Kev sib deev - sib hem

Ib qho hawv yuav hem me nyuam yog qhov mob uas qhia tau tias nchuav menyuam lossis kev xeeb tub ntxov. Nws yuav tshwm sim ua ntej lub lim tiam 20 ntawm cev xeeb tub.

Qee tus poj niam cev xeeb tub muaj qee qhov los ntshav ntawm chaw mos, nrog lossis tsis mob plab, thaum thawj 3 lub hlis xeeb tub. Thaum cov tsos mob qhia tias nchuav menyuam yaus muaj peev xwm ua tau, qhov xwm txheej hu ua "kev hem rho menyuam tawm." (Qhov no yog hais txog ib qho xwm txheej ib txwm muaj, tsis yog vim muaj kev rho tawm tshuaj los yog phais rho menyuam tawm.)

Kev sib deev yog ib yam. Kev poob me me, kev raug mob lossis kev ntxhov siab nyob rau lub sijhawm thawj lub hlis ntawm cev xeeb tub tuaj yeem ua rau cuam tshuam kev nchuav menyuam. Nws tshwm sim hauv yuav luag ib nrab ntawm txhua tus cev xeeb tub. Txoj kev pheej hmoo ntawm kev nchuav menyuam yuav muaj ntau dua rau cov poj niam laus. Kwv yees li ib nrab ntawm cov poj niam uas tau los ntshav hauv thawj peb hlis yuav nchuav menyuam.

Cov tsos mob ntawm lub teeb meem kev nchuav menyuam muaj xws li:

• Qhov chaw mos los ntshav nyob rau thawj 20 lub lim tiam ntawm cev xeeb tub (lub sijhawm coj khaub ncaws tsawg dua 20 lub lis piam dhau los). Vaginal los ntshav tshwm sim muaj yuav luag txhua qhov teeb meem nchuav me nyuam.
• Tej zaum yuav mob plab ntswj. Yog tias mob plab o tuaj yog qhov tseem ceeb tsis los ntshav ntau, nrog koj tus kws kho mob saib seb puas muaj lwm yam teeb meem dua li kev hem yuav ua haujlwm tas.

Nco tseg: Thaum lub sijhawm nchuav me ntsis, mob nraub qaum lossis mob plab (dull mus rau qhov ntse, tsis tu ncua mus ib ntus) tuaj yeem tshwm sim. Ntaub so ntswg los yog cov khoom thooj-zoo li tuaj yeem kis tawm los ntawm qhov chaw mos.

Koj tus kws kho mob yuav kuaj xyuas plab los yog ntawm lub paum ntawm lub paum kom kuaj xyuas tau tus menyuam kev loj hlob thiab lub plawv dhia, thiab qhov uas los ntshav ntau npaum li cas. Kev kuaj mob plab mos kuj yuav ua tau los kuaj xyuas koj lub ncauj tsev menyuam.

Kev kuaj ntshav uas ntsuas tau yuav suav nrog:

• Beta HCG (ntau npaum li cas) kev xeem (ntsuas cev xeeb tub) dhau sijhawm lossis hnub ua haujlwm kom paub meej tias cev xeeb tub tseem muaj ntxiv
• Ua tiav cov ntshav suav (CBC) los txiav txim qhov muaj ntshav
• Qib qib progesterone
• Kev kuaj ntshav dawb (WBC) nrog qhov sib txawv los tswj kev kis mob

Sib nrug los ntawm tswj cov kev poob ntshav, koj yuav tsis tas yuav muaj ib qho kev kho mob tshwj xeeb. Yog tias koj yog Rh Negative, ces koj yuav raug muab tshuaj tiv thaiv kab mob globulin. Tej zaum yuav kom koj zam lossis txwv qee yam haujlwm. Tsis muaj kev sib deev feem ntau yog pom zoo kom txog thaum cov cim ceeb toom tau ploj mus.

Feem ntau ntawm cov poj niam uas muaj qhov tias yuav nchuav menyuam tas yuav rov muaj taus menyuam ib txwm.

Cov poj niam uas tau xeeb menyuam ob zaug lossis ntau dua nyob hauv ib txoj kab yog ntau dua li lwm tus poj niam ua kom menyuam dua.

Teeb meem yuav suav nrog:

• Kev mob ntshav qab zib los ntawm cov ntshav nruab nrab mus rau hnyav, uas qee zaus yuav tau txhaj ntshav ntxiv.
• Kab mob.
• Kev Txij Nkawm.
• Tus kws kho mob yuav saib xyuas kom paub tseeb tias cov tsos mob tshwm sim tsis yog los ntawm cev xeeb tub ectopic, muaj kev phom sij txog lub neej.

Yog koj paub tias koj xeeb tub (lossis zoo li cev tsis tab seeb) thiab koj muaj cov tsos mob ntawm tus menyuam xeeb menyuam, hu rau koj tus kws khomob ua ntej.

Yuav tiv thaiv tsis tau menyuam yaus feem ntau. Cov teeb meem tshwm sim feem ntau ntawm kev nchuav menyuam yog yug menyuam tsis xws luag hauv xeeb menyuam. Yog tias koj muaj ob zaug lossis ob zaug rov qab me nyuam hauv plab, koj yuav tsum sab laj rau tus kws kho mob tshwj xeeb kom paub seb koj puas muaj tus mob uas yuav ua rau mob me nyuam. Cov poj niam uas tau txais kev saib xyuas ua ntej yug muaj qhov ua kom cev xeeb tub zoo dua rau lawv tus kheej thiab lawv cov menyuam.

Lub cev xeeb tub zoo yog qhov muaj ntau dua thaum koj zam tej yam uas cuam tshuam rau koj lub cev xeeb tub, xws li:

• Cawv
• Kis tau cov kab mob
• Noj muaj caffeine ntau
• Kev ua si tshuaj
• Kev xoo hluav taws xob

Kev noj tshuaj cev xeeb tub los yog folic acid ntxiv ua ntej ua kom cev xeeb tub thiab thoob plaws koj lub cev xeeb tub tuaj yeem txo koj txoj kev nchuav menyuam thiab txhim kho txoj hauv kev yug menyuam.

Nws zoo dua los kho teeb meem kev noj qab haus huv ua ntej koj cev xeeb tub dua li tos kom txog thaum koj twb tau xeeb tub. Miscarriages tshwm sim los ntawm cov kab mob uas cuam tshuam rau tag nrho koj lub cev, xws li ntshav siab, muaj tsawg. Tab sis koj tuaj yeem tiv thaiv cov kev nchuav me me no los ntawm kev kuaj thiab kho tus kab mob ua ntej xeeb tub.

Lwm yam uas tuaj yeem ua rau koj txoj kev phom sij ntau ntxiv yog:

• Kev pham
• Cov teeb meem thyroid
• Tsis tswj tus mob ntshav qab zib

Hem tias yuav nchuav menyuam; Thab raug tub sab ntaus tag; Rho menyuam - hem; Raug thab rho menyuam tawm; Thaum ntxov cev xeeb tub poob; Txij Nkawm rho menyuam

• Cev xeeb tub thaum ntxov
• Raug teeb meem nchuav menyuam

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Keyhan S, Muasher L, Muasher SJ. Kev rho menyuam yam tsis tu ncua thiab kev muaj menyuam ploj: muaj mob ua paug, kuaj mob, kho mob. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 16.

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.