Kev xav tsis zoo txog kev nchuav menyuam

Miscarriage: Nws puas tuaj yeem zam tau los ntawm kev zam los ntawm kev ua si kis las lossis nqa hnyav?

Nws yog qhov tseeb qhia tsis tau tsis txhob quab yuam ntau dhau thaum koj cev xeeb tub. Tab sis ceev faj, tshwj tsis yog koj tus kws kho mob qhia koj, koj tsis raug txwv tsis pub nqa lub pob dej rau ntawm qhov ua rau cev xeeb tub. Tab sis tsis tas yuav txav koj lub tsev ib yam nkaus. Yog li peb zam tej yam uas hnyav dhau. Thiab thaum nws los txog rau kev ua kis las, txoj kev tshawb fawb Anglo-Saxon tau qhia tias cov poj niam uas xyaum ntau tshaj 7 teev ntawm kev ua si hauv ib lub lis piam yog yuav luag plaub npaug ntau dua li cov uas tsis tawm dag zog.

Koj tuaj yeem nchuav menyuam yam tsis tau paub txog nws

Nws tag nrho yog nyob ntawm theem ntawm cev xeeb tub. Qee lub sij hawm ib lub lim tiam lig rau koj lub sij hawm zais qhov pib ntawm cev xeeb tub uas tsis txuas ntxiv. Tsis tas li ntawd, nws yog ib qho nyuaj rau tsis quav ntsej nchuav menyuam: cov cim qhia ntawm cev xeeb tub ploj mus ib hmos ( xeev siab, lub mis o, thiab lwm yam), kev mob nkeeg (mob zoo ib yam li cov poj niam cev xeeb tub), los ntshav ntau los yog tsawg profuse.

Uas yog

Yog tias koj muaj ntshav qab zib thaum cev xeeb tub, mus ntsib koj tus kws kho mob gynecologist.

Kev ntxhov siab thiab nchuav menyuam: kev sib raug zoo txaus ntshai?

Puas muaj kev sib txuas ntawm kev ntxhov siab ntawm cov niam uas muaj kev cia siab thiab kev pheej hmoo ntawm nchuav menyuam? Ib qho kev kawm * tau qhia tias kev ntxhov siab nce qib cortisol (cov khoom tam sim no thiab ntsuas tau hauv cov zis) ntawm cov poj niam. Ib qho surge ntawm cov khoom no yuav yog lub luag haujlwm rau kev rho menyuam tawm. Lub cev txhais qhov kev nce no raws li kev tsis zoo hauv kev ua neej nyob. Tab sis tag nrho, txawm tias cov kev tshawb fawb me me qee zaum qhia qhov sib txawv, kev nchuav menyuam tsuas yog tso ib lub qe uas tsis siv tau. Yog li lwm yam tshaj li qhov kev ntxhov siab tau raug coj mus rau hauv tus account hauv kev ua rau nchuav menyuam.

* Kev tshawb fawb ua rau 31 tus poj niam ua raws li ib xyoos los ntawm pab pawg ntawm Prof. Pablo Nepomnaschy, National Institute of Environmental Health Sciences, 2006.

Kev sib deev tuaj yeem ua rau nchuav menyuam?

Tsis yog! So kom txaus, koj muaj txhua txoj cai (tshwj xeeb yog tias koj xav tau) sib deev thaum koj cev xeeb tub. Tau kawg, tshwj tsis yog kev kho mob contraindication (qhib lub ncauj tsev menyuam, tawg hauv lub hnab dej, tawm tsam ntawm qhov chaw mos herpes lossis lwm yam kab mob STDs, placenta previa), koj tsis muaj kev pheej hmoo ntawm nchuav menyuam.

Miscarriage tsis tshwm sim txog thaum thawj peb lub hlis twg

Yog thiab tsis yog. Kev nchuav menyuam tshwm sim feem ntau ntawm lub sij hawm thaum ntxov cev xeeb tub, ua ntej thawj peb lub hlis. Txawm li cas los xij, kuj tseem yuav muaj qhov nchuav menyuam los ntawm plaub los yog tsib lub hlis. Txawm li cas los xij, paub tias qhov kev khiav tawm no yog ib qho kev ua haujlwm zoo ntawm lub cev thiab nws cov fertility. Txij li thaum lub qe tsis siv tau, nws xaus qhov kev xeeb tub.

Ntshav poob thaum cev xeeb tub: yuav tsum tau nchuav menyuam?

Kev poob me ntsis ntshav tsis sib haum tuaj yeem ua physiological thiab yog li ntawd zoo li qub. Txawm li cas los xij lawv yuav tsum yog nyob rau hauv txhua rooj plaub qhia rau koj tus kws kho mob.

Thaum koj twb tau nchuav menyuam lawm, koj yuav muaj ntau dua

Rov qab nchuav menyuam (los ntawm 3 thiab 2 yog tias koj muaj hnub nyoog tshaj 38) yog tsis tshua muaj. Tus kws kho mob mam li mus rau qhov tiag kev tshawb nrhiav kev kho mob kom paub cov laj thawj : kuaj ntshav qab zib, tsim cov niam txiv karyotype (kev kawm ntawm chromosomes) lossis txawm ua qhov kev ntsuam xyuas kis.

Tom qab nchuav menyuam, koj puas tuaj yeem muaj tus menyuam tshiab tam sim ntawd?

Kev nchuav menyuam tsis cuam tshuam, nyob rau hauv txhua rooj plaub, txoj kev vam meej ntawm kev xeeb tub tom qab. Yog tias koj xav kom muaj menyuam tshiab, kev kho mob tsis muaj dab tsi tiv thaiv nws, koj tuaj yeem pib koj qhov kev sim dua. Koj lub sijhawm yuav rov qab los ib hlis tom qab. Qhov kev txiav txim siab yog nyob ntawm txhua tus. Tos ob mus rau peb lub voj voog los xav txog kev xeeb tub tshiab yog qee zaum lub sijhawm nyuaj siab rau qhov poob ntawm tus menyuam hauv plab.

Kev pheej hmoo ntawm nchuav menyuam nce ntxiv thaum leej txiv muaj hnub nyoog 40 xyoo

Peb twb paub lawm niam lub hnub nyoog tej zaum yuav cuam tshuam : Kev nchuav menyuam yog ob zaug ntau zaus ntawm 40 dua li ntawm 20. Thiab ib qho kev tshawb fawb * kuj qhia tau tias lub hnub nyoog ntawm leej txiv yuav muaj teeb meem. Qhov kev pheej hmoo nce li ntawm 30% (tab sis tag nrho nws tseem me ntsis) thaum yav tom ntej leej txiv muaj hnub nyoog 35 xyoos, piv rau cov khub niam txiv uas tus txiv neej muaj hnub nyoog qis dua 35 xyoo.

* Franco-American txoj kev tshawb fawb ua los ntawm pab pawg ntawm Rémy Slama thiab Jean Bouyer, American Journal of Epidemiology, 2005.

Puas yog nws tsim nyog los ua kev kho mob tom qab nchuav menyuam?

Tsis yog kiag li. Tej zaum yuav muaj ib tug spontaneous thiab tag tshem tawm. Kev soj ntsuam tom qab ultrasound yuav ua pov thawj nws. Hauv qhov no, yuav tsis muaj kev cuam tshuam kev kho mob thiab koj tuaj yeem mus tsev. Ntawm qhov tod tes, yog tias qhov kev tshem tawm tsis tiav, koj yuav coj ntsiav tshuaj (hormones) tshem tawm cov so. Tom qab kuaj xyuas, yog tias tsim nyog, tus kws kho mob yuav muaj kev rov qab los kev xav (kom khoob lub tsev menyuam) los yog rau curettage (kom khawb cov mucous membrane) nyob rau hauv cov tshuaj loog.

Sau ntawv cia Ncua