episiotomy ua haujlwm li cas?

Puas yog episiotomy systematic?

Tau ntau xyoo, episiotomy yog qhov tshwm sim, tshwj xeeb tshaj yog thaum yug menyuam thawj zaug (ntau tshaj ib leej niam

Ob!). Cov kev tshawb fawb tau pom tias thaum xyaum ua kom zoo, nws tsis muaj txiaj ntsig rau leej niam thiab tus menyuam. Txij li xyoo 2005 thiab cov lus pom zoo ntawm National College of French Gynecologists thiab Obstetricians, pab pawg tau txhim kho lawv cov kev coj ua thiab tus nqi tau nce mus rau 20%.

Qhov kev cuam tshuam no yuav tsum tau tiv thaiv qhov kev pheej hmoo ntawm kev tsim kua muag thiab tiv thaiv kev tso zis los yog prolapse (lub cev qhovntsej thiaj tsis mob). Ntau qhov kev tshawb fawb tom qab tau pom qhov tsis sib xws. Ib qho episiotomy tiag tiag yuav muaj kev pheej hmoo ntau dua li cov kua muag niam, vim tias qhov kev phais feem ntau loj dua, xav tau cov sutures, ua rau los ntshav ntau dua thiab kho sai dua. Xyoo 2005, Lub Tsev Kawm Qib Siab ntawm Fab Kis Gynecologists luam tawm cov lus pom zoo los txwv qhov kev coj ua no. Pab neeg kho mob yuav tsum tsuas yog ua qhov episiotomy thaum lawv pom tias nws tsim nyog tiag tiag. Cov lus pom zoo no tau hnov ​​txij li thaum raws li qhov kev tshawb fawb tshiab los ntawm Ciane, ib pawg neeg siv cov koom haum, tus nqi ntawm episiotomies tau txo qis hauv 2013. Nws sawv ntawm 30%.

Puas yog episiotomy mob?

Lub episiotomy, ib qho incision ua nyob rau hauv lub perineum los pab txhawb kev tawm ntawm tus me nyuam, yog ntshai los ntawm ntau leej niam.

Feem ntau, qhov incision hardly mob. Ua ntej ntawm tag nrho cov, vim hais tias, nyob rau hauv epidural, tag nrho cov mob yog txo. Tsis tas li ntawd, vim hais tias tus kws kho mob feem ntau incises thaum lub sij hawm contraction, uas captures koj tag nrho cov xim. Lub suture yog mob ntau dua. Tab sis feem ntau nws yog cov ntsiab lus ntawm kev siv tshuaj loog hauv zos nrog xylocaine, lossis locoregional, nqa tawm tib lub sijhawm raws li epidural. Nws yog nyob rau thawj ob peb hnub, thiab qee zaum thawj lub lis piam, uas tus kab mob episiotomy yog qhov teeb meem tshaj plaws.

Puas yog episiotomy yuav tsum tau ua rau tus menyuam thawj zaug?

Tsis tas li. Raws li kev tshawb fawb perinatal xyoo 2016, tus nqi episiotomy yog 34,9% rau thawj tus me nyuam, 9,8% rau cov hauv qab no. Ib qho episiotomy tuaj yeem ua tau thaum tus menyuam hnyav dua li qhov nruab nrab lossis yog tias lawv lub taub hau loj dhau, lawv lub plawv dhia qeeb thiab lawv qhov kev tawm yuav tsum tau nrawm dua. Qhov kev cuam tshuam no tseem raug txiav txim siab yog tias tus me nyuam nyob hauv breech piv txwv lossis yog leej niam lub perineum tsis yooj yim.

Yuav nrhiav tau hauv video: Yuav ua li cas kom tsis txhob episiotomy?

Peb puas tuaj yeem tsis lees paub qhov episiotomy?

Tsis muaj txoj cai kho mob lossis kev kho mob tuaj yeem ua tau yam tsis muaj kev tso cai pub dawb thiab ceeb toom los ntawm tus neeg. Yog li ntawd, koj tuaj yeem tsis kam muaj episiotomy. Nws yog ib qho tseem ceeb uas koj tham txog qhov no nrog koj tus kws kho mob gynecologist lossis tus kws yug menyuam. Koj tuaj yeem hais txog koj qhov tsis kam lees ntawm episiotomy hauv koj txoj kev npaj yug menyuam. Txawm li cas los xij, nyob rau hnub xa khoom, yog tias pab pawg txiav txim siab tias qhov episiotomy yog qhov tseem ceeb, koj yuav tsis tuaj yeem tawm tsam nws.

Puas yog epidural cuam tshuam rau episiotomy?

Ob leeg tsis muaj feem cuam tshuam. Ib tug poj niam uas nyob rau hauv ib qho epidural yuav tsis tas yuav muaj tus kab mob episiotomy. Txawm li cas los xij, nws yog qhov tseeb tias cov kab mob epidural, insofar raws li nws loog ntawm perineal cheeb tsam, tuaj yeem ua rau tsis ncaj ncees lawm thrusts uas stretch lub perineum ntau dhau. Yog li ntawd, episiotomy tej zaum yuav tsim nyog.

Yuav ua li cas kom tsis txhob episiotomy?

Txhawm rau soften lub perineum thiab ua kom nws ncab me ntsis ntawm D-Day, "koj tuaj yeem zaws nws ob peb lub lis piam ua ntej yug me nyuam nrog roj zaub li kaum feeb. Qhov kev sib raug zoo no yuav txo qis me ntsis kev pheej hmoo ntawm muaj episiotomy *. Txawm li cas los xij, qhov no yuav tsum tau ua kom xis nyob nrog koj lub cev, uas tsis yog muab rau txhua tus niam uas xav tau, "hais tias xibfwb Deruelle. (IH)

nrog Xib fwb. Philippe Deruelle obstetrician, tus tuav ntaub ntawv ntawm College of French gynecologists thiab obstetricians.

* 2016 perinatal daim ntawv ntsuam xyuas