Thaum cev xeeb tub, tus me nyuam tso rau ntawm phab ntsa ntawm lub tsev menyuam thiab muab cov pa oxygen thiab cov as -ham rau tus me nyuam hauv plab los ntawm txoj hlab ntaws. Feem ntau, txoj hlab ntaws tau txuas rau saum lossis nruab nrab ntawm lub tsev menyuam. Tab sis qee zaum lub tsho me nyuam raug txuas rau qis ntawm lub tsev menyuam. Raws li qhov tshwm sim, lub tsho me nyuam npog lub ncauj tsev menyuam (qhov chaw yug menyuam) thiab ua rau lub cev yug menyuam nyuaj lossis txawm tias tsis yooj yim sua. Qhov mob no hu ua placenta previa (qhov tso tsis raug ntawm cov placenta). Yog tias koj ntsib nws, tsis txhob txhawj xeeb, vim tias koj tseem tuaj yeem yug menyuam kom noj qab nyob zoo.
Kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Kab Mob Plab Hlav Previa
Kauj Ruam 1. Tau txais kev saib xyuas yug me nyuam tsis tu ncua
Feem ntau ntawm tus mob placenta previa tau kuaj pom thaum lub sijhawm tshuaj xyuas tas li. Kev saib xyuas cev xeeb tub tsis tu ncua yog qhov tseem ceeb ntawm kev tswj kom cev xeeb tub zoo, txawm tias koj tsis muaj tus mob no. Pom koj tus kws yug menyuam lossis kws kho menyuam tsis tu ncua thiab tsis txhob tuaj.
Saib xyuas tas li sai li sai tau thaum koj pom tias koj cev xeeb tub. Tom qab ntawd, tus kws kho mob yuav teem sijhawm raws li xav tau
Kauj Ruam 2. Mus ntsib kws kho mob yog tias koj muaj ntshav los ntshav
Feem ntau, koj yuav tsum hu rau koj tus kws kho mob yog tias koj muaj ntshav los ntawm qhov chaw mos txhua lub sijhawm thaum koj cev xeeb tub, vim qhov no tuaj yeem ua rau nchuav menyuam lossis qhia txog lwm yam teeb meem. Yog tias cov ntshav liab liab (tab sis tsis mob) ntawm qee lub sijhawm hauv peb lub hlis thib ob lossis tom qab, nws tuaj yeem yog ib qho cim ntawm kev tso menyuam hauv plab.
- Cov ntshav los txuam nrog cov placenta previa tuaj yeem ua rau me me lossis hnyav, thiab tsis tas li. Cov ntshav tuaj yeem nres thiab tom qab ntawd tshwm sim dua.
- Yog tias cov ntshav hnyav, nws zoo dua mus rau ER (Kev Nruab Nrab Thaum Muaj Xwm Ceev), tsis txhob tos koj tus kws kho mob.
Kauj Ruam 3. Ua ultrasound
Txhawm rau paub tseeb tias tus mob placenta previa, tus kws kho mob yuav tshuaj xyuas nrog ultrasound thiab pom qhov chaw ntawm tus me nyuam. Qee qhov xwm txheej, koj yuav tsum muaj lub plab ultrasound thiab transvaginal ultrasound. Transvaginal ultrasound yog ua los ntawm kev tso lub transducer me me rau hauv qhov chaw mos.
Koj kuj tseem xav tau MRI, tab sis feem ntau qhov no tsis tsim nyog
Kauj Ruam 4. Nrhiav kev pab tam sim yog tias muaj kev cog lus ntxov ntxov
Zoo li los ntshav, kev cog lus ua ntej hnub nyoog cuaj lub hlis ntawm cev xeeb tub yuav tsum tau tshuaj los ntawm kws kho mob. Cov ntawv cog lus no tuaj yeem qhia txog kev nchuav menyuam lossis lwm yam teeb meem, lossis lawv tuaj yeem yog cov tsos mob ntawm kev tso menyuam hauv plab.
Nws tuaj yeem nyuaj rau qhov txawv qhov kev cog lus tiag tiag los ntawm kev cog lus Braxton-Hicks (kev cog lus ntawm lub tsev menyuam los npaj rau kev ua haujlwm uas pib thaum pib lub hlis thib ob thiab dhau los ntau zaus hauv peb lub hlis thib peb) uas ntau tus poj niam yuav ntsib thaum cev xeeb tub. Tsis txhob txhawj xeeb lossis tsis kam mus ntsib kws kho mob thiab xyuas kom tseeb. Feem ntau, cov lus hais tias "kev tiv thaiv zoo dua li kho" siv rau rooj plaub no
Kauj Ruam 5. Nug kom kuaj mob tshwj xeeb
Yog tias koj tus kws kho mob kuaj pom koj nrog placenta previa, nug tshwj xeeb. Muaj ntau hom placenta previa, suav nrog cov me nyuam mos liab me me, ib nrab tso me nyuam hauv plab, thiab tag nrho cov me nyuam hauv plab.
- Marginal placenta previa txhais tau hais tias lub tsho me nyuam tau txuas rau sab qis ntawm lub tsev menyuam tab sis tsis npog lub ncauj tsev menyuam. Cov xwm txheej no feem ntau rov zoo li qub ntawm lawv tus kheej ua ntej xa khoom; Lub tsho me nyuam tuaj yeem nce ntxiv thaum cev xeeb tub.
- Ib nrab ntawm qhov tso menyuam hauv plab txhais tau hais tias lub tsho me nyuam npog ib feem ntawm lub ncauj tsev menyuam, tab sis tsis yog txhua yam. Coob leej kuj rov zoo ntawm lawv tus kheej ua ntej xa khoom.
- Placenta previa totalis npog tag nrho lub ncauj tsev menyuam, ua rau lub cev qoj ib ce ua tsis tau. Cov xwm txheej no feem ntau tsis daws ntawm lawv tus kheej ua ntej xa khoom.
Kauj Ruam 6. Paub qhov xwm txheej
Ob peb yam tseem ceeb tuaj yeem ua rau koj pheej hmoo ntawm kev tsim cov placenta previa. Piv txwv li, yog tias koj muaj hnub nyoog tshaj 30 xyoo lossis tau cev xeeb tub ua ntej. Ib qho ntxiv, yog tias koj nqa ntau dua ib tus menyuam hauv plab lossis yog tias koj muaj caws pliav nqaij hauv lub tsev menyuam.
Koj yuav tsum tsum tsis txhob haus luam yeeb thaum cev xeeb tub rau ntau qhov laj thawj, suav nrog vim kev haus luam yeeb ua rau koj pheej hmoo ntawm kev tsim tus mob no
Ntu 2 ntawm 3: Kho Placenta Previa
Kauj Ruam 1. So kom txaus
Ib qho ntawm cov kev kho mob rau placenta previa yog kom tau so ntau. Hauv lwm lo lus, koj yuav tsum ncua qee qhov haujlwm hnyav. Koj yuav tsis tuaj yeem tawm dag zog lossis ua qee yam ntawm koj li kev ua ub no ib txwm muaj.
Koj yuav tsum tsis txhob mus yog tias koj tau ntsib tus mob no
Kauj Ruam 2. Nug tus kws kho mob yog nws tau yuam kom koj so pw (so hauv txaj)
Yog tias koj tsis los ntshav hnyav, koj tus kws kho mob yuav hais kom koj so hauv tsev. Tus kws kho mob cov lus qhia yuav txawv, nyob ntawm rooj plaub. Tab sis feem ntau, kev so hauv txaj yog lub suab zoo li cas: koj pw ntau zaus thiab tsuas yog zaum lossis sawv thaum xav tau. Txawm li cas los xij, kev so hauv txaj kuj muaj kev pheej hmoo noj qab haus huv, uas yog Deep Vein Thrombosis, yog li so lub txaj tam sim no tsis pom zoo dua li ua ntej. Yog tias koj tus kws kho mob pom zoo kom pw tsaug zog, nug yog vim li cas lossis nrhiav lwm qhov kev xav.
Kauj Ruam 3. Ua raws li cov lus qhia "so so"
So hauv plab txhais tau tias koj yuav tsum tsis txhob koom nrog cov dej num uas cuam tshuam nrog thaj chaw ntawm chaw mos. Piv txwv li, koj yuav tsum tsis txhob pw ua ke, douches (ntxuav qhov chaw mos nrog kua tshwj xeeb), lossis siv tampons.
Kauj Ruam 4. Nug koj tus kws kho mob seb koj tus mob hnyav npaum li cas
Yog tias koj muaj cov me nyuam me me me me los yog ib nrab tso me nyuam hauv plab, cov xwm txheej no tuaj yeem ploj mus ntawm lawv tus kheej. Qee tus poj niam uas raug kev txom nyem los ntawm qhov mob me me no tau tso lawv lub tsho tso ua ntej yug menyuam.
Kauj Ruam 5. Saib xyuas ntshav
Qhov kev pheej hmoo loj tshaj rau koj kev noj qab haus huv yog qhov ntshav hnyav uas nrog rau cov placenta previa. Qee lub sij hawm cov neeg uas muaj menyuam hauv plab me nyuam muaj ntshav los hauv plab (lub tsev menyuam) uas tuaj yeem ua rau tuag taus. Saib xyuas cov tsos mob ntawm ntshav hnyav, ob leeg hauv tsev thiab hauv tsev kho mob.
Yog tias koj pom muaj ntshav hnyav hnyav, mus rau ER tam sim
Kauj Ruam 6. Nrhiav seb tus kws kho mob yuav tshuaj xyuas koj li cas tom qab qhov no
Yog tias koj muaj tus menyuam hauv plab, koj tus kws kho mob yuav txwv tsis pub kuaj qhov paum, vim qhov no tuaj yeem ua rau mob hnyav dua. Ib qho ntxiv, tus kws kho mob tseem yuav siv ultrasound los txiav txim lub sijhawm yug thiab tshuaj xyuas lub plawv dhia hauv plab kom zoo dua.
Kauj Ruam 7. Tshawb nrhiav seb yuav muab tshuaj dab tsi rau
Txawm hais tias tshuaj tsis tuaj yeem kho tus mob no ncaj qha, koj tuaj yeem muab tshuaj rau ntxiv dag zog rau lub tsev menyuam (txhawm rau tiv thaiv kev yug ntxov), ntxiv rau corticosteroids (tshuaj txo qhov mob) los pab tus menyuam lub ntsws loj hlob yog tias koj raug yuam kom yug menyuam ntxov ua ntej. Koj kuj tuaj yeem muab cov ntshav tso ntshav yog tias muaj ntshav ntau.
Ntu 3 ntawm 3: Kho Placenta Previa
Kauj Ruam 1. Npaj rau kev kho mob
Vim tias tus mob no tuaj yeem hnyav, koj yuav tsum tau mus rau tom tsev kho mob kom tau txais kev kho mob thaum xav tau. Yog tias koj pib ntshav los lossis muaj ntshav hnyav sai, mus rau ER tam sim.
Kauj Ruam 2. Npaj rau tsev kho mob
Yog tias cov ntshav los nyob nruab nrab mus rau qhov hnyav, tus kws kho mob yuav pom zoo mus pw hauv tsev kho mob. Hauv tsev kho mob, koj tuaj yeem pw ntau nrog cov kws saib xyuas mob ntawm tes los pab thaum muaj teeb meem.
Kauj Ruam 3. Ua qhov kev phais plab yog tsim nyog
Yog tias ntshav tsis tuaj yeem tswj tau lossis yog tias koj lossis koj tus menyuam tab tom qhia pom tias muaj kev nyuaj siab hnyav, koj tus kws kho mob yuav txiav txim siab txog kev phais mob. Cov kauj ruam no yuav tsum ua tiav txawm tias koj tseem nyob deb ntawm koj lub sijhawm.
- Yog tias koj tsis tso ntshav hnyav txawm hais tias lub tsho me nyuam tab tom thaiv lub ncauj tsev menyuam, koj tseem muaj lub sijhawm los yug menyuam. Tab sis kwv yees li 3/4 ntawm cov poj niam uas muaj tus mob no hauv peb lub hlis twg, tsis tuaj yeem yug menyuam los ntawm qhov ncauj. Hauv cov xwm txheej no, cov kws kho mob feem ntau pom zoo kom yug ob peb lub lis piam ua ntej.
- Yog tias koj tau muaj C-ntu yav dhau los thiab tau ntsib kev tso menyuam hauv plab, koj muaj kev pheej hmoo siab dua ntawm kev tsim cov placenta accreta. Qhov no yog ib qho mob hnyav, qhov chaw mos tsis cais los ntawm lub tsev menyuam tom qab yug menyuam. Koj yuav tsum yug menyuam hauv tsev kho mob uas tau npaj los daws cov xwm txheej zoo li no thiab muaj cov txhab ntshav txaus.
Kauj Ruam 4. Nrhiav cov ntaub ntawv koj tus kheej
Nyeem txog cov placenta previa thiab seemesarean, thiab qhov tshwm sim ntawm cov xwm txheej no yog dab tsi. Nrog cov ntaub ntawv ntau ntxiv, koj yuav nyob ntsiag to thiab tswj tau.
Kauj Ruam 5. Nrhiav kev txhawb nqa
Tham nrog koj tus khub, phooj ywg uas ntseeg siab, lossis tsev neeg txog ib qho kev tu siab, nyuaj siab, ntxhov siab, txhawj xeeb, lossis ntxhov siab uas koj yuav hnov. Tag nrho cov kev xav no yog lub ntuj kom hnov thaum cev xeeb tub tsis zoo, thiab cov kev xav no yuav tsum raug tso tawm.
Lwm qhov kev xaiv yog koom nrog pab pawg txhawb nqa hauv is taws nem. Muaj pab pawg txhawb nqa hauv is taws nem rau cov neeg uas muaj menyuam hauv plab me me thiab cov neeg uas xav tau so hauv txaj. Koom nrog ib ntawm lawv. Cov pab pawg no tuaj yeem muab kev khuv leej thiab cov lus qhia xav tau los daws qhov xwm txheej no
Kauj Ruam 6. Ua kom lub txaj so kom txaus siab
Yog tias koj raug yuam kom pw hauv txaj, txawm tias nyob hauv tsev lossis hauv tsev kho mob, ua qhov zoo tshaj plaws. Ua cov khoom tsim nyog uas haum rau qhov xwm txheej: nrhiav thiab yuav cov menyuam mos hauv internet, sau daim npav ua tsaug rau cov neeg uas tau xa khoom plig, thiab ua kom tiav ntawm txaj. Tab sis tsis txhob hnov qab, siv sijhawm rau yam uas tuaj yeem ua rau koj nyob ntsiag to, muaj kev zoo siab, thiab tsis muaj kev txaus siab.
Piv txwv li, koj tuaj yeem saib cov yeeb yaj kiab nyiam lossis yeeb yam hauv TV, nyeem phau ntawv zoo, ua si hauv computer lossis vis dis aus, hu xov tooj rau phooj ywg lossis tsev neeg, ua si pawg thawj coj lossis daim npav game nrog lwm tus neeg, lossis sau phau ntawv teev npe lossis blog
Kauj Ruam 7. Tsis txhob poob siab
Kev txom nyem los ntawm tus me nyuam hauv plab tsis yog qhov xwm txheej zoo tshaj plaws thiab kev so hauv txaj tuaj yeem ua rau txaus siab. Tab sis nrog kev saib xyuas kom raug, koj tuaj yeem muaj menyuam noj qab nyob zoo ib yam li lwm tus poj niam uas tseem muaj tus mob zoo li no.
