Koj puas paub txog qhov kev hloov pauv ntawm lub tsev menyuam? Qee qhov tseeb tseem ceeb rau cov niam!

Ua ib leej niam yog ib qho ntawm cov kev paub zoo nkauj tshaj plaws hauv lub neej. Txawm li cas los xij, kev yug menyuam yog lub sijhawm zoo siab, tab sis qee zaum, qee qhov teeb meem tuaj yeem tshwm sim. Hnub no peb yuav tham txog ib qho mob tsis tshua muaj uas xav tau kev kho mob thaum muaj xwm txheej ceev. Qhov ntawd yog uterine inversion, lossis raws li cov kws kho mob hu ua, "Uterine Inversion". Hnov qhov no yuav zoo li ntshai me ntsis, tab sis tsis txhob ntshai. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Kev tig lub tsev menyuam rov qab yog dab tsi? Cia peb nkag siab yooj yim!

Xav txog tej yam uas tshwm sim thaum lub sijhawm yug menyuam ib txwm muaj. Koj tus menyuam tawm hauv plab (uterus) thiab nkag mus rau hauv lub ntiaj teb los ntawm lub qhov chaw mos. Tsis ntev tom qab ntawd, lub placenta, lub cev uas pub zaub mov rau tus menyuam thaum cev xeeb tub, kuj tawm hauv lub cev. Peb kuj hu qhov no ua "kev yug menyuam." Lub tsev menyuam tseem zoo li qub thoob plaws hauv txoj kev no.

Txawm li cas los xij, nyob rau hauv qhov mob no hu ua uterine inversion, sab saum toj ntawm lub tsev menyuam poob rau hauv thiab tig tag nrho lossis ib nrab sab hauv. Nws zoo li tig ib lub thom khwm sab hauv. Qee zaum, lub tsev menyuam, uas tau tig rov qab li no, tuaj yeem tawm los ntawm qhov chaw mos. Yog tias qhov no tshwm sim, nws tuaj yeem ua rau los ntshav hnyav, poob siab, thiab, hmoov tsis zoo, txawm tias tuag.

Tiam sis, tsis txhob ntshai. Ib pab neeg kho mob uas npaj tau zoo tuaj yeem ua haujlwm sai thiab tiv thaiv cov teeb meem loj no. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum paub txog qhov no.

Qhov no loj npaum li cas? Cov theem ntawm kev thim rov qab yog dab tsi?

Tus mob no muab faib ua plaub theem, nyob ntawm seb lub tsev menyuam tau dov mus rau hauv deb npaum li cas thiab nws cuam tshuam rau lwm yam kabmob npaum li cas:

• Theem 1 (kev hloov pauv tsis tiav): Sab saud ntawm lub tsev menyuam tau nqis mus rau hauv qhov chaw ntawm lub tsev menyuam.
• Qib Ob (kev ntxeev tag nrho): Sab saud ntawm lub tsev menyuam, zoo li ib lub thom khwm tig sab hauv tawm, raug tais mus rau hauv los ntawm lub qhov ncauj tsev menyuam.
• Theem 3 (prolapsed): Sab saud ntawm lub tsev menyuam tau mus txog qhov tob tshaj plaws ntawm lub qhov chaw mos.
• Theem 4 (tag nrho cov qe poob): Ob lub tsev menyuam thiab qhov chaw mos tau tawm ntawm lub cev.

Feem ntau, cov neeg uas ntsib qhov teeb meem no yog nyob rau theem ob lossis theem peb.

Kev tig lub tsev menyuam rov qab ntau npaum li cas?

Qhov no yog ib qho mob tsis tshua muaj. Nws tshwm sim li ntawm ib ntawm 3,500 tus menyuam yug los, lossis raws li qee qhov kev tshaj tawm, kwv yees li ntawm ib ntawm 20,000 tus menyuam yug los. Feem ntau, nws tshwm sim hauv 24 teev tom qab yug menyuam (acute uterine inversion) . Txawm tias tsawg dua, nws tuaj yeem kuaj pom hauv ib hlis tom qab yug menyuam (subacute uterine inversion) lossis tom qab ib hlis (chronic uterine inversion).

Tsis tshua muaj (kwv yees li 5% ntawm cov neeg mob), lub tsev menyuam tsis yog vim yug menyuam. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov qog hauv lub tsev menyuam, xws li cov fibroids, lossis lwm yam mob qog noj ntshav.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau lub tsev menyuam tig rov qab tseem tsis tau pom tseeb.

Txawm li cas los xij, muaj kev xav dav dav tias qhov no tuaj yeem tshwm sim yog tias cov kws kho mob rub txoj hlab ntaws hnyav dhau thaum sim tshem lub placenta. Qhov no tsis yog qhov yuam kev ntawm kws kho mob. Nws tsuas yog ib qho ntawm ntau yam teeb meem uas tuaj yeem tshwm sim thaum yug menyuam.

Tus kws kho mob yuav rub txoj hlab ntaws (lub cev uas txuas tus menyuam mus rau lub tsev menyuam) thiab pab thawb lub tsev menyuam tawm los ntawm kev nias rau ntawm lub plab. Qhov no hu ua "Crede maneuver". Lub tsev menyuam yuav dov ntau dua thaum lub sijhawm ua qhov no yog tias:

• Yog koj lub placenta raug cog rau hauv qhov chaw saum toj ntawm koj lub tsev menyuam (fundal placental implantation). Thaum cev xeeb tub, lub placenta tuaj yeem cog rau sab saud, sab, pem hauv ntej, lossis tom qab ntawm phab ntsa tsev menyuam. Feem ntau, nws cog rau sab saud.
• Yog tias lub tsev menyuam tsis co tom qab yug menyuam (uterine atony). Feem ntau, lub tsev menyuam yuav co heev tom qab tus menyuam yug los. Qhov kev nruj no pab kom lub placenta tawm los thiab txo qhov los ntshav los ntawm kev ua kom cov hlab ntsha nqaim. Qhov no hu ua "uterine atony", uas txhais tau tias lub tsev menyuam tsis co zoo.

Txawm li cas los xij, txoj kev xav no nyuaj rau ua pov thawj, vim tias lub tsev menyuam twb tau tig rov qab yam tsis muaj cov xwm txheej no. Tsis tas li ntawd, cov txheej txheem yug menyuam xws li "Crede maneuver" feem ntau siv, thiab qhov tshwm sim ntawm kev tig rov qab ntawm lub tsev menyuam yog qhov tsawg heev.

Leej twg muaj feem yuav raug qhov no tshaj?

Kwv yees li ib nrab ntawm txhua rooj plaub ntawm kev hloov pauv ntawm lub tsev menyuam muaj ib lossis ntau yam ntawm cov yam ntxwv uas ua rau muaj kev pheej hmoo hauv qab no:

• Muaj ib txoj hlab ntaws luv luv.
• Ua haujlwm sai lossis ntev.
• Siv cov tshuaj uas ua rau lub tsev menyuam so.
• Muaj koj thawj tus menyuam (qhov no tsis tas yuav yog koj thawj zaug cev xeeb tub. Tej zaum koj tau cev xeeb tub yav dhau los thiab tsis tau muaj menyuam).
• Muaj ib tug me nyuam loj dua li qub (fetal macrosomia).
• Lub placenta tseem nyob (placental abruption) (lub placental abruption tsis tawm hauv 30 feeb tom qab yug me nyuam).
• Preeclampsia hnyav heev (ib qho mob uas cuam tshuam nrog ntshav siab thaum cev xeeb tub).
• Placenta accreta spectrum (qhov twg lub placenta txuas tob heev rau ntawm phab ntsa tsev menyuam uas nws tsis sib cais thaum lub sijhawm yug menyuam).

Cov tsos mob yog dab tsi? Koj paub nws li cas?

Kev ntswj ntawm lub tsev menyuam tuaj yeem ua rau los ntshav hnyav thiab poob siab. Cov tsos mob sib txawv nyob ntawm qhov hnyav ntawm kev ntswj:

• Los ntshav ntawm qhov chaw mos (tej zaum yuav me me los yog hnyav).
• Mob plab qis thiab xav tias muaj kev nyem.
• Ib lub pob du thiab puag ncig tawm ntawm lub qhov chaw mos.
• Ntshav siab poob qis.

Cov yam ntxwv ntawm kev poob siab:

Cov tsos mob no yuav muaj cov cim qhia tias koj poob siab. Cov no txaus ntshai heev thiab yuav tsum tau kho tam sim ntawd.

• Kiv taub hau, mob taub hau me ntsis, tsis muaj zog, tsis meej pem, qaug zog, lossis tsaug zog.
• Lub plawv dhia ceev thiab ua pa tsis tob.
• Tawv nqaij txias thiab tawm hws.
• Mob nqaij ntshiv.
• Xav da dej heev (nqhis dej).

Cov kws kho mob yuav paub qhov no li cas tiag?

Yog tias muaj qhov ntxeev tag nrho , tus kws kho mob tuaj yeem paub tam sim ntawd. Cov tsos mob tseem ceeb yog lub tsev menyuam tawm thiab los ntshav ntau. Tus kws kho mob kuj tseem yuav kov koj lub plab kom paub seb lub tsev menyuam puas tau txav mus rau qhov chaw.

Yuav tsum tau kuaj mob sai sai no vim tias kev kho mob cawm siav yuav tsum tau pib tam sim ntawd.

Yuav kho li cas?

Kev kho mob zoo nyob ntawm seb pab neeg kho mob ua haujlwm sai npaum li cas, ua kom koj cov cim qhia tseem ceeb ruaj khov, thiab rov qab muab sab saud ntawm koj lub tsev menyuam rov qab rau nws qhov chaw qub. Kev kho mob uas koj tau txais yuav nyob ntawm theem ntawm kev tig rov qab. Qhov no yuav suav nrog:

• Cov neeg ua haujlwm kho mob ntxiv: Tej zaum yuav xav tau cov neeg ua haujlwm ntxiv los muab tshuaj loog kom txo qhov mob, kuaj xyuas cov ntshav, muab ntshav yog tias tsim nyog, thiab pab tus kws kho mob.
• Rov ntxig tes: Tus kws kho mob yuav sim thawb sab saud ntawm lub tsev menyuam rov qab rau hauv qhov chaw los ntawm kev ntxig ib rab koob hla koj lub qhov chaw mos thiab lub qhov ncauj tsev menyuam. Tej zaum koj yuav tau txais tshuaj los pab kom lub tsev menyuam so kom yooj yim dua rau kev tuav. Yog tias ua tau, lub placenta yuav raug ntxig dua thaum nws tseem txuas nrog lub tsev menyuam, yog tias nws tseem tsis tau sib cais. Yog tias lub placenta raug tshem tawm thaum lub tsev menyuam nyob sab nraum lub cev, muaj kev pheej hmoo ntau dua ntawm kev los ntshav hnyav.
• Kev Phais Mob (laparotomy): Yog tias lub tsev menyuam tsis tuaj yeem ntxig los ntawm lub qhov ncauj tsev menyuam, lossis yog tias koj los ntshav ntau, tus kws kho mob yuav ua qhov phais mob hu ua laparotomy. Hauv qhov no, tus kws kho mob yuav ua ib qho kev phais hauv koj lub plab, nkag mus rau hauv lub plab mog, thiab muab lub tsev menyuam rov qab rau hauv qhov chaw.
• Kev Kho Kom Lub Tsev Me Nyuam Ruaj Khoov: Tom qab muab lub tsev me nyuam rov qab rau hauv qhov chaw, koj yuav tau txais tshuaj los pab kom nws rov qab sib zog dua. Qhov kev sib zog no yuav pab txo qhov kev los ntshav thiab ua kom lub tsev me nyuam nyob ruaj khov.

Kev kho mob cawm txoj sia no yog ua hauv chav phais. Tom qab cov ntshav tsis ntws lawm, koj yuav raug xa mus rau Chav Saib Xyuas Mob Hnyav (ICU) yog tias xav tau kev hloov ntshav. Koj yuav tau txais kev hloov ntshav raws li qhov xav tau.

Puas muaj ib txoj kev los tiv thaiv qhov no?

Tu siab kawg li, qhov kev hloov pauv ntawm lub tsev menyuam tsis tuaj yeem tiv thaiv tau. Txawm li cas los xij, yog tias koj pab neeg kho mob ua haujlwm sai, qhov no tuaj yeem ua tauNws kho tau zoo.

Yog koj ntsib qhov teeb meem no, yuav ua li cas?

Kev ntswj ntawm lub tsev menyuam tuaj yeem ua rau tuag taus yog tias tsis tswj hwm kom zoo. Txawm li cas los xij, nrog pab pawg kho mob npaj txhij los teb rau qhov xwm txheej ceev, qhov muaj feem yuav ciaj sia yog siab heev. Cov neeg uas tau txais hom kev kho mob no nyob lub neej noj qab haus huv yam tsis muaj teeb meem mus sij hawm ntev.

Koj puas tuaj yeem cev xeeb tub dua tom qab lub tsev menyuam tau tig rov qab?

Cov neeg uas tau muaj kev phais hloov lub tsev menyuam tau muaj kev xeeb tub zoo. Txawm li cas los xij, xav tau ntau cov ntaub ntawv ntxiv kom nkag siab meej tias qhov no cuam tshuam li cas rau kev xeeb tub yav tom ntej. Yog tias koj muaj keeb kwm ntawm kev phais hloov lub tsev menyuam yav dhau los, koj yuav tsum qhia rau koj tus kws kho mob paub. Cov ntaub ntawv ntawd tuaj yeem pab koj npaj koj txoj kev kho mob yav tom ntej.

Kuv yuav saib xyuas kuv tus kheej li cas?

Tom qab lub tsev menyuam tig rov qab, nws yog ib qho tseem ceeb uas yuav tsum noj zaub mov zoo, haus dej ntau, so kom txaus, thiab ua raws li koj tus kws kho mob cov lus qhia. Kev saib xyuas koj yuav tsum ua hauv tsev yuav nyob ntawm seb koj tau kho mob ntev npaum li cas thiab koj tau poob ntshav ntau npaum li cas. Piv txwv li, koj yuav tsum tau kuaj ntshav dua vim yog poob ntshav, lossis koj yuav tsum tau noj cov tshuaj ntxiv hlau. Yog li, ua raws li koj tus kws kho mob cov lus qhia kom meej.

Feem ntau koj yuav muaj kev tawg ntawm lub tsev menyuam. Txawm li cas los xij, yog tias koj ua li ntawd, muaj ib pab neeg kho mob los kho koj tam sim ntawd tuaj yeem cawm koj txoj sia. Tham nrog koj tus kws kho mob txog txhua yam kev txhawj xeeb uas koj muaj txog cov teeb meem tam sim ntawd xws li lub tsev menyuam tawg. Tsis tas li ntawd, nug txog cov kev xaiv kho mob cawm txoj sia uas muaj thaum muaj xwm txheej ceev.

Cov Lus Qhia Luv Luv thiab Cov Lus Qhia Txog Kev Yuav Mus Tsev

Zoo, yog li cia peb saib cov ntsiab lus luv luv ntawm yam peb tau tham txog los pab koj nco qab cov yam tseem ceeb tshaj plaws:

• Kev tig lub tsev menyuam yog ib qho mob hnyav uas tuaj yeem tshwm sim thaum lub sijhawm yug menyuam, tab sis tsis tshua muaj thiab xav tau kev kho mob ceev.
• Hauv qhov no, lub tsev menyuam tig sab hauv mus rau sab nraud, thiab tej zaum yuav tawm hauv lub qhov chaw mos los tau.
• Kev los ntshav ntau dhau thiab kev poob siab yog qhov txaus ntshai tshaj plaws.
• Txawm hais tias tsis paub meej tias yog vim li cas thiaj ua rau muaj qhov teeb meem no, tab sis tej yam xws li placental abruption thiab uterine contractions tsis ua rau muaj kev pheej hmoo ntxiv.
• Kev kuaj mob thaum ntxov thiab kev kho mob tam sim ntawd yuav cawm tau txoj sia. Kev kho mob yuav suav nrog kev ntxig lub tsev menyuam rov qab los yog phais.
• Txawm hais tias qhov no tsis tuaj yeem tiv thaiv tau los xij, nrog kev kho mob zoo, koj tuaj yeem rov zoo thiab ua neej noj qab haus huv.
• Nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog kev xeeb tub yav tom ntej.

Nco ntsoov, cov ntaub ntawv no tsuas yog rau kev qhia xwb. Nws yuav tsum tsis txhob siv los hloov cov lus qhia kho mob. Yog tias koj muaj lus nug lossis kev txhawj xeeb, thov nrog koj tus kws kho mob lossis tus kws kho mob uas tsim nyog tham. Peb xav kom nej txhua tus muaj kev noj qab haus huv thiab kev ua niam!

`Kev Hloov Pauv ntawm Lub Tsev Me Nyuam, Teeb Meem ntawm Kev Yug Me Nyuam, Lub Tsev Me Nyuam, Kev Ntshav Ntau, Kev Poob Siab, Kev Kho Mob Poj Niam, Kev Noj Qab Haus Huv ntawm Niam