Kev ua txhaum ntawm cov ntshav khiav thaum lub sij hawm cev xeeb tub: ua, cov tsos mob, kev kho mob

Rau cov kev hloov ntawm cov khoom noj thiab oxygen los ntawm leej niam mus rau lub fetus teb lub tsev me nyuam. Tsaug rau no ua ke ob nyuaj vascular system. Ib tug ntawm lawv txuas lub tsho me nyuam mus rau lub uterine leeg, thiab rau lwm yam - nrog rau cov hlab ntaws. Nyob rau hauv cov ntaub ntawv no, lub tsho me nyuam yog ib tug teeb meem uas tiv thaiv cov me nyuam mos los ntawm cov kab mob thiab teeb meem tshuaj. Nws tshwm sim hais tias thaum lub sij hawm lub US muaj kev cuam tshuam ntawm cov ntshav khiav thaum lub sij hawm cev xeeb tub, uas yuav cuam tshuam rau txoj kev loj hlob ntawm tus me nyuam.

doppler

Qhov no txawv txawv lub npe yog ib tug diagnostic txoj kev los ntes tej pathology ntawm cov ntshav khiav tsis zoo hauv cov hlab ntsha thiab cov leeg. Raws li ib tug tshwm sim, tshwj xeeb apparatus lub tsev dopplerograms, uas qhia txog cov zaus sib txawv nruab nrab ntawm tus xa thiab lub thaws rov los lub teeb liab. Kev tshawb fawb yog ua nyob rau hauv tus qauv hom los yog ib cov xim kuas, uas yog, lub zog ntawm cov ntshav los ntawm cov hlab ntsha yog tso tawm nyob rau hauv cov xim. Kev xaiv lub xeem tso cai rau koj kom sai thiab meej lawm ntes txawm tias ib tug me ntsis kev ua txhaum ntawm utero-placental ntshav txaus.

Doppler yog ua dag rau koj rov qab los yog sab. Nyob rau tib lub sij hawm nyob rau koj sab yuav tau txais ib tug yeej muaj tseeb tshwm sim vim hais tias nyob rau hauv lub rov qab ntawm ntau cev xeeb tub pib laus, provoking ntau yam kab mob. Specialist npog lub analyzed seem gel thiab pib tsav tsheb sensor txij ntawd lawm.

Txoj kev tshawb no muab rau tag nrho cov cev xeeb tub cov poj niam, ua ke nrog rau cov thawj (18-22 lub lis piam) thiab thib ob (32-34 lub lis piam) soj ntsuam. Nws yuav nqa tawm nyob rau hauv intermediate sij hawm thaum qhia.

Ua rau cov ntshav khiav

Yuav kom qhia tau tias ib tug tsis ua hauj lwm nyob rau hauv lub system flow, tshwj xeeb yog cov poj niam ultrasound nrog doppler velocimetry. Qhov no tso cai rau koj mus saib tau tus tsis xws luag nyob rau hauv cov hlab ntsha, mus taug tus nqi ntawm cov pa thiab as-ham tau txais los ntawm lub fetus.

Heev feem ntau, tos niam muaj wondering yog vim li cas muaj ib tug ua txhaum ntawm cov ntshav khiav thaum lub sij hawm cev xeeb tub. Lub ntsiab yog vim li cas rau lub xeev no:

• Ib tug poj niam lub hnub nyoog (ntxov heev los yog, nyob rau hauv tsis tooj, lig).
• Ib tug me me kis ntawm kev yug me nyuam.
• Preeclampsia (toxemia ntawm lig cev xeeb tub).
• Neoplasms nyob rau hauv lub tsev me nyuam (xws li fibroids), pathology myometrium endometriosis.
• Mob ntshav qab zib mellitus.
• Tawg.
• Raum teeb meem.
• Intrauterine kab mob vim tus kab mob cov kab mob ntawm cov poj niam.
• Ntau cev xeeb tub.
• Heev heev rho menyuam los yog nchuav me nyuam.
• Anemia (tsis muaj hlau).
• Tsev me nyuam previa.
• Rhesus-teeb meem.
• Ntshav teeb meem uas ua rau cov tsim ntawm cov ntshav txhaws.

Lub degree ntawm cov ntshav khiav mob

Thaum lub caij, muaj peb degrees ntawm pathology. Tus thawj degree yog muab faib ua ob subspecies: 1A (lus uteroplacental ntshav khiav) thiab 1B (ntshav teeb meem ntawm lub fetus thiab lub tsho me nyuam). Thaum lub thib ob degree muaj teeb meem nrog rau ob lub nruab ( "tsev menyuam - tsev me nyuam" thiab "tsev me nyuam - fetus"). Peb degree muab cov poj niam uas tau muaj teeb meem loj teeb meem nrog cov ntshav ncig.

Tus thawj theem ntawm tus kab mob amenable mus hloov ntawm cov tshuaj, thiab raws li ib tug ib tug noj qab nyob zoo tus me nyuam. Nyob rau hauv lwm yam mob, muaj txoj kev pheej hmoo ntawm perinatal tuag.

Hom placental insufficiency

Yog hais tias koj yog cooj tus me nyuam qhia ib kev yuam cai ntawm cov ntshav txaus, cov kws kho mob feem ntau yog kev tshawb nrhiav "placental insufficiency". Nyob rau hauv cev xeeb tub, qhov no pathology yog heev thiab yuav ua tau mob los yog mob. Cov mob daim ntawv no yog tau tshwm sim mam li nco dheev, nyob txhua lub sij hawm, raws li ib tug tshwm sim ntawm lub fetus muaj hypoxia thiab tej zaum yuav tuag. Qhov no yog tau nrog ntxov ntxov placental abruption, placental infarction, tus tsim ntawm cov ntshav txhaws.

Cov mob daim ntawv yog muaj ntau heev mob. Feem ntau nws tshwm sim tom qab 13 lub lim piam, raws li qhia nyob rau hauv lub thib peb peb lub hlis. Cov no ib tug ntxov ntxov laus ntawm lub tsho me nyuam. Nyob rau hauv lub heev ntawm tus kab mob no yog compensated, decompensated, subcompensated, tseem ceeb heev.

Thaum lub compensated theem ntawm tus me nyuam tseem tsim feem ntau sib xws, raws li cov kev hloov no tshem tawm cov kev tiv thaiv mechanisms ntawm tus poj niam lub cev. Nyob rau hauv decompensated pathology nws tsis paub daws teeb meem, nrog rau cov tshwm sim hais tias tus me nyuam hauv plab yog cai oxygen tsis muaj peev xwm, txoj kev loj hlob ruamqauj thiab malfunction ntawm lub plawv. Subcompensated theem ntawm tus kab mob ua rau yus mus rau ib tug ncua nyob rau hauv txoj kev loj hlob ntawm tus me nyuam, raws li tau zoo raws li rau nws tau tuag. Qhov tseem complex daim ntawv no yog xam tias yog ib tug tseem ceeb heev placental insufficiency. Nws tsis tshwm sim ntau heev, tab sis nws ua rau qhov pib ntawm lub inevitable tuag ntawm tus me nyuam.

Lub ntsiab ntawm cov tsos mob ntawm tus kab mob

Nyob ntawm seb lub hom ntawm cov ntshav mob tej zaum yuav tshwm sim nyob rau hauv ib tug ntau yam ntawm nws cov tsos mob. Compensated placental insufficiency thaum lub sij hawm cev xeeb tub tsis manifest nws tus kheej, thiaj paub txog nws xwb thaum lub sij hawm ultrasound. Nyob rau hauv mob decompensated daim ntawv thiab tshwm sim nyob rau hauv lub perturbations hloov tus me nyuam: nws tsiv nws heev npaum li cas, nws yog heev me ntsis. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tseem ceeb kom ib tug qhov muag rau qhov ntsuas no (ib hnub twg txiv hmab txiv ntoo yuav tsum tsiv mus nyob li 10 lub sij hawm).

Raws li nta ntxiv tej zaum yuav qeeb loj hlob lub plab, tsis muaj peev xwm los yog tshaj ntawm amniotic kua. Ntawm nws tus kheej ntawm cov tsis tau tom ntej no, li ntawd, koj yuav tsum mus xyuas tus kws kho mob kom khiav ntawm kev hloov nyob rau hauv kev ntsuas. Nws tshwm sim hais tias cov ntshav khiav ntxaug nrog preeclampsia - lig toxicosis ntawm cev xeeb tub. Nws yuav muab ntxiv rau cov uas twb muaj cov tsos mob ntawm cov ntshav siab, ib tug ntse koj qhov hnyav nce, edema, urinary feem ntawm cov protein.

Cov feem ntau txaus ntshai cov tsos mob ntawm placental insufficiency - lub tsos ntawm cov ntshav los ntawm cov me nyuam yug kwj dej, nrog placental abruption. Thaum xws li ib tug lub xeev yuav tsuas tsheb thauj neeg mob cov tub txawg.

kab mob kev kho mob

Yog hais tias ib tug poj niam qhia nce ntshav viscosity los yog ib tug ib txwm mus thrombosis, feem ntau nws muaj ib tug ntshav txaus ntxaug. Nyob rau hauv cev xeeb tub, cov tshuaj tsuas yog los ntawm ib tug kws kho mob, tom qab tag nrho cov tau ua loj npaj. Feem ntau cov feem ntau muab tej cov tshuaj raws li "Kurantil", "Trental" thiab "Hofitol". Lawv nyias cov ntshav thiab txhim kho nws lub zog los ntawm cov hlab ntsha.

Feem ntau cov feem ntau, cev xeeb tub cov poj niam cov kws kho "Kurantil", uas yog siv nyob rau hauv Obstetrics rau ntau tshaj 15 xyoo. Cov tshuaj copes nrog nws ua hauj lwm - rau normalize ntshav vim nws dilution, tsis tsim txhaws thiab pab tshiab cov hlab ntsha, pab txoj kev tiv thaiv kab mob.

Tsis tas li ntawd, thov yog "Trental" - ib tug yeeb tshuaj uas yog zoo ib yam li qhov kev txiav txim ntawm "Curantylum". Txawm li cas los, nws muaj loj zoo: cov tshuaj tsis ua rau kom cov hlab ntsha ntawm lub plawv thiab cov tsis tu ncua tawm lub active tshuaj tshaj 12 teev.

Nws tshwm sim hais tias ib tug poj niam muaj ib tug me ntsis kev ua txhaum ntawm cov ntshav khiav thaum lub sij hawm cev xeeb tub. Kev kho mob nyob rau hauv cov ntaub ntawv no yog nqa tawm "Hofitol" - ib tug yeeb tshuaj ntxhia thiab cog Cheebtsam (xws li, kua txiv teb artichoke yoojyim). Nws muaj ib tug me ntsis diuretic nyhuv thiab tsis ua mob rau cov nplooj siab.

Cov txoj kev kho mob rau ntau yam degrees ntawm Pathology

Tus thawj degree ntawm tus kab mob no yuav muaj kev cov thawj coj ntawm cov tshuaj uas txhim kho cov ntshav ncig. Cov kws kho mob kuj yuav ua kev doppler thiab cardiotocography (plawv dhia) ntawm lub fetus nyob rau hauv lub puab. Kev tshawb fawb yuav tsum tau nqa tawm 1-2 lub sij hawm ib 7 hnub. Yog hais tias qhov zoo muaj zog ntawm tus poj niam tseem yuav dais cov me nyuam ua ntej yug tus me nyuam. Yog hais tias cov ntsuas deteriorate, nws yog tsim nyog los nqa tawm txhua hnub cov kev tshawb fawb, nyob rau hauv thiaj li yuav tiv thaiv kom txhob irreversible hloov thiab los tuav ib qho xwm ceev Caesarean seem nyob rau lub sij hawm. Nyob rau hauv ib txwm me nyuam hauv plab kev loj hlob me nyuam tej zaum yuav nqa tawm lawm.

txhaum ntawm cov ntshav khiav qib 2 thaum lub sij hawm cev xeeb tub yog tseem kho tau. Feem ntau siv tshuaj yog tib yam li nyob rau hauv thawj cov ntaub ntawv, tiam sis, tus poj niam yuav tau muaj kev txais neeg kawm. Cov kws kho mob yuav saib xyuas kev hloov nyob rau hauv lub cev thiab tuav thaum ntxov me nyuam yog tias tsim nyog.

Peb degree yuav kho tsis zoo vim hais tias irreversible txim pib tshwm. Nyob rau hauv rooj plaub no tus kws txawj yog tsis nyob rau hauv kev uas yuav tus me nyuam lub neej, thiab kuv xaiv ib tug thaum muaj xwm ceev lub lag luam.

kev tiv thaiv

Txhua tus poj niam lub dag lub zog mus ua rau tus me nyuam loj hlob thiab tsim tsis muaj teeb meem. Ua li no, nws yuav muaj mus saib koj cov zaub mov: nws yuav tsum tau ib tug ntau ntawm cov vitamins, minerals, cov nqaijrog thiab lwm yam tseem ceeb sib txuas. Yog hais tias ib tug cev xeeb tub poj niam tsis raug kev txom nyem los ntawm o, nws yog yuam ua hauj lwm kom haus dej haus txhua hnub thaum kawg 1 liter ntawm kua (dua li dej).

Nws yog ib qho tseem ceeb heev rau kev tswj koj qhov ceeb thawj - qhov nce thaum cooj ib tug me nyuam yuav ua tau ib tug tshaj plaws ntawm 10 kg. Ib txhia poj niam xav tau cov tshuaj tiv thaiv, los tsim cov ntshav khiav ntawm niam thiab fetus. Nws ceeb toom kev ua txhaum cai ntawm cov ntshav khiav thaum lub sij hawm cev xeeb tub. Nco ntsoov hais tias tus me nyuam lub neej yuav pab tau kom qhov tseeb cov txheej txheem ntawm zog tswj thiab raws sij hawm kev twb kev txuas ntawm cov tshuaj.