Ntau tus poj niam tau ntsib ntshav los ntawm qee kis hauv lawv cev xeeb tub, tshwj xeeb yog thawj peb lub hlis twg. Feem ntau (tshwj xeeb tshaj yog nyob rau theem pib, thiab yog tias ntshav tsis loj heev), qhov no suav tias yog ib txwm muaj. Txawm li cas los xij, kev tso ntshav ntxiv tuaj yeem ua rau ceeb toom thiab yuav tsum tau mus ntsib kws kho mob, tshwj xeeb tshaj yog tias nws nrog mob, mob plab, kub cev, kiv taub hau, lossis tsaus muag. Koj yuav tsum paub cov tswv yim xav tau los tswj thiab tswj ntshav yog tias nws tshwm sim, ntxiv rau kev hu rau koj tus kws kho mob lub sijhawm kom tau txais kev pab thiab kho ntxiv.
Kauj ruam
Txoj Kev 1 ntawm 2: Txheeb Xyuas thiab Tswj Kev Ntshav
Kauj Ruam 1. Saib kev nce qib ntawm kev los ntshav
Koj yuav tsum paub cov ntshav uas tawm thaum los ntshav. Ua li no, tus kws kho mob yuav tuaj yeem kuaj mob thiab txiav txim siab qhov kev tshuaj xyuas tom ntej uas tsim nyog. Pib mloog zoo rau cov ntshav uas tawm los, sai li sai tau los ntshav.
- Koj tuaj yeem ua qhov no los ntawm ntsaws cov ntawv kho mob hauv koj lub ris tsho hauv qab. Suav tus naj npawb ntawm cov ntaub ntub dej los ntawm 8 teev sawv ntxov mus rau tib lub sijhawm hnub tom qab. Sau cov txiaj ntsig, tom qab ntawv coj lawv mus rau kws kho mob txhawm rau tshuaj xyuas lub hom phiaj.
- Kuj tseem ceeb ntawm lwm cov yam ntxwv ntawm cov ntshav, xws li seb koj puas hnov mob los tsis hnov, thiab seb cov ntshav puas tas mus li lossis tsis tu ncua. Cov ntaub ntawv no yuav muaj txiaj ntsig zoo rau tus kws kho mob los txiav txim qhov ua rau los ntshav.
- Ua tib zoo saib xyuas cov ntshav cov ntshav (liab dawb piv rau xim liab thiab xim av), nrog rau qhov muaj/tsis muaj cov ntshav los yog lwm yam "lub cev nqaij" uas tuaj yeem tawm nrog cov ntshav. Yog tias muaj lub cev nqaij uas tawm los ntawm qhov chaw mos nrog rau cov ntshav, koj tuaj yeem khaws nws hauv lub thawv kom pom tus kws kho mob, vim qhov no tuaj yeem pab nws kuaj xyuas qhov ua rau muaj teeb meem.
Kauj Ruam 2. So so tas li
So yog lub sijhawm kho zoo tshaj plaws rau ntshav thaum ntxov ntawm cev xeeb tub. Cov kws kho mob feem ntau pom zoo so kom txaus rau thawj ob peb hnub tom qab pib ntshav.
Yog tias cov ntshav tsis nres lossis ploj mus tom qab so, koj yuav tsum mus ntsib kws kho mob kom tshuaj xyuas ntxaws ntxiv
Kauj Ruam 3. Tsis txhob ua haujlwm hnyav
Tus kws kho mob yuav qhia koj kom tsis txhob ua haujlwm hnyav xws li nqa hnyav, nce ntaiv tsis tu ncua, khiav, caij tsheb kauj vab, thiab lwm yam. Cov dej num no ua rau muaj kev txav txav ntawm lub tsev menyuam sai sai thiab tuaj yeem rhuav cov hlab ntsha tshiab uas tsim los hauv lub tsho me nyuam. Zam cov kev ntsuas no, txawm tias koj cov ntshav los ntshav.
Koj yuav tsum tseem txwv kev siv lub cev thiab zam kev ua haujlwm hnyav tsawg kawg ob lub lis piam tom qab los ntshav
Kauj Ruam 4. Tsis txhob sib deev ib pliag
Kev sib deev tuaj yeem ua rau qee lub sijhawm los ntshav tuaj.
Yog tias koj ntsib ntshav thaum cev xeeb tub, zam kev sib deev kom txog thaum koj tus kws kho mob xav tias nws tuaj yeem ua tiav. Feem ntau, koj yuav tsum tau tos tsawg kawg ob txog plaub lub lis piam tom qab cov ntshav tso tseg
Kauj Ruam 5. Tsis txhob siv tampons lossis lwm yam ntxig
Tsis txhob ntxig ib yam dab tsi rau hauv qhov chaw mos tom qab los ntshav. Tsis txhob siv tampons txhua lub sijhawm, vim tias tampons tuaj yeem ua rau phab ntsa ntawm koj qhov chaw mos lossis lub tsev menyuam, ua rau koj cov ntshav tsis zoo. Cov khoom tso rau hauv kuj tseem tuaj yeem nqa cov kab mob thiab lwm yam kab mob nkag rau hauv qhov chaw mos, yog li koj muaj mob hnyav.
Kauj Ruam 6. Nyob twj ywm dej
Koj yuav tsum haus cov dej kom txaus thaum koj los ntshav, tshwj xeeb yog tias cov ntshav loj heev.
- Haus tsawg kawg yim khob dej txhua txhua hnub kom nyob twj ywm. Kev los ntshav muaj feem cuam tshuam nrog kev poob dej, yog li koj yuav tsum tau haus ntau dua li ib txwm los hloov cov kua dej uas tawm los.
- Koj kuj yuav tsum tau nyob twj ywm dej kom koj tus menyuam noj qab nyob zoo.
Kauj Ruam 7. Ceev faj txog qhov ua rau los ntshav thaum cev xeeb tub
Txoj kev no, koj tuaj yeem qhia dab tsi tshwm sim hauv koj rooj plaub.
- Los ntshav yog qhov tshwm sim ntau heev hauv thawj peb lub hlis (12 lub lis piam tom qab cev xeeb tub) thiab cuam tshuam rau 20-30% ntawm cov poj niam. Feem ntau ntawm cov xwm txheej no tsis muaj kev phom sij, txhais tau tias tsis muaj kev pheej hmoo rau leej niam lossis tus menyuam, thiab tuaj yeem tshwm sim vim qhov txuas ntawm tus menyuam hauv plab mus rau lub tsev menyuam phab ntsa/lwm yam kev hloov pauv lub cev thaum cev xeeb tub.
- Txawm li cas los xij, muaj qee qhov kev txhawj xeeb ntau ntxiv uas cuam tshuam nrog los ntshav hnyav thiab/lossis mob hauv thawj peb lub hlis twg. Qee qhov piv txwv yog "cev xeeb tub ectopic" (tus menyuam tau cog nrog lub raj xa menyuam es tsis yog lub tsev menyuam), "cev xeeb tub" (tsis tshua muaj xwm txheej uas ua rau cov nqaij txawv txav - tsis yog menyuam hauv plab - kom loj hlob hauv lub tsev menyuam), lossis nchuav menyuam.
- 50% ntawm cov ntshav hauv thawj 20 lub lis piam ntawm cev xeeb tub qhia txog kev nchuav menyuam.
- Los ntshav tom qab cev xeeb tub (hauv lub hlis thib ob lossis thib peb) yog kev txhawj xeeb ntau dua. Qee qhov ua rau muaj teeb meem nrog lub tsev menyuam, lub tsev menyuam (tshwj xeeb tshaj yog tias koj tau muaj C-ntu), yug ntxov ntxov (ua ntej 37 lub lis piam), lossis vim lub sijhawm yug menyuam ib txwm muaj (yog tias koj nyob ze rau koj lub hnub yug).
- Lwm yam ua rau ntshav tuaj yeem tsis cuam tshuam nrog cev xeeb tub, piv txwv li "raug mob" (lossis raug mob rau phab ntsa ntawm qhov chaw mos) vim yog kev sib deev, ncauj tsev menyuam polyps (cov nqaij loj tuaj uas tuaj yeem los ntshav thiab yuav lossis tsis tuaj yeem tshwm sim hauv poj niam cev xeeb tub), ncauj tsev menyuam dysplasia (cov hlwb txawv txav uas tuaj yeem ua rau mob qog noj ntshav), thiab/lossis mob qog noj ntshav hauv tsev menyuam (uas yog ib hom mob qog noj ntshav feem ntau ntawm cov poj niam uas tsis niaj zaus kuaj nrog kuaj Pap).
Kauj Ruam 8. Xam koj hnub kwv yees kwv yees thiab txiav txim siab seb ntshav puas txhais tau tias koj npaj txhij yug menyuam
Kev xeeb tub feem ntau kav 40 lub lis piam lossis 280 hnub. Koj tuaj yeem siv cov ntaub ntawv no los xam koj lub sijhawm kwv yees kwv yees - tsuas yog ntxiv 9 lub hlis thiab 7 hnub txij li thawj hnub ntawm koj lub sijhawm kawg. Piv txwv li, yog tias koj lub sijhawm kawg pib thaum Lub Ib Hlis 1, 2014, koj lub sijhawm kwv yees kwv yees yuav yog Lub Kaum Hli 8, 2014.
Los ntshav ib ncig ntawm koj lub sijhawm yuav qhia tau tias koj npaj yug menyuam. Feem ntau yog los ntawm 10 hnub ua ntej txog 10 hnub tom qab hnub kwv yees. Koj yuav tsum ceeb toom rau koj tus kws kho mob tam sim yog tias koj xav tias koj npaj txhij yug menyuam
Kauj Ruam 9. Paub thaum twg kom nug tus kws kho mob kom pab
Txhua qhov los ntshav thaum cev xeeb tub yuav tsum tham nrog kws kho mob nyob rau lub sijhawm ib txwm muaj. Yog tias ntshav los nrog ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum mus ntsib kws kho mob tam sim hauv ER txhawm rau tshuaj xyuas thiab kho:
- Mob hnyav lossis mob plab
- Kiv taub hau lossis tsaus muag (qhia tias muaj ntshav ntau)
- Cov ntaub so ntswg uas tawm los ntawm qhov chaw mos nrog rau cov ntshav (tuaj yeem qhia tias lub tsev menyuam tsis raug)
- Ua npaws thiab/lossis ua npaws (tej zaum yuav qhia tias muaj kab mob)
- Los ntshav loj heev uas tsis tso tseg lossis qeeb.
Txoj Kev 2 ntawm 2: Paub Lub Sijhawm Zoo Los Thov Kev Pab Kho Mob
Kauj Ruam 1. Paub tias koj tuaj yeem tsis quav ntsej los ntshav los ntshav
Yog tias koj cov ntshav los ntshav (tsuas yog ob peb tee), nws feem ntau yog xim av thiab kav ntev dua li ib hnub lossis ob hnub, thiab tsis muaj mob lossis ntuav, yog li koj tuaj yeem tsis quav ntsej nws. Feem ntau cov ntshav no yog tshwm sim los ntawm kev cog qoob loo lossis nthuav cov hlab ntshav.
Txawm hais tias qhov ntshav me me npaum li cas, koj yuav tsum zam kev ua haujlwm hnyav li ob peb hnub thiab saib xyuas cov ntshav uas tawm los
Kauj Ruam 2. Nrhiav kev kho mob yog tias koj muaj ntshav ntau
Txhua yam los ntshav hnyav thaum cev xeeb tub yuav tsum raug xam tias yog xwm txheej ceev. Los ntshav hnyav txhais tau tias yog los ntshav uas ntau dua los ntshav thaum lub cev ntas.
Kauj Ruam 3. Saib seb puas muaj qhov mob lossis ua pob khaus uas yuav tshwm sim
Qhov mob uas tuaj thiab mus qhia txog kev cog lus ntawm lub tsev menyuam, uas txhais tau tias koj lub tsev menyuam tau sim ntiab tawm hauv plab. Nyob rau hnub ntxov ntawm cev xeeb tub, qhov mob thiab cramping tuaj yeem yog ib qho cim ntawm kev txawv txav ntawm lub tsev menyuam. Hauv peb lub hlis thib peb, cov cim no tuaj yeem qhia tias koj tau npaj yug menyuam. Yog li, yog tias koj hnov mob lossis mob plab, hu rau koj tus kws kho mob tam sim ntawd.
Qhov mob ntawm kev yug menyuam yuav tshwm sim tsis tu ncua ntawm qee lub sijhawm. Qhov mob no yuav nce ntxiv thiab ntev zuj zus thiab cuam tshuam nrog cov hnoos qeev nrog ntshav
Kauj Ruam 4. Nrhiav kev pab yog tias koj kiv taub hau lossis tsaus muag
Hnov kiv taub hau lossis tsaus muag yog cov tsos mob ntawm cov ntshav poob ntau.
Kauj Ruam 5. Txheeb xyuas lub cev kub
Kev los ntshav nrog nrog ua npaws feem ntau qhia txog kev kis mob, piv txwv li hauv lub tsev menyuam vim yog cev xeeb tub tsis raug lossis rho menyuam. Yog li ntawd, txhua kis mob ua npaws yuav tsum ceeb toom rau tus kws kho mob tam sim.
Kauj Ruam 6. Nrhiav kev pab sai yog tias koj tab tom nthuav tawm lub cev nqaij daim tawv los ntawm qhov chaw mos
Qhov no yog qhov qhia txog cov ntsiab lus yuam kev loj. Yog tias muaj qhov tshwm sim no, hu rau koj tus kws kho mob kom nws tuaj yeem tshem tawm lub tsev menyuam yog tias tsim nyog, kom koj cov ntshav tuaj yeem tswj tau.
Kauj Ruam 7. Ua raws tus kws kho mob cov lus qhia kho tom qab
Tsis hais txog qhov ua rau los ntshav (txawm tias yog ua rau lub tsev menyuam tsis raug, lub cev xeeb tub ectopic sab nraum lub tsev menyuam, kis kab mob, lossis ze rau xa menyuam), koj lub cev yuav raug kev nyuaj siab. Feem ntau, tus kws kho mob yuav pom zoo so, txwv tsis pub siv dag zog/sib deev, thiab qhia koj kom haus dej ntau. Nco ntsoov koj mloog koj tus kws kho mob cov lus qhia kom koj tuaj yeem ua kom nrawm dua ntawm koj lub cev rov zoo, nrog rau tiv thaiv kom tsis txhob muaj teeb meem ntxiv.
