Tej zaum koj twb yug me nyuam lawm, los yog koj twb rho menyuam lawm. Txawm li cas los xij, nws yuav siv sijhawm me ntsis rau koj lub cev kom rov zoo tom qab qhov xwm txheej ntawd. Nws yog ib qho ib txwm muaj los ntshav thaum lub sijhawm no. Txawm li cas los xij, qee zaum qhov mob no tuaj yeem dhau qhov ntau thiab tsawg ib txwm muaj. Ib qho laj thawj rau qhov ntawd yog qhov mob uas peb tab tom tham txog hnub no.
Qhov no txhais li cas rau cov khoom seem ntawm lub tsev menyuam uas khaws cia (RPOC)?
Hais yooj yim xwb, Cov Khoom Khaws Cia ntawm Kev Xeeb Tub (RPOC) yog thaum cov nqaij ntawm tus menyuam hauv plab lossis lub placenta tseem nyob hauv koj lub tsev menyuam tom qab kev xeeb tub tas. Muaj ntau txoj hauv kev uas qhov no tuaj yeem tshwm sim:
- Tom qab yug me nyuam li qub
- Tom qab phais cesarean (C-section)
- Tom qab rho menyuam
- Tom qab rho menyuam
Feem ntau ntawm cov uas tseem tshuav yog ib feem ntawm lub placenta, tab sis qee zaum qee qhov ntawm tus menyuam hauv plab kuj tseem yuav tseem nyob.
Qhov tseem ceeb yog qhov no tsis yog ib qho mob uas cuam tshuam rau ntau tus poj niam. Yog li ntawd, tsis txhob ntshai tsis tas yuav nyeem txog qhov no. Qhov tseem ceeb tshaj plaws yog kom paub txog.
Koj paub li cas yog tias koj muaj tus mob no?
Koj lub cev muaj ntau yam kev hloov pauv tom qab cev xeeb tub. Qee qhov kev los ntshav thiab cov kua tawm ntawm qhov chaw mos yog qhov ib txwm muaj. Txawm li cas los xij, yog tias koj muaj kev los ntshav ntau lossis cov ntshav txhaws loj, nws yuav yog ib qho cim qhia tias koj yuav tsum nrhiav kev kho mob.
Cov tsos mob tseem ceeb thiab feem ntau ntawm RPOC yog los ntshav ntau lossis tsis tu ncua . Tsis tas li ntawd, cov tsos mob no kuj tseem yuav tshwm sim.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Ua npaws | Nws yuav yog ib qho cim qhia txog kev kis kab mob hauv lub cev. |
| Mob plab qis | Mob plab yog qhov mob lossis tsis xis nyob hauv lub plab mog. |
| Qhov mob thiab qhov loj ntawm lub tsev menyuam | Thaum kws kho mob kuaj xyuas, lub tsev menyuam yuav loj dua li qub thiab yuav mob thaum kov. |
| Lub voj voog tsis rov qab los | Yog koj tsis pub koj tus menyuam noj mis niam, koj lub hlis yuav tsum rov pib dua. Yog tias nws tsis rov pib dua, koj yuav tsum tau ua tib zoo saib xyuas nws. |
Vim li cas qhov no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Nws nyuaj rau qhia meej tias vim li cas cov nqaij ntawm lub tsev menyuam tseem nyob tom qab cev xeeb tub. Txawm li cas los xij, qee yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntawm tus mob no.
- Yog tias koj tau muaj tus mob no ua ntej: Yog tias koj tau muaj RPOC hauv kev yug menyuam yav dhau los, koj yuav muaj nws dua.
- Teeb Meem ntawm Placental: Hauv ib qho mob hu ua "Placenta Accreta", qhov twg lub placenta txuas tob rau ntawm phab ntsa ntawm lub tsev menyuam, lub placenta yuav tsis sib cais tag nrho thiab tawm los.
- Hnub nyoog: Qhov kev pheej hmoo siab dua me ntsis yog tias koj muaj hnub nyoog tshaj 35 xyoo thaum lub sijhawm cev xeeb tub.
- Kev yug me nyuam siv cov cuab yeej: Qhov kev pheej hmoo no yuav nce ntxiv thaum yug me nyuam siv cov cuab yeej xws li "Forceps" lossis "Nqus Tsev".
- Kev rho menyuam hauv peb lub hlis thib ob: Yog tias kev yug menyuam, kev rho menyuam, lossis kev tso tseg cev xeeb tub tshwm sim ntawm 13 thiab 26 lub lis piam ntawm kev cev xeeb tub.
- Kev phais mob yav dhau los: Yog tias koj tau phais C-section lossis dilation thiab curettage (D&C) yav dhau los, qhov caws pliav hauv lub tsev menyuam yuav ua rau muaj teeb meem nrog placental abruption.
- Kev txawv txav ntawm lub tsev menyuam: Tej zaum ib txhia poj niam yuav yug los muaj lub tsev menyuam txawv. Hauv cov xwm txheej zoo li no, qhov kev pheej hmoo no kuj muaj.
Yog tias cov khoom no tsis raug tshem tawm, yuav ua li cas?
Yog tias tseem tshuav cov seem ntawm lub tsev menyuam, nws tuaj yeem ua rau muaj ntau yam teeb meem, qee qhov yuav loj heev.
- Kev Ntshav Tsis Txaus (Anemia): Kev los ntshav ntau dhau tuaj yeem ua rau cov ntshav hauv lub cev tsawg zuj zus, ua rau qaug zog thiab tsaus muag.
- Kev kis kab mob: Kev kis kab mob tuaj yeem tshwm sim vim yog cov seem ntawm lub tsev menyuam. Yog tias cov kab mob no tsis raug kho kom zoo, lawv tuaj yeem ua rau lub cev xeeb tub puas tsuaj thiab tuaj yeem tsim mus rau hauv qhov xwm txheej txaus ntshai hu ua 'sepsis' .
- Mob plab qis tas li: Tej zaum yuav mob plab qis tas li.
- Asherman's syndrome:Qhov no yog ib qho mob tsis tshua muaj. Nws cuam tshuam nrog kev tsim cov nqaij caws pliav (cov nplaum) hauv lub tsev menyuam. Qhov no tuaj yeem ua rau muaj teeb meem nrog kev xeeb tub yav tom ntej thiab kev coj khaub ncaws tsis xwm yeem.
Cov kws kho mob kuaj mob li cas?
Tsuas yog saib cov tsos mob xwb ces nyuaj rau paub seb koj puas muaj RPOC. Cov tsos mob no zoo ib yam li lwm yam mob uas tshwm sim tom qab yug menyuam. Yog li koj tus kws kho mob yuav kuaj ob peb zaug kom paub meej tias yog mob dab tsi.
| Hom kev xeem | Muaj dab tsi tshwm sim? |
|---|---|
| Kev kuaj ntshav thiab cov nqaij |
|
| Cov kev luam theej |
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Cov kev kho mob rau qhov no yog dab tsi?
Yog tias RPOC raug lees paub, kev kho mob yuav ua kom tshem tawm cov seem seem. Muaj ob txoj kev kho mob tseem ceeb.
1. Cov Tshuaj: Misoprostol yog ib yam tshuaj uas noj los yog muab tso rau hauv qhov chaw mos. Cov tshuaj no ua haujlwm los ntawm kev ua rau lub tsev menyuam cog thiab tso cov ntaub so ntswg sab hauv tawm.
2. D&C (Dilation thiab Curettage): Qhov no yog ib qho kev phais me me. Hauv qhov no, lub qhov ncauj tsev menyuam raug qhib thiab siv ib lub cuab yeej tshwj xeeb los khawb tawm tag nrho cov ntaub so ntswg hauv lub tsev menyuam.
Ob txoj kev kho mob no puav leej zoo. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj, suav nrog koj tus mob thiab qhov loj ntawm cov nqaij uas tseem tshuav.
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 xwb. Muaj tej yam me me uas yuav los ntshav ntau los yog kis kab mob. Muaj tej yam tsis tshua muaj uas yuav ua rau lub tsev menyuam tawg thaum lub sij hawm D&C. Txawm li cas los xij, feem ntau qhov no yuav ploj mus.
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab yug menyuam, rho menyuam, lossis tso tseg cev xeeb tub, mus rau chav kho mob ceev (ETU) tam sim ntawd lossis mus ntsib koj tus kws kho mob.
- Ua pa nyuaj
- Los ntshav ntau heev (ntub ntau tshaj ib daim ntaub so huv ib teev)
- Kub taub hau heev
- Xeev siab thiab ntuav
- Mob plab qis heev uas tsis tuaj yeem ris tau
Tom qab koj muaj menyuam lossis koj rho menyuam, koj yuav tsum tau so thiab kho koj lub cev thiab lub hlwb. Nws yog ib qho ib txwm uas koj yuav tu siab thiab poob siab thaum lawv hais rau koj tias koj yuav tsum tau kho lwm yam mob. Tab sis nco ntsoov tias, yog koj tsis kho qhov mob no ces yuav ua rau koj muaj teeb meem mus sij hawm ntev. Yog li ntawd, tsis txhob ntshai tham nrog koj tus kws kho mob. Kev tham qhib siab txog koj tej kev xav thiab kev txhawj xeeb yuav pab kom koj zoo siab dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tej zaum yuav muaj cov nqaij mos hauv tsev menyuam (RPOC) tom qab cev xeeb tub tas, tab sis nws tsis tshua muaj.
- Cov tsos mob tseem ceeb yog los ntshav ntau thiab tsis tu ncua tom qab yug menyuam/rho menyuam. Lwm cov tsos mob suav nrog kub taub hau thiab mob plab qis.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab qhia rau koj tus kws kho mob tam sim ntawd .
- Tus mob no kho tau zoo los ntawm kev siv tshuaj lossis phais me me hu ua D&C.
- Tom qab tau txais kev kho mob kom zoo, feem ntau cov poj niam tuaj yeem cev xeeb tub dua yav tom ntej yam tsis muaj teeb meem thiab yug tau cov menyuam noj qab haus huv.
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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