Cev xeeb tub: kuaj qhov chaw mos yog dab tsi?

Kev kuaj qhov chaw mos ua haujlwm li cas hauv kev xyaum?

Ntev ua ntej nthwv dej ntawm #Metoo thiab #Paytonuterus, peb txhua tus tau siv los kuaj qhov chaw mos, ua txhua xyoo mus ntsib kws kho mob hauv gynecologist. Tab sis cia peb hais nws li nws yog: qhov chaw mos kov yog ib qho kev cuam tshuam, uas cuam tshuam rau ib feem ntawm lub cev. Yog li, tus kws kho mob, txawm tias tus kws yug menyuam lossis tus kws kho menyuam yaus kuaj xyuas koj yuav tsum tau txais koj qhov kev tso cai ua ntej yuav kuaj qhov chaw mos. Thaum cev xeeb tub, qee tus kws kho mob tau kuaj xyuas qhov chaw mos mus kuaj tus neeg mob. Lwm tus tsis yog kiag li, txog thaum yug me nyuam.

Hauv kev xyaum, koj tau nruab pw ntawm koj sab nraub qaum ntawm lub rooj tshuaj ntsuam xyuas, koj tus ncej puab khoov thiab koj txhais ko taw so ntawm lub stirrups. Tus kws kho mob lossis tus kws yug menyuam, tom qab tso rau ntawm lub txaj tsis muaj menyuam thiab lubricated, qhia ob tus ntiv tes hauv qhov chaw mos. Nws yog ib qho tseem ceeb kom so kom txaus, vim hais tias yog cov leeg nruj, qhov kev kuaj mob me ntsis tsis kaj siab. Tus kws kho mob yuav tuaj yeem ntsuas qhov chaw ntawm lub ncauj tsev menyuam, nws qhov qhib, nws qhov sib xws, nws qhov ntev, thiab xyuas cov phab ntsa ntawm qhov chaw mos. Tom qab ntawd, thaum hnov ​​koj lub plab nrog rau lwm yam tes, nws yuav hnov ​​​​lub tsev menyuam, xyuas nws lub ntim thiab ntsuas seb lub zes qe menyuam puas zoo li qub.

Kev kuaj qhov chaw mos puas mob?

Kev kuaj qhov chaw mos yog (thiab yuav tsum yog!) xyaum maj mam. Nws tsis yog qhov tshwj xeeb tshaj plaws, tab sis nws yuav tsum tsis txhob mob. Yog tias thaum lub sijhawm kuaj xyuas koj hnov ​​​​mob, qee zaum nws yog ib qho kev tshwm sim ntawm tus kab mob lossis muaj teeb meem uas yuav tsum tau kuaj ntxiv. Tam sim ntawd ceeb toom rau tus neeg uas kuaj xyuas koj.

Kev siv qhov chaw mos thaum cev xeeb tub yog dab tsi?

Thawj zaug mus ntsib kws kho mob gynecologist tso cai rau koj kuaj xyuas tias koj cev xeeb tub. Thaum cev xeeb tub, koj tsis tuaj yeem hnov ​​​​lub tsev menyuam thaum kuaj qhov chaw mos. Nyob ntawd, tus kws kho mob pom nws zoo heev: nws yog mos hauv qhov sib xws thiab nws qhov ntim tau nce. Feem ntau, kuaj qhov chaw mos yuav luag txhua qhov kev mus ntsib ua ntej. Yuav luag, vim yog kev kuaj qhov chaw mos yog ib qho kev lig kev cai hauv kev saib xyuas cev xeeb tub, nws tsis pom zoo kom ua nws systematically ntawm txhua qhov kev sab laj. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (High Authority of Health) pom zoo tshwj xeeb tshaj yog rau cov niam txiv yav tom ntej uas muaj kev pheej hmoo ntawm kev yug menyuam ntxov ntxov. Yog li tus kws kho mob yuav nug tus poj niam cev xeeb tub kom paub seb puas muaj kev hem thawj. Ntawm palpation, lub plab yuav nyuaj, qhia tias uterine contractions uas nws tsis tas perceive. Tus niam-rau-ib yuav muaj mob nraub qaum lossis muaj tus kab mob me me. Nws kuj tseem yuav yug ntxov ntxov hauv kev xeeb tub yav dhau los. Tag nrho cov cim no yuav tsum tau kuaj xyuas kom zoo rau kev hloov ntawm lub ncauj tsev menyuam. Feem ntau, nws muaj ob qhov qhib (sab hauv thiab sab nraud) zoo kaw, thiab ntev li ntawm 3,5 cm. Nws luv luv (peb hais txog kev tshem tawm) lossis nws qhov qhib yuav tsum tau so, lossis txawm tias kev kho mob, txhawm rau zam kev yug ntxov ntxov. Raws li qhov kov tsis yog qhov tseeb, nws muaj feem cuam tshuam nrog kev kuaj xyuas zoo dua: ultrasound ntawm lub ncauj tsev menyuam.

Dab tsi yog qhov kev siv tshuaj ntsuam xyuas qhov chaw mos thaum yug menyuam?

Kev ntsuam xyuas qhov chaw mos yuav saib xyuas cov cim qhia ntawm lub ncauj tsev menyuam uas feem ntau qhia tau hais tias kev xa khoom npaj. Nws tso cai rau koj los xyuas seb qhov kev nthuav qhia fetal siab npaum li cas (lub taub hau lossis lub rooj zaum) nyob rau hauv kev sib raug zoo ntawm lub plab mog. Nws kuj tseem tuaj yeem kuaj pom qhov muaj qhov ntsaws ntsaws. Cov hnoos qeev no nyob nruab nrab ntawm ob qhov qhib ntawm lub ncauj tsev menyuam. Thaum nws qhib, cov hnoos qeev tau khiav tawm. Kev kuaj zaum kawg: lub xub ntiag ntawm ntu qis. Qhov chaw no ntawm lub cev thiab lub ncauj tsev menyuam tshwm thaum kawg ntawm cev xeeb tub. Yog tias tus kws kho mob pom tias nws nyias nyias thiab nruj nyob ib puag ncig tus menyuam lub taub hau, nws yog ib qho ntxiv rau kev xa menyuam sai.

Dab tsi yog kev siv qhov chaw mos thaum lub sijhawm ua haujlwm?

Nyob rau D-Day, koj yuav tsis yooj yim khiav nws, vim nws yog (yuav luag) qhov tseem ceeb kom ua raws li kev ua haujlwm zoo. Tab sis txhua yam yog nyob ntawm tus kws yug menyuam thiab seb txoj haujlwm puas tau nce sai. Hauv ntau lub tsev kho mob maternity, qhov nruab nrab, koj yuav pom txhua teev. Tus kws yug menyuam yuav nco ntsoov qhov kev nce qib ntawm lub ncauj tsev menyuam, nws txoj haujlwm thiab nws qhov ntev. Hom kev nthuav qhia (lub taub hau, lub rooj zaum) thiab txoj hauj lwm ntawm tus me nyuam nyob rau hauv niam lub plab mog kuj yuav tsum tau. Qhov no nyob rau hauv qhov tseeb tej yam kev mob rau txoj kev me nyuam, vim hais tias ib co kev nthuav qhia yog incompatible nrog yug los ntawm natural routes. Yog li tsis txhob xav tsis thoob yog tias qhov kev xeem ntev me ntsis! Thaum lub hnab ntim dej yuav tsum tau tho, qhov no kuj tau ua thaum kuaj qhov chaw mos, siv lub zog me me nkag rau hauv qhov qhib ntawm ncauj tsev menyuam mus rau amniotic daim nyias nyias. Tab sis so assured, qhov taw tes no tsis mob. Ntawm qhov tod tes, nws yuav tsum tau ua nrog kev saib xyuas kom tsis txhob muaj kua ntau dhau los ntawm kev ntws tawm sai heev.

Puas muaj tej yam contraindications rau kev kuaj qhov chaw mos?

Qee qhov xwm txheej cuam tshuam nrog kev txwv lossis tsis kov qhov chaw mos. Qhov no yog qhov xwm txheej yog tias leej niam poob dej ntxov ntxov. Tseeb tiag, rov qab kov ua rau muaj kev pheej hmoo ntawm tus kab mob niam-fetal. Yog li ntawd lawv yuav tsum tau xyaum nrog ceev faj. Yog tias cov placenta tso qis dhau ze ntawm lub ncauj tsev menyuam (plas tsho previa), los ntshav yuav tshwm sim, kev kuaj mob ntawm qhov chaw mos yog contraindicated vim nws yuav ua rau cov ntshav ntau zuj zus.

Editor's note: Yog tias koj tsis txaus siab rau qhov kev taw qhia no thiab koj tsis xav kuaj qhov chaw mos, tham nrog pab pawg ua ntej koj xa. Yuav tsum tsis txhob ua yam tsis tau koj tso cai. Nws yog txoj cai.