Lub ncauj tsev menyuam tsis muaj peev xwm yog ib yam mob uas tuaj yeem tshwm sim thaum cev xeeb tub. Nws txhais tau tias koj lub ncauj tsev menyuam tsis muaj zog thiab tej zaum yuav nthuav dav (lossis qhib), ua rau koj muaj feem yuav nchuav menyuam los yog yug menyuam tsis tau ntxov. Luckily, muaj ntau yam uas koj tuaj yeem ua los txhawb koj lub ncauj tsev menyuam thiab tiv thaiv kev noj qab haus huv ntawm koj tus menyuam loj hlob.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Ua Haujlwm Nrog Koj Tus Kws Kho Mob los Tiv Thaiv Lub Tsev Menyuam Tsis Muaj Peev Xwm
Kauj Ruam 1. Nkag siab tias lub ncauj tsev menyuam tsis muaj peev xwm yog dab tsi
Lub ncauj tsev menyuam tsis muaj peev xwm kuj tuaj yeem raug xa mus ua lub ncauj tsev menyuam tsis txaus. Qhov no txhais tau tias koj lub ncauj tsev menyuam tau luv dua, ua kom nrawm, lossis nthuav dav thaum koj lub hlis thib ob ntawm koj cev xeeb tub. Yog tias lub ncauj tsev menyuam hloov pauv, nws tsim lub peev xwm ntawm kev nchuav menyuam lossis kev yug menyuam ntxov. Koj lub ncauj tsev menyuam tuaj yeem hloov pauv rau ntau yam laj thawj, suav nrog (ntawm lwm qhov laj thawj):
- Keeb kwm ntawm kev phais lub tsev menyuam thiab raug mob, xws li LEEPs, lub ncauj tsev menyuam, nthuav dav ntawm lub ncauj tsev menyuam rau kev txiav cev xeeb tub, lossis D&C.
- Keeb kwm ntawm ncauj tsev menyuam nrog rau qhov chaw xa menyuam.
- Congenital tsis xws luag (anatomical anomalies).
Kauj Ruam 2. Nco ntsoov tias feem ntau tsis muaj tsos mob
Lub ncauj tsev menyuam tsis txaus feem ntau tsis muaj tsos mob. Kev kuaj mob yuav tsum tau ua siv keeb kwm yav dhau los uas tsis muaj mob ntawm lub ncauj tsev menyuam tom qab thawj peb lub hlis twg. Hauv cov txheej txheem no, koj tsis tuaj yeem kis tus kab mob, los ntshav, lossis dej tawg. Yog tias koj tau ntsib cov tsos mob, tom qab ntawd qee yam ntawm koj cov tsos mob yuav suav nrog::
- Mob plab thiab mob nraub qaum. Tej zaum koj yuav hnov mob me me, feem ntau zoo li ntuav ntuav hauv qhov mob.
- Qhov chaw mos tawm. Koj tuaj yeem pom qhov hloov pauv hauv qhov ntim, xim, thiab/lossis qhov sib xws ntawm koj qhov chaw mos.
- Los ntshav los ntawm qhov chaw mos, tab sis qhov no tsawg dua.
- Nco ntsoov tias ntau kis yog asymptomatic nkaus xwb. Yog li ntawd, yog tias koj muaj keeb kwm ntawm tus mob lossis kev yug menyuam tsis tau dhau los dhau los, lossis lwm yam kev pheej hmoo rau lub ncauj tsev menyuam tsis muaj peev xwm, nws yog qhov zoo tshaj los tshuaj nrog koj tus kws kho mob tas li.
- Yog tias koj muaj cov tsos mob, lawv yuav tshwm sim feem ntau ntawm 14 txog 20 lub lis piam cev xeeb tub.
Kauj Ruam 3. Teem sijhawm teem sijhawm los tshuaj xyuas
Kev tshuaj xyuas lub cev los ntawm tus kws kho mob tshwj xeeb (feem ntau yog kws kho mob poj niam) yog qhov tseem ceeb los ntsuas qhov mob ntawm koj lub ncauj tsev menyuam. Yam uas koj tus kws kho mob yuav nrhiav muaj xws li:
- Cov cim ntawm "lub tsev menyuam tawm," uas yog thaum lub ncauj tsev menyuam thins thiab nthuav dav hauv kev npaj yug menyuam.
- Cov cim ntawm "ncauj tsev menyuam nthuav dav," uas yog thaum qhib lub ncauj tsev menyuam pib nthuav dav hauv kev npaj yug menyuam.
- Tus kws kho mob kuj tseem tuaj yeem ua "ua kom lub cev tsis muaj zog," thawb koj lub tsev menyuam lossis thov kom koj ua qee yam kev txav chaw uas ua rau muaj kev nyuaj siab, kom pom tias lawv tuaj yeem pom ib qho me me ntawm cov menyuam hauv plab poking los ntawm kev thov lub siab. Yog tias pom cov menyuam hauv plab, qhov no ib txwm yog lub cim tsis zoo vim nws yog qhov muaj feem yuav pheej hmoo siab rau kev yug menyuam ntxov vim yog lub ncauj tsev tsis muaj peev xwm.
Kauj Ruam 4. Tau txais lub transvaginal ultrasound
Siv cov thev naus laus zis no, tus kws kho mob yuav tuaj yeem pom yog tias koj lub ncauj tsev menyuam tau nthuav dav (lossis qhib) yam tsis txawv txav. Thaum 18 txog 22 lub asthiv, koj tuaj yeem ua ultrasound los ntsuas koj lub ncauj tsev menyuam.
- Transvaginal ultrasound feem ntau yog txoj kev nrawm tshaj plaws thiab ntseeg tau tshaj plaws uas lub ncauj tsev menyuam tsis muaj peev xwm tau kuaj pom thiab kuaj pom sai li sai tau.
- Kev kuaj pom ntxov yog qhov tseem ceeb, vim tias muaj cov tswv yim kws kho mob tuaj yeem siv los tiv thaiv kev nthuav dav ntxiv ntawm lub ncauj tsev menyuam txhawm rau txhawm rau txhawm rau txhawm rau yug me nyuam ntxov.
Kauj Ruam 5. Tham nrog koj tus kws kho mob
Ib yam dab tsi hu ua "ncauj tsev menyuam cerclage" yog hom suture uas tau muab tso rau hauv qab qhov qhib ntawm lub ncauj tsev menyuam, thiab lub ncauj tsev menyuam tau nruj nrog cov ntaub qhwv nyob hauv ib puag ncig (uas txhais tau hais tias lub ncauj tsev menyuam tau nruj dua kom nws tsis tuaj yeem nthuav dav -lossis qhib-ntxiv dua li nws yuav tsum tau). Qhov no yog txoj hauv kev zoo tshaj los tiv thaiv lub ncauj tsev menyuam tsis muaj peev xwm yog li yog tias koj muaj kev pheej hmoo siab ntawm kev tsim tus mob no, nrog koj tus kws kho mob tham txog tus txheej txheem no.
Cov ntaub qhwv tau muab tso rau hauv 12 txog 14 lub lis piam rau koj cev xeeb tub thiab tshem tawm ib ncig ntawm 36 txog 38 lub lim tiam ntawm koj cev xeeb tub. Lawv kuj tuaj yeem muab tso rau ntawm lub sijhawm kuaj mob, uas yog hu ua cerclage cawm. Cov no feem ntau tsis ua tiav tom qab 25 txog 26 lub lis piam
Kauj Ruam 6. Sib tham txog lwm txoj hauv kev tiv thaiv kev kho mob nrog koj tus kws kho mob
Cervical cerclage yog "tus qauv kub" ntawm kev tiv thaiv kev kho mob rau lub ncauj tsev menyuam tsis muaj peev xwm. Txawm li cas los xij, koj tus kws kho mob yuav qhia qee qhov kev xaiv kho mob ntxiv.
Nug txog "pessary qhov chaw mos." Nov yog lub cuab yeej uas tso rau hauv qhov chaw mos kom hloov pauv txoj haujlwm ntawm lub ncauj tsev menyuam kom qhov hnyav ntawm cov ntsiab lus ntawm lub tsev menyuam tsis thawb lub ncauj tsev menyuam qhib ua ntej
Txoj Kev 2 ntawm 2: Hloov Koj Txoj Kev Ua Neej
Kauj Ruam 1. So kom ntau ntxiv
Txawm hais tias ua kom lub txaj tsis tiav tseem tsis tau tshawb fawb pov thawj raws li kev tiv thaiv kev kho mob rau lub ncauj tsev menyuam tsis muaj peev xwm, cov kws kho mob feem ntau pom zoo so kom ntau li ntau tau yog tias koj muaj kev pheej hmoo ntawm tus mob txhawm rau txhawm rau txo qhov muaj feem ntawm kev yug ntxov ntxov. Koj tseem tuaj yeem sim cov txheej txheem so xws li:
- Xyaum ua pa ua pa kom koj tus kheej nyob twj ywm.
- Ua tib zoo xav txhua hnub kom nyob twj ywm.
Kauj Ruam 2. Tsis txhob qoj ib ce hnyav yog tias koj muaj lub ncauj tsev tsis muaj peev xwm
Kev tawm dag zog yog qhov zoo yog tias koj cev xeeb tub, tab sis yog tias koj muaj lub tsev menyuam tsis muaj peev xwm, tom qab ntawd koj yuav tsum zam txhua qhov kev tawm dag zog uas ua rau koj lub cev muaj zog. Koj yuav tsum zam qee yam xws li khiav, dhia ua si, thiab txhua yam kis las uas cuam tshuam nrog lub cev muaj zog.
- Koj tus kws kho mob kuj tseem yuav pom zoo kom koj siv sijhawm so haujlwm. Qhov no yuav nyob ntawm seb hom haujlwm twg uas koj muaj, thiab lub cev xav tau koj txoj haujlwm ntawm kev ua haujlwm.
- Nws yog qhov qhia tau tseeb tias yuav tsum tsis txhob nqa hnyav thiab lwm yam haujlwm hnyav.
Kauj Ruam 3. Tsis txhob sib deev
Kev ua ntawm coitus tuaj yeem ua rau muaj kev ntxhov siab ntxiv rau ntawm koj lub ncauj tsev menyuam, thiab tuaj yeem ua rau pom cov tsos mob ntxiv ntawm lub ncauj tsev tsis muaj peev xwm thiab muaj kev pheej hmoo ntau dua ntawm kev yug menyuam ntxov. Sim tshawb nrhiav lwm hom kev sib deev uas tsis ua rau koj lub ncauj tsev menyuam sib zog ua.
Kauj Ruam 4. Teem caij teem sijhawm nrog koj tus kws kho mob poj niam rau txhua lub hlis
Yog tias koj txhawj xeeb tias koj yuav muaj kev pheej hmoo txhim kho lub ncauj tsev menyuam tsis muaj peev xwm, koj yuav tsum muaj tus kws kho mob poj niam kuaj koj tsawg kawg ib hlis ib zaug (yog tias tsis ntau zaus) kom paub tseeb tias lub cev xeeb tub mus tau zoo.
Kauj Ruam 5. Paub tias koj tus menyuam tseem tuaj yeem yug tau zoo
Nws yog ib qho tseem ceeb kom nco ntsoov tsis txhob ntshai yog tias koj tau kuaj pom tias lub ncauj tsev menyuam tsis muaj peev xwm. Koj tseem tuaj yeem yug menyuam kom muaj kev zoo siab, noj qab nyob zoo tab sis koj yuav tsum ua raws koj tus kws kho mob cov lus qhia.
