Kev Txij Nkawm

Kev nchuav menyuam yog qhov tsis paub meej txog qhov poob ntawm tus menyuam ua ntej lub lim tiam 20 ntawm cev xeeb tub (poob cev xeeb tub tom qab lub asthiv 20 hu ua stillbirths). Kev sib daj sib deev yog ib txwm muaj tshwm sim, tsis zoo li kev kho mob lossis kev phais mob kev rho menyuam.

Kev nchuav menyuam kuj tseem hu ua "kev muaj menyuam tsis raug rho tawm." Lwm cov lus rau thaum ntxov ntawm cev xeeb tub muaj xws li:

• Ua kom tiav kev rho menyuam: Txhua yam ntawm cov khoom (nqaij) ntawm qhov kev xeeb menyuam tawm hauv lub cev.
• Kev rho menyuam tsis tiav: Tsuas yog qee cov khoom ntawm kev xeeb menyuam tawm hauv lub cev.
• Kev zam kev ncua tsis tuaj yeem: Cov tsos mob tsis tuaj yeem nres thiab kev nchuav menyuam yuav tshwm sim.
• Raug rho tawm (septic) rho menyuam: txheej txheej ntawm lub tsev menyuam (lub tsev menyuam) thiab txhua yam khoom ntxiv ntawm kev xeeb menyuam yuav kis tau.
• Cov kev rho me nyuam tawm: Cov me nyuam hauv plab yog ploj thiab cov khoom ntawm kev xeeb tub tsis tawm lub cev.

Koj tus neeg saib xyuas kev noj qab haus huv kuj tseem siv lo lus "hawv yuav ua phem ntxiv." Cov tsos mob ntawm tus mob no yog mob plab nrog los sis tsis muaj qhov los ntshav. Lawv yog qhov qhia hais tias yuav nchuav menyuam.

Feem ntau ntawm kev nchuav menyuam yog los ntawm cov teeb meem chromosome uas ua rau nws tsis tuaj yeem ua rau tus menyuam yaus mob. Muaj qee zaus, cov teeb meem no cuam tshuam nrog leej niam lossis leej txiv cov caj ces.

Lwm cov teeb meem ua kom menyuam poob qab muaj xws li:

• Kev quav yeeb tshuaj thiab dej caw
• Raug rau cov ib puag ncig co toxins
• Teeb meem ntshav
• Kab mob
• Rog dhau
• Teeb meem lub cev nrog rau leej niam kev yug me nyuam hauv plab
• Muaj teeb meem nrog lub cev tiv thaiv kab mob
• Cov kab mob loj hauv lub cev (mob nruab nrog cev) hauv niam (xws li mob ntshav qab zib tsis muaj tshuaj)
• Haus Yeeb

Ntawm ib nrab ntawm tag nrho cov qe yug tau tuag thiab ploj (rho tawm) nthawv, feem ntau ua ntej tus poj niam paub tias nws xeeb tub. Ntawm cov poj niam uas paub tias lawv cev xeeb tub, kwv yees li 10% mus rau 25% yuav nchuav menyuam. Feem ntau ntawm kev nchuav me nyuam tshwm sim hauv thawj 7 lub lim tiam ntawm cev xeeb tub. Tus nqi ntawm nchuav menyuam poob qis tom qab kuaj xyuas tus menyuam lub plawv dhia.

Txoj kev pheej hmoo ntawm rho menyuam siab dua:

• Hauv cov poj niam uas laus dua - Qhov pheej hmoo nce ntxiv tom qab 30 xyoo thiab dhau los ntawm ntau dua 35 thiab 40 xyoo, thiab muaj ntau dua tom qab hnub nyoog 40 xyoo.
• Hauv cov poj niam uas twb tau ua menyuam yaus ntau zaus.

Cov tsos mob ua tau ntawm kev nchuav menyuam xws li:

• Mob qes qis lossis mob plab uas yog npub, ntse, lossis mob plab
• Ntaub so ntswg los yog cov khoom thooj-zoo li uas kis tau los ntawm qhov chaw mos
• Qhov chaw mos los ntshav, nrog lossis tsi mob plab

Thaum mus kuaj mob plab mos, koj tus kws kho mob yuav pom tias koj lub ncauj tsev menyuam tau qhib (kho) los yog ua kom tawv nqaij me me (effacement).

Yuav ua tau ntu qhov ncauj ntawm lub plab lossis lub paum ntawm lub paum kom kuaj xyuas tus menyuam kev loj hlob thiab lub plawv dhia, thiab qhov uas koj los ntshav ntau npaum li cas.

Kev kuaj ntshav hauv qab no tuaj yeem ua:

• Hom ntshav (yog tias koj muaj hom ntshav Rh-tsis zoo, koj yuav tsum tau kho nrog Rh-tiv thaiv kab mob globulin).
• Ua kom tiav cov ntshav suav (CBC) los txiav txim siab ntau npaum li cas cov ntshav tau ploj.
• HCG (zoo) kom paub meej tias cev xeeb tub.
• HCG (qhov ntau npaum li cas) ua tau txhua txhua ob peb hnub lossis vas thiv.
• Kev kuaj ntshav dawb (WBC) thiab kev sib txawv los tswj tawm tus kab mob.

Thaum nchuav menyuam tawm, cov nqaij yog kis los ntawm lub paum yuav tsum tau kuaj xyuas. Qhov no tau ua los txiav txim siab yog tias nws yog ib qho chaw me nyuam los yog hydatidiform mole (qhov kev loj hlob tsis tshua muaj tshwm sim sab hauv niam hauv plab thaum cev xeeb tub). Nws tseem yog ib qho tseem ceeb kom paub seb puas muaj ib qho ntaub ntawv cev xeeb tub nyob hauv lub tsev menyuam. Muaj qee zaus, kev muaj menyuam me tuaj yeem saib zoo ib yam li kev nchuav menyuam. Yog tias koj tau dhau ntaub so ntswg, nug koj tus kws kho mob yog tias daim ntaub yuav tsum xa mus rau kev sim tshuaj ntsuam. Qhov no tuaj yeem pab tau txiav txim siab tias yog ib qhov ua kom kho tau ntawm kev nchuav menyuam.

Yog tias cov ntaub so hauv lub cev xeeb me nyuam tsis tawm hauv lub cev mus, koj yuav tau saib zoo ntev ntev li 2 lub lis piam. Kev phais mob (suction curettage, D thiab C) lossis tshuaj tuaj yeem xav tau los tshem tawm cov ntsiab lus uas nyob hauv koj lub tsev menyuam.

Tom qab kho tas, cov poj niam ib txwm rov pib lawv lub cev coj khaub ncaws li 4 mus rau 6 lub lim tiam. Txhua qhov paum ntawm qhov paum yuav tsum tau saib xyuas kom zoo. Nws yog feem ntau tuaj yeem cev xeeb tub tam sim ntawd. Nws tau qhia tias koj yuav tsum tos ib lub cev coj khaub ncaws ua ntej uas yuav ua kom cev xeeb tub dua.

Qee qhov tsis tshua pom, muaj teeb meem ntawm nchuav menyuam yog pom.

Kev rho me nyuam mob tawm yuav tshwm sim yog tias ib qho nqaij ntawm qhov tso menyuam los yog menyuam hauv plab tseem nyob hauv tsev menyuam tom qab nchuav menyuam. Cov tsos mob ntawm tus mob muaj xws li mob ua npaws, los ntshav qhov paum uas tsis tso tseg, mob plab thiab ua pa tsw phem. Kev kis mob tuaj yeem yog mob hnyav thiab xav tau kev kho mob sai sai.

Cov poj niam uas poob menyuam tom qab 20 lub lim tiam ntawm cev xeeb tub tau txais kev kho mob txawv. Qhov no hu ua kev xeeb menyuam tsis ntev lossis yug menyuam hauv plab. Qhov no xav tau kev kho mob sai.

Tom qab nchuav menyuam tas, cov pojniam thiab cov neeg koom nrog yuav tu siab. Qhov no yog qhov qub. Yog tias koj txoj kev xav tu siab tsis ploj lossis mob heev ntxiv, nrhiav tswv yim los ntawm tsev neeg thiab cov phooj ywg nrog rau koj cov neeg muab kev pab. Txawm li cas los xij, rau feem ntau ntawm cov niam txiv, keeb kwm ntawm kev nchuav menyuam tsis txo qhov muaj feem muaj menyuam zoo yav tom ntej.

Hu rau koj tus kws khomob yog koj:

• Muaj qhov chaw mos los ntshav nrog lossis tsis mob plab thaum cev xeeb tub.
• Cev xeeb tub thiab pom daim ntaub lossis ntaub npog zoo li kis tau los ntawm koj qhov chaw mos. Sau cov khoom ntawd thiab nqa mus rau koj tus kws kho mob rau tshuaj xyuas.

Thaum ntxov, ua tiav cev xeeb tub yog qhov kev tiv thaiv zoo tshaj plaws rau cov kev mob ntawm cev xeeb tub, xws li kev nchuav menyuam.

Cov kab mob tsis zoo uas ua rau muaj kab mob hauv lub cev tuaj yeem tiv thaiv los ntawm kev tshawb pom thiab kho tus kab mob ua ntej cev xeeb tub.

Miscarriages tseem muaj tsawg dua yog tias koj zam tej yam uas cuam tshuam rau koj lub cev xeeb tub. Cov no suav nrog xoo hluav taws xob, tshuaj lom neeg kev ua si, dej cawv, haus caffeine ntau, thiab kab mob kis.

Thaum leej niam lub cev muaj teeb meem ua kom cev xeeb tub, cov cim xws li los ntshav me ntsis hauv lub paum yuav tshwm sim. Qhov no txhais tau tias yuav muaj kev pheej hmoo ntawm nchuav menyuam. Tab sis nws tsis txhais tau tias ib tus yuav tshwm sim tiag tiag. Tus poj niam cev xeeb tub uas tau tsim muaj cov cim los yog cov tsos mob ntawm kev hem tias yuav xeeb tub yuav tsum hu rau nws tus kws kho mob ua ntej.

Noj cov tshuaj muaj menyuam hauv plab los yog folic acid ntxiv ua ntej koj xeeb tub yuav ua rau txo qis ntau yam muaj menyuam yaus thiab muaj teeb meem thaum yug los.

Rho menyuam - tshwm sim; Txij sij hawm rho me nyuam tawm; Rho menyuam - ploj mus; Rho menyuam - tsis tiav; Rho menyuam - tiav; Rho menyuam - zam tsis tau; Rho menyuam - muaj kabmob; Tu Txoj kev rho menyuam; Kev rho menyuam tawm tsis tiav; Ua tiav rho menyuam; Inevitable rho menyuam; Raug rho menyuam tawm

• Tej cev nqaij daim tawv (ntu txiav)

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Hobel CJ, Williams J. Antepartum kev saib xyuas. Hauv: Hacker NF, Gambone JC, Hobel CJ, eds. Hacker & Moore's Qhov tseem ceeb ntawm Obstetrics thiab GynecologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 7.

Keyhan S, Muasher L, Muasher S. Spontaneous rho menyuam thiab ua kom tsis muaj kev xeeb tub ntxiv; etiology, 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.

Moore KL, Persaud TVN, Torchia MG. Kev sib tham txog cov teeb meem siv chaw kuaj mob. Hauv: Moore KL, Persaud TVN, Torchia MG, eds. Tsim Kho Tib Neeg, TusCov. 10 tus ed. Philadelphia, PA: Elsevier; 2016: 503-512.

Nussbaum RL, McInnes RR, Willard HF. Cov hauv paus ntsiab lus ntawm kev soj ntsuam cytogenetics thiab kev tshawb pom genome. Hauv: Nussabaum RL, McInnes RR, Willard HF, eds. Thompson & Thompson Genetics hauv TshuajCov. 8 tus ed. Philadelphia, PA: Elsevier; 2016: chap 5.

Reddy UM, Nyiaj RM. Tseem. Hauv: Resnick R, Lockwood CJ, Moore TR, Greene MF, li al, 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 45.

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.