Kev phais thaum yug menyuam: kev qhia, thev naus laus zis, qhov tshwm sim, kev xav kho mob

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

Txoj kev yug menyuam yog qhov txuj ci tseem ceeb tiag tiag, uas yog nrog cov txheej txheem txawv txawv hauv tus poj niam lub cev. Kev npaj tus poj niam rau cev xeeb tub yog qhov nrov heev, tab sis kev npaj rau kev yug menyuam tsis yog qhov tseem ceeb. Nws yog qhov nyuaj dua thiab tseem ceeb, vim nws tsis tuaj yeem kwv yees qhov kev pheej hmoo thiab kev ntsuas tsim nyog uas yuav tsum tau ua thaum yug menyuam. Hnub no peb yuav tshuaj xyuas qhov kev phais thaum yug me nyuam, hu ua dab tsi, thaum twg, nyob rau hauv dab tsi, vim li cas nws thiaj ua tiav, thiab seb nws puas tsim nyog rau tus menyuam.

Anatomical yam ntxwv ntawm incision

Hauv kev tshawb fawb, cov txheej txheem no hu ua episiotomy. Nws raug tso cai ua kev phais thaum yug menyuam tsuas yog nyob rau theem ob ntawm kev ua haujlwm. Cov theem no yog tus cwj pwm los ntawm qhov muaj tus menyuam nyob hauv qhov hluav taws xob ntawm lub plab me me. Lub taub hau ntawm tus menyuam nyob hauv qhov chaw no, txawm tias tsis muaj kev sim siab, nws tsis rov qab los, tab sis tseem nyob hauv lub plab me me. Lub sijhawm no yog hu ua qhov tawg ntawm lub taub hau, cesmuaj ib tug menyuam twb pom lawm.

Tam sim no, hauv 95% ntawm cov neeg mob, qhov kev phais yog ua raws kab oblique, mus rau ischial tuberosities. Yog tias koj saib lub taub hau ntawm tus menyuam ncaj qha, ces koj yuav tsum tau txiav obliquely rau hauv lub kaum sab laug. Qhov ntev ntawm qhov txiav yog kwv yees li 2 cm.

Cov mob uas tseem tshuav yog tus cwj pwm los ntawm kev phais hauv txoj kab ncaj nraim mus rau qhov quav. Txoj kev no yog qhov nyuaj dua thiab tsis siv yam tsis tsim nyog hauv kev xyaum. Hom kev phais no twb hu ua perineotomy. Qhov luaj li cas thiab kev taw qhia ntawm qhov kev phais thaum yug me nyuam nyob ntawm tus kheej tus yam ntxwv ntawm tus poj niam thiab cov txheej txheem yug me nyuam. Nco ntsoov tias nyob rau hauv saib ntawm qhov tseeb hais tias cov nqaij ntshiv thiab daim tawv nqaij yog nyias, ib tug poj niam tsis tau muab tshuaj loog. Nws xav tias tsis muaj mob los ntawm qhov phais.

txiaj ntsig ntawm kev phais mob

Kev yug me nyuam los ntawm tus kws kho mob siv cov cuab yeej phais kho mob sai dua li cov ntaub so ntswg tsim kua muag. Qhov no muaj feem xyuam rau cov hauv qab no:

1. Cov npoo ntawm qhov txhab txawm, lawv yooj yim txuas thiab suture.
2. Lub kua muag ib txwm sib sib zog nqus thiab kho maj mam.
3. Kev phais yog tsim los ntawm tus kws kho mob tshwj xeeb, nws yuav tsis tso cov ntaub so ntswg sib sib zog nqus thiab yuav tsim txhua yam kev mob rau kev kho mob yav tom ntej.

Qhia rau tus txheej txheem

Txawm hais tias qhov kev phais phais thaum yug menyuam yog qhov kev xaiv zoo dua li cov ntaub so ntswg tsim kua muag, cov txheej txheem yuav tsum muaj cov lus qhia tshwj xeeb:

1. Tsim kev hem thawj tam sim ntawm cov ntaub so ntswg rupture thaum daim tawv nqaij ib ncig ntawm lub perineum ua nyias,pib ci.
2. Qhov loj ntawm tus menyuam hauv plab loj, uas yog tsim ua ntej yug menyuam, yog li qhov kev phais thaum yug menyuam tsis yog qhov xwm txheej ceev, nws tau npaj ua ntej.
3. yug ntxov ntxov thaum muaj kev pheej hmoo ntawm kev raug mob rau tus menyuam.
4. Lub xub pwg dystocia, thaum tus menyuam lub taub hau twb tawm lawm, thiab lub xub pwg nyom tsis tuaj yeem haum vim qhov loj.
5. Yog hais tias muaj kev phais obstetric teem rau thaum yug menyuam, tus txheej txheem kuj yuav tsum tau ua.
6. Kev yug me nyuam yog qhov tseem ceeb kom txo qis theem thib ob ntawm kev ua haujlwm. Qhov no yog qhov tsim nyog yog tias ntshav siab siab, tus menyuam lub plawv mob tau kuaj pom, lub sijhawm thib ob tau mus ntev dhau lawm.
7. Fetal hypoxia pib thiab nquag tsim thaum tus menyuam tsis muaj oxygen.
8. Tus me nyuam tsis raug tso cai, nws nyob hauv lub plab, qhov no hu ua "breech presentation".
9. Ntxhais cov leeg - ib qho tshwm sim uas cov leeg tsis muaj zog uas lawv tsim tsis tau tag nrho lub thawb rau tus menyuam tawm.
10. Thaum tus poj niam tsis muaj peev xwm thawb nws tus kheej.

Slit Technology

Thawj qhov xwm txheej tsis tseem ceeb rau kev phais thaum yug menyuam yog lub sijhawm - nws tsuas yog ua tau thaum lub sijhawm ua haujlwm thib ob ntawm lub sijhawm ua haujlwm siab tshaj plaws. Ua ntej incision, koj yuav tsum tau kho cov ntaub so ntswg nrog ib tug antiseptic. Yog tias cov ntaub so ntswg tsis txaus thiab cov txheej txheem yuav ua rau mob, kev txhaj tshuaj "Lidocaine" yog ua:

• Kev txiav yog uatxiab txiav. Thaum lub sijhawm so ntawm tus poj niam hauv kev ua haujlwm ntawm kev sim, ib feem ntawm cov txiab (cov hniav), hu ua txhuam, yog muab tso rau hauv qhov sib txawv ntawm tus menyuam lub taub hau thiab cov ntaub so ntswg. Cov kev taw qhia yuav tsum tau tswj kom zoo li qhov kev txiav yuav ua.
• Qhov ntev ntawm qhov kev txiav yuav tsum tsis pub tshaj 3 cm, qhov kev txiav luv luv yuav tsis ua haujlwm, thiab qhov ntev ntev yuav raug mob, ua rau tawg.
• Suturing nyob rau theem no tsis tshwm sim, tom qab lub placenta tso tawm, tus kws kho mob tshuaj xyuas tus neeg mob thiab lub tsev menyuam, tom qab uas nws stitches. Tshuaj loog yog muab ua ntej suturing. Tom qab yug me nyuam, qhov kev phais tsis tau ua lawm, nws tsuas yog sutured. Qhov chaw stitched yog kho nrog tshuaj tua kab mob, qhov no ua tiav cov txheej txheem.

Muaj ob txoj hauv kev tseem ceeb ntawm kev txiav qhov txiav tawm. Cia peb saib ib leeg.

Layer suturing

Qhov kev txiav yog sutured pib ntawm lub mucous phab ntsa ntawm qhov chaw mos, tom qab lawv sewn, lawv txav mus. Submersible sutures txuas tag nrho cov leeg nqaij. Nyob rau hauv cov ntaub ntawv no, hluavtaws threads yog siv, uas muaj peev xwm yaj. Catgut yog cov xov uas ua los ntawm cov tsiaj plab hnyuv fibers, uas qee zaum siv rau suturing, qhov no yog txwv tsis pub. Nws tuaj yeem ua rau kev ua xua. Cov txheej thib ob yog cov sutures kom zoo nkauj, lawv me me thiab txuas ntxiv.

Perineorrhaphy raws li Jester

Txoj kev thib ob ntawm suturing yog perineorrhaphy raws li Shute. Tsis muaj kev faib rau hauv cov ntaub, txhua txheej yog txuas nrog ib zaug. Daim duab-ntawm-yim sutures yog siv, tab sis cov xov hluavtaws twb xav tau ntawm no, uas tsis yaj. Tom qab qhov txhab tau zoo lawm, cov xov tsuas yog tshem tawm. Txoj kev no yog qhov txaus ntshai dua: mob thiab kis kab mob feem ntau tshwm sim.

Kev rov qab los tom qab kev phais

Kev rov qab los ntawm thaj chaw no tsis yooj yim heev, tshwj xeeb tshaj yog xav tias tus poj niam muaj tus menyuam yug tshiab uas yuav tsum tau saib xyuas thiab tiv thaiv tas li. Qhov tsis yooj yim nyob rau hauv qhov tseeb tias cov kab mob tsis tu ncua nyob rau hauv qhov chaw mos, uas tuaj yeem nkag mus rau hauv qhov txhab thiab ua rau mob. Ligation thiab kev ua haujlwm tas mus li tsis tuaj yeem ua tau. Yog tias muaj kev phais thaum yug menyuam, koj yuav tsum tso tseg txoj haujlwm zaum, txwv tsis pub cov seams yuav qhib. Raws li txoj cai dav dav, nws yog txwv tsis pub zaum 2 lub lis piam, tab sis txhua yam yog tus kheej, nyob ntawm theem ntawm kev tsim dua tshiab thiab qhov tob ntawm qhov txiav. Lub sij hawm tuaj yeem kav ntev txog 4 lub lis piam. Nws hloov tawm tias tsuas yog dag thiab sawv txoj haujlwm tau tso cai.

Suture kho

Sutures tom qab yug me nyuam tom qab phais kho li 5-7 hnub, yog tias thaj chaw kho tau zoo thiab cov lus pom zoo los ntawm tus kws kho mob tsis raug ua txhaum cai, tsis muaj kab mob. Tom qab thawj lub lim tiam tom qab suturing, tus kws kho mob tshem tawm cov sutures superficial thiab xyuas qhov mob ntawm caws pliav. Thaum lub sijhawm kho, koj yuav tsum ua raws li cov cai hauv qab no:

1. Txoj kev kho mob txhua hnub - tus poj niam hauv tsev kho mob maternity, raws li txoj cai, kho lawv nrog ci ntsuab, thaum ntsuas tus mob ntawm tus niam hluas.
2. Tom qab da dej, koj yuav tsum pw liab qab ib pliag kom tus poj niam qhuav qhuav, txwv tsis pub koj yuav kis tau tus kab mob. So cov seams xwb nrog blotting txavkhoom siv ntshiab.
3. Tom qab txhua qhov mus rau chav dej, nws yuav tsum tau yaug qhov chaw nrog cov tshuaj tsis muaj zog ntawm poov tshuaj permanganate.
4. Muab cov ntaub so huv thiab hloov txhua 2 teev.
5. Koj nqa tsis tau dab tsi hnyav, qhov tsuas yog ib tug me nyuam xwb, koj kov tsis tau dab tsi hnyav dua nws.
6. Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
7. Qhia koj cov leeg nrog Kegel ce.

Kev rov zoo tag nrho tshwm sim 2 lub hlis tom qab tus txheej txheem. Ua tib zoo saib rau daim duab ntawm qhov kev phais thaum yug menyuam, nws qhia tau hais tias nws yuav tsum zoo li cas. Koj yuav tsum tau ua tib zoo saib xyuas koj txoj kev noj qab haus huv thiab yog tias koj muaj mob, nrog kws kho mob tham. Nws yog hais txog cov teeb meem uas yuav tau tham ntxiv.

Txhais tau

Tsis yog txhua yam ua tau zoo raws li qhov peb xav tau, thiab yog tias muaj kev phais thaum yug menyuam thiab ua yuam kev thaum lub sijhawm rov zoo, tej zaum yuav muaj teeb meem:

1. Kho qhov txhab, uas yog kho nrog dej khov. Nws yog superimposed ntawm qhov chaw phais, ib qho tshuaj loog yog ntxiv rau.
2. Kev sib txawv ntawm cov seams tuaj yeem tshwm sim vim yog lub cev zaum lossis hnyav. Hauv qhov no, siv cov stitches tshiab thiab cov txheej txheem kho mob pib los ntawm kos.
3. Kab mob hauv lub qhov txhab, kev kho mob tsuas yog ua tau nrog tshuaj tua kab mob. Yog tias cov xwm txheej zoo, ces cov plooj raug tshem tawm thiab qhov txhab tawm, qhov no yog tshem tawm cov kua paug thiab kua dej.
4. Qhov tsos ntawm hematoma - qhov no, koj yuav tsum tau tshem tawm tag nrho cov stitches tam sim ntawd thiab ntxuav lub qhov txhab ntawm cov kua dej, yaugtshuaj tua kab mob, muab tshuaj tua kab mob thiab pib kho.
5. Mob thaum sib deev. Qhov no yog ib qho tsis kaj siab, tab sis zoo li qub; cov poj niam muaj mob thaum thawj peb lub hlis thaum muaj kev sib raug zoo. Tom qab ib xyoos, muaj kev rov zoo tag nrho.

Kev tshuaj xyuas cov neeg mob thiab kev xav ntawm kws kho mob

Raws li peb tau nkag siab, episiotomy yog ib qho kev ntsuas tsim nyog, uas yuav tsum tsis txhob siv yog tias kev yug me nyuam mus zoo. Cia peb tig mus rau qhov kev xav ntawm cov kws tshaj lij.

Gynecologists qhia tias txog li 45% ntawm tag nrho cov kev yug me nyuam yog nrog rau kev ua haujlwm obstetric, nws yog qhov kev nyab xeeb tshaj plaws thiab kev xaiv zoo tshaj plaws rau cov teeb meem hauv kev ua haujlwm. Ib qho episiotomy yog qhov tsim nyog thiab muaj txiaj ntsig tsuas yog thaum muaj cov cim qhia rau nws, nws yog nruj me ntsis txwv tsis pub ua ib yam li ntawd.

Kev tshuaj xyuas ntawm ntau tus poj niam hauv kev ua haujlwm qhia tias koj yuav tsum tham nrog kws kho mob ua ntej yug menyuam, sib tham nrog nws txhua qhov nuances thiab qhia koj lub tswv yim txog kev ua haujlwm ntawm obstetric. Feem ntau muaj cov xwm txheej thaum kws kho mob ua si nws muaj kev nyab xeeb thiab ua qhov episiotomy nyob rau hauv rooj plaub uas nws muaj peev xwm ua yam tsis muaj nws. Noj qab nyob zoo thiab tsis txhob siv lwm txoj kev phais!