txheem
hnoos, txham, luag: vim li cas qhov tso zis tso zis thaum cev xeeb tub?
Ib me ntsis nruj nruj, hnoos hnyav, tawg loj ntawm kev luag… Rau qee tus poj niam cev xeeb tub, cov xwm txheej no tuaj yeem ua rau muaj qhov tsis xis nyob hauv cov zis.
Kom paub: so assured, tsis muaj dab tsi cuam tshuam los yog irremediaable ntawm no. Cov zis tso zis no feem ntau tshwm sim thaum kawg ntawm cev xeeb tub. Ntawm qhov teeb meem: qhov tseeb tias tus menyuam hnyav ntawm lub plab hauv plab, cov tshuaj hormonal hloov thaum cev xeeb tub uas so cov leeg nyob ib puag ncig ntawm cov zis, qhov hnyav ntawm lub tsev menyuam uas "crushes" lub zais zis. Peb tham txogkev nyuaj siab incontinence, tshwj xeeb tshaj yog vim nws tuaj yeem tshwm sim thaum lub cev tawm dag zog (piv txwv li nce ntaiv).
Nco ntsoov tias qee yam ua rau muaj kev pheej hmoo ntawm cov zis tso zis, xws li:
- rog dhau;
- qhov hnyav hnyav nce;
- cem quav;
- hnoos ntev;
- nquag kis kab mob urinary;
- haus luam yeeb.
Yuav ua li cas sib txawv ntawm kev tawg los yog poob dej, thiab tso zis tawm?
Nco ntsoov tias peb yuav tsum ua ntej ntawm txhua qhov sib txawv ntawm qhov sib txawv hauv lub hnab dej thiab qhov tawg ntawm lub hnab dej amniotic, tseem hu ua dej poob.
Nyob rau hauv cov ntaub ntawv ntawm ib tug tawg, nws yog ib lo lus nug ntawm ib tug tas mus li ntws thiab tsis tshua muaj ntws, whereas poob dej npaum li cas poob. ib tug loj npaum li cas ntawm amniotic kua, thiab txhais tau hais tias kev yug menyuam nyob ze.
Yog li, qhov sib txawv tseem ceeb ntawm lub hnab ntim dej tawg thiab tso zis tso zis yog qhov zaus ntawm kev xau. Yog tias cov zis tso tawm, qhov tso tawm yuav sai sai, thaum nws yuav kav ntev dua yog tias nws tawg hauv lub hnab dej.
Muab kev tiv thaiv kom paub
Txhawm rau kom paub meej, peb tuaj yeem mus rau chav dej kom khoob nws lub zais zis, tom qab ntawd muab cov ntaub so) lossis daim ntaub so ntswg) hauv nws cov ris tsho hauv qab, txhawm rausaib cov xim thiab cov tsos ntawm cov dej ntws los yog nchuav. Amniotic kua yog cov pob tshab ua ntej (tshwj tsis yog thaum kis kab mob), tsis muaj ntxhiab thiab ua kua li dej. Thaum cov zis yog daj thiab tsw, thiab qhov chaw mos tawm yog tuab thiab dawb.
Yog tias muaj kev tiv thaiv raws sijhawm ntub dej tom qab ob peb feeb, tsis muaj hnoos los yog straining unspecified, nws yog heev tau hais tias nws yog hais txog ib tug tawg ntawm lub hnab ntim dej. Tom qab ntawd nws yog qhov tsim nyog los sab laj sai.
Raws li kev sib txawv ntawm cov zis tawm los ntawm cov dej poob, nws yog qhov yooj yim. Kev poob dej yog qhov yooj yim pom tau, vim tias cov kua uas ntws tawm yog qhov tseem ceeb, dawb ntws. Ib zaug ntxiv, thaum tsis muaj kab mob los yog kev nyuaj siab ntawm fetus, cov kua dej ntshiab thiab tsis muaj ntxhiab.
Yuav ua li cas kom tsis txhob tso zis thaum cev xeeb tub?
Peb tuaj yeem ua ntej ntawm tag nrho cov sim txwv kev noj ntawm dej haus uas excite lub zais zis, xws li kas fes lossis tshuaj yej, uas yuav tsum txwv tsis pub dhau lub sijhawm cev xeeb tub. Peb tsis txhob nqa cov khoom hnyav. On tsum tsis txhob cuam tshuam kev ua kis las, thiab tsom mus rau cov kis las uas maj mam rau hauv pem teb pelvic, xws li ua luam dej lossis taug kev.
Nws tsis pom zoo kom txo koj cov dej haus, tab sis koj tuaj yeem ua tau mus rau chav dej tsis tu ncua, tiv thaiv kom tsis txhob zais zis.
Kuj tseem muaj cov kev tawm dag zog me me, yooj yim uas tuaj yeem ua tau los ntxiv dag zog rau cov leeg ntawm perineum, thiab yog li txwv tsis pub tawm, suav nrog thaum cev xeeb tub. Hu kegel ce, lawv muaj xws li hauv kev cog lus tag nrho ntawm nws cov perineum (los ntawm squeezing nws lub qhov quav thiab nws qhov chaw mos los tuav lub siab xav mus rau hauv chav dej) ob peb feeb, ces tso tawm thaum lub sij hawm ob lub sij hawm. Piv txwv li: ua ib tug series ntawm 5 vib nas this ntawm contraction, ces 10 vib nas this ntawm so.
Ceeb Toom: Txawm li cas los xij nws muaj zog heev tsis pom zoo kom indulge hauv kev xyaum ntawm "stop pee" uas cuam tshuam rau kev tso zis tso zis thiab tso zis dua, vim qhov no tuaj yeem cuam tshuam cov zis thiab ua rau muaj kab mob urinary.
Postpartum: qhov tseem ceeb ntawm perineal rehabilitation tom qab yug me nyuam
Yog tias qhov tso zis me me tsis loj heev thaum cev xeeb tub, lawv tuaj yeem ua rau hmoov tsis zoo thaum lub sijhawm tom qab yug menyuam. Tshwj xeeb tshaj yog txij li qhov chaw mos yug me nyuam kuj muaj tseem ceeb txwv ntawm perineum.
Tsis tas li ntawd, txhawm rau txhawm rau tshem tawm cov tso zis me me mus tas li, nws raug pom zoo kom tau txais kev kho mob perineal, rau rau rau yim lub lis piam tom qab yug menyuam. Qhov no ua tau nrog tus kws kho mob physiotherapist lossis midwife. Lawv raug them los ntawm Social Security yog hais tias lawv raug tshuaj los ntawm ib tug gynecologist los yog ib tug midwife.
Thaum cov kev sib tham thiab kev tawm dag zog no tau ua tiav ua tiav, peb tuaj yeem ua tau rov pib ua lub cev thiab kev ua kis las.
Nco ntsoov tias ib qho zoo remuscled perineum txhim kho qhov kev xav ntawm ob tus neeg koom tes thaum muaj kev sib deev sib deev nrog kev nkag mus, thiab txwv txoj kev pheej hmoo ntawm urinary incontinence tab sis kuj ntawm prolapse, los yog lub cev qhovntsej thiaj tsis mob.