Thib Ob Ntawm Kev Xeebtub Rau Lwm Tus

Zoo Siab

• Txheej txheem cej luam
• Ntshav
• Ua ntej yug menyuam
• Cov tsos mob
• Kev Kho Mob
• Kev xav ntxov ua ntej ntawm kev puas tsuaj ntawm daim nyias nyias (PPROM)
• Kev Kho Mob
• Cervical tsis muaj peev xwm (ncauj tsev menyuam tsis txaus)
• Cov tsos mob
• Kev Kho Mob
• Kev Tiv Thaiv
• Preeclampsia
• Cov tsos mob
• Raug Mob
• Outlook

Txheej txheem cej luam

Lub hlis thib ob feem ntau yog thaum tib neeg hnov ​​lawv zoo tshaj plaws thaum cev xeeb tub. Xeev siab thiab ntuav feem ntau daws, qhov kev phom sij muaj menyuam tau poob, thiab qhov mob thiab mob ntawm cuaj hlis tau nyob deb.

Txawm hais tias, muaj qee qhov kev nyuaj uas tau tshwm sim. Nyeem rau kom paub txog dab tsi saib thiab kev tiv thaiv kom tsis txhob muaj teeb meem tshwm sim hauv thawj qhov chaw.

Ntshav

Txawm hais tias kev nchuav me nyuam yog qhov tshwm sim tsawg dua nyob rau lub hlis thib ob, nws tseem tuaj yeem tshwm sim. Vaginal los ntshav feem ntau yog thawj cim qhia. Miscarriages hauv lub hlis thib ob (ua ntej 20 lub lis piam) tuaj yeem tshwm sim los ntawm ntau yam sib txawv, uas tuaj yeem suav nrog:

• Uterine septum. Ib lub phab ntsa, lossis septum, sab hauv lub tsev menyuam faib nws ua ob ntu.
• Muaj peev xwm ntawm ncauj tsev menyuam. Thaum lub ncauj tsev menyuam qhib sai dhau, ua rau yug menyuam ntxov.
• Cov kab mob autoimmune. Piv txwv li cov mob lupus lossis scleroderma. Cov kab mob no tuaj yeem tshwm sim thaum koj muaj zog tiv thaiv cov kab mob hauv lub cev.
• Lub caij nyoog mob tsis meej ntawm tus me nyuam hauv lub cev. Lub sijhawm no yog thaum muaj qee yam tsis zoo ntawm menyuam cov chromosomes, uas yog cov xaim hlwb uas tsim los ntawm DNA.

Lwm yam ua rau los ntshav hauv lub hlis thib ob suav nrog:

• kev ua haujlwm thaum ntxov
• muaj teeb meem nrog lub cev, xws li cov hnoos hawv (placenta npog lub ncauj tsev menyuam)
• Kev ua tsis zoo ntawm lub cev (placenta sib cais los ntawm lub tsev menyuam)

Cov teeb meem no muaj ntau dua nyob rau lub hlis thib peb, tab sis lawv kuj tseem tuaj yeem tshwm sim lig rau lub hlis thib ob.

Yog tias koj muaj ntshav Rh-tsis zoo, txhaj tshuaj tiv thaiv immunoglobulin (RhoGAM) yog tias koj tau los ntshav thaum cev xeeb tub.

Immunoglobulin yog tshuaj tiv thaiv kab mob. Lub cev tiv thaiv kab mob yog ib qho protein uas koj lub cev tiv thaiv kab mob ua rau kom paub txog thiab tua cov tshuaj phem, xws li cov kab mob thiab kab mob.

Kev txhaj tshuaj tiv thaiv kab mob immunoglobulin yuav pab tiv thaiv kev tiv thaiv kabmob Rh, uas yuav tawm tsam tus menyuam hauv plab yog tias nws muaj Rh-positive tso ntshav.

Koj yuav ntshai heev yog tias koj muaj qhov los ntshav ntawm chaw mos, tab sis nws yog ib qho tseem ceeb kom nco ntsoov tias tsis yog txhua los ntshav txhais tau hais tias yog cev xeeb tub.

Nrhiav kev saib xyuas sai yog tias koj los ntshav thaum cev xeeb tub, tab sis sim ua kom nyob tus yees thaum tus kws kho mob nkag siab vim li cas koj los ntshav. Koj yuav raug tso rau saum txaj kom txog thaum los ntshav.

Ua ntej yug menyuam

Thaum cev xeeb tub tshwm sim ua ntej 38 lub lim tiam ntawm cev xeeb tub, nws tau txiav txim siab ua ntej. Ntau yam xwm txheej yuav ua rau yug menyuam tsis taus, xws li:

• zais zis
• haus luam yeeb
• muaj mob mus ntev, zoo li mob ntshav qab zib lossis mob raum

Cov teeb meem pheej hmoo rau kev yug me nyuam muaj xws li:

• ib tug yav dhau los preterm yug
• ntxaib cev xeeb tub
• ntau lub sijhawm cev xeeb tub
• kua dej amniotic ntxiv (cov kua uas nyob ib ncig ntawm tus me nyuam hauv plab)
• kev kis mob ntawm cov kua dej los yog kua qog tawv

Cov tsos mob

Cov cim thiab cov tsos mob ntawm kev yug me nyuam yuav tsis muaj hnub nyoog. Lawv tuaj yeem suav nrog:

• chaw mos siab
• qis rov qab mob
• nquag tso zis
• zawv plab
• nce qhov chaw mos tawm
• nruj hauv qab lub plab mog

Lwm qhov xwm txheej, cov tsos mob ntawm kev yug menyuam ua ntej pom tseeb dua, xws li:

• mob plab mob heev
• tso dej tawm hauv qhov chaw mos los
• pojniam los ntshav

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob no thiab txhawj xeeb txog kev ua haujlwm. Nyob ntawm koj cov tsos mob, koj tus kws kho mob yuav hais kom koj mus hauv tsev kho mob sai.

Kev Kho Mob

Txhua hnub ntxiv uas koj tsis mus rau kev yug me nyuam yuav muaj sij hawm tsawg dua qhov muaj teeb meem thaum yug tus me nyuam. Ntau yam tshuaj tuaj yeem pab tau hauv kev txiav mob kev saib xyuas ua ntej. Cov no suav nrog:

• magnesium sulfate
• corticosteroids
• tocolytics

Yog tias mob plab menyuam tsis tuaj yeem nres, koj tus kws kho mob yuav muab tshuaj rau koj noj. Ua li no pab txhim kho menyuam lub ntsws thiab txo qhov mob ntsws ntsws nyaum heev. Nws ua tau zoo tshaj ob hnub tom qab noj thawj koob, yog li koj tus kws kho mob yuav sim tiv thaiv kev xa menyuam yam tsawg ob hnub.

Kev xav ntxov ua ntej ntawm kev puas tsuaj ntawm daim nyias nyias (PPROM)

Nws ib txwm ua rau koj daim nyias nyias thiaj li tawg (so) thaum ua haujlwm. Cov neeg feem ntau hu nws ua "koj qhov dej hla."

Qhov no tshwm sim thaum lub hnab amniotic nyob ib puag ncig tus menyuam tawg, tso cai rau cov kua dej mus los. Lub hnab ntawd tiv thaiv tus menyuam los ntawm cov kab mob. Thaum nws tawg lawm, muaj kev txhawj xeeb ntawm tus menyuam kis tus kab mob.

Thaum koj cov dej yuav tsum so thaum koj mus rau hauv plab, nws tuaj yeem tsim teeb meem loj rau koj tus menyuam thaum nws ntxov dhau. Qhov no hu ua kev xav ntxov ua ntej ntawm daim nyias nyias (PPROM).

Qhov tseeb ua rau PPROM tsis yog qhov tseeb ib txwm. Feem ntau, tab sis, qhov chaw ntawm teeb meem yog kev kis tus kab mob ntawm cov qog.

PPROM hauv lub hlis thib ob yog qhov kev txhawj xeeb loj, vim nws tuaj yeem ua rau tus me nyuam muaj hnub nyoog ua ntej. Cov menyuam mos thaum yug thaum 24 thiab 28 lub lis piam ntawm cev xeeb tub yog qhov muaj kev pheej hmoo loj tshaj plaws hauv kev tsim kho mob ntev ntev, tshwj xeeb yog mob ntsws.

Qhov xov xwm zoo yog tias nrog txoj kev pab tu cov neeg zov menyuam kom tsim nyog, feem ntau cov menyuam mos hnub yug me nyuam nyiam ua heev.

Kev Kho Mob

Kev kho rau PPROM sib txawv. Feem ntau nws tuaj yeem suav nrog:

• tsev kho mob
• tshuaj tua kab mob
• cov tshuaj steroids, xws li betamethasone
• tshuaj uas tuaj yeem tsum tsis txhob muaj zog, xws li terbutaline

Yog tias muaj cov cim ntawm tus kabmob, kev tawm dag zog tuaj yeem tsim kev xav kom tsis txhob muaj teebmeem hnyav. Cov tshuaj tua kab mob yuav pib tiv thaiv kev kis mob.

Coob tus menyuam yug los hauv ob hnub, thiab feem ntau yuav xa tawm hauv ib asthiv. Muaj qee zaus, tshwj xeeb tshaj yog cov xau qeeb, cov hnab ntim quav dej tuaj yeem rov ntim tau nws tus kheej. Kev xeeb menyuam ua tsis taus haujlwm tuaj yeem zam, thiab tus menyuam yug los ze dua rau hnub lawv yuav yug.

Cervical tsis muaj peev xwm (ncauj tsev menyuam tsis txaus)

Lub ncauj tsev menyuam yog ib daim hlab uas txuas lub paum thiab lub tsev menyuam. Qee zaum, lub ncauj tsev menyuam tsis tuaj yeem tiv thaiv qhov siab ntawm kev loj hlob ntawm lub tsev menyuam thaum cev xeeb tub. Kev nce siab tuaj yeem ua rau lub ncauj tsev me nyuam tsis muaj zog thiab ua rau nws qhib ua ntej lub cuaj hlis.

Tus mob no yog hu ua pojniam tsis txaus, lossis lub tsev me nyuam tsis muaj txhij txhua. Txawm tias nws tsis tshua pom tshwm sim, nws tuaj yeem ua rau muaj kev phom sij loj heev.

Qhov qhib thiab ua kom zoo ntawm lub ncauj tsev menyuam feem ntau ua rau lub qhov txhab puas tsuaj thiab ua kom tus menyuam yug ntxov ntxov. Qhov no feem ntau tshwm sim puag ncig 20 lub lim tiam ntawm cev xeeb tub. Txij thaum cov me nyuam mos tseem tsis tau tuag txaus nyob sab nraum lub tsev menyuam nyob ntawd, lub cev xeeb tub yuav cawm tsis tau.

Poj niam muaj feem ntau yuav ua mob rau lub tsev me nyuam yog tias lawv tau:

• yav dhau los lub tsev menyuam kev raug mob, xws li ntuag thaum lub sijhawm xa khoom
• lub ncauj tsev me chaw mos
• lwm txoj haujlwm ntawm lub ncauj tsev menyuam

Cov tsos mob

Tsis zoo li yug menyuam ua ntej, lub ncauj tsev menyuam tsis txawj ua haujlwm feem ntau yuav tsis ua mob lossis mob plab. Tej zaum yuav muaj qhov chaw mos los ntshav lossis tawm.

Kev Kho Mob

Kho mob ncauj tsev me nyuam yog qhov tsawg. Xwm txheej ceev me me (plooj ncig lub ncauj tsev menyuam) yog qhov muaj peev xwm yog tias daim nyias nyias nyias ua tsis tau dua. Txoj kev pheej hmoo ntawm kev sib tsoo ntawm cov qog ua rau muaj ntau dua yog tias lub ncauj tsev menyuam heev dilated (dav). Kev so hauv lub txaj ntev yog qhov tsim nyog tom qab kev tso kawm ntawm cerclage.

Hauv lwm qhov xwm txheej, thaum cov qog tau xeb tas lawm thiab tus me nyuam hauv plab twb muaj sia nyob, koj tus kws kho mob yuav ua rau lub zog sib zog.

Kev Tiv Thaiv

Koj tuaj yeem tiv thaiv kom tsis txhob muaj mob me nyuam mos. Yog tias koj muaj keeb kwm ntawm nws, koj tuaj yeem tau txais daim txiag me nrog yav tom ntej kev xeeb menyuam thaum txog 14 lub lis piam. Qhov no yuav qis dua, tab sis tsis tshem tawm, qhov kev pheej hmoo muaj menyuam ua ntej thiab poob tus menyuam.

Preeclampsia

Preeclampsia tshwm sim thaum koj tsim:

• ntshav siab
• proteinuria (ntau ntawm cov protein nyob hauv cov zis)
• ntau dhau edema (o)

Preeclampsia cuam tshuam rau txhua qhov system hauv lub cev, suav nrog cov txiaj ntsig.

Tus me nyuam yog lub luag haujlwm muab khoom noj rau tus me nyuam. Txawm hais tias preeclampsia feem ntau tshwm sim nyob rau lub hlis thib peb ntawm cev xeeb tub thawj zaug, qee cov neeg muaj tus kab mob preeclampsia hauv lub hlis thib ob.

Ua ntej ua kev kuaj mob, koj tus kws kho mob yuav soj ntsuam koj rau lwm yam mob uas yuav tsis meej pem nrog preeclampsia, xws li mob lupus (uas ua rau mob thoob plaws hauv lub cev) thiab tus mob vwm (qaug dab peg).

Koj tus kws kho mob tseem yuav soj ntsuam koj rau cov xwm txheej uas tuaj yeem ua rau muaj kev muaj preeclampsia ntxov, xws li ntshav txhaws thiab ua rau lub cev xeeb tub. Tus ntawd yog lub qog ntshav tsis huv uas tsim muaj hauv lub tsev menyuam.

Cov tsos mob

Cov tsos mob ntawm preeclampsia suav nrog kev o sai ntawm koj ob txhais ceg, txhais tes, lossis ntsej muag. Hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj hom mob o lossis cov tsos mob hauv qab no:

• mob taub hau uas tsis ploj mus tom qab noj tshuaj acetaminophen (Tylenol)
• tsis pom kev
• “Ntab” nyob hauv koj lub qhov muag (txaws lossis me ntsis hauv koj lub zeem muag)
• mob hnyav rau sab xis lossis hauv koj lub plab
• doog yooj yim

Raug Mob

Koj muaj ntau dua kev raug mob thaum cev xeeb tub. Koj lub plawv ntawm lub cev hloov pauv thaum koj cev xeeb tub, uas txhais tau tias nws yooj yim poob koj cov nyiaj tshuav.

Hauv chav da dej, ceev faj thaum nqis mus rau hauv chav da dej lossis tub dej. Koj tuaj yeem xav ntxiv qhov chaw tsis huv rau koj chav dej kom koj tsis txhob plam. Xav txog qhov ntxiv cov pas tuav tuav lossis pas dej ntawm koj da dej, ib yam nkaus. Kuj kuaj koj lub tsev rau lwm yam xwm txheej uas tuaj yeem ua rau koj poob.

Outlook

Yog tias koj tau ntsib cov kev mob tshwm sim hauv tsab xov xwm no, tiv tauj koj tus kws kho mob. Lawv yuav tuaj yeem txiav txim siab qhov ua rau thiab ua rau koj pib kho kom yog - uas txhais tau tias cev xeeb tub thiab zoo rau koj!