Hnub no, ntau tus poj niam, rau qee yam, txiav txim siab txiav lawv cev xeeb tub thiab xaiv kev rho menyuam tawm kho mob rau qhov no, ntseeg tias nws yog qhov nyab xeeb tshaj plaws. Txawm li cas los xij, qhov no ua rau muaj ntau yam teeb meem, ib qho ntawm kev rho menyuam tsis tiav. Tsis tas li ntawd xwb, ib qho xwm txheej zoo sib xws tuaj yeem pom tau vim yog kev nchuav menyuam.
Kev rho menyuam tsis tiav
Kev rho menyuam tawm tsis tu ncua xaus rau kev nchuav menyuam lossis yug ntxov ntxov ntawm tus menyuam hauv plab uas tsis tuaj yeem siv tau. Cov lus nug txog ntev npaum li cas tus menyuam hauv plab tuaj yeem ua haujlwm tau yog qhov tsis meej. Txog niaj hnub no, kev rho menyuam yog suav tias yog kev txiav cev xeeb tub ua ntej 20 lub lis piam lossis yug menyuam hauv plab uas hnyav dua 500 grams.
Kev rho menyuam tawm tsis tiav txhais tau hais tias placental abruption tshwm sim, ua rau los ntshav hnyav nrog cov khoom ntawm lub qe fetal. Qhov xwm txheej yog qhov nyuaj los ntawm qhov tseeb tias tag nrho cov cim qhia ntawm cev xeeb tub ploj, tab sis lub sijhawm no muaj kev ua txhaum loj heev. Qee qhov xwm txheej, tus poj niam yuav muaj mob xeev siab, mob hauv plab pelvic.
Kev rho menyuam tsis tiav
Qee zaum, cov khoom ntawm lub zes qe menyuam tuaj yeem nyob hauv lub tsev menyuam txawm tias tom qab rho menyuam tawm. Kev rho menyuam tawm tsis tiav tshwm sim tom qab noj qee yam tshuaj. Muaj ntau yam laj thawj vim li cas qhov kev ua txhaum cai no tuaj yeem tshwm sim. Paub meej tias qhov ua rau tus mob no, koj yuav tsum tau ua qhov kev rho menyuam tawm sai heev thiab ua cov kev ntsuas tsim nyog kom qhov kev rho menyuam muaj kev nyab xeeb li sai tau.
Lub tshuab nqus tsev tsis tiav
Kev rho menyuam tsis tiav nrog lub tshuab nqus tsev cev xeeb tub yog qhov tsawg heev. Qhov no yog qhov tshwm sim loj heev, uas tshwm sim los ntawm qhov tseeb tias lub qe fetal tseem nyob ib nrab lossis tag nrho hauv uterine kab noj hniav. Tsis tas li ntawd, fetal membranes yuav nyob twj ywm hauv lub uterine kab noj hniav. Qhov kev ua txhaum cai no tuaj yeem tshwm sim los ntawm kev ua tsis raug, kev ua txhaum ntawm lub tsev menyuam, yav tas los kis kab mob.
Txhawm rau tiv thaiv kev pheej hmoo ntawm kev rho menyuam tsis tiav, kev tshuaj ntsuam xyuas yuav tsum tau ua kom zoo. Qhov no yuav tso cai rau koj los txiav txim qhov chaw ntawm lub qe fetal ua ntej tus txheej txheem.
Kev rho menyuam tsis tiav
Cov teeb meem txaus ntshai tom qab rho menyuam tuaj yeem ua rau muaj kev mob sepsis. Muaj qee qhov laj thawj rau kev rho menyuam tsis tiav, ntawm qhov uas nws yuav tsum tau hais txog xws li:
- kev kho mob yuam kev;
- hormonal ntshawv siab;
- caij rho menyuam lig;
- zaub mov lom;
- cov txheej txheem mob.
Txhua yam no tuaj yeem ua rau qhov tseeb tias kev tshem tawm ntawm tus menyuam hauv plab los ntawm lub tsev menyuam yuav ua tsis tiav. Raws li qhov tshwm sim ntawm qhov no, kev kis kab mob tuaj yeem tshwm sim, thiab kev kho mob ntxiv kuj tseem yuav tsum tau ua. Tag nrho cov teeb meem no tuaj yeem ua rau muaj menyuam tsis taus.
Cov tsos mob tseem ceeb
Thawj cov cim qhia ntawm kev rho menyuam tawm tsis tiav yog pom tseeb 1-2 lub lis piam tom qab ua haujlwm. Cov tsos mob tseem ceeb yog:
- rub thiab mob hnyav hauv thaj chaw pelvic;
- kub nce;
- mob ntawm palpation ntawm lub plab;
- kev mob tshwm sim.
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob kom kuaj xyuas thiab kho tom ntej. Xws li kev ua txhaum cai tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus poj niam, nrog rau nws txoj kev loj hlob. Thaum mob hnyav, qhov no tuaj yeem ua rau tuag taus.
Diagnosis
Kev kuaj pom dav yuav tsum muaj, uas suav nrog:
- kuaj ntshav;
- ntsuas ntsuas;
- kuaj mob ultrasound.
Ntxiv mus, yuav tsum kuaj xyuas lub ncauj tsev menyuam thiab nws palpation. Tsuas yog kev kuaj mob dav dav yuav pab txiav txim seb qhov muaj menyuam hauv plab.
Kev kho mob
Yog tias muaj kev rho menyuam tawm tsis tiav, kev saib xyuas xwm txheej ceev yuav tsum tau muab tam sim tom qab thawj qhov cim ntawm kev ua txhaum cai. Nrog lub zoglos ntshav, ib tug loj-inch venous catheter yog ntsia thiab ib tug tshuaj Oxytocin yog txhaj. Tsis tas li ntawd, nco ntsoov tshem tawm cov seem ntawm tus menyuam hauv plab. Yog hais tias curettage tshwm sim tsis muaj teeb meem, kev soj ntsuam yog qhia rau ob peb hnub, thiab tom qab ntawd tus neeg mob raug tso tawm.
Nrog kev poob ntshav tseem ceeb, qhia txog ferrous sulfate. Ibuprofen tau sau tseg kom tshem tawm qhov mob. Thaum kub nce, kev siv tshuaj tua kab mob yog qhia.
kev txhawb siab puas siab ntsws
Tom qab kev rho menyuam tawm tsis tu ncua, tus poj niam feem ntau xav tias ua txhaum thiab ntxhov siab. Nws yog ib qho tseem ceeb los muab nws nrog kev pab cuam puas hlwb. Nws raug nquahu kom tus poj niam hu rau pawg neeg pab txhawb kev puas siab puas ntsws. Nws yog ib qho tseem ceeb tsis txhob maj mus rau hauv lub cev xeeb tub tom ntej, vim nws yuav siv sij hawm me ntsis kom lub cev rov zoo.
Muaj Teeb Meem
Qhov tshwm sim thiab teeb meem tuaj yeem loj heev, xws li los ntshav ntev mus rau qhov mob thiab txawm tias mob sepsis. Cov teeb meem tau muab faib ua ntxov thiab lig. Cov tsos mob ntxov tshwm sim tam sim tom qab rho menyuam lossis nchuav menyuam thiab suav nrog:
- kev faib;
- uterine perforation;
- nkag mus ntawm tus kab mob;
- mob o ntawm lub uterine kab noj hniav.
Cov teeb meem lig tuaj yeem tshwm sim ntau hli lossis ntau xyoo tom qab rho menyuam. Cov no tuaj yeem yog cov txheej txheem nplaum, cov tshuaj hormonal tsis zoo, nrog rau kev ua haujlwm tsis zoo.kev yug me nyuam sphere.
Kev Tiv Thaiv Kab Mob
Ua raws li cov cai yooj yim yuav pab txo qis kev pheej hmoo ntawm cov teeb meem nyuaj. Nco ntsoov zam kev sib deev hauv thawj 3 lub lis piam tom qab rho menyuam lossis nchuav menyuam. Kev tswj xyuas kev tso tawm yog qhov yuav tsum tau ua, nws yog ib qho tseem ceeb kom tsis txhob muaj kev tawm dag zog lub cev rau 2 lub lis piam, ua raws li cov cai ntawm kev nyiam huv. Thaum thawj lub hlis nws yog txwv tsis pub ua luam dej hauv chav dej, dej hiav txwv, siv tampons. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tsis tu ncua mus ntsib ib tug gynecologist rau kev kuaj. Tom qab kev rho menyuam tawm lossis nchuav menyuam, koj yuav tsum mus ntsib kws kho mob tom qab ib lub lim tiam thiab xyuas kom meej tias tag nrho cov seem ntawm tus menyuam hauv plab tau tawm los.
