Pharmacological rho menyuam (tshuaj, tshuaj noj) yog ib txoj kev rho menyuam tawm ntawm kev pab los ntawm cov tshuaj, uas tsis tas yuav phais manipulation.
Kev piav qhia thiab kev vib this ntawm kev ua liaj ua teb-rho menyuam
Kev rho menyuam yog ua tiav ntawm lub hnub nyoog gestational li ntawm 6 lub limtiam. Kev ua tau zoo ntawm txoj kev yog li 95-98%. Tus qauv ntawm rho me nyuam yaus muaj ob theem.
- Hauv thawj theem, tus mob anamnesis yuav raug coj mus kuaj, tus poj niam cev xeeb tub thiab ultrasound yog ua tiav, tom qab uas tus neeg mob siv cov tshuaj Mifepristone. Cov tshuaj no ntawm ib qho steroid xwm txheej cov nyhuv ntawm progesterone , vim yog qhov kev sib txuas ntawm lub embryo nrog endometrium tawg, thiab qhov contractility ntawm cov leeg ntawm cov leeg.
- Nyob rau theem ob (tom qab ob hnub), tus neeg mob tau txais kev pabcuam Mizoprostol, vim yog lub tsev menyuam yaus ua rau lub zog qis qis, thiab lub plab zaw qev tawm sab nraud. Tus kws kho mob saib tus txheej txheem nrog kev pab ntawm ultrasound.
Ob theem ntawm tus neeg mob tau pom los ntawm cov neeg ua haujlwm kho mob txhua ob teev. Kev tswj ultrasound yog ua ob hnub tom qab tshuaj lom neeg tshuaj. Tom qab ib lossis ob lub lim piam, rov qab kuaj ultrasound thiab gynecological.
Qhov zoo ntawm txoj kev:
- kev rho menyuam tawm;
- tsawg traumatism;
- tsis tas yuav tsum tau tshuaj loog;
- Tsis muaj teeb meem nyob rau hauv daim ntawv ntawm adhesions, nti, tus kab mob ntawm lub tsev menyuam;
- kev muaj peev xwm los cev xeeb tub yog rov qab mus rau lub cev ntas tom ntej.
Cov teeb meem tshwm sim nrog lub chaw muag tshuaj-rho menyuam tawm
Cov teeb meem ntawm no rho menyuam muaj xws li:
- uterine ntshav ;
- mob hauv plab plab;
- xeev siab, ntuav, zawv plab;
- kub, ua daus no;
- kev tsis haum tshuaj;
- nyob rau hauv qhov kev tshwm sim uas tsis tiav ib qho kev rho menyuam tawm, tsis muaj teeb meem ectopic.
Contraindications:
- anatomical defects ntawm lub tsev menyuam: hlav, nti, kev loj hlob txawv txav;
- inflammatory kab mob ntawm lub zes qe menyuam thiab lub tsev menyuam;
- kab mob hauv lub raum lossis mob ntsws;
- mob hnyav ntsws loj heev;
- ib qho teeb meem ntawm ntshav coagulation thiab anemia ntawm mob hnyav thiab loj heev.