Tsawg qhov chaw ntawm lub tsho me nyuam hauv plab - muaj pathology uas tshwm sim hauv 15-20% ntawm cov poj niam cov poj niam.
Thaum lub tsho me nyuam nyob rau ntawm caj dab hauv lub ncauj tsev me nyuam nyob rau theem 6 cm lossis me dua, qhov chaw ntawm lub tsho me nyuam hauv plab yog qhov tseem ceeb. Yeej, nws yog kuaj lub sijhawm ultrasound thiab tsis muaj kev phom sij. Yog tias txhua yam tsis zoo los ntawm qhov kawg ntawm cev xeeb tub, lub plab zeeg nce siab dua.
Nws tsis tas yuav ntshai thaum ntxov, vim tsuas yog tsib feem pua ntawm cov leej niam muaj qhov chaw tsis muaj chaw hauv plab thaum lub cev xeeb tub kom txog rau thaum lub lis piam thib ob, tsuas tshuav ib feem ntawm lawv tau tso lub tsho me nyuam nyob rau tib qhov chaw hauv peb caug-xya lub lim tiam.
Yog tias, tom qab nees nkaum yim lub lis piam uas cev xeeb tub, tus placenta tseem tsis tshua muaj, ces qhov no peb tham txog tshuaj plab zom plab. Txij li thaum nyob rau hauv cov ntaub ntawv no uterine pharynx, tab sis ib kov, tab sis overlapped los ntawm placenta.
Txaus siab ntawm lub tsho me nyuam thaum lub caij nws cev xeeb tub tau pom tseeb, tsuas yog thaum yug tom kawg, koj tuaj yeem tham txog qhov kev kuaj zaum kawg. Nyob rau hauv xws li mob, los ntawm ntug qhov twg lub shells ruptured, qhov deb mus rau placenta yog tsis pub ntau tshaj 7 centimeters. Cov kws kho mob pom zoo kom mus kuaj ntawm qhov chaw mos nrog nrog kev pab ntawm tsom iav.
Ib qho ntawm qhov ua rau plab plab zuj zus ntawm plab plab yog nyob rau yav dhau los tom qab thiab tom qab lub plab zawv ntawm lub tsev menyuam, uas ua rau muaj kev cuam tshuam nyob rau hauv tus qauv ntawm lub tsev menyuam tau txais nrog cov hlab ntsha, thiab cov phab ntsa ntawm lub tsev menyuam ntawm cov leeg thiab cov teeb meem vim qhov implantation ntawm fertilized qe. Nrog rau qis dua qhov muaj txiaj ntsim, qhov ua rau tuaj yeem yuav ua rau qog qe (twb fertilized) nyob rau hauv qis seem ntawm lub tsev menyuam.
Ntshav yog vim: lub tsev placental detachment ntawm phab ntsa cov uterine thiab qhib qhov chaw nruab nrab ntawm tus villi uas tshwm sim los ntawm kev ua rau cov menyuam hauv plab, tsis muaj peev xwm ntawm lub tsho me nyuam los ua raws li cov chaw haujlwm uterine uas tsiv mus. Ntsuas lub cev thaum yug menyuam los yog thaum cev xeeb tub yog qhov tseem ceeb ntawm plab hnyuv plab (placenta previa). Ntshav, raws li txoj cai, yog yam ntxwv ntawm lateral thiab ntau zaus rau kev nthuav qhia hauv nruab nrab. Tom qab ntawd, thaum lub tsho me nyuam hauv plab yog qhov tsawg, ntshav tau tshwm sim hauv nruab nrab thiab pib ntawm lub sijhawm qhib.
Kev kho plab zom plab tsis zoo, nrog rau kev dag
Tus neeg mob raug xa mus rau ib lub tsev kho mob, lawv muaj kev sib haum xeeb thiab tswj xyuas kom ncaj qha mus xyuas kom nws ua rau lub txaj so. Nyob rau tib lub sij hawm, siv yeeb siv tshuaj uas txo cov kev ua qoob loo ntawm lub tsev menyuam, thiab cov tshuaj uas ua kom cov ntshav khov kho, tsis pub ntau tshaj 500 mg ib hnub ntawm ascorbic acid. Ua kom muaj ntshav tawm ntxiv kom tiv thaiv tau lub caij nplooj ntoos zeeg ntawm hemoglobin, tsis hais txog kev tsis tuaj los yog muaj ntshav siab. Txawm tias qhov ntshav los nres, tus neeg mob tsis tawm hauv tsev kho mob. Caesarean tshooj yog ua tau yog tias qhov kev ntsuam xyuas ntawm qhov kev plab hnyuv plab (placenta complete prevalence) yog tsim muaj thiab yog tias los ntshav rov qab thaum kawg ntawm cev xeeb tub. Autopsy ntawm lub fetal zais zis yog siv tau hauv kev nthuav qhia ib nrab. Yog tias qhov chaw ntawm qhov chaw ntshav tseem tsis tshua muaj nyob rau tam sim no, txawm tias tom qab qhib lub zais zis ntawm lub plab, cov kws kho mob siv tau lub zog los pib ua haujlwm, uas yog tais rau hauv lub ncauj tsev menyuam hauv tsev menyuam (inside) thiab muaj cov kua qaub (sterile).
Peb cia siab tias koj tau txais cov ntaub ntawv txaus txog qhov chaw ntawm lub tsho me nyuam thaum cev xeeb tub. Tsis txhob hnov qab tham thiab soj ntsuam nrog koj tus kws kho mob.