Kev rho me nyuam los yog tus me nyuam me yog muab rho menyuam tawm ntawm lub sij hawm gestational li ntawm 28 lub lis piam. Miscarriage ua ntej 12 lub lim piam yog suav tias yog ntxov, tom qab lub sij hawm no - lig. Kev ncua ntawm kev xeeb tub tom qab 28 lub lim piam thiab mus txog 38 yog hu ua kev yug ntxov ntxov.
Tshwm sim abortion tshwm sim tsis muaj kev cuam tshuam, thiab tsis nyob ntawm seb tus poj niam muaj siab. Feem ntau, qaub ncaug tshwm sim hauv thawj 12 lub lim tiam ntawm cev xeeb tub.
Ua rau me nyuam me.
Qhov ua rau mob me me ua rau mob heev heev thiab muaj ntau hom neeg.
Chromosomal abnormality ntawm lub embryo feem ntau ua rau tus nchuav menyuam hauv thawj peb lub hlis cev xeeb tub. Chromosomal abnormalities tshwm sim los ntawm kev ua txhaum ntawm qe los yog spermatozoa los yog nrog rau cov teeb meem ib ntus ntawm kev faib cov zygote.
Cov kab mob kis thaum lub sijhawm cev xeeb tub feem ntau ua rau kev rho menyuam tawm. Feem ntau, cov no yog cov kab mob kis kab mob uas tshwm sim hauv thawj lub lim tiam ntawm cev xeeb tub. Ntawm cov kab mob kis tau, tus mob khaub thuas, uas yog feem ntau, plays lub luag haujlwm tseem ceeb. Kev ncua ntawm cev xeeb tub feem ntau tshwm sim nrog kis kab mob siab, mob rheumatism, nrog rubella, ua npaws liab, ua npaws. Miscarriage tuaj yeem tshwm sim nrog angina, mob ntsws (pneumonia), pyelonephritis, appendicitis. Kev cuam tshuam ntawm kev xeeb tub hauv cov kab mob muaj kab mob ua rau tuaj yeem ua rau: kev kub ntxhov, kev qaug, hypoxia, malnutrition thiab lwm yam mob; nyob rau hauv lub decidual membrane, dystrophic hloov yog tsim, thiab hemorrhages; weaken lub barrier thaj chaw ntawm chorion thiab microorganisms muaj peev xwm nkag mus rau hauv lub embryo.
Mob kis kab mob mus ntev yuav ua rau kev rho menyuam. Nrog toxoplasmosis, tuberculosis, brucellosis, syphilis, rho menyuam tshwm sim ntau dua li ntau nrog cov kab mob. Nrog txoj kev kho mob uas muaj kab mob tas mus li, muaj peev xwm tswj tau thiab cev xeeb tub.
Cov mob tsis kis kab mob mus ntev yuav tuaj yeem yog qhov ua rau rho menyuam, tshwj xeeb tshaj yog nyob rau hauv tus kab mob loj heev. Cov kab mob xws li: organic plawv kab mob nrog kev mob plawv, mob glomerulonephritis thiab hypertensive kab mob loj heev. Cev xeeb tub tuaj yeem cuam tshuam tau yog tias muaj kabmob ntshav kabmob (ntshav dawb, ntshav qaub ncaug).
Infantility yog ib qho ntawm feem ntau yog ua rau rho menyuam. Nrog rau cov me nyuam mos liab, muaj lub cev tsis muaj zog ntawm qhov kev ua haujlwm ntawm lub qog ntawm qe menyuam thiab lwm cov qog hauv qog, feem ntau muaj kev nce siab ntawm lub tsev menyuam thiab tsis tuaj yeem nrhau ntawm lub pharynx.
Kev ua rau nquag ua rau nquag muaj xws li cov kab mob neuroendocrine ntawm cov qog endocrine. Miscarriage feem ntau tshwm sim nrog hyperthyroidism, hypothyroidism, ntshav qab zib, adrenal thiab cov kab mob ntawm tus pojniam.
Intoxication ntawm lub cev feem ntau ua rau tuag ntawm lub embryo thiab nchuav menyuam. Qhov feem ntau txaus ntshai yog txhuas, mercury, nicotine, roj av thiab lwm yam tshuaj lom.
Yog hais tias cov ntshav ntawm tus txij nkawm tsis ua raws li Rhais, qhov fetus muaj peev xwm txais tau cov antigens ntawm leej txiv. Embryo antigens (incompatible with maternal) thaum lawv nkag mus rau lub tsho me nyuam mus rau hauv lub cev ntawm ib tug poj niam cev xeeb tub, pab tsim kom muaj cov tshuaj tiv thaiv kab mob. Cov tshuaj tua kab mob nkag mus rau hauv lub fetus thiab tuaj yeem ua rau muaj kab mob hauv cov kab mob, uas tuaj yeem ua rau tus menyuam hauv plab tuag. Feem ntau, qhov no, muaj kev cuam tshuam ntawm cev tsis tab seeb. Qhov no yog vim qhov tseeb tias qhov kev xav ntawm lub cev thaum hloov cev xeeb tub nce.
Anomalies ntawm ovum thiab cov phev uas tshwm sim ua ntej kev xeeb tub kuj tuaj yeem ua rau muaj kev rho menyuam.
Yuav kom nquag ua rau kev ncua ntawm cev xeeb tub muaj xws li muab cov khoom rho menyuam tawm, uas ua rau cov kab mob hauv kev kho mob hauv lub cev endocrine thiab lub hlwb, mob endometritis thiab lwm yam kab mob rau cov kab mob. Nrog rau kev loj hlob ntawm lub ncauj tsev me nyuam thaum lub caij nyoog rho menyuam, kev puas tsuaj rau cov leeg nqaij ntawm qhov chaw mos ntawm lub ncauj tsev menyuam hauv lub ncauj tsev menyuam muaj peev xwm ua tau, ua rau lub cev tsis muaj zog ntawm ncauj tsev menyuam, uas ua rau cev xeeb tub yuav muaj teeb meem.
Inflammatory kab mob ntawm cov qoob loo yog qhov zoo tshaj plaws hauv kev cuam tshuam kev xeeb tub. Raws li hauv kev mob, qhov kev ua haujlwm lossis cov qauv ntawm qhov kev tsim cov tshuaj endometrium tsis zoo. Qhov ua rau qaub ncaug tuaj yeem ua cov txheej txheem nplaum, oncological formations nyob rau hauv lub me me pelvis, uas tiv thaiv kom loj hlob zoo ntawm cev xeeb tub.
Nyob rau cov poj niam uas muaj kev tiv thaiv kab mob hlwb, kev txiav tu cev xeeb tub tuaj yeem tshwm sim nrog kev puas siab puas ntsws loj heev. Lub cev raug mob - tawg, nqaij doog, kev raug mob - tag nrho cov teeb meem no kuj tuaj yeem ua rau me nyuam yaus, thaum muaj me nyuam mos liab, mob cov kab mob thiab lwm yam kev tuaj yeem ua kom zoo.
Nyob rau hauv cov ntaub ntawv ntawm spontaneous rho menyuam, uas tau tshwm sim raws li ntawm qhov kev txiav txim ntawm cov xwm txheej tau piav saum toj no, qhov kawg tshwm sim yog tib txoj kev - qhov kev cog lus ntawm lub tsev menyuam nce. Tus me nyuam hauv plab nyhav maj mam los ntawm lub plab hnyuv ntawm lub tsev menyuam thiab raug thawb tawm ntawm nws cov kab noj hniav, ua rau muaj kev mob kev nkeeg thiab kev tuaj yeem los ntshav ntawm qhov sib txawv. Tus menyuam qis qis qis qis qis dua rau tus poj niam yug menyuam (lub ncauj tsev me nyuam qhib, lub kua amniotic tawm, yug menyuam hauv plab, thiab tom qab ntawd)
Daim duab saib ntawm kev tshwm sim los ntawm kev tuaj yeem yog nyob ntawm lub caij nyoog ntawm cev xeeb tub, theem, qhov ua rau, uas coj mus rau kev tshem tawm ntawm cev xeeb tub.
Rau ib tug me nyuam me hauv thawj peb lub hlis cev xeeb tub yog qhov sib txawv ntawm qhov mob thiab cov ntshav tawm, ob peb lub hlis, cov cim kev qis me nyuam muaj mob nrawm rau hauv plab hauv plab, los ntshav tom qab yug me nyuam hauv plab. Nyob ntawm cov kab mob etiological uas tshwm sim los ntawm kev rho menyuam tawm, tej zaum yuav muaj kev tshwm sim ntawm nws cov kev mob tshwm sim.
Nyob rau hauv cov ntaub ntawv ntawm ntev heev spontaneous rho menyuam, pathogenic microorganisms (staphylococci, streptococci) feem ntau nkag rau lub uterus, uas ua rau kev loj hlob ntawm ib tug raug rho tawm mob.
Lwm qhov teebmeem ntawm txoj kev tuaj yeem tshwm sim yog qhov placental polyp. Cov teeb meem no, uas tshwm sim thaum lub tsho me nyuam nyob hauv lub uterine kab noj hniav, cov kua uas tawm tsam nrog cov ntaub so ntswg thiab tau nruj heev rau cov phab ntsa ntawm lub tsev menyuam. Clinically, nws yog manifested los ntawm cov ntshav tawm ntev heev. Kev kho yog ua los ntawm kev khawb qhov ncauj kabmob.
Nrog rau kev hem thawj ntawm kev rho menyuam tawm, tus neeg mob yog tsev kho mob tam sim ntawd. Lub tsev kho mob muab kev kho mob kom zoo rau kev tshem tawm qhov tsim nyog ua rau me nyuam yaus, nrog rau kev xeeb tub.