Rho menyuam - mob

Kev rho menyuam hauv tsev kho mob yog kev siv tshuaj los xaus kev xeeb tub yam tsis muaj sia. Cov tshuaj yuav pab tshem cov me nyuam hauv plab thiab lub tsho me nyuam los ntawm leej niam lub tsev menyuam.

Nws muaj ntau yam kev rho menyuam tawm:

• Txoj kev kho mob hauv plab kho kom zoo vim yog tus poj niam muaj mob.
• Kev rho me nyuam tawm tau vim yog tus poj niam xaiv (xaiv) xaus lub cev xeeb tub.

Kev xaiv tsa rho menyuam tsis zoo ib yam li kev nchuav menyuam. Miscarriage yog thaum cev xeeb tub xaus rau nws tus kheej ua ntej lub lim tiam 20 ntawm cev xeeb tub. Miscarriage qee zaum hu ua spontaneous rho menyuam.

Kev rho menyuam hauv tsev phais siv kev phais mob kom tsis muaj menyuam.

Ib qho kev kho mob, lossis tsis muaj kev xeeb menyuam, rho menyuam tuaj yeem ua tsis pub dhau 7 lub lis piam txij hnub thawj ntawm tus poj niam lub sijhawm kawg. Kev sib xyaw ntawm cov tshuaj hormone yog siv los pab lub cev tshem cov me nyuam hauv plab thiab cov nqaij mos. Koj tus kws kho mob yuav muab tshuaj rau koj tom qab kuaj mob lub cev thiab nug txog koj li keeb kwm kev kho mob.

Cov tshuaj siv xws li mifepristone, methotrexate, misoprostol, prostaglandins, lossis kev sib xyaw ntawm cov tshuaj no. Koj tus kws kho mob yuav sau ntawv yuav tshuaj rau koj, thiab koj yuav nqa tom tsev.

Tom qab koj noj cov tshuaj, koj lub cev yuav tshem tawm cov ntaub so cev xeeb tub. Feem ntau ntawm cov poj niam muaj mob me me mus rau hnyav los ntshav thiab mob plab rau ob peb teev. Koj tus kws kho mob yuav muab tshuaj rau qhov mob thiab xeev siab yog xav tau los kom koj tsis xis nyob thaum ua txoj kev no.

Kev rho menyuam mus kho mob yuav suav tias yog:

• Tus poj niam tsis tuaj yeem xav cev xeeb tub (xaiv rho menyuam).
• Tus me nyuam loj hlob muaj teeb meem thaum yug los lossis caj ces muaj teeb meem.
• Cev xeeb tub yog qhov muaj teeb meem rau tus poj niam lub cev (kho tus me nyuam hauv plab).
• Lub cev xeeb tub tshwm sim tom qab raug mob tshwm sim xws li raug quab yuam lossis kev sib deev.

Kev phom sij ntawm kev rho me nyuam kho mob suav nrog:

• Txuas ntxiv los ntshav
• Zawv plab
• Cev xeeb tub nqaij tsis dhau ntawm lub cev, ua kev phais mob tsim nyog
• Kab mob
• Xeev siab
• Mob
• Ntuav

Qhov kev txiav txim siab kom cev xeeb tub yog nws tus kheej. Txhawm rau pab ntsuas qhov koj xaiv tau, sab laj nrog koj tus kws sab laj, tus kws muab kev pab, lossis tsev neeg lossis phooj ywg.

Kev kuaj ua ntej tus txheej txheem no:

• Kev kuaj mob hauv plab yog ua tiav kom paub meej tias cev xeeb tub thiab kwv yees saib koj xeeb tub ntau npaum li cas.
• Kev kuaj ntshav HCG yuav ua tau kom paub meej tias cev xeeb tub.
• Kev kuaj ntshav yog ua los kuaj xyuas koj cov ntshav. Raws li kev ntsuas ntsuas, koj yuav tsum tau txhaj tshuaj tshwj xeeb los tiv thaiv teeb meem yog tias koj cev xeeb tub yav tom ntej. Qhov tshuaj tiv thaiv yog hu ua Rho (D) tshuaj tiv thaiv kabmob globulin (RhoGAM thiab lwm hom).
• Qhov chaw mos los yog lub plab ua tau los txiav txim siab lub hnub nyoog ntawm tus menyuam thiab nws qhov chaw nyob hauv niam plab.

Rov qab nrog koj tus kws kho mob tseem ceeb heev. Qhov no yog ua kom ntseeg tau tias cov txheej txheem tiav thiab txhua daim ntaub tau raug ntiab tawm. Cov tshuaj yuav tsis ua haujlwm nyob hauv qee tus poj niam me me. Yog tias qhov no tshwm sim, yuav tsum tau ua ib qho tshuaj ntxiv lossis phais mob rho menyuam tawm.

Kev rov qab los ntawm lub cev feem ntau tshwm sim li ntawm ob peb hnub. Nws yuav nyob ntawm theem ntawm cev xeeb tub. Cia siab tias qee qhov chaw mos los ntshav thiab mob me me rau ob peb hnub.

Muab da dej sov so, tso cua sov teem rau qis qis, lossis lub taub dej kub ntim ntim nrog dej sov tso rau ntawm lub plab yuav pab yooj yim tsis xis nyob. So raws li xav tau. TSIS TXHOB ua tej yam kev mob siab rau ob peb hnub. Lub teeb ua haujlwm hauv tsev yog qhov zoo. Zam kev ua nkauj nraug ntev ntev li 2 txog 3 asthiv. Ib qho kev coj khaub ncaws coj khaub ncaws yuav tsum tshwm sim li ntawm 4 rau 6 lub lis piam.

Koj tuaj yeem cev xeeb tub ua ntej koj lub sijhawm tom ntej. Nco ntsoov npaj ua kom tsis txhob muaj menyuam, tshwj xeeb yog thawj lub hli tom qab rho menyuam.

Kev phais mob hauv tsev kho mob thiab phais mob yog kev nyab xeeb thiab siv tau zoo. Lawv tsis tshua muaj teeb meem loj. Nws tsis tshua muaj rau kev rho menyuam mob los cuam tshuam rau tus poj niam lub cev tsis taus lossis nws muaj peev xwm xeeb menyuam hauv lub neej yav tom ntej.

Kho mob kev rho me nyuam tawm; Xaiv kev rho menyuam mus kho mob; Los ntawm kev rho menyuam hauv plab; Kev rho me nyuam tawm

American College ntawm Obstetricians thiab Gynecologist. Siv cov ntawv no. 143: kev tswj hwm kev kho mob ntawm thawj ib hlis rho menyuam tawm. Obstet GynecolCov. Xyoo 2014; 123 (3): 676-692. PMID: 24553166 www.ncbi.nlm.nih.gov/pubmed/24553166.

Nelson-Piercy C, Mullins EWS, Regan L. Poj niam txoj kev noj qab haus huv. Hauv: Kumar P, Clark M, eds. Kumar thiab Clark's Cov Tshuaj Kho MobCov. 9le ed. Philadelphia, PA: Elsevier; 2017: chap 29.

Rivlin K, Westhoff C. Kev npaj rau tsev neeg. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 13.