txheem
Maternity stay: yuav ua li cas
Nyob rau hauv lub tsev kho mob maternity yuav tsum xub tso cai rau tus niam hluas kom rov qab tau lub cev. Txog li 4 hnub, nws yuav sim so, thaum yoog raws li nws tus menyuam yug tshiab. Cov neeg ua haujlwm txawj ntse yuav pab nws saib xyuas nws. Thaum nws los txog rau tus menyuam thawj zaug, ob peb hnub no tau siv los ua kom tau txais cov kev xav tseem ceeb los saib xyuas koj tus menyuam thiab pib pub niam mis zoo. Cov neeg zov me nyuam feem ntau mob siab los pab tus niam hluas kom xis nyob hauv nws txoj hauj lwm tshiab. Pab neeg kho mob ua ntau dua li tsuas yog muab kev saib xyuas lub cev thiab lub siab lub ntsws. Nws pab nws nyob rau hauv tag nrho nws cov txheej txheem kev tswj hwm, qhia nws txog kev hloov pauv ntawm kev tshaj tawm rau pej xeem. Nws kuj ua haujlwm hauv kev sib koom tes nrog cov kws saib xyuas neeg mob ntawm Niam thiab Me Nyuam Kev Tiv Thaiv (PMI), thaum muaj kev xav tau tshwj xeeb ntawm leej niam. Tab sis lub hom phiaj tseem ceeb ntawm qhov chaw nyob no yog saib xyuas kev noj qab haus huv ntawm tus poj niam hluas thiab nws tus menyuam. Tseeb tiag, txawm tias feem coob ntawm kev yug me nyuam mus zoo thiab txhua yam rov qab mus rau qhov qub sai sai, cov teeb meem tseem tuaj yeem tshwm sim.
Maternities: Cov xwm txheej txawv heev niaj hnub no
Maternity lub neej tau hloov ntau heev nyob rau hauv xyoo tas los no, txawm hais tias nyob rau hauv tej rooj plaub nws pom tseeb tias zoo li lub tsev kho mob classic heev.
Tom qab sawv ntxov sawv ntxov (6 teev sawv ntxov lossis 30 teev sawv ntxov), tus kws saib xyuas neeg mob lossis tus kws yug menyuam hais kom tus niam ntsuas nws qhov kub thiab txias, tshuaj xyuas nws cov ntshav siab thiab mem tes thiab tom qab ntawd ua haujlwm, yog tias tsim nyog, saib xyuas cov nti. tav su yog tshwj tseg rau kev mus ntsib. Cov pab zov me nyuam saib xyuas tus me nyuam, txawm tias nws niam los yog tsis nyob. Qee tus niam txiv tso nws hauv nws niam chav rau hmo ntuj, thaum lwm tus muab nws coj mus. Yog tias koj pub niam mis, nws yog qhov zoo tshaj kom koj tus menyuam nyob ze koj. Kev soj ntsuam kev kho mob tam sim no heev. Pab neeg saib xyuas kev noj qab haus huv tuaj ob zaug ib hnub, sawv ntxov thiab yav tsaus ntuj, coj tus niam hluas qhov kub thiab txias, nws cov ntshav siab, saib xyuas lub tsev menyuam rov qab los rau nws qhov loj me, lub perineum, lub xeev circulatory (vim muaj kev pheej hmoo ntawm phlebitis hauv 7 teev. kev yug me nyuam), ob lub mis, episiotomy caws pliav ...
Hauv ntau qhov chaw, muaj kev vam meej hauv kev kho mob tom qab yug me nyuam. Nws yog ib tug kiv puag ncig yuav luag ib qho tseem ceeb li kev yug me nyuam tsis muaj mob. Nws tsis yog kom txog rau thaum lub thib ob ib nrab ntawm lub xyoo pua nees nkaum kom pom qhov tshwm sim thiab kev nthuav dav ntawm thawj txoj kev yug menyuam tsis mob. Tab sis thaum tus me nyuam yug los, tsis muaj leej twg saib xyuas lawv niam txoj kev noj qab haus huv. Hmoov zoo, qhov no tsis yog hnub no lawm.
Muaj cov txheej txheem txhawb nqa. Feem ntau, kev sib xyaw ua ke ntawm cov tshuaj tua kab mob, hom tshuaj paracetamol, thiab tshuaj tiv thaiv kab mob txaus ua rau qhov mob tom qab yug menyuam ploj; Txoj kev kho no yog sib haum nrog kev pub niam mis. Cov ntawv xov xwm los ntawm cov kws saib xyuas kev noj qab haus huv txhawb kom cov menyuam yug tshiab tau txais txiaj ntsig los ntawm nws. Ua ntej sau npe, xyuas nrog koj lub tsev kho mob maternity kom paub seb lawv puas siv lawv vim nws yuav hloov koj lub neej. Koj yuav tsis nkees thiab muaj ntau dua rau koj tus menyuam thiab cov neeg nyob ze koj.
Kev saib xyuas yog nce tus kheej, tus niam tshiab feem ntau muaj kev ywj pheej ntau dua hauv nws chav. Yog li sai li sai tau thaum cov teebmeem ntawm epidural tau hnav tawm, koj yuav tau zoo lawm thiab koj tuaj yeem ua lub neej zoo li qub. Paub hais tias nws yog pom zoo kom mus sai li sai tau mus tsim kho cov ntshav ncig slowed down thaum lub sij hawm cev xeeb tub, tiv thaiv tej kev uas yuav phlebitis thiab pab txhawb lub chaw ua hauj lwm ntawm ob lub raum.
Feem ntau koj tuaj yeem da dej thaum sawv ntxov. Tom qab ntawd, yog tias koj tus mob tso cai rau nws, thiab yuav luag txhua zaus, tsis muaj dab tsi tiv thaiv koj ntawm kev hnav khaub ncaws thiab pleev xim. Kom tau txais cov qhua, nws yog qhov zoo dua. Yog tias koj nkees nkees, nyiam nyeem ntawv, saib TV lossis xav khaws koj tus kheej ntiag tug, piv txwv li pub mis rau koj tus menyuam, tsis txhob yig nug pawg saib xyuas kev noj qab haus huv kom tsis txhob tso cov neeg tuaj saib hauv koj chav.
Ntau lub tsev kho mob maternity nrhiav kev koom nrog txiv nyob rau hauv kev saib xyuas ntawm tus me nyuam. Cov chaw tsim khoom no muab rau nws muaj peev xwm sib koom niam chav nrog rau nws cov pluas noj. Qee zaum, koj tuaj yeem xaiv koj cov ntawv qhia zaub mov thiab caw qee cov neeg koj hlub tuaj noj su lossis noj hmo.
Kev saib xyuas me nyuam
Peb saib xyuas nws qhov hnyav nkhaus uas, tom qab lub caij nplooj zeeg zoo kawg nkaus, pib nce ntxiv rau hnub peb. Tus me nyuam mos kuj tau txais txiaj ntsig los ntawm kev tshuaj ntsuam xyuas rau qee yam kab mob (Guthrie kuaj) uas yuav tsum tau kho sai li sai tau: hypothyroidism, phenylketonuria, cystic fibrosis, thiab lwm yam.
Cov neeg ua haujlwm saib xyuas menyuam yaus thiab cov neeg saib xyuas menyuam yaus muab kev saib xyuas tsim nyog rau nws, uas lawv qhia tus niam hluas yog tias nws xav tau.
Yog tias tus menyuam yug los ntawm kev phais, tus niam yuav nkees ; zoo li tom qab txhua qhov kev phais, koj yuav tsum rov qab maj mam. Peb caw tus txiv coj nws qhov chaw mus kawm thiab, saib xyuas nws tus menyuam, hloov nws, ntxuav nws.
Niam txoj kev kho mob soj ntsuam
Thawj ob peb hnub tom qab yug me nyuam, uterine contractions ua rau los ntshav, uas yog hu ua lochia. Qhov kev tso tawm liab liab no yog sib xyaw ntawm cov hlab ntsha me me thiab cov kab mob hauv lub tsev menyuam. Lawv ib txwm muaj tsawg dua tom qab yug me nyuam vim tias cov placenta raug tshem tawm manually. Nyob rau hauv txhua rooj plaub, lawv regress, kav ib ob peb hnub thiab tig los ntawm kaj liab mus rau xim av. Kev rov qab los ntawm cov pawm, uas yog, qhov pib ntawm kev coj khaub ncaws, tshwm sim 6 mus rau 8 lub lis piam tom qab. Txhua tag kis tus poj niam tus poj niam tshuaj xyuas lochia thiab, nrog rau gynecologist, nws kuj nrhiav kev tiv thaiv kev pheej hmoo.
Tam sim ntawd tom qab yug me nyuam, hnyav heev los yog ntev tso tawm qhia tias hemorrhage. Nws tseem yog qhov ua rau niam txiv tuag nyob rau Fabkis niaj hnub no. Ua los ntawm qhov tsis zoo tag nrho ntawm cov placenta, kev ua haujlwm tsis zoo ntawm lub tsev menyuam, qhov tsim kua muag ntawm lub ncauj tsev menyuam lossis lwm yam, cov ntshav ntshav yuav tsum muaj kev cuam tshuam zoo heev ntawm pab pawg kws kho mob.
Cov teeb meem venous tuaj yeem tshwm sim tom qab. Txij thaum yug los, lub cev tsim cov tshuaj anticoagulants los tiv thaiv kev pheej hmoo los ntshav. Qee zaum cov pob me me tshwm sim hauv cov ceg qis thiab tuaj yeem ua rau phlebitis uas yuav raug kho. Qhia txog qhov mob, liab liab lossis edema nyob rau hauv qis qis thiab nco ntsoov tias kev sawv thiab taug kev ntxov heev tom qab yug me nyuam yog qhov kev tiv thaiv zoo tshaj plaws, tshwj tsis yog tias tsis muaj kev kho mob.
Ua npaws tej zaum yuav yog ib qho cim ntawm tus kab mob uterine, txuas rau kev tsis zoo ntawm lub tsev menyuam uas qeeb kom rov ua tau nws qhov loj me me ua ntej. Kev kis kab mob ua rau muaj ntxhiab tsw ntawm lochia. Nws yuav tsum tau muaj cov tshuaj uas tsim nyog.
Cov kab mob urinary, tshwj xeeb tshaj yog cystitis, muaj ntau heev Thaum lub sij hawm no vim yog so ntawm lub sphincters, mob ntawm lub zais zis thiab rov tso zis catheters, tshwj xeeb tshaj yog tom qab ib tug cesarean seem, tab sis kuj qee zaum thaum yug me nyuam. Yog tias koj hnov mob kom tso zis thaum mob kub hnyiab, koj yuav tsum ceeb toom rau pawg neeg saib xyuas kev noj qab haus huv, leej twg yuav sau ntawv kho mob.
Tom qab yug tus me nyuam thib peb los yog tom qab phais tas, uterine contractions yog mob ntau dua
Qhov no yog hu ua trenches, lub ntuj tshwm sim nrog rau lub tsev menyuam retraction thiab tshem tawm ntawm cov hlab ntsha. Lawv pib nyob rau hauv 24 teev tom qab yug me nyuam, los yog nyob rau hauv 12 teev tom qab phais, thiab feem ntau kav rau peb los yog plaub hnub. Yog tias koj mob, qhia rau tus kws saib mob lossis tus kws yug menyuam uas yuav qhia cov tshuaj uas tsim nyog. Thaum tos kom lawv siv tau, muaj qee txoj hauv kev yooj yim los pab koj:
- Pw ntawm koj lub plab los yog ntawm koj sab. Thaum koj xav tias qhov contractions tuaj, ua rau koj tus kheej xis nyob li sai tau los ntawm nias lub hauv ncoo tiv thaiv koj lub tsev menyuam. Nws yog ib qho mob me ntsis thaum xub thawj, tab sis koj sai sai tau txais txiaj ntsig zoo.
- So kom txaus. Thaum tus spasm tuaj txog, kaw koj ob lub qhov muag, so kom ntau li ntau tau, thiab ua pa tob rau lub sijhawm ntawm qhov contraction.
- Nqus koj lub tsev menyuam nrog cov lus tsa suab me me. Koj yuav tsum xav tias nws cog lus nyob rau hauv koj cov ntiv tes. Rov ua dua txhua plaub teev thiab zoo dua ua ntej pub mis. Lochia feem ntau nce tom qab hom kev zaws no, qhia tus kws kho mob kom nws tsis txhob txhawj vim tsis muaj laj thawj.
Tom qab yug tus me nyuam thib peb los yog tom qab phais tas, uterine contractions yog mob ntau dua
Qhov no yog hu ua trenches, lub ntuj tshwm sim nrog rau lub tsev menyuam retraction thiab tshem tawm ntawm cov hlab ntsha. Lawv pib nyob rau hauv 24 teev tom qab yug me nyuam, los yog nyob rau hauv 12 teev tom qab phais, thiab feem ntau kav rau peb los yog plaub hnub. Yog tias koj mob, qhia rau tus kws saib mob lossis tus kws yug menyuam uas yuav qhia cov tshuaj uas tsim nyog. Thaum tos kom lawv siv tau, muaj qee txoj hauv kev yooj yim los pab koj:
- Pw ntawm koj lub plab los yog ntawm koj sab. Thaum koj xav tias qhov contractions tuaj, ua rau koj tus kheej xis nyob li sai tau los ntawm nias lub hauv ncoo tiv thaiv koj lub tsev menyuam. Nws yog ib qho mob me ntsis thaum xub thawj, tab sis koj sai sai tau txais txiaj ntsig zoo.
- So kom txaus. Thaum tus spasm tuaj txog, kaw koj ob lub qhov muag, so kom ntau li ntau tau, thiab ua pa tob rau lub sijhawm ntawm qhov contraction.
- Nqus koj lub tsev menyuam nrog cov lus tsa suab me me. Koj yuav tsum xav tias nws cog lus nyob rau hauv koj cov ntiv tes. Rov ua dua txhua plaub teev thiab zoo dua ua ntej pub mis. Lochia feem ntau nce tom qab hom kev zaws no, qhia tus kws kho mob kom nws tsis txhob txhawj vim tsis muaj laj thawj.
Perineal kho kuj tseem ua tib zoo saib xyuas.. Thaum yug me nyuam thawj zaug, ntau tshaj ib nrab ntawm cov poj niam raug kev txom nyem los ntawm cov kua muag ntawm cov mucous daim nyias nyias thiab txawm ntawm cov leeg perineal. Yog hais tias nws yog me me kua muag, stitched nyob rau hauv ob peb feeb, nws zoo nyob rau hauv 48 teev, lub cheeb tsam yog heev irrigated. Ib qho episiotomy caws pliav yuav siv sij hawm ntev me ntsis. Yog tias qhov caws pliav mob, qhia rau tus kws yug menyuam uas yuav nrhiav kev kho kom raug thiab saib xyuas qhov kev ua tiav.
Tom qab phais tas
Qhov kev cuam tshuam no cuam tshuam txog 20% ntawm kev xa khoom hauv Fab Kis. Thaum tus me nyuam yug los ntawm kev phais mob, qhov tshwm sim txawv me ntsis. Nyob ntawm qhov chaw tsim khoom, tus niam yuav nyob 4 mus rau 9 hnub hauv tsev kho mob maternity. Kev phais, ntu caesarean tuaj yeem ua rau qee qhov tsis yooj yim, xws li nyuaj rau kev txav mus los rau 48 teev rau kev pub niam mis thiab kev saib xyuas rau tus menyuam. Morphine intolerance tuaj yeem ua rau khaus lossis ua pob khaus ntawm daim tawv nqaij. Pab neeg saib xyuas kev noj qab haus huv yuav tsum tau ceeb toom, leej twg yuav muab kev kho mob tam sim ntawd.
Thawj hnub, tus niam hluas tseem nyob hauv txaj ua ntej yuav sawv ntsug nrog kev txhawb nqa ntawm tus kws yug menyuam. Lub sijhawm no, pw ntawm koj lub nraub qaum txhawb cov ntshav ncig thiab kho. Ob peb teev ntxiv, cov cuab yeej kho mob yuav pab nws, thaum nws lub cev rov ua haujlwm zoo dua.
- Cov infusion. Nws tsis tuaj yeem rov pib noj zaub mov tam sim tom qab phais tas. Qhov no yog vim li cas peb tso cov infusion uas hydrates niam hluas. Nws kuj tseem siv tau los diffuse sedatives thiab tshuaj tua kab mob.
- Lub catheter tso zis. Nws tso cai rau tso zis tawm; Nws raug tshem tawm sai li sai tau thaum lawv muaj ntau txaus thiab cov xim ib txwm muaj, sai li sai tau tom qab yug menyuam.
- Epidural catheter. Qee lub sij hawm tus kws tshuaj loog tso tseg rau hauv qhov chaw rau 24 mus rau 48 teev tom qab cov txheej txheem los tswj lub teeb tshuaj loog.
Hauv qee lub tsev kho mob me me, txhawm rau tiv thaiv kev pheej hmoo ntawm phlebitis tom qab phais tas, peb systematically txhaj tshuaj anticoagulants. Txoj kev kho no kav ntev li ob peb hnub. Hauv lwm lub tsev lag luam, qhov kev kho mob no tau tshwj tseg rau cov niam uas muaj kev pheej hmoo.
Tus nais maum lossis tus kws yug menyuam hloov khaub ncaws ib hnub ib zaug thiab saib xyuas kev kho mob. Feem ntau, qhov txhab kho sai sai. Nyob rau hauv cov ntaub ntawv ntawm tus kab mob, ib txwm ua tau tab sis tsis tshua muaj, txhua yam rov qab sai sai ua tsaug rau kev noj tshuaj tua kab mob. Yog tias qhov kev phais tsis tau muab khi nrog cov khoom nqus tau, cov sutures lossis staples yuav raug tshem tawm 5 mus rau 10 hnub tom qab qhov txheej txheem. Rau chav dej, nws raug tso cai da dej me me los ntawm hnub ob. Ntawm qhov tod tes, rau da dej, peb xav kom tos ib ob peb hmo.
Pab neeg mloog
Lub luag haujlwm ntawm pab neeg no tsis txwv rau kev soj ntsuam kev kho mob ntawm tus niam hluas thiab nws tus menyuam mos.
Nws txoj kev ceev faj kuj tau siv zog ntawm qib psychic thiab nws pab txhawb txoj kev loj hlob ntawm niam thiab tus me nyuam txoj kev sib raug zoo. Ib yam li ntawd, nws ua txhua yam los txhawb lub luag haujlwm ntawm leej txiv hauv kev saib xyuas tus menyuam mos. Thaum muaj kev txhawj xeeb tshwj xeeb lossis kev nyuaj siab, tsis txhob yig los tham txog nws, hauv txhua qhov kev ntseeg siab. Yog tias tsim nyog, koj tuaj yeem tau txais txiaj ntsig los ntawm kev pab ntawm cov kws saib xyuas neeg mob hauv tsev laus los ntawm PMI, uas feem ntau ua haujlwm hauv lub network nrog cov tsev kho mob me, lossis ntsib nrog tus kws kho mob hlwb.
Pab neeg no muab kev txhawb nqa tseem ceeb thaum pub mis rau tus menyuam. Tseeb tiag, kev tsim kev pub niam mis pib hauv cov sij hawm tom qab yug me nyuam. Qhov zoo tshaj plaws, tus menyuam yug tshiab yuav tsum muab tso rau hauv lub mis sai li sai tau tom qab yug menyuam. Thaum leej niam tau xaiv tsis pub niam mis rau nws tus menyuam, pab pawg pab nws kom tsis txhob tso cov kua mis los ntawm kev noj tshuaj uas inhibit lactation. Nco ntsoov tias qee zaum lawv ua rau xeev siab thiab tsis xis nyob. Ceev faj, cov tshuaj no tsuas yog siv tau yog tias koj tsis pub niam mis txhua. Tsis yog ob peb hnub, muab cov txiaj ntsig ntawm colostrum rau koj tus menyuam, cov mis nyuj no muaj txiaj ntsig zoo los ntawm thawj hnub.