Lub ncauj tsev menyuam tsis muaj peev xwm yog ib yam mob uas tuaj yeem tshwm sim thaum cev xeeb tub. Qhov ntawd txhais tau tias koj lub ncauj tsev menyuam tsis muaj zog thiab tej zaum yuav nthuav dav (lossis qhib), ua rau koj pheej hmoo nchuav menyuam. Hmoov zoo, muaj ntau yam uas koj tuaj yeem ua los txhawb kev noj qab haus huv ntawm koj lub ncauj tsev menyuam thiab koj tus menyuam loj hlob. Scroll rau Kauj Ruam 1 kom paub ntau ntxiv.
Kauj ruam
Txoj Kev 1 ntawm 4: Ua haujlwm nrog kws kho mob los tiv thaiv tus mob no
Kauj Ruam 1. Nkag siab tias lub ncauj tsev menyuam tsis muaj peev xwm yog dab tsi
Lub ncauj tsev menyuam tsis muaj peev xwm kuj tuaj yeem raug hu ua lub tsev menyuam tsis txaus. Qhov ntawd txhais tau tias koj lub ncauj tsev menyuam tau luv, zoo li tus duab, lossis nthuav dav thaum lub sijhawm koj lub hlis thib ob ntawm cev xeeb tub. Yog tias lub ncauj tsev menyuam hloov pauv, muaj peev xwm ua rau nchuav menyuam. Koj lub ncauj tsev menyuam tuaj yeem hloov pauv rau ntau yam laj thawj, suav nrog (ntawm lwm qhov laj thawj):
- Keeb kwm ntawm phais ncauj tsev menyuam thiab raug mob.
- Keeb kwm ntawm ncauj tsev menyuam nrog rau qhov chaw xa menyuam.
- Kev yug me nyuam tsis xws luag (anatomical abnormalities).
Kauj Ruam 2. Paub cov tsos mob ntawm lub ncauj tsev menyuam tsis muaj peev xwm
Yog tias koj ntshai tias koj yuav muaj kev pheej hmoo ntawm kev tsim tus mob no thiab tab tom muaj teeb meem kev noj qab haus huv, nws yog ib qho tseem ceeb uas yuav tsum paub saib dab tsi thaum nws los txiav txim siab seb koj puas muaj lub ncauj tsev tsis muaj peev xwm. Thaum nws txawv rau txhua tus poj niam, cov tsos mob kom saib xyuas suav nrog:
- Mob plab thiab mob nraub qaum.
- Qhov chaw mos tawm.
- Qhov chaw mos los ntshav.
Kauj Ruam 3. Muab koj tus kws kho mob nrog koj li keeb kwm kev kho mob kom tiav
Koj yuav tsum tau ua ncaj ncees thiab qhib txog koj keeb kwm kev kho mob, suav nrog txhua yam keeb kwm rho menyuam tawm uas koj yuav muaj. Cov ntaub ntawv no tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev txiav txim siab seb koj puas muaj kev pheej hmoo rau lub ncauj tsev menyuam tsis muaj peev xwm. Cov ntaub ntawv koj yuav tsum muab suav nrog:
- Cov txheej txheem phais.
- Keeb kwm ntawm kev rho menyuam tawm (txawm tias yog thawj peb lossis peb lub hlis twg).
- Ua haujlwm ntxov ntxov.
Kauj Ruam 4. Teem caij ntsib lub rooj sib tham los tshuaj xyuas
Kev tshuaj xyuas yog tib txoj hauv kev los txiav txim siab seb koj puas muaj lub ncauj tsev menyuam tsis muaj peev xwm, lossis seb koj puas muaj kev pheej hmoo rau nws. Yog tias koj txhawj xeeb tias koj yuav muaj tus mob no, teem sijhawm kuaj ntshav transvaginal ntawm koj lub hnub nyoog 14 txog rau 16 lub lim tiam ntawm kev xeeb tub.
- Thaum lub asthiv 18 txog 22, koj tuaj yeem kuaj ntshav ntsuas koj lub ncauj tsev menyuam.
- Yog tias koj tsis xeeb tub, tab sis txhawj xeeb tias koj yuav muaj lub ncauj tsev menyuam tsis muaj peev xwm thiab txhawj xeeb txog koj cov menyuam yav tom ntej, koj tuaj yeem kuaj mob lub cev, qhov twg koj lub tsev menyuam yuav raug tshuaj xyuas thiab ntsuas kom txiav txim siab tias koj lub tsev menyuam puas muaj teeb meem lossis tsis.
Kauj Ruam 5. Tham nrog lub tsev me nyuam suturing (cerclage) nrog kws kho mob
Lub ncauj tsev menyuam suture yog ib hom kev suture uas tau ua hauv qab qhov qhib ntawm lub ncauj tsev menyuam, thiab lub ncauj tsev menyuam tau ruaj khov nrog cov sutures ncig (txhais tau tias lub ncauj tsev menyuam tau ncab kom nws tsis tuaj yeem nthuav dav - lossis qhib -dav dua nws yuav tsum). Qhov no yog txoj hauv kev zoo tshaj los tiv thaiv lub ncauj tsev menyuam tsis muaj peev xwm yog li yog tias koj muaj kev pheej hmoo loj ntawm kev tsim tus mob no, nrog koj tus kws kho mob tham txog tus txheej txheem.
Cov sutures tau ua tiav ntawm 12 txog 14 lub lis piam ntawm cev xeeb tub thiab tshem tawm ntawm kwv yees li 36 txog 38 lub lis piam ntawm cev xeeb tub
Txoj Kev 2 ntawm 4: Hloov Koj Txoj Kev Ua Neej
Kauj Ruam 1. Tsis txhob qoj ib ce
Koj yuav tsum zam txhua yam kis las uas ua rau muaj kev ntxhov siab hauv lub cev. Hom kev tawm dag zog no tuaj yeem cuam tshuam lub zog ntawm ncauj tsev menyuam thiab tuaj yeem ua rau koj muaj lub ncauj tsev tsis muaj peev xwm. Ib qho kev ntaus pob ncaws pob uas yuav tsum muaj kev nyab xeeb yog yoga. Koj yuav tsum xyaum yoga nrog tus kws qhia ntawv pov thawj uas qhia chav kawm cev xeeb tub yoga. Koj yuav tsum zam:
Khiav, dhia dhia thiab lwm yam kis las uas txav koj lub cev nce thiab nqis
Kauj Ruam 2. So kom txaus
Kev ntxhov siab lossis ua haujlwm lub cev tuaj yeem ua rau koj muaj lub ncauj tsev menyuam tsis muaj peev xwm, tshwj xeeb tshaj yog tias koj qhov kev pabcuam twb tsis muaj zog lawm. Kev nyuab siab ua lub luag haujlwm tseem ceeb hauv ntshav siab thiab qib piam thaj, ob qho tib si tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus menyuam thiab lub zog ntawm lub ncauj tsev menyuam. Cia koj tus kheej so thiab so kom txaus thaum koj cev xeeb tub los tiv thaiv ib qho teeb meem.
- Ua pa tawm dag zog kom koj tus kheej nyob ntsiag to.
- Ua kev xav txhua hnub kom nyob twj ywm.
- Tsis txhob nqa cov khoom hnyav thiab feem ntau lwm yam haujlwm lub cev.
Kauj Ruam 3. Tsis txhob muaj tshuaj lom xws li cawv thiab luam yeeb
Cov tshuaj no tau paub tias tsis zoo rau koj tus menyuam, yog li koj yuav tsum zam lawv txawm tias koj muaj lub ncauj ncauj tsis zoo lossis tsis yog. Hais txog lub ncauj tsev menyuam tsis muaj peev xwm, cov tshuaj xws li cawv thiab tshuaj tau paub hloov pauv koj qhov kev txiav txim siab, uas tuaj yeem ua rau raug mob thiab ua rau lub tsev menyuam tsis muaj peev xwm. Nyob deb ntawm:
- Cawv.
- Luam yeeb ntawm txhua yam.
- Tshuaj uas tuaj yeem tsim txom.
- Caffeine.
Kauj Ruam 4. Tsis txhob siv qee yam tshuaj
Koj yuav tsum zam cov tshuaj tocogenic. Tocogenic yog lo lus uas piav qhia txog kev txhawb nqa ntawm kev cog lus ntawm lub tsev menyuam. Tshwj xeeb, sim zam cov tshuaj hauv qab no (tshwj tsis yog qhia los ntawm koj tus kws kho mob):
- Misoprostol (Citotec).
- Dinoprostone (Cervidil).
- Methylergometrine (lub cim lag luam Methergine).
- Ergotamine (Ergomar).
- Oxytocin.
Kauj Ruam 5. Teem sijhawm mus kuaj mob nrog koj tus kws kho menyuam hauv plab
Yog tias koj txhawj xeeb tias koj yuav muaj kev pheej hmoo rau lub ncauj tsev menyuam tsis muaj peev xwm, koj yuav tsum tau mus ntsib koj tus kws kho mob tsawg kawg ib hlis ib zaug (yog tias tsis ntau zaus) kom ntseeg tau tias koj cev xeeb tub mus tau zoo.
Txoj Kev 3 ntawm 4: Txhim Kho Koj Cov Khoom Noj
Kauj Ruam 1. Ua kom muaj cov folic acid ntau ntxiv uas koj haus txhua hnub
Folic acid (tseem hu ua vitamin B) tshwj xeeb tshaj yog thaum cev xeeb tub vim nws txhawb kev faib cell thiab kev loj hlob.
Koj tuaj yeem tau txais cov folic acid ntau los ntawm kev noj cov tshuaj multivitamin uas muaj menyuam hauv plab uas muaj 0.5 mg ntawm folic acid ob zaug ib hnub, lossis raws li koj tus kws kho mob hais
Kauj Ruam 2. Ua kom cov calcium ntau ntxiv uas koj haus txhua hnub
Calcium ua lub luag haujlwm txhim kho koj tus menyuam cov hniav, pob txha, cov hlab ntshav thiab cov leeg. Calcium tseem yuav ua rau lub ncauj tsev menyuam muaj zog. Koj tuaj yeem noj cov tshuaj calcium tab sis koj tseem tuaj yeem nce koj cov khoom noj uas muaj calcium ntau, xws li:
- Mis thiab lwm yam khoom siv mis xws li yogurt thiab cheese.
- Zaub xws li zaub qhwv, zaub qhwv, zaub qhwv, thiab taum pauv.
- Ceev xws li almonds, Brazil ceev, hazelnuts, thiab noob hnav.
- Txiv hmab txiv ntoo xws li apricots, figs thiab currants.
Kauj Ruam 3. Ua kom koj cov zaub mov muaj magnesium ntau ntxiv
Ntau qhov kev tshawb fawb tsis ntev los no tau qhia tias magnesium tuaj yeem txo koj txoj hauv kev muaj menyuam hauv plab thaum ntxov (cov ntawv cog lus tuaj yeem ua rau lub ncauj tsev tsis muaj peev xwm). Cov peev txheej zoo ntawm magnesium suav nrog:
- Spinach thiab Swiss chard.
- Cov noob taub dag, taum pauv, noob hnav noob hnav, thiab noob paj noob hlis.
- taum dub, quinoa, taum rog, thiab taum pauv.
Kauj Ruam 4. Siv cov vitamin D. txaus
Nws yog ib qho tseem ceeb kom muaj qib vitamin D noj qab haus huv thaum cev xeeb tub thiab tom qab yug menyuam vim nws pab tswj hwm qib phosphate thiab calcium hauv lub cev. Koj yuav tsum tsom mus haus 10 micrograms ntawm cov vitamin D txhua hnub. Koj tuaj yeem noj tshuaj ntxiv lossis noj zaub mov nplua nuj hauv vitamin D xws li:
- Ntses salmon.
- Mackerel.
- Pwm.
- Mis, yogurt thiab cheese.
- Qe qe.
Txoj Kev 4 ntawm 4: Daws Teeb Meem Tsis Muaj Peev Xwm
Kauj Ruam 1. Paub tias koj tus menyuam tseem tuaj yeem yug los noj qab nyob zoo
Nws yog ib qho tseem ceeb kom nco ntsoov tsis txhob ntshai yog tias koj tau kuaj pom tias lub ncauj tsev menyuam tsis muaj peev xwm. Koj tseem tuaj yeem yug menyuam kom muaj kev zoo siab thiab noj qab nyob zoo tab sis koj yuav tsum ua raws tus kws kho mob cov lus qhia. Muaj ob txoj hauv kev los kho lub ncauj tsev menyuam tsis muaj peev xwm: txoj hauv kev kho mob thiab kev phais mob.
Kauj Ruam 2. Tham nrog koj tus kws kho mob txog kev kho mob
Yog tias koj lub tsev menyuam tsis muaj peev xwm tsis hnyav heev (txhais tau tias nws tsis nthuav dav dav), koj yuav xav txiav txim siab mus rau kev kho mob. Qhov ntawd txhais tau tias pw ntau lub sijhawm, nres txhua yam kev sib deev, thiab noj tshuaj. Cov tshuaj yog indomethacin.
Indomethacin: Cov tshuaj no tseem raug xa los ntawm nws lub cim lag luam, uas yog Indocin, Indocin SR, thiab Tivorbex. Cov tshuaj no yog NSAID (nonsteroidal anti-inflammatory drug) uas txo qis kev pheej hmoo ntawm kev ua haujlwm tsis tiav hauv cov neeg mob uas muaj lub ncauj tsev menyuam luv ua ntej 24 lub lis piam ntawm cev xeeb tub. Cov koob tshuaj siv yog 100 mg ib zaug, tom qab ntawd 50 mg txhua 6 teev rau 48 teev, lossis raws li qhia los ntawm kws kho mob. Qhov kev kho mob no tsuas yog muab los ntawm kws tshaj lij
Kauj Ruam 3. Sib tham txog kev phais nrog tus kws kho mob
Kev phais qhov ncauj tau tham hauv Txoj Kev 1 ua txoj hauv kev los tiv thaiv lub ncauj tsev menyuam tsis muaj peev xwm, tab sis nws kuj yog ib txoj hauv kev los kho tus mob. Raws li tau hais los saum no, sutures tau muab tso rau ntawm lub ncauj tsev menyuam qhib, yog li ua kom qhib qhov kaw kom tiv thaiv kev nchuav menyuam. Ua ntej yug me nyuam, cov hlua yuav raug tshem tawm yog li koj tuaj yeem yug me nyuam ib txwm muaj.
