Ob peb lub lis piam kawg ntawm cev xeeb tub yog lub sijhawm zoo nkauj thiab ntxhov siab me ntsis. Nrog rau txhua qhov kev zoo siab ntawm kev tuav koj tus menyuam, kev ntshai ntawm kev yug menyuam , thiab tag nrho cov no, tej zaum koj muaj ib lo lus nug loj hauv koj lub siab. "Kuv tus menyuam nyob li cas hauv plab tam sim no?" "Tus menyuam puas tig mus zoo?" "Tus menyuam puas lub taub hau nqes?" Yog li ntawd. Feem ntau, cov menyuam mos yug los nrog lub taub hau ua ntej. Hauv kev kho mob, peb hu qhov no ua Vertex Position . Hnub no, peb yuav tham txog qhov no kom meej, yooj yim heev.
Vertex Position yog dab tsi tiag?
Hais yooj yim xwb, qhov chaw vertex yog thaum koj tus menyuam nyob hauv plab nrog nws lub taub hau nqes, uas txhais tau tias nws tig mus rau koj lub qhov chaw mos, thaum koj tab tom yuav yug menyuam. Qhov no yog qhov chaw ib txwm thiab zoo tshaj plaws .
Xav txog nws, qhov loj tshaj plaws thiab muaj zog tshaj plaws ntawm tus menyuam lub cev yog lub taub hau. Yog li, thaum tus menyuam lub taub hau nkag mus rau hauv qhov chaw yug menyuam ua ntej, nws maj mam qhib lub qhov ncauj tsev menyuam thiab qhov chaw mos. Nws zoo li kev tsim txoj kev. Thaum lub taub hau tawm los, tus menyuam lub cev tas yuav tawm los yooj yim heev. Qhov no tuaj yeem txo cov teeb meem thaum yug menyuam thiab luv lub sijhawm nws siv los yug menyuam.
Thaum pib yug menyuam, koj tus kws kho mob lossis tus kws pab yug menyuam yuav qhia koj yuav ua li cas pab thawb koj tus menyuam. Thaum tus menyuam lub taub hau maj mam tawm los, nws kuj muaj sijhawm los ncab mus rau hauv daim tawv nqaij thiab cov leeg nqaij nyob ib puag ncig koj lub qhov chaw mos. Ua pa tob tob thaum lub sijhawm no yuav pab koj tus menyuam tau txais cov pa oxygen uas lawv xav tau.
Tus me nyuam mos muaj peev xwm nyob rau hauv lwm txoj hauj lwm dab tsi?
Cov menyuam mos tsis yog ib txwm tig lawv lub taub hau rau hauv av. Qee zaum lawv tuaj yeem nyob rau hauv lwm txoj haujlwm. Tsis tas yuav txhawj txog cov no, vim koj tus kws kho mob yuav piav qhia rau koj txog yam uas tuaj yeem ua tau txog txhua yam no.
| Txoj Haujlwm | Hais yooj yim xwb... | Kev cuam tshuam ntawm tus kws kho mob |
|---|---|---|
| Qhov Chaw Vertex | Tus me nyuam lub taub hau tig mus rau hauv qab, mus rau qhov chaw mos. Qhov no yog qhov chaw ib txwm thiab muaj kev nyab xeeb tshaj plaws . | Feem ntau, yuav muaj kev sim yug menyuam los ntawm qhov chaw mos (Kev yug menyuam hauv qhov chaw mos ib txwm muaj). |
| Txoj Haujlwm Breech | Tus menyuam lub pob tw, txawm yog lub pob tw lossis sab ceg nqes, tshwm sim rau feem pua me me ntawm kev yug menyuam, kwv yees li 3%-4%. | Sim tig tus menyuam siv ECV, npaj yug menyuam ntawm qhov chaw mos (qee zaum), lossis cesarean section (C-section). |
| Txoj Haujlwm Transverse | Tus menyuam nyob rau sab hauv lub tsev menyuam. Qhov no yog ib qho tshwm sim tsawg heev. | Sim tig tus me nyuam siv ECV los yog, feem ntau, ua cesarean section (C-section). |
Yog tias tus me nyuam nyob rau hauv qhov chaw sib txawv, yuav ua li cas?
Yog tias koj tus menyuam tseem nyob hauv qhov chaw ntawm lub pob tw thaum cev xeeb tub 36 lub lis piam, koj tus kws kho mob yuav qhia kom ua ib qho kev phais hu ua ECV (External Cephalic Version) .
ECV yog thaum tus kws kho mob muab nws txhais tes tso rau ntawm koj lub plab thiab nias kom zoo kom sim tig tus menyuam kom nws lub taub hau nqes hauv plab.
Thaum ua qhov no, tej zaum koj yuav hnov qhov tsis xis nyob lossis mob. Tab sis feem ntau nws yog ib qho kev kho mob uas muaj kev nyab xeeb heev. Nws muaj qhov ua tiav ntawm kwv yees li 50%. Txawm li cas los xij, ECV yuav tsum tsis txhob ua yog tias koj nyuam qhuav muaj ntshav ntawm qhov chaw mos, yog tias tus menyuam lub plawv dhia tsis zoo, yog tias lub hnab amniotic tawg, lossis yog tias koj muaj menyuam ntxaib.
Yog tias txoj kev kho mob ECV tsis ua tiav, koj muaj ob txoj kev xaiv. Ib qho yog Cesarean Section/C-section . Qhov thib ob yog, qee zaum tshwj xeeb, yug los ntawm qhov chaw mos thiab muaj kev saib xyuas los ntawm kws kho mob.
Tiamsis tsis yog txhua tus neeg yug tau menyuam hauv plab. Yog tias tus menyuam ob txhais ceg raug muab tso rau hauv qab lub pob tw, yog tias tus menyuam loj dua lossis me dua li qub, yog tias lub placenta qis, lossis yog tias koj muaj preeclampsia .Yog tias muaj mob zoo li (ntshav siab thaum cev xeeb tub thiab puas tsuaj rau lwm yam kabmob), tus kws kho mob yuav pom zoo kom phais C-section.
Cov kev pheej hmoo ntawm breech thiab transverse positions yog dab tsi?
Muaj qee qhov kev pheej hmoo me me rau kev nyob deb ntawm qhov chaw vortex, thiab nws yog ib qho tseem ceeb kom paub txog cov no.
- Tej zaum yuav muaj teeb meem nrog ECV: Txawm hais tias tsis tshua muaj, tab sis muaj feem me me uas cov dej yuav tawg thaum ntxov thaum lub sijhawm ECV, lub plawv dhia ntawm tus menyuam yuav hloov, lub placenta yuav sib cais ntawm lub tsev menyuam, lossis kev yug menyuam yuav pib ntxov. Qee zaum, tus menyuam yuav rov qab mus rau qhov chaw qub tom qab tig.
- Teeb meem ntawm kev yug me nyuam hauv plab: Yog tias lub qhov ncauj tsev menyuam tsis tau nthuav dav tag nrho los ntawm tus menyuam lub cev, tus menyuam lub taub hau lossis xub pwg tuaj yeem raug daig thaum nws tawm los. Qhov kev pheej hmoo loj tshaj plaws yog txoj hlab ntaws prolapse . Qhov no yog qhov xwm txheej ceev. Yog tias qhov no tshwm sim, tus menyuam cov pa oxygen tuaj yeem raug txiav tawm thiab ua rau tuag taus. Yog li ntawd, yuav tsum tau phais C-section tam sim ntawd .
- Teeb Meem Nrog Kev Phais Mob C: Vim tias kev phais mob cesarean yog ib qho kev phais loj, muaj kev pheej hmoo me ntsis ntawm kev kis kab mob, los ntshav ntau dhau, thiab kev puas tsuaj rau cov kabmob ib puag ncig. Kuj tseem yuav muaj kev pheej hmoo ntxiv me ntsis ntawm kev tawg ntawm lub tsev menyuam lossis teeb meem placental hauv kev cev xeeb tub yav tom ntej.
Tsis txhob ntshai thaum koj hnov txog cov kev pheej hmoo no. Koj tus kws kho mob thiab koj pab neeg kho mob tau kawm los tswj txhua yam no. Koj thiab koj tus menyuam txoj kev nyab xeeb yog lawv qhov kev txhawj xeeb tseem ceeb tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txoj hauj lwm uas tsim nyog tshaj plaws, muaj kev nyab xeeb tshaj plaws, thiab feem ntau siv rau kev yug menyuam yog Vertex Position , uas txhais tau tias tus menyuam lub taub hau tig mus rau hauv qab.
- Tsis txhob txhawj yog tias koj tus menyuam nyob rau hauv txoj hauj lwm breech lossis transverse. Koj tus kws kho mob tuaj yeem tig tus menyuam siv ECV lossis ua C-section kom muaj kev nyab xeeb .
- Nco ntsoov nrog koj tus kws kho mob tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Nws yuav pab koj txiav txim siab seb yam twg zoo tshaj plaws rau koj thiab koj tus menyuam.
- Thaum cev xeeb tub, nws yog ib qho tseem ceeb heev uas koj yuav tsum mus ntsib kws kho mob raws li hnub teem tseg. Qhov no yuav pab koj paub txog kev loj hlob thiab qhov chaw ntawm tus menyuam.
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