Ib feem me me ntawm cov poj niam cev xeeb tub raug kev txom nyem los ntawm lub ncauj tsev menyuam tsis muaj peev xwm, ua rau lawv muaj kev pheej hmoo rau kev yug menyuam ntxov lossis nchuav menyuam yog tias tsis kho. Lub ncauj tsev menyuam tsis muaj peev xwm lossis lub ncauj tsev menyuam tsis txaus feem ntau kuaj pom ntxov thaum lub hlis thib ob, tab sis tuaj yeem tuaj lig lig thaum pib ntawm peb lub hlis thib peb. Kev kuaj mob tuaj yeem ua thaum kuaj mob sab hauv los ntawm koj tus kws kho mob lossis los ntawm kev ntsuas ultrasound.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Xyuas Lub Tsev Menyuam Tsis Muaj Peev Xwm
Kauj Ruam 1. Paub yog tias koj muaj kev pheej hmoo
Cov poj niam uas yav dhau los tau nchuav menyuam hauv lub hlis thib ob (nruab nrab ntawm lub lis piam 14 thiab 27) feem ntau yuav muaj lub tsev menyuam tsis txaus, yog li nws yog qhov tseem ceeb uas yuav nthuav tawm ib qho teeb meem cev xeeb tub ua ntej lossis nchuav menyuam rau koj tus kws kho mob. Cov poj niam tsis tau kuaj pom tias muaj lub tsev menyuam tsis muaj peev xwm txog thaum lawv tau ntsib ib lossis ntau dua ntawm kev nchuav menyuam lig. Paub txog tus mob no ua ntej yuav tso cai rau koj tus kws kho mob los tshuaj xyuas koj tus mob kom zoo dua thaum pib. Qhov no tuaj yeem ua rau pom ntxov ua ntej ntawm lub ncauj tsev menyuam tsis muaj zog, uas ua rau muaj kev pheej hmoo ntawm kev ncua sijhawm ntev. Ib qho kev phais ntawm lub ncauj tsev menyuam tseem ua rau poj niam muaj kev pheej hmoo, suav nrog D & C, lub ncauj tsev menyuam, lossis LEEP.
Kauj Ruam 2. Ua tib zoo mloog cov tsos mob
Txawm hais tias nws muaj peev xwm ua rau lub ncauj tsev menyuam tsis muaj peev xwm tshwm sim yam tsis muaj tsos mob sab nraud, qee zaum yuav muaj lus ceeb toom. Cov no feem ntau yuav tshwm sim nruab nrab ntawm 14 thiab 22 lub lis piam ntawm cev xeeb tub thiab suav nrog mob nraub qaum, tso tawm lossis ua kua sov hauv lub paum, thiab lub plab hauv siab.
Kauj Ruam 3. Hu rau koj tus OB/GYN tam sim yog tias koj pom ib qho ntawm cov tsos mob no
Txawm hais tias lawv yuav tsis muaj feem cuam tshuam rau lub ncauj tsev menyuam tsis muaj peev xwm, nws yog qhov zoo tshaj plaws los ua qhov tsis raug ntawm qhov ceeb toom thiab cia tus kws kho mob ua qhov kev kuaj mob tiav kom txiav txim siab nws. Qhov no yuav suav nrog ultrasound. Nco ntsoov tias kev kuaj mob ntawm ncauj tsev menyuam tsis txaus yog ua raws tus poj niam keeb kwm kev kho mob yav dhau los ntawm kev nchuav menyuam thaum lub hlis thib ob. Yog tias koj muaj lub tsev menyuam tsis txaus, koj muaj qee yam kev xaiv kho mob.
Txoj Kev 2 ntawm 3: Kev Kho Mob Kho Mob
Kauj Ruam 1. Sib tham txog kev kho mob nrog koj tus kws kho mob
Nws lossis nws yuav tuaj yeem teeb tsa qhov kev xaiv ua tau-cerclage, pessary, thiab pw so-thiab qhia koj tias qhov twg yog qhov zoo tshaj rau koj. Nco ntsoov tias cerclage (suturing lub ncauj tsev menyuam kaw) yog qhov kev kho mob ntau tshaj plaws, thiab tso cai rau ntau tus poj niam uas muaj keeb kwm yav dhau los ntawm kev nchuav menyuam kom ua tiav kev xeeb tub. Lub pessary, zoo ib yam li lub nplhaib sab nraud ntawm lub diaphragm, hloov lub kaum sab xis ntawm lub ncauj tsev menyuam thiab txhawb nws.
Kauj Ruam 2. Txiav txim siab nrog koj tus kws kho mob seb qhov ntsuas ultrasound yuav yog thawj kauj ruam zoo
Nrog ultrasound txhua ob lub lis piam thaum lub hlis thib ob ntawm koj cev xeeb tub, tus kws kho mob tuaj yeem tshuaj xyuas qhov kev pheej hmoo ntawm lub ncauj tsev menyuam tsis muaj peev xwm. Yog tias nws lossis nws pom cov cim ceeb toom, tom qab ntawd koj tuaj yeem muaj cerclage.
Kauj Ruam 3. Kev phais me me kom tau lub cerclage
Thaum koj tau kuaj pom tias lub tsev menyuam tsis muaj peev xwm ua tau, koj tus kws kho mob yuav hais qhia lub tsev menyuam. Cerclage yog txheej txheem uas tau muab cov hlua khi ib ncig ntawm lub ncauj tsev menyuam thiab kaw kom nruj kom lub ncauj tsev menyuam kaw. Muaj tsib hom cerclage uas tuaj yeem ua tau, thiab koj tus kws kho mob yuav txiav txim seb hom twg yog qhov zoo tshaj rau koj qhov xwm txheej nyob ntawm seb koj nyob nrog koj lub cev xeeb tub li cas.
- Feem ntau cerclage raug tshem tawm ze rau thaum kawg ntawm cev xeeb tub kom tso cai rau kev yug me nyuam ib txwm muaj.
- Qee zaum, nyob ntawm qhov xwm txheej uas muaj tam sim no thaum cev xeeb tub, lub cerclage yuav nyob hauv qhov chaw thiab leej niam yuav raug phais mob plab yug me nyuam.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog kev muab lub pessary tso rau hauv
Lub pessary yog lub cuab yeej uas nyob hauv qhov chaw mos los pab tsa thiab txhawb nqa lub ncauj tsev menyuam. Qhov no tuaj yeem siv hloov chaw, lossis koom nrog cerclage.
Kauj Ruam 5. Nug seb puas tau pw lossis pw hauv plab kom pab tau
Koj tus kws kho mob tau hais kom so lub txaj rau lub ncauj tsev tsis muaj peev xwm. Kev txwv lub txaj tuaj yeem sib txawv los ntawm kev zam kev hnyav hnyav lossis ua haujlwm hauv tsev, kom tag nrho lub txaj so qhov twg koj yuav tsum nyob hauv qhov chaw nyob txhua lub sijhawm, suav nrog da dej thiab mus rau chav dej. Tham nrog koj tus kws kho mob txog seb puas muaj qee hom kev so hauv txaj yuav yog qhov kev xaiv zoo rau koj.
Koj kuj tseem yuav tsum tsis txhob pw ua ke thaum lub sijhawm pw thiab pw hauv plab
Txoj Kev 3 ntawm 3: Saib Xyuas Koj Tus Kheej
Kauj Ruam 1. Xyuas kom koj tau so kom txaus
Txawm hais tias koj tsis tau teem sijhawm so pw, kom ntseeg tau tias koj tau so so txaus yog qhov tseem ceeb. Nco ntsoov tias koj tau tsaug zog ntau thiab tsis txhob ua rau koj tus kheej ntau dhau.
Kauj Ruam 2. Nug koj tus kws kho mob txog kev tawm dag zog
Nws lossis nws yuav qhia koj kom tsis txhob ua haujlwm hnyav thiab tsis txhob sib deev. Vim tias koj lub ncauj tsev menyuam tsis muaj zog, kev tawm dag zog tuaj yeem ua rau koj mob hnyav ntxiv.
Kauj Ruam 3. Ua koj cov kegels
Kev tawm dag zog Kegel ntxiv dag zog rau koj cov leeg hauv plab. Txhawm rau kom ntseeg tau tias koj ua lawv kom raug, thaum koj tso zis nrawm koj cov leeg kom tsis txhob tso zis, thiab tom qab ntawd tso tawm kom txuas ntxiv mus; qhov ntawd yog qhov qoj ib ce koj cov kegels zoo li. Thaum nws tsis paub tseeb tias kegels yuav tiv thaiv lub ncauj tsev menyuam tsis muaj peev xwm, lawv muaj qee yam txiaj ntsig suav nrog txhim kho kev txaus siab rau kev sib deev, pab yug hauv qhov chaw mos, pab ua kom tsis muaj menyuam thiab rov qab yug menyuam sai dua.
