Kev Kho Mob Ua Ntej Kev Ua Haujlwm: Tocolytics

Zoo Siab

• Kev siv tshuaj Tocolytic
• Yuav siv hom tshuaj tocolytic li cas?
• Dab tsi kis thaum kuv cev xeeb tub Kuv tuaj yeem siv cov tshuaj tocolytic?
• Yuav tau siv cov tshuaj tocolytic ntev npaum li cas?
• Yuav ua li cas vam meej yog cov tshuaj tocolytic?
• Leej twg yuav tsum tsis txhob siv cov tshuaj tocolytic?

Kev siv tshuaj Tocolytic

Tocolytics yog cov tshuaj uas siv los txhawm rau xa koj lub sijhawm luv (txog 48 teev) yog tias koj pib mob plab ntxov thiab thaum cev xeeb tub.

Cov kws kho mob siv cov tshuaj no txhawm rau ncua sijhawm koj yug thaum koj raug xa mus rau hauv tsev kho mob tshwj xeeb rau kev saib xyuas ua ntej, lossis kom lawv tuaj yeem muab koj corticosteroids lossis magnesium sulfate. Qhov kev txhaj tshuaj corticosteroid pab ua kom tus me nyuam lub ntsws nyob taus.

Magnesium sulfate tiv thaiv menyuam yaus hauv qab 32 lub limtiam los ntawm kev mob hlwb, tabsis nws kuj tuaj yeem siv ua tocolytic. Magnesium sulfate tseem siv los tiv thaiv kev qaug dab peg hauv cov poj niam cev xeeb tub uas muaj preeclampsia (ntshav siab).

Lwm yam tshuaj uas tuaj yeem siv los ua cov tocolytic suav nrog:

• beta-mimetics (piv txwv, terbutaline)
• calcium channel blockers (piv txwv, nifedipine)
• non-steroidal anti-inflammatory tshuaj los yog NSAIDs (piv txwv li, indomethacin)

Cov ncauj lus dav dav txog cov tshuaj no tau muab rau hauv qab no.

Yuav siv hom tshuaj tocolytic li cas?

Tsis muaj ntaub ntawv qhia tau tias ib qho tshuaj muaj xwm yeem zoo dua li lwm qhov, thiab cov kws kho mob hauv ntau thaj chaw hauv teb chaws nyias nyiam.

Hauv ntau lub tsev kho mob, terbutaline raug muab tshwj xeeb tshaj yog tias tus poj niam muaj teeb meem me me thaum yug menyuam ntxov. Rau cov poj niam muaj qhov pheej hmoo pheej hmoo xav tau hauv lub lis piam tom ntej, cov tshuaj magnesium sulfate (muab tshuaj rau txoj leeg) feem ntau yog tshuaj ntawm kev xaiv.

Dab tsi kis thaum kuv cev xeeb tub Kuv tuaj yeem siv cov tshuaj tocolytic?

Cov tshuaj Tocolytic rau kev yug menyuam tsis tau siv ua ntej 24 lub limtiam uas cev xeeb tub. Hauv qee kis xwm txheej, koj tus kws kho mob yuav siv nws thaum koj muaj 23 lub lis piam thaum cev xeeb tub.

Ntau tus kws kho mob tsum tsis txhob muab cov tshuaj tocolytics tom qab tus poj niam tau mus txog nws 34 lub lim tiam ntawm cev xeeb tub, tab sis qee tus kws kho mob pib tocolytics lig li 36 lub lis piam.

Yuav tau siv cov tshuaj tocolytic ntev npaum li cas?

Tej zaum koj tus kws kho mob yuav sim kho koj lub cev xeeb tub nrog kev mus pw, haus dej ntxiv, tshuaj mob, thiab ib qho tshuaj tocolytic nkaus xwb. Lawv kuj tseem tuaj yeem kuaj xyuas ntxiv (zoo li kuaj me nyuam hauv plab fibronectin thiab transvaginal ultrasound) txhawm rau paub zoo dua koj qhov kev pheej hmoo rau kev yug menyuam ntxov.

Yog tias koj qhov kev mob plab tsis tso tseg, kev txiav txim siab txuas ntxiv rau cov tshuaj tocolytic, thiab ntev npaum li cas, yuav yog nyob ntawm koj qhov kev pheej hmoo ntawm kev yug menyuam ua ntej (raws li txiav txim siab los ntawm kev kuaj mob), lub hnub nyoog ntawm tus menyuam, thiab qhov xwm txheej ntawm tus menyuam. ntsws.

Yog tias kev tshuaj ntsuam pom tau tias koj muaj kev pheej hmoo rau kev yug menyuam ua ntej, koj tus kws kho mob yuav muab tshuaj magnesium sulfate tsawg kawg rau 24 rau 48 teev nrog rau cov tshuaj corticosteroid txhawm rau txhim kho tus menyuam lub ntsws kev ua haujlwm.

Yog tias qhov kev mob plab nres, koj tus kws kho mob yuav txo qis thiab tom qab ntawd tsum txiav cov tshuaj magnesium sulfate.

Yog tias kev mob plab tseem mus ntxiv, koj tus kws kho mob yuav xaj kuaj ntxiv mus txhawm rau txhawm rau kis mob hauv tsev menyuam. Tus kws khomob yuav tuaj kuaj xyuas saib nws puas muaj mob dabtsi hauv lub ntsws.

Yuav ua li cas vam meej yog cov tshuaj tocolytic?

Tsis muaj cov tshuaj tocolytic tau pom tias xwm yeem ncua sijhawm rau lub sijhawm tseem ceeb.

Txawm li cas los xij, cov tshuaj tocolytic tuaj yeem ncua tus me nyuam yam tsawg kawg (feem ntau yog ob peb hnub). Qhov no feem ntau muab lub sijhawm txaus kom tau txais ib hom tshuaj steroids. Cov koob tshuaj corticosteroid txo cov kev pheej hmoo rau koj tus menyuam yog tias lawv tuaj ntxov.

Leej twg yuav tsum tsis txhob siv cov tshuaj tocolytic?

Cov poj niam yuav tsum tsis txhob siv cov tshuaj tocolytic thaum muaj kev pheej hmoo ntawm kev siv cov tshuaj ntau dua cov txiaj ntsig.

Cov kev mob tshwm sim no suav nrog cov poj niam mob preeclampsia los yog mob dab o (mob ntshav siab uas tshwm sim thaum cev xeeb tub thiab tuaj yeem ua rau muaj kev cuam tshuam), los ntshav (los ntshav), lossis mob rau hauv lub tsev menyuam (chorioamnionitis).

Cov tshuaj Tocolytic yuav tsum tsis txhob siv yog tias tus me nyuam tuag hauv plab lossis yog tias tus menyuam muaj qhov txawv txav uas yuav ua rau tuag tom qab yug menyuam.

Hauv lwm qhov xwm txheej, tus kws kho mob yuav tsum ceev faj txog kev siv cov tshuaj tocolytic, tab sis tuaj yeem sau ntawv rau lawv vim tias cov txiaj ntsig zoo tshaj qhov txaus ntshai. Cov xwm txheej no yuav suav nrog tus niam muaj:

• me preeclampsia
• cov ntshav khov kho nyob rau lub hlis thib ob lossis peb lub hlis
• cov mob hnyav
• lub ncauj tsev menyuam uas twb tau xau 4 mus rau 6 centimeters lossis ntau dua

Tus kws kho mob tseem tuaj yeem siv cov tocolytics thaum tus menyuam muaj lub plawv dhia tsis zoo (raws li tau qhia ntawm lub ntsuas hauv tus menyuam), lossis qeeb qeeb.