Txoj Kev Noj Qab Haus Huv: Cov Kws Kho Mob Yog Dab Tsi?

Zoo Siab

• Txheej txheem cej luam
• Tus kws kho mob nkeeg yog dab tsi?
• Kev kawm ntawv thiab kev cob qhia xav tau
• Cov kws kho mob kho lwm yam mob li cas?
• Cov kws kho mob kws kho mob ua cov txheej txheem dab tsi?
• Thaum twg koj yuav tsum tau ntsib kws kho mob leeg?

Txheej txheem cej luam

Lo lus "OB-GYN" yog hais txog kev xyaum ob leeg txoj kev phais mob thiab kev mob poj niam lossis rau tus kws kho mob uas ua ob yam haujlwm ntawm cov tshuaj. Qee tus kws kho mob xaiv los xyaum tsuas yog ib qho ntawm daim teb no. Piv txwv li, cov kws kho mob poj niam tsuas tau xyaum kho poj niam xwb, uas hais txog poj niam kev noj qab haus huv ntawm poj niam.

Obstetricians tsuas yog kho cov kev xeeb menyuam, lossis thaj chaw ntawm cov tshuaj cuam tshuam nrog cev xeeb tub thiab yug menyuam. Nov yog saib kom ze rau ntawm qhov ua haujlwm tshwj xeeb no thiab thaum twg koj yuav tsum pom.

Tus kws kho mob nkeeg yog dab tsi?

Obstetricians muab kev phais mob rau cov poj niam thaum cev xeeb tub thiab yug menyuam. Lawv kuj lis cov kev saib xyuas tom qab yug menyuam tas.

Qee cov kws kho mob xaiv los xaiv tshwj xeeb rau niam-pojniam qhov tshuaj (MFM). Ceg cev xeeb tub no tsom rau cov poj niam cev xeeb tub uas muaj teeb meem kev noj qab haus huv lossis teeb meem tsis meej uas tshwm sim thaum cev xeeb tub. Vim tias qhov no, MFM cov kws kho mob suav hais tias yog cov kws tshaj lij muaj kev phom sij.

Koj tuaj yeem ntsib MFM tus kws kho mob yog tias koj muaj ib qho mob ntev ntev uas yuav cuam tshuam rau koj lub cev xeeb tub. Qee tus poj niam xaiv tau ntsib nrog cov kws kho mob no rau kev saib xyuas ua ntej xeeb tub los pab tsim kho phiaj xwm ntawm cev xeeb tub.

Kev kawm ntawv thiab kev cob qhia xav tau

Ua tus kws kho mob yug menyuam, koj yuav tsum xub kawm ua ntej thiab kawm tiav qib siab. Tom qab ntawv, koj yuav tsum xeem thiab dhau daim ntawv xeem Medical College Admissions Test kom thiaj li tsim nyog nkag rau tsev kawm ntawv kho mob.

Tom qab kawm tiav plaub xyoos ntawm tsev kawm ntawv kho mob, koj yuav tsum ua tiav qhov chaw nyob kom tau txais kev paub ntxiv. Cov pej xeem siv sijhawm ntau teev nyob rau ntawm chav ua haujlwm lossis tsev kho mob pab teb kev kub ntxhov, yug menyuam, thiab lwm cov txheej txheem muaj feem xyuam.

Yog tias koj xaiv tshwj xeeb hauv MFM, koj yuav tsum ua tiav ib ob ntxiv rau kev kawm ua haujlwm ob xyoos.

Thaum koj txoj kev kawm tiav lawm, koj yuav tsum xeem daim ntawv pov thawj kom dhau los ua daim ntawv lees paub los ntawm American Board of Obstetrics thiab Gynecology.

Cov kws kho mob kho lwm yam mob li cas?

Cov poj niam feem ntau pom thawj kws kho mob kev xeeb tub rau kev saib xyuas ua ntej yug menyuam. Lub sijhawm teem thawj zaug tshwm sim kwv yees yim lub lis piam tom qab koj coj khaub ncaws kawg. Koj mam li mus ntsib tus kws kho mob kwv yees li ib hlis ib zaug nyob mus tas lub caij koj cev xeeb tub.

Obstetricians tseem kho cov poj niam uas muaj qhov kev pheej hmoo siab cev xeeb tub thaum lub sijhawm thiab tom qab cev xeeb tub:

Tej zaum koj yuav muaj taus cev tsis tab seeb yog tias koj xeeb tub thiab koj:

• muaj ib tug mob mus ntev
• hnub nyoog tshaj 35 xyoos
• tab tom nqa ntau tus menyuam
• muaj keeb kwm ntawm kev nchuav menyuam, yug menyuam ua ntej, lossis sijhawm yug menyuam
• koom nrog qee yam kev xaiv ua neej, xws li kev haus luam yeeb thiab haus
• tsim muaj qee yam kev nyom thaum cev xeeb tub uas cuam tshuam koj lossis tus menyuam

Obstetricians tseem kho:

• ectopic cev xeeb tub
• me nyuam kev ntxhov siab
• preeclampsia, uas yog tus cwj pwm los ntawm ntshav siab
• kev tso lub cev ntawm thaj chaw, lossis thaum lub hno tshem tawm hauv lub tsev menyuam
• dystocia lub xub pwg, lossis thaum tus menyuam lub xub pwg daig hauv lub sijhawm menyuam
• uterine rupture
• prolapsed qaum, lossis thaum txoj hlab ntaws caj dab ua rau lub sijhawm cia khoom
• mob leeg ntshav ob leeg
• sepsis, nws yog kev ploj tuag taus

Cov kws kho mob kws kho mob ua cov txheej txheem dab tsi?

Cov txheej txheem thiab kev phais mob phais neeg ua lub luag haujlwm kuj tseem txawv ntawm cov kws kho mob poj niam ua. Ib cag ntawm kev teem caij tsis tu ncua thiab kev pabcuam cev xeeb tub thiab pabcuam menyuam, kws kho mob yug menyuam kuj ua cov hauv qab no:

• lub ncauj tsev menyuam
• dilation thiab curettage
• cesarean tus me nyuam
• pojniam kev paum
• phaum mob, lossis ib qho kev txiav thaum qhib ntawm chaw mos los pab rau kev yug menyuam
• Kev ua kevcai txiav
• forceps thiab lub tshuab nqus khoom xa tuaj

Yog tias koj cev xeeb tub muaj feem me, koj cov kws kho mob yug cev xeeb tub yuav muab qee yam kev kuaj mob rau koj. Qhov no suav nrog:

• ib qho ua ultrasound
• amniocentesis los txiav txim koj tus menyuam kev sib deev thiab txheeb xyuas qee yam kev txawv txav ntawm caj ces
• cordocentesis, lossis kev soj ntsuam ntshav hlab ntaws, txhawm rau txheeb xyuas qee yam mob, mob qog nqaij, lossis mob ntshav tsis zoo
• ncauj tsev menyuam ntev li cas los ntsuas koj qhov kev pheej hmoo ntawm kev yug menyuam ntxov
• kuaj sim rau ntau yam mob
• kuaj sim ntsuas ntsuas cov me nyuam hauv plab fibronectin, uas yuav pab lawv txiav txim koj txoj kev pheej hmoo ntawm kev mob plab ua ntej
• biophysical profile, uas tuaj yeem pab lawv ntsuas koj tus menyuam txoj kev noj qab nyob zoo los ntawm kev kuaj xyuas lub plawv thiab ultrasound

Cov kws kho mob kuj tseem koom nrog kev xa khoom, chaw mos thiab lwm yam. Yog tias koj xav tau qhov induction lossis phais menyuam, ces cov kws phais mob yuav saib xyuas cov txheej txheem. Lawv kuj tseem yuav raug phais ib yam thiab. Lawv puav leej tuaj yeem ua daim tawv qau rau tus txiv neej tom qab yug yog tias koj thov.

Thaum twg koj yuav tsum tau ntsib kws kho mob leeg?

Koj yuav tsum teem sijhawm mus ntsib kws kho mob yug menyuam yog tias koj cev xeeb tub lossis xav xav cev xeeb tub. Lawv tuaj yeem muab kev saib xyuas ua ntej thiab pab koj npaj rau kev xeeb tub.

Koj tuaj yeem xav ntsib ntau tus kws kho mob ua ntej xaiv ib tus los saib xyuas koj txoj haujlwm. Thaum lub sijhawm koj tshawb, koj tuaj yeem nug txhua tus kws kho mob hauv qab no:

• Koj xav tau kev ntsuam xyuas dab tsi thaum lub cev xeeb tub?
• Koj puas mus koom lub hnub yug lossis kws kho mob hu?
• Koj yuav saib xyuas tus menyuam li cas thaum lub sijhawm yug menyuam?
• Koj cov kev xav li cas txog kev yug menyuam hauv qab ntuj?
• Thaum twg koj tau ua cov tshuaj txiav tawm?
• Koj tus nqi phais menyuam yog dab tsi?
• Koj puas niaj hnub ua kev phom sij? Yog li, nyob rau lub sijhawm twg?
• Dab tsi taw tes hauv cev xeeb tub koj pib xav txog induction?
• Koj txoj cai tshwj xeeb nyob ib ncig ntawm kev pib ua haujlwm yog dab tsi?
• Koj ua cov txheej txheem dab tsi rau cov menyuam mos? Thaum twg koj ua lawv?
• Hom kev saib xyuas tom qab yug menyuam tas koj muab dab tsi?

Thaum koj pom cov kws kho mob koj nyiam, teem sijhawm koj lub sijhawm ua ntej hnub thiab feem ntau ua kom tau qhov zoo tshaj plaws.

Koj yuav tsum mus ntsib koj tus kws kho mob yug menyuam tomqab yug menyuam tas. Qhov no yuav pab koj:

• tham txog cov kev xaiv tiv thaiv tsis pub muaj menyuam, xws li cov ntsiav tshuaj lossis cov khoom siv hauv tsev
• nrhiav kev qhia meej rau txhua yam uas muaj tshwm sim thaum cev xeeb tub lossis yug menyuam.
• tham txog tej teeb meem uas koj yuav ntsib thaum kho mus rau kev ua leej niam lossis kev txhawj xeeb txog kev nyuaj siab tom qab yug menyuam tas
• soj qab xyuas txhua yam teeb meem kev kho mob uas koj tau ntsib thaum cev xeeb tub, xws li mob ntshav qab zib hauv poj niam lossis ntshav siab.
• Nco ntsoov koj cov kev txhaj tshuaj tiv thaiv kab mob muaj sijhawm