Miscarriage, los yog li-hu ua spontaneous rho menyuam - yog ib tug pathological rho menyuam ntawm cev xeeb tub nyob rau hauv ib lub sij hawm ntawm mus txog 20 lub lis piam. Hmoov tsis, qhov no tsis yog qhov tshwm sim tsis tshua muaj tshwm sim, thiab raws li kev txheeb xyuas, 15-20% ntawm cov kev kuaj mob tau xaus nyob rau hauv kev cuam tshuam kev ywj pheej. Qhov ua rau me nyuam yaus yog: cov kab mob ntawm qhov kev ua me nyuam yug nyob rau hauv niam, abortions hauv keeb kwm, muaj hnub nyoog tshaj 35 xyoo, hormonal ntshawv siab, fetal kev loj hlob anomalies thiab kab mob.
Cov tsos mob ntawm nchuav menyuam yog dab tsi?
Txij li ntawm 6 lub lim piam ntawm cev xeeb tub (4 lub lim piam los ntawm lub caij nyoog ntawm lub ntsiab lus) lub fetus yog implanted rau hauv lub tsev menyuam thiab nrog rau nws cov phab ntsa, ces spontaneous rho menyuam yuav tsis raug lees paub ua ntej lub sij hawm no. Cov kev qhia ntawm nchuav menyuam hauv 6 lub lim tiam sib raug rau cov tsos mob ntawm kev rho menyuam tawm hauv thawj peb lub hlis cev xeeb tub. Thawj cov cim qhia txog kev nchuav hauv thawj peb lub hlis thaum cev xeeb tub (ua ntej 12 lub lim tiam): mob plab hlaub hauv plab hauv plab nrog ntshav tawm.
Nyob rau hauv qhov no, yog tias ib qho embryo nrog cov hnub nyob hauv cov pob txha, qhov nchuav menyuam yog xam tag nrho. Nws yog lub zog los ntawm qhov chaw mos ntawm lub ncauj tsev me me tom qab los ntshav. Cov tsos mob ntawm cov nqaij ua tsis tiav: qhov tawm ntawm ib feem ntawm cov kabmob uterine kabmob thiab cov ntshav ntws ntxiv. Hauv ob qho tib si, kev xeeb tub tsis tuaj yeem tswj tau.
Thaum lub sij hawm ntev txog 4 lub lis piam, tus me nyuam tsis tuaj yeem tsis muaj thiab kis tau zoo ib yam li poj niam cev xeeb tub, tsuas yog ntau tshaj, vim hais tias tus poj niam nws tsis paub tias nws xeeb tub. Yog hais tias tus tuag fetus tseem nyob hauv lub tsev menyuam, ces kev rho menyuam yog hu ua kev tsis tau. Nws tuaj yeem muaj kev txhawj xeeb ntawm lub xeev kev noj qab haus huv ntawm poj niam cev xeeb tub: tsis muaj zog, qaug zog, tsis qab los, poob phaus. Thaum kuaj obstetric qhov loj me ntawm lub tsev menyuam tsis sib thooj rau lub sijhawm cev xeeb tub. Ultrasound nrog lub ncauj lus ntxuav tes qhia tias yog mob.
Cov cim qhia ntawm pib nchuav menyuam
Thawj cov cim qhia txog kev yuam kev me (kev hem tua menyuam) tuaj yeem tshwm sim rau hauv daim ntawv ntawm kev raug mob rau hauv plab thiab sab nraub qaum, thaum lub ncauj tsev menyuam kaw lawm. Qee lub sij hawm tej zaum yuav muaj los ntshav me los ntawm qhov chaw mos. Nrog rau kev kho mob raws sij hawm hauv ib lub koom haum kho mob tshwj xeeb thiab txoj kev tu mob, yuav muaj peev xwm txais kev xeeb tub. Yog tias koj tsis quav ntsej cov tsos mob ntawm kev raug rho menyuam tawm, qhov tshwm sim ntawm tus menyuam yaus yuav nce siab.
Cov cim qhia ntawm nchuav hauv ob peb lub hlis
Cov tsos mob ntawm nchuav hauv ob peb lub hlis trimester zoo ib yam li cov kev ua ub ua no. Ua ntej, cov contractions pib, uas ua kom muaj zog, qhov ua kom sib haum thiab qhib lub ncauj tsev menyuam tshwm sim, qhov tawg ntawm lub membranes thiab tawm ntawm amniotic kua, ces tus me nyuam mos yug, tom qab uas lub tsho me nyuam mob. Yog hais tias qhov hnyav ntawm tus me nyuam muaj tsawg dua 400 grams, tab sis nws yog qhov nchuav menyuam, yog tshaj 400 grams, ces tus menyuam mos. Cov tsos mob ntawm kev nchuav menyuam yaus tuaj yeem raug txuam nrog kev txawv txav ntawm plab zawv plab, kev tsim kabmob hauv lub uterine kabmob (myoma), qhov teebmeem ntawm lub fetus ntawm cov tshuaj lom (tshuaj, cawv, tshuaj).
Cov poj niam cev xeeb tub uas yog tus poj niam cev xeeb tub uas yog thawj tus yam ntxwv ntawm kev hem thawj
Nyob ntawm thawj lub npe ntawm kev hem thawj ntawm kev txiav ntawm cev xeeb tub, koj yuav tsum tau mus ntsib kws kho mob sai sai. Yuav kom ntseeg tau tias yuav ua kom muaj kev xeeb tub, nws yog ib qhov tsim nyog los xyuas qhov me me ntawm lub tsev menyuam thiab xyuas kom meej txog lawv lub sijhawm, saib puas muaj cov ncauj tsev menyuam hauv plab. Yog tias qhov kev tsis txaus siab nyob, tus poj niam raug xa mus rau lub ultrasound nrog lub qhov muag qhov ntswg. Yog hais tias lub embryo yog siv tau thiab nws loj npaum li cas rau lub sij hawm gestation, tus poj niam cev xeeb tub tau raug mus rau hauv tsev kho mob rau kev kho mob. Nrog endocrine pathology nrog ib qib tsis txaus ntawm progesterone, tshuaj hormonal yog kws kho.
Nrog rau kev ua tsis tiav lossis tsis muaj abortion, lub uterine kab noj hniav yog scraped raws li kev tshuaj loog, kom tshem tawm
Yog tias koj muaj qaub ncaug thaum lub caij nws cev xeeb tub, tsis txhob muab xaus rau qhov muaj me nyuam. Tsuas yog, rau qhov cev xeeb tub tom ntej koj yuav tau ua kom yooj yim dua. Nws yuav tsim nyog thov rau ib tus kws paub tshwj xeeb uas yuav qhia seb cov kev ntsuam xyuas yuav siv, kev ntsuam xyuas noj, kev kho mob uas yuav tsum tau thiab, tej zaum, tom qab 6 lub hlis (nws tsis tsim nyog ua ntej), qhov kev xeeb tub ntev ntev yuav tuaj.