Tus me nyuam lub taub hau puas nqes los? (Vertex Presentation) Cia peb tham txog nws!

Yog koj yog ib leej niam uas tab tom cev xeeb tub , tej zaum koj yuav tau hnov ​​koj tus kws kho mob hais li no, "Tus menyuam nyob hauv 'Vertex Presentation'." Thaum nws hais li ntawd, tej zaum koj yuav xav tias, "Qhov ntawd yog dab tsi?" Tsis txhob txhawj, qhov no yog ib qho zoo tiag tiag. Cia peb tham txog nws yooj yim xwb.

Vertex Presentation yog dab tsi tiag?

Hais yooj yim xwb, `(Vertex Presentation)` txhais tau tias koj tus menyuam nyob rau hauv qhov chaw zoo los rau hauv lub ntiaj teb li qub, uas yog, los ntawm qhov chaw mos, tsis muaj teeb meem dab tsi. Qhov no tseem ceeb heev thaum koj yuav txog hnub yug menyuam, vim qhov no yog li cas cov kws kho mob yuav txiav txim siab yuav ua li cas yug tus menyuam kom muaj kev nyab xeeb. `(Vertex)` txhais tau tias ``sab saum toj ntawm lub taub hau''. Nws txhais tau tias sab saum toj ntawm tus menyuam lub taub hau tig mus rau koj lub qhov ncauj tsev menyuam.

Yuav piav qhia ntxiv me ntsis, hauv '(Vertex Presentation)' tus menyuam nyob rau hauv txoj hauj lwm taub hau nqes, nrog lub puab tsaig zawm rau hauv siab, thiab tig koj nraub qaum. Xav txog tus menyuam zoo li lub pob me me, nyob rau hauv qhov chaw yooj yim tshaj plaws los tawm. Txoj hauj lwm no pab tus menyuam hla dhau qhov chaw yug menyuam yooj yim dua.

Qhov no puas txhais tau tias tus menyuam yuav los sai sai no?

Tsis yog, nws tsis yog. Muaj ib tug me nyuam hauv Vertex Presentation tsis tau txhais hais tias koj yuav muaj ib tug me nyuam lossis tias kev yug me nyuam yuav pib. Nws tsuas yog txhais tau hais tias tus me nyuam nyob rau hauv qhov chaw zoo rau kev yug me nyuam . Nws muaj peev xwm rau tus me nyuam nyob rau hauv qhov chaw no rau ntau lub lis piam yam tsis tau yug me nyuam.

Vertex Presentation thiab Cephalic Presentation puas yog tib yam?

Yog, cov no yog ob lo lus uas txhais tau tib yam. `(Cephalic Presentation)` kuj yog hais txog qhov chaw uas tus menyuam lub taub hau nqes. `(Vertex)` yog qhov tshwj xeeb me ntsis txog li cas tus menyuam lub caj dab khoov. Qhov ntawd txhais tau tias tus menyuam lub puab tsaig raug nias kom ruaj khov rau ntawm lub hauv siab . Qhov no yog qhov chaw `(Cephalic)` tsim nyog tshaj plaws.

Muaj lwm hom "(Cephalic Presentation)", piv txwv li "(Brow Presentation)", qhov twg tus menyuam lub hauv pliaj nyob rau pem hauv ntej, thiab "(Face Presentation)", qhov twg lub ntsej muag nyob rau pem hauv ntej. Cov no feem ntau yog hais txog qhov deb npaum li cas tus menyuam lub caj dab khoov lossis ntev. Vim tias lub puab tsaig tsis raug nias rau ntawm lub hauv siab zoo li hauv "(Vertex)", cov "(Brow)" thiab "(Face)" no tuaj yeem nyuaj me ntsis rau kev yug menyuam ib txwm.

Thaum twg tus menyuam mam li hloov mus ua Vertex Presentation?

Feem ntau, cov menyuam mos tig mus rau hauv qhov "Vertex Presentation" no thaum lub lim tiam 32 txog 36 ntawm kev cev xeeb tub . Lub sijhawm no, tus menyuam loj dua me ntsis hauv plab, yog li nws tsis muaj chaw rau nws txav mus los. Yog li ntawd, nws los rau qhov chaw ruaj khov. Txawm li cas los xij, qee zaum cov menyuam mos tuaj yeem tig mus rau hauv qhov chaw no txawm tias tom qab 36 lub lim tiam. Yog li ntawd, tsis txhob txhawj.

Koj tus kws kho mob yuav kuaj xyuas koj tus menyuam txoj kev nyob txhua zaus koj mus ntsib kws kho mob. Nws yuav kov koj lub plab thiab kov rau tus menyuam lub taub hau, pob tw, thiab lwm yam. Qhov no ua tiav los ntawm kev siv kev kuaj tshwj xeeb hu ua Leopold's Maneuvers. Koj tuaj yeem ua qhov kev ntsuas ultrasound los xyuas qhov no.

Yuav yug tus me nyuam li cas hauv Vertex Presentation?

Tus menyuam hauv "Vertex Presentation" txhais tau hais tias tus menyuam tab tom tawm los ntawm koj lub qhov ncauj tsev menyuam, los ntawm koj lub qhov chaw mos (tseem hu ua qhov chaw yug menyuam). Qhov no yog txoj hauv kev zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws los yug menyuam los ntawm qhov chaw mos . Qhov me me ntawm tus menyuam lub taub hau tawm ua ntej, ua rau kev yug menyuam yooj yim dua.

Vim li cas Vertex Presentation thiaj zoo rau kev xa khoom ib txwm?

Xyoo ntawm kev tshawb fawb kho mob tau qhia tias qhov chaw zoo tshaj plaws rau kev yug me nyuam hauv qhov chaw mos yog 'Vertex Presentation'. Lub hom phiaj tseem ceeb ntawm koj tus kws kho mob yog muab rau koj tus menyuam noj qab haus huv nrog qhov teeb meem tsawg tshaj plaws. Yog tias tus menyuam nyob rau hauv lwm qhov chaw tsis yog lub taub hau nqes, xws li 'Breek', nws yuav nyuaj dua rau kev yug me nyuam kom muaj kev nyab xeeb thaum lub sijhawm yug me nyuam ib txwm. Nws kuj tseem ua rau muaj kev pheej hmoo ntawm teeb meem rau niam thiab tus menyuam.

"Nco ntsoov, `(Vertex Presentation)` yog txoj kev zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws rau kev xa khoom ib txwm!"

Puas muaj teeb meem dab tsi nrog Vertex Presentation?

Txawm hais tias qhov chaw 'Vertex Presentation' yog qhov chaw zoo tshaj plaws rau kev yug menyuam, qee zaum muaj teeb meem me me tshwm sim. Qhov teeb meem tseem ceeb uas feem ntau pom yog tias tus menyuam loj dhau rau qhov chaw yug menyuam vim tus menyuam qhov hnyav (tus menyuam loj). Qhov no txhais tau tias tus menyuam loj dhau los ntawm qhov chaw yug menyuam. Txawm tias tus menyuam nyob hauv 'Vertex Presentation', yog tias tus menyuam loj dhau, muaj feem yuav ua rau lub xub pwg nyom lossis lub taub hau daig thaum tawm los. Qhov no kuj hu ua 'Shoulder Dystocia'.

Feem ntau, cov kws kho mob yuav pom zoo kom phais yug menyuam yog tias lawv xav tias tus menyuam loj dhau lawm uas tsis tuaj yeem tawm los ntawm txoj hlab ntaws. Qhov ntawd yog qhov muaj kev nyab xeeb tshaj plaws rau niam thiab tus menyuam thaum lub sijhawm zoo li no.

Qhov txawv ntawm Vertex Presentation thiab Breech Presentation yog dab tsi?

Ob qho no yog ob txoj haujlwm tseem ceeb uas tau tham txog.

• (Kev Nthuav Qhia Vertex): Tus menyuam lub taub hau nyob hauv qab, lub puab tsaig nyob rau hauv lub hauv siab, thiab lub ntsej muag tig mus rau leej niam nraub qaum. Qhov no yog qhov chaw tsim nyog tshaj plaws rau kev yug menyuam ib txwm.
• ( kev nthuav qhia ntawm lub plab ):Qhov chaw uas tus menyuam ob txhais ceg lossis lub pob tw tawm ntawm koj lub qhov chaw mos ua ntej. Hais yooj yim xwb, tus menyuam nyob rau hauv qhov chaw tsa taub hau, txhais tau tias lub taub hau tsa.

Txawm hais tias Vertex Presentation yog qhov zoo tshaj plaws, qee tus menyuam mos tig mus rau Breech Presentation. Nco ntsoov tias, tus menyuam txav mus los tau yooj yim hauv plab, yog li nws muaj peev xwm rau tus menyuam tig mus rau Vertex Presentation txawm tias txog 36 lub lis piam ntawm kev xeeb tub. Thaum koj los txog ze rau koj hnub yug menyuam, qhov chaw ntawm tus menyuam yuav tseem ceeb heev thaum xaiv txoj kev yug menyuam uas muaj kev nyab xeeb tshaj plaws.

Thaum lub sijhawm yug menyuam, muaj li ntawm 3% thiab 4% ntawm cov menyuam mos uas nyob hauv txoj haujlwm "Breek Presentation". Yog tias qhov no tshwm sim, koj tus kws kho mob yuav nrog koj tham txog kev yug menyuam los ntawm "Caesarean Section". Qhov no yog vim muaj ntau yam kev pheej hmoo hauv kev yug menyuam hauv txoj haujlwm "Breek".

Muaj tej lub sij hawm, koj tus kws kho mob yuav nrog koj tham txog kev tig koj tus menyuam mus rau hauv "Vertex Presentation". Qhov no hu ua "External Cephalic Version" lossis "ECV". Qhov no suav nrog kev kov thiab thawb koj lub plab kom tig koj tus menyuam. Qhov no kuj muaj qee qhov kev pheej hmoo, yog li nws tseem ceeb heev uas yuav tsum tham txog qhov zoo thiab qhov tsis zoo nrog koj tus kws kho mob ua ntej txiav txim siab.

Tus menyuam mos uas tau tuaj rau Vertex puas tuaj yeem rov qab los ua Breech dua?

Nws tsis tshua muaj menyuam yaus tig rov qab mus rau qhov "Breech" tom qab tig mus rau "Vertex Presentation". Qhov no yog vim tias tus menyuam loj dua me ntsis thiab tsis muaj chaw ntau los txav mus los hauv plab. Txawm li cas los xij, cov niam uas muaj mob hu ua "Polyhydramnios", uas txhais tau tias lawv muaj kua amniotic ntau dhau , yuav muaj kev pheej hmoo me ntsis ntawm tus menyuam tig mus rau sab tod thaum yug menyuam. Tab sis qhov no kuj tsis tshua muaj.

Cov kws kho mob puas tuaj yeem tig tus menyuam mus rau hauv txoj haujlwm Vertex?

Yog lawm, qee tus kws kho mob tuaj yeem tig tus menyuam mus rau hauv "Vertex Presentation", tshwj xeeb tshaj yog tias tus menyuam nyob rau hauv "Breek". Tab sis nco ntsoov, muaj ntau yam uas yuav tsum txiav txim siab seb puas yuav tig tus menyuam (piv txwv li, tus naj npawb ntawm lub lis piam ntawm cev xeeb tub, seb puas tau ua qhov kev phais cesarean yav dhau los, thiab tus menyuam txoj kev noj qab haus huv), thiab qhov no tsis yog ib txwm ua tiav.

Muaj ntau txoj kev siv los tig tus menyuam:

• Kev phais mob sab nraud ntawm lub plab (ECV): Qhov no yog txoj kev kho mob uas siv ntau tshaj plaws. Nws yuav tsum muaj ob tug kws kho mob. Ib tug tsa tus menyuam lub pob tw, thaum lwm tus muab nws txhais tes tso rau ntawm koj lub plab thiab tig tus menyuam lub taub hau mus tom ntej lossis rov qab los ntawm koj lub tsev menyuam. Qhov no feem ntau ua hauv tsev kho mob, yog li koj tuaj yeem ua qhov phais cesarean sai sai yog tias tsim nyog.
• Kev Hloov Koj Txoj Kev Ua: Qee zaum kev hloov koj txoj kev ua tuaj yeem pab koj tus menyuam txav mus los. Qhov no feem ntau yuav tsum ua cov qauv zoo li yoga lossis nyo hau rau pem hauv ntej ntawm koj lub hauv caug. Tsis muaj pov thawj tshawb fawb tias cov txheej txheem no yuav pab koj tus menyuam tig, tab sis nws tsim nyog sim, vim tias tsis muaj kev phom sij hauv kev ua li ntawd.
• Kev txhawb nqa los ntawm kev hnov: Lwm txoj hauv kev los sim ua kom koj tus menyuam txav mus los yog los ntawm kev txhawb nqa. Ua si suab paj nruag ze rau ntawm lub plab, tham nrog tus menyuam, tuav lub teeb rau ntawm lub plab, lossis muab ib yam dab tsi sov lossis txias rau ntawm lub plab tuaj yeem pab koj tus menyuam txav mus los. Tag nrho cov txheej txheem no tsis tshua muaj kev pheej hmoo.

Qhov tseem ceeb tshaj plaws yog nrog koj tus kws kho mob tham ua ntej sim cov kev kho no. Nws yuav yog tus uas yuav qhia koj tias yam twg zoo tshaj plaws rau koj thiab koj tus menyuam, thiab yam twg muaj kev nyab xeeb tshaj plaws.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Tej zaum koj yuav xav tsis thoob thaum koj hnov ​​​​tias koj tus menyuam nyob rau hauv "Vertex Presentation", tab sis qhov tseeb nws yog ib qho zoo. Nws txhais tau tias tus menyuam nyob rau hauv qhov chaw raug rau kev yug menyuam ib txwm. Tsis tas li ntawd, txawm tias tus menyuam tsis nyob hauv "Vertex Presentation", tsis txhob txhawj. Feem ntau, tus menyuam tseem muaj sijhawm tig ua ntej yug.

Kev cev xeeb tub thiab kev yug menyuam yog ob lub sijhawm uas muaj ntau lo lus nug tshwm sim. Tsis txhob ntshai nug koj tus kws kho mob txog tej lus nug uas koj muaj thoob plaws hauv cov txheej txheem no. Lawv nyob ntawd los teb koj cov lus nug thiab pab koj ua kom koj tus menyuam yooj yim thiab muaj kev nyab xeeb li sai tau! Peb xav kom koj thiab koj tus menyuam noj qab nyob zoo!

Cev xeeb tub, yug menyuam, kev nthuav qhia ntawm lub hauv siab, kev nthuav qhia ntawm lub taub hau, kev nthuav qhia ntawm lub plab mog, kev yug menyuam ib txwm, kev phais cesarean