Kev mob plab hnyuv tawm ntawm lub fetus yog qhov chaw ntawm lub fetus ntawm lub tsev menyuam, thaum tus menyuam nyob nrog lub plab pelvic, ceg lossis pob tw mus rau ntawm kev tawm ntawm kev tawm.
Yog hais tias tus me nyuam nyob hauv qhov kev nthuav qhia hauv plab (pelvic present) thaum lub sij hawm pib ntawm 20 txog 27 lub lim piam ntawm cev xeeb tub, thaum muaj qhov chaw tsis muaj chaw txaus rau nws lub cev, qhov no tsis tseem ceeb. Ib qho ntxiv yog thaum nws yuav siv xws li ib qho chaw ze rau ntawm kev yug menyuam.
Cov kev yug me nyuam hauv plab plawv yog kev mob ntsws thiab tuaj yeem tshwm sim nrog lwm tus.
Raws li kev txheeb cais, cov kab mob pelvic muaj nyob rau hauv 3-5% ntawm tus neeg mob. Feem ntau ntawm cov teeb meem no yog obstetricians ncig xyuas cov kev mob ntsws.
Dab tsi txaus ntshai yog pelvic kev nthuav qhia ntawm fetus?
Ntxiv nrog rau qhov tseeb tias tus kab mob pelvic tuaj yeem ua rau cov tshuaj caesarean yog ib txoj kev xa tuaj, nws tseem ua rau muaj teeb meem ntau ntawm cev xeeb tub.
Qhov feem ntau ntawm lawv yog:
- gestosis;
- kev hem thawj ntawm kev txiav thaum ntxov ntxov hauv plab;
- fetoplacental tsis muaj txhij txhua.
Cov teeb meem zoo li kuj tuaj yeem nrog nrog hypoxia, ib qho txawv txav ntawm amniotic kua, qaum raug mob, qeeb hauv kev loj hlob hauv plab.
Ntxiv rau, kev yug menyuam hauv plab yuav ua rau kev raug mob ntawm lub cev, mob ntsws asphyxia hauv tus menyuam, posthypoxic qhov chaw ntawm lub hauv siab ntawm lub cev ntawm tus menyuam, kev raug mob hauv niam thiab tus menyuam.
Peb sim ua kom nkag siab tias yog vim li cas tus menyuam hauv plab thiaj muaj peev xwm muaj tus kab mob pelvic.
Ua rau pelvic fetal kev nthuav qhia
Yam yuav ua rau tus kab mob pelvic qhia ntawm tus me nyuam hauv plab yog:
- muaj nyob rau hauv cov hlav qe menyuam ntawm cev nqaij daim tawv, uterine fibroids, cov ntaub ntawv tsis meej pelvic thiab uterine qauv, uas tiv thaiv lub taub hau me nyuam ntawm nws tus kheej hauv qhov nkag mus rau ntawm lub plab me me;
- tsawg ntawm kev tuaj yeem nrog tus me nyuam hauv plab nrog qis qis qis, ntshav tsis txaus, lossis qij qaum;
- nce fetal mobility los ntawm hypotrophy, polyhydramnios , prematurity, microcephaly, hypoxia, hydrocephalus, anencephaly;
- qhov kuaj pom ntawm qhov kev xeeb ceem ntawm tus poj niam mus rau lub ntsej muag thiab ko taw kev txhim kho;
- caws pliav ntawm lub tsev menyuam, neurosis, neurocirculatory dystonia, ua haujlwm tshaj, kev nyuab siab;
- tsis muaj kev sib tw nrog endometritis, uterine curettage, ntau yam kev pabcuam, mobcev tivthaiv, kev rho menyuam, teebmeem ntawm tus pojniam tus poj niam lub txiv anamnesis;
- qhov chaw qis lossis plab zom plab menyuam.
Raws li txoj cai, feem ntau nws tsis yooj yim los tsim kom muaj qhov ua rau tus mob pelvic tiag tiag. Ntxiv rau, feem ntau ntawm cov mob, feem ntau yog tus kab mob pelvic yog txiav txim los ntawm ntau yam.