Txoj haujlwm ntawm tus kws yug menyuam yog ib txoj haujlwm kho mob nrog cov kev txawj ntse uas tau teev tseg los ntawm Public Health Code (1). Tus kws kho mob tshwj xeeb hauv physiology, tus kws yug menyuam tuaj yeem saib xyuas kev xeeb tub ntawm nws tus kheej yog tias nws tsis muaj teeb meem. Yog li, nws muaj zog rau:

• ua xya qhov kev sib tham ua ntej yug menyuam;
• tshaj tawm lub cev xeeb tub;
• sau ntau yam kev kuaj cev xeeb tub (kev kuaj ntshav, kuaj zis, kuaj Down's syndrome, cev xeeb tub ultrasounds);
• ua obstetric ultrasounds;
• sau tshuaj rau cev xeeb tub;
• ua qhov kev xam phaj ua ntej rau lub hlis thib 4;
• muab cov chav kawm npaj yug me nyuam.
• nyob rau hauv maternity lossis private tsev kho mob;
• nyob rau hauv private xyaum (2);
• nyob rau hauv lub PMI center.

Thaum muaj kab mob tshwm sim (mob ntshav qab zib gestational, kev hem thawj ntawm kev yug menyuam ntxov, ntshav siab, thiab lwm yam), tus kws kho mob yuav siv sijhawm. Txawm li cas los xij, tus kws yug menyuam muaj peev xwm xyaum tau txais kev saib xyuas los ntawm tus kws kho mob no.

Nyob rau D-hnub, tus kws yug menyuam tuaj yeem ua kom muaj menyuam yog tias nws tseem nyob hauv lub cev. Thaum muaj teeb meem, nws yuav hu rau tus kws kho mob, tsuas yog ib qho kev tso cai los ua qee yam xws li kev siv twj tso kua mis (forceps, suction khob) los yog seemarean. Tom qab yug me nyuam, tus kws yug me nyuam muab kev pab thawj zaug rau tus menyuam mos thiab leej niam, tom qab ntawd ua raws li kev yug menyuam, kev kuaj mob tom qab yug menyuam, tshuaj tiv thaiv kab mob, kho perineal rehabilitation.

Raws li ib feem ntawm kev txhawb nqa tag nrho, tus kws yug menyuam muab kev saib xyuas cev xeeb tub thiab muaj kev nkag mus rau cov txheej txheem kev kawm hauv tsev kho mob poj niam txiv neej txhawm rau ua tiav kev yug menyuam. Hmoov tsis zoo, ob peb tus poj niam cev xeeb tub tau ua raws li qhov kev tshuaj xyuas no, feem ntau vim tsis pom zoo nrog cov tsev kho mob me nyuam.

Tsis zoo li tus kws yug menyuam, tus kws kho menyuam yaus tuaj yeem saib xyuas cov kab mob hauv lub cev: ntau lub cev xeeb tub, mob ntshav qab zib gestational, ntshav siab, kev hem thawj ntawm yug ntxov ntxov, thiab lwm yam. Nws ua haujlwm nyuaj (ntau tus me nyuam, breech tus me nyuam), kev xa khoom los ntawm kev siv twj tso kua mis (suction. khob, forceps) thiab esarean seem. Nws tseem raug hu rau txhua yam teeb meem tom qab yug me nyuam, xws li kev xa ntshav hemorrhage.

Obstetrician gynecologist tuaj yeem ua haujlwm:

• nyob rau hauv kev xyaum ntiag tug uas nws ua kom muaj kev soj ntsuam ntawm cev xeeb tub, thiab ua cov khoom xa tuaj hauv tsev kho mob ntiag tug lossis tsev kho mob pej xeem;
• nyob rau hauv lub tsev kho mob, qhov chaw uas nws saib xyuas cov kev pheej hmoo ntawm cev xeeb tub;
• nyob rau hauv ib lub tsev kho mob ntiag tug, uas nws saib xyuas kev xeeb tub thiab kev yug menyuam.

Tus kws kho mob tuaj yeem tshaj tawm txog kev xeeb tub thiab, yog tias cev xeeb tub tsis muaj teeb meem, kev mus ntsib ua ntej mus txog rau lub hli 8. Hauv kev xyaum, txawm li cas los xij, ob peb leej niam yav tom ntej xaiv lawv tus kws kho mob los saib xyuas lawv cev xeeb tub. Tus kws kho mob tuaj koom tseem muaj lub luag haujlwm ntawm kev xaiv nrog tus poj niam cev xeeb tub los kho cov kab mob me me txhua hnub, tshwj xeeb tshaj yog kev noj tshuaj rau tus kheej yuav tsum zam thaum cev xeeb tub thiab qee qhov mob, mob me me hauv lub sijhawm ib txwm muaj, yuav tshwm sim. ib daim paib ceeb toom thaum cuaj lub hlis ntawd. Piv txwv li kub taub hau yuav tsum yog ib qho kev sib tham. Tus kws kho mob dav dav ces yog tus neeg nyob ze ntawm kev xaiv.

Txawm hais tias cev xeeb tub tsis muaj qhov ua ntej muaj teeb meem, nws tuaj yeem ua raws li koj lub nroog gynecologist thiab mus rau npe ntawm lub tsev kho mob ntiag tug uas nws ua haujlwm kom nws ua kom muaj kev xa khoom. Rau qee leej niam yav tom ntej, nws yog qhov tseeb tias yuav tsum ua raws li tus neeg paub. Lwm qhov ua tau: yuav tsum tau ua raws li koj lub nroog gynecologist thiab sau npe ntawm lub tsev kho mob lossis chaw maternity koj xaiv, rau ntau yam: qhov sib thooj, nyiaj txiag (nyob ntawm qhov sib koom ua ke, tus nqi xa khoom ntawm gynecologist hauv tsev kho mob ntiag tug yog ntau dua lossis tsis tshua muaj kev txhawb nqa), tsim txoj cai yug me nyuam, thiab lwm yam. Cov kev sib tham ua ntej yug me nyuam ntawm lub peb hlis ntuj kawg yuav tsum tau ua nyob rau hauv lub tsev lag luam, uas yuav tau txais cov ntaub ntawv cev xeeb tub los ntawm gynecologist.

Qee cov niam tsev yav tom ntej tau xaiv los ua raws li tus poj niam muaj kev ywj pheej, hais txog lawv txoj kev kho mob tsawg dua, kev mloog ntau dua, tshwj xeeb tshaj yog rau txhua yam mob me me hauv lub neej niaj hnub, thiab muaj ntau dua - tab sis nws tsis yog ib lo lus nug ntawm qhov kev xav ntawd. Cov nyiaj txiag tseem tuaj yeem coj mus rau hauv tus account: feem ntau ntawm cov kws yug menyuam tau cog lus hauv ntu 1, thiab yog li tsis pub tshaj tus nqi.

Hom kev yug me nyuam uas xav tau kuj raug coj mus rau hauv tus account thaum xaiv tus kws kho mob. Yog li cov niam uas xav kom yug me nyuam lub cev yuav tig tau yooj yim dua mus rau ib tus kws yug me nyuam liberal, los yog ua raws li hauv ib chav tsev me nyuam muab, piv txwv li, lub chaw physiological.

Tab sis thaum kawg, qhov tseem ceeb tshaj plaws yog xaiv ib tus neeg uas koj ntseeg siab, rau leej twg koj twv kom nug cov lus nug lossis qhia koj qhov kev ntshai txog kev xeeb tub thiab kev yug menyuam. Cov tswv yim tseem ceeb yuav tsum tau coj mus rau hauv tus account: tus kws kho mob yuav tsum tau yooj yim rau kev teem sijhawm lossis hauv xov tooj thaum muaj teeb meem, thiab nws yuav tsum tau mus rau kev sib tham tau yooj yim, tshwj xeeb tshaj yog nyob rau lub quarter kawg thaum nws nyuaj heev. mus ncig. .