Peb txhua tus paub tias koj tus menyuam hauv plab tau txais tag nrho cov khoom noj khoom haus thiab cov pa oxygen uas nws xav tau los ntawm lub placenta. Tom qab tus menyuam yug los, lub placenta no feem ntau tawm hauv lub tsev menyuam yooj yim hauv ob peb feeb. Qhov ntawd yog tus txheej txheem ib txwm muaj. Tab sis xav txog, yuav ua li cas yog tias lub placenta no lo rau ntawm phab ntsa tsev menyuam tob dua thiab nruj dua li koj xav? Yog tias qhov ntawd tshwm sim, nws yuav tsis yooj yim tawm tom qab tus menyuam yug los. Qhov ntawd yog qhov mob hnyav uas peb hu ua Placenta Accreta . Txawm hais tias qhov no yog qhov mob hnyav, yog tias nws raug lees paub thaum ntxov thiab tswj hwm kom raug , nws tuaj yeem tiv thaiv niam thiab tus menyuam. Yog li, cia peb tham txog qhov no kom meej yam tsis muaj kev ntshai.
Placenta Accreta yog dab tsi?
Hais yooj yim xwb, Placenta Accreta yog thaum lub placenta lo rau ntawm phab ntsa ntawm lub tsev menyuam tob dhau. Thaum cev xeeb tub ib txwm, lub placenta tsuas lo rau sab hauv ntawm lub tsev menyuam (endometrium). Yog li ntawd, nws yooj yim cais tom qab tus menyuam yug los.
Tiam sis yog hais txog qhov teeb meem ntawm Placenta Accreta, tej zaum ib feem ntawm lub placenta yuav loj hlob mus rau hauv cov leeg ntawm lub tsev menyuam. Yog li ntawd, thaum lub placenta raug tshem tawm tom qab tus menyuam yug los, nws yuav tsis tawm thiab pib los ntshav ntau heev . Qhov no yog qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws ntawm no. Qee zaum qhov kev los ntshav no tuaj yeem ua rau tuag taus. Yog li ntawd, tus niam uas muaj tus mob no yuav tsum tau hloov ntshav lossis, hauv cov xwm txheej hnyav tshaj plaws, txawm tias yuav tsum tau phais hysterectomy.
Puas muaj ntau hom sib txawv ntawm qhov no?
Yog, nws muab faib ua peb hom tseem ceeb nyob ntawm seb lub placenta txuas rau phab ntsa ntawm lub tsev menyuam tob npaum li cas. Qhov kev faib tawm no tseem ceeb heev rau kev npaj kho mob.
| Lub npe xwm txheej (Hom) | Tsuas yog piav qhia xwb |
|---|---|
| Placenta Accreta | Qhov no yog hom uas feem ntau pom. Hauv qhov no, lub placenta txuas ruaj khov rau ntawm phab ntsa ntawm lub tsev menyuam, tab sis tsis tau nkag mus rau hauv cov leeg ntawm lub tsev menyuam. |
| Placenta increta | Ntawm no, lub placenta tau loj hlob mus rau hauv cov leeg nqaij ntawm phab ntsa uterine (myometrium). Qhov no yog qhov hnyav dua me ntsis. Qhov mob no tshwm sim hauv kwv yees li 15% ntawm cov neeg mob. |
| Placenta Percreta | Qhov no yog hom mob hnyav thiab txaus ntshai tshaj plaws. Hauv qhov no, lub placenta nkag mus rau hauv phab ntsa ntawm lub tsev menyuam thiab tej zaum yuav txuas rau cov kabmob ze xws li lub zais zis lossis cov hnyuv. Qhov no tsuas tshwm sim rau cov neeg tsawg heev, kwv yees li 5%. |
Leej twg muaj feem yuav mob no ntau dua?
Txawm hais tias Placenta Accreta tuaj yeem tshwm sim rau txhua tus poj niam cev xeeb tub, muaj qee yam uas ua rau muaj kev pheej hmoo ntau ntxiv. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog cov no.
- Kev phais cesarean ua ntej (C-section): Qhov no yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo. Kev phais C-section ua ib qho kev txiav hauv lub tsev menyuam. Thaum nws zoo lawm, cov nqaij caws pliav yuav tsim. Yog tias lub placenta cog rau hauv qhov caws pliav no thaum cev xeeb tub tom ntej, nws yuav txuas tob dua li cov nqaij ib txwm. Koj muaj C-section ntau npaum li cas, koj yuav muaj kev pheej hmoo ntawm Placenta Accreta ntau npaum ntawd.
- Qhov Placenta Previa: Qee tus poj niam cev xeeb tub muaj qhov placenta uas nyob hauv qab ntawm lub tsev menyuam, npog lub qhov ncauj tsev menyuam. Qhov no hu ua "Placenta Previa." Yog tias koj tau phais C-section yav dhau los thiab kuj muaj qhov mob "Placenta Previa" no, qhov kev pheej hmoo ntawm kev mob Placenta Accreta yog siab heev.
- Kev phais mob tsev menyuam yav dhau los: Yog tias koj tau muaj lwm yam kev phais mob, xws li tshem tawm cov fibroids hauv tsev menyuam lossis D&C (dilation thiab curettage), qhov kev pheej hmoo no kuj tseem yuav nce ntxiv vim yog qhov caws pliav.
- Cev xeeb tub ntau zaus: Qhov kev pheej hmoo no yuav nce me ntsis thaum muaj menyuam ntau dua.
- Cev xeeb tub los ntawm IVF: Qee qhov kev tshawb fawb tau qhia tias qhov kev pheej hmoo no kuj siab dua me ntsis rau cov niam uas xeeb tub los ntawm IVF.
Qhov tseem ceeb tshaj plaws, vim muaj kev nce ntxiv ntawm C-sections niaj hnub no, Placenta Accreta kuj tseem muaj ntau dua li yav dhau los. Yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.
Puas yog Placenta Accreta cuam tshuam rau tus menyuam hauv plab?
Feem ntau, Placenta Accreta tsis ua rau tus menyuam raug mob ncaj qha, vim tias lub placenta txuas ntxiv muab cov as-ham thiab oxygen rau tus menyuam. Txawm li cas los xij, qhov kev pheej hmoo tseem ceeb ntawm no yog yug ntxov .
Yuav kom tiv thaiv kom tsis txhob los ntshav ntau dhau vim yog placenta accreta, cov kws kho mob npaj yuav ua C-section ob peb lub lis piam ua ntej koj hnub yug menyuam. Feem ntau ntawm 34-37 lub lis piam. Kev yug menyuam ntxov li no tuaj yeem ua rau muaj teeb meem uas los nrog kev yug ntxov, xws li qhov hnyav thaum yug los tsawg thiab ua pa nyuaj. Lub sijhawm ntawd, tus menyuam yuav tsum tau nkag mus rau hauv chav saib xyuas menyuam mos (NICU) rau kev saib xyuas tshwj xeeb.
Cov kev pheej hmoo rau leej niam yog dab tsi?
Qhov kev pheej hmoo tseem ceeb ntawm Placenta Accreta yog rau leej niam. Qhov no yog qhov laj thawj tseem ceeb uas ua rau nws suav tias yog cev xeeb tub uas muaj kev pheej hmoo siab.
- Los ntshav ntau: Qhov no yog qhov teeb meem txaus ntshai tshaj plaws thiab feem ntau tshwm sim. Thaum lub placenta yug tom qab tus menyuam yug los, yuav muaj kev los ntshav uas tsis tuaj yeem tswj tau.
- Kev puas tsuaj rau lub tsev menyuam thiab cov kabmob ib puag ncig: Yog tias lub placenta tau nkag mus rau hauv phab ntsa ntawm lub tsev menyuam (percreta), cov kabmob xws li lub zais zis thiab cov hnyuv kuj tuaj yeem raug puas tsuaj.
- Kev phais tsev menyuam: Yog tias tsis muaj lwm txoj hauv kev los tiv thaiv qhov ntshav ntau, tej zaum yuav tsum tau muab lub tsev menyuam tshem tawm tag nrho kom cawm tau leej niam txoj sia. Qhov no yuav ua rau poob peev xwm muaj menyuam yav tom ntej.
- Teeb meem ntshav txhaws, mob ntsws lossis mob raum: Yog tias koj los ntshav ntau dhau, nws tuaj yeem cuam tshuam rau lwm yam kab mob hauv lub cev.
- Kev Tuag: Txawm hais tias tsis tshua muaj, yog tias tsis paub thaum ntxov thiab kho kom zoo , kev los ntshav ntau dhau tuaj yeem ua rau leej niam muaj kev phom sij rau lub neej.
Cov kev pheej hmoo no yuav ua rau ntshai heev. Tab sis nco ntsoov, yog tias pom qhov mob no thaum ntxov , pab pawg kho mob tuaj yeem tswj hwm ntau yam kev pheej hmoo no thiab cawm tau leej niam txoj sia.
Cov tsos mob ntawm tus mob no yog dab tsi?
Feem ntau, leej niam tsis muaj tsos mob ntawm Placenta Accreta. Qhov ntawd yog qhov txaus ntshai me ntsis ntawm qhov no. Koj tuaj yeem muaj tus mob no sab hauv yam tsis muaj kev tsis xis nyob lossis mob.
Txawm li cas los xij, qee tus poj niam yuav muaj kev los ntshav ntawm qhov chaw mos thaum lub sijhawm peb lub hlis ntawm cev xeeb tub (tom qab 28 lub lis piam). Tsis tas li ntawd, yog tias lub placenta nias rau ntawm ib lub cev, xws li lub zais zis, nws tuaj yeem ua rau mob plab mog.
Qhov tseem ceeb tshaj plaws, nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob no los ntawm kev kuaj ultrasound thaum cev xeeb tub, vim tias feem ntau nws tsis ua rau muaj tsos mob dab tsi.
Cov kws kho mob nrhiav tau qhov no li cas?
Zoo hmoo, feem ntau koj tuaj yeem kuaj pom Placenta Accreta thaum lub sijhawm kuaj xyuas cev xeeb tub. Thaum lub sijhawm kuaj xyuas, koj tus kws kho mob yuav ua tib zoo saib xyuas qhov chaw ntawm lub placenta thiab nws txuas nrog lub tsev menyuam li cas.
- Kev Ntsuas Ultrasound: Qhov no yog txoj kev kuaj mob yooj yim thiab tseem ceeb tshaj plaws. Tus kws kho mob yuav ua tib zoo tshuaj xyuas qhov sib txuas ntawm lub placenta thiab qhov caws pliav qub, tshwj xeeb yog tias koj tau phais C-section yav dhau los.
- Kev Ntsuas MRI (Magnetic Resonance Imaging): Qee zaum, yuav muaj kev ntsuas MRI los xyuas kom meej tias lub placenta tau nkag mus tob npaum li cas thiab seb nws puas tau txuas rau lwm yam kabmob.
Qee zaum, yog tias daim duab scan tsis pom nws, cov kws kho mob tsuas yog nrhiav seb lub placenta tsis sib cais tom qab tus menyuam yug los. Tab sis nws yog qhov zoo tshaj plaws los kuaj nws thaum ntxov . Tom qab ntawd txhua yam tuaj yeem npaj ua ntej rau kev yug menyuam. Cov kws kho mob tshwj xeeb, lub txhab ntshav, thiab txawm tias chav saib xyuas menyuam mos (NICU) tuaj yeem npaj tau yog tias xav tau.
Cov kev kho mob rau Placenta Accreta yog dab tsi?
Thaum kuaj pom tus mob no lawm, pab neeg ntau yam kev kho mob yuav kho koj, suav nrog kws kho mob poj niam, kws kho mob siv tshuaj loog, thiab qee zaum kws kho mob urologists.
Txoj kev kho mob nyob ntawm seb koj tus mob hnyav npaum li cas.
- Kev phais mob plab uas npaj tseg: Kev kho mob tseem ceeb yog kev phais mob plab uas npaj tseg thaum ntxov . Feem ntau ua li no ntawm 34 thiab 37 lub lis piam. Qhov no yog ua kom yug tau tus menyuam ua ntej koj pib mob plab. Qhov no yog vim tias yog koj lub tsev menyuam pib cog lus, yuav muaj ntshav ntau los ntawm lub placenta.
- Kev phais tshem menyuam hauv plab (Cesarean Hysterectomy): Yog tias muaj mob hnyav, tshwj xeeb tshaj yog tias muaj Placenta Increta lossis Percreta, qhov kev xaiv zoo tshaj plaws yog tshem lub tsev menyuam tib lub sijhawm uas phais C-section. Ntawm no, tom qab tus kws kho mob yug menyuam, lub tsev menyuam raug tshem tawm tag nrho nrog rau lub placenta , yam tsis tau sim tshem lub placenta. Qhov no tuaj yeem tiv thaiv kev los ntshav ntau dhau thiab cawm tau leej niam txoj sia.
- Sim cawm lub tsev menyuam: Yog tias koj xav muaj menyuam ntxiv yav tom ntej, thiab qhov mob tsis hnyav dhau, koj tus kws kho mob yuav sim cawm lub tsev menyuam. Txawm li cas los xij, qhov no yog ib qho kev phais mob uas muaj kev pheej hmoo thiab nyuaj heev. Qee zaum, ib feem ntawm lub placenta yuav tsum tau tso rau hauv lub tsev menyuam. Qhov no tuaj yeem ua rau muaj teeb meem tom qab, xws li kev kis kab mob thiab kev los ntshav.
Koj tus kws kho mob yuav piav qhia rau koj txog kev kho mob zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws rau koj tus mob.
Tej yam uas yuav tsum nug koj tus kws kho mob
Thaum koj pom tias koj muaj Placenta Accreta, nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Tsis txhob ntshai. Nug koj tus kws kho mob kom piav qhia cov lus nug no.
- Kuv puas yuav yug tus menyuam ntxov?
- Kev kho mob zoo li cas rau kuv?
- Kuv puas yuav tsum tau hloov kuv txoj kev ua neej txhua hnub? Kuv puas yuav tsum tau pw tsaug zog?
- Yog tias kuv muaj cov tsos mob dab tsi, kuv yuav tsum mus rau tsev kho mob tam sim ntawd?
- Kuv puas tsis tuaj yeem yug menyuam los ntawm qhov chaw mos?
- Kuv puas yuav muaj tau lwm tus menyuam yav tom ntej?
- Muaj feem ntau npaum li cas uas kuv yuav tsum tau phais tshem lub tsev menyuam?
Cov lus teb rau cov lus nug no yuav pab koj npaj siab rau qhov teeb meem no.
Yuav ua li cas thaum muaj xwm txheej ceev?
Yog koj paub tias koj muaj Placenta Accreta, koj tus kws kho mob yuav saib xyuas koj ze heev. Txawm li cas los xij, yog tias koj los ntshav ntau thaum cev xeeb tub, ntub daim ntaub pam hauv tsawg dua ib teev, lossis mob plab hnyav , nws yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Placenta Accreta yog ib qho mob hnyav uas lub placenta lo rau ntawm phab ntsa tsev menyuam tob dhau.
- Qhov ua rau muaj kev pheej hmoo tseem ceeb yog tau muaj C-section yav dhau los.
- Tus mob no feem ntau tsis muaj cov tsos mob tshwj xeeb, yog vim li cas kev luam theej thaum cev xeeb tub thiaj li tseem ceeb heev.
- Kev kuaj pom thiab npaj yug menyuam thaum ntxov yuav txo tau qhov kev pheej hmoo rau niam thiab menyuam.
- Kev kho mob feem ntau yog kev phais mob (C-section) uas tau npaj tseg, thiab thaum muaj mob hnyav, yuav tsum tau phais hysterectomy kom cawm tau leej niam txoj sia.
- Yog koj muaj lus nug lossis kev txhawj xeeb txog qhov no, nrog koj tus kws kho mob tham txog qhov no. Yog tias koj paub zoo thiab kho mob zoo, ces koj yuav tswj tau qhov teeb meem no tau zoo.
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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