Cov tsos mob ntawm placental abruption ntawm ntau theem, xub pab rau tus mob no

Tsev me nyuam hu ua ib tug tseem ceeb heev hloov khoom nruab nrog, uas yog Ameslikas tsim los ntawm tib lub cell li tus me nyuam nws tus kheej. Mus txog 11-16 lub lis piam, nws hu ua chorion villous plhaub embryo: nws villi txeem lub thickness ntawm cov phab ntsa hauv lub tsev me nyuam, rau lawv los mus rau tus me nyuam cov pa thiab cov zaub mov, tus ntsoos ntsoos ntawm cov khoom ntawm nws lub neej thiab cov pa roj carbon dioxide. Tom qab no lub sij hawm, tsim ib tug tag nrho lub tsev me nyuam, uas kuj muaj ib tug ntau ntawm cov muaj plaub, tab sis lwm yam tshaj li lub hwj chim, kuj ua cov tshuaj hormones (eg, progesterone), uas pab kom muaj cev xeeb tub (ua ntej tsim ntawm lub tsho me nyuam uas yog cov muaj nuj nqi ntawm lub corpus luteum nyob rau hauv lub zes qe menyuam).

Lub tsev me nyuam tsis muaj contractile muaj nuj nqi, tab sis yog txuas mus rau lub tsev me nyuam - ib tug muaj zog thiab loj nqaij, uas txawm ua ntej lub me nyuam hnub, lub periodic "kev kawm" rau ib tug luv luv lub sij hawm, uas ua nyob rau hauv ib tug yuav txo tau ntawm nws cais chaw rau ib tug luv luv lub sij hawm ntawm lub sij hawm. Feem ntau cov tsev me nyuam adapts rau cov taw, thiab tsis muaj dab tsi tshwm sim rau nws, tab sis tej zaum ib qhov teeb meem tshwm sim thaum ib tug loj los yog me me feem ntawd yog peeled los ntawm lub uterine phab ntsa. Ces tus txiv hmab txiv ntoo yog kev txom nyem, txij li thaum nws lub hwj chim yog lawm. Nyob rau hauv tas li ntawd, tus mob no yuav ua tau kom tuag ntawm leej niam thiab cov me nyuam hauv plab, yog li ntawd, placental abruption cov tsos mob yuav tsum tau qhia rau, thiab cev xeeb tub cov poj niam, thiab lawv tsev neeg.

Yuav ua li cas yog placental abruption?

Feem ntau, lub tsho me nyuam yuav tsum tau txuas ze rau sab saum toj, uas yog lub hauv qab ntawm lub tsev me nyuam - feem ntau yog nyob rau hauv lub rear phab ntsa, tab sis tej zaum nws yog los ze zog mus rau lub tawm - lub ncauj tsev menyuam kwj dej. Qhov no yog hu ua tsev me nyuam previa. Nws tej zaum yuav ua kom tiav los yog central thaum tus me nyuam lub rooj yog nyob rau ntawm ob sab ntawm lub tsev menyuam outputs, overlapping tso zis therefrom. Nws kuj tau hais tias lub tsho me nyuam yog cia li me ntsis qis dua nws yog tsim nyog. Qhov no placentation yog ib tug predisposing tau mus rau lub detachment.

Yog li, lub tev yog feem ntau nyob los yog tsev me nyuam previa. Yuav ua li cas nws yog nyob nyob tsos mob ntawm placental abruption.

ces kuj yuav tau nyob ntawm seb raws li qhov xws yam:

- txuas ntxiv detachment los yog nws yuav tso tseg nws tus kheej;

- qhov twg yog nws sib cais los ntawm lub uterine phab ntsa - nyob rau hauv qhov chaw los yog nyob rau hauv lub ntug;

- nyob rau hauv tej theem ntawm kev cev xeeb tub los yog tau me nyuam tau tsim xws li ib tug lub xeev: placental abruption nyob rau hauv thaum ntxov ua sawv, hais tias los ntawm uterine phab ntsa tsiv ib tug heev me me feem ntawd, muaj ib tug mob loj tsawv kawm thiab paaj raug, txij thaum ntawd los cov me nyuam qhov chaw yuav mus ntxiv loj hlob thiab kev loj hlob, thiab nws yuav hais tias tus kho raws yog kaw thiab "loj hlob".

Yuav ua li cas cov tsos mob yuav tsum tau cai nrog placental abruption?

Lub ntsiab peb nta pom tau hais tias:

1) Qhov uas los ntshav hauv qhov chaw mos sib txawv ntawm cov kev siv.

2) Mob nyob rau hauv lub plab mog, nws qis pawg.

3) Cov yam ntxwv ntawm lub fetus kev txom nyem: lub plawv dhia zaus hloov, qhov kev nce los yog yuav txo nws lub cev muaj zog ua si.

Cov tsos mob ntawm placental abruption, nyob ntawm seb tus soj ntsuam qhov teeb meem no, muaj xws li:

I. Yog hais tias ib tug detachment ntawm lub tsev me nyuam previa nrog ib tug ntug, muaj no yeej tsuas los ntshav, mob, yuav luag tsis tshwm sim. Yog hais tias flaked tawm ib feem me me ntawm cov txiv hmab txiv ntoo yog tsis cuam tshuam.

II. Yog hais tias lub tsho me nyuam yog, peb txog qhov twg nws yog nyob, nws yog peeled nyob rau hauv lub central cheeb tsam, thiab cov ntshav nres (ie, uas tsis yog-progressive detachment), tej zaum yuav muaj tsis muaj cov tsos mob. Qhov no yog cov ntaub ntawv ntawm ib tug poj niam nyob rau ultrasound, los yog tom qab, tom qab lub fact, tseem ceeb me ntsis xim av ntshav.

III. Yog hais tias exfoliate detachment ntawm feem ntau situated tsev me nyuam nyob rau hauv lub regional ya, tej zaum yuav tsum muaj ob tug ntawm peb cov tsos mob: ntshav thiab kev mob. Yog hais tias lub los ntshav tsis nres, thiab cov txiv hmab txiv ntoo pib raug kev txom nyem, yuav tau pib cov lus thiab ntxov ntxov tus me nyuam (los yog nchuav menyuam, yog hais tias nws yog - detachment ntawm lub tsho me nyuam nyob rau hauv thawj peb lub hlis).

IV. Thaum muaj ib tug detachment ntawm lub hauv paus ib feem ntawm lub tsho me nyuam, lub tsho me nyuam ntawm cov sau cov ntshav. Qhov no yog hu ua retroplatsentarnoy hematoma. Nws yog nyob rau hauv nws tus kheej, txawm yog hais tias tus los ntshav lawm, lub tsho me nyuam muaj peev xwm ua exfoliate rau. Raws li ib tug tshwm sim, ib tug tseem ceeb feem tej zaum yuav dhas tawm, thiab txawm tag nrho cov tsev me nyuam. Ntshav thaum xws ib nrab detachment yog tsis ib txwm sawv tawm. Ces cov tsos mob ntawm placental abruption yog: tsis muaj zog, pallor, palpitations poj niam, nws xav tias mob nyob rau hauv lub plab mog, lub tsev me nyuam voltage, tus me nyuam ua ntej, feem ntau mus, ces yuav nqig cia nyob rau hauv tag nrho cov. Thaum Impregnating cov phab ntsa hauv lub tsev me nyuam ntxiv ntshav los ntawm cov hematoma mob nce, lub tsev menyuam relaxes. Yog hais tias cov ntshav pom ib txoj kev tawm, nws ntws tawm ntawm qhov chaw mos.

V. Cov tsev me nyuam yuav flake tawm thiab thaum lub sij hawm yog tau me nyuam. Ces, dhau lawm, muaj yog los ntshav, txhaws yuav tsum tau tso tawm. Lub tsev menyuam yog phem heev relaxes lus, yog hais tias tus me nyuam hauv plab yog kev txom nyem, ces nws sawv ib tug maub cal - meconium. Cov cim yuav tsum noj peb caug obstetricians

Yuav ua li cas yog tias koj xav tias koj muaj peeled lub tsho me nyuam?

Yog hais tias tej paug ntawm cov ntshav thaum lub sij hawm cev xeeb tub, txawm yog hais tias nws yog xim av "daub" nws yog tsim nyog los txais yuav ib tug kab rov tav txoj hauj lwm thiab qhia rau koj gynecologist, uas yog saib koj. Yog hais tias tso koj cov ntshav liab, koj yuav tsum mus ib zaug, tsis txhob txawm tau mus txog rau lub chav da dej, nco ntsoov hu rau "tsheb thauj neeg mob" thiab kom ruaj ntseg tshaj plaws kev nplij siab. Yog hais tias ib tug me nyuam (los ntawm ultrasound) tsim feem ntau sib xws, koj tsis muaj mob loj heev preeclampsia los yog mob cov kab mob, muaj ib tug muaj zog yuav uas nruj txaj so koj nres lub los ntshav, thiab ces neeg tuaj pab. Tsis txhob los ntshav nyob rau hauv cov ntaub ntawv ntawm placental abruption tsis txhais hais tias koj yuav sawv, muaj ib tug ob peb hnub mus rau lub chav dej, txawm dag rau hauv lub nkoj.