Cov kab mob ntshav qab zib

Tus kab mob Placenta previa yog qhov teeb meem ntawm cev xeeb tub uas cov placenta loj hlob qis qis tshaj plaws ntawm lub tsev menyuam (lub tsev menyuam) thiab npog tag nrho lossis ib feem ntawm qhov qhib mus rau lub ncauj tsev menyuam.

Lub plab yog loj hlob thaum cev xeeb tub thiab pub mis rau tus menyuam kev loj hlob. Lub ncauj tsev menyuam yog tus qhib rau lub kwj dej yug menyuam.

Thaum cev xeeb tub, cov placenta txav raws li lub tsev menyuam nthuav thiab loj tuaj. Nws yog ib qho muaj ntau rau cov me nyuam hauv plab hauv plab thaum cev xeeb tub thaum ntxov. Tab sis thaum cev xeeb tub txuas ntxiv, cov me nyuam tsiv mus rau sab saum toj ntawm lub tsev menyuam. Lub sijhawm peb lub hlis thib peb, tus txiv neej yuav tsum nyob ze rau sab saud ntawm lub tsev menyuam, yog li lub ncauj tsev menyuam qhib rau kev xa khoom.

Qee zaum, cov txiaj ntsig qee qhov lossis tag nrho npog lub ncauj tsev menyuam. Qhov no yog hu ua previa.

Muaj ntau hom qauv ntawm cov hnoos qeev:

• Marginal: Qhov tso ntshav yog ib sab ntawm ncauj tsev menyuam tab sis tsis npog lub qhov qhib.
• Ib Feem: Lub cev yog qhov npog ntawm ncauj tsev menyuam.
• Teb kom tiav: Lub hno npog tag nrho cov ncauj tsev menyuam qhib.

Cov kab mob Placenta tshwm sim hauv 1 ntawm 200 cev xeeb tub. Nws yog qhov muaj ntau dua hauv cov poj niam uas muaj:

• Ib qho txawv txav uas zoo li lub tsev menyuam
• Tau muaj ntau cev xeeb tub yav dhau los
• Tau muaj ntau lub sijhawm muaj menyuam, xws li menyuam ntxaib lossis triplets
• Caws pliav nyob rau sab hauv ntawm lub tsev menyuam vim yog keeb kwm kev phais, C-seem, lossis rho menyuam
• Nyob rau hauv vitro fertilization

Cov poj niam uas haus luam yeeb, siv yeeb dawb, lossis muaj lawv cov menyuam thaum hnub nyoog loj dua yuav muaj feem ntau dua.

Cov tsos mob tseem ceeb ntawm tus kab mob placenta yog cia li ntshav tawm hauv qhov chaw mos los. Qee tus poj niam kuj muaj mob cramps. Qhov uas los ntshav feem ntau pib ze rau lub hlis thib peb lossis pib ntawm peb lub hlis thib plaub.

Kev los ntshav tej zaum yuav ua tau mob loj thiab ua rau tuag taus. Nws tuaj yeem nres ntawm nws tus kheej tab sis tuaj yeem pib dua hnub lossis ntau hnub tom qab.

Kev khwv zog qee zaus pib li ob peb hnub tom qab los ntshav ntau. Qee zaum, los ntshav yuav tsis tshwm sim txog tom qab pib mob.

Koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem txheeb xyuas tus mob no nrog lub cev siv ultrasound.

Koj tus kws kho mob yuav ua tib zoo saib xyuas qhov phom sij los ntshav tuaj txog kev yug menyuam ntxov. Tom qab 36 lub lis piam, kev yug menyuam yog qhov kev kho mob zoo tshaj plaws.

Yuav luag txhua tus poj niam uas muaj mob ແຮ່ yuav tsum muaj C-section. Yog tias tus placenta npog tag nrho lossis ib feem ntawm lub ncauj tsev menyuam, qhov chaw mos yuav ua rau los ntshav ntau. Qhov no tuaj yeem ua rau tuag taus rau leej niam thiab tus menyuam.

Yog tias lub tsev me nyuam nyob ze lossis npog ib feem ntawm lub ncauj tsev menyuam, koj tus kws kho mob yuav xav kom:

• Txo koj cov haujlwm
• Txaj chaw so
• Pelvic so, uas txhais tau tias tsis muaj kev sib deev, tsis muaj tampons, thiab tsis muaj douching

Tsis muaj dab tsi yuav tsum tso rau hauv qhov chaw mos.

Koj yuav tsum tau nyob hauv tsev kho mob yog li pab neeg saib xyuas mob nkeeg tuaj yeem saib xyuas koj thiab koj tus menyuam tau.

Lwm yam kev khomob uas koj tuaj yeem tau txais:

• Qhov txhab ntshav ntxiv
• Tshuaj kho mob los tiv thaiv kev ua haujlwm thaum ntxov
• Cov tshuaj los pab kho cev xeeb tub mus txuas ntxiv mus tsawg kawg yog 36 lub lis piam
• Txhaj tshuaj tshwj xeeb hu ua Rhogam yog tias koj hom ntshav yog Rh-tsis zoo
• Kev txhaj tshuaj kom pab tus menyuam lub ntsws

Kev phais mob ceev yuav ua tau yog tias los ntshav hnyav thiab tswj tsis tau.

Qhov teeb meem loj tshaj plaws yog los ntshav loj heev uas tuaj yeem tsim kev puas tsuaj rau leej niam thiab tus menyuam. Yog tias koj los ntshav loj heev, koj tus menyuam yuav tsum yug menyuam ntxov, ua ntej lub hauv nruab nrog cev xws li lub ntsws, tus mob loj hlob.

Hu rau koj tus kws kho mob yog tias koj muaj ntshav tawm hauv qhov chaw mos thaum cev xeeb tub. Cov kab mob Placenta tuaj yeem yog qhov txaus ntshai rau koj thiab koj tus menyuam.

Qhov chaw mos los ntshav - tso tsis tseg; Cev xeeb tub - placenta previa

• Cesarean seem
• Ultrasound hauv cev xeeb tub
• Anatomy ntawm ib qho chaw me nyuam
• Cov kab mob ntshav qab zib
• Cov tso ntshav
• 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: Landon MB, Galan HL, Jauniaux ERM, li al, eds. Gabbe's Obtetrics: Li Qub thiab Teeb Meem Ua Xeeb TubCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: 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.