Cev xeeb tub deev lwm tus: Placenta Accreta

Zoo Siab

• Cov tsos mob ntawm Placenta Accreta Cov tsos mob zoo li cas?
• Dab Tsi Ua Yog Dab Tsi?
• Yuav kuaj li cas?
• Leej Twg Yuav Raug Teeb Meem?
• Kev Tso Tshuaj Rau Tus Kheej yog li cas?
• Cov Teeb Meem Yog Dab Tsi?
• Dab Tsi Yog Qhov Kev Xam Pom?
• Puas Tiv Thaiv Tau Kom Tso Cov Tshuaj Txhaum Rau Tso Tshuaj?

Placenta Accreta yog dab tsi?

Thaum cev xeeb tub, tus poj niam lub tsho tso rau hauv nws tus kheej lub phab ntsa thiab rhuav tshem tom qab yug menyuam. Cov kab mob Placenta accreta yog cov teeb meem rau lub cev xeeb tub loj uas tuaj yeem tshwm sim thaum tus txiv neej txuas nrog nws tus kheej heev rau hauv phab ntsa uterine.

Qhov no ua rau muaj qee qhov lossis tag nrho cov qe ntshav txhaws txhaws rau lub tsev menyuam thaum menyuam yug menyuam. Cov kab mob Placenta accreta tuaj yeem ua rau los ntshav ntau heev tom qab yug menyuam tas.

Raws li Asmeskas Lub Rooj Sab Laj ntawm Obstetricians thiab Gynecologists (ACOG), 1 nyob rau 533 tus poj niam Asmeskas muaj cov placenta accreta txhua xyoo. Muaj qee zaum ntawm kev tso ntshav ntawm chaw nyob, tus poj niam tus txiv neej lub cev yuav muab txuas ntxiv rau hauv phab ntsa uterine uas nws txuas rau cov leeg nqaij. Qhov no hu ua placenta increta. Nws tuaj yeem nkag mus tob ntxiv los ntawm lub tsev menyuam thiab mus rau lwm qhov hauv nruab nrog, xws li lub zais zis. Qhov no hu ua placenta percreta.

Lub Koom Haum Asmeskas Kev Xeeb Tub, kwv yees tias ntawm cov poj niam uas tau hnov ​​mob placenta acreta, kwv yees li 15 feem pua ​​dhau los ntawm cov niam txiv nce ntxiv, hos muaj li 5 feem pua ​​muaj txiaj ntsig placenta percreta.

Cov tshuaj Placenta accreta yog suav tias yog qhov muaj feem yuav ua mob hnyav thaum lub cev xeeb tub. Qee zaum cov placenta accreta tshwm sim thaum xa khoom. Tab sis feem ntau, cov poj niam muaj mob tshwm sim thaum cev xeeb tub. Cov kws kho mob feem ntau yuav ua menyuam yug menyuam ntxov thiab tom qab ntawd tshem tus poj niam lub tsev menyuam, yog tias pom qhov tshwm sim ua ntej xa khoom. Kev tshem tawm ntawm lub tsev menyuam yog hu ua hysterectomy.

Cov tsos mob ntawm Placenta Accreta Cov tsos mob zoo li cas?

Cov poj niam nrog lub cev ntaj ntsug feem ntau tsis muaj cov cim los yog tsos mob thaum cev xeeb tub. Qee zaum tus kws kho mob yuav kuaj pom nws thaum lub sij hawm ib txwm ua pa.

Tab sis qee qhov xwm txheej, placenta accreta ua rau qhov chaw mos los ntshav hauv lub hlis thib peb (lub lis piam 27 txog 40). Hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj kev los ntshav rau hauv lub paum thaum lub hlis thib peb. Yog tias koj muaj kev los ntshav ntau, xws li los ntshav uas xau ib daim lev tsawg dua 45 feeb, lossis qhov ntawd hnyav thiab nrog mob plab, koj yuav tsum hu 911.

Dab Tsi Ua Yog Dab Tsi?

Nws tseem tsis tau paub meej meej tias yog vim li cas thiaj ua rau tso cov leeg. Tab sis cov kws kho mob xav tias nws tau cuam tshuam rau cov lus tsis sib haum xeeb nyob rau hauv lub tsev menyuam thiab muaj ntau theem ntawm alpha-fetoprotein, uas yog cov protein tsim los ntawm tus menyuam uas tuaj yeem kuaj tau hauv leej niam cov ntshav.

Cov kev tsis meej no tuaj yeem tshwm sim los ntawm scarring tom qab phais menyuam tawm los yog phais lub tsev menyuam. Cov caws pliav no tso cai rau cov txiv neej kom nws nyob tob rau hauv lub tsev menyuam. Cov poj niam cev xeeb tub uas cov poj niam uas muaj me nyuam feem ntau los npog tag nrho lawv lub ncauj tsev menyuam (hnoos qeev) tseem muaj kev pheej hmoo siab ntxiv ntawm qhov tsis txhob tso ntshav txhaws. Tab sis qee qhov xwm txheej, placenta accreta tshwm sim rau cov poj niam tsis muaj keeb kwm ntawm kev phais mob uterine lossis placenta previa.

Muaj menyuam yug menyuam kom ntau ntxiv tus poj niam txoj kev pheej hmoo ntawm qhov tso tus menyuam thaum cev xeeb tub lawm yav tom ntej. Cov kws phais mob yug menyuam ntau dua, tus pojniam yuav muaj teebmeem ntau dua. Lub koom haum American Cev xeeb tub kwv yees hais tias cov poj niam uas muaj ntau tshaj ib tus menyuam phais menyuam rau 60 feem pua ​​ntawm tag nrho cov teeb meem no.

Yuav kuaj li cas?

Cov kws kho mob qee zaus kuaj cov placenta accreta thaum kuaj ultrasound. Txawm li cas los xij, koj tus kws kho mob feem ntau khiav ob peb qhov kev ntsuam xyuas kom paub tseeb tias cov txiv neej tsis nce mus rau phab ntsa uterine yog tias koj muaj ntau yam kev pheej hmoo rau kev tso ntshav ntawm thaj chaw. Qee qhov kev ntsuas ib txwm kuaj xyuas cov placenta accreta suav nrog kev ntsuam xyuas kev ntsuas, xws li ultrasound lossis cov duab hluav taws xob resonance imaging (MRI) thiab cov ntshav kuaj mus rau qib siab ntawm alpha-fetoprotein.

Leej Twg Yuav Raug Teeb Meem?

Ntau yam ua rau xav ua kom tus poj niam muaj qhov pheej hmoo ntawm kev txhim kho placent accreta. Cov no suav nrog:

• yav dhau los kev phais me nyuam mos (lossis phais), xws li phais plab yug me nyuam los yog phais kom tshem tawm cov leeg txoj hnyuv
• Tus me nyuam hauv plab, ib qho mob uas ua rau lub hno raug txhawm los yog npog tag nrho ncauj tsev menyuam
• Ib qho tso ntshav nyob hauv qis ib feem ntawm lub tsev menyuam
• ua lub hnub nyoog dhau 35 xyoo
• yav tas los kev yug menyuam
• kev xeeb menyuam hauv plab, xws li ua xua lossis uterine fibroids

Kev Tso Tshuaj Rau Tus Kheej yog li cas?

Txhua qhov teeb meem ntawm cov placenta accreta yog txawv. Yog tias koj tus kws kho mob tau kuaj pom lub tsev me nyuam ua pov thawj, lawv yuav tsim phiaj xwm kom ntseeg tau tias koj tus me nyuam raug xa mus sai li sai tau.

Cov mob hnyav ntawm cov placenta accreta raug kho nrog kev phais mob. Ua ntej, cov kws kho mob yuav ua phais mob yug menyuam kom yug koj tus menyuam. Tom ntej no, lawv tuaj yeem ua ib txoj hlab ntshav, lossis tshem koj lub tsev menyuam. Qhov no yog txhawm rau tiv thaiv qhov ntshav siab heev uas tuaj yeem tshwm sim yog tias muaj qee qhov, lossis tag nrho, ntawm cov placenta tso rau hauv lub tsev menyuam tom qab koj tau yug menyuam.

Yog tias koj xav tau lub peev xwm kom cev xeeb tub dua, muaj kev kho mob tom qab koj yug menyuam uas yuav khaws tau koj lub cev xeeb tub. Nws yog ib txoj kev phais mob uas tso ntau qhov chaw me me rau hauv lub tsev menyuam. Txawm li cas los xij, cov poj niam uas tau txais kev kho mob no yog qhov muaj kev pheej hmoo siab dua. Koj tus kws kho mob yuav pom zoo kom phais qhov nqaij yog tias koj tseem pheej ua kom ntshav tawm ntawm qhov chaw mos tom qab qhov txheej txheem. Raws li ACOG hais, nws nyuaj heev rau kev xeeb tub tom qab ua tiav qhov txheej txheem no.

Sib tham txog tag nrho koj cov kev kho mob nrog koj tus kws kho mob. Lawv yuav pab koj xaiv qhov kev kho mob raws li koj tus kheej muaj tshwm sim.

Cov Teeb Meem Yog Dab Tsi?

Cov kab mob Placenta accreta tuaj yeem ua rau muaj mob hnyav. Cov no suav nrog:

• mob ntshav tawm hauv qhov paum, uas yuav xav tau tso ntshav ntxiv
• muaj teeb meem nrog ntshav txhaws, lossis nthuav tawm intravascular coagulopathy
• ntsws tsis ua haujlwm, lossis cov neeg laus ua pa nyuaj
• raum tsis ua hauj lwm
• thaum ntxov yug

Ib yam li txhua yam kev phais mob, kev ua phais menyuam thiab phais mob txhawm rau tshem cov txiaj ntsig ntawm lub cev tuaj yeem ua rau muaj teeb meem. Txaus ntshai rau leej niam xws li:

• kev siv tshuaj loog
• ntshav txhaws
• qhov txhab mob
• ntxiv los ntshav
• phais mob
• kev puas tsuaj rau lwm yam kabmob, xws li lub zais zis, yog tias tus txiv neej tso rau ntawm lawv

Kev pheej hmoo rau tus menyuam thaum yug menyuam tom qab phais menyuam yog muaj tsawg thiab suav nrog kev raug mob phais lossis ua pa nyuaj.

Qee lub sij hawm cov kws kho mob yuav tawm hauv lub thaj chaw hauv koj lub cev, vim tias nws tuaj yeem yaj mus ntev. Tab sis kev ua li no tuaj yeem ua rau muaj kev mob hnyav. Cov no suav nrog:

• muaj feem yuav txo tau txoj sia qhov chaw ntshav los ntshav
• kis tau tus mob
• ntshav txhaws ib lossis ntau cov hlab ntsha hauv lub ntsws, los yog mob ntsws ntsws
• qhov xav tau rau yav tom ntej hysterectomy
• muaj teeb meem nrog kev xeeb tub yav tom ntej, suav nrog kev nchuav me nyuam, yug ntxov ntxov, thiab thaj chaw pov thawj

Dab Tsi Yog Qhov Kev Xam Pom?

Yog tias qhov chaw tus menyuam tso pov tseg yog kuaj thiab kho tau zoo, feem ntau tus poj niam muaj kev rov qab zoo dua uas tsis muaj teeb meem nyob ntev.

Ib tug poj niam yuav tsis muaj peev xwm yuav xeeb tub cov me nyuam yog tias qhov kev phais neeg mob tau tas. Koj yuav tsum tham txhua qhov kev xeeb menyuam yav tom ntej nrog koj tus kws kho mob yog tias koj lub tsev menyuam nyob qis qis tom qab kho tas. Cov kev tshawb fawb luam tawm nyob rau hauv phau ntawv Journal Human Reroduction qhia tias kev nce ntxiv ntawm cov kab mob placenta accreta yog siab rau cov poj niam uas muaj tus mob ua ntej.

Puas Tiv Thaiv Tau Kom Tso Cov Tshuaj Txhaum Rau Tso Tshuaj?

Nws tsis muaj txoj hauv kev los tiv thaiv kev tso ntshav ntawm thaj chaw ntoo. Koj tus kws kho mob yuav soj qab saib xyuas koj lub cev xeeb tub kom zoo rau kev tiv thaiv ib qho kev tsis haum yog tias koj tau kuaj pom tus mob no.