Miscarriage yog qhov kev rho me nyuam ntawm tus me nyuam hauv plab thiab nws cov plaub ntug mus txog 20 lub lim piam ntawm cev xeeb tub. Tau kawg, me nyuam me tuaj yeem tshwm sim rau tus poj niam cev xeeb tub, tab sis tsis txhob hnov qab tias nchuav me me thaum ntxov yog feem ntau yog tsis muaj poj niam cev xeeb tub , tsis muaj kev xeeb txawm los yog kev tsis haum xeeb nrog lub neej ntawm tus me nyuam hauv plab. Thiab lub cev ntawm ib tug poj niam los ntawm nchuav menyuam nws tus kheej tau tshem ntawm cov txiv hmab txiv ntoo uas tsis yog kev sib raug zoo.
Yog li, yog tias qis me nyuam pib thaum ntxov, kev kho mob txog li ntawm 12 lub lim tiam kom tsis txhob muaj kev xeeb tub hauv ntiaj teb no. Tab sis feem ntau yog ib tug poj niam xav ua kom cev xeeb tub thiab hais kom kho. Hauv qhov no, nws yuav tsum ceeb toom txog kev pheej hmoo ntawm tus me nyuam muaj teeb meem loj hlob lossis kev mob qog nqaij tawv thiab qhia txog kev kho mob. Thiab muaj cov cim qhia tias muaj menyuam hauv plab hnyuv tws (tsis tuaj yeem ua ntej 7 lub lis piam, tso tseg txoj kev loj hlob ntawm lub embryo nrog kev tswj rau 10 hnub, tsis muaj lub plawv dhia thiab plab me nyuam ntawm 7-9 lub lim piam ntawm cev xeeb tub hauv ultrasound), muaj kev rho menyuam tawm.
Qhov kev hem thawj ntawm kev mob nchuav menyuam
Feem ntau pom muaj kev hem kom yuam kev ntawm ultrasound (segmental txo ntawm phab ntsa ntawm lub tsev menyuam), thiab txog thaum tus menyuam yaus nws tsis ncav cuag. Xws li lub chaw kuaj mob yog txuam nrog ib qho kev tsis txaus ntawm progesterone rau cov poj niam thiab cov contraction ntawm lub tsev menyuam thiab cov kis tau tom qab tsim nyog. Clinically, qhov kev phom sij ntawm kev mob nchuav menyuam yaus yog tshwm sim los ntawm kev mob nkeeg hauv plab qis, tsis muaj ntshav tawm.
Kev nchuav pib feem ntau xaus nrog kev ploj tuag ntawm lub embryo, nrog cov ntshav paug ntawm qhov sib txawv, mob ua kom mob, qhov ncauj ntawm ncauj tsev menyuam ntawm lub ncauj tsev menyuam thiab lub caj dab nws tus kheej luv. Ultrasound qhia txog ib nrab ntawm cov qoob loo ntawm cov plab me me - tsawg tshaj li ntawm 1/3, uas qhov viv ncaus ntawm lub fetus yog fwm, thiab lub hematoma ntawm qhov chaw tua tsiaj tsis loj hlob nyob rau hauv dynamics thiab tsis mus exfoliate lub week. Lub contraction ntawm lub tsev menyuam tsis yog segmental ntxiv, tab sis yuav txeeb tau feem ntau ntawm cov phab ntsa uterine thiab deform fetal qe .
Nrog rau kev kho mob raws sij hawm, tus me nyuam tuaj yeem nres, tab sis nws muaj peev xwm hais tias qhov teeb meem tsis yog nyob rau hauv hormonal tsis txaus, tab sis nyob rau hauv lub fetus nws tus kheej, thiab muaj ib qho kev pheej hmoo ntawm congenital malformations thaum tswj kev xws li cev xeeb tub. Yog li, yog tias muaj cev xeeb tub lawm, kev ntsuam xyuas biochemical rau kev chromosomal abnormalities hauv fetus mus txog 12 thiab 14 lub lim piam ntawm gestation ntxiv thiab. Tom qab ntawd, cov kev xeem no tsis qhia.
Miscarriage nyob rau hauv txoj cai yuav tsis tsum nres thiab, raws li txoj cai, nws yog contraindicated, tshwj xeeb tshaj yog hais tias lub detachment ntawm lub week twb ntau tshaj li ntawm ib nrab ntawm lub plhom ntawm lub plab qe, tsis muaj palpitations los yog movements ntawm lub embryo, lub ncauj tsev me me, thiab lub tsev menyuam qhov ncauj qhib, muaj ntshav los yog serous paug, cov contractions ntawm lub tsev menyuam.
Thaum yug me nyuam thiab nws lub txim
Kev qaub ncaug tsis tiav thaum theem pib yog qhov tshwm sim los ntawm qhov tseeb tias amniotic kua tau tsiv lawm, qhov kev yug me nyuam yog qhib, lub fetus los yog embryo twb tau yug lawm, tab sis cov amniotic membranes los sis ib nrab ntawm lawv nyob hauv lub tsev menyuam. Cov neeg tsis tuaj yeem kuaj xyuas tus kabmob uas tsis muaj tus kabmob yog kuaj rau ntawm ultrasound thiab kev khomob tau sau tseg kom tshem tau cov qoob loo: tus nrog saib xyuas (uterine contracting agents) lossis curettage ntawm lub uterine kab noj hniav.
Tus me nyuam ua tiav ntawm ib qho kev pib ntxov yog pom tau los ntawm kev tshem tawm ntawm lub tsev menyuam thiab cov menyuam hauv plab, thiab tag nrho nws lub cev. Feem ntau tom qab tus me nyuam mos tiav lawm, lub tsev kawm ntawv cog lus nws tus kheej los yog kev kho mob, yog tias tsim nyog, cov neeg ua hauj lwm tua kab mob yuav tsum tau txhaj rau kev tiv thaiv kabmob khau. Yog hais tias tus menyuam qaub ncaug tshwm sim nyob rau theem pib ntawm lub tsev, thiab tsis nyob hauv tsev kho mob, nws yuav tsum tau mus kuaj mob ultrasound kom paub tseeb tias tsis muaj qhov ntawm lub fetus thiab nws cov mem kua hauv lub uterine kab noj.
Yog hais tias tus me nyuam tuaj yeem tshwm sim rau thawj zaug nyob rau lub sij hawm ntxov, qhov yuav tshwm sim rau kev cev xeeb tub yuav tsis tas yuav yog qhov tsis zoo. Nws tsuas yog tsim nyog kom dhau qhov kev kuaj mob rau lub cev nqaij daim tawv, kev ntsuam xyuas nrog ib tug kws kho keeb thiab tsis txhob muaj menyuam hauv 6 lub hlis.
Tiv thaiv kev tiv thaiv ntawm kev rho menyuam tawm ntxov: kom tsis txhob muaj lub cev thiab lub hlwb hnyav, kis kab mob, thaum lub sij hawm dhau tag nrho cov kev kuaj xyuas pom zoo los ntawm tus kws kho mob poj niam, tsis txhob ua abortions.