Koj lub placenta puas txuas nrog lub tsev menyuam dhau lawm? Cia peb tham txog Placenta Accreta!

Ua ib leej niam, qee zaum koj yuav ntshai me ntsis txog tej yam, puas yog? Tshwj xeeb tshaj yog thaum koj yuav muaj menyuam, txog lub placenta. Hnub no peb yuav tham txog ib qho mob uas qee tus niam yuav ntsib thaum cev xeeb tub, tab sis koj yuav tsum ceev faj me ntsis, thiab nws tuaj yeem ua rau muaj kev phom sij. Qhov ntawd yog ib qho mob hu ua (Placenta Accreta) .

(Placenta Accreta) yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, Placenta Accreta yog thaum lub placenta, uas muab cov as-ham thiab oxygen rau koj tus menyuam , lo rau ntawm phab ntsa ntawm koj lub tsev menyuam tob dhau. Thaum cev xeeb tub ib txwm, lub placenta no yooj yim tawm ntawm phab ntsa ntawm lub tsev menyuam tom qab tus menyuam yug los. Txawm li cas los xij, hauv rooj plaub ntawm Placenta Accreta, lub placenta txuas nrog phab ntsa ntawm lub tsev menyuam heev uas nws tsis yooj yim tawm tom qab tus menyuam yug los.

Xav txog nws li no, ib yam li thaum cog ib tsob nroj rau hauv av, nws cov hauv paus feem ntau nthuav tawm, thaum cev xeeb tub noj qab nyob zoo lub placenta txuas rau ntawm phab ntsa uterine. Txawm li cas los xij, hauv Placenta Accreta, cov hauv paus ntawm tsob nroj ntawd mus tob dua li qhov xav tau, tej zaum zoo li lawv tau mus rau hauv ib yam dab tsi tawv zoo li pob zeb, thiab lub placenta tau nkag mus rau hauv cov leeg ntawm phab ntsa uterine thiab txuas ruaj khov.

Yog tias mob hnyav heev, qhov no yuav ua rau los ntshav ntau hauv qhov chaw mos. Nws yuav ua rau tuag taus. Yog li no, tej zaum koj yuav xav tau kev hloov ntshav (piv txwv li, kev hloov ntshav) thiab kev phais tshem tawm tsev menyuam. Cov kws kho mob uas muab kev saib xyuas ua ntej yug menyuam feem ntau kuaj mob thaum cev xeeb tub, lossis qee zaum thaum yug menyuam. Kev kho mob feem ntau yuav tsum tau yug tus menyuam los ntawm kev phais cesarean (C-section) kom txo qhov kev pheej hmoo ntawm cov teeb meem loj, tom qab ntawd phais tshem tawm tsev menyuam.

Puas muaj ntau hom Placenta Accreta sib txawv?

Yog, muaj peb hom tseem ceeb ntawm Placenta Accreta. Cov kws kho mob txiav txim siab cov hom no raws li qhov tob npaum li cas ntawm lub placenta txuas rau koj lub tsev menyuam.

1. Placenta Accreta: Qhov no yog hom uas feem ntau pom. Hauv qhov no, lub placenta lo rau ntawm phab ntsa tsev menyuam, tab sis nws tsis nthuav dav dhau phab ntsa thiab tsis cuam tshuam rau cov leeg ntawm tsev menyuam.

2. Placenta Increta: Hauv hom no, lub placenta txuas tob dua rau hauv phab ntsa uterine, mus rau hauv cov leeg nqaij. Nws tseem tsis tau nkag mus rau hauv phab ntsa tag nrho, tab sis nws txuas ruaj khov rau cov leeg nqaij uterine. Qhov no tshwm sim hauv kwv yees li 15% ntawm tag nrho cov rooj plaub Placenta Accreta.

3. Placenta Percreta: Qhov no yog qhov teeb meem hnyav thiab txaus ntshai tshaj plaws. Hauv qhov no, lub placenta nkag mus rau hauv phab ntsa ntawm lub tsev menyuam tag nrho. Nws tuaj yeem mus dhau lub tsev menyuam thiab cuam tshuam rau lwm yam kabmob hauv koj lub cev, xws li lub zais zis thiab cov hnyuv, lossis txawm tias lo rau lawv. Qhov no tsuas yog tshwm sim rau cov neeg me me xwb, kwv yees li 5%.

Leej twg muaj feem yuav mob Placenta Accreta ntau dua?

Koj muaj feem yuav mob Placenta Accreta ntau dua yog tias koj muaj ib qho ntawm cov mob hauv qab no:

• Yog tias koj tau muaj kev phais cesarean ua ntej lawm: Qhov kev pheej hmoo siab dua, tshwj xeeb tshaj yog tias koj tau muaj ntau zaus kev phais cesarean, vim tias qhov caws pliav ntawm lub tsev menyuam yuav tsim nyob rau ntawm qhov chaw phais.
• Yog tias lub placenta nyob rau hauv qhov chaw tsis zoo hauv koj lub tsev menyuam: Piv txwv li, yog tias koj muaj mob hu ua "Placenta Previa", qhov twg lub placenta nyob rau hauv qis dua ntawm lub tsev menyuam, npog lub cervix.
• Yog tias koj tau phais lub tsev menyuam yav dhau los: Yog tias koj tau phais xws li tshem tawm cov fibroids hauv tsev menyuam lossis D&C (dilation thiab curettage), qhov mob no tuaj yeem tshwm sim vim muaj caws pliav hauv cov cheeb tsam ntawd.
• Yog tias koj tau cev xeeb tub ntau zaus ('ntau tshaj ib zaug cev xeeb tub') ua ntej.
• Yog tias koj cev xeeb tub los ntawm IVF (kev siv tshuaj loog ua kom xeeb tub).

Xav txog, koj muaj ib tug phooj ywg, cia peb hais tias Nimali. Nimali tau muaj ob tug menyuam yav dhau los los ntawm kev phais cesarean. Tam sim no nws cev xeeb tub nrog nws tus menyuam thib peb, tus kws kho mob hais rau nws tias nws yuav tsum ceev faj me ntsis ntxiv txog qhov chaw ntawm lub placenta. Vim tias nws tau muaj kev phais cesarean yav dhau los, tej zaum yuav muaj cov qhov txhab me me ntawm lub tsev menyuam qhov chaw phais tau ua. Yog vim li cas qhov kev pheej hmoo ntawm Placenta Accreta nce ntxiv.

Puas yog Placenta Accreta yuav ua rau tus menyuam raug mob?

Cov Placenta Accreta tsis ua rau tus menyuam raug mob ncaj qha. Txawm li cas los xij, qhov mob no feem ntau tuaj yeem ua rau yug ntxov (yug ntxov). Qhov no txhais tau tias tus menyuam tuaj yeem yug ua ntej 37 lub lis piam. Cov menyuam mos uas yug ntxov muaj kev pheej hmoo xws li ua pa nyuaj thiab muaj teeb meem nce phaus. Tsis tas li ntawd, muaj feem ntau dua uas tus menyuam yuav raug xa mus rau Chav Saib Xyuas Menyuam Yaus (NICU) rau kev kho mob tshwj xeeb.

Cov kev pheej hmoo rau leej niam vim yog Placenta Accreta yog dab tsi?

Qhov no yuav zoo li ntshai me ntsis, tab sis nws yog ib qho tseem ceeb kom paub. Ib leej niam uas muaj Placenta Accreta yuav ntsib cov kev pheej hmoo hauv qab no:

• Yug ntxov.
• Kev puas tsuaj rau lub tsev menyuam thiab cov kabmob ib puag ncig xws li lub zais zis thiab cov hnyuv.
• Kev poob ntawm kev muaj menyuam vim yog kev phais hysterectomy.
• Los ntshav ntau dhau, ua rau xav tau kev hloov ntshav.
• Teeb meem ntshav txhaws.
• Mob ntsws lossis mob raum.
• Muaj tej yam tsawg tsawg uas yuav ua rau tuag taus. Yog vim li no qhov mob no thiaj suav tias yog qhov mob hnyav heev.

Placenta Accreta feem ntau tshwm sim li cas?

Lawv hais tias Placenta Accreta cuam tshuam txog li 1 ntawm 533 tus cev xeeb tub. Txawm li cas los xij,Qhov tshwm sim ntawm tus mob no tau nce ntxiv nyob rau xyoo tas los no, feem ntau yog vim muaj kev nce ntxiv ntawm cov cesarean sections (C-sections).

Cov ua rau muaj Placenta Accreta yog dab tsi?

Qhov mob Placenta Accreta feem ntau yog tshwm sim los ntawm qee qhov tsis zoo ntawm daim ntaub ntawm koj lub tsev menyuam. Tej zaum koj daim ntaub ntawm koj lub tsev menyuam yuav raug puas tsuaj thiab muaj qhov txhab los ntawm kev phais hysterectomy yav dhau los. Tab sis qee zaum qhov mob no kuj tuaj yeem tshwm sim rau cov neeg uas tsis tau phais hysterectomy dua li, puas yog?

Cov yam tseem ceeb uas ua rau muaj tus kab mob Placenta Accreta yog:

• Kev phais Cesarean yav dhau los ('Ntau C-sections'): Cov poj niam uas tau phais Cesarean ntau zaus muaj feem yuav mob Placenta Accreta ntau dua. Qhov no yog vim tias cov qhov txhab uas tsim rau ntawm lub tsev menyuam los ntawm cov kev phais ntawd tuaj yeem hnyav heev. Qhov kev pheej hmoo nce ntxiv nrog rau tus lej ntawm kev phais Cesarean dhau sijhawm. Ntau tshaj 60% ntawm cov neeg mob Placenta Accreta tau muaj kev phais Cesarean yav dhau los.
• Kev phais mob rau lub tsev menyuam yav dhau los: Yog tias koj tau phais kom tshem tawm cov fibroids hauv tsev menyuam (uas yog cov qog nqaij hlav tsis yog mob qog noj ntshav), qhov caws pliav tuaj yeem ua rau placenta accreta. Tsis tas li ntawd, kev phais xws li curettage (D&C) lossis endometrial ablation kuj tuaj yeem ua rau muaj caws pliav, ua rau muaj qhov mob no.
• Placenta Previa: Hauv qhov xwm txheej no, lub placenta nyob rau ntawm lub qhov ncauj tsev menyuam. Rau cov neeg uas muaj Placenta Previa thiab cov neeg uas tau phais cesarean ua ntej, qhov kev pheej hmoo ntawm kev mob Placenta Accreta nce ntxiv nrog rau tus lej ntawm kev phais cesarean.

Cov tsos mob ntawm Placenta Accreta yog dab tsi?

Feem ntau, cov neeg uas muaj tus kab mob Placenta Accreta tsis muaj tsos mob tshwj xeeb. Qhov ntawd yog ib yam uas yuav tsum xav txog. Txawm li cas los xij, qee tus neeg yuav muaj kev los ntshav ntawm qhov chaw mos thaum lub sijhawm peb lub hlis ntawm cev xeeb tub (piv txwv li, txij li lub lis piam 28 txog 40), lossis lawv yuav mob plab qis thaum lub placenta nias rau ntawm lub zais zis lossis lwm yam kabmob.

Yuav paub li cas (Placenta Accreta)?

Thaum cev xeeb tub, koj yuav kuaj tau Placenta Accreta los ntawm kev siv ultrasound scan . Qee zaum , koj yuav tau ua Magnetic Resonance Imaging (MRI) los saib seb placenta tau nkag mus tob npaum li cas rau hauv phab ntsa ntawm lub tsev menyuam.

Hauv lwm cov rooj plaub, cov kws kho mob tsuas pom tias muaj Placenta Accreta tom qab tus menyuam yug los. Feem ntau, lub tsev menyuam yuav qaug zog thiab lub placenta yuav tawm los tsis pub dhau 30 feeb tom qab tus menyuam yug los. Yog tias qhov no tsis tshwm sim, tus kws kho mob yuav xav tias muaj Placenta Accreta.

Kev kuaj pom ntxov ntawm Placenta Accreta tseem ceeb npaum li cas?

Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov mob no thaum ntxov.

Vim tias thaum koj cev xeeb tub thiab tom qab koj tus menyuam yug los, cov kws kho mob sib txawv, uas yog, cov kws tshwj xeeb sib txawv, tuaj yeem sib sau ua ke los npaj txoj kev kho mob zoo tshaj plaws rau koj thiab koj tus menyuam. Piv txwv li, tus kws kho mob menyuam yaus yuav koom nrog kev saib xyuas koj tus menyuam, lossis tus kws kho mob perinatologist yuav koom nrog kev saib xyuas koj. Koj tus kws kho mob yuav saib xyuas koj ze heev thiab ua haujlwm kom muab qhov tshwm sim zoo tshaj plaws rau koj thiab koj tus menyuam.

Los ntawm kev koom nrog pab pawg kws kho mob zoo, koj yuav zam tau kev phais tshem tsev menyuam lossis tiv thaiv kev los ntshav loj uas yuav ua rau tuag taus. Hauv qee kis mob hnyav, kev kuaj pom thaum ntxov yuav tsis tiv thaiv kev phais tshem tsev menyuam lossis kev hloov ntshav. Txawm li cas los xij, kev kuaj pom thaum ntxov tuaj yeem txo qhov kev pheej hmoo ntawm lwm yam teeb meem.

Yuav kho tus mob Placenta Accreta li cas?

Kev kho mob rau qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Yog tias koj tus kws kho mob kuaj pom ua ntej koj tus menyuam yug los, lawv yuav saib xyuas koj ze rau thoob plaws koj cev xeeb tub. Tej zaum yuav hais kom koj nyob hauv tsev kho mob lossis pw tsaug zog hauv tsev kom pab tiv thaiv kev yug ntxov.

Koj tus kws kho mob yuav teem sijhawm phais plab (C-section) los yug koj tus menyuam, feem ntau yog thaum cev xeeb tub li ntawm 34 thiab 37 lub lis piam. Qhov no yog los tiv thaiv kev los ntshav ntau dhau uas yuav tshwm sim los ntawm kev mob plab lossis kev yug menyuam. Yog tias koj npaj yuav muaj menyuam ntxiv, koj tus kws kho mob yuav sim cawm koj lub tsev menyuam.

Txawm li cas los xij, thaum muaj mob hnyav uas lub tsho me nyuam tob heev, txuas nrog heev, lossis tau cuam tshuam rau lwm yam kabmob, kev phais hysterectomy yog qhov kev xaiv zoo tshaj plaws. Kev phais cesarean hysterectomy yog ib txoj kev phais uas lub tsev menyuam raug tshem tawm tib lub sijhawm thaum tus menyuam yug los ntawm C-section. Hauv txoj kev phais no, tus kws kho mob yuav tshem tus menyuam thiab ob lub tsev menyuam thiab lub tsho me nyuam tib lub sijhawm. Kev tshem lub tsev menyuam thaum lub tsho me nyuam tseem txuas nrog tuaj yeem txo qhov kev pheej hmoo ntawm kev los ntshav ntau dhau.

Muaj ib txhia kws kho mob xaiv tso cov me me ntawm lub tsho me nyuam rau hauv lub tsev menyuam, vim tias lub tsho me nyuam yuav yaj mus raws sijhawm. Txawm li cas los xij, qhov no kuj muaj kev pheej hmoo xws li los ntshav ntau ntawm qhov chaw mos, kev kis kab mob, thiab cov ntshav txhaws. Nws kuj tseem tuaj yeem ua rau nws nyuaj rau cev xeeb tub yav tom ntej.

Thaum koj muaj Placenta Accreta (Placenta Accreta) lawm, koj yuav yug menyuam thaum twg?

Feem ntau cov kws kho mob pom zoo kom phais plab thaum cev xeeb tub thaum muaj hnub nyoog 34 txog 37 lub lis piam , tshwj tsis yog tias muaj lwm yam teeb meem. Qhov no yog los tiv thaiv koj kom tsis txhob mob plab lossis pib yug menyuam, uas tuaj yeem ua rau los ntshav ntau dhau. Koj tus kws kho mob kuj tseem yuav muab tshuaj hu ua corticosteroids rau koj los pab koj tus menyuam lub ntsws loj hlob.

Puas tiv thaiv tau qhov mob Placenta Accreta?

Yeej tsis muaj ib txoj kev twg los tiv thaiv tau qhov mob no (Placenta Accreta) tag nrho.Txawm li cas los xij, yog tias koj tau phais ntau zaus hauv lub sijhawm dhau los, lossis yog tias koj muaj lub placenta previa (placenta previa), koj qhov kev pheej hmoo yuav siab dua. Tham nrog koj tus kws kho mob txog koj keeb kwm kev noj qab haus huv thiab koj qhov kev pheej hmoo rau kev tsim placenta accreta yog dab tsi.

Yav tom ntej rau cov neeg uas muaj (Placenta Accreta) yuav zoo li cas?

Yog tias kuaj pom tias muaj tus kab mob Placenta Accreta thaum ntxov cev xeeb tub, feem ntau yuav muaj qhov tshwm sim zoo. Txawm li cas los xij, nws tuaj yeem ua rau muaj teeb meem xws li yug ntxov thiab tshem tawm tsev menyuam. Yog tias koj tus kws kho mob tshem koj lub tsev menyuam tawm, koj yuav tsis muaj peev xwm xeeb tub dua. Qhov mob no tuaj yeem ua rau los ntshav ntau, ua rau koj txoj hnyuv lossis lub zais zis puas tsuaj, thiab txawm tias tuag. Qhov no yog vim li cas nws thiaj li yog ib qho mob uas xav tau kev saib xyuas ntau.

Puas muaj peev xwm rov muaj menyuam dua tom qab Placenta Accreta?

Qhov no nyob ntawm seb koj puas tau phais tshem koj lub tsev menyuam tawm. Yog tias koj xav muaj menyuam ntxiv yav tom ntej, nrog koj tus kws kho mob tham txog qhov ntawd. Nws yuav zam tau kev phais tshem lub tsev menyuam kom khaws koj txoj kev xeeb tub (muaj peev xwm muaj menyuam).

Muaj pes tsawg feem pua ​​uas yuav muaj sia nyob ntawm Placenta Accreta?

Feem ntau, tus nqi ntawm cov Placenta Accreta yuav muaj sia nyob zoo. Feem ntau, yuav tsum tau phais tshem cov hysterectomy kom tiv thaiv tau kev los ntshav tom qab yug me nyuam lossis lwm yam teeb meem loj.

Kuv yuav tsum hu rau kuv tus kws kho mob thaum twg?

Placenta Accreta yog ib qho mob uas muaj feem yuav mob thaum cev xeeb tub. Koj tus kws kho mob yuav saib xyuas koj zoo thiab qhia rau koj txog koj txoj kev cev xeeb tub, kev yug menyuam, thiab kev rov zoo. Yog tias koj muaj lus nug txog qhov kev kuaj mob no, nug lawv. Lawv yeej npaj siab pab koj.

Yog tias koj cia li pib los ntshav ntau heev (ntau heev ua rau koj ntub daim ntaub so hauv tsawg dua ib teev) lossis yog tias koj mob hnyav hauv koj lub plab qis, hu rau 911 tam sim ntawd lossis mus rau tsev kho mob ze tshaj plaws tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob poj niam thiab kws kho mob poj niam li cas?

Thaum koj paub tias koj muaj Placenta Accreta, nws yog ib qho ib txwm muaj ntau cov lus nug. Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv puas yuav tsum yug menyuam ntxov?
• Yuav kho tus mob no li cas?
• Kuv puas yuav tsum tau pw tsaug zog los yog hloov kuv txoj kev ua neej txhua hnub?
• Kuv yuav paub li cas thaum twg kuv yuav tsum mus rau tsev kho mob?
• Puas ua tau kom yug tau tus me nyuam li qub (los ntawm qhov chaw mos)?
• Kuv puas yuav muaj peev xwm muaj lwm tus menyuam yav tom ntej?
• Kuv puas yuav tsum tau phais tshem lub tsev menyuam?

Puas yuav tsum tau phais tshem lub tsev menyuam vim yog Placenta Accreta?

Tus kws kho mob yuav ua qhov zoo tshaj plaws los cawm koj lub tsev menyuam, tab sis kev pheej hmoo ntawm kev ua li ntawd yuav loj dua.(Placenta Accreta) Muaj ntau tus neeg uas muaj mob hnyav yuav tsum tau muab lub tsev menyuam rho tawm kom tiv thaiv kev los ntshav uas yuav ua rau tuag taus. Tham nrog koj tus kws kho mob seb puas tsim nyog phais hysterectomy rau koj qhov teeb meem.

Peb kawm tau dab tsi los ntawm qhov no? (Cov Lus Coj Mus Tsev)

Kab mob Placenta Accreta yog ib yam mob uas feem ntau tsis ua rau muaj tsos mob thaum cev xeeb tub, tab sis nws tuaj yeem ua rau tuag taus. Txawm li cas los xij, kev kuaj pom thaum ntxov thiab kev saib xyuas zoo nrog kev ntsuas ultrasound tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem. Qee zaum qhov mob tsuas yog pom tom qab tus menyuam yug los. Yog tias koj muaj kab mob Placenta Accreta, nrog koj tus kws kho mob tham txog yam yuav tshwm sim. Nco ntsoov, lawv nyob ntawd kom koj thiab koj tus menyuam muaj kev nyab xeeb thiab noj qab haus huv. Yog li ntawd, tsis txhob ntshai tham nrog lawv txog koj qhov kev txhawj xeeb thiab yam koj xav txog.

` Lub Tsev Me Nyuam, Lub Tsev Me Nyuam, Kev Xeeb Tub, Kev Phais Mob Tom Qab Yug Me Nyuam, Kev Los Ntshav, Lub Tsev Me Nyuam Accreta, Kev Noj Qab Haus Huv Rau Cov Poj Niam, Teeb Meem Ntawm Kev Xeeb Tub