Koj puas yog ib tug niam uas yuav yug menyuam? Yog li ntawd, tej zaum koj twb tau hnov lo lus 'txiav' thaum tham txog kev yug menyuam. Nws yog ib qho ib txwm muaj rau ntau tus niam kom ntshai thiab ntxhov siab me ntsis thaum lawv hnov cov lus no. Qhov kev txiav no yog dab tsi tiag? Hauv kev kho mob, peb hu nws ua episiotomy. Qhov no puas yog ib yam dab tsi uas txhua tus ua? Vim li cas nws thiaj ua? Hnub no, peb yuav teb tag nrho koj cov lus nug txog qhov no hauv tsab xov xwm no.
Kev phais mob episiotomy yog dab tsi?
Hauv lwm lo lus, episiotomy yog ib qho kev phais me me uas koj tus kws kho mob ua rau ntawm daim tawv nqaij thiab cov leeg ntawm koj lub qhov chaw mos thiab qhov quav (hu ua perineum) los ua kom txoj kev hla rau koj tus menyuam tawm tau yooj yim dua thaum yug menyuam.
Qee zaum, thaum tus menyuam yug los, thaj chaw no tuaj yeem rhuav me ntsis ntawm nws tus kheej yam tsis muaj kev phais. Qhov no hu ua kev rhuav perineal. Yav dhau los, nws suav tias yog ib txwm muaj episiotomy thaum yug menyuam, tab sis niaj hnub no, cov kws kho mob ntseeg tias nws zoo dua kom cia qhov rhuav tawm mus ntuj tsim tshwj tsis yog tias tsim nyog kiag li .
Yog li ntawd, vim li cas nws thiaj tseem ceeb kom muaj episiotomy?
Txawm hais tias qhov no tsis yog ib yam uas feem ntau ua tam sim no, qee zaum tshwj xeeb, tus kws kho mob yuav tsum ua qhov kev phais no rau kev nyab xeeb ntawm leej niam thiab tus menyuam. Xav txog nws, nws zoo li nres lub tsheb tam sim ntawd kom tsis txhob muaj xwm txheej thaum tsav tsheb ntawm txoj kev. Cov no yog cov xwm txheej tseem ceeb tshaj plaws:
- Yog tias tus me nyuam muaj qee qhov tsis xis nyob (fetal distress) thiab koj yuav tsum tau coj tus me nyuam tawm sai li sai tau.
- Thaum leej niam nkees heev tom qab mob plab ntev heev thiab tsis muaj zog los thawb ntxiv lawm.
- Yog koj yuav tsum siv cov forceps lossis cov khoom siv nqus tsev los tshem tus menyuam tawm, qhov chaw mos yuav tsum loj dua me ntsis kom cov khoom siv no raug ntxig rau hauv.
- Yog tias tus me nyuam nyob rau hauv qhov chaw tsis zoo, piv txwv li, yog tias lawv lub hauv caug lossis yog tias tus me nyuam lub xub pwg nyom (shoulder dystocia).
- Yog tias tus menyuam loj dua li qhov nruab nrab.
- Thaum leej niam thawb ntev heev tab sis tus menyuam tsis tawm los.
Qhov tseem ceeb tshaj plaws yog tias tus kws kho mob tsuas yog yuav txiav txim siab qhov no yog tias nws xav tias tsis muaj lwm txoj kev xaiv thiab nws yog qhov tsim nyog rau kev nyab xeeb ntawm leej niam thiab tus menyuam.
Qhov kev txiav no ua li cas thiab muaj hom kev txiav dab tsi?
Thaum koj siv tshuaj epidural, koj yuav tsis hnov mob dab tsi. Yog tias koj twb siv tshuaj epidural lawm, koj yuav tsis tas yuav siv tshuaj loog hauv qab lub duav. Yog tsis ua li ntawd, tus kws kho mob yuav txhaj tshuaj loog rau qhov chaw uas yuav txiav. Tom qab ntawd, thaum tus menyuam lub taub hau pib tawm ntawm qhov chaw mos (crowning), qhov kev txiav yuav ua nrog txiab tshwj xeeb (episiotomy scissors). Tom qab tus menyuam yug los, thaj chaw ntawd yuav kho nrog cov xov uas yaj tau.
Muaj ob hom kev txiav tseem ceeb.
| Hom txiav | Kev piav qhia |
|---|---|
| Kev txiav nruab nrab (midline) | Qhov no yog ib qho kev txiav ncaj, ntsug ntawm lub qhov chaw mos mus rau lub qhov quav. Nws yooj yim ua thiab tsis mob thaum kho. Txawm li cas los xij, muaj kev pheej hmoo siab dua me ntsis ntawm kev rhuav lub qhov quav. |
| Kev txiav nruab nrab sab | Qhov no yog ib qho kev phais uas ua ntawm lub kaum sab xis 45-degree ntawm lub qhov chaw mos mus rau sab. Muaj kev pheej hmoo tsawg dua ntawm kev puas tsuaj rau lub qhov quav. Txawm li cas los xij, nws nyuaj me ntsis rau xaws, los ntshav ntau dua, thiab mob me ntsis thaum lub sijhawm kho. |
Cov degree ntawm kua muag
Txawm nws yog ib qho kua muag ntuj lossis ib qho episiotomy, nws muab faib ua 4 degrees nyob ntawm nws qhov hnyav.
- Qib Ib: Tsuas yog daim tawv nqaij saum lub qhov chaw mos xwb thiaj li raug dua.
- Qib Ob: Ib qho kua muag uas nthuav dav hla daim tawv nqaij ntawm qhov chaw mos thiab cov nqaij hauv qab. Feem ntau cov qhov txiav episiotomy poob rau hauv pawg no.
- Qib Peb: Kev rhuav cov nqaij mos ntawm qhov chaw mos thiab cov leeg nqaij nyob ib puag ncig lub qhov quav (qhov quav sphincter).
- Qib Plaub: Qib hnyav tshaj plaws thiab nyuaj tshaj plaws, nrog rau qhov kua muag txuas mus txog rau ntawm lub qhov quav.
Koj ua tau dab tsi hauv tsev kom pab qhov mob zoo sai?
Ob peb lub lis piam tom qab phais mob thawj zaug yuav mob heev. Tab sis yog koj saib xyuas zoo, koj yuav zoo sai. Feem ntau yuav siv sijhawm li ib hlis kom zoo tag nrho. Tej yam no yuav pab tau koj ntau heev.
| Txoj Kev | Kev piav qhia |
|---|---|
| Siv lub pob dej khov | Muab ib lub hnab dej khov qhwv rau hauv ib daim ntaub huv rau ntawm qhov chaw uas tau xaws li ntawm 10-15 feeb. Qhov no yuav txo qhov o thiab mob heev. |
| Chav Dej Sitz | Muab dej sov rau hauv ib lub tais me me (sitz bath) los yog ib lub tais loj thiab zaum hauv li 15 feeb. Ua li no ob lossis peb zaug hauv ib hnub kom lub qhov txhab huv, ua kom cov ntshav ncig zoo, thiab kho sai dua. |
| Peri Lub Raj Mis | Muab dej sov rau hauv lub raj mis uas tsev kho mob muab rau koj thiab ntxuav qhov chaw ntawd tom qab koj tso zis thiab siv chav dej. Qhov no yuav txo qhov o thiab pab kom qhov txhab huv. |
| Cov tshuaj tua kab mob | Noj cov tshuaj tua mob (piv txwv li Paracetamol) uas koj tus kws kho mob pom zoo rau thaum lub sijhawm teem tseg. Qhia rau koj tus kws kho mob yog tias koj mob heev. |
| Lub hauv ncoo Donut | Yuav kom txo qhov mob thaum zaum, siv lub hauv ncoo zoo li lub ncuav mog qab zib. Qhov no yuav txo qhov kev nyem rau ntawm thaj chaw xaws. |
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Ua tib zoo mloog koj lub cev thaum koj rov zoo. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua .
- Yog tias qhov mob zuj zus tuaj es tsis txo qis txhua hnub.
- Yog tias muaj cov kua tawm uas muaj ntxhiab tsw phem los yog kua qaub los ntawm qhov chaw xaws.
- Yog tias thaj chaw nyob ib puag ncig qhov txhab liab, o, thiab kub thaum kov .
- Yog tias muaj ntshav los ntawm cov xov.
- Yog koj muaj mob taub hau, mob nqaij, lossis mob lub cev .
Cov no tuaj yeem yog cov cim qhia txog kev kis kab mob, yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai sai.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais plab tsis yog ib yam uas yuav tsum tau ua rau txhua tus menyuam yug menyuam niaj hnub no. Nws tsuas yog ua thaum tsim nyog rau kev nyab xeeb ntawm niam thiab tus menyuam.
- Cov tshuaj kho mob niaj hnub no lees paub tias feem ntau, kev cia lub kua muag kho raws li ntuj tsim muaj kev nyab xeeb dua.
- Yog tias koj muaj kev txhawj xeeb lossis kev tsis ntseeg txog qhov no, tham nrog koj tus kws kho mob thaum koj cev xeeb tub.
- Txawm koj muaj qhov txiav lossis qhov kua muag ntuj, kev saib xyuas qhov txhab kom zoo yog qhov tseem ceeb rau kev rov zoo sai. Ua raws li koj tus kws kho mob cov lus qhia kom zoo.
- Yog tias muaj cov tsos mob txawv txawv tshwm sim thaum koj rov zoo, tsis txhob ntshai nrhiav kev pab kho mob tam sim ntawd.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus