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Placenta accreta: ib qho teeb meem los saib xyuas
Tsis zoo implantation ntawm placenta
Cov placenta accreta, increta lossis percreta sib raug rau a tsis zoo txoj hauj lwm ntawm placenta nyob rau hauv lub tsev menyuam, piav qhia Dr Frédéric Sabban, kws kho obstetrician-gynecologist hauv Paris. Tsis yog tsuas yog txuas rau hauv ob sab phlu ntawm lub tsev menyuam (los yog endometrium), lub placenta zaum tob heev. Peb tham txog placenta accreta tus kab mob Thaum cov placenta tau maj mam nkag mus rau hauv myometrium (uterine leeg), cev xeeb tub increta thaum nws tag nrho tso rau hauv cov leeg, los yog placenta percreta cov Thaum nws "spills" dhau ntawm myometrium mus rau lwm yam kabmob.
Koom nrog, ib qho caws pliav uterus
Raws li Dr Sabban, qhov kev pheej hmoo tseem ceeb rau qhov no placenta abnormality tab tom muaj a caws pliav uterus. Nws yog qhov tseeb ntawm lub tsev menyuam uas muaj ib lossis ntau qhov caws pliav (s), raws li kev ua haujlwm. Nws kuj tseem yuav yog ib qho caws pliav vim yog kev ua haujlwm ntawm lub tsev menyuam anomaly (fibroid, intrauterine endometriosis, thiab lwm yam) los yog caws pliav los ntawm qhov chaw phais. Thaum rho menyuam lossis nchuav menyuam, a curettage feem ntau xyaum. Nws cuam tshuam rau qhov chaw ntawm lub tsev menyuam nrog cov cuab yeej phais kom tshem tawm qhov seem ntawm cov placenta thiab qhov no tuaj yeem ua rau caws pliav thiab tom qab ntawd ua rau lub tsev menyuam no txawv txav.
Txawm li cas los, qhov muaj cov placenta accreta los yog ib qho ntawm nws cov derivatives yog qhov tsawg : nws txhawj xeeb txog 2 mus rau 3% ntawm cov poj niam uas muaj caws pliav hauv tsev menyuam. Qhov kev pheej hmoo ntawm muaj hom placental abnormality no kuj tsis tshua muaj nyob rau lwm tus poj niam.
Thaum twg thiab yuav kuaj tau li cas?
Muaj ob peb cov tsos mob los qhia txog qhov placenta accreta. Tsis tas li ntawd, qhov no pathology ntawm placenta feem ntau yog kuaj mob lig, thaum lub sij hawm 3rd trimester ntawm cev xeeb tub los yog thaum kawg ntawm cev xeeb tub. Feem ntau, kev kuaj mob yog ua los ntawm ultrasound lossis MRI ntawm lub plab. Cov no feem ntau yog los ntshav txawv txav thaum kawg ntawm cev xeeb tub los yog thaum pib ntawm kev ua haujlwm uas qhia tias muaj qhov tsis zoo no.
Kev yug me nyuam nyob rau hauv kev saib xyuas zoo
Yog tias thaum cev xeeb tub, tus placenta accreta tsis xav tau kev saib xyuas tshwj xeeb, nws yuav tsum tau saib xyuas tshwj xeeb thaum yug menyuam. Qhov no yog vim qhov kev pheej hmoo tseem ceeb los ntawm cov placenta accreta yog hemorrhage los ntawm kev xa khoom, uas cuam tshuam kev noj qab haus huv ntawm leej niam. Yuav kom txo qis cov teeb meem, pab neeg kho mob yuav ua ib qho chaw phais. Raws li Dr Sabban, cev xeeb tub nrog placenta accreta yuav tsum muaj ib tug heev kho mob yug me nyuam, kom tus neeg mob tuaj yeem hloov pauv yog tias muaj ntshav ntau.
Tom qab ntawd, cov kws kho mob yuav tuaj yeem tawm tswv yim tshem tawm ntawm lub tsev menyuam (hysterectomy) los yog kev phais mob nyob ntawm tus neeg mob lub siab xav kom cev xeeb tub tshiab.