Sib tw ntawm lub tsev menyuam yog ib qho khoom ua rau nws cov phab ntsa, ua rau ib qho txhaum cai. Nws yog ib qho ntawm feem ntau thiab nyaum heev uas tshwm sim thaum cev xeeb tub thiab thaum lub sijhawm yug menyuam. Ua kom paub ntau dua thiab paub meej txog kev tuaj yeem los ntawm ntau dua li ntawm 93% ntawm tus neeg mob qhov kev tuag ntawm leej niam yug me nyuam. Qhov teeb meem rau hnub yog tsawg, thiab tsawg dua 1% ntawm tag nrho cov hnub yug.
Kev faib tawm ntawm uterine ruptures
Raws li lub sij hawm thaum muaj ib qho kev tawg ntawm lub tsev menyuam, cov nram qab no yog qhov txawv:
- uterine rupture uas tshwm sim thaum cev xeeb tub;
- uterine rupture, tsim thaum lub sijhawm yug me nyuam;
- spontaneous rupture ntawm uterus.
Thawj hom teeb meem tshwm sim ntau zaus, thiab yog li 10% ntawm tag nrho cov uterine ruptures. Thaum lub sij hawm ua haujlwm lub cev rupture ntawm lub tsev menyuam tau tshwm sim nyob rau thawj zaug lossis zaum thib ob ntawm kev yug menyuam. Qhov no yooj yim piav qhia los ntawm qhov tseeb tias nws yog nyob rau ntawm lub sij hawm no tias lub tsev menyuam tau ua qhov loj tshaj ntawm nws cov phab ntsa.
Raws li cov kev tshwm sim tshwm sim, cov ntaub ntawv hauv qab no yog qhov txawv:
- Hawv rupture ntawm lub uterus. Tshwm sim thaum lub sij hawm ua ntej ntawm fetus raws txoj kev ancestral ib qho teeb meem tshwm sim uas tsis pub lub taub hau txav mus ntxiv.
- Pib ntawm qhov sib txawv.
- Lub ruptured uterus.
Ua rau ntawm kev sib kis ntawm uterine
Lub ntsiab yog vim li cas rau rupture ntawm lub tsev menyuam yog:
- Nqaim pelvis ntawm ib tug poj niam. Nws yog pom nyob rau hauv thaum muaj peev xwm ntawm tus niam txiv lub plab tsis sib haum mus rau qhov loj ntawm lub taub hau ntawm fetus.
- Qhov tso quav ntawm tus me nyuam hauv plab taub hau rau lub plab ntawm tus poj niam hauv kev yug me nyuam. Ib qho piv txwv ntawm cov kev ua txhaum txoj cai no yeej ua tau nyob ntawm ib qho kev ntaus txuas ntxiv.
- Yug ntawm lub plawv plawv. Tus kab mob rupture tuaj yeem ua rau muaj kab mob xws li uterine fibroids , nyob hauv lub caj dab los yog hauv qis dua ntawm lub tsev menyuam.
- Ntxhib nti. Feem ntau thaum lub sijhawm yug menyuam, ib qho teeb meem xws li kev tawg ntawm lub tsev menyuam hauv plab yuav tshwm sim. Kwv yees li ntawm 90% ntawm tag nrho cov khoob nyhiab tshwm sim rau ntawm cicatrix nyob rau hauv lub ncauj tsev menyuam los yog ntawm phab ntsa ntawm qhov chaw mos. Cov kev hloov hauv cov kev ntsuas ntawm cov keeb kwm ntawm histopathic yog nyob rau thawj qhov chaw, ntawm qhov ua tau ntawm kev ua mob hauv plab mog.
- Nyuaj abortions nyob rau hauv ib tug poj niam keeb kwm. Qhov teeb meem yog hais tias thaum lub sij hawm rho menyuam tus scraping ntawm fetus yog ua, thiab raws li ib tug tshwm sim, lub basal txheej ntawm lub uterus yog involuntarily puas.
Cov cim qhia ntawm qhov sib txawv
Txhawm rau txhawm rau txhawm rau kuaj pom muaj kev tiv thaiv ntawm lub cev thaum lub sij hawm, thaum lub sij hawm tam sim no tus poj niam yuav tsum paub cov yeeb yam nram no nrog rau cov teeb meem no:
- xeev siab;
- ntuav;
- kev mob nkeeg uas yog nyob ntawm thaj chaw epigastric, nyob rau hauv txoj cai, uas yog vim li cas ntau confuse no complication nrog ib qho kev mob ntawm daim ntawv qhia appendix.
Txhua yam kev xeeb tub uas tshwm sim tom qab lub tsev me nyuam ua raum yuav tsum tas li nyob rau hauv kev saib xyuas ntawm tus kws kho mob.