Piskacek kos npe thiab lwm yam cim ntawm kev xeeb tub

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:27

Kev txiav txim siab cev xeeb tub hauv nws cov theem pib yog ib txoj haujlwm tseem ceeb tshaj plaws ntawm txhua tus niam uas xav tau. Kev ntsuas raws sijhawm uas yuav tsum tau ua nyob rau theem pib ncaj qha cuam tshuam rau kev loj hlob ntawm tus menyuam hauv plab. Ua ntej ntawm tag nrho cov, anatomical, physiological thiab hormonal hloov nyob rau hauv lub neej yav tom ntej tus me nyuam nyob ntawm no. Nws yog ib qho tseem ceeb tshwj xeeb los tsim ib lub sij hawm tshwj xeeb ntawm cev xeeb tub rau kev ntsuam xyuas lub hom phiaj ntawm kev xeeb tub thiab kev ntsuam xyuas zoo. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias thaum lub sij hawm nce, tus niam expectant muaj cov cim tshiab uas qhia txog kev loj hlob ntawm tus me nyuam hauv plab. Hauv kab lus no, peb yuav tham txog Piskasek kos npe thiab lwm cov tsos mob tseem ceeb sib npaug thaum cev xeeb tub.

Kev faib tawm

Los ntawm lawv hom, cov yam ntxwv tseem ceeb ntawm cev xeeb tub tau muab faib ua peb pawg: tsis ntseeg, muaj peev xwm thiab ntseeg tau, uas qhia ncaj qha txog kev muaj sia nyob hauv plab. Piskacek kos npe rau hauv obstetrics yog ib qho tseem ceeb tshaj plaws, vim nws muaj nyob rau hauv ib qho ntawminternal transformations nyob rau hauv ib tug poj niam lub cev.

Cov tsos mob tsis txaus ntseeg ntawm cev xeeb tub

Pab pawg no suav nrog ntau qhov kev hloov pauv ntawm lub cev lossis lub siab lub ntsws, qhov ua rau uas tsis yog cev xeeb tub nkaus xwb:

• nce nrawm lossis ua tiav qhov tsis qab los lossis hloov pauv hauv kev nyiam saj;
• xeev siab lossis ntuav thaum sawv ntxov;
• npaj txhij tsis nyiam rau qee yam ntxhiab tsw;
• tso zis ntau zaus;
• nce rhiab heev ntawm cov qog mammary;

nce hauv qhov ntim ntawm lub plab.

Tau kawg, tag nrho cov yam ntxwv tau piav qhia saum toj no tsuas yog cuam tshuam nrog kev xeeb tub, yog li Piskacek lub cim tsis siv rau lawv li cas.

Zoo tshwm sim ntawm cev xeeb tub

Cov yam ntxwv ntawm pawg no twb muaj feem cuam tshuam txog qhov tshwm sim ntawm cev xeeb tub. Feem ntau, txhawm rau lees paub lawv, yuav tsum muaj kev sab laj nrog kws kho mob, uas yuav tau txiav txim siab zaum kawg rau tus poj niam:

• tsis muaj txiv neej;
• nce qhov loj ntawm cov qog mammary;
• hloov kho ntawm lub tsev menyuam, uas yog nws qhov ntim thiab sib xws;
• xiav ntawm qhov chaw mos;
• pib txij li 5-6 lub lis piam ntawm cev xeeb tub, muaj qhov loj ntawm lub tsev menyuam.

Kev hloov pauv hauv tsev menyuam thaum cev xeeb tub

Ua ntej ntawm tag nrho, cov kab mob ntawm lub cev xeeb tub hloov thaum cev xeeb tub. Cov yam ntxwv no suav nrogkos npe ntawm Piskacek.

1. Snegirev cov tsos mob. Nws muaj nyob rau hauv qhov tseeb hais tias lub tsev menyuam yuav tsis tshua muaj resistant rau mechanical irritation, arbitrary contractions ntawm lub cev tshwm sim, thiab nws ceev kuj nce.
2. Horvitz-Guerard cov tsos mob. Nws muaj nyob rau hauv ib qho tseem ceeb softening ntawm lub isthmus, uas tsis tuaj yeem hais txog lub ncauj tsev menyuam nws tus kheej. Ntawm qhov tsis sib xws, nws condenses.
3. Sign of Piskacek. Nws muaj nyob rau hauv shaping ntawm lub tsev menyuam. Nws ua asymmetrical. Nws yog ib qho tsim nyog yuav tsum tau sau tseg ntawm no tias lub cim ntawm Piskacek (qhov no pom tau tias thaum yug menyuam) ploj mus vim qhov loj ntawm tus menyuam hauv plab nce.
4. Tus neeg mob tus mob. Nws muaj nyob rau hauv shaping ntawm lub tsev menyuam. Lub zuag zoo li protrusion tshwm rau ntawm nws, uas tsis txawv ntawm qhov ntom ntawm tag nrho lub cev.
5. Gubarev cov tsos mob. Nws muaj nyob rau hauv kev txav ntawm lub ncauj tsev menyuam cuam tshuam nrog softening ntawm isthmus.

Undoubted signs of cev xeeb tub

Muaj cov cim qhia ncaj qha tias cev xeeb tub:

• los ntawm kev siv obstetric stethoscope tuaj yeem hnov tus menyuam lub plawv dhia;
• fetal txav los ua palpable ntawm 19 thiab 17 lub lis piam;
• fetus yog palpable nyob rau lub semester thib ob ntawm cev xeeb tub;
• siv x-ray nws tuaj yeem pom cov kab mob pob txha ntawm tus menyuam.

Txawm hais tias lub cim ntawm Piskacek thaum cev xeeb tub yog ib qho ntawm cov kev txiav txim siab, nws qhov tsos tsis tuaj yeem lav 100% tseeb tias tus poj niam nqa tus menyuam.

Tshuaj rau cov poj niam cev xeeb tub

1. Pib thawjcev xeeb tub chaw muag mis nyuj los tswj thiab saib xyuas txhua yam kev hloov hauv lub cev. Tom qab tag nrho, nws yog peb lub cev uas yuav qhia tag nrho cov teeb meem uas tus niam expectant yuav ntsib.
2. Kev cev xeeb tub cog lus tias muaj kev hloov pauv hormonal loj thiab ua tsis tiav. Cov poj niam nyob rau hauv txoj hauj lwm yeej paub txog kev hloov siab ntsws tsis tu ncua thiab kev khaus khaus ib ntus dhau ntawm qhov tsis sib xws. Yog tias tsim nyog, nrhiav tswv yim hauv lub rooj sab laj rau cov poj niam cev xeeb tub lossis tiv tauj tus kws kho mob hlwb.
3. ultrasound yuav tsum ua. Muaj ib qho lus dab neeg hais tias cov txheej txheem no yuav ua mob rau txoj kev loj hlob ntawm fetus. Tau kawg, qhov no tsuas yog kev cia siab vim qhov kev kawm qis. Nrog kev pab los ntawm ultrasound, koj tuaj yeem pom cov kev loj hlob ntawm tus menyuam hauv lub sijhawm thiab ua txhua yam kev ntsuas tsim nyog los tshem tawm lawv.
4. Tau koj tus kheej lub hauv ncoo tsim tshwj xeeb rau cov poj niam cev xeeb tub. Ua tsaug rau qhov kev yuav khoom yooj yim no, uas pab kom sib npaug ntawm qhov hnyav ntawm tag nrho lub cev, koj tuaj yeem rov pw tsaug zog ntawm koj sab nraub qaum thiab ntawm koj sab yam tsis muaj teeb meem thiab tsis xis nyob txawm tias ntev.
5. Raws li qhov ntim ntawm lub plab zuj zus, cov poj niam yuav raug mob hauv thaj tsam lumbar. Txhawm rau kom tsis txhob muaj kev ntxhov siab rau tus txha nraub qaum, yuav ib qho tshwj xeeb brace rau cov poj niam cev xeeb tub. Hmoov zoo, hauv ntiaj teb niaj hnub no muaj ntau hom thiab xim rau txhua tus saj.
6. Nws yog ib qho tseem ceeb uas yuav tau xav txog tias thaum cev xeeb tub, ntau yam tshuaj raug txwv tsis pub haus, vim tias lawv tuaj yeem cuam tshuam rau kev loj hlob ntawm tus menyuam. Ua ntej haus ib ntsiav tshuaj, txawm tias zoo li tsis muaj teeb meem thaum xub thawj siab ib muag, ua tib zoo kawm cov lus qhia txhawm rau txhawm rau paub tias kev noj tshuaj thaum cev xeeb tub puas tsim nyog.

Zaj lus

Yog li, peb pom tias lub cim ntawm Piskachek yog cov pab pawg ntawm qhov tshwm sim thaum cev xeeb tub, thiab tseem kawm txog lwm cov tsos mob tseem ceeb ntawm nws qhov tshwm sim. Cia siab tias peb tsab xov xwm tau muab los ua kom muaj txiaj ntsig rau koj, thiab koj tau kawm cov ntaub ntawv nthuav dav tshiab rau koj tus kheej.