Marginal tsev me nyuam previa - ib tug kev hem thawj rau lub qub chav kawm ntawm cev xeeb tub

Tsev me nyuam - qhov hloov uas plays ib tug tseem ceeb heev luag hauj lwm nyob rau hauv txoj kev loj hlob ntawm lub fetus. Yuav kom tsim lub tsho me nyuam pib thaum lub caij thaum muaj ib tug txuas rau lub uterine phab ntsa ntawm lub ovum, thiab los ntawm cov kaum ob lub lim tiam ntawm cev xeeb tub, nws yuav siv sij hawm nyob rau hauv lub noj haus, ua pa, excretory, kev tiv thaiv thiab hormonal muaj nuj nqi.

Feem ntau, lub tsho me nyuam yog nyob rau hauv lub tsev me nyuam los yog cov rov qab feem ntawd nyob rau txoj kev hloov mus rau sab phab ntsa, yam tsawg kawg - ntawm pem hauv ntej phab ntsa. Tab sis muaj yog xws li ib tug pathology, raws li qhov kev nthuav qhia ntawm lub tsho me nyuam. Tsev me nyuam, hauv nyob rau hauv qab ntawm lub tsev me nyuam, nws overlaps lub internal os cov los yog kiag li. Nyob rau hauv no txim hluav taws xob tag nrho (central) ib nrab thiab tsawg tsev me nyuam previa.

Sau kom tiav lub tsev me nyuam previa, thaum lub ncauj tsev menyuam yog kiag li sim, heev tsis tshua muaj. Ib nrab tsev me nyuam previa tej zaum yuav ntug thiab sab. Marginal tsev me nyuam previa - yog qhov chaw ntawm lub tsho me nyuam, nyob rau lub puab lub puab tsaig kaw rau ib-feem-peb; sab praevia - thaum kaw ob feem peb. Nrog ib tug tsis muaj tsev me nyuam previa no tseem ceeb heev lub cev yog nyob rau ntawm ib tug deb ntawm tsis muaj ntau tshaj li tsib centimeters los ntawm lub sab hauv os. Tab sis pathology tsawg placentation yog suav tias yog xwb nyob rau hauv lub thib peb peb lub hlis uas cev xeeb tub, kom txog thaum uas lub sij hawm, lub tsho me nyuam tej zaum yuav zoo sawv.

Lub ntsiab yog vim li cas yog vim li cas muaj yog lub tsev me nyuam previa, lus dag nyob rau hauv lub fact tias cov hauv ob sab phlu ntawm lub tsev menyuam tau hloov zuj zuj, uas tabkaum kom fixation ntawm lub fertilized ovum. Cov kev hloov no tej zaum yuav ua tau los ntawm myocardial inflammatory txheej txheem, cov kev siv ntawm intrauterine, endometrial mob vim kev rho me nyuam los yog intrauterine curettage, uterine fibroids. Ntawm tag nrho cov neeg mob, thaum cov kws kho mob kuaj marginal tsev me nyuam previa, 75% yog cov poj niam, cev xeeb tub dua. Kuj muaj ib feem nyob rau hauv lub kev consolidation ntawm lub embryo tej zaum yuav hauv nruab nrog cev ntawm tus kab mob nyob rau hauv cev xeeb tub cov poj niam.

Soj ntsuam cov tsos mob, uas txiav txim yuav ua li cas marginal tsev me nyuam previa, thiab lwm yam kev siv tsis raws cai ntawm nws qhov chaw nyob, yog los ntshav los ntawm qhov chaw mos huam, nrog mob. Nws yuav tshwm sim nyob rau ntau theem ntawm cev xeeb tub - nyob rau hauv thawj peb lub hlis, thiab cia li ua ntej lub hnub yug. Ua los ntshav yog ib tug ib nrab placental abruption. phab ntsa ntawm lub tsev me nyuam thaum lub sij hawm cev xeeb tub, ncab, thiab lub tsho me nyuam yog tsis muaj peev xwm sawv ntawm xws nro, qhov tshwm sim yog ib tug retinal detachment.

Yog hais tias koj tsis noj cov tshuaj rau lub sij hawm kev ntsuas, lub txiv hmab txiv ntoo yuav pib muaj kev hypoxia, thiab ib tug cev xeeb tub poj niam tej zaum yuav tsim teeb meem loj anemia. Tej zaum los ntshav yuav txawm ua rau tuag. Yog li ntawd, yog hais tias tus gynecologist no sab tag nrho los yog marginal tsev me nyuam previa, koj yuav tsum ua raws li ib tug kom meej meej nws cov lus qhia. Tsom on kev tsis txaus siab ntawm lub cev xeeb tub poj niam thiab ultrasound tau, nws mam li tsa mus pw, los txo cov menyuam npaj nyob rau hauv cov ntaub ntawv ntawm heev recurrent los ntshav - pw tsev kho mob thiab kev kho mob nyob rau hauv lub tsev kho mob. Tus me nyuam, yog yuav yuav tsum tau nqa tawm los ntawm caesarean seem, tsuas marginal tsev me nyuam kev kho yoojyim chav rau ib tug tej yam ntuj tso yug.