Myometrium hypertonicity thaum cev xeeb tub: ua rau, kho, qhov tshwm sim

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:26

Uterus contraction yog ib qho mob ib txwm muaj, ib yam li lwm cov leeg. Nrog rau kev cog lus ntawm cov leeg nqaij, lub tsev menyuam nyob rau hauv zoo, uas yog, nyob rau hauv nro, lub siab ntawm nws sab hauv kab noj hniav nce. Thaum cev xeeb tub, hypertonicity tau pom nyob rau hauv cov poj niam feem ntau thiab tsis ua mob rau kev noj qab haus huv, tab sis qee zaus tus mob no txaus ntshai thaum nqa tus menyuam, yuav tsum tau kuaj xyuas tshwj xeeb thiab kho.

Myometrium hypertonicity thaum cev xeeb tub yuav tsum tau saib xyuas ntxiv, vim nws nyob ntawm lub xeev ntawm lub tsev menyuam kom muab cov fetus nrog oxygen thiab cov khoom noj muaj txiaj ntsig. Hypertonicity ntawm myometrium raws phab ntsa anterior thiab posterior yog qhov ua rau cov hlab ntsha hloov mus los ntawm cov pa oxygen nkag mus rau tus menyuam.

Kev tshwm sim

Thaum lub sijhawm kuaj niaj hnub hauv gynecologist lub chaw ua haujlwm, xws li kev kuaj mob raws li kev mob uterine contractions ntau zaus. Cov tsos mob ntawm tus kab mob no tuaj yeem ua rau tsis muaj teeb meem lossis, qhov sib txawv, txaus ntshai rau kev noj qab haus huv ntawm leej niam thiab tus menyuam. Cov laj thawj rau lub suab yuav txawv heev. Tus poj niam lub cev thaum cev xeeb tub yog rov tsim dua thiab ua haujlwm sib txawv, tsis zoo li ib txwm. Tus cwj pwm ntawm lub tsev menyuam yog cuam tshuam los ntawm ob qho tib si sab nraud thiab sab hauv:

• kab mob ntawm lub tsev menyuam;
• muaj kab mob ntev;
• qhov txawv txav ntawm lub tsev menyuam;
• hormonal deficiency;
• rov rho menyuam dua lossis phais uterine;
• tus cwj pwm phem;
• pw tsis zoo, muaj kev ntxhov siab;
• txiv hmab txiv ntoo loj;
• ntau lub zes qe menyuam;
• polyhydramnios.
• menyuam mos ntawm lub tsev menyuam (me me, kev tsim kho tsis tau).

Qhov ua rau muaj tseeb dua tuaj yeem txiav txim siab tom qab kuaj ultrasound. Tus kws kho mob sau ntawv xa mus rau kev kuaj ntshav txhawm rau txiav txim siab qib ntawm cov tshuaj hormones.

Nyob ntxov cev xeeb tub

Myometrial hypertonicity thaum pib cev xeeb tub qhia tias tus poj niam lub cev tsis tsim cov tshuaj progesterone txaus lossis muaj ntau dhau ntawm txiv neej cov tshuaj hormones.

Yog vim li cas rau lub suab nrov ntawm lub tsev menyuam hauv peb lub hlis thib ob yog:

• cuam tshuam cov roj metabolism;
• kev nyuaj siab;
• kev tawm dag zog ntau dhau;
• kab mob inflammatory ntawm kev ua me nyuam;
• magnesium deficiency;
• txiv hmab txiv ntoo loj;
• ntau cev xeeb tub.

mob toxicosis, nrog rau ntuav ntuav, ua rau muaj ntau cov leeg nqaij, nrog rau lub tsev menyuam. Qhov tshwm sim txaus ntshai tshaj plaws uas tuaj yeem nrog cev xeeb tub yog Rh tsis sib haum, uas ua rau tsis lees paub tus menyuam hauv plab, qhov pom tseeb ntawm qhov no yog lub suab ntawm uterine myometrium.

Yuav ua li casnce suab nrov, uas tsis yog txhua yam txaus ntshai, piv txwv li, muaj zog roj tsim hauv cov hnyuv. Kev hnov mob yog txuam nrog cov pa roj uas nias rau ntawm phab ntsa ntawm lub tsev menyuam. Hauv qhov no, koj yuav tsum tsis suav nrog celery, qej thiab ntsev ntawm cov khoom noj.

Tshuaj mob siab ntxiv

Txhua tus poj niam yuav tuaj yeem txiav txim siab qhov hypertonicity ntawm lub tsev menyuam, tshwj xeeb tshaj yog thaum ntxov ntawm cev xeeb tub. Qhov no tsis tas yuav tsum tau them nyiaj rau gynecologist:

• kos qhov mob zoo ib yam li cov uas tshwm sim thaum cev xeeb tub;
• hnyav hauv qab plab;
• mob nraub qaum radiating rau lub sacrum;
• ntshav, tab sis tsis tas li.

Ntawm hnub tom qab, ntxiv rau tag nrho cov laj thawj saum toj no, lub plab khov kho ntxiv.

YKev kho mob Myometrium

Yog tias thaum lub sijhawm kuaj nws pom tias lub suab ntawm lub tsev menyuam myometrium tsis ua rau muaj kev hem thawj rau lub neej thiab kev noj qab haus huv ntawm tus poj niam thiab tus menyuam hauv plab, kev kho mob yog nqa tawm hauv tsev. Hauv qhov xwm txheej tseem ceeb, tus niam uas muaj kev cia siab raug xa mus pw hauv tsev kho mob. Tso tawm rau kev kho mob sab nraud:

• "Papaverine";
• "No-Shpa";
• "Magne B_6";
• sedatives;
• txhais tau tias muaj magnesium: Partusisten, Brikanil thiab Ginipral.

Txhua cov tshuaj yog kws kho mob tau sau tseg, thaum lub sijhawm lawv siv cov mob, kuaj ntshav siab, ntshav qab zib thiab lub plawv dhia. Tag nrho cov tshuaj no yog siv los tshem tawm cov tsos mob ntawm tus mob thiab txo tus mob ntawm tus poj niam cev xeeb tub.

"MuagB_{6" noj 1-2 ntsiav tshuaj ib hnub, nrog rau pluas noj, haus dej kom ntau, noj tshuaj raws li kev saib xyuas kev kho mob, cov tshuaj txo cov qib hlau hauv cov ntshav, thiab qhov no ua rau ntshav ntshav. Cov kev mob tshwm sim tshwm sim raws li xeev siab, cem quav, flatulence, ntuav.}

Nrog rau qhov tsis txaus ntawm progesterone nyob rau theem pib ntawm cev xeeb tub, kev npaj tshuaj hormonal raug sau tseg kom khaws cia - Dufostan lossis Utrozhestan. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tsuas yog ib tus kws kho mob tuaj yeem sau thiab tshem tawm kev kho mob, vim tias koj yuav tsum tsis txhob noj tshuaj hormonal maj mam.

Kev kho mob hauv lub semester thib ob thiab thib peb

Hauv peb lub hlis thib ob, txhais tau tias muaj zog thiab siv tau zoo dua, piv txwv li, "Ginipral". Yog tias muaj kev pheej hmoo ntawm placental abruption, cov tshuaj tsis siv. Los ntawm peb lub hlis thib peb, tus me nyuam hauv plab yog qhov paub tab, tab sis muaj xws li pathology ntawm cev xeeb tub raws li kev tshem tawm ntau dhau ntawm cov placenta. Ntawm no, txiav txim siab thaum muaj xwm txheej ceev los txhawb kev ua haujlwm lossis kev phais mob kom tsis txhob poob tus menyuam thiab cawm leej niam txoj sia.

Koj tuaj yeem txo qhov mob los ntawm txhos caug ntawm lub rooj zaum thiab maj mam arching koj nraub qaum ntawm tag nrho plaub. Lub taub hau tsa. Tom ntej no, koj yuav tsum maj mam arch, zoo li miv, kom deb li deb ntawm lub plab tso cai, lub puab tsaig yog rub mus rau hauv siab. Tom qab qhov kev tawm dag zog no, koj yuav tsum zaum hauv qhov chaw xis, ncab koj ob txhais ceg thiab so.

kho mob hauv tsev kho mob thiab kuaj mob

Cov suab nrov ntawm lub tsev menyuam tau yooj yim txiav txim siab thaum lub sij hawm niaj hnub kuaj los ntawm gynecologist, tus kws kho mob pom cov pob txha ntawm lub tsev menyuam. Poj niam pw ntawm nws nraub qaumntawm palpation (kev kuaj xyuas), khoov ob txhais ceg ntawm lub duav thiab lub hauv caug kom txo tau qhov nro hauv plab.

Tab sis qhov tseeb tshaj plaws thiab feem ntau yog kev kuaj ultrasound (ultrasound). Kev kuaj xyuas yuav txiav txim siab qib ntawm kev loj hlob ntawm pathology. Muaj kev npaj tshwj xeeb, myometers lossis tonusometers. Cov cuab yeej siv no tsis tshua muaj siv nyob rau hauv cov xwm txheej nyuaj, vim tias cov kab mob tau yooj yim kuaj pom los ntawm lwm txoj hauv kev.

Kev txiav txim siab mus pw hauv tsev kho mob yog qhov chaw kawg, thaum lub cev xeeb tub pib nyuaj lossis txhua qhov kev sim tau ua kom so cov leeg nqaij, tab sis myometrial hypertonicity tsis hloov. Tus poj niam tau txais kev thaj yeeb nyab xeeb hauv tsev kho mob, tus kws kho mob saib xyuas tus poj niam yav tom ntej hauv kev ua haujlwm ntawm tus poj niam thiab tus menyuam thiab ntsuas seb muaj kev hloov pauv ntawm tus cwj pwm ntawm lub tsev menyuam.

Hauv tsev kho mob, "Magnesia" raug tshuaj rau kev txhaj tshuaj intramuscular. Kev kho qhov ncauj:

• magnesium gluconate;
• magnesium citrate;
• magnesium orotate;
• magnesium lactate;

Rau lub raum tsis zoo, tshuaj tsis raug sau lossis siv kom zoo li sai tau.

Yuav ua li cas pab koj tus kheej thaum mob sai?

Sudden hypertonicity ntawm myometrium: yuav ua li cas? Ua ntej ntawm tag nrho cov, koj yuav tsum tau coj txoj hauj lwm zoo tshaj plaws thiab so kom txaus, ua pa sib npaug thiab calmly. Nws raug nquahu kom haus cov tshuaj sedative, xws li motherwort. Noj cov tshuaj kom nce uterine tone, qhov mob yuav tsum ploj mus li ntawm 15-20 feeb. Yog tias qhov no tsis tshwm sim, koj yuav tsum hu rau lub tsheb thauj neeg mob.

Qhov tshwm sim ntawm uterine hypertonicity

BQee qhov xwm txheej, uterine hypertonicity yog ib qho pathology tiag tiag ntawm cev xeeb tub, uas tuaj yeem ua rau yug ntxov ntxov lossis nchuav menyuam. Compressed hlab ntsha feem ntau ua rau hypoxia (tsis muaj oxygen) lossis noj tsis txaus (kev loj hlob qeeb) ntawm tus menyuam hauv plab.

Myometrial hypertonicity kuj tuaj yeem ua rau muaj qhov tshwm sim hauv qab no:

• ua haujlwm ntev;
• qhia txog kev ua haujlwm caesarean;

Lub tsev menyuam tsis tuaj yeem cog lus ntawm nws tus kheej, yog li tus kws kho mob saib xyuas nws lub suab hauv tsev kho mob. Yog hais tias tus poj niam qaug zog thiab tsis muaj peev xwm yug nws tus kheej, ib qho kev txiav txim siab los cawm tus me nyuam.

Yog tias nws tshwm sim tias myometrium yog heterogeneous, nws ua rau muaj teeb meem ntau, yog li nws yog ib qho tseem ceeb uas yuav tau saib xyuas koj txoj kev noj qab haus huv thiab tus cwj pwm ntawm lub plab. Yog tias nws feem ntau ua nyuaj thiab hnov mob, koj yuav tsum nrhiav kev pab los ntawm kws kho mob. Qhov no yuav cawm koj ntawm ntau yam teeb meem thiab tso cai rau koj yug tau menyuam noj qab nyob zoo.

Kev nyuaj siab:

• pathology tuaj yeem ua rau nchuav menyuam;
• inhibit fetal development;
• qhov chaw tso quav ua ntej ntxov ntxov.

Y Heterogeneous myometrium

Cov cim qhia pom tseeb tias tus poj niam lub myometrium yog heterogeneous - qhov mob hauv plab hauv plab, tawm ntshav. Cov xwm txheej no tshwm sim vim muaj kev cuam tshuam ntawm cov hauv qab no:

• hormonal tsis ua haujlwm;
• rho menyuam thiab lwm yam kab mob hauv plab;
• muaj ntau lub cev xeeb tub;
• mobsab hauv ntawm lub tsev menyuam.

ntsuas kev tiv thaiv

Txhawm rau zam ntau yam teeb meem cuam tshuam nrog kev xeeb tub, kev xeeb tub yuav tsum tau npaj. Nws yog ib qho tseem ceeb uas yuav tau npaj rau lub sijhawm, raug kuaj xyuas, thiab ua kev kho mob rau cov kab mob ntev.

Txhua tus poj niam yuav tsum sau npe nrog lub tsev kho mob antenatal ua ntej 12 lub lis piam ntawm cev xeeb tub thiab mus ntsib kws kho menyuam yaus-gynecologist tsis tu ncua, nws yuav muaj txiaj ntsig zoo mus ntsib lub tsev kho mob ntiag tug uas tus kws kho hniav them nyiaj yuav kuaj xyuas.

Nws yog ib qho tseem ceeb kom ntseeg tau tias kev pw tsaug zog zoo thiab so zoo, hloov los ntawm kev ua haujlwm hnyav mus rau kev ua haujlwm sib zog, tshem tawm kev ntxhov siab thiab kev ua lub cev.

Qhov mob tseem ceeb rau kev tiv thaiv qhov tsos ntawm uterine hypertonicity yog tus cwj pwm zoo rau ib tus neeg noj qab haus huv thiab kev kuaj xyuas los ntawm gynecologist. Tus mob no suav hais tias yog ib qho kev hem thawj ntawm kev xeeb tub, yog li nws tseem ceeb heev kom nrhiav kev pab kho mob raws sijhawm.