Koj puas muaj feem yuav muaj menyuam ua ntej hnub yug? (Preterm Labor) Cia peb paub txog qhov no!

Yog tias koj tab tom yuav muaj menyuam, tej zaum koj yuav ntshai thiab zoo siab me ntsis niaj hnub no, puas yog? Nws yog ib qho ib txwm muaj los xav tias txhua yam yuav mus zoo thiab tus menyuam puas yuav yug los noj qab nyob zoo. Lub sijhawm no, qee zaum peb hnov, "Auj, tus menyuam nyob ntawm no ua ntej hnub yug!" Yog li hnub no, cia peb tham txog qhov xwm txheej no ntawm kev npaj yug menyuam ua ntej hnub yug , lossis raws li cov kws kho mob hu ua , '(Preterm Labor)' . Cia peb tham ua ke yooj yim txog qhov nws yog dab tsi tiag tiag, vim li cas nws tshwm sim, peb puas tuaj yeem tiv thaiv nws, thiab yuav ua li cas yog tias nws tshwm sim.

Kev Ua Haujlwm Ua Ntej Lub Sijhawm Yog Dab Tsi?

Hais yooj yim xwb, '(Preterm Labor)' txhais tau tias koj lub cev tab tom npaj rau kev yug menyuam ua ntej lub lim tiam 37 ntawm koj cev xeeb tub. Kev cev xeeb tub noj qab nyob zoo feem ntau kav li 40 lub lim tiam. Thaum 37 lub lim tiam tiav, peb hais tias koj "nyob rau lub sijhawm teem tseg". Ua ntej ntawd, uas yog, ua ntej 37 lub lim tiam , yog tias koj pib qhia cov cim qhia tias koj cev xeeb tub, qhov ntawd yog '(Preterm Labor)'.

Kev yug me nyuam yog tus txheej txheem uas koj lub cev npaj rau koj tus menyuam yug los. Qhov no suav nrog kev nruj thiab so cov leeg ntawm koj lub tsev menyuam (kev sib cog lus) thiab kev tawg ntawm koj cov membranes (kev tawg ntawm cov membranes) . Thaum yug me nyuam ua ntej lub sijhawm, qhov qis ntawm koj lub tsev menyuam, hu ua cervix , yuav pib qhib (lossis nthuav dav) ua ntej dua li qub.

Xav txog seb, thaum Nalini yuav yug nws tus menyuam thib ob, nws pib mob plab me ntsis thaum nws muaj 7 lub hlis. Thaum tus kws kho mob kuaj nws, nws pom tias nws lub qhov ncauj tsev menyuam tau nthuav me ntsis. Qhov no zoo li ntawd.

Tiamsis qhov no tsis tau txhais hais tias tus menyuam yuav yug ua ntej lub sijhawm tas li. Qee zaum, cov kws kho mob tuaj yeem tso tseg kev yug menyuam thiab cia tus menyuam loj hlob hauv plab rau ob peb hnub ntxiv. Qhov no tuaj yeem ua tiav los ntawm kev so hauv txaj , cov kua dej hauv cov hlab ntsha (IV kua) , thiab cov tshuaj kom lub tsev menyuam so.

Tsis tas li ntawd xwb, qee zaum, vim yog tej yam mob uas cuam tshuam nrog tus menyuam lossis leej niam, cov kws kho mob txiav txim siab yug tus menyuam ntxov. Piv txwv li, yog tias muaj ntshav siab thaum cev xeeb tub ('Preeclampsia'), ib qho mob xws li placental abruption, lossis yog tias tus menyuam tsis loj hlob zoo ('Fetal growth restriction').

Yug ua ntej lub sijhawm yog dab tsi? ( Yug ua ntej lub sijhawm yog dab tsi?)

Kev yug ntxov, lossis yug ua ntej lub sijhawm, yog thaum tus menyuam yug ua ntej lub lim tiam 37 ntawm kev xeeb tub. Cov menyuam mos uas yug ntxov li no yuav muaj qee yam teeb meem kev noj qab haus huv, xws li ua pa nyuaj thiab hnyav thaum yug los tsawg. Yog vim li ntawd thiaj li muaj kev rau siab kom tus menyuam nyob hauv plab ntev li ntev tau.

Dab tsi ua rau yug menyuam ua ntej lub sijhawm?

Nws nyuaj rau hais meej tias yog dab tsi ua rau yug menyuam ua ntej lub sijhawm. Muaj ntau yam uas tuaj yeem ua rau nws. Qee qhov ntawm lawv muaj feem cuam tshuam nrog koj keeb kwm kev kho mob, kev xeeb tub yav dhau los, thiab koj txoj kev ua neej. Tab sis qhov xav tsis thoob yog tias qee zaum cov neeg uas tsis muaj yam ua rau muaj kev pheej hmoo tuaj yeem muaj tus mob no.

Puas muaj peev xwm nres tau kev yug menyuam ua ntej lub sijhawm?

Qee zaum nws ua tau, tab sis feem ntau nws yog ib ntus xwb . Yog tias koj yug menyuam ua ntej lub sijhawm, koj tus kws kho mob yuav sau ntawv kom tsis txhob lossis ncua sijhawm yug menyuam. Txawm hais tias cov tshuaj no yuav tsis txwv nws tag nrho, lawv tuaj yeem pab koj tus menyuam lub ntsws thiab lwm yam kabmob loj hlob me ntsis yog tias lawv yug ntxov.

Koj puas muaj cov tsos mob no thiab? Ceev faj! (Koj paub li cas yog tias koj yug menyuam ua ntej lub sijhawm?)

Nws yog ib qho tseem ceeb kom paub cov cim qhia tias koj yug menyuam ua ntej lub sijhawm. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, thiab lawv tsis zoo dua hauv ib teev, lossis yog tias qhov mob hnyav thiab kav ntev, hu rau koj tus kws kho mob tam sim ntawd.

• Yog tias lub tsev menyuam cog thiab so plaub zaug lossis ntau dua hauv ib teev (kev cog) , thiab nws tsis txo qis tom qab hloov chaw lossis so.
• Yog tias koj pheej mob koj nraub qaum uas mob thiab mob tas li (txawm tias koj hloov chaw lossis nyob hauv qhov chaw xis nyob los xij).
• Mob plab hauv qab plab, zoo li lub plab puv nrog roj (tej zaum yuav nrog lossis tsis raws plab).
• Yog tias koj hnov ​​​​​​tias muaj kev nyuaj siab ntau dhau hauv koj lub qhov chaw mos lossis lub plab mog.
• Mob plab tas li, zoo li mob thaum muaj hli.
• Yog tias muaj cov kua tawm ntawm qhov chaw mos ntau ntxiv, lossis yog tias muaj cov kua tawm nyias nyias, xim liab.
• Yog tias cov kua dej ntws los ntawm qhov chaw mos, qhov no yuav yog cov kua amniotic .
• Yog tias muaj ntshav tawm ntawm qhov chaw mos.
• Cov tsos mob zoo li kub taub hau, txhais tau tias muaj tej yam xws li xeev siab thiab ntuav.
• Txo kev txav ntawm tus menyuam (yog tias tus menyuam tsis txav tsawg kawg yog rau zaug hauv ib teev).

Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob no lossis tsis paub meej. Tsis txhob txiav txim siab ib leeg xwb!

Kuv yuav kuaj xyuas seb puas muaj kev sib cog lus li cas?

Qee zaum koj yuav tsis hnov ​​​​​​qhov mob plab tiag tiag, tab sis yog qhov mob plab cuav, hu ua Braxton Hicks contractions , uas yog ib txoj hauv kev rau koj lub cev kom siv rau kev yug menyuam. Cov mob plab tiag tiag los ze dua thiab mob dua. Lawv tsis nres txawm tias koj so lossis hloov chaw. Yog tias koj tsis paub tseeb tias qhov koj hnov ​​​​​​yog mob plab tiag tiag lossis tsis yog, nco ntsoov tham nrog koj tus kws kho mob.

Cov yam ua rau muaj menyuam ntxov yog dab tsi? (Dab tsi ua rau yug menyuam ntxov?)

Muaj ntau yam ua rau menyuam yug ntxov. Qee yam peb tswj tau, thiab qee yam peb tswj tsis tau.

Peb yam tseem ceeb uas ua rau muaj kev pheej hmoo loj tshaj plaws:

• Yog tias koj tau yug menyuam ua ntej lub sijhawm .
• Yog tias koj cev xeeb tub nrog menyuam ntxaib, menyuam peb lossis ntau dua .
• Yog tias koj muaj, lossis tau muaj , teeb meem nrog koj lub tsev menyuam, lub qhov ncauj tsev menyuam, lossis qhov chaw mos .

Tej yam uas ua rau cev xeeb tub muaj feem cuam tshuam nrog kev pheej hmoo:

• Yog tias muaj ntshav tawm ntawm qhov chaw mos thoob plaws lub sijhawm cev xeeb tub.
• Yog tias koj cev xeeb tub los ntawm txoj kev xws li "(IVF)" (in vitro fertilization) .
• Yog tias muaj kev xav tias tus menyuam hauv plab muaj kev tsis taus txij li thaum yug los .
• Yog tias lub sijhawm ntawm ib qho kev xeeb tub thiab qhov tom ntej luv luv (piv txwv li, xeeb tub dua hauv tsawg dua 12-18 lub hlis).

Tej yam uas ua rau muaj kev pheej hmoo ntawm hnub nyoog thiab haiv neeg:

• Yog koj hnub nyoog qis dua 17 xyoo lossis hnub nyoog tshaj 35 xyoo .
• Qee qhov kev tshawb fawb qhia tau hais tias tus mob no feem ntau tshwm sim ntawm qee pawg neeg (qhov no tsuas yog kev soj ntsuam los ntawm kev tshawb fawb xwb, tsis yog txhua tus neeg feem ntau pom).

Tej yam uas ua rau muaj kev pheej hmoo ntawm txoj kev ua neej:

• Tsis muaj kev saib xyuas ua ntej yug menyuam .
• Poob phaus los yog nce ua ntej cev xeeb tub.
• Tsis nce phaus txaus thaum cev xeeb tub.
• Ua raws li kev noj zaub mov tsis zoo .
• Haus luam yeeb, haus cawv, lossis siv cov tshuaj yeeb tsis raug cai .
• Ua ib txoj haujlwm uas siv zog ntau (sawv ntau teev hauv ib hnub, lossis ua haujlwm ntau teev).
• Muaj kev ntxhov siab lossis kev ntxhov siab heev .
• Kev raug rau tej yam uas ua rau tus menyuam tsis zoo (teratogens), xws li cov tshuaj lom, txhuas, thiab hluav taws xob .

Tej yam uas yuav ua rau muaj kev pheej hmoo vim yog kev kho mob:

• Cov kab mob hauv qhov chaw mos uas tsis tau kho (piv txwv li, cov kab mob hauv txoj hlab zis (UTIs), cov kab mob sib kis los ntawm kev sib deev (STIs), lossis lwm yam kab mob hauv tsev menyuam lossis qhov chaw mos).
• Cov mob xws li cov kab mob ntawm cov nqaij sib txuas, piv txwv li Ehlers-Danlos syndrome (EDS) .
• Cov teeb meem ntawm cov placental, xws li placental abruption lossis placenta previa .
• Cov kua dej amniotic ("Polyhydramnios") los yog cov kua dej amniotic ("Oligohydramnios") .
• Lub ncauj tsev menyuam luv los yog lub tsev menyuam tsis zoo (piv txwv li, septate uterus lossis bicornuate uterus).
• Tau phais mob rau ntawm lub ncauj tsev menyuam lossis lub tsev menyuam yav dhau los.
• Koj muaj tej yam mob xws li ntshav qab zib mellitus, ntshav siab, lossis cov teeb meem ntshav txhaws .
• Muaj ib qho mob hu ua "Intrahepatic cholestasis of pregnancy (ICP)", ib qho kab mob siab uas tshwm sim thaum cev xeeb tub.

Tus kws kho mob kuaj qhov no li cas? (Yuav kuaj mob menyuam yug ua ntej lub sijhawm li cas?)

Koj tus kws kho mob yuav kuaj xyuas koj lub qhov ncauj tsev menyuam kom pom tias koj puas yug ntxov ntxov. Yog tias koj lub qhov ncauj tsev menyuam raug tshem tawm thiab nthuav dav, koj yuav yug ntxov ntxov. Ntxiv rau qhov kev kuaj mob sab hauv no, koj tus kws kho mob kuj tseem yuav:

• Kev kuaj mob ultrasound: Qhov no tuaj yeem kuaj xyuas qhov loj ntawm tus menyuam, nws qhov chaw nyob hauv plab, thiab seb puas muaj teeb meem nrog lub placenta lossis amniotic kua.
• Saib xyuas kev mob plab: Tej zaum koj yuav txuas nrog lub tshuab uas ntsuas tus qauv ntawm koj cov kev mob plab.
• Kev kuaj mob fibronectin hauv plab: Yuav muab ib qho qauv ntawm koj cov kua dej hauv qhov chaw mos coj mus kuaj seb puas muaj cov protein hu ua fetal fibronectin. Qhov no yog cov protein uas pab lub hnab amniotic lo rau hauv lub tsev menyuam. Nws muaj nyob rau hauv cov kua dej hauv qhov chaw mos txhais tau tias tej zaum yuav pib yug menyuam lawm.

Cov kws kho mob ua dab tsi rau qhov no? / Cov kev kho mob yog dab tsi? (Cov kws kho mob tswj kev yug menyuam ua ntej lub sijhawm li cas?)

Yog tias koj yug menyuam ua ntej lub sijhawm, tej zaum koj yuav xav tau tshuaj los pab kom qeeb lossis tiv thaiv qhov mob plab. Yog tias qhov mob plab ntev dhau lawm thiab tsis tuaj yeem tiv thaiv tau, koj tus kws kho mob yuav tsum yug koj tus menyuam ua ntej lub sijhawm. Kuj tseem muaj cov tshuaj uas tuaj yeem pab koj tus menyuam lub ntsws thiab lwm yam kabmob loj hlob yog tias lawv yug ua ntej lub sijhawm. Koj tus kws kho mob yuav xav txog cov hauv qab no:

• Koj cev xeeb tub tau pes tsawg lub lis piam ?
• Puas muaj kev nyab xeeb rau ib tug me nyuam yug los ?
• Ua cas koj thiaj li poob cev xeeb tub ntxov (piv txwv li, muaj mob, teeb meem ntawm lub plab, lossis muaj kev kis kab mob).

Cov tshuaj twg siv rau kev yug menyuam ua ntej lub sijhawm?

Lub hom phiaj tseem ceeb ntawm cov tshuaj yog kom tiv thaiv kev loj hlob ntawm kev yug menyuam thiab cia tus menyuam loj hlob hauv plab kom ntev li ntev tau. Cov tshuaj tseem ceeb uas siv rau '(Preterm Labor)' yog:

• Cov tshuaj Tocolytics: Cov tshuaj no tuaj yeem tiv thaiv kev yug menyuam mus txog 48 teev thiab ncua kev yug ntxov. Tom qab kev yug menyuam qeeb, koj tus kws kho mob yuav muab magnesium sulfate lossis corticosteroids rau koj. Koj kuj tseem yuav raug xa mus rau tsev kho mob uas muaj Chav Saib Xyuas Menyuam Mos (NICU) thaum lub sijhawm no.
• Magnesium sulfate: Qhov no yog ib yam tshuaj uas muab rau hauv cov hlab ntsha. Nws pab txo qhov kev pheej hmoo ntawm kev mob hlwb thiab kev txav mus los tsis zoo hauv tus menyuam. Nws yog muab rau yog tias koj cev xeeb tub tsawg dua 32 lub lis piam thiab muaj kev pheej hmoo ntawm kev yug menyuam hauv 24 teev tom ntej.
• Corticosteroids: Cov tshuaj steroids no pab tus menyuam lub ntsws, lub plab zom mov, thiab lub hlwb loj hlob ua ntej yug los. Feem ntau lawv muab rau thaum cev xeeb tub li ntawm 24 thiab 34 lub lis piam.

Yog tias koj tau yug menyuam ua ntej lub sijhawm dhau los, koj tus kws kho mob yug menyuam yuav pom zoo kom siv tshuaj los tiv thaiv kev yug menyuam ua ntej lub sijhawm. Feem ntau yog progesterone . Qhov no suav nrog kev ntxig cov tshuaj progesterone suppository (zoo li tshuaj ntsiav) rau hauv qhov chaw mos. Qee zaum, koj tus kws kho mob kuj tseem yuav pom zoo kom ua ib txoj kev kho mob hu ua cerclage. Qhov no suav nrog kev xaws lub qhov ncauj tsev menyuam kom kaw kom tiv thaiv nws kom tsis txhob qhib.

Peb ua tau dab tsi los tiv thaiv kom tsis txhob yug menyuam ntxov? (Kuv yuav ua li cas thiaj tiv thaiv kom tsis txhob yug menyuam ntxov?)

Txawm hais tias nws nyuaj rau tiv thaiv kom tsis txhob muaj menyuam yug ua ntej lub sijhawm, muaj ob peb yam uas peb ua tau los txo qhov kev pheej hmoo ntawm kev yug ua ntej lub sijhawm:

• Tsis txhob haus luam yeeb, haus cawv, siv tshuaj yeeb tsis raws cai, lossis siv tshuaj tsis raug.
• Ua ntej koj cev xeeb tub, ua kom koj lub cev hnyav txaus , thiab nce qhov hnyav kom txaus thaum cev xeeb tub.
• Noj cov khoom noj khoom haus zoo thiab noj cov vitamins ua ntej yug menyuam uas koj tus kws kho mob pom zoo.
• Nrhiav txoj hauv kev los txo lossis tswj koj txoj kev ntxhov siab. Ua kom koj lub cev nquag, mus taug kev, nyeem ntawv, thiab siv sijhawm so kom txaus txhua hnub.
• Mus koom txhua lub tsev kho mob ua ntej yug menyuam. Mus ntsib kws kho hniav thiab ntxuav koj cov hniav. Muaj kev sib txuas ntawm kev noj qab haus huv ntawm koj cov pos hniav thiab '(Preterm Labor)'.
• Tau txais kev kho mob lossis tswj hwm txhua yam mob uas koj muaj, xws li ntshav siab (hypertension), ntshav qab zib thaum cev xeeb tub (gestational diabetes), kev nyuaj siab, lossis kev kis kab mob hauv qhov chaw mos.
• Khaws qhov sib nrug tsawg kawg yog 12 txog 18 lub hlis ntawm kev xeeb tub.

Thaum twg koj yuav tsum mus ntsib kws kho mob? (Thaum twg koj yuav tsum tiv tauj koj tus kws kho mob txog kev yug menyuam ua ntej lub sijhawm?)

Yog tias koj muaj ib qho ntawm cov cim qhia ntawm kev yug menyuam ua ntej lub sijhawm, qhia rau koj tus kws kho mob tam sim ntawd:

• Cov kua tawm ntawm qhov chaw mos txawv txawv (kua dej xau) lossis los ntshav.
• Xeev siab los yog mob plab (nrog los yog tsis muaj raws plab).
• Mob nraub qaum qis tas li.
• Kev xav tias muaj kev nyuaj siab hauv lub plab mog lossis lub plab.
• "Koj cov dej ntws."

Cov Lus Xaus Kawg coj mus tsev

Kev yug menyuam ua ntej lub sijhawm, lossis kev yug menyuam ua ntej lub sijhawm, tuaj yeem ua rau koj tus menyuam yug ua ntej lub sijhawm. Yog li ntawd, yog tias koj muaj cov tsos mob xws li mob plab, muaj cov kua tawm ntawm qhov chaw mos ntau ntxiv, los ntshav, lossis mob plab mog, hu rau koj tus kws kho mob tam sim ntawd. Hmoov zoo, muaj tej yam uas koj tus kws kho mob tuaj yeem ua los pab tswj koj qhov mob plab. Lub sijhawm ntev dua uas koj tus menyuam nyob hauv koj lub tsev menyuam, qhov uas nws yuav muaj teeb meem kev noj qab haus huv tsawg dua. Yog tias koj tab tom yug menyuam ntxaib lossis tau yug menyuam ua ntej lub sijhawm lossis yug ua ntej lub sijhawm dhau los, koj yuav muaj kev pheej hmoo siab dua me ntsis.

Txoj kev zoo tshaj plaws los tiv thaiv kev yug menyuam ua ntej lub sijhawm yog kom noj qab haus huv thoob plaws koj cev xeeb tub thiab tswj koj cov mob kom zoo. Ib txwm nrog koj tus kws kho mob tham thiab ua raws li lawv cov lus qhia. Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub!

yug menyuam ua ntej lub sijhawm, yug ntxov, cev xeeb tub, kev yug menyuam, menyuam mos, kev noj qab haus huv, kev yug menyuam