Cev xeeb tub tshwm sim: Uterine Inversion

Zoo Siab

• Dab tsi ua rau muaj kev tawm tsam uterine?
• Yuav ua li cas rau kev kuaj mob lub uterine inversion
• Cov Qib ntawm kev rov kawm dua
• Koj puas kho lub uterine inversion li cas?
• Outlook

Txheej txheem cej luam

Kev rov qab ntawm lub tsev menyuam yog qhov teeb meem uas tsis yooj yim ntawm chaw mos thaum lub tsev menyuam faib me ntsis lossis tag nrho sab hauv.

Txawm hais tias lub caij nplooj zeeg uterine tsis tshwm sim ntau zaus, thaum nws ua rau nws muaj kev pheej hmoo siab tuag vim los ntshav ntau thiab ceeb. Txawm li cas los xij, nws tuaj yeem kho tau zoo nrog kev ntsuas sai, kev nqus dej ntawm cov ntshav, thiab ntshav ntxiv.

Dab tsi ua rau muaj kev tawm tsam uterine?

Qhov tseeb ua rau ntawm uterine inversion tsis to taub zoo. Txawm li cas los xij, cov kev pheej hmoo hauv qab no cuam tshuam nrog nws:

• kev ua haujlwm ntev dua li 24 teev
• ib rab koob luv luv
• cov khoom xa tuaj ua ntej
• kev siv cov leeg ua kom lub zog thaum ua haujlwm
• mob plab lossis cev xeeb tub tsis muaj zog
• yav dhau los uterine inversion
• Cov tshuaj tiv thaiv kab mob, nyob rau hauv qhov chaw ntawm lub cev yog heev dhau nyob rau hauv lub uterine phab ntsa
• kev cog pob hauv plab, nyob rau hauv qhov chaw ntawm cov hniav tso zis rau sab saum toj ntawm lub tsev menyuam

Kuj, rub ib qho nyuaj rau txoj hlab ntaws kom tshem tawm cov txiaj ntsig yuav ua rau uterine inversion. Txoj hlab ntaws yuav tsum tsis txhob muab rub tawm kom muaj zog. Tus txiv neej yuav tsum ua tib zoo saib thiab maj mam tswj.

Nyob rau hauv cov ntaub ntawv ntawm cov placenta uas tsis tau xa tawm hauv 30 feeb tom qab yug menyuam, lub zog tshem tawm yuav tsum zam. Txwv tsis pub, tej zaum yuav muaj hemorrhaging thiab ib qho kev kis mob tuaj yeem tshwm sim.

Yuav ua li cas rau kev kuaj mob lub uterine inversion

Tus kws kho mob tuaj yeem feem ntau kuaj mob lub uterine inversion yooj yim. Cov tsos mob tshwm sim muaj xws li:

• lub tsev menyuam tawm tuaj ntawm qhov paum
• lub tsev menyuam tsis xav tias nws nyob hauv qhov chaw yog
• poob ntshav ntau lossis txo ntshav siab sai

Tej zaum tus niam kuj yuav pom qee cov tsos mob hauv qab no ntawm kev poob siab:

• lub teeb ci ntsa iab
• kiv taub hau
• mob khaub thuas
• nkees nkees
• txog siav

Cov Qib ntawm kev rov kawm dua

Uterine inversion yog txhais los ntawm qhov hnyav ntawm qhov tsis sib xws. Cov pawg no muaj xws li:

• Inversion tsis tiav, nyob rau sab saum toj ntawm lub tsev menyuam tau sib tsoo, tab sis tsis muaj ib lub ntawm lub tsev menyuam tau dhau los ntawm lub ncauj tsev menyuam
• ua tiav kev sib hloov, uas lub tsev menyuam tawm sab hauv thiab tawm ntawm lub ncauj tsev menyuam
• prolapsed inversion, nyob rau sab saum toj ntawm lub tsev menyuam tabtom tawm los ntawm qhov chaw mos
• tag nrho inversion, nyob rau hauv uas ob lub tsev menyuam thiab lub chaw mos yog sab hauv

Koj puas kho lub uterine inversion li cas?

Txoj kev kho yuav tsum pib sai li sai tau thaum muaj kev sib haum xeeb ntawm uterine. Tus kws kho mob tuaj yeem tuaj yeem thawb sab saum toj ntawm lub tsev menyuam rov qab mus rau hauv lub plab mog los ntawm qhov ncauj tawm ntawm lub ncauj tsev menyuam. Yog tias tus me nyuam tsis tau sib cais lub tsev menyuam feem ntau ua ntej tso.

Cov tshuaj loog siv dav dav, xws li roj roj halothane (Fluothane), lossis tshuaj noj xws li magnesium sulfate, nitroglycerin, lossis terbutaline kuj yuav tsum tau siv.

Thaum lub tsev menyuam tau rov ua haujlwm lawm, oxytocin (Pitocin) thiab methylergonovine (Methergine) tau muab los pab ua kom lub tsev menyuam tau ntawv cog lus thiab tiv thaiv nws rov qab los. Xws li tus kws kho mob lossis kws tu mob yuav zaws lub tsev menyuam kom txog thaum nws cog lus tag thiab tso ntshav nres.

Leej niam yuav muab cov kua dej rau hauv lub cev thiab muab cov ntshav ntxiv rau yog tias tsim nyog. Nws tseem yuav muab cov tshuaj tua kab mob tiv thaiv kev tiv thaiv tus kab mob. Yog tias cov placenta tseem tsis tau ua raws, tus kws kho mob yuav tau tshem nws tawm ntawm nws tus kheej.

Kuj tseem muaj cov txheej txheem tshiab hloov kho txoj kev ua kom lub uterine inversion siv pob zais pa thiab dej ntsuas dej. Ib lub zais pa muab tso rau sab hauv lub tsev menyuam kab noj hniav thiab puv nrog cov tshuaj ntsev kom thawb lub tsev menyuam rov qab mus rau hauv txoj haujlwm.

Cov txheej txheem yog qhov yooj yim thiab tau muaj kev vam meej hauv kev rov kho lub tsev me. Nws kuj tseem zoo kom nres ntshav poob thiab tiv thaiv kom lub tsev menyuam rov qab tsis ncaj.

Yog tias tus kws kho mob tsis tuaj yeem kho lub tsev menyuam rov qab ua haujlwm tau tsim nyog. Niam yuav muab tshuaj loog rau thiab nws lub plab yuav qhib qhov phais. Lub tsev menyuam yuav rov ua haujlwm ntxiv thiab lub plab kaw.

Yog tias cov ntaub qhwv lub ntsej muag nyob hauv lub tsev menyuam tiv thaiv nws los ntawm kev rov kho dua, nws txoj kev phais yuav ua raws txoj haujlwm nraub qaum ntawm lub tsev menyuam. Lub tsev menyuam tuaj yeem hloov kho thiab phais kho.

Yog tias xav tau kev phais mob, cev xeeb tub yav tom ntej yuav tsum tau yug menyuam. Yog tias lub tsho me me tsis tuaj yeem sib cais tawm ntawm lub tsev menyuam, yuav tsum tau mus phais tu menyuam mos.

Outlook

Lub uterine inversion yog qhov tsis tshua muaj thiab mob hnyav. Nws tuaj yeem ua rau ntshav khov ntau yam, poob siab, thiab tuaj yeem ua rau tuag taus. Muaj qee yam ua rau qee tus pojniam muaj kev pheej hmoo ntau dua, tab sis tus mob yuav tshwm sim tau rau txhua tus. Qee zaus uas lub tsev menyuam tso tsis tau rov qab, txoj haujlwm yuav tsum tau phais.

Tus mob feem ntau yooj yim rau kev kuaj mob thiab kev ua haujlwm sai thiab kev kho mob yog qhov tseem ceeb rau kev kho cov mob no thiab ua kom muaj kev noj qab haus huv thiab kev nyob zoo ntawm leej niam. Yog kho tau sai, leej niam tuaj yeem rov zoo taus yam tsis muaj kev puas tsuaj ntev rau nws lub tsev menyuam.