Los ntshav ntau tom qab muaj menyuam? Cia peb kawm txog cov khoom uas tseem tshuav ntawm kev xeeb tub

Koj puas nyuam qhuav muaj menyuam? Los yog koj puas tau dhau los ntawm kev raug mob xws li kev rho menyuam? Tom qab muaj qhov xwm txheej zoo li no, lub cev yuav siv sijhawm me ntsis los kho. Yog li, nws yog ib txwm muaj qee qhov kev los ntshav ntawm qhov chaw mos thiab mob me ntsis rau ob peb hnub. Txawm li cas los xij, yog tias qhov kev los ntshav no hnyav dua li qub, yog tias koj tau tso cov ntshav loj, lossis yog tias tsis muaj kev txhim kho tom qab ob peb hnub, nws tsis yog lub tswv yim zoo kom tso tseg. Nws yuav yog vim muaj ib qho mob hu ua "cov ntaub so ntswg ntawm lub tsev menyuam khaws cia," uas peb tab tom tham txog hnub no.

Hais yooj yim xwb, qhov chaw khaws cia ntawm lub tsev menyuam (RPOC) yog dab tsi?

Qhov no yuav zoo li nyuaj me ntsis thaum koj hnov ​​lub npe, tab sis nws yooj yim heev. Tom qab lub sijhawm cev xeeb tub xaus, uas yog, tom qab tus menyuam yug los, tom qab rho menyuam, lossis tom qab rho menyuam, muaj cov nqaij mos uas tseem tshuav hauv lub tsev menyuam uas cuam tshuam nrog lub sijhawm cev xeeb tub ntawd, uas yog qhov peb hu ua '(Cov Khoom Khaws Cia ntawm Kev Xeeb Tub - RPOC)'. Xav txog nws, thaum cev xeeb tub, lwm yam tseem ceeb hu ua placenta tsim nyob rau hauv lub tsev menyuam nrog rau tus menyuam, puas yog? Tus menyuam tau txais cov khoom noj khoom haus thiab cov pa oxygen uas nws xav tau los ntawm placenta no. Tom qab tus menyuam yug los, placenta no yuav tsum tawm hauv lub tsev menyuam tag nrho thiab tawm los. Tab sis qee zaum, cov khoom me me ntawm placenta no, cov nqaij mos ntawm lub embryo lossis fetus, lossis lwm cov nqaij mos uas cuam tshuam nrog lub sijhawm cev xeeb tub yuav tsis raug tshem tawm tag nrho thiab tseem nyob hauv lub tsev menyuam. Yog vim li cas peb thiaj hu qhov mob no.

Yog li qhov no puas zoo ib yam li "Retained Placenta"?

Tsis yog, lawv txawv me ntsis. Peb hu ua "Retained Placenta" thaum tag nrho cov placenta tsis tawm hauv lub tsev menyuam hauv 30-60 feeb tom qab yug menyuam. Hauv qhov xwm txheej ntawd, peb tab tom tham txog tag nrho cov placenta . Tab sis '(RPOC)' yog ib qho mob dav dua me ntsis. Ntawm no, nws tsis yog tag nrho cov placenta, tab sis ib daim me me ntawm cov placenta, ib daim ntawm cov nqaij ntawm tus menyuam hauv plab, lossis lwm yam uas yuav nyob hauv lub tsev menyuam. Hais yooj yim, '(Retained Placenta)' tuaj yeem suav hais tias yog ib hom '(RPOC)'.

Cov tsos mob ntawm tus mob no yog dab tsi? Koj paub nws li cas?

Vim tias koj lub cev muaj ntau yam kev hloov pauv tom qab koj muaj menyuam, qee zaum nws yooj yim yuam kev cov tsos mob no rau qee yam zoo li qub. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no. Cov tsos mob tseem ceeb thiab feem ntau yog los ntshav tsis zoo lossis ntau dhau ntawm qhov chaw mos. Cia peb piav qhia ntxiv txog qhov no:

• Los ntshav ntau : Yog tias koj los ntshav txaus kom ntub tag, muab ib daim ntaub so tes txhua ob teev.
• Tso cov ntshav txhaws loj: Yog tias koj tso cov ntshav txhaws uas loj dua li qub.
• Kev los ntshav tsis tu ncua: Yog tias kev los ntshav tsis tu ncua rau ob peb hnub thiab tom qab ntawd rov qab los ntshav ntau dua.
• Cov kua tawm uas muaj ntxhiab tsw phem: Yog tias cov kua tawm ntawm qhov chaw mos muaj ntxhiab tsw phem, nws yuav yog ib qho cim ntawm kev kis kab mob.

Ntxiv rau qhov tsos mob tseem ceeb no, kuj tseem muaj ntau lwm yam tsos mob ntxiv.

Vim li cas qhov no thiaj tshwm sim? Puas muaj ib qho laj thawj tshwj xeeb rau qhov no?

Feem ntau nws nyuaj rau txheeb xyuas ib qho ua rau muaj mob no. Txawm li cas los xij, cov kws kho mob tau txheeb xyuas ntau yam uas ua rau muaj kev pheej hmoo ntawm kev mob no. Qhov tseem ceeb tshaj plaws yog tias koj tau muaj mob no (RPOC) thaum cev xeeb tub yav dhau los,Qhov kev pheej hmoo ntawm qhov no rov tshwm sim dua hauv kev cev xeeb tub tom ntej kuj siab heev. Tsis tas li ntawd, cov xwm txheej hauv qab no kuj tseem yuav ua rau muaj kev pheej hmoo ntxiv.

Yog tias tsis tshem cov khoom no tawm, yuav muaj teeb meem loj npaum li cas?

Yog. Yog tias qhov mob no tsis kho, qee zaum nws tuaj yeem ua rau muaj teeb meem loj heev. Yog vim li ntawd peb thiaj hais kom paub txog cov tsos mob no.

• Kev Ntshav Tsis Txaus (Anemia) : Kev los ntshav ntau dhau tuaj yeem ua rau cov ntshav hauv lub cev tsawg zuj zus, ua rau muaj cov tsos mob xws li qaug zog thiab kiv taub hau .
• Kev kis kab mob: Cov nqaij mos uas tseem tshuav nyob hauv lub tsev menyuam yog qhov chaw zoo tshaj plaws rau cov kab mob loj hlob . Kev kis kab mob no tuaj yeem kis mus rau cov raj fallopian thiab zes qe menyuam , cuam tshuam rau koj lub peev xwm muaj menyuam yav tom ntej. Qee zaum, kev kis kab mob no tuaj yeem kis mus thoob plaws lub cev thiab ua rau muaj mob hnyav xws li sepsis .
• Mob Pelvic Mus Ntev: Tej zaum koj yuav mob plab qis mus ntev.
• Asherman's Syndrome: Qhov no yog ib qho mob tsis tshua muaj. Kev kis kab mob lossis kev kho mob hauv lub tsev menyuam (tshwj xeeb tshaj yog D&C) tuaj yeem ua rau cov phab ntsa ntawm lub tsev menyuam lo ua ke. Qhov no tuaj yeem ua rau muaj hnub nyoog tsis xwm yeem, poob qis, thiab nyuaj rau xeeb tub yav tom ntej.

Cov kws kho mob kuaj mob li cas?

Nws nyuaj rau kom paub tseeb 100% tias koj muaj tus mob no raws li cov tsos mob xwb. Cov tsos mob no kuj tuaj yeem pom hauv lwm yam mob. Yog li ntawd, koj tus kws kho mob yuav ua ntau qhov kev kuaj mob kom paub meej qhov no.

Cov kev kho mob rau qhov no yog dab tsi?

Yog tias qhov mob no tau lees paub lawm, cov seem seem yuav tsum tau muab tshem tawm. Muaj ob txoj kev kho mob tseem ceeb rau qhov no. Koj tus kws kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws rau koj raws li koj tus mob, qhov hnyav ntawm koj cov tsos mob, thiab qhov ntau ntawm cov nqaij uas tseem tshuav. 1. Kev Tswj Xyuas Kev Kho Mob:

• Misoprostol: Qhov no yog ib yam tshuaj uas noj ua tshuaj ntsiav lossis muab tso rau hauv qhov chaw mos. Nws ua rau lub tsev menyuam nqaim (nthuav dav). Thaum lub tsev menyuam nqaim, nws thawb cov khoom seem tawm.

2. Kev Tswj Xyuas Kev Phais Mob:

• Kev nthuav dav thiab kev txiav (D&C): Qhov no yog kev phais me me. Hauv Sinhala, peb kuj hu nws tias "ntxuav lub tsev menyuam." Ntawm no, lub qhov ncauj tsev menyuam raug qhib me ntsis, ib lub cuab yeej tshwj xeeb (feem ntau yog lub raj nqus) raug ntxig, thiab txhua yam khib nyiab uas tseem nyob rau ntawm phab ntsa ntawm lub tsev menyuam raug ntxuav thiab tshem tawm. Qhov no feem ntau ua tiav hauv qab tshuaj loog.

Puas muaj kev pheej hmoo nrog cov kev kho mob no?

Ib yam li lwm yam kev kho mob, muaj tej yam txaus ntshai me me nrog cov kev kho mob no. Tej yam xws li los ntshav ntau thiab kev kis kab mob tuaj yeem tshwm sim nrog ob qho tib si, tab sis qhov tshwm sim tsawg heev. D&C tsis tshua muaj.Qhov mob uterine perforation tuaj yeem tshwm sim, tab sis feem ntau nws kho tau nws tus kheej.

Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob txog cov kev kho mob no thiab lawv cov txiaj ntsig thiab qhov tsis zoo. Ces koj thiaj li txiav txim siab tau zoo.

Muaj xwm txheej ceev twg uas yuav tsum tau mus ntsib kws kho mob?

Tom qab koj cev xeeb tub tas, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) tam sim ntawd lossis qhia rau koj tus kws kho mob.

• Ua pa nyuaj
• Los ntshav ntawm qhov chaw mos hnyav heev (ntub ntau dua ib daim ntaub qhwv ib teev)
• Kub taub hau heev
• Xeev siab thiab ntuav
• Mob plab qis heev thiab tsis tuaj yeem nyiaj tau

Thaum muaj xwm txheej zoo li no, tsis txhob tos hauv tsev. Qhov zoo tshaj plaws uas yuav tsum ua yog nrhiav kev pab kho mob tam sim ntawd. Kuv paub tias kev ntsib qhov xwm txheej zoo li no tuaj yeem nyuaj heev, txawm tias lub siab. Thaum koj xav tau kev xyiv fab ntawm kev muaj menyuam, lossis thaum koj tab tom sim tshem tawm qhov mob ntawm kev rho menyuam, nws yog ib qho ib txwm muaj kev xav tias muaj lub nra hnyav thaum koj raug qhia tias koj yuav tsum tau kho lwm yam. Tab sis nco ntsoov, qhov no yog ib qho mob uas tuaj yeem kho tau tag nrho nrog kev kho mob. Ntau tus poj niam muaj peev xwm xeeb tub dua yam tsis muaj teeb meem tom qab kev kho mob no thiab muaj menyuam noj qab haus huv. Tham nrog koj tus kws kho mob, koj tus txiv, thiab koj tsev neeg txog koj cov lus nug, kev ntshai, thiab kev xav. Nws yuav yog kev pab zoo rau koj.

Cov Lus Qhia Txog Kev Coj Mus Tsev

• Qhov muaj cov seem ntawm cov ntaub so ntswg hauv tsev menyuam tom qab kawg ntawm kev xeeb tub (yug menyuam, rho menyuam) hu ua cov ntaub so ntswg hauv tsev menyuam seem (RPOC) .
• Cov tsos mob tseem ceeb yog los ntshav ntau, kub taub hau, thiab mob plab qis .
• Yog tias qhov ntshav tsis maj mam txo qis tom qab yug menyuam lossis rho menyuam, tab sis nce ntxiv lossis rov qab los dua, mus ntsib kws kho mob tam sim ntawd.
• Yog tias tsis kho tus mob no, nws tuaj yeem ua rau muaj ntshav tsis txaus thiab muaj kab mob loj heev.
• Qhov no tuaj yeem kuaj pom los ntawm kev siv ultrasound scans thiab kev kuaj ntshav, thiab tuaj yeem kho tau tag nrho nrog tshuaj lossis phais me me (D&C).
• Tom qab tau txais kev kho mob kom zoo, feem ntau tsis muaj kev cuam tshuam rau kev xeeb tub kom noj qab nyob zoo yav tom ntej.

cov khoom khaws cia ntawm kev xeeb tub sinhala, cov khoom khaws cia ntawm lub tsev menyuam, los ntshav tom qab yug menyuam, los ntshav tom qab rho menyuam, RPOC sinhala, D&C sinhala, ntxuav lub tsev menyuam