseem tuaj yeem ua rau muaj ntshav ntau heev rau leej niam.

Tsis muaj leej twg paub dab tsi ua rau muaj kev cuam tshuam placental. Tab sis cov xwm txheej no ua rau tus poj niam muaj feem yuav ua rau nws:

• Keeb kwm ntawm kev tso cov tsis muaj menyuam hauv lub cev xeeb tub yav dhau los
• Ntev ntev (mob ntev) ntshav siab
• Tam sim no muaj ntshav siab ceev hauv cov poj niam cev xeeb tub uas tau muaj ntshav siab yav dhau los
• Kab mob plawv
• Mob Plab
• Haus Yeeb
• Siv dej cawv lossis yeeb dawb
• Kev tsis tuaj yeem nyob hauv lub cev thaum ntxov cev xeeb tub
• Fibroids nyob rau hauv lub tsev me
• Raug mob rau leej niam (xws li tsheb sib tsoo lossis ntog hauv plab uas raug mob)
• Raug laus tshaj 40

Feem ntau cov tsos mob feem ntau yog los ntshav ntawm chaw mos thiab mob tawm tsam. Txoj kev los ntshav pes tsawg yog nyob ntawm seb tus lej tso tau tawm pes tsawg. Qee zaum cov ntshav uas khaws thaum lub hnoos tshem tawm nyob ntawm thaj chaw me nyuam thiab phab ntsa ntawm lub tsev menyuam, yog li koj yuav tsis los ntshav tawm ntawm koj qhov chaw mos.

• Yog hais tias qhov sib cais me ntsis, koj tsuas yog los ntshav me me. Koj kuj tseem tuaj yeem mob ntswj lossis paub zoo nyob hauv koj lub plab.
• Yog hais tias qhov sib cais yog mob pes nrab, koj tuaj yeem yuav los ntshav hnyav dua. Mob plab thiab mob plab yuav mob heev dua.
• Yog tias ntau tshaj li ib nrab ntawm cov placenta tshem tawm, koj yuav mob plab thiab los ntshav ntau. Koj kuj tseem tuaj yeem mob plab. Tus menyuam yuav txav ntau los yog me dua li ib txwm.

Yog tias koj muaj cov tsos mob no thaum cev xeeb tub, qhia koj tus kws kho mob tam sim ntawd.

Koj tus kws khomob yuav:

• Mus soj ntsuam lub cev
• Soj ntsuam koj cov plab thiab seb koj tus menyuam teb li cas rau lawv
• Qee zaum ua ntsuas ultrasound los kuaj xyuas koj cov txiaj ntsig (tab sis ultrasound tsis tas qhia qhov ua tsis zoo ntawm lub cev)
• Saib xyuas koj tus menyuam lub plawv dhia thiab lub suab sib dhos

Yog tias koj qhov tsis txaus siab ntawm thaj chaw me me, koj tus kws kho mob yuav muab koj tso pw saum txaj kom tsis txhob los ntshav. Tom qab ob peb hnub, feem ntau ntawm cov poj niam tuaj yeem rov qab mus rau lawv cov kev ua ub ua no feem ntau.

Txog rau kev sib cais me ntsis, koj yuav nyob hauv tsev kho mob. Hauv tsev kho mob:

• Luag yuav tshuaj xyuas koj tus menyuam lub plawv.
• Tej zaum koj yuav xav tau cov ntshav ntxiv.
• Yog tias koj tus minyuam muaj cov kev ntxhov siab, koj tus kws kho mob yuav ua rau koj lub zog pib ntxov. Yog tias koj tsis tuaj yeem yug menyuam tsis paum, koj yuav tsum tau phais C-Tshooj.

Kev puas ntsoog ntawm lub cev yog qhov xwm ceev. Koj yuav tsum tau xa tawm tam sim ntawd, feem ntau yog C-seem. Nws yog qhov tsawg kawg, tab sis menyuam yaus tuaj yeem tuaj yeem sib kho yog tias muaj kev cuam tshuam loj.

Koj tsis tuaj yeem tiv thaiv kev pheej hmoo ntawm thaj chaw, tab sis koj tuaj yeem tswj hwm cov kev pheej hmoo cuam tshuam nrog nws los ntawm:

• Ua kom muaj ntshav siab, mob plawv, thiab ntshav qab zib
• Tsis txhob haus luam yeeb, haus dej cawv, lossis yeeb dawb
• Ua raws li koj tus kws kho mob cov lus qhia txog cov hau kev los txo koj txoj kev pheej hmoo yog tias koj muaj kev cuam tshuam thaum cev xeeb tub yav dhau los

Kev txiav txim siab me nyuam ntxov ntxov; Chaw nyob sib cais; Kev ua tsis zoo ntawm Placental; Qhov chaw mos los ntshav - cuam tshuam; Cev xeeb tub - muaj kev cuam tshuam

• Cesarean seem
• Ultrasound hauv cev xeeb tub
• Anatomy ntawm ib qho chaw me nyuam
• Cov tso ntshav
• Cov tso ntshav
• Ultrasound, cov placenta coj ua - Braxton Hicks
• Ultrasound, cov me nyuam ib txwm - caj npab thiab ceg
• Ultrasound, lub cev ib ce so
• Ultrasound, xim - kab xiam hleb
• Cov tso ntshav

Francois KE, Foley MR. Antepartum thiab mob tom qab yug ntshav. Hauv: Gabbe SG, Niebyl JR, Simpson JL, li al, eds. Obstetrics: Li Qub thiab Teeb Meem NtxigCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 18.

Hull AD, Resnik R, Nyiaj RM. Cov kab mob placenta thiab accreta, vasa previa, hemorrhage hemorrhage, thiab abruptio placentae. Hauv: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Nyiaj RM, eds. Kev Tsim Nyog thiab Resnik Cov Tshuaj Tiv Thaiv Leej Niam: Cov Ntsiab Cai thiab Kev UaCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 46.

Salhi BA, Nagrani S. Mob hnyav ntawm cev xeeb tub. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 178.

• Cov Teeb Meem Noj Qab Haus Huv Thaum Cev Xeeb Tub