Nws feem ntau tshwm sim hauv poj niam lub neej uas yuav tsum tau tshem tawm qhov pib ntawm cev xeeb tub. Yog vim li cas rau qhov no tuaj yeem yog ob qho tib si nws tus kheej xav txog lossis muaj peev xwm, thiab yog vim li cas kho mob. Tsis ntev los no, kev rho menyuam tawm tsuas yog phais, uas ua rau muaj ntau yam teeb meem thiab qhov tshwm sim. Tam sim no qhov kev nyab xeeb tshaj plaws thiab nrov tshaj plaws ntawm kev rho menyuam yog tshuaj rho menyuam.
Pilled rho menyuam (nws lub npe thib ob yog kev kho mob) tshwm sim nrog kev pab ntawm kev noj tshuaj, uas yog raws li cov tshuaj "Mifepristone". Qhov no yog ib qho steroid uas thaiv cov progesterone receptors, ua rau lub qe fetal raug tso tseg. Lub sijhawm siab tshaj plaws uas nws raug pom zoo los ua cov tshuaj rho menyuam yog 6-8 lub lis piam lossis 42 hnub txij hnub kawg ntawm kev coj khaub ncaws. Tsis tas li ntawd, lub hnub nyoog gestational luv dua, qhov muaj feem ntau dua rau nwskev cuam tshuam yuav ua mus yam tsis muaj teeb meem.
Yuav ua li cas rho menyuam nrog tshuaj
Yog tus poj niam txiav txim siab txiav nws cev xeeb tub nrog tshuaj, thawj qhov nws yuav tsum ua yog:
- ua txhua yam kev kuaj tsim nyog (cov ntshav rau HIV, kab mob siab, thiab lwm yam);
- txhawm rau txiav txim siab lub hnub nyoog gestational thiab tsis suav nrog cev xeeb tub - ua ultrasound;
- coj ib lub swab los ntawm qhov chaw mos, qhov quav thiab qhov tso zis rau kev kuaj kab mob STIs.
Nyob rau hauv rooj plaub thaum tsis muaj contraindications thiab cov ntsiab lus ntawm cev xeeb tub tso cai, ib ntsiav tshuaj rho menyuam. Nyob rau hauv lub xub ntiag ntawm tus kws kho mob, ib tug poj niam noj 3 ntsiav tshuaj ntawm cov tshuaj "Mifepristone" thiab tseem nyob rau hauv nws cov kev saib xyuas rau li 2-3 teev, nyob rau hauv cov ntaub ntawv ntawm cov tshuaj ua rau ib tug tsis zoo tshwm sim (kev tsis haum tshuaj). Tom qab ntawd, tom qab li 36-48 teev, tus neeg mob yuav tsum tau tuaj rau hauv tsev kho mob, qhov twg, txhawm rau txhim kho cov nyhuv, nws yuav tsum noj 2 ntsiav tshuaj ntxiv ntawm Misoprostol. Tom qab ntawd, los ntshav yuav pib, uas yuav qhia qhov pib ntawm kev rho menyuam. Nws yuav tsum nyob hauv tus kws kho mob saib xyuas tsawg kawg 2-3 teev.
Ib yam uas yuav tsum tau ua tom qab kev rho menyuam tawm yog mus ntsib koj tus kws kho mob 2 lub lis piam tom qab noj tshuaj. Nws tseem yog ib qho tsim nyog yuav tsum tau mus rau ib qho ultrasound thib ob, uas yuav paub meej lossis tsis lees paub tias cov tshuaj rho menyuam tau ua tiav. Tsis tas li ntawd (nrog rau kev tso tawm tsis tiav ntawm lub qe fetal los yog txuas ntxiv kev xeeb tub), kev kho mob ntxiv yuav tsim nyog. Tom qab uaKev rho menyuam tsis tiav nrog tshuaj, kev xeeb tub tsis tuaj yeem tswj tau.
Tsis yog txhua tus pojniam tuaj yeem rho menyuam tawm, vim nws muaj ntau yam contraindications:
- qis dua 18 thiab tshaj 35;
- noj tshuaj hormonal contraceptives los yog siv ib tug intrauterine ntaus ntawv ua ntej cev xeeb tub;
- muaj qhov endometriosis lossis lwm yam kab mob ntawm lub cev xeeb tub;
- ectopic cev xeeb tub;
- ntshav qab zib;
- noj tshuaj tiv thaiv kab mob;
- siab lossis raum tsis ua haujlwm;
- muaj kab mob inflammatory ntawm lub plab hnyuv;
- bronchial hawb pob;
- kev coj khaub ncaws tsis xwm yeem ua ntej cev xeeb tub;
- mob plawv;
- ntshav siab;
- tshuaj tsis haum.
Txawm hais tias tshuaj rho menyuam tawm yog qhov nyab xeeb tshaj plaws ntawm lwm hom kev rho menyuam, qee qhov teeb meem kuj tuaj yeem tshwm sim tom qab nws. Piv txwv li, feem ntau muaj qhov tsis ua tiav ntawm lub qe fetal, vim qhov kev cuam tshuam ntawm kev phais yuav tsum tau ua. Cov uterine los ntshav hnyav kuj tuaj yeem tshwm sim, uas tseem yuav tsum tau nres los ntawm kev cuam tshuam hauv plab.
