Retrochorial hematoma thaum ntxov cev xeeb tub: kev kho mob

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

Rau ib tug poj niam, cev xeeb tub yog qhov xwm txheej tseem ceeb uas feem ntau ntawm kev sib deev ncaj ncees rau, pib txij thaum yau. Kev xyiv fab ntawm qhov kev tshwm sim yuav los tom ntej hauv ob peb lub hlis tsuas yog tsis yooj yim piav qhia. Txawm li cas los xij, muaj qee qhov teeb meem uas tuaj yeem cuam tshuam nws. Ib tug ntawm lawv yog ib tug retrochorial hematoma.

Hmoov tsis zoo, nyob rau hauv peb lub sijhawm nws tsis tshua muaj tshwm sim tias kev xeeb tub ntawm tus menyuam ua tiav yam tsis muaj kev ntxhov siab. Thiab raws li ntau tus neeg paub lus qhia, nws yog qhov zoo dua mus ntsib kws kho mob tam sim yog tias muaj cov cim ceeb toom ntawm qhov xwm txheej. Cia nws tsuas yog tsis muaj dab tsi, tab sis qhov no tsuas yog txoj hauv kev los tswj tag nrho cov txheej txheem thiab tiv thaiv tsis yog koj tus kheej xwb, tab sis kuj yog koj tus menyuam.

Qhov no pathology yog dab tsi thiab dab tsi yog qhov ua rau nws tshwm sim?

cov ntaub ntawv dav dav

Thaum cev xeeb tub, poj niam lub cev hloov pauv hormonal. Tab sis qhov nouas tsis yog tag nrho - lub cev tseem ceeb tseem tab tom hloov pauv, tab sis, qhov tseem ceeb tshaj, nws dhau los ua qhov tsis zoo. Qhov no tshwm sim ib txwm: lub tsev menyuam loj tuaj, nws cov phab ntsa thicken. Thaum lub sij hawm metamorphoses zaum kawg, muaj kev pheej hmoo ntawm kev tsim cov hemorrhage, uas hauv hom lus kho mob hu ua hematoma.

Cov xwm txheej zoo li no hauv tsev menyuam tshwm sim tsis tshua muaj thiab, raws li txoj cai, thaum ntxov ntawm cev xeeb tub. Nws yog nyob rau hauv thawj peb lub hlis twg uas muaj feem yuav detachment ntawm fetal qe nce. Retrochorial hematoma thaum cev xeeb tub yuav ua rau nws txiav.

Yog li ntawd, nws yog ib qho tseem ceeb heev rau cov niam txiv uas xav mloog lawv lub cev thiab nrhiav kev pab kho mob raws sijhawm.

YPathology yog dab tsi?

Ua ntej nrhiav seb yog vim li cas thiab qhov twg hematoma ntawm lub tsev menyuam los ntawm, koj yuav tsum nkag siab txog cov ntsiab lus ntawm tus kab mob. Lub fetus yog surrounded los ntawm ib tug villous embryonic daim nyias nyias, uas, txuas nrog lub epithelium ntawm lub tsev menyuam, tom qab ib tug thaum lub sij hawm tsim cov placenta. Yog li ntawd, cov hlab ntsha ntawm leej niam thiab fetus yog intertwined. Raws li txoj cai, nws tau tsim tiav tom qab 16 lub lis piam.

Raws li tau sau tseg saum toj no, kev xeeb tub tsis tas yuav mus zoo, thiab lub qe fetus tuaj yeem ua rau exfoliate, uas ua rau rupture ntawm capillaries. Yog li ntawd, ib qho kev sib txuam ntawm cov ntshav ntawm cov phab ntsa ntawm lub tsev menyuam thiab lub fetus, uas yog hu ua retrochorial hematoma, nyob rau hauv cov nqe lus tshawb fawb. Yog li ntawd, nws feem ntau tshwm sim nyob rau hauv cov theem thaum ntxov ntawm cev xeeb tub, thaum lub placenta tseem tsis tau tag nrho tsim.

Kev kho mobHauv kev xyaum, kuj tseem muaj qhov tshwm sim xws li subamniotic hematoma, uas tshwm sim tsis tshua muaj. Nws tshwm sim los ntawm tus kheej-resorption yam tsis muaj kev kho mob. Nyob rau hauv no hais txog, cov tswv yim zoo li no yuav tsum tsis txhob totaub nrog ib leeg.

Retrochorial pathology kuj tuaj yeem ua rau hauv daim ntawv siab, uas tuaj yeem pom tau ntau dua 16 lub lis piam. Nyob rau hauv cov ntaub ntawv no, qhov no qhia tau hais tias lub fetus pib exfoliate ncaj qha los ntawm placenta nws tus kheej. Tib lub sijhawm, kev pheej hmoo thiab kev cuam tshuam tsis zoo rau tus menyuam hauv plab nce ntxiv.

YCaus ntawm pathology

Dab tsi tuaj yeem ua rau retrochorial hematoma thaum cev xeeb tub? Raws li koj paub, txhua yam kab mob muaj nws tus kheej ua rau tshwm sim, qhov no pathology tsis muaj kev zam. Raws li kev txheeb cais qhia, kwv yees li 70% ntawm cov niam uas cia siab tias yuav tsim cov kab mob retrochorial. Thiab txij li txhua tus poj niam muaj lub cev ntawm tus kheej, vim li cas hauv txhua kis yuav txawv.

Qhov laj thawj tseeb tseem tsis tau txiav txim siab, txawm li cas los xij, muaj ntau yam tseem ceeb ua rau kev loj hlob ntawm hematoma no. Peb ib leeg tawm 5 lub laj thawj tseem ceeb rau qhov tshwm sim no, uas yuav tau tham ntxiv.

Kev hloov pauv hormonal tsis raug

Vim qhov siab ntawm testosterone thiab prolactin, cov metabolism ntawm leej niam thiab tus menyuam hauv plab yog qhov nyuaj, vim tias nws dhau los nrog kev cuam tshuam loj. Lub fetus thaum kawg flakes tawm, feem ntau vim tsis muaj progesterone.

WoTxhawm rau kom tsis txhob muaj kev txhim kho ntawm retrochorial hematoma nyob rau theem pib ntawm cev xeeb tub, cov kws kho mob tau sau cov tshuaj hluavtaws xws li Duphaston lossis Utrozhestan. Yog tias qhov tsis muaj progesterone tau ua rau muaj kev cuam tshuam ntawm tus menyuam hauv plab, hauv qhov no, kev kho tshuaj hormonal thaum muaj xwm txheej ceev tau raug sau tseg, thaum lub sij hawm uas Duphaston tau siv rau hauv cov koob tshuaj ntau ntawm cov ntu ntu ntu.

Ntau dhau qhov kev tso cai ntawm kev ua si lub cev

Kev qaug zog tuaj yeem ua rau lub tsev menyuam muaj zog ntxiv, thiab lub sijhawm cev xeeb tub ntev dua, qhov ua tau zoo dua li cov leeg nqaij yuav nyob rau hauv lub xeev nruj thiab tej zaum yuav nyuaj.

Lub suab nrov ntawm lub tsev menyuam yog ib qho mob ntawm nws cov leeg, uas tuaj yeem ua mus tas li lossis ib ntus. Nyob rau hauv rooj plaub tom kawg, peb tab tom tham txog kev cog lus thaum yug menyuam. Kev ua haujlwm tsis tu ncua tuaj yeem ua rau muaj qhov tshwm sim tsis zoo, mus txog qhov poob ntawm tus menyuam.

Rau kev kho mob ntawm retrochorial hematoma, cov tshuaj tau muab rau cov poj niam cev xeeb tub lossis cov tshuaj tsim nyog tau sau tseg.

STD exacerbation

Nyob rau hauv cov ntaub ntawv no, ib tug dav inflammatory txheej txheem yuav pib, thiab nws cuam tshuam tsis tau tsuas yog lub genitals ntawm poj niam cev nqaij daim tawv nws tus kheej, tab sis kuj lub cev nyob rau hauv lub me me pelvis. Qhov no ua rau kev tsim cov ntshav txhaws hauv cov hlab ntshav ntawm tus menyuam hauv plab, vim qhov no yog tshwm sim los ntawm cov tshuaj tiv thaiv ntawm tus poj niam lub cev: platelets tau nquag tsim los tiv thaiv tus kabmob.

qhov no cuam tshuam li casfetus? Nws tsis tau txais cov khoom noj uas tsim nyog. Nws ua nyuaj rau lub chorion nyob rau saum npoo ntawm lub fetal qe, thiab nws detachment tshwm sim. Tag nrho cov no ua rau muaj kev hem thawj ntawm kev nchuav menyuam.

Ntau raug kev co

Qhov kev pheej hmoo no tshwm sim thaum cev xeeb tub, nyob ib ncig ntawm 8 lub lis piam. Vim muaj kev vibrations, cov ntshav ncig ntawm tus menyuam hauv plab yog cuam tshuam. Tab sis nthwv dej dhau sijhawm ua rau cov ntaub so ntswg sib cais.

Nyob rau hauv qhov no, cov kws kho mob sim tsis mus kuaj ultrasound ntau zaus thaum thawj peb mus rau plaub lub hlis ntawm cev xeeb tub. Qhov no yog qhov tshwj xeeb tshaj yog tsis xav tau nrog kev hem thawj ntawm kev nchuav menyuam.

Kab mob

Retrochorial hematoma ntawm lub tsev menyuam thaum cev xeeb tub tuaj yeem txhim kho vim cov kab mob uas cuam tshuam nrog cov ntshav txhaws tsis zoo. Thiab feem ntau qhov no yog xws li pathological mob xws li thrombophilia. Qhov no genetic pathology yog tus yam ntxwv los ntawm kev tsim cov ntshav txhaws.

Thiab txawm hais tias feem ntau tus kab mob no mob me me thiab tsis ua rau cov neeg mob tsis xis nyob, nws nyuaj heev rau cov poj niam cev xeeb tub kom yug tau menyuam nrog qhov kev kuaj mob no. Ib txwm muaj kev pheej hmoo ntawm placental insufficiency, nrog rau placental abruption.

Lwm yam yog vim li cas

Lwm yam muaj xws li:

1. Muaj cawv, haus luam yeeb lossis quav yeeb tshuaj.
2. Kev loj hlob tsis zoo ntawm qhov chaw mos.
3. Hypertension.
4. Cov xwm txheej ntxhov siab ntev.
5. Kab mob kis ntawm cov kab mob genitourinary.
6. Cov neeg mob toxicosis hnyav thaum ntxovcev xeeb tub.
7. poj niam tsis muaj zog tiv thaiv kab mob.
8. Overheating lossis hypothermia.

Txhua yam ntawm cov saum toj no tuaj yeem ua rau lub qe menyuam hauv plab exfoliate los ntawm chorion, thiab qhov no ua rau kev tsim ntawm lub tsev menyuam retrochorial hematoma.

Tab sis koj tuaj yeem txheeb xyuas tus kab mob no koj tus kheej li cas?

Symptomatics

Feem ntau, retrochorial pathology thaum tus poj niam cev xeeb tub tsis tshwm sim nws tus kheej li cas. Kev kuaj mob yog qhov nyuaj los ntawm qhov tseeb tias cov tsos mob ntawm hematoma tau yooj yim tsis meej pem nrog lwm cov txheej txheem pathological. Tab sis muaj qee qhov qhia meej:

1. Mob hauv plab plab yog rub hauv qhov xwm txheej, qhov mob zoo ib yam li mob zoo sib xws rau hnub tseem ceeb.
2. qaug zog txawm tias tom qab so kom raug.
3. Tseem mob rub hauv cheeb tsam lumbar.
4. Kev tawm qhov chaw mos tsis zoo.

Thiab lub cim kawg yog qhov tsim nyog ntau dua, vim tias muaj kev phom sij tuaj yeem nyob ntawm no. Cov xim ntawm qhov tso tawm tuaj yeem yog xim av lossis sib sib zog nqus liab.

Thaum ib qho retrochorial hematoma tau tsim thiab tawm xim liab tsaus, ib tus tuaj yeem tham txog qhov maj mam tso cov ntshav txhaws. Yog tias lawv muaj xim liab, thiab txawm tias nrog kev mob, ces koj yuav tsum nrhiav kev pab kho mob. Qhov no qhia txog qhov tsim ntawm hematoma lossis txawm tias qhov nce ntawm nws qhov loj.

Raws li txoj cai, hematoma me me, tab sis feem ntau nws yog qhov nqaij tawv,uas tuaj yeem yaj ntawm nws tus kheej yam tsis muaj kev cuam tshuam sab nraud. Tsuas yog cov txheej txheem tuaj yeem siv sijhawm ntau lub lis piam.

Thaum muaj hematoma loj, qhov no cuam tshuam tsis zoo rau kev loj hlob ntawm tus menyuam hauv plab, thiab kev pheej hmoo ntawm kev rho menyuam tawm kuj nce ntxiv.

kuaj mob

Txhawm rau kuaj xyuas kom raug thiab lees paub lossis tsis lees paub qhov muaj hematoma, tus poj niam cev xeeb tub yuav tau txais ntau qhov kev tshawb fawb tseem ceeb. Feem ntau, ultrasound yog siv, vim hais tias xws li kev kuaj mob ntawm retrochorial hematoma yog ntseeg tau.

Daim duab kho mob tiav tuaj yeem muab tso ua ke los ntawm cov txheej txheem ntxiv ua tiav:

• pub tso zis thiab ntshav;
• gynecological smear;
• ua ib coagulogram;
• kuaj ntshav biochemical;
• STD test;
• kev kawm txog keeb kwm hormonal ntawm poj niam lub cev.

Txhua yam no ua ke tso cai tsis tsuas yog txheeb xyuas cov hematoma nws tus kheej, tab sis kuj txiav txim siab nws hom, qhov loj me, qauv, qhov chaw nyob rau hauv kev sib raug zoo rau lub qe fetal. Koj tseem tuaj yeem pom lub suab ntawm lub tsev menyuam.

Raws li cov ntaub ntawv tau txais, tus kws tshaj lij tsim qhov tseeb ntawm kev kuaj mob thiab txiav txim siab tag nrho cov duab ntawm kev loj hlob ntxiv ntawm cev xeeb tub, sau cov kev kho mob tsim nyog.

Txoj kev kho mob

Nyob ntawm qhov xwm txheej ntawm cov kab mob pathology, nws txoj kev kho mob tuaj yeem tshwm sim hauv tsev kho mob lossis tus neeg mob sab nraud, tab sis nyob rau hauv kev saib xyuas ze ntawm tus kws tshaj lij. Yog hais tias muaj ib tug tsis ntseeg ntawm hematoma, tus poj niam yog contraindicatedhnyav ua haujlwm thiab cov xwm txheej ntxhov siab. Nws yog ib qho tsim nyog yuav tsum ceev faj, pw nrog koj ob txhais ceg tsa me ntsis, uas tso cai rau koj kom normalize cov ntshav ntws ntawm lub tsev menyuam.

Dhau li ntawm kev nqa qhov hnyav, koj yuav tsum zam kev sib deev. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum pub ntshav ib ntus txhawm rau txiav txim siab nws cov coagulability. Feem ntau, kev kho mob ntawm retrochorial hematoma thaum lub sij hawm cev xeeb tub yog nqa tawm nyob rau hauv ib tug complex yam uas muaj xws li ib tug xov tooj ntawm cov dej num:

1. noj tshuaj kom txhob los ntshav.
2. Tshem tawm ntawm lub suab uterine.
3. Tshuaj kho cov tshuaj hormonal ntawm poj niam.

Koj kuj yuav tsum ua raws li niaj hnub ua thiab noj kom raug.

Vim tias cov tshuaj feem ntau yog contraindicated rau cov poj niam cev xeeb tub (tshwj xeeb tshaj yog nyob rau theem pib), cov kws txawj xaiv cov tshuaj uas tsis muaj kev cuam tshuam rau leej niam los yog fetus.

Rau kev kho mob hematoma, cov vitamins tau sau tseg uas ntxiv dag zog rau phab ntsa ntawm cov hlab ntsha thiab tsis txhob los ntshav ("Ascorutin", "Vikasol" thiab "Dicinon"). "No-shpa" thiab "Papaverine" yog suav tias yog cov tshuaj zoo rau kev txo qis hypertonicity.

Result

Tsis txhob ntshai qhov kev kuaj mob zoo li txaus ntshai thiab tsis muaj qhov xwm txheej koj yuav tsum ntshai. Qhov tseem ceeb yog mus nrhiav kev pab kho mob raws sij hawm. Nws yog qhov zoo thaum hematoma me me thiab, tej zaum, kev cuam tshuam loj los ntawm tus kws kho mob tshwj xeeb tsis tas yuav tsum tau. Tab sis ib daim ntawv hnyav ntawm retrochorial hematoma tuaj yeem kho, tsuas yogkoj yuav tsum ua raws li koj tus kws kho mob cov lus pom zoo.