Muaj tseeb-tsis tseeb ntawm episiotomy

Ntsuam xyuas koj qhov kev paub ntawm episiotomy

"Episiotomy sib raug rau kev phais mob thaum yug me nyuam kom tsis txhob muaj kua muag loj hauv perineum", tus phab ntsa sab hauv ntawm lub plab, piav qhia Dr Frédéric Sabban, kws kho menyuam yaus-gynecologist hauv Paris. Qhov kev phais mob no yog ua los ntawm kev phais ntawm 4 mus rau 6 cm ntawm qhov qhib ntawm qhov chaw mos, vertically lossis obliquely. Nyob rau hauv txoj kev no, kev tso tawm ntawm tus me nyuam lub taub hau yog yooj yim thaum lub sij hawm yug me nyuam, tsis muaj kev tswj tsis tau tearing qhov chaw. Puas yog systematic? Yuav tsum zam kev sib deev thaum kho? Peb puas yuav tsum hloov peb tus cwj pwm kev nyiam huv? Lub ntsiab lus nrog qhov tseeb / cuav ntawm episiotomy.

Episiotomy yog ua txhua hnub

Tsis tseeb. Yog tsis muaj systematic, episiotomy yuav ua tau nyob rau hauv 20 mus rau 50% ntawm cov khoom xa tuaj hauv Fabkis raws li Dr Sabban. Nws yog tshwj xeeb yog pom zoo nyob rau hauv cov ntaub ntawv ntawm ib tug extraction ntawm tus me nyuam siv forceps. Raws li Dr Sabban, qhov kev txiav txim siab seb puas yuav mus txuas ntxiv nrog tus kabmob episiotomy yog "tus kws kho mob lossis tus kws yug menyuam nyob ntawm" thiab tau ua thaum lub sijhawm kawg, thaum tus menyuam lub taub hau tshwm. Txawm li cas los xij, koj tuaj yeem tham txog qhov no ua ntej nrog pawg kws kho mob uas yuav saib xyuas koj, kom txhua yam mus zoo li ua tau thaum lub sijhawm xa khoom.

Yog tsis muaj episiotomy, qee zaum muaj kev pheej hmoo ntawm lub kua muag

Muaj tseeb. Yog tias tsis ua episiotomy thaum tsim nyog, muaj kev pheej hmoo ntawm ” kua muag ntawm sphincter, tshwj xeeb tshaj yog nyob rau hauv lub qhov quav, uas yuav ua rau muaj teeb meem nrog qhov quav incontinence, ” ceeb toom tus obstetrician-gynecologist. Episiotomy yog li ntawd feem ntau muab los ua kev tiv thaiv kom tsis txhob muaj qhov pheej hmoo ntawm cov teeb meem no. Nws yog txawm li cas los xij a teeb meem, vim qee cov kws kho mob hais tias episiotomy ua tau zoo heev.

Lub suture ntawm episiotomy yog mob

Tsis tseeb. Tom qab kev yug menyuam tiav, lub episiotomy yog sutured. Raws li nrog rau episiotomy nws tus kheej, suture feem ntau ua nyob rau hauv cov tshuaj loog epidural yog hais tias tus poj niam muaj nws, los yog nyob rau hauv lub zos tshuaj loog yog hais tias tus me nyuam tshwm sim tsis muaj ib tug epidural. Ib tug priori qhov tseeb ntawm stitching yuav tsum tsis txhob mob, txij li thaum lub cheeb tsam yog pw tsaug zog.

Cov suture yog ua tiav nrog cov xov uas feem ntau absorbable thiab yuav poob ntawm lawv tus kheej tom qab ob peb lub lis piam.

Koj yuav tsum tau tos ua ntej rov pib lub neej pw ua ke

Muaj tseeb. Nyob rau sab ntawm kev sib deev kev sib deev, gynecologists yog qhov tsis txaus siab. Lawv tawm tswv yim tawm tsam kev sib deev ua ntej ib hlis mus rau rau lub lis piam. "Raws li txoj cai dav dav, peb qhia koj kom tos lub sij hawm tom qab yug me nyuam" tau npaj nrog tus kws kho mob gynecologist lossis tus kws yug menyuam, cov ntsiab lus ntawm Dr. Sabban. Vim tias tsis yog kev sib deev tuaj yeem ua rau mob ua ntej hnub no, tab sis caws pliav tuaj yeem rov qhib thiab ua rau muaj teeb meem. Thaum lub sij hawm kev sib tham tom qab yug me nyuam, tus kws kho mob lossis tus kws yug menyuam yuav saib seb qhov caws pliav los ntawm tus kab mob episiotomy tau hloov zuj zus mus li cas thiab muab "lub teeb ntsuab" los rov pib dua.

Tsis tas yuav tsum tau them nyiaj tshwj xeeb rau kev nyiam huv ntawm thaj chaw

Tsis tseeb. Dr Sabban advises to Kev ntxuav koj tus kheej kom zoo tom qab mus rau chav dej kom lub sijhawm kho, kom tsis txhob muaj kev pheej hmoo ntawm kev kub hnyiab lossis kis kab mob. Yog tias koj pom tias muaj ntxhiab tsw los yog xim txawv ntawm qhov chaw mos, nws yog qhov zoo tshaj rau kev sab laj yam tsis tau ncua vim qhov no yuav yog ib qho cim ntawm tus kab mob, uas yuav ncua kev kho. Tsis tas li ntawd xyuas kom cov caws pliav yog ib txwm qhuav los ntawm patting nws nrog cov phuam huv huv los yog siv lub tshuab ziab plaub hau.