Thaum muaj kev xeeb tub pliag ntau tus poj niam tig mus rau ib tug poj niam sab laj nrog lub hom phiaj ntawm kev rho menyuam tawm. Yog hais tias scraping ntawm lub plab hauv qe los ntawm uterine kab noj hniav, qhov kev ua no feem ntau yog ua nyob rau hauv chav ua hauj lwm hauv qab tshuaj loog. Tej kev cuam tshuam no yuav muaj kev pheej hmoo coj tsis zoo: vim yog ib qho ua tsis tau zoo, ib tug poj niam yuav plam tsis tau tsuas yog lub cib fim ua niam, tab sis nws kuj yog nws lub neej. Qhov no ua rau ntau tus ntshai scraping, thiab lawv xav tias seb puas muaj kev rho menyuam tawm nrog tshuaj, tsis phais thiab tshuaj loog. Qhov no ntawm rho menyuam muaj nyob, thiab nws, yog hais tias kuv yuav hais li ntawd, yog ntau sparing rau lub cev.
Dab tsi yog rho menyuam tawm nrog tshuaj?
Qhov no ntawm cov khoom cuav qis ntawm cev xeeb tub tau heev tsis ntev los no thiab pom zoo rau ntau tshaj peb caug lub teb chaws. LEEJ TWG txiav txim tias cov ntsiav tshuaj, los yog kev kho mob, rho me nyuam tus qauv zoo tshaj plaws. Txiav txim los ntawm lub npe, koj tuaj yeem twv tau tias rho menyuam tawm los ntawm kev noj tshuaj. Nws cov kev ua tau zoo yog 95-98%, uas yog nyob ntawm seb lub sijhawm teem ntawm cov ntsiav tshuaj thiab lub sijhawm cev xeeb tub.
Ntau tus neeg mob ntawm cov poj niam kev sib tham yog tam sim ntawd txhawj xeeb txog qhov teeb meem thaum nyeem tableted rho menyuam, rau hnub twg nws ua rau kev nkag siab siv nws. Hom kev tshem tawm ntawm cev xeeb tub no tsuas yog txog 6-7 lub lim tiam.
Cov tshuaj noj tshuaj muaj nyob hauv nws cov khoom noj uas muaj lub cev tseem ceeb - mifepristone - ib qho khoom noj khoom haus npaj ua. Tau txais mus rau hauv lub cev, nws thaiv qhov kev txiav txim ntawm lub ntsiab hormone uas preserves cev xeeb tub, progesterone. Yog li, txoj kev loj hlob ntawm tus me nyuam hauv plab yuav tsum nres. Hauv ob theem ntawm kev rho me nyuam tawm, cov ntsiav tshuaj muaj prostaglandins (misoprostol) ua rau txo tus me nyuam hauv lub tsev me nyuam, uas txhais tau tias tus me nyuam me, uas yog, kev tshem tawm ntawm lub hlwb zoo.
Yuav ua li cas ib tug ntsiav tshuaj rho menyuam tawm?
Tus poj niam uas xav kom muaj kev rho menyuam tawm yog mus kuaj los ntawm ib tus kws kho mob pojniam thiab chav kuaj ultrasound kom paub tseeb tias qhov kev kuaj mob, qhov kev txiav txim siab ntawm lub sijhawm xeeb tub thiab kev tshem tawm ntawm kev xeeb menyuam ectopic. Tablet rho tawm yog ua tiav raws li cov qauv nram qab no:
- Thawj thawj hnub, 1-3 ntsiav tshuaj ntawm mifepristone raug muab rau nws (npe npe yog mifegin, miefeprex, mytholian). Cov tshuaj noj haus, tus neeg mob tseem nyob hauv tsev kho mob rau ib xuab moos hauv kev saib xyuas ntawm cov kws kho mob los soj ntsuam nws kev noj qab haus huv.
- 36-48 teev tom qab noj mifepristone, ib tus gynecologist kuaj ib tug poj niam thiab muab nws misoprostol, uas ua rau cov ntshav tawm. Tom qab saib xyuas tus neeg mob 3-5 teev, nws raug tso tawm hauv tsev.
- Tom qab 10 hnub tus poj niam yuav tsum mus ntsib ib tus kws kho mob rau qhov peb zaug rau kev soj ntsuam txog ultrasound, kev kuaj mob gynecological.
Tablet rho menyuam: qhov zoo thiab qhov tsis zoo
Raws li koj tau pom, qhov zoo li no rho menyuam tawm ntawm qhov tseeb tias nws tsis tas yuav phais kev phais thiab yog ua tau thaum ntxov. Los ntawm txoj kev, lub cev ntas yog rov qab sai sai - nyob rau hauv ib lub hlis. Nyob rau hauv tas li ntawd, kev rho menyuam tawm yog qhov tsawg kawg nkaus traumatic, txij thaum mucous daim nyias nyias ntawm lub uterus tsis puas.
Txawm li cas los, qhov no yog tsis zoo tagnrho. Thaum siv cov tshuaj tua kab rho menyuam, qhov kev rau txim rau poj niam lub cev kuj tuaj yeem tshwm sim. Yog tias, piv txwv li, tsis muaj qhov qog ntawm tus me nyuam hauv plab, koj yuav tsum xav tau mini-rho me nyuam (nqhis nqus). Nrog rau ntiab tawm ntawm plab hnyuv qe, qee zaum muaj qhov hnyav heev los ntshav los kho mob. Los ntawm txoj kev, tej zaum yuav muaj kev phiv tsis zoo: ntuav, xeev siab, mob hauv plab me, kev tsis haum tshuaj thiab nce ntshav siab.
Contraindications rau kev ua tau zoo ntawm kev rho menyuam tawm yog ectopic cev xeeb tub, raum, adrenal thiab mob siab, kab mob plab, hlab ntsha, ntshav, qog thiab cystic cov txheej txheem nyob rau hauv lub me pelvis, caws pliav ntawm lub tsev menyuam.