Kev tuag ntawm tus me nyuam hauv plab (tuag) ntawm tus me nyuam hauv plab yog tuag hauv plab thaum cev xeeb tub. Kev tuag ntawm tus me nyuam hauv plab tuaj yeem tshwm sim tau ntau yam.
Ua rau ntawm kev tuag plab menyuam hauv plab:
- kab mob ntawm tus poj niam cev xeeb tub uas muaj ntau yam kab mob - khaub thuas, mob ntsws, pyelonephritis, thiab lwm yam;
- ntau yam kab mob extragenital - kab mob hauv lub plawv, mob ntshav qab zib, mob ntshav siab, ntshav tsis txaus thiab lwm tus;
- inflammatory kab mob ntawm chaw mos plab hnyuv siab raum;
- cev nqaij daim tawv qis heev ntawm cev xeeb tub;
- pathology ntawm lub tsho me nyuam - kev nthuav qhia, kev txiav txim, kev hloov;
- pathology ntawm lub umbilical qaum yog ib qho tseeb knot;
- kev tsis haum ntawm ib leej niam thiab ib tug me nyuam los ntawm Rh Factor;
- polyhydramnios los yog oligohydramnios.
Hauv kev utero, tus menyuam hauv plab tuag, ntxiv rau, kuj tuaj yeem pab txhawb qee yam "social". Piv txwv, kev qaug kev mob ntawm cov hlau lead, mercury, nicotine, cawv, tshuaj yeeb, arsenic, lwm yam. Kev siv tsis zoo thiab overdose ntawm cov tshuaj kuj yog ib qho ua rau heev ntawm kev tuag plab me ntsis.
Kev tuag ntawm kev tuag yuav ua rau muaj kev nyuaj siab tsis zoo, ua rau lub cev xeeb tub (nrog lub caij nplooj zeeg los yog lub zog rau lub plab). Feem ntau yog vim li cas qhov kev tuag ntawm tus me nyuam hauv plab yog qhov tus mob intrauterine (xws li mob hlwb, tus mob meningitis), tsis ntev los yog mob siab ua rau tus me nyuam hauv plab, nrog rau lub neej ntawm tus me nyuam hauv plab, muaj ib tus kab mob intrauterine twin-parasite. Qee zaum, qhov kev tuag ntawm tus me nyuam hauv plab tseem tsis meej.
Nws tseem muaj lub tswvyim ntawm kev tuag ntawm intretartum ntawm lub fetus, uas yog, nws tuag nyob rau hauv lub caij nyoog intranatal (thaum ua haujlwm) vim yug raug mob mus rau pob txha taub hau los yog tus txha ntawm tus me nyuam hauv plab.
Cov tsos mob ntawm kev tuag plab hauv plab intrauterine
Cov kev mob tshwm sim ntawm kev tuag hauv plab intrauterine yog:
- txhawm rau kev loj hlob ntawm uterine;
- ib tug txo nyob rau hauv lub suab ntawm lub tsev menyuam, qhaj ntawv ntawm nws contractions;
- muaj kev ntxhov siab nyob rau hauv lub plab, kev txi, kev qaug zog;
- qhov disappearance ntawm engorgement ntawm mammary qog;
- txhawm rau lub plawv dhia thiab lub plab menyuam.
Thaum cov cim no tshwm sim, yuav tsum tau pw hauv tsev kho mob sai ntawm tus poj niam cev xeeb tub. Ua tib zoo qhia tias kev tuag ntawm lub fetus yuav pab tshawb nrhiav xws li ECG thiab FCG, ultrasound. Tus mob yog paub tseeb tias yog thaum cov kev tshawb fawb tsis muaj cov tsos mob ntawm kev tsis siab ntsws, ua pa taw ntawm lub fetus, nyob hauv cov theem thaum ntxov, ua txhaum cai ntawm kev nkhaus ntawm lub cev thiab kev puas tsuaj ntawm nws cov txheej txheem.
Tom qab ntawd, qhov kev paub txog kev tuag ntawm tus me nyuam hauv plab ntsuaj hauv lub cev yuav tsim teebmeem rau kev mob hlwb hauv tus poj niam. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau siv txhua yam tsim nyog ntsuas hauv lub sijhawm. Yog tias tus menyuam tuag nyob rau hauv lub plab thaum ntxov ntawm cev xeeb tub, lub plab hauv plab yog tshem tawm txoj kev phais (hu ua scraping).
Yog tias tus menyuam tuag nyob rau hauv lub sijhawm thib ob ntawm cev xeeb tub thib ob ntawm cev xeeb tub, qhov kev mob ceev ceev yog ua los ntawm kev siv cov tshuaj estrogens, qabzib, cov vitamins thiab calcium rau peb hnub kom tsim tau cov khoom tsim nyog. Tom ntej no, oxytocin thiab prostaglandins raug sau tseg. Qee lub sij hawm ntxiv rau tag nrho thov kev haus electro-stimulation ntawm lub tsev menyuam.
Kev tuag ntawm fetus nyob rau hauv peb lub trimester, raws li ib txoj cai, ua rau yus pib ntawm kev ua haujlwm.
Tiv thaiv kev tuag ntawm tus me nyuam hauv plab
Xws li ua raws li txoj cai kev tu cev, kuaj kab mob thaum ntxov, kho kom zoo thiab kho cov kev mob ntawm ntau yam kev nyuab siab ntawm kev xeeb tub, cov kab mob gynecological thiab extragenital.
Ua ntej npaj plab me nyuam tom qab yug me nyuam hauv plab, nws yuav tsum tau kuaj kev kho mob ntawm ib tug txij nkawm, thiab lub cev xeeb tub yuav tsum tau npaj tsis ua ntej tshaj ib nrab xyoo tom qab tus me nyuam hauv plab tuag.