Kev xeeb tub yog lub sijhawm tshwj xeeb heev hauv lub neej ntawm leej niam. Txawm li cas los xij, muaj ntau yam teeb meem kev noj qab haus huv tuaj yeem tshwm sim thaum lub sijhawm no. Rau qee tus niam, lub qhov ncauj tsev menyuam pib qhib ob peb lub lis piam ua ntej hnub yug menyuam. Qhov no tuaj yeem ua rau yug ntxov. Niaj hnub no, peb tab tom tham txog kev kho mob tshwj xeeb uas cov kws kho mob pom zoo rau lub sijhawm muaj kev pheej hmoo. Ntawd yog, muab ib txoj xov rau ntawm lub qhov ncauj tsev menyuam, lossis hauv cov lus kho mob (Cervical Cerclage) .
Cervical Cerclage yog dab tsi?
Qhov no yooj yim to taub heev. Xav txog koj lub tsev menyuam zoo li lub hnab me me. Tus menyuam loj hlob zoo hauv lub hnab no. Lub qhov ncauj ntawm lub hnab ntawd yog lub qhov ncauj ntawm lub hnab ntawd. Feem ntau, lub qhov ncauj ntawm lub hnab no, lub qhov ncauj ntawm lub qhov ncauj, yuav tsum kaw kom txog thaum tus menyuam yug los.
Tiam sis qee zaum lub qhov ncauj tsev menyuam no yuav qaug zog. Tom qab ntawd, thaum tus menyuam hnyav zuj zus, lub qhov ncauj tsev menyuam pib qhib ua ntej lub sijhawm. (Cervical Cerclage) yog thaum lub qhov ncauj tsev menyuam, uas tab tom yuav qhib, raug xaws nrog ib txoj xov muaj zog thiab nruj. Yog hais kom meej, nws zoo li khi lub hnab nrog ib txoj hlua . Qhov no yog ua kom tus menyuam muaj kev nyab xeeb hauv lub tsev menyuam kom txog thaum hnub yug menyuam.
Vim li cas koj thiaj yuav tsum ua ib yam dab tsi zoo li no?
Koj tus kws kho mob tsis tau hais kom siv txoj kev kho mob no yam tsis muaj laj thawj dab tsi. Tej zaum yuav muaj ntau yam laj thawj tshwj xeeb rau qhov ntawd.
- Lub Qhov Ncauj Tsev Me Nyuam Tsis Muaj Peev Xwm: Qhov no yog qhov ua rau tseem ceeb. Kev phais lub qhov ncauj tsev me nyuam yav dhau los, xws li cov txheej txheem LEEP, tuaj yeem ua rau lub qhov ncauj tsev me nyuam tsis muaj zog.
- Kev poob menyuam yav dhau los: Yog tias koj tau poob menyuam, tshwj xeeb tshaj yog nyob rau hauv peb lub hlis thib ob ntawm kev cev xeeb tub, uas yog, ntawm 3 thiab 6 lub hlis, qhov ua rau yuav yog lub qhov ncauj tsev menyuam tsis muaj zog.
- Kev txawv txav ntawm cov duab ntawm lub tsev menyuam: Qee zaum qhov mob no kuj tuaj yeem tshwm sim los ntawm qee qhov kev hloov pauv hauv lub tsev menyuam.
Yog li ntawd, yog tias koj tau muaj teeb meem nrog kev xeeb tub yav dhau los lossis tau poob menyuam, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam no.
Feem ntau cov xov no yuav muab tso rau ntawm 12 thiab 14 lub lis piam ntawm kev cev xeeb tub, uas yog, ua ntej lub qhov ncauj tsev menyuam pib nyias.
Ua ntej thiab thaum lub sijhawm kho mob muaj dab tsi tshwm sim?
Ua ntej qhov no, tus kws kho mob yuav tshuaj xyuas koj cov keeb kwm kev noj qab haus huv tag nrho. Tom qab ntawd nws mam li kuaj koj.
Ua ntej kev kho mob
Koj lub tsev menyuam yuav raug kuaj nrog lub speculum, zoo ib yam li kev kuaj Pap. Koj kuj tseem yuav muaj kev kuaj ultrasound transvaginal . Koj kuj tseem yuav raug qhia kom tsis txhob muaj kev sib deev li ib lub lim tiam ua ntej kev kuaj. Nws yog ib qho ib txwm muaj kev ntxhov siab lossis ntxhov siab ua ntej kev kuaj no. Qhov no yog lub sijhawm zoo los nug koj tus kws kho mob txog txhua yam lus nug uas koj muaj.
Thaum lub sijhawm kho mob
Feem ntau qhov no yuav tas li ntawm ob peb feeb.
1. Koj yuav raug hais kom pw rau ntawm lub rooj kuaj mob thiab muab koj ob txhais ceg tso rau ntawm cov khoom txhawb nqa uas tsim tshwj xeeb.
2. Ces koj yuav tau txais tshuaj loog hauv zos kom loog qhov chaw ntawd . Koj yuav hnov ib qho me me thaum txhaj tshuaj, tab sis koj yuav tsis hnov mob tom qab.
3. Tom qab ua kom loog, tus kws kho mob siv ib txoj xov khov kho los muab ib txoj xov xaws ncig lub qhov ncauj tsev menyuam, ua kom nruj, thiab khi nws.
Puas muaj mob tom qab kho mob?
Nws yog ib qho ib txwm muaj qee qhov mob me me zoo li kev coj khaub ncaws thiab muaj cov xim av rau ob peb hnub tom qab kho mob. Tsis txhob txhawj. Feem ntau qhov mob tuaj yeem tswj tau nrog paracetamol.
Tiam sis nco ntsoov, yog tias koj mob plab uas tsis tuaj yeem ua tau, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd.
Tom qab kho mob tas, koj yuav raug saib xyuas hauv tsev kho mob ob peb teev, thiab yog tias tsis muaj teeb meem, koj yuav raug xa mus tsev tib hnub ntawd. Koj kuj tseem yuav tau txais tshuaj tua kab mob los tiv thaiv kev kis kab mob. Nws yog qhov zoo tshaj plaws kom so kom txaus rau hnub ntawd. Vim tias nws yuav siv sijhawm li 10 hnub rau cov xov kom zoo, tus kws kho mob qhia koj kom tsis txhob ua haujlwm hnyav thiab sib deev thaum lub sijhawm ntawd.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Kev siv Cerclage rau lub qhov ncauj tsev menyuam yog txoj kev zoo tshaj plaws thiab zoo tshaj plaws los tiv thaiv kev yug ntxov rau ib tus neeg uas lub qhov ncauj tsev menyuam tsis muaj zog. Nws cov txiaj ntsig yog qhov tseeb. Tab sis zoo li lwm yam kev kho mob, nws kuj muaj qee qhov kev pheej hmoo. Tus kws kho mob yuav ib txwm pom zoo kom siv tsuas yog tias cov txiaj ntsig ntau dua li qhov kev pheej hmoo.
| Kev Pheej Hmoo / Teeb Meem | Piav qhia yooj yim xwb |
|---|---|
| Kev kis kab mob | Muaj me ntsis txoj kev kis kab mob ntawm qhov chaw xaws lossis hauv lub tsev menyuam. |
| Kev puas tsuaj rau lub qhov ncauj tsev menyuam | Tej zaum yuav muaj kev puas tsuaj me me rau lub qhov ncauj tsev menyuam thaum lub sijhawm kho mob. |
| Kev tawg ua ntej ntawm cov membranes | Tus me nyuam nyob hauv ib lub hnab dej hu ua amniotic fluid. Muaj me ntsis kev pheej hmoo uas qhov no yuav tawg ua ntej lub sijhawm. |
| Yug ntxov ntxov | Qee zaum kev kho mob no kuj ua rau yug ntxov. |
| Kev tawg ntawm lub caj dab | Yog tias kev yug menyuam pib thaum tseem tab tom xaws, muaj kev pheej hmoo ntawm kev rhuav lub qhov ncauj tsev menyuam lossis lub tsev menyuam. |
Thaum twg cov xov raug tshem tawm?
Feem ntau cov xov no yuav tsum tau muab tso rau hauv qhov chaw kom txog thaum koj cev xeeb tub tiav, uas yog li ntawm 37 lub lis piam . Kev tshem tawm cov xov yooj yim heev. Nws tuaj yeem ua tiav hauv koj tus kws kho mob lub chaw ua haujlwm.
Ib yam li thaum koj muab cov xov xaws tso rau, koj yuav raug yuam kom pw saum lub rooj kuaj mob, thiab cov xov xaws yuav raug tshem tawm hauv ob peb feeb. Qhov no tsis tas yuav siv tshuaj loog. Kev yug menyuam tuaj yeem tshwm sim txhua lub sijhawm tom qab tshem cov xov xaws. Yog tias muaj qee yam laj thawj koj cov dej tawg ua ntej ntawd, lossis yog tias kev yug menyuam pib, cov xov xaws yuav raug tshem tawm ua ntej ntawd.
Thaum twg koj yuav tsum hu rau kws kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab kho mob, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd yam tsis muaj kev ncua .
| Cov tsos mob | Yuav tsum tau them sai sai rau dab tsi |
|---|---|
| Kub taub hau heev | Lub cev kub tshaj 100°F (37.7°C). |
| Qhov mob uas los tsis tu ncua | Yog tias qhov mob hauv plab qis, zoo li mob thaum yug menyuam, tuaj thiab ploj mus rau lub sijhawm teem tseg (kev mob plab). |
| Cov kua tawm ntawm qhov chaw mos uas muaj ntxhiab tsw phem | Cov kua tawm ntawm qhov chaw mos uas muaj ntxhiab tsw phem yuav yog ib qho cim qhia txog kev kis kab mob. |
| Lub hnab dej tawg los yog dej xau | Cov kua dej ntws tawm ntawm lub qhov chaw mos tas li. |
| Los ntshav ntau dhau | Tsis yog ob peb tee ntshav xwb, tab sis los ntshav hnyav heev. |
Nws yog ib qho ib txwm muaj uas yuav ntshai me ntsis thaum koj hnov txog kev kho mob no. Tab sis nws yog ib qho kev kho mob uas muaj li ntawm 90% kev vam meej . Yog tias qhov mob no tshwm sim hauv ib qho kev xeeb tub, nws yuav tshwm sim hauv kev xeeb tub tom ntej. Yog li nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob thiab npaj rau kev xeeb tub kom noj qab nyob zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob Cerclage ntawm lub qhov ncauj tsev menyuam yog ib txoj kev kho mob zoo heev los txhawb kom lub qhov ncauj tsev menyuam tsis muaj zog thiab tiv thaiv kom tsis txhob yug ntxov.
- Qhov no feem ntau ua tiav ntawm 12-14 lub lis piam ntawm kev cev xeeb tub.
- Nws yog ib qho ib txwm muaj mob me ntsis thiab los ntshav rau ob peb hnub tom qab kho mob. Txawm li cas los xij, yog tias koj mob hnyav, kub taub hau, lossis los ntshav ntau, koj yuav tsum nrhiav kev kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia, tshwj xeeb tshaj yog hais txog kev so thiab kev txwv kev ua ub ua no.
- Tsis txhob yig los tham txog tej kev txhawj xeeb lossis kev ntshai uas koj muaj nrog koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus