Txoj kev txiav txim ntawm kev loj hlob ntawm tus me nyuam hauv plab, nws txoj kev tuag yog lub cev xeeb tub. Feem ntau, kev xeeb menyuam hauv plab yog kuaj thaum muaj hnub nyoog txog 13 lub lim tiam.
Dab tsi yog qhov ua rau kev xeeb tub hauv plab rau luv luv
Qhov laj thawj ntawm cev xeeb tub yog ib tus poj niam nyob rau hauv cov theem ua ntej yuav txawv. Qhov no tuaj yeem tshwm sim vim cov kev hloov hauv caj pas, vim yog kev xeeb ceem ntawm cov poj niam cev xeeb tub, vim yog kev sib kis ntawm cov kab mob sib kis, thiab lwm yam.
Ib qho ntawm cov txheej xwm rau lub cev xeeb tub hauv poj niam yog ua txhaum ntawm hormonal keeb kwm, feem ntau tsis muaj ib yam tshuaj hormon ntawm progesterone. Yog hais tias ib qho anamnesis twb tau muaj xws li kev xeeb tub, qaub ncaug, feem ntau muaj qeeb hauv kev qaug dab poj niam, muaj kev tu plaub ntxiv, ces ua ntej npaj plab me nyuam, nws raug nquahu kom ib tug poj niam kis cov tshuaj hormones uas tsim nyog. Yog tias tsim nyog, ces koj yuav tsum tau mus kho tshwj xeeb - qhov no yuav txo qhov kev tuag ntawm tus me nyuam hauv plab yav tom ntej.
Tsis tas li ntawd, feem ntau yog ib tug cev xeeb tub uas khov kho thaum ntxov ntawm cev xeeb tub tshwm sim vim yog txhua hom kab mob. Qhov tshwj xeeb tshaj yog txaus ntshai yog kis los ntawm ib tug poj niam thaum cev xeeb tub. Piv txwv, kab mob qoob rubella, chicken pox tuaj yeem tshwm sim tsis yog ib tus cev xeeb tub, tab sis kuj yuav muaj anomalies hauv kev loj hlob ntawm tus me nyuam hauv plab. Thaum muaj kev xeeb tub tam sim ntawd, ib tus kws kho mob tshwj xeeb yog tus kws kho mob muab tshuaj, kom tsis txhob muaj menyuam hauv plab.
Qhov feem ntau ua rau khov kho xeeb yog cov muaj mob caj dab nyob rau hauv lub fetus. Xwm nws tus kheej hinders kev loj hlob ntawm ib tug "muaj mob" embryo - nws tuag. Yog tias cov niam txiv muaj kev noj qab nyob zoo, qhov tshwm sim siab siab tias qhov kev xeeb tub uas khov dua yuav tsis tshwm sim dua.
Cov tsos mob thiab kev kuaj mob ntawm cev xeeb tub thaum ntxov li cas?
Nyob rau hnub thaum ntxov, ib tug cev xeeb tub uas khov kho, hmoov tsis, tsis tuaj yeem paub txhua yam. Tab sis tom qab ib tug poj niam muaj mob hnyav thiab ntshav tawm tau zoo. Feem ntau, cov tsos mob tshwm sim no tshwm sim thaum lub qe kas nchuav, nrog rau pib nchuav menyuam.
Tsis tas li ntawd, rau cov kev mob ntawm kev tuag ntawm lub embryo (khov kho thaum cev xeeb tub) nyob rau hauv lub sij hawm thaum ntxov tuaj yeem muab cais ua tiav, thiab qhov ntse, toxicosis (yog tias yog). Cov dej kub hauv qab no tuaj yeem ua rau poob qis, qhov mob ntawm lub caj pas tsis muaj zog. Feem ntau, cov tsos mob xws li tsis pom kev los ntawm ib tug poj niam.
Tus me nyuam hauv plab hauv plab yog kuaj me ntsis hauv peb txoj kev. Qhov no yog kev soj ntsuam ntawm ib tus gynecologist, kuaj ultrasound thiab kuaj ntshav rau HCG. HCG nyob rau hauv lub cev xeeb tub uas khov qis dua qis dua nws yuav tsum ua raws li kev xeeb tub. Thaum lub caij ultrasound, lub fetus tsis muaj lub plawv dhia. Thaum kuaj gynecological muaj qhov tsis sib xws ntawm qhov loj ntawm lub tsev menyuam thiab lub sij hawm ntawm cev xeeb tub.
Nws tseem ceeb kom paub tias cov tsos mob ntawm tus cev xeeb tub uas tsis khov tsis yog 100% tseeb, vim lawv yog tus neeg rau txhua tus poj niam. Ib qho kev kuaj mob muaj peev xwm ua tau yog tom qab tshawb xyuas kev kho mob.
Cov menyuam uas cev xeeb tub thaum twg los xij nrog kev ntxuav ntawm lub uterine kab noj hniav hauv cov tsev kho mob. Thaum lub sij hawm ntxov ntxov, lub tshuab nqus dej nqus tau ua tiav, lossis qaub ncaug yog los ntawm cov tshuaj tshwj xeeb. Qee zaum, thaum ntxov ntawm ib tus menyuam uas cev xeeb tub, cov kws kho mob tshwj xeeb yuav tsum tos thiab pom tus cwj pwm - lawv xav tias tus poj niam qis dua. Yog hais tias qhov no tsis tshwm sim, ces curettage yog nqa tawm, scraping lub uterine kab noj hniav. Tsis tas li ntawd, scraping yog ua yog hais tias cov ntsiab lus ntawm ultrasound raug kuaj nyob rau hauv lub tsev menyuam ntawm qhov seem ntawm lub plab me me.
Ib tug pojniam thaum lub sijhawm npaj muaj menyuam hauv plab hnyuv yuav tsum twv txhua yam kev coj cwj pwm phem, xws li thaum ntxov ntawm qhov kev xeeb tub uas khov xeeb yog qhov siab tshaj. Tsis tas li ntawd thaum lub sijhawm no, koj yuav tsum tsis txhob siv cov tshuaj noj yam tsis tau kev tso cai los ntawm ib tus kws kho mob tshwj xeeb. Lub embryo rau teratogenic nkaus yog heev raug. Tab sis nws muaj peev xwm raug sau tseg tias nyob rau hauv thaum ntxov sij hawm - txog li 10 hnub ntawm kev xeeb tub, cov tshuaj yuav tsis zoo yuav ua rau tuag ntawm embryo, vim nyob rau lub sij hawm no tseem tsis muaj kev sib txuas ntawm lub fetus thiab leej niam. Tsis tas li tom qab 8 lub lim piam ntawm qhov teeb meem no, cov txiv hmab txiv ntoo ib txwm tiv thaiv lub tsho me nyuam los ntawm cov teebmeem teratogenic.