2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:33
Txhua tus niam-rau-yuav muaj kev ntxhov siab ua ntej yug menyuam. Cov neeg sawv cev primiparous ntawm kev sib deev tsis muaj zog tshwj xeeb tshaj yog ntshai ntawm cov txheej txheem no. Lawv muaj ntau cov lus nug txog lawv tus kheej tus cwj pwm, lub sijhawm thiab qhov mob ntawm tus txheej txheem. Yog tias koj txaus siab rau qhov zaus ntawm kev cog lus ua ntej yug menyuam, ces tsab xov xwm tau sau txog qhov no.
Muaj ntau hom kev cog lus ua ntej yug menyuam. Lawv txhua tus sib txawv ntawm lub zog, zaus, lub sijhawm thiab qhov kawg ntawm cov txheej txheem.
Kev tsis txaus siab uterine contractions
Qhia seb kev ua haujlwm ua haujlwm zoo li cas (ntau zaus, lub sijhawm thiab qhov hnyav ntawm cov txheej txheem), koj yuav tsum tau txhais lub tswvyim no. Contractions yog hu ua involuntary contractions ntawm lub cev xeeb tub - lub tsev menyuam. Tus poj niam tsis muaj peev xwm tswj hwm tus txheej txheem no los yog tswj nws tus kheej.
Cov tshuaj actomyosin, cov protein uas cog lus, pib contractions. NwsNws yog tsim los ntawm cov placenta, nrog rau cov qog pituitary ntawm lub embryo nyob rau hauv qhov kev txiav txim ntawm qee yam tshuaj hormones. Cov txheej txheem ntawm contractions yog heev complex, thiab nws yog ib qho nyuaj rau to taub nws rau ib tug inexperienced neeg nyob rau hauv cheeb tsam no. Hauv kev ua txhaum ntawm kev sib txuas ntawm actomyosin lossis nws qhov kev faib tawm tsis raug, muaj ntau yam teeb meem hauv kev yug menyuam. Cov no suav nrog kev qaug zog, kev ua haujlwm tsis muaj zog, txo qis hauv lub zog ntawm tus poj niam hauv kev ua haujlwm.
kev cog lus ntxov: kev hem thawj
Tsis tas yuav muaj kev sib kis raws sijhawm ua ntej yug menyuam. Dab tsi yog qhov zaus ntawm pathological uterine contractions? Txawm hais tias ib tus kws paub txog gynecologist tej zaum yuav tsis tuaj yeem teb cov lus nug no. Ntau yam nyob ntawm lub hnub nyoog gestational.
Kev cuam tshuam cuam tshuam tuaj yeem tshwm sim hauv thawj peb lub hlis twg. Qhov no tshwm sim feem ntau. Nyob rau tib lub sijhawm, cov kev xav hauv cov poj niam yog raws li nram no: rub qhov mob hauv plab plab, liquefaction ntawm cov quav, mob nraub qaum hauv qab. Feem ntau, kev hem thawj ntawm kev xeeb tub ntawm lub sijhawm no yog txuam nrog kev tso tawm tsis txaus ntawm progesterone. Nrog kev kho kom zoo, cov cim qhia ntawm pathology, zoo li qhov teeb meem nws tus kheej, tuaj yeem raug tshem tawm.
Nyob rau hauv lub thib ob peb lub hlis twg, qhov pib ntawm contractions twb qhia txog kev hem thawj ntawm yug ntxov ntxov. Nws tuaj yeem muaj ntau yam laj thawj rau qhov no: kev ua si lub cev, kev sib deev, kev sib deev hauv tsev menyuam, kev ntxhov siab, thiab lwm yam. Thaum lub sij hawm no, contractions twb hnov ntau meej. Qee tus neeg mob tseem tuaj yeem tham txog qhov zaus thiab lub sijhawm ntawm kev cog lus ntawm lub tsev menyuam.
Kev cog lus tsis raug, lossis harbiners
Nyob hauv nruab nrab ntawm cev xeeb tub, cov niam uas muaj menyuamtuaj yeem pom cov kev xav tshiab. Kev cog lus cuav ua ntej yug menyuam, qhov zaus ntawm qhov sib txawv heev, feem ntau tsis ua rau muaj kev phom sij. Thaum lub sij hawm ntawm uterine contraction, ib tug poj niam xav tias nro hauv nws lub plab, uas tsis ua rau nws mob. Lub xeev no kav los ntawm ob peb feeb mus rau ib feeb. Kev cog lus tsis tseeb yuav rov ua dua ob peb teev lossis hnub.
Precursor contractions ntawm lub cev xeeb tub ua ntau zaus nrog lub sij hawm nce. Ua ntej yug me nyuam, tus poj niam sau Braxton-Hicks contractions txhua hnub. Xws li spasms pab npaj lub ncauj tsev menyuam rau kev yug menyuam: soften thiab shorten. Yog tias koj hnov cov qog nqaij hlav tsis tseeb, nco ntsoov qhia koj tus kws kho mob txog nws. Koj yuav tsum paub tseeb tias lawv muaj kev nyab xeeb tiag tiag.
Signs
Kev ua haujlwm ua haujlwm ua haujlwm tshwm sim li cas? Dab tsi yog qhov zaus ntawm uterine contractions? Nov yog cov cim tseem ceeb ntawm kev pib ua haujlwm:
- nquag thiab nyias cov quav;
- tawm dej amniotic;
- lumbago hauv qab;
- siab ntawm lub plab;
- xeev siab thiab ntuav;
- xav nro, petrification hauv plab;
- txo qis hauv fetal lub cev muaj zog.
Qhov zaus ntawm kev sib kis thaum yug menyuam tuaj yeem yog los ntawm 2 feeb mus rau ib teev. Nws tag nrho yog nyob ntawm theem ntawm cov txheej txheem. Xav txog lawv.
Kev pib ua haujlwm: latent theem
Yuav ua li cas ua haujlwm ua haujlwm ua ntej yug menyuam? Qhov zaus ntawm uterine contractions yog ib txwm tsis tu ncua. Thaum pib, ib tug poj niamTej zaum yuav pom me ntsis rub tawm ntawm lub plab hauv plab thiab sab nraub qaum mus txog 20 vib nas this. Lub sijhawm ntawm kev cog lus yog 15-30 feeb.
Nyob rau theem latent, tus niam uas muaj menyuam tuaj yeem da dej thiab npaj rau kev yug menyuam. Raws li kev ncaj ncees ntawm lub zais zis ntawm fetus, tus poj niam hauv kev ua haujlwm tsis muaj qhov tsis xis nyob. Txawm li cas los xij, tsis txhob nyob hauv tsev. Mus rau qhov chaw kho mob uas koj xaiv.
Prenatal contractions: periodicity ntawm lub active theem
Cov uterine contractions ntev li ntawm 20-30 vib nas this (mus txog ib feeb). Lawv rov ua dua tsis tu ncua, lub ncua sij hawm yog maj mam txo thiab yog li ntawm 2 mus rau 5 feeb. Kev hnov mob nyob rau lub sijhawm no dhau los ua kom pom tseeb. Nws twb nyuaj rau niam expectant txav mus los. Feem ntau nws yog nyob rau theem no ntawm kev yug menyuam uas lub zais zis fetal tawg thiab dej ntws tawm. Yog tias muaj, ces cov txheej txheem tam sim no yuav nrawm dua.
Lub sijhawm ntawm lub sijhawm ua haujlwm yuav txawv. Qhov nruab nrab, nws yog los ntawm 2 mus rau 5 teev. Yog tias qhov kev ncaj ncees ntawm daim nyias nyias tau khaws cia, ces qhov mob hnov mob hnyav dua, thiab cov txheej txheem qeeb dua.
Kev mob siab
Muaj qhov nthuav dav uas ua rau mob ua ntej yug menyuam. Qhov zaus ntawm uterine contractions txo qis thaum lub sij hawm lub ncauj tsev menyuam qhib. Hauv lwm lo lus, sai li sai tau thaum lub kwj dej yug me nyuam tau npaj rau kev hla ntawm tus me nyuam, qhov zaus ntawm kev cog lus yuav txo qis. Yog hais tias nyob rau hauv lub active theem koj yuav hnov mob contractions los ntawmtxhua ob feeb, tam sim no qhov so yuav yog 3-4 feeb. Kev ncua sij hawm yuav tso cai rau tus poj niam hauv plab hnyuv thawb tus menyuam hauv plab tawm siv txhua qhov kev cog lus.
Lub sijhawm sim, tus niam uas xav tias muaj kev ntxhov siab hauv qab. Ntau tus muab piv rau qhov xav kom defecate. Lub sijhawm no, nws tseem ceeb heev uas yuav tsum tau mloog tus kws kho mob. Kev ua tsis raug thiab tsis raws sij hawm tuaj yeem ua rau ruptures ntawm tus kwj dej yug me nyuam ntawm qhov sib txawv.
Cia peb xaus
Yog tias koj muaj mob ua ntej yug menyuam (ntau zaus ntawm 20 feeb lossis tsawg dua), koj yuav tsum tau sau tag nrho cov khoom tsim nyog thiab mus rau hauv tsev kho mob maternity. Qhia rau koj tus kws kho mob txog tag nrho koj cov kev xav. Piav txog lub sijhawm thiab zaus ntawm kev cog lus. Gynecologist los yog obstetrician yuav twv yuav raug kuaj xyuas thiab yuav paub tseeb tias koj yug los yog cov harbiners xwb.
Cov kws kho mob ceeb toom cov neeg mob tias qhov kev yug zaum thib ob thiab tom qab ib txwm mus nrawm dua li thawj zaug. Yog li ntawd, yog tias koj tab tom npaj los ua niam dua, tsis txhob ncua mus ntsib lub tsev kho mob poj niam. Muaj tseeb koj twb paub tias qhov contractions yog dab tsi thiab lawv qhov zaus yog dab tsi. Nyob rau hauv cov kev tshwm sim ntawm ib tug rupture ntawm lub zais zis ntawm lub fetus thiab lub outflow ntawm amniotic kua, koj yuav tsum mus rau lub tsev kho mob maternity txawm nyob rau hauv lub tsis muaj contractions. Zoo siab xa tuaj thiab noj qab nyob zoo!
Pom zoo:
Placenta accreta: cov tsos mob, ua rau, txoj kev kuaj mob, kev pheej hmoo rau niam thiab menyuam, txoj kev kho mob thiab cov lus pom zoo los ntawm kws kho mob gynecologist
Y Cov placenta yog ib lub cev embryonic uas tso cai rau tus menyuam hauv plab tau txais oxygen thiab khoom noj khoom haus thaum cev xeeb tub. Nyob rau hauv ib txwm lub xeev ntawm tus poj niam thiab txoj kev kawm ntawm cev xeeb tub, lub placenta yog txuas nyob rau sab saum toj ntawm lub tsev me nyuam thiab nyob twj ywm nyob rau hauv lub heev lub sij hawm ntawm cev xeeb tub.
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