Thaum koj los ua ib leej niam cev xeeb tub, qhov kev ntshai thiab kev ntxhov siab uas koj hnov thaum koj pom txawm tias me ntsis los ntshav kuj yog qhov tsis muaj peev xwm piav qhia tau. Lo lus nug thawj zaug uas los rau hauv siab yog, 'Ua li cas rau kuv tus menyuam?'. Feem ntau, peb xav tias nws yog ib qho cim ntawm kev poob cev xeeb tub. Tab sis thaum cev xeeb tub, tshwj xeeb tshaj yog thaum lub hlis pib, kev los ntshav tsis yog tib qho ua rau poob cev xeeb tub. Hnub no, peb yuav tham txog ib qho mob uas feem ntau, tab sis tsis paub meej rau ntau tus. Ntawd yog Subchorionic Hematoma.
Subchorionic Hematoma yog dab tsi?
Hais yooj yim xwb, qhov no yog cov ntshav me me uas sib sau ua ke ntawm phab ntsa ntawm koj lub tsev menyuam thiab daim nyias nyias sab nraud (chorionic membrane) uas nyob ib puag ncig lub hnab amniotic uas tus menyuam nyob. Xav txog, thaum peb raug mob qhov twg ntawm peb lub cev, peb tig xiav thiab cov ntshav txhaws tsim nyob rau hauv qab daim tawv nqaij, puas yog? Qhov no zoo li ntawd. Muaj cov ntshav me me tshwm sim qhov twg daim nyias nyias ntawd nyob deb ntawm phab ntsa ntawm lub tsev menyuam, thiab cov ntshav ntawd sib sau ua ke ntawd. Qhov no kuj hu ua Subchorionic Hemorrhage.
Qhov no yog qhov ua rau muaj ntshav tawm hauv qhov chaw mos thaum lub sijhawm 10 txog 20 lub lis piam thawj zaug ntawm cev xeeb tub. Feem ntau, cov ntshav txhaws no (hematomas) me me heev. Lawv tsis ua rau muaj kev phom sij thiab yuav raug lub cev nqus mus rau hauv lub cev thiab kho tau zoo. Yog li ntawd, tsis txhob ntshai thaum koj hnov lub npe no.
Cov tsos mob yuav yog dab tsi?
Cov tsos mob tseem ceeb ntawm tus mob no yog los ntshav hauv qhov chaw mos, tab sis nws tsis zoo ib yam rau txhua tus.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev Los Ntshav Qhov Chaw Mos | Qhov no muaj peev xwm suav nrog cov xim me me mus rau cov ntshav ntau heev uas muaj cov ntshav txhaws. Qee zaum nws tuaj yeem xim av. |
| Mob Pelvic | Tej tus neeg yuav mob me ntsis hauv plab thaum cov ntshav ntws zuj zus, tab sis feem ntau cov neeg tsis hnov mob li. |
| Tsis muaj tsos mob | Muaj coob tus neeg tsis muaj tsos mob dab tsi li. Lawv pom nws thaum lub sijhawm kuaj mob ultrasound. |
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj kev los ntshav thaum cev xeeb tub, txawm tias nws me me lossis ntau, koj yuav tsum qhia rau koj tus kws kho mob txog qhov ntawd yam tsis muaj kev txhawj xeeb. Nws mam li nrhiav tau qhov ua rau thiab ua qhov tsim nyog.
Vim li cas qhov no thiaj tshwm sim? Leej twg muaj feem yuav muaj kev pheej hmoo ntau dua?
Raws li peb tau tham ua ntej lawm, qhov kev sau ntshav no tshwm sim thaum lub hnab sab nraud (chorion membrane) uas tus menyuam yug los sib cais ntawm phab ntsa tsev menyuam. Qhov laj thawj tseeb vim li cas qhov kev sib cais no tshwm sim tsis tau pom. Txawm li cas los xij, nws tau pom tias qee yam tseem ceeb yuav ua rau qhov kev pheej hmoo no nce me ntsis.
| Qhov Ua Rau Muaj Kev Pheej Hmoo |
|---|
| Muaj qhov tsis zoo li qub ntawm lub tsev menyuam. |
| Tau muaj kev kis kab mob hauv tsev menyuam ua ntej lawm. |
| Muaj qee qhov xwm txheej lossis raug mob rau lub tsev menyuam. |
| Tau muaj kev rho menyuam yav dhau los. |
| Kev xeeb tub los ntawm kev siv tshuab IVF (IVF pregnancy). |
| Muaj ntshav siab. |
Qhov no puas ua rau muaj teeb meem?
Qhov no yog ib lo lus nug uas yuav ua rau kuv ntshai me ntsis. Yog lawm, qee zaum, tshwj xeeb tshaj yog tias cov ntshav hauv lub cev loj, muaj kev pheej hmoo me me ntawm cov teeb meem. Piv txwv li, cov mob xws li yug menyuam ua ntej lub sijhawm thiab placental abruption.
Tiamsis tsis txhob ntshai hnov qhov no. Kuv rov hais dua, ntau dua 90% ntawm cov ntshav qab zib subchorionic kho tau lawv tus kheej yam tsis muaj teeb meem dab tsi.Tej yam teeb meem tsis tshua muaj. Koj tus kws kho mob yuav piav qhia rau koj seb koj puas muaj feem yuav muaj kev pheej hmoo tom qab kev ntsuas ntshav, raws li qhov loj ntawm cov ntshav txhaws, nws qhov chaw, thiab koj theem cev xeeb tub.
Yuav kho li cas?
Feem ntau, qhov no tsis tas yuav muaj kev kho mob tshwj xeeb. Ib yam li qhov mob ntawm peb daim tawv nqaij yuav kho nws tus kheej, qhov no kuj yuav raug lub cev nqus thiab ploj mus. Txawm li cas los xij, nyob ntawm koj tus mob, koj tus kws kho mob yuav pom zoo qee yam.
- Tsis txhob ua tej yam uas siv zog heev: Tej zaum yuav hais kom koj tsum tsis txhob ua tej yam xws li tsa cov hnyav thiab tawm dag zog ib ntus.
- So kom txaus: Qee zaum, yog tias qhov ntshav ntws ntau dhau, koj yuav raug hais kom so hauv txaj ob peb hnub.
- Tsis txhob sib deev: Nws raug qhia kom tsis txhob sib deev kom txog thaum tus mob zoo dua.
- Rov ua dua qhov kev luam theej duab: Koj yuav raug hais kom ua lwm qhov kev luam theej duab hauv ob peb lub lis piam kom pom seb cov ntshav txhaws puas me dua lossis loj dua.
- Ib qho tshuaj tiv thaiv tshwj xeeb rau cov niam uas muaj RhD tsis zoo: Yog tias koj hom ntshav yog RhD tsis zoo, koj tus kws kho mob yuav muab ib qho tshuaj tiv thaiv tshwj xeeb hu ua 'Anti-D immune globulin (Rh0(D))' rau koj. Qhov no yuav tiv thaiv cov teeb meem uas yuav tshwm sim rau tus menyuam yav tom ntej.
Qhov no puas yuav ua rau kuv tus menyuam raug mob?
Qhov no yog lo lus nug loj tshaj plaws uas txhua tus niam xav txog. Cov lus teb yog tias feem ntau, Subchorionic Hematoma yuav tsis ua rau koj tus menyuam raug mob. Yog tias cov ntshav txhaws me me, kev xeeb tub yuav mus ntxiv yam tsis muaj teeb meem. Tsuas yog tias cov ntshav txhaws loj me ntsis xwb tus kws kho mob yuav saib xyuas koj thiab tus menyuam ze dua me ntsis. Qhov tseem ceeb yog tias ntau tus niam uas muaj tus mob no yug tau cov menyuam noj qab nyob zoo.
Lwm yam ua rau ntshav ntws thaum cev xeeb tub
Cov ntshav hauv lub caj pas (subchorionic hematoma) tsuas yog ib qho ua rau muaj ntshav xwb. Tej zaum yuav muaj lwm yam ua rau muaj ntshav thaum cev xeeb tub.
- Kev rho menyuam
- cev xeeb tub tsis muaj zog
- Kev los ntshav thaum lub qe cog rau hauv lub tsev menyuam yog qhov los ntshav me me uas tshwm sim thaum lub qe cog rau hauv lub tsev menyuam.
- Los ntshav me ntsis tom qab sib deev
- Kev kis kab mob ntawm qhov chaw mos lossis lub tsev menyuam
- Teeb meem ntawm cov placental (xws li placenta previa lossis placental abruption)
Txawm yog vim li cas los xij, qhov zoo tshaj plaws ua yog tias koj pom los ntshav yog qhia rau koj tus kws kho mob tam sim ntawd .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob ntshai tias yuav poob cev xeeb tub thaum koj pom ntshav thaum cev xeeb tub. Cov ntshav hauv lub zais zis uas nyob hauv plab yog ib qho ua rau muaj ntau thiab feem ntau tsis ua rau muaj teeb meem dab tsi.
- Feem ntau cov hematomas subchorionic yog cov ntshav txhaws me me thiab yuav kho lawv tus kheej dhau sijhawm yam tsis tas yuav kho dab tsi.
- Txawm tias qhov ntshav los me me los yog ntau, lossis yog tias mob los tsis mob, nrog koj tus kws kho mob tham. Tsis txhob kuaj mob koj tus kheej.
- Yog tus kws kho mob qhia koj kom so thiab tsis txhob ua ub ua no hnyav, ua raws li lawv hais kom meej. Qhov no yog rau kev nyab xeeb ntawm koj thiab koj tus menyuam.
- Thaum koj kawm tau ib yam dab tsi zoo li no, nws yog ib qho ib txwm uas koj yuav ntxhov siab thiab ntshai. Tham nrog koj tus kws kho mob txog koj txoj kev xav thiab kev ntshai. Nws yuav muab kev nplij siab thiab cov ntaub ntawv uas koj xav tau rau koj.
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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