5 lub lis piam cev xeeb tub thiab mob plab plab: ua rau, tsos mob, qhov tshwm sim thiab cov lus pom zoo los ntawm gynecologist

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:25

Kev xav ntawm tus poj niam cev xeeb tub ntawm 5 lub lis piam ntawm cev xeeb tub tuaj yeem sib txawv. Qee cov niam txiv yav tom ntej xyaum tsis xav tias lawv txoj haujlwm tshwj xeeb thiab feem ntau coj tib txoj kev ua neej zoo li ua ntej cev xeeb tub, tab sis nrog qee qhov kev txwv. Lwm tus poj niam ntsib qhov tshwm sim ntawm toxicosis thaum ntxov thiab lwm yam kev tsis xis nyob. Yog hais tias lub plab plab yog rub, piv txwv li, qhov no tsis yog ib txwm suav hais tias yog ib qho tsos mob tsis zoo. Txawm li cas los xij, koj yuav tsum tau qhia qhov tsis xis nyob rau gynecologist.

Kev mob thaum ntxov

Yog tias lub plab hauv plab tau rub thaum cev xeeb tub (5 lub lis piam), feem ntau qhov ua rau yog lub cev. Cov tsos mob no tau sau tseg los ntawm kwv yees li ib nrab ntawm cov poj niam xav tau tus menyuam. Kev tsis xis nyob me me cuam tshuam nrog maj mamstretching ntawm cov leeg thiab ligaments. Hauv ib lub hlis twg ntawm cov neeg mob thaum cev xeeb tub ntawm 5 lub lis piam, qhov mob plab hauv plab vim yog pathology. Qhov no yuav qhia tau tias muaj kev hem thawj nchuav menyuam lossis cev xeeb tub ectopic. Txawm li cas los xij, yog tias tsis xis nyob tshwm sim (tshwj xeeb tshaj yog tias nws tau ntxiv los ntawm lwm cov tsos mob cuam tshuam, xws li los ntshav los ntawm qhov chaw mos), koj yuav tsum sab laj nrog kws kho mob gynecologist. Lub tsheb thauj neeg mob yuav tsum raug hu thaum los ntshav hnyav los ntawm qhov chaw mos, mob hnyav lossis qhov tsis zoo ntawm kev noj qab haus huv.

Ua rau cov tsos mob

Nws mob plab plab thaum cev xeeb tub thaum 4-5 lub lis piam rau lub cev lossis kab mob. Hauv thawj kis, kev tsis xis nyob yog txuam nrog kev nce hauv lub cev. Cov ligaments thiab cov leeg uas txhawb nqa lub tsev menyuam yog ncab, uas yog nrog los ntawm kev tsis xis nyob me me: lub plab plab thiab tingle. Cev xeeb tub ntawm lub lim tiam 5 thiab tom qab ntawd yog nrog los ntawm ntau yam kev xav ntawm lub cev. Nyob rau hauv lub neej yav tom ntej, lub tsev menyuam yuav loj hlob ntxiv thiab pib ua rau lub cev nyob ze, thiab hauv peb lub hlis twg lub cev yuav npaj ua haujlwm.

Lub lim tiam thib 5 ntawm cev xeeb tub, lub plab hauv plab tau rub rau ntau yam uas ua rau muaj kev phom sij rau tus poj niam noj qab haus huv thiab lub neej ntawm tus menyuam hauv plab. Txhawm rau kuaj xyuas kom raug thiab tswj tau cev xeeb tub, koj yuav tsum tau hu rau koog tsev kawm ntawv lossis tus kws kho mob tshwj xeeb, lub chaw haujlwm gynecology ze tshaj plaws. Ua kom lub suab nrov ntawm lub tsev menyuam, kev tso tseg ntawm txoj kev loj hlob (fading) ntawm tus menyuam hauv plab, cov txheej txheem inflammatory ntawm cov kabmob hauv nruab nrog cev, kev tsis sib haum xeeb hauv kev loj hlob ntawm cov menyuam yaus, cov kab mob sib kis tuaj yeem kuaj tau.kab mob. Yog tias mob plab hauv plab thaum 5 lub lim tiam ntawm cev xeeb tub, qhov chaw ectopic ntawm lub qe fetal tuaj yeem ua rau muaj kev phom sij sib npaug ntawm qhov tsis xis nyob.

Qee lub sij hawm qhov mob yuav tsis cuam tshuam nrog lub cev xeeb tub. Feem ntau rub lub plab plab thaum cev xeeb tub thaum lub lim tiam 5 ntawm cov poj niam uas yav tas los tau ntsib teeb meem digestive. Kev hnov qab feem ntau tshwm sim hauv cov neeg mob endometriosis lossis adhesions hauv thaj chaw pelvic, nrog rau qhov hnyav hormonal tsis txaus, endocrine cuam tshuam (piv txwv li, ntshav qab zib mellitus), ntau cev xeeb tub, adnexal cysts, inflammatory kab mob ntawm lub cev xeeb tub, tom qab mob plab. Tshwj xeeb yog mob siab rau lawv txoj kev xav yuav tsum yog cov poj niam cev xeeb tub uas tau dhau los ua kev nchuav menyuam, cev xeeb tub ectopic lossis rho menyuam.

Muaj peev xwm txaus ntshai

Lub plab plab mob ntawm 5 lub lis piam ntawm cev xeeb tub ntau zaus hauv cov neeg mob uas muaj kev pheej hmoo siab. Cov no yog cov neeg mob uas yav tas los kuaj pom tias muaj endometriosis lossis adhesions hauv lub plab hauv plab, muaj kev rho menyuam tawm lossis tshem tawm ntawm lub tsev menyuam, kev ua haujlwm gynecological, muaj keeb kwm ntawm kev sib deev, kab mob ntawm lub plawv thiab cov hlab ntsha, hematopoiesis, hormonal cuam tshuam. Cov tsos mob tsis zoo tuaj yeem tshwm sim thaum lub cev hnyav, tom qab raug mob thiab ntog, nrog kev ntxhov siab lossis kev nyuaj siab. Cov poj niam cev xeeb tub uas muaj cov ntshav Rh-tsis zoo lossis cov poj niam xav tias yuav muaj ntau tus menyuam yaus ntsib teeb meem ntau zaus.

Lub cev ua rau mob

Yog tias plab plab mob thaum cev xeeb tub (5-6 lub lis piam), qhov no tsis yog ib txwm qhia txog kab mob. Ntawm cov laj thawj uas tsis cuam tshuam nrog kev phom sij rau tus poj niam thiab tus menyuam hauv plab, ib tus tuaj yeem sau cov teeb meem digestive, physiological stretching ntawm qhov chaw mos, los yog nro hauv cov ligaments txhawb nqa. Raws li qhov mob hauv plab plab, cov poj niam cev xeeb tub feem ntau txiav txim siab tsis xis nyob nrog cem quav. Hauv qhov no, nws txaus los haus dej ntau dua thiab ua kom koj cov fiber ntau ntxiv. Ib txoj kev nyab xeeb uas yuav pab kom tshem tau cov hnyuv yog glycerin suppositories. Yog tias lub plab mob me ntsis ntawm lub lim tiam 5 ntawm cev xeeb tub, tab sis tsis pom muaj lwm cov tsos mob tshwm sim, feem ntau yuav yog qhov tshwm sim ntawm lub cev thiab tsis xav tau kev kho mob.

Pathological mob

Lub plab mob thaum lub lim tiam 5 ntawm cev xeeb tub nrog qhov chaw ectopic ntawm lub fetus qe, nce uterine tone, fetal kev loj hlob fading thiab kev hem thawj ntawm nchuav menyuam, muaj cov kab mob ntawm cov me nyuam los yog congenital anomalies nyob rau hauv lub fetus. kev loj hlob ntawm cov kab mob ntawm cov kab mob. Qee lub sij hawm tsis xis nyob tshwm sim vim exacerbation ntawm cov kab mob ntev los yog mob hnyav, uas muaj xws li mob plab hnyuv, plab hnyuv, mob plab. Hauv qhov no, qhov mob yog qhov tshwj xeeb, nrog rau kub taub hau, kiv taub hau, xeev siab thiab tsis muaj zog. Hauv qhov no, koj yuav tsum nrhiav kev pab kho mob sai li sai tau.

Cov tsos mob sib xws

Yog lub plab plab mob thaum cev xeeb tub thaum 5-6 lub lis piam, koj yuav tsum tau ua tib zoo saib xyuas cov tsos mob uas tshwm sim. Kev mob ntawm lub cev feem ntau tsis nrog lwm yam tsis xis nyob, tab sis feem ntau tus poj niam thaum ntxov ntawm cev xeeb tub yuav muaj kev qaug zog, tsaug zog, thiab tsis xis nyob me me hauv nws nraub qaum. Nyob rau lub lim tiam thib tsib, qee cov niam txiv uas xav tias yuav pib toxicosis thaum ntxov, uas tuaj yeem nrog rub cov tsos mob hauv plab thiab lwm yam cim qhia: txo qis ntshav siab, tsis qab los noj mov, mob plab thaum sawv ntxov nrog ntuav, hloov pauv hauv lub cev hnyav, nce ntxiv. salivation, nervous irritability, nce lub plawv dhia, kiv taub hau.

Thaum lub lim tiam thib 5 ntawm cev xeeb tub, lub plab hauv plab yuav ua rau mob hnyav. Koj tuaj yeem txiav txim siab qhov xwm txheej txaus ntshai los ntawm kev muaj ntshav. Nrog cov ntshav tawm los ntawm qhov chaw mos, koj yuav tsum tau mus ntsib kws kho mob kom txuag tau cev xeeb tub. Cov tsos mob cuam tshuam yog kiv taub hau, kiv taub hau, tsis muaj zog ntawm ob txhais ceg, mob plab hnyav xws li kev coj khaub ncaws, tsis xis nyob hauv qab nraub qaum. Koj yuav tsum sab laj nrog kws kho mob gynecologist nyob rau hauv rooj plaub ntawm toxicosis hnyav, piv txwv li, nrog ntuav thiab ntuav, uas tsis ua rau mob.

Cov Teeb Meem thiab qhov tshwm sim

Yog tias koj lub plab plab mob thaum cev xeeb tub 5 lub lis piam, qhov no tuaj yeem yog qhov tsos mob hnyav uas yuav ua rau muaj qhov tshwm sim tsis zoo. Hmoov zoo, feem ntau, qhov tsis xis nyob yog me me thiab cuam tshuam nrog kev hloov pauv ntawm lub cev hauv poj niam lub cev. Cov tsos mob zoo li no feem ntau tsis ua rau muaj kev hem thawj rau kev noj qab haus huv ntawm leej niam lossis tus menyuam hauv plab. Tab sis qee zaum, yog tias nws rub lub plab hauv plab ntawm 4-5 lub lis piamcev xeeb tub, qhov ua rau yog txhua yam pathology. Qhov tshwm sim tuaj yeem yog qhov kev xeeb tub los yog kev cuam tshuam ntawm tus kheej (kev nchuav menyuam). Feem ntau, cov teeb meem zoo li no tau kuaj pom tseeb ntawm plaub mus rau rau lub lis piam ntawm cev xeeb tub.

Kev kuaj mob

Txhim kho qhov ua rau mob, cov lus tsis txaus siab yuav tsis txaus. Txhawm rau ntsuas qhov xwm txheej, tus kws kho mob yuav xa tus neeg mob mus kuaj. Yuav tsum tau yam tsawg kawg nkaus - urinalysis, ua tiav cov ntshav suav, biochemistry. Nyob rau hauv cov ntaub ntawv ntawm metabolic ntshawv siab, nce cov ntsiab lus ntawm sodium thiab calcium nyob rau hauv cov ntshav, urea thiab creatinine, ALT thiab AST tuaj yeem kuaj pom. Nyob rau hauv cov zis nrog pathology, protein, acetone thiab ketone lub cev pom. Kev kuaj mob ntxiv yog feem ntau txwv rau kev kuaj ultrasound raws li kev qhia thiab laparoscopy. Ultrasound tso cai rau koj los soj ntsuam qhov chaw ntawm chorion, taug qab lub plawv dhia ntawm tus menyuam hauv plab, saib qhov chaw ectopic, kuaj pom tsis tau cev xeeb tub thiab lees paub lossis tsis lees paub lub suab nrov ntawm lub tsev menyuam.

Differential Diagnosis

Mob tuaj yeem tshwm sim los ntawm ntau yam mob, yog li nws yog ib qho tseem ceeb ua ntej ua qhov kev kuaj mob kom raug, thiab tom qab ntawd pib kho kom tsim nyog. Nyob rau hauv mob plab hnyuv, piv txwv li, rub cov kev xav hloov mus rau qhov mob hnyav nyob hauv lub plab. Tsis xis nyob maj mam txav mus rau thaj tsam iliac. Mob o ntawm lub tsev menyuam appendages yog nrog los ntawm kub kub thiab mob ntawm qhov chaw mob ntawm palpation. Nrog zes qe menyuam apoplexy, mob tshwm sim los ntawm lub zes qe menyuam cuam tshuam.

Ntxhais nchuav menyuamnrog rau cov tsos mob xws li ntshav tawm ntawm qhov chaw mos. Nrog los ntshav hnyav, feem ntau nws yog nchuav menyuam lossis lwm yam mob hnyav uas yuav tsum tau kho mob sai. Nyob rau tib lub sijhawm, lub suab ntawm lub tsev menyuam tau nce ntxiv, tus poj niam muaj kev mob hnyav thiab tsis muaj zog, qhov kub thiab txias yuav nce, ntshav siab hloov pauv, kiv taub hau tshwm, thiab qee zaum fainting tshwm sim. Thaum cev xeeb tub ectopic, rub cov kev xav tuaj yeem tawm mus rau sab nraud ntawm qhov chaw mos thiab lub qhov quav, ua rau muaj qhov yuam kev kom tso quav.

kho mob hauv plab plab

Yog lub plab mob thaum 5-6 lub lis piam ntawm cev xeeb tub, kev kho mob tsuas yog ua raws li kev saib xyuas kho mob xwb. Qee zaum, kev kho tsis tas yuav tsum tau ua. Yog tias tsim nyog, siv txoj hauv kev sib xyaw ua ke rau kev kho mob, uas yog, ntau yam tshuaj thiab cov kev pabcuam pabcuam raug sau tseg (kev kho lub neej, noj zaub mov, pw so, kho lub cev, thiab lwm yam). Qee qhov xwm txheej, nws raug pom zoo tias tus poj niam cev xeeb tub nrog tus kws kho mob tham, vim hais tias thaum ntxov feem ntau nrog kev ntxhov siab thiab kev ntshai heev.

Tshuaj

Yog tias plab plab mob thaum cev xeeb tub 5 lub lis piam, ntau pab pawg tshuaj raug sau tseg. Tus kws kho mob xaiv cov tshuaj nyob ntawm cov txiaj ntsig ntawm kev sim, cov txheej txheem kev tshawb fawb thiab kev kuaj mob sib txawv. Feem ntau, cov tshuaj vitamin complexes tshwj xeeb yog muab rau cov niam uas muaj kev cia siab, tshuaj sedative, tshuaj antispasmodic, tshuaj hormonal lossistshuaj kom txhob los ntshav. Koj yuav tsum noj cov tshuaj raws li lub tswv yim meej thiab tsuas yog nyob rau hauv kev saib xyuas ntawm gynecologist. Txwv tsis pub, yuav tsis muaj txiaj ntsig zoo.

Los ntawm cov tshuaj soothing thaum cev xeeb tub, motherwort extract tau tso cai hauv cov ntsiav tshuaj ("Motherwort forte + magnesium B6", "Motherwort Dietary Supplement") lossis valerian ("Valerian forte", "Valdispert"). Lub sij hawm txais tos: los ntawm ib mus rau peb ntsiav tshuaj ib mus rau peb zaug ib hnub twg. Cov tshuaj Antispasmodics feem ntau tau sau tseg: "Papaverin", "Drotaverin", "No-shpa", "Magnicum", "Magne-B6". Cov tshuaj zoo li no muaj txiaj ntsig zoo nrog lub suab nrov ntawm lub tsev menyuam. Cov tshuaj tau sau rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhaj tshuaj (intramuscularly lossis intravenously) lossis suppositories ("Papaverine"). "Magnesium-B6" kuj normalizes kev ua hauj lwm ntawm lub paj hlwb thiab relieves hmo cramps.

Yog tias tsim nyog, siv cov tshuaj hormonal. "Dufaston", "Utrozhestan", "Prajisan", "Iprozhin" hloov cov tshuaj hormones tseem ceeb uas ua kom muaj kev txuag thiab kev xeeb tub. "Dufaston" feem ntau yog noj ib ntsiav tshuaj txhua yim teev lossis raws li cov txheej txheem tsim los ntawm gynecologist ib leeg rau ib tus neeg mob. "Utrozhestan" txaus 100-200 mg ib hnub twg. Cov tshuaj tau txais txiaj ntsig zoo los ntawm lub cev, tab sis qee zaum lawv tuaj yeem ua rau muaj kev hloov pauv hauv qab los yog plab zom mov. Glucocorticosteroids ("Dexamethasone", "Metipred") raug tshuaj tom qab kuaj ntshav, yog tias tsim nyog. Cov tshuaj noj thiab tshuaj noj yog tus kheej.

Tshuaj kom txhob los ntshavtsim nyog nyob rau hauv lub xub ntiag ntawm los ntshav. Vitamin K, Dicinon (Etamzilat), Ascorutin tuaj yeem muab tshuaj, uas txo cov vascular permeability, txhim kho cov ntshav ncig hauv capillaries thiab muaj txiaj ntsig zoo rau cov txheej txheem coagulation. Cov tshuaj vitamin complexes tsis yog tsuas yog siv rau kev tiv thaiv, tab sis txhawm rau txhawm rau txhim kho kev xeeb tub thiab tus menyuam hauv plab thaum muaj kev ua txhaum cai. Ntxiv rau Magne-B6, folic acid, tocopherol (vitamin E), thiab cov vitamins B feem ntau tau muab.

kho lub cev

Kev kho lub cev kho lub cev tuaj yeem raug sau ua kev kho mob ntxiv nrog rau cov tshuaj. Electroanalgesia tshem tawm me ntsis rub cov kev xav hauv lub plab hauv plab thiab calms, electrophoresis nrog magnesium normalizes lub suab nrov ntawm lub tsev menyuam, reflex electrorelaxation txhawb kev so sai ntawm cov leeg ntawm lub tsev menyuam, uas zoo relieves hypertonicity. Qee zaum hyperbaric oxygen therapy yog siv. Cov txheej txheem no txhim kho cov ntshav ncig thiab txhawb kev tshem tawm cov tshuaj lom ntawm lub cev. Reflexology thiab acupuncture stabilize lub suab ntawm lub tsev menyuam, txo kev puas siab puas ntsws kev ntxhov siab, txhim kho kev pw tsaug zog thiab normalize ntshav siab.

kev hloov pauv kev ua neej

Yog tias plab plab mob thaum lub lim tiam 5 ntawm cev xeeb tub, tus kws kho mob yuav pom zoo kom hloov txoj kev ua neej. Qee zaum, nruj txaj so yog pom zoo. Ces tus poj niam thiaj muab tso rau hauvtsev kho mob nyob rau hauv kev saib xyuas. Cov lus qhia dav dav yog:

• normalization ntawm kev noj zaub mov (khoom noj yuav tsum ua kom tiav thiab noj qab haus huv, feem ntau, nrog toxicosis, nws yog qhov zoo dua rau noj thawj lub teeb yam tsis tau tawm ntawm txaj);
• so tag nrho (tsawg kawg 8 teev pw tsaug zog hmo ntuj thiab ntxiv ib hnub so yog tias tsim nyog);
• txo qis hauv kev ua lub cev thiab kev xav-kev ntxhov siab, tsis muaj kev ntxhov siab;
• kev sib deev so (qhov no tseem ceeb tshwj xeeb tshaj yog thaum muaj ntshav tawm ntawm qhov chaw mos).

Nws tsis pom zoo kom noj cov qhob noom xim kasfes, tshuaj yej dub thiab caffeinated, dej qab zib carbonated, zaub mov tsis zoo, tais diav los ntawm peas, taum thiab zaub qhwv (ua kom lub suab ntawm lub tsev menyuam). Koj tsis tuaj yeem ua raws li kev noj zaub mov kom poob phaus, dhia ob txhais ceg, da dej kub lossis da dej, nqa cov khoom hnyav (ntau tshaj peb kilograms), haus luam yeeb thiab haus cawv, mus rau lub sauna. Koj yuav tsum tau so kom txaus thiab ua pa tshiab, tsis txhob ntshai thiab noj cov zaub mov cog ntxiv. Ntau tus kws tshaj lij pom zoo kom siv tshuaj tsw qab (nws yog qhov zoo rau nqus tau cov aromas ntawm valerian, mint, thyme, txiv qaub balm, hop cones).

tshuaj ntsuab thaum cev xeeb tub yog siv kom zoo thiab tsuas yog nyob rau hauv kev saib xyuas. Yog hais tias lub plab plab colitis thaum cev xeeb tub (5 lub lis piam), tus kws kho mob gynecologist tuaj yeem pom zoo cov tshuaj hauv qab no:

• St.ib nrab ib teev, qhov tshwm sim muaj pes tsawg leeg yuav tsum tau qaug dej qaug cawv nyob rau hauv ib hnub, koj muaj peev xwm ntxiv ib me ntsis zib mu saj;
• dandelion rhizomes (ib nrab ib tablespoon) ncuav ib khob dej thiab khaws cia rau tsib feeb, tom qab txias, koj yuav tsum tau haus cov muaj pes tsawg leeg peb zaug ib hnub twg rau ib quarter khob;
• av tawv tawv ntawm viburnum (ib tablespoon) yog nchuav nrog ib khob dej kub npau npau thiab insisted rau ob teev; haus ob tablespoons peb zaug ib hnub;
• viburnum xim yog nchuav nrog dej npau npau thiab hais rau ob peb teev, haus ib khob peb lub hlis twg ua ntej noj mov, tab sis tsis pub ntau tshaj peb zaug hauv ib hnub.

kev kho mob phais

Kev ua haujlwm tsuas yog ua thaum muaj xwm txheej ceev, piv txwv li, nrog cov neoplasms uas yuav tsum tau muaj kev cuam tshuam sai, lossis kev xeeb tub ectopic. Laparoscopy tau pom - qhov no yog kev cuam tshuam me me, cuam tshuam cov ntaub so ntswg tsawg thiab rov qab sai. Yog tias ua tau, kev ua haujlwm laparoscopic (yog tias xav tau kev cuam tshuam los ntawm cov kab mob uas tsis yog kev xeeb tub) raug ncua mus rau lub quarter thib ob kom cov txheej txheem ntawm kev tso cov khoom nruab nrog cev ntawm tus menyuam hauv plab los mus txog qhov kawg.