txheem
Contrary rau ib tug dav tuav lub tswv yim, tsuas yog vim hais tias peb yug los ntawm cesarean seem rau peb thawj tus me nyuam tsis tau txhais hais tias nws yuav zoo ib yam rau cov tom ntej. Cov duab ua pov thawj nws: 50% ntawm cov poj niam uas tau muaj ib tug caesarean yog muaj ib tug natural txoj kev sim rau lawv tus thib ob me nyuam. Thiab rau peb lub hlis twg ntawm lawv, nws ua haujlwm! Nws yog qhov tseeb tias yav dhau los cov kws kho mob tau siv los ua cov txheej txheem phais mob rau cov niam uas twb muaj lawm. Lo lus nug ceev faj: thaum lub tsev me nyuam raug txiav, muaj kev pheej hmoo ntawm rupture ntawm lub tsev menyuam. Thaum lub sijhawm ua haujlwm, qhov caws pliav tuaj yeem muab txoj hauv kev raws li qhov kev cog lus. Tshwj xeeb tshaj yog txij li cov elastic fibers ntawm daim tawv nqaij yog ntau tsawg saj zawg zog nyob rau hauv cov cheeb tsam no.
Lub rupture ntawm lub tsev menyuam ua rau hemorrhage thiab lub txim rau tus me nyuam, deprived ntawm nws oxygen mov, yuav irreversible. Txawm li cas los xij, qhov teeb meem no tsis tshua muaj heev (0,5%). Hnub no, yog tsis yog tsis yog qhov laj thawj kho mob tas mus li (pelvis nqaim dhau lawm, kub siab ...) uas ua rau thawj zaug phais, tsis muaj laj thawj tsis txhob sim txoj kev qis dua lwm zaus. Cov lus nug no yuav tham nrog koj tus kws kho mob tshwj xeeb thaum lub hli 8 kev sib tham.
Kev yug me nyuam tom qab phais tas: 4 yam ua tau zoo
- Koj tsuas muaj ib qho kev phais xwb.
Kev yug me nyuam hauv qhov chaw mos yog qhov ua tau.
- Ua hauj lwm pib spontaneously.
Hauv qhov no, qhov kev pheej hmoo ntawm uterine rupture yog 0,5%, thaum nws yog ob npaug yog tias pib yug. Tab sis dua tsis txhob ntshai, nws tag nrho yog nyob ntawm cov khoom siv. Raws li National College of Obstetricians thiab Gynecologists, prostaglandins, zoo li misoprostol, muaj feem xyuam nrog kev pheej hmoo ntawm uterine rupture. Hauv qhov sib piv, ceev faj siv oxytocin yog ua tau.
- Thawj tus kws phais mob tau tshaj li ib xyoos.
Lub tsev menyuam yuav tsum tau tso cai rau lub sijhawm kom kho tau zoo. Qhov zoo tshaj plaws yog pib cev xeeb tub tsawg kawg ib xyoos tom qab yug menyuam kawg.
- Koj tau yug los lawm
Koj tus menyuam thawj zaug, piv txwv li, yug los ntawm qhov chaw mos thiab qhov thib ob los ntawm kev phais.
Qhov chaw mos tom qab 2 lub lis piam
Nws yuav tsum raug sau tseg tias tom qab ob qhov kev phais phais, qhov teeb meem nce ntxiv. Txawm hais tias ib tus neeg sim qhov chaw mos yug los yog ua ib qho kev phais, qhov kev pheej hmoo yog sib npaug: uterine rupture ntawm ib sab, hemorrhage ntawm lwm yam. Tab sis feem ntau, cov kws kho mob nyiam mus rau qhov chaw phais.
Qhov chaw mos tom qab yug me nyuam: ntxiv kev soj ntsuam ntawm D-hnub
Kev yug me nyuam hauv qhov chaw mos tom qab phais tas yog saib xyuas zoo vim muaj kev pheej hmoo ntawm uterine rupture. Qhov teeb meem no tshwm sim los ntawm ntau yam txawv txav thaum lub sij hawm ua hauj lwm: hloov lub plawv dhia, los ntshav, muaj mob hnyav nyob rau hauv lub plab mog txawm lub epidural. Cov me me, ntau qhov tsis sib xws yuav tsum nyiam mloog. Hauv qee qhov maternity, sab hauv tocometry yog siv los saib xyuas qhov kev siv ntawm kev cog lus. Cov txheej txheem no suav nrog tso cov sensors hauv lub tsev menyuam txhawm rau ntsuas qhov contractions. Yog hais tias txawm tias cov kev ceev faj no tshwm sim uterine rupture, nws yog ib qho tsim nyog yuav tsum tau ua ib qho kev phais thaum muaj xwm txheej ceev, txiav cov ntshav thiab tom qab ntawd kho qhov txhab.