Cev xeeb tub yog lub sijhawm uas txhua tus niam muaj kev cia siab siab thiab kuj ceev faj heev, puas yog? Kev paub txog qee qhov teeb meem uas tuaj yeem tshwm sim thaum lub sijhawm no yog qhov tseem ceeb heev rau kev yug menyuam kom noj qab nyob zoo. Ib yam li ntawd, txawm hais tias nws tsis tshua muaj neeg tham txog, ib qho mob tsis tshua muaj tab sis loj heev uas peb yuav tsum paub txog hu ua Vasa Previa. Tsis txhob txhawj, cia peb tham txog txhua yam hauv cov lus yooj yim.
Hais yooj yim xwb, Vasa Previa yog dab tsi?
Xav txog seb, peb paub tias tus menyuam hauv koj lub tsev menyuam tau txais nws cov pa oxygen thiab cov khoom noj khoom haus los ntawm txoj hlab ntaws. Txoj hlab ntaws no txuas nrog lub placenta. Cov hlab ntsha los ntawm lub placenta nqa txoj sia mus rau tus menyuam los ntawm txoj hlab ntaws.
Feem ntau, cov hlab ntsha no muaj kev nyab xeeb heev hauv lub placenta thiab txoj hlab ntaws. Tab sis hauv qhov xwm txheej ntawm Vasa Previa , qee cov hlab ntsha no, uas tseem ceeb rau tus menyuam, hla mus tsis muaj kev tiv thaiv los ntawm lossis ze ntawm qhov qhib ntawm lub qhov ncauj tsev menyuam, qhov chaw uas tus menyuam yug los.
Xav txog seb, nws zoo li txoj kev loj uas muaj ntau cov hlab ntsha, hla dhau qhov kev sib tshuam yam tsis muaj kev tiv thaiv. Qhov no txaus ntshai heev, puas yog?
Thaum koj cov dej ntws thaum lub sijhawm yug menyuam, cov hlab ntsha no tuaj yeem tawg. Yog tias qhov ntawd tshwm sim, cov ntshav ntau tuaj yeem ntws tawm ntawm lub cev ntawm tus menyuam, uas yuav ua rau muaj kev phom sij rau tus menyuam txoj sia. Qhov no yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum kuaj pom Vasa Previa thaum ntxov.
Dab tsi yog cov ua rau muaj Vasa Previa?
Txawm hais tias nws nyuaj rau txheeb xyuas qhov ua rau muaj tus mob no, muaj ntau yam tseem ceeb uas ua rau muaj tus mob no.
| Ua rau | Piav qhia yooj yim xwb |
|---|---|
| Kev ntxig txoj hlua Velamentous | Qhov no yog thaum txoj hlab ntaws tsis txuas ncaj qha rau lub placenta, tab sis txuas rau cov ntaub so ntswg, uas nyob deb me ntsis ntawm lub placenta. Qhov no txhais tau tias cov hlab ntsha tsis raug tiv thaiv los ntawm cov tshuaj tiv thaiv zoo li jelly (Wharton's jelly). Yog li ntawd, lawv yuav raug puas tsuaj ntau dua. |
| Lub placenta ob sab | Ntawm no, koj lub placenta raug faib ua ob feem sib npaug (lobes) es tsis yog ib qho. Cov hlab ntsha uas khiav ntawm ob feem no kuj tuaj yeem hla dhau lub qhov ncauj tsev menyuam. |
| Succenturiate placenta | Qhov no zoo ib yam li qhov saum toj no, tab sis ntawm no, ntxiv rau lub placenta tseem ceeb, ib feem me me lossis ntau qhov ntawm lub placenta tsim. Cov hlab ntsha uas khiav ntawm qhov tseem ceeb no thiab qhov ntxiv kuj tuaj yeem nyob rau hauv txoj kev txaus ntshai. |
Puas yog Vasa Previa thiab Placenta Previa tib yam?
Tsis yog. Ob qho no yog ob qho xwm txheej sib txawv kiag li. Muaj ntau tus neeg tsis nkag siab ob qho no.
- Qhov Placenta Previa: Qhov no yog thaum lub placenta nyob qis dhau hauv lub tsev menyuam, es tsis yog nyob rau sab saum toj, npog tag nrho lossis ib nrab ntawm lub qhov ncauj tsev menyuam. Qhov no yog ib qho kev pheej hmoo rau lub placenta.
- Vasa Previa: Qhov no tsis yog teeb meem nrog qhov chaw ntawm lub placenta. Qhov teeb meem ntawm no yog tias cov hlab ntsha los ntawm lub placenta hla dhau lub qhov ncauj tsev menyuam. Qhov kev pheej hmoo ntawm no yog ncaj qha mus rau cov hlab ntsha ntawm tus menyuam.
Qhov tseem ceeb, ib tus neeg uas muaj Placenta Previa yuav muaj feem yuav mob Vasa Previa me ntsis.
Cov tsos mob ntawm Vasa Previa yog dab tsi?
Qhov txaus ntshai ntawm no yog tias feem ntau tsis muaj tsos mob. Tej zaum koj yuav tsis hnov mob lossis mob. Yog vim li cas kev kuaj ultrasound thaum cev xeeb tub thiaj li tseem ceeb heev.
Tsis tshua muaj neeg yuav muaj ntshav dub (dub) ntawm qhov chaw mos yam tsis muaj mob.
Leej twg muaj kev pheej hmoo tshaj plaws?
Txawm hais tias qhov mob no tuaj yeem tshwm sim hauv txhua lub cev xeeb tub, qhov kev pheej hmoo siab dua me ntsis rau qee tus neeg.
- Muaj tus mob Plac ENT uas tau hais los saum toj no yog Previa .
- Lub placenta qis.
- Qhov muaj cov mob xws li qhov ntxig ntawm txoj hlab ntaws Velamentous , Bilobed lossis Succenturiate placenta uas tau hais ua ntej.
- kev txhaj tshuaj tiv thaiv kab mob (IVF)Yog tias cev xeeb tub tau ua tiav los ntawm kev siv tshuab In Vitro Fertilization (IVF ).
- Yog koj cev xeeb tub ntau tus menyuam, xws li menyuam ntxaib lossis menyuam peb.
Yuav ua li cas thiaj paub qhov mob no thaum ntxov?
Zoo hmoo, qhov mob no tuaj yeem kuaj pom thaum cev xeeb tub. Koj tus kws kho mob yuav ua cov kev kuaj ntxiv yog tias muaj qhov no thaum lub sijhawm kuaj xyuas qhov txawv txav thaum cev xeeb tub, tshwj xeeb tshaj yog ntawm 18 thiab 26 lub lis piam .
Yog tias koj tsis paub meej, koj tus kws kho mob yuav pom zoo kom ua qhov kev kuaj ultrasound transvaginal . Qhov no tuaj yeem pom tseeb cov hlab ntsha ze ntawm lub qhov ncauj tsev menyuam. Nws kuj tseem tuaj yeem pab paub meej qhov chaw thiab cov duab ntawm lub placenta.
Yog kuaj pom tias muaj mob, yuav kho li cas?
Tsis txhob ntshai yog tias koj tau kuaj pom tias muaj Vasa Previa. Yog tias kuaj pom ntxov, nws tuaj yeem tswj tau zoo heev thiab koj tuaj yeem muaj tus menyuam noj qab nyob zoo yam tsis muaj teeb meem dab tsi. Lub hom phiaj tseem ceeb yog kom koj thiab koj tus menyuam muaj kev nyab xeeb txog thaum yug menyuam, thiab yug koj tus menyuam los ntawm kev phais mob raws sijhawm teem tseg .
Koj tus kws kho mob yuav pom zoo kom ua tej yam xws li:
- Tshawb xyuas tus menyuam txoj kev noj qab haus huv tas li: Tej yam xws li tus menyuam lub plawv dhia raug saib xyuas tas li.
- Kev Mus Tsev Kho Mob: Kwv yees li 30-32 lub lis piam hauv koj cev xeeb tub, koj yuav raug xa mus rau tsev kho mob kom saib xyuas ze dua, vim tias kev kho mob ceev ceev yog qhov xav tau sai sai yog tias muaj xwm txheej ceev.
- Kev txhaj tshuaj Corticosteroid: Yog tias tus menyuam yug ua ntej hnub teem tseg, cov tshuaj txhaj no yuav muab rau kom pab tus menyuam lub ntsws loj hlob zoo.
- Kev so ntawm lub plab mog: Koj raug qhia kom tsis txhob muaj kev sib deev thiab tsis txhob muab dab tsi ntxig rau hauv qhov chaw mos.
- Kev Npaj Yug Me Nyuam C-section: Tus me nyuam yug los ntawm kev npaj yug me nyuam cesarean, feem ntau ntawm 34 thiab 37 lub lis piam , ua ntej cov dej tawg.
- Kev phais mob thaum muaj xwm txheej ceev: Yog tias cov dej tawg ua ntej lub sijhawm, los ntshav, lossis pom tias tus menyuam hauv plab muaj kev nyuaj siab, yuav ua kev phais mob cesarean thaum muaj xwm txheej ceev tam sim ntawd.
Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia kom meej. Lawv yuav npaj qhov zoo tshaj plaws rau koj thiab koj tus menyuam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Vasa Previa yog ib qho mob tsis tshua muaj uas tuaj yeem tshwm sim thaum cev xeeb tub, tab sis tuaj yeem ua rau mob hnyav heev yog tias tsis kuaj pom ntxov.
- Qhov tshwm sim ntawm no yog tias cov hlab ntsha ntawm tus menyuam hla dhau lub qhov ncauj tsev menyuam yam tsis muaj kev tiv thaiv.
- Kev kuaj ultrasound thaum cev xeeb tub yog qhov tseem ceeb heev, vim tias feem ntau lawv tsis ua rau muaj tsos mob dab tsi .
- Yog tias kuaj pom qhov mob no thaum ntxov , tswj tau zoo, thiab npaj ua qhov phais cesarean , yuav muaj feem yuav luag 100 feem pua ntawm kev yug menyuam noj qab haus huv.
- Yog koj muaj lus nug txog qhov no los yog koj yog ib tug neeg uas muaj feem yuav mob, nrog koj tus kws kho mob tham txog qhov no. Qhov tseem ceeb tshaj plaws yog kom koj paub txog qhov no zoo, tsis txhob ntshai.
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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