Nyob hauv tus poj niam lub cev muaj ib lub cev tseem ceeb uas tsim nyog rau kev xeeb tub thiab yug me nyuam. Nov yog niam. Nws muaj lub cev, qhov ncauj qhov ntswg thiab caj dab. Tag nrho cov seem no ncaj qha koom nrog hauv kev yug me nyuam. Nyob rau sab nraud ntawm lub tsev menyuam muaj ob lub raj thiab zes qe menyuam. Nws nyob ntawm no tias cov hlwb paub tab, uas tom qab fertilized thiab tig mus rau hauv cov menyuam mos. Muaj cov xwm txheej thaum tus poj niam ntsib ntau yam teeb meem uas cuam tshuam nrog lub cev tau piav qhia saum toj no. Ib qho kev pheej hmoo loj tshaj plaws yog uterine rupture. Nws yog hais txog qhov tshwm sim ntawm qhov pathology uas yuav tau tham ntxiv. Koj tseem yuav kawm seb qhov ncauj qhov ntswg puas yog. Cia peb piav qhia txog qib thiab cov qauv ntawm qhov tshwm sim, thiab kuj tham txog qhov tshwm sim.
Cervical rupture
Thaum yug menyuam, cov kab mob no tshwm sim feem ntau. Txawm li cas los xij, muaj cov xwm txheej thaum qhov kev txiav tawm ntawm cov mucous membranes tshwm sim sab nraud ntawm cov txheej txheem no. Cov laj thawj tseem ceeb rau qhov xwm txheej no yog cov txheej txheem inflammatory, cov kab mob ntawm cov ntaub so ntswg, nrog rau lub hnub nyoog ntawm tus poj niam. Kev tawg ntawm lub ncauj tsev menyuam thaum yug me nyuam feem ntau yog tshwm sim los ntawm tus poj niam tus cwj pwm tsis zoo. Nws kuj tuaj yeem tshwm sim vim lub cev hnyav thiab qhov siab ntawm tus menyuam.
Viewscervical ruptures
Muaj peb qib ntawm lub ncauj tsev menyuam rupture. Tag nrho cov ntawm lawv txawv nyob rau hauv lub cheeb tsam ntawm lub cuam tshuam daim nyias nyias. Tsuas yog ib tus kws kho mob tuaj yeem ntsuas qhov nyuaj ntawm cov kab mob thiab hom kev tawg.
- thawj degree. Nyob rau hauv cov ntaub ntawv no, qhov ntev ntawm lub dissection ntawm mucous nto yog tsis ntau tshaj ob centimeters.
- Degree ob. Lub ncauj tsev menyuam torn ntau heev. Nyob rau hauv cov ntaub ntawv no, lub dissection muaj ib tug ntev ntawm ntau tshaj ob centimeters, tab sis nws lub hauv paus tsis ncav cuag lub koov.
- Qib kawg (thib peb). Qhov khoob hauv qhov no yog qhov dav heev. Lub ncauj tsev menyuam puas tag, qhov kev txiav tawm mus rau sab sauv ntawm qhov chaw mos.
YPob pathology muaj qhov tshwm sim
Kev tawg ntawm lub ncauj tsev menyuam thaum yug menyuam muaj qhov tshwm sim tsis zoo. Tau kawg, cov poj niam feem ntau tswj kom tsis txhob muaj qhov tshwm sim no. Ua li no, koj yuav tsum mloog tus kws kho mob thaum lub sijhawm ua haujlwm. Txawm li cas los xij, tus neeg sawv cev ntawm kev sib deev tsis muaj zog, uas tab tom npaj los ua leej niam, yuav tsum paub tias qhov kev tawg ntawm lub ncauj tsev menyuam thaum yug me nyuam tuaj yeem ua rau. Cov txiaj ntsig yuav raug piav qhia hauv qab no.
xiav los ntshav
Yog hais tias lub mucous daim nyias nyias ntawm lub ncauj tsev menyuam puas lawm, ces tus pathology yuav kuaj tau tsuas yog tom qab yug me nyuam ntawm tus me nyuam thiab tshem tawm cov placenta. Lub sijhawm no, tus kws kho mob tshuaj xyuas qhov chaw mos ntawm qhov chaw mos nrog daim iav thiab sau tias muaj qhov nqaij ntshiv lossis cov ntaub so ntswg.
Txhua lub sijhawm no muaj kev tso ntshav hnyav. Nrog kev puas tsuaj loj heev, tus poj niam tuaj yeem tsis nco qab. Tsis tas li ntawd xwb, yog tsis muab kev pab raws sij hawm, ces muaj feem yuav tuag vim ntshav poob.
Kev kho mob suav nrogcov ntaub so ntswg suturing. Cov txheej txheem yog ua nyob rau hauv lub zos los yog general tshuaj loog. Qee zaum, tus niam tshiab yuav xav tau ntshav lossis ntshav ntshav.
txheej txheem mob
Kev tawg ntawm lub ncauj tsev menyuam tuaj yeem ua rau muaj qhov tshwm sim ntawm cov kab mob sib kis. Txij li cov ntaub so ntswg stitching tau tshwm sim, muaj cov qhov txhab qhib. Kev tso tawm tom qab yug me nyuam yuav pab ntxuav qhov chaw mos. Los ntawm no, cov seem ntawm cov hnoos qeev thiab cov ntshav raug tshem tawm. Tag nrho cov no tuaj yeem nkag mus rau hauv qhov txhab tshiab thiab ua rau cov txheej txheem inflammatory. Nyob rau tib lub sijhawm, tus poj niam pib pom qhov mob hauv lub plab mog, purulent tawm, uas muaj ntxhiab tsw. Tsis tas li, qee zaum, qhov kub thiab txias nce.
Kev kho mob hauv qhov no feem ntau yog siv tshuaj thiab ua raws li tus neeg mob sab nraud. Txawm li cas los xij, koj yuav tsum qhia koj tus kws kho mob txog koj cov tsos mob sai li sai tau. Txwv tsis pub, tus kab mob tuaj yeem kis mus rau cov kab mob uas nyob sib ze thiab cuam tshuam rau lub tsev menyuam, cov hlab ntsha thiab zes qe menyuam.
Kev hloov lub ncauj tsev menyuam
Yog tias qhov sib txawv tsis tau kho kom raug, ces qhov tshwm sim ntawm pathology tuaj yeem yog qhov tsis tuaj yeem xav txog. Yog li, thaum tsis muaj sutures nyob rau hauv lub hauv paus ntawm lub ncauj tsev menyuam kwj dej, lub caj dab yog everted. Nyob rau hauv cov ntaub ntawv no, ib feem ntawm lub mucosa, uas yog ib txwm nyob rau hauv, mus rau hauv lub vaults ntawm qhov chaw mos. Qhov no ua rau cov txheej txheem mob ntev.
Kev kho mob hauv qhov no feem ntau yog phais. Qee tus poj niam txawm nyiam tso tej yam uas lawv nyiam. Hauv qhov no, nchuav menyuam, yug ntxov ntxov lossis lub ncauj tsev menyuamua tsis tiav hauv kev xeeb menyuam tom ntej.
Puas tuaj yeem yug tau tom qab kho kab mob?
Kev yug me nyuam tom qab lub ncauj tsev menyuam rupture yog ua tau. Yog tias kev kho mob tau ua tiav thiab raws sijhawm, ces qhov tshwm sim, feem ntau yuav tsis tshwm sim. Txawm li cas los xij, thaum tsis kho, kev xeeb tub tom ntej tuaj yeem ua rau muaj teeb meem.
- Ntau zaus, thaum nqa tus menyuam tom qab tawg, muaj peev xwm ntawm isthmic-cervical insufficiency. Nyob rau hauv tas li ntawd, nws yuav tsum tau suture lub caj dab kom tsis txhob yug ntxov ntxov.
- Thaum lub sijhawm sib cog lus, lub ncauj tsev menyuam yuav tsis qhib tag nrho. Qhov no ua rau rov ua dua ntawm cov mucous.
YOncological pathologies
Tom qab lub ncauj tsev menyuam tawg thiab tsis muaj kev kho mob, kev pheej hmoo ntawm cov kab mob malignant nce. Feem ntau, qhov pib ntawm xws li ib tug pathology yog erosion. Txhua yam tshwm sim vim qhov tseeb tias sab hauv epithelium tawm los thiab txuas mus rau qhov chaw mos ntawm qhov chaw mos.
YUterine ruptures
Ntxiv rau qhov kev txiav tawm ntawm cov qog nqaij hlav ntawm lub ncauj tsev menyuam, tus poj niam tuaj yeem ntsib qhov tshwm sim xws li perforation ntawm lub cev xeeb tub. Nws yuav tsum raug sau tseg tias qhov no pathology yog qhov hnyav dua. Nws tsis tshua muaj neeg saib. Feem ntau, uterine ruptures yog nrog los ntawm mob hnyav nyob rau hauv lub plab mog. Cov kev xav zoo li no yog tshwm sim los ntawm kev cog lus ntawm cov phab ntsa ntawm cov khoom nruab nrog cev thiab cov los ntshav sab hauv. Tsis tas li ntawd, ib tug poj niam yuav muaj qhov txo qis hauv mem tes thiab ntshav siab, kiv taub hau thiabqaug zog. Tag nrho qhov no yog qhov tshwm sim ntawm kev poob ntshav.
Hauv cov tshuaj, muaj peb hom kev sib txawv ntawm cov phab ntsa ntawm lub tsev menyuam: kev hem rupture uas tau pib thiab tau tshwm sim. Nws yog ib qho tsim nyog sau cia tias thaum pib, cov tsos mob tsis tseem ceeb npaum li nrog kev sib cais ua tiav ntawm daim nyias nyias ntawm lub cev xeeb tub.
Thaum twg pathology tshwm sim thiab yuav ua li cas tshem tawm?
Lub tsev menyuam tawg tuaj yeem tshwm sim nrog qee qhov kev hloov pauv. Qhov no suav nrog hysteroscopy, laparoscopy, curettage ntawm kab noj hniav ntawm lub cev xeeb tub, teeb tsa lub kauv, thiab lwm yam. Uterine rupture thaum lub sij hawm cev xeeb tub feem ntau tshwm sim thaum muaj caws pliav ntawm ib qho ntawm cov phab ntsa ntawm lub cev. Kev kho mob hauv qhov no yuav tsum tau ua tam sim. Nws yog ua los ntawm kev siv tshuaj loog, thaum tus neeg mob nkag rau hauv lub xeev ntawm kev pw tsaug zog.
Kho ib txwm nyob ntawm seb qhov uterine ruptures loj npaum li cas. Tau kawg, cov kws kho mob tau ua txhua yam los khaws lub cev xeeb tub. Txawm li cas los xij, qee zaum qhov no ua tsis tau. Yog tias qhov no tshwm sim, ces tus kws phais tshem tawm lub tsev menyuam nrog rau cov kwj dej ntawm ncauj tsev menyuam thiab lub ncauj tsev menyuam. Kev tawg ntawm lub tsev menyuam tuaj yeem ua rau muaj kev nyuaj siab tshaj plaws. Cia wb mus saib lawv.
ntshav siab ntau
Uterine rupture yeej ib txwm nrog ntshav poob. Nrog rau kev hem kev sib txawv ntawm cov phab ntsa, kev puas tsuaj rau cov hlab ntsha ntawm sab hauv daim nyias nyias tshwm sim. Hauv qhov no, ntshav feem ntau tsis nkag mus rau hauv plab kab noj hniav. Txawm li cas los xij, tus neeg mob yuav nco ntsoov tias muaj cov xim liab dawb hauv cov zis thiab qhov chaw mos. Rupture ntawm lub tsev menyuam thaum yug me nyuam yeej ib txwm nrog kev sib cog lus. Nws yog qhov tseeb uas tuaj yeem muab daim duab tsis pom kev kho mob.
Thaum qhov kev tawg ntawm daim nyias nyias tau pib los yog tau tshwm sim, muaj ntau zuj zus los ntshav hauv plab, uas ua rau hnyav zuj zus los ntawm qhov tshwm sim ntawm contractions. Tus poj niam sau qhov mob tsis tu ncua hauv plab. Qee zaum, thaj tsam ib ncig ntawm lub dab teg yuav tig xiav.
tus mob no txaus ntshai heev. Qhov tshwm sim ntawm pathology feem ntau tuag taus. Yog li ntawd nws tsim nyog muab kev pab kho mob rau tus poj niam sai li sai tau. Thaum lub sijhawm so, nws yuav luag tsis muaj peev xwm cawm tau tus menyuam. Tsuas yog cov muaj hmoo muaj sia nyob tom qab kev tshaib kev nqhis oxygen. Hauv qhov no, cov kab mob tuaj yeem cuam tshuam rau lub neej yav tom ntej ntawm tus menyuam thiab ua rau kev loj hlob qeeb lossis lwm yam tshwm sim.
Kev tsis muaj menyuam
Kev tawg ntawm lub tsev menyuam thaum yug menyuam tuaj yeem muaj qhov cuam tshuam loj heev. Yog tias tsis pom cov kab mob hauv lub sijhawm, cov kws kho mob raug yuam kom tshem tawm cov kab mob hauv lub cev. Qhov no yuav pab cawm tus poj niam txoj sia. Tom qab kev ua haujlwm zoo li no, tus neeg sawv cev ntawm kev sib deev tsis muaj zog tau lees paub tias muaj menyuam tsis taus. Nws yuav tsis muaj peev xwm yug tau menyuam ntxiv lawm.
Nws tsim nyog sau cia tias qhov tshwm sim no feem ntau nrog kev nyuaj siab thiab kev ntxhov siab. Kev cuam tshuam tshwj xeeb yog cov poj niam uas tsis muaj menyuam lossis cov menyuam mos uas tuag vim yog kev tshaib plab.
Adhesion hauv cheeb tsam pelvic
Yog hais tias lub tsev menyuam tau ruptured raws lub caws pliav los yog sab nraum qhov chaw no, los ntshav feem ntau ua rau tsim adhesions. Txhua yam yog piav qhia yooj yim heev. Cov kua dej uas nkag mus rau hauv lub plab tsis tuaj yeem ua tiavtshem tawm. Yog li ntawd, nws thickens, thinnest films tshwm. Lawv nplaum lub cev ua ke. Hauv tshuaj, xws li formations hu ua adhesions.
Qhov tshwm sim ntawm cov khoom no ua rau mob tsis tu ncua hauv plab plab, cuam tshuam ntawm lub cev. Feem ntau lawv ua rau muaj menyuam tsis taus thiab muaj kev pheej hmoo ntawm cev xeeb tub ectopic.
mob khaub thuas
Yog tias muaj lub tsev menyuam perforation, qhov tshwm sim tuaj yeem yog mob lossis kis kab mob. Qhov qhib yuav tsum tau sutured ib txwm. Tom qab xws li ib tug manipulation, muaj kev sib cais ntawm ichorus. Cov kab mob thiab kab mob tuaj yeem nkag mus rau hauv qhov txhab. Tag nrho cov no ua rau muaj kab mob.
Kev kho ntawm qhov tshwm sim no feem ntau yog raws li kev siv tshuaj. Qhov no suav nrog tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob.
Kev zoo nkauj thiab kev puas siab puas ntsws
Ib rupture ntawm lub tsev menyuam ib txwm ua rau suturing lub plab mog. Hauv qhov no, qhov kev txiav tuaj yeem muaj kab rov tav lossis ntsug. Cov qhov txhab zoo li no nyob mus tas li ntawm nws lub neej thiab ua rau tus poj niam nco ntsoov tias muaj dab tsi tshwm sim rau nws. Ntau tus neeg sawv cev ntawm kev sib deev tsis muaj zog pib txaj muag rau lawv lub cev vim muaj qhov caws pliav loj rau ntawm nws.
Nws kuj tsim nyog hais txog kev puas siab puas ntsws. Cov poj niam feem ntau muaj kev ntxhov siab tom qab xws li kev tswj xyuas. Kev siv tshuaj loog tuaj yeem cuam tshuam rau ntawm daim tawv nqaij, plaub hau, rau tes thiab ua rau tsis nco qab.
Puas tuaj yeem yug tau tom qab kho kab mob?
Yugtom qab uterine rupture tsuas yog ua tau yog hais tias tus poj niam tau khaws cia lub cev xeeb tub. Nyob rau tib lub sijhawm, cov kws kho mob feem ntau hais rau qhov chaw phais mob, vim lawv ntshai qhov rov tshwm sim ntawm cov teeb meem.
Nws yog ib qho tsim nyog sau cia tias yog tias muaj cov kab mob ntawm cov kab mob hauv lub cev xeeb tub, nws yuav tsum ua tib zoo saib xyuas kev xeeb tub tom ntej. Cov poj niam zoo li no feem ntau yuav tau txais ultrasound thiab lwm yam khoom siv ntxiv.
Yog hais tias muaj kab mob ntawm lub tsev menyuam, ces muaj kev pheej hmoo ntawm cov placenta loj hlob mus rau nws. Qhov no tsuas yog kawm tau thaum yug menyuam. Nyob rau tib lub sijhawm, cov kws kho mob feem ntau tshem tawm cov me nyuam pathological qhov chaw nrog rau lub cev. Qhov no kuj tshwm sim los ntawm kev phais mob.
Yuav zam tau qhov teeb meem?
Kev tawg ntawm lub tsev menyuam thiab lub tsev menyuam tuaj yeem tiv thaiv. Txhawm rau ua qhov no, koj yuav tsum mloog cov lus qhia ntawm cov kws tshaj lij thiab ua raws li tag nrho cov lus pom zoo thaum yug menyuam. Cov poj niam feem ntau pom tias nws nyuaj rau tswj lawv tus kheej hauv cov txheej txheem no. Tias yog vim li cas thiaj muaj ntau yam teeb meem.
Txawm tias ua ntej cev xeeb tub, nws tsim nyog mus kuaj thiab, yog tias tsim nyog, kho. Nws yog tsim nyog sau cia tias qhov muaj kab mob ntawm qhov chaw mos thiab cov txheej txheem inflammatory ua rau muaj kev pheej hmoo. Cov poj niam zoo li no tau xoob mucous membranes cuam tshuam los ntawm cov kab mob.
Yog tias koj twb tau so thiab koj tab tom npaj cev xeeb tub, ces koj yuav tsum tau mus ntsib kws kho mob gynecologist ua ntej. Tus kws kho mob yuav kuaj xyuas thiab muab cov lus pom zoo rau koj.
BQee qhov xwm txheej, qhov kev kho ua ntej yuav tsim nyog, uas yuav pab kom tsis txhob muaj teeb meem yav tom ntej. Noj qab nyob zoo thiab tsis txhob mob!
