Kev rho menyuam tawm kho mob li cas thiab vim li cas nws thiaj txaus ntshai

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Cov txheej txheem no tuaj yeem muaj kev phiv loj heev.

Dab tsi yog kev rho menyuam tawm kho mob

Kev rho menyuam tawm Kev Khomob Kev Khomob ntawm Thawj - Trimester Abortion - ACOG yog ib txoj hauv kev los txiav txim siab thaum ntxov. Nws suav hais tias yog qhov kev raug mob tsawg kawg nkaus. Nyob rau hauv lub cev, tau kawg.

Yog hais tias ib qho kev phais mob los yog lub tshuab nqus tsev rho menyuam txhais tau hais tias kev ua haujlwm hauv kev siv tshuaj loog, tom qab ntawd nrog kev siv tshuaj, tus poj niam yuav siv ob peb ntsiav tshuaj - thiab tom qab ntawd cov txheej txheem ntawm kev rho menyuam pib los ntawm nws tus kheej.

Tab sis zoo li txhua yam kev kho mob, cov txheej txheem no muaj nws tus kheej nuances uas koj yuav tsum paub txog.

Kev rho menyuam tawm kho mob ua li cas?

Nyob rau hauv tsis muaj cov ntaub ntawv tsis txhob noj tej yam tshuaj yam tsis tau teem caij ntawm ib tug gynecologist. Kev rho menyuam tawm kho mob yuav tsum tau ua raws li kev saib xyuas nruj ntawm tus kws kho mob.

Yog li, koj xav tias koj cev xeeb tub thiab txiav txim siab khov kho tias koj xav tshem nws.

Ua ntej koj yuav tsum mus ntsib gynecologist. Tus kws kho mob yuav kuaj xyuas, tshawb xyuas seb koj puas muaj koj lub sijhawm (qhov no yog qhov tseem ceeb, txij li kev rho menyuam tawm tuaj yeem ua tiav yog tias tsawg dua 7 lub lis piam dhau los txij thaum pib lub caij cev khaub ncaws zaum kawg) thiab tsis tas yuav xa mus rau ultrasound. scan - kom paub meej qhov tseeb ntawm cev xeeb tub thiab tsis suav nrog nws cov ectopic variant …

Yog tias txhua yam nyob rau hauv kev txiav txim, koj yuav tau txais ob ntsiav tshuaj (nco ntsoov, koj yuav tsis muaj peev xwm mus yuav lawv ntawm lub tsev muag tshuaj ntawm koj tus kheej - cov no yog cov tshuaj nruj me ntsis tshuaj) nrog rau cov ncauj lus kom ntxaws qhia yuav ua li cas coj lawv.

Thawj muaj mifepristone. Nws blocks zus tau tej cov progesterone, ib yam tshuaj uas yog lub luag hauj lwm rau txoj kev loj hlob ntawm lub tsev menyuam (endometrium). Lub endometrium ua thinner, ovum tsis tuaj yeem nyob hauv nws thiab pib exfoliate. Tsis tas li ntawd, mifepristone ua rau lub tsev me nyuam ua kom lub tsev menyuam ua haujlwm ntau dua, thawb lub qe tawm, thiab ua kom lub ncauj tsev menyuam ua kom nws yooj yim dua.

Cov tshuaj thib ob yog misoprostol. Nws tau noj 24-48 teev tom qab mifepristone, thaum cov nyhuv ntawm thawj cov khoom muaj zog tau txais lub zog. Misoprostol ntxiv nkoos lub tsev menyuam, thiab lub zes qe menyuam, nrog rau cov endometrium tuag, raug thawb tawm.

Cov txheej txheem no zoo ib yam li kev coj khaub ncaws. Tsuas yog ntau tshaj: lub tsev menyuam tsis tshem tawm ntawm lub qe me me, tab sis los ntawm lub zes qe menyuam uas tau tsim rau ob peb lub lis piam.

Txij li ob qho tshuaj cuam tshuam rau cov tshuaj hormones thiab tuaj yeem ua rau los ntshav hnyav, cov ntsiav tshuaj tsuas yog yuav tsum tau noj nyob rau hauv kev saib xyuas kev kho mob. Tej zaum koj yuav raug hais kom nyob hauv tsev kho mob ob peb teev tom qab txhua ntsiav tshuaj, thiab tom qab ntawd, yog tias txhua yam mus zoo, lawv yuav cia koj mus tsev.

Tom qab ntawd koj yuav tsum tau rov qab mus rau tsev kho mob hauv 7-10 hnub kom tau txais ultrasound thib ob thiab xyuas kom meej tias kev rho menyuam tiav.

Koj puas tau rho menyuam tawm mus kho mob qhov twg thiab nws raug nqi npaum li cas?

Kev rho menyuam tawm kho mob tuaj yeem ua tiav hauv yuav luag txhua lub tsev kho mob uas muaj tus kws kho mob gynecologist uas tsim nyog thiab muaj kev paub dhau los hauv kev ua cov txheej txheem zoo li no. Txawm hais tias nws yog tsev kho mob pej xeem lossis chaw lag luam, nws tsis txawv.

Nyob rau hauv feem ntau cov cheeb tsam ntawm Lavxias teb sab Federation, tshuaj rho menyuam tsis muaj nyob rau hauv lub compulsory health insurance system, yog li ntawd tus neeg mob yuav tsum tau them rau nws. Tus nqi ntawm cov kev pab cuam txawv ntawm 6 mus rau 12 txhiab rubles.

Koj yuav tsum paub dab tsi ua ntej txiav txim siab rau kev rho menyuam tawm

Qhov no tsis yog ib txoj kev tsis raug mob.

1. Nws yog ntshaw kom rho menyuam ua ntej 6-7 lub lis piam

Qhov siab tshaj plaws Kev Tswj Xyuas Kev Kho Mob ntawm Thawj - Trimester Abortion - ACOG lub sij hawm kom txog thaum kev rho menyuam tawm kho mob tuaj yeem ua tau yog 9 lub lis piam txij thawj hnub ntawm kev coj khaub ncaws zaum kawg. Lo lus tseem ceeb ntawm no yog qhov siab tshaj plaws.

Lub sijhawm cev xeeb tub ntev dua, qhov loj dua qhov loj ntawm lub zes qe menyuam thiab endometrium nyob rau hauv uas nws yog raus. Qhov no txhais tau hais tias "kev coj khaub ncaws" tuaj yeem muaj ntau thiab mob ntau dua li niaj zaus. Tsis tas li ntawd, qhov ua tau zoo ntawm cov txheej txheem yog nyob ntawm lub sijhawm:

• yog tias tsawg dua 42 hnub tau dhau los txij li thawj hnub ntawm kev coj khaub ncaws zaum kawg, qhov tshwm sim ntawm kev rho menyuam tiav yog 96-98%;
• los ntawm 43 mus rau 49 hnub - 91-95%;
• tshaj 49 hnub - tsawg dua 85%.

Ib qho ntxiv: nrog lub hnub nyoog gestational ntau dua 49 hnub, qhov kev pheej hmoo ntawm cov teeb meem nce ntxiv (txog lawv hauv qab). Yog li ntawd, feem ntau cov tsev kho mob nyiam ua haujlwm nrog cov neeg mob uas lub caij nyoog poj niam cev xeeb tub dhau los tsawg dua 7 lub lis piam.

2. Kev rho menyuam tawm tsis tau ua rau tsawg dua 4 lub lis piam

Qhov no yog vim qhov xav tau kom paub meej tias cev xeeb tub nrog ultrasound scan thiab paub seb nws yog ectopic.

Txawm tias qhov kev ntsuam xyuas transvaginal rhiab tshaj plaws, uas qhov kev sojntsuam tau ntxig ncaj qha rau hauv qhov chaw mos, tuaj yeem kuaj pom lub zes qe menyuam hauv tsev menyuam tsuas yog tom qab nws ncav cuag qhov loj ntawm li 2 hli. Qhov no suav nrog kwv yees li ntawm 4 lub lis piam.

Txog thaum kuaj ultrasound tau ua tiav thiab nws cov txiaj ntsig tau txais, lub tsev kho mob saib xyuas tus kheej yuav tsis kam ua qhov rho menyuam.

3. Cov txheej txheem tsis ua tiav rau hnub kho

Raws li ob lub ntsiab lus saum toj no, nws pom tseeb tias lub sijhawm txwv. Ib tug poj niam tsuas muaj 2-3 lub lis piam los tsim kev xeeb tub, txiav txim siab rho menyuam thiab muaj nws. Thiab nyob rau lub sijhawm no, yuav tsum tau tso ib qho nuance ntxiv: kev rho menyuam kho mob, raws li txoj cai, tsis ua tiav rau hnub kho.

Ib tus kws kho gynecologist zoo yuav xa koj los xav txog ob peb hnub. Nws yuav muab sij hawm rau tiv nrog kev xav thiab, tejzaum nws, tseem khaws cia lub cev xeeb tub.

4. Kev rho menyuam tawm kho mob siv sijhawm ntev dua lub tshuab nqus tsev lossis phais

Classic instrumental rho menyuam muaj nws qhov tsis zoo, xws li kev xav tau tshuaj loog. Tab sis kuj muaj qhov zoo.

Yog tias koj tuaj rau kev phais lossis kev rho menyuam tawm, koj paub tseeb tias thaum twg nws yuav pib thiab xaus. Raws li txoj cai, cov txheej txheem yuav siv sij hawm tsis ntau tshaj li ib teev thiab ib nrab, suav nrog tag nrho cov kev npaj tsim nyog thiab sij hawm kom rov zoo los ntawm kev siv tshuaj loog. Feem ntau, cov neeg mob tsis hnov mob, tsis txhob raug mob los ntshav hnyav, tsis muaj teeb meem kev noj qab haus huv thiab tuaj yeem sim tsis nco qab txog kev rho menyuam rau hnub tom ntej.

Kev xaiv tshuaj yog txawv. Koj yuav nco ntsoov txog nws tas li tsawg kawg ob peb hnub - lub sijhawm ntawm kev noj cov tshuaj thiab tag nrho lub sijhawm los ntshav tom ntej kom txog rau thaum ultrasound thib ob. Yuav muaj teeb meem nrog kev noj qab haus huv thiab.

5. Npaj rau kev phiv

Kev noj mifepristone feem ntau tuaj nrog cov kev mob tshwm sim tsis zoo:

• xeev siab thiab ntuav;
• mob plab;
• raws plab;
• kiv taub hau thiab mob taub hau;
• qaug zog;
• qhov kub thiab txias.

Qhov no txhais tau hais tias koj lub zog, kev ua tau zoo, concentration yuav txo qis. Lossis tej zaum koj yuav tsis xav tawm hauv tsev kiag li. Xav txog qhov tseeb no thaum npaj koj lub sijhawm.

6. Kev rho menyuam tawm tuaj yeem mob

Los ntshav nrog hom kev rho menyuam no, txawm hais tias nws zoo li lub cev los ntshav, yog qhov nyuaj dua rau kev zam. Nws yog feem ntau nrog los ntawm qhov mob hnyav heev hauv plab plab.

Qee lub sij hawm qhov mob no tuaj yeem txo tau los ntawm kev noj tshuaj kho mob tom khw muag khoom xws li ibuprofen. Tab sis cov tshuaj muaj zog ntau dua yuav xav tau. Nco ntsoov tham txog qhov no nrog koj tus kws kho mob.

7. Muaj teeb meem loj

Ua ntej ntawm tag nrho cov - nyob rau hauv daim ntawv ntawm ntau dhau uterine los ntshav. Qhov no tuaj yeem txhais tau, piv txwv li, zoo li qhov no: koj yuav tsum hloov ob lossis ntau dua maxi-gaskets ib teev rau 2 teev ua ke. Yog tias qhov no yog koj li, nrhiav tswv yim los ntawm gynecologist. Lossis, yog tias ntshav ua rau koj ntshai heev, hu rau lub tsheb thauj neeg mob tam sim ntawd.

Nws tseem yuav tsum tau nrhiav kev pab kho mob yog tias los ntshav hnyav tsis txo nws txoj kev siv rau 2-3 hnub.

Hmoov zoo, cov teeb meem no tsis tshua muaj: raws li kev txheeb cais qhia, lawv tshwm sim hauv tsawg dua 1% ntawm cov poj niam.

8. Tej zaum koj tseem yuav tau mus hla kev rho menyuam tawm

Cov tshuaj tsis muab 100% lav ntawm kev txiav cev xeeb tub.

Tej zaum nws yuav tshwm sim tias lub qe fertilized tsis tawm thiab cev xeeb tub txuas ntxiv. Qhov xwm txheej no hu ua kev rho menyuam tsis tiav. Hauv qhov no, qhov seem ntawm lub zes qe menyuam thiab cov endometrium tuag yuav tsum tau muab tshem tawm.

9. Kev rho menyuam tawm kho mob muaj contraindications

Ib lub tsev kho mob zoo yuav tsis kam ua cov txheej txheem yog tias tus neeg mob:

• cev xeeb tub tshaj 70 hnub (10 lub lis piam);
• ectopic cev xeeb tub;
• inflammatory los yog kis kab mob ntawm qhov chaw mos;
• uterine fibroids;
• mob siab lossis raum tsis ua haujlwm;
• ntshav qab zib;
• ib tug intrauterine ntaus ntawv yog ntsia;
• muaj ib qho kev kuaj mob uas nws niaj hnub siv corticosteroids;
• cev xeeb tub tshwm sim tawm tsam keeb kwm ntawm kev siv tshuaj hormonal contraceptives.

Tus kws kho mob yuav qhia koj ntxiv txog contraindications.

10. Koj yuav tsum ua tib zoo tiv thaiv koj tus kheej

Muaj cov ntaub ntawv los ntawm Conception rates tom qab rho menyuam nrog methotrexate thiab misoprostol tias cov neeg uas tau rho menyuam tawm kho mob muaj kev xeeb tub ntau xyoo tom ntej dua li lwm tus poj niam nyob nruab nrab. Qhov no tshwm sim txawm tias tus poj niam tsis npaj los ua niam.

Cov kws tshawb fawb ceeb toom txog kev pheej hmoo ntau dua ntawm kev xeeb tub tsis xav tau tom qab kev rho menyuam tawm thiab thov kom siv cov tshuaj tiv thaiv kom nquag plias.

Txawm li cas los xij, yog tias koj txiav txim siab kom muaj menyuam, ua tiav ib hlis lossis ob zaug ua ntej pib cev xeeb tub tshiab, kev rho menyuam tawm kho mob yuav tsis muaj kev cuam tshuam: nws tsis cuam tshuam rau kev noj qab haus huv ntawm tus menyuam hauv plab txhua txoj kev.