Lub tsev me nyuam incompetence

Isthmic - lub tsev me nyuam insufficiency - qhov no yog ib qho ntawm feem ntau ua rau cov menyuam yug thiab ncuav me nyuam tau nyob rau hauv lub thib ob thiab thib peb trimesters ntawm cev xeeb tub. Qhov no yog ib tug mob nyob qhov twg hauv lub Isthmus thiab ncauj tsev me nyuam pib mus tsis tau leg lub load tshwm sim thiab qhia tawm. Feem ntau nws tshwm sim thaum lub sij hawm lub thib ob ib nrab ntawm cev xeeb tub, thaum lub fetus yog loj hlob sai heev nyob rau hauv loj, thiab amniotic kua txiv ho loj. Nyob ntawm seb yog vim li cas, faib ua hauj lwm thiab kev puas CIN. Ntxias yog ib tug txaus ntshai lub xeev tau:

• traumatizing lub ncauj tsev menyuam (tus me nyuam, tus kev kho mob ntawm pathologies rho menyuam);
• congenital ncauj tsev menyuam pathology;
• haumxeeb tsis ua hauj lwm ntawm lub cev vim hormonal ntshawv siab;
• ntev li load rau lub ncauj tsev menyuam vim yog lub ntau yam uas cev xeeb tub, polyhydramnios los yog loj txiv hmab txiv ntoo.

Isthmic - lub tsev me nyuam insufficiency: Cov tsos mob

Tu siab, lub isthmic - lub tsev me nyuam insufficiency yog yuav luag ib txwm sau kiag asymptomatic, uas tsim ib tug lossis loj uas yuav rau lub neej thiab noj qab haus huv ntawm leej niam thiab tus me nyuam. Nyob rau hauv xws li mob yog tsis yooj yim dua lig dhau lawm nrhiav kom tau ntawm tus mob no, thaum hloov ib yam dab tsi rau lub zoo dua yog tsis yooj yim sua.

Yog hais tias CIN yog tseem tshwm tag, feem ntau nws yog ib tug uas yuav ntawm nchuav menyuam, muaj cov stabbing los yog npub pains nyob rau hauv lub plab mog, tshwj xeeb tshaj yog nyob rau hauv lub qis ib feem ntawm nws, cov kev xav ntawm fullness thiab siab nyob rau hauv lub paum txheej los ntshav.

Isthmic - lub tsev me nyuam insufficiency: Kev Kho Mob

Qhov xwm ntawm cov kev kho mob nyob rau thaum isthmic twb qhia - lub tsev me nyuam insufficiency: ua ntej cev xeeb tub, los sis txawm thaum lub sij hawm, dab tsi yog nws xwm. Yog hais tias koj ntes ib tug txaus ntshai mob yuav ua ntej lub tswv yim npaj cev xeeb tub, nws tej zaum ua ib tug tshwj xeeb lub tsev me nyuam yas. Muab yug tom qab uas yuav tsuas yuav xa los ntawm caesarean seem nyob rau hauv thiaj li yuav tiv thaiv tau nws rupture. Nws yog ib heev ua tau, thiab kev kho mob kev kho mob nyob rau hauv cov kev tshwm sim ntawm uas tsis yog-puas CIN.

Thaum lub sij hawm cev xeeb tub, cov kev kho mob kuj yuav tshuaj yog tias qhov tshwm sim ntawm threatening mob txuam nrog impaired hormonal. Txawm li cas los, feem ntau cov kws kho mob muaj mus rau chaw uasi rau kev phais, txawm hais tias tsis ntev los no xyoo muaj nce siv atraumatic txoj kev kho mob ntawm CIN nrog kev pab los ntawm ib tug pessary nplhaib Meier, txo nws hwj rau lub ncauj tsev menyuam. Phais kho mob yog ua tau tsuas yog nyob rau hauv lub tsev kho mob, qhia nyob rau hauv 13 - 17 lub lis piam. Yuam nyob rau hauv cov ntaub ntawv no cov pob qij txha yuav tsum pab qhia lub cev xeeb tub mus txog rau thaum 32 - 33 lub lis piam, thiab nrog hmoov thiab tshaj. Thaum nws txiav txim siab mus nqa tawm lub lag luam tus kws kho mob, raws li nyob rau hauv tus neeg cov yam ntxwv ntawm cov poj niam, gestational hnub nyoog, cov tau txaus ntshai. Ncua lub stitching yog nruj me ntsis tsis pom zoo, raws li ntev ntev, qhov ntau dua tus kab mob ntawm cov week thaum lub sij hawm lub lag luam. Yog, thiab nchuav menyuam tej zaum yuav tshwm sim nyob rau txhua lub sij hawm. Indications rau thaum muaj xwm ceev kev phais - qhov muaj mob ntawm lub pathological mob. Tom qab qhov phais, tus poj niam lossi tsom kwm gynecologist nquag pom zoo cov tshuaj uas txo qhov yuav ua rau uterine laus, qhia tau hais tias lub siab mos siab muag kev kho mob.

Phais pab yog tsis tau nyob rau hauv tus neeg mob qhov twg lub cev xeeb tub yog ib tug kev hem thawj rau lub noj qab haus huv thiab lub neej ntawm cov poj niam, thiab kuj yog hais tias tus me nyuam hauv plab mob loj malformations. Lig lag luam nyob rau hauv cov kev tshwm sim hais tias sab qhov chaw mos zig (kom txog rau thaum kho kom tsim nyog).

Feem ntau, thaum raws sij hawm thiaj paub hais tias CIN paaj raug. Ua li no, nws yog ib qho tseem ceeb tsis tau tsuas yog ua raws li ncaj qha nrog tag nrho cov tswv yim pom zoo ntawm ib tug gynecologist thiab tsis txhob muab mus (thiab yog hais tias tsim nyog, hais txog qhov no) los ntawm kev kuaj rau lub rooj zaum, tab sis mus rau sab laj tshwj xeeb ntev ua ntej ib tug los cev xeeb tub. Loj cwj pwm thiab kev kho mob ntawm koj tus kws kho pab cov poj niam comprehensively npaj rau lub tseem ceeb heev rau theem nyob rau kuv lub neej uas zoo tshaj plaws txoj kev rau lub noj qab haus huv ntawm tus me nyuam.