Raws li lub npe ntawm tus qauv ntawm pelleted rho menyuam, nws ua kom meej tias txoj kev ntawm nqa tawm no hom rho menyuam yog nqa tawm nrog kev pab los ntawm cov tshuaj.
Txoj kev ntawm kev tsim kev rho menyuam tawm
Tablet cuam tshuam kev tu ncua ntawm cev xeeb tub tuaj yeem nqa ntawm qhov siab tshaj ntawm 6 lub limtiam txij thawj hnub ntawm cov pojniam txivneej dhau los.
Tam sim no cia peb tshawb xyuas seb cov kob xoos abortion tshwm sim li cas, thiab hloov dab tsi hauv tus poj niam lub cev thaum lub sijhawm no. Rau tshuaj rho menyuam siv ob hom tshuaj.
- Mefeipristone yog ib hom tshuaj uas ua rau cov neeg txais kev kho mob ntawm cov neeg ua haujlwm - cov tshuaj loj tshaj plaws rau kev loj hlob ntawm cev xeeb tub. Yog li, qhov kev txiav txim ntawm lub tshuaj nres kev loj hlob ntawm fetal qe.
- Qhov nruab nrab, ib hnub lossis ob hnub tom qab lub ntsiav tshuaj ntawm Mifepristone, koj yuav tsum noj 2 ntsiav tshuaj ntawm Misoprostol. Nws yog ib qho hluavtaws analogue ntawm prostaglandins, uas ua rau mob cramping, mob plab hnyuv ntawm lub tsev menyuam. Nyob rau tib lub sij hawm, muaj simulation ntawm cov haujlwm ua haujlwm.
Tom qab ob peb teev, qhov kev xeeb tub yog cuam tshuam, uas yog nrog los ntawm uterine ntshav. Yog li ntawd, lub embryo cais los ntawm cov phab ntsa uterine thiab tawm cov kab noj hniav. Tom qab kev rho me nyuam tawm, nws raug pom zoo kom siv mus rau ultrasound kom paub tseeb tias tsis tuaj yeem ntawm ib qho embryo nyob rau hauv lub uterine kab noj hniav.
Kev ncua ntawm kev xeeb tub nrog kev pab ntawm ntsiav tshuaj yog contraindicated nyob rau hauv cov nram qab no:
- nrog rau kev xeeb menyuam ectopic;
- yog tias lub hnub nyoog gestational yog ntau tshaj 49 hnub;
- kev tsis haum tshuaj thiab kev muaj cov tshuaj tiv thaiv rau cov tshuaj siv;
- nrog rau kev mob ntsws loj (lub plab, lub plab, kev mob tsis zoo, kab mob hauv lub plawv, mob hnyav ntawm tus kab mob broncho-pulmonary system);
- muaj hemostasis ntawm cov ntshav;
- uterine hlav, endometriosis;
- nti nyob rau hauv lub tsev menyuam.
Tsis tas li ntawd, qhov kev txiav tawm ntawm kev xeeb tub tsis pom zoo rau cov poj niam uas muaj hnub nyoog 35 xyoos.
Qhov kev tshwm sim ntawm kev rho menyuam tawm thiab kev rov zoo rov los
Kev rho tshuaj kho yog qhov kev nyab xeeb tshaj plaws. Qhov zoo dua ntawm pelleted rho menyuam yog hais tias tus txheej txheem tsis hais siv ntawm cov khoom kho mob tshwj xeeb. Thiab yog li tsis muaj kev pheej hmoo ntawm kev mob txuam nrog kev raug mob mus rau cov ntaub so ntswg thiab kab mob ntawm cov kabmob ntawm qhov kev ua me nyuam.
Tab sis txawm li ntawm qhov tshwm sim tsis zoo tom qab ntsig txog rho menyuam tawm tsis tau. Thawj zaug ntawm tag nrho cov teeb meem yuav muaj li hauv qab no:
- Hormonal tsis ua hauj lwm. Nrog rau txoj kev no, kom thiaj li tsis muaj kev xeeb tub, nws tseem yuav tau noj ntau hom tshuaj hormonal, uas feem ntau cuam tshuam rau qib theem ntawm cov tshuaj hormones. Tab sis nyob rau hauv no cov ntaub ntawv, rho menyuam yog ua nyob rau hauv thaum ntxov ua sawv, yog li lub cev xav tau tsawg lub sij hawm kom zoo.
- Incomplete rho menyuam tawm. Nyob rau hauv cov ntaub ntawv no, los ntshav tom qab rho menyuam yuav ntev thiab kom tshem tawm cov teeb meem
nws yog ib qhov tsim nyog los ua ib tug curettage ntawm mucous daim nyias nyias ntawm lub uterus. - Tom qab noj tshuaj, tej zaum yuav muaj kev tsis haum ntawm cov quav, xeev siab thiab ntuav.
Lub hli tom qab ib qho kev rho menyuam tawm feem ntau rov qab yuav luag tam sim ntawd. Tom qab ob peb lub hlis, txoj kev voj voog tswm dua nyob hauv cov cai qub. Thiab nyob rau hauv cov nqe lus ntawm nws ntev thiab cov nyiaj ntawm cov ntshav poob tsis txawv ntawm cov poj niam ua ntej. Rau kev yooj yim, hnub ntawm rho menyuam yog suav hais tias yog thawj hnub ntawm kev hnyav thiab ntawm nws ib daim ntawv qhia ntxiv txog lub voj voog tshwm sim.