Koj puas tau los ntshav ntau tom qab yug me nyuam? Cia peb tham txog Kev Los Ntshav Tom Qab Yug Me Nyuam (PPH)

Nws yog ib txwm muaj los ntshav me ntsis tom qab yug me nyuam. Tab sis yog tias koj los ntshav ntau dua li koj xav, yuav ua li cas? Nws tuaj yeem ua rau ntshai thiab txaus ntshai heev. Qhov no yog qhov peb hu ua kev los ntshav tom qab yug me nyuam (PPH) . Qhov no tsis yog lus tso dag, nws yog ib qho mob uas xav tau kev kho mob tam sim ntawd.

Kev los ntshav tom qab yug me nyuam (PPH) yog dab tsi? Cia peb nkag siab meej?

Hais yooj yim xwb, kev los ntshav tom qab yug me nyuam (PPH) yog kev los ntshav ntau tom qab yug me nyuam. Feem ntau qhov no tshwm sim hauv 24 teev tom qab yug me nyuam. Peb hu nws tias 'PPH Thawj' . Tab sis qee zaum, kev los ntshav tuaj yeem tshwm sim ob peb hnub, ob peb lub lis piam, lossis txawm tias txog li 12 lub lis piam tom qab yug me nyuam. Qhov no hu ua 'PPH Thib Ob lossis PPH lig' .

Qhov uas tshwm sim hauv qhov no yog tias muaj ntau cov ntshav poob ntawm koj lub cev ib zaug. Thaum qhov no tshwm sim, koj cov ntshav siab tuaj yeem poob qis tam sim ntawd. Tom qab ntawd yuav ua li cas? Cov ntshav mus rau lub plawv, lub hlwb, thiab lwm yam kabmob tseem ceeb txo qis. Qhov no hu ua hypovolemic shock . Qhov no tuaj yeem ua rau tuag taus. Yog li ntawd, cov kws kho mob thiab cov kws tu mob yuav tsum tau nres qhov kev los ntshav no sai sai.

Nco ntsoov, yog tias koj xav tias koj los ntshav ntau tom qab yug me nyuam, nws yog qhov txaus ntshai. Tab sis qhov tseem ceeb tshaj plaws yog tsis txhob ntshai, thiab qhia rau koj tus kws kho mob lossis tus kws pab yug me nyuam tam sim ntawd. Yog tias paub thaum ntxov thiab kho sai, koj feem ntau tuaj yeem rov zoo tag nrho.

PPH ua rau muaj ntshav ntau npaum li cas?

Feem ntau,

• Txawm koj yug menyuam los ntawm qhov chaw mos los yog C-section, yog tias koj poob ntau tshaj ib liter (1000 ml) ntawm cov ntshav,
• Los yog, yog tias muaj kev hloov pauv tseem ceeb hauv koj lub plawv dhia thiab ntshav siab nrog rau qhov ntau ntawm cov ntshav poob, thiab koj qhia cov cim qhia tias koj poob ntshav ntau, nws suav tias yog PPH.

Tus mob no tuaj yeem tshwm sim ntawm 1 thiab 5 ntawm 100 tus menyuam yug los. Qhov ntawd yog ntawm 1% thiab 5%. Tab sis yog tias kho sai sai, feem ntau nws tsis ua rau tuag taus.

Kuv yuav paub li cas yog tias kuv muaj PPH? Cov tsos mob yog dab tsi?

Cov tsos mob tseem ceeb ntawm PPH yog los ntshav ntau thiab tsis tu ncua tom qab yug me nyuam. Qee zaum , cov ntshav txhaws loj dua lub pob golf tuaj yeem hla dhau. Yog tias qhov no tshwm sim, nws yuav yog ib qho cim qhia txog teeb meem.

Lwm cov tsos mob yog:

• Cov tsos mob ntawm cov ntshav siab qis: kiv taub hau, pom kev tsis meej, thiab tsaus muag.
• Lub plawv dhia ceev dua (Tachycardia).
• Txo cov qe ntshav liab (cov hematocrit txo qis).
• Tawv nqaij dawb los yog ntub dej, zoo li koj tawm hws txias.
• Mob thiab o ntawm qhov chaw mos lossis thaj chaw perineal.(Qhov no tshwm sim thaum cov ntshav sib sau ua ke sab nraum cov leeg ntshav)

Yog tias koj muaj cov tsos mob txawv txawv no tom qab yug me nyuam, qhia rau koj tus kws kho mob tam sim ntawd . Qee zaum, cov tsos mob PPH tuaj yeem nyob ntev txawm tias tom qab koj rov qab los tsev los ntawm tsev kho mob. Yog tias qhov no tshwm sim, tsis txhob ntshai thiab mus ntsib koj tus kws kho mob tam sim ntawd.

Vim li cas PPH thiaj tshwm sim? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau PPH.

Koj paub, thaum koj tus menyuam nyob hauv plab, lub placenta txuas rau ntawm phab ntsa ntawm koj lub tsev menyuam thiab muab zaub mov thiab oxygen rau tus menyuam. Tom qab koj tus menyuam yug los, koj lub tsev menyuam txuas ntxiv mus cog thiab tso lub placenta tawm. Cov kev cog lus no ua rau cov hlab ntsha uas lub placenta tau txuas nrog nruj thiab tiv thaiv kev los ntshav. Tab sis qee zaum, yog tias cov kev cog lus no tsis muaj zog txaus , qhov kev los ntshav yuav tsis nres. Qhov no yog qhov ua rau 80% ntawm PPH.

Tsis tas li ntawd xwb, PPH tuaj yeem tshwm sim yog tias qee qhov ntawm lub placenta tseem nyob hauv phab ntsa uterine, lossis yog tias cov kabmob ntawm koj lub cev kev yug me nyuam (qhov chaw mos, lub ncauj tsev menyuam, lub tsev menyuam) raug puas tsuaj thaum lub sijhawm yug menyuam.

Feem ntau PPH tshwm sim ntawm 30 thiab 60 feeb tom qab tus menyuam yug los.

Cov "Plaub Ts" uas cuam tshuam rau PPH

Muaj plaub yam tseem ceeb ua rau muaj PPH, hu ua "Plaub Ts".

1. Lub cev tsis khov (mob ntawm lub tsev menyuam - Uterine Atony): Qhov no yog qhov ua rau feem ntau . Uterine atony yog thaum lub tsev menyuam tsis cog lus zoo tom qab yug menyuam, tab sis mos thiab tsis muaj zog. Tom qab ntawd cov hlab ntsha uas lub placenta nyob tsis nruj, thiab los ntshav txuas ntxiv mus.

2. Kev Raug Mob: Thaum yug menyuam, kev los ntshav tuaj yeem tshwm sim vim yog raug mob rau qhov chaw mos, lub qhov ncauj tsev menyuam, lub tsev menyuam, lossis perineum. Qee zaum cov ntshav no tuaj yeem sib sau ua ke hauv cov nqaij raug mob thiab txuas ntxiv los ntshav rau ntau teev lossis ntau hnub tom qab yug menyuam.

3. Cov Nqaij (Cov nqaij placental uas khaws cia): Yog tias lub placenta tsis sib cais tag nrho ntawm phab ntsa uterine, cov nqaij seem yuav ua rau los ntshav. Qhov no tuaj yeem yog vim muaj qhov tsis zoo hauv lub placenta, lossis nws tuaj yeem yog lub placenta ib txwm muaj.

4. Thrombin (teeb meem ntshav txhaws): Yog tias koj muaj teeb meem ntshav txhaws, lossis yog tias koj muaj mob uas cuam tshuam rau ntshav txhaws thaum cev xeeb tub, txawm tias me ntsis ntshav los kuj tuaj yeem yog teeb meem loj.

Leej twg muaj feem yuav mob PPH ntau dua?

Qhov tseeb, PPH tuaj yeem tshwm sim rau txhua tus neeg uas tab tom muaj menyuam. Txawm hais tias muaj ntau yam ua rau muaj kev pheej hmoo rau PPH, kwv yees li 40% ntawm cov neeg mob PPH tshwm sim yam tsis muaj yam ua rau muaj kev pheej hmoo . Yog li ntawd, cov kws kho mob yuav tsis tuaj yeem tiv thaiv PPH tag nrho. Txawm li cas los xij, kev paub txog cov yam ua rau muaj kev pheej hmoo no ua ntej yug menyuam tuaj yeem pab txo qhov kev pheej hmoo ntawm kev los ntshav ntau.

Cov mob ntawm lub plab

Qhov kev pheej hmoo ntawm PPH yog siab dua yog tias koj muaj ib qho ntawm cov mob hauv qab no ntsig txog lub placenta:

• (Placenta previa)(Placenta nyob qis dua hauv lub tsev menyuam)
• (Kev tawg ntawm placental )
• (Placenta accreta) (Placenta txuas ruaj khov rau ntawm phab ntsa tsev menyuam)

Cov mob ntsig txog kev yug menyuam lossis kev ua haujlwm

Qhov kev pheej hmoo ntawm PPH yuav nce ntxiv yog tias muaj cov hauv qab no tshwm sim thaum lub sijhawm yug menyuam:

• Yog tias tau muab tshuaj loog dav dav .
• Yog tias koj tau txais tshuaj (tocolytics) los tiv thaiv kev sib cog lus ntawm lub tsev menyuam.
• Yog tias qhov mob ntev dhau los yog cov tshuaj siv los ua kom lub tsev menyuam sib zog (Oxytocin / Pitocin®) tau muab ntau dhau thiab ntev dhau.
• Yug me nyuam ntxov (tsawg dua peb teev tom qab yug me nyuam).
• Yog tias siv cov forceps lossis lub tshuab nqus tsev thaum lub sijhawm yug menyuam ib txwm.
• Yog tias muaj cov qhov txhab loj hauv qhov chaw mos.
• Yog tias tus menyuam yug los ntawm kev phais cesarean .

Lwm yam mob nkeeg

Lwm yam mob nkeeg kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm PPH, xws li:

• Cov kab mob ntshav txhaws, piv txwv li (kab mob von Willebrand) .
• Yog tias koj tau noj tshuaj (Magnesium sulfate) los kho mob preeclampsia hnyav.
• Cov xwm txheej cev xeeb tub uas cuam tshuam rau cov ntshav txhaws lossis cov platelets, piv txwv li: (HELLP syndrome) , (gestational thrombocytopenia) .
• Kev kis kab mob ntawm lub hnab amniotic (Chorioamnionitis) .
• Kev rog dhau.
• Muaj hnub nyoog siab dua ntawm niam.

Tsis tas li ntawd xwb, qhov kev pheej hmoo ntawm PPH yog siab dua yog tias lub tsev menyuam nthuav dav dhau . Qhov no tuaj yeem tshwm sim:

• Yog tias koj tau muaj tsib lossis ntau dua tus menyuam yug los yav dhau los.
• Hauv kev yug ntau tus menyuam, xws li menyuam ntxaib thiab menyuam peb.
• Yog tias koj tus menyuam loj (macrosomia) .
• Yog tias muaj cov kua dej amniotic ntau dhau (polyhydramnios) .

Cov kev mob tshwm sim ntawm PPH yog dab tsi?

Thaum koj poob ntshav ntau dhau, koj yuav muaj tej yam xws li lub plawv dhia ceev, ua pa ceev, thiab ntshav ncig tsis zoo. Cov tsos mob no tuaj yeem txo cov ntshav ntws mus rau cov kabmob xws li lub siab, lub hlwb, lub plawv, thiab lub raum, ua rau koj poob siab . Kev poob siab yog thaum cov kabmob tsis tau txais ntshav txaus. Qhov no tuaj yeem ua rau cov kabmob tsis ua haujlwm lossis tuag taus.

Yuav ua li cas thiaj paub txog PPH tom qab phais cesarean (C-section)?

Feem ntau, cov tsos mob ntawm PPH tom qab phais C-section zoo ib yam li thaum yug menyuam ib txwm. Qee cov tsos mob suav nrog:

• Lub plawv dhia ceev dua.
• Tes thiab taw txias, xav tias ntub dej.
• Ua pa nyuaj.
• o, mob nqaij, lossis mob lwm qhov hauv plab, tshwj xeeb tshaj yog ntawm qhov chaw phais mob.
• Los ntshav ntawm qhov chaw mos ntau dhau thiab tso cov ntshav txhaws loj tawm.

Cov kws kho mob kuaj mob PPH li cas?

Cov kws kho mob kuaj mob PPH los ntawm kev kuaj qhov muag thiab lub cev. Kev kuaj hauv chaw kuaj mob thiab kev tshuaj xyuas koj keeb kwm kev noj qab haus huv kuj tseem ceeb heev rau kev ntsuam xyuas qhov kev pheej hmoo thiab kev cuam tshuam ntawm PPH.

Feem ntau kuaj pom tias muaj PPH los ntawm qhov ntau ntawm cov ntshav uas koj tau poob. Feem ntau kwv yees qhov ntau ntawm cov ntshav uas koj tau poob los ntawm kev suav lossis hnyav cov ntaub qhwv menyuam lossis daim phuam uas tau ntub nrog cov ntshav thaum yug tus menyuam.

Yog koj xav tias koj muaj PPH, koj siv tau cov no los sim koj tus kheej ntxiv:

• Txuas ntxiv saib xyuas koj lub plawv dhia thiab ntshav siab .
• Cov kev kuaj ntshav uas ntsuas qhov ntau ntawm cov qe ntshav liab hauv cov ntshav (hematocrit) thiab cov yam ntxwv ntawm cov ntshav txhaws.
• Kev kuaj mob plab mog uas kuaj qhov chaw mos, lub ncauj tsev menyuam, thiab lub tsev menyuam.
• Kev kuaj ultrasound thaij duab kom ntxaws ntawm lub tsev menyuam.

Yuav kho tus mob PPH li cas?

Cov kws kho mob feem ntau kho PPH ua qhov xwm txheej ceev. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom nres qhov ntshav sai li sai tau.

Nyob ntawm seb qhov ua rau koj los ntshav thiab qhov hnyav ntawm qhov los ntshav, koj tus kws kho mob yuav pom zoo ib lossis ntau yam kev kho mob no:

• Kev zaws lub tsev menyuam kom cov leeg ntawm lub tsev menyuam nruj.
• Muab tshuaj uas ua rau lub tsev menyuam ntswj.
• Tshem tawm cov ntaub so ntswg placental uas tseem tshuav, txawm yog manually lossis los ntawm lwm txoj kev.
• Kho cov kua muag hauv qhov chaw mos, lub qhov ncauj tsev menyuam, thiab lub tsev menyuam.
• Muab ib lub cuab yeej ntxig rau hauv, xws li lub catheter lossis lub balloon, kom nias rau ntawm phab ntsa ntawm lub tsev menyuam thiab tiv thaiv kom tsis txhob los ntshav.
• Cov txheej txheem uas txwv tsis pub cov ntshav mus rau lub tsev menyuam.
• Koj xav tau kev hloov ntshav .
• Muab cov kua dej los ntawm cov leeg ntshav (hauv cov hlab ntsha - cov kua IV) , uas txhais tau tias cov khoom xws li saline.
• Muab cov pa oxygen ntxiv los ntawm lub npog ntsej muag.
• Kev sau tshuaj ntxiv hlau .

Tsis tshua muaj, lossis yog tias lwm txoj kev ua tsis tau zoo, tus kws kho mob yuav ua laparotomy (kev phais kom qhib lub plab thiab nrhiav qhov chaw los ntshav) lossis hysterectomy (kev tshem tawm lub tsev menyuam).

Yuav siv sijhawm ntev npaum li cas los kho tus mob PPH no?

Lub sijhawm rov zoo yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm seb koj poob ntshav ntau npaum li cas thiab koj cov kws kho mob tau kho koj li cas. Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj tus kheej zoo rau ob peb hnub tom qab koj tus menyuam yug los - noj zaub mov zoo, haus dej ntau, thiab so kom txaus li ntau tau . Koj tus kws kho mob kuj tseem yuav pom zoo kom noj cov tshuaj ntxiv hlau los kho cov ntshav tsis txaus.

Puas tiv thaiv tau PPH? Kuv puas muaj peev xwm rov muaj menyuam dua?

Txoj kev zoo tshaj plaws rau cov kws kho mob los tiv thaiv PPH yog txheeb xyuas cov neeg uas muaj feem yuav mob PPH ua ntej yug menyuam. Koj tuaj yeem pab tau los ntawm kev qhia koj keeb kwm kev kho mob tag nrho rau koj tus kws kho mob thiab qhia rau lawv paub txog tej yam cim qhia ntawm PPH tom qab koj yug koj tus menyuam.

Feem ntau nws muaj kev nyab xeeb rau kev muaj lwm tus menyuam. Txawm li cas los xij, nrog koj tus kws kho mob tham txog koj qhov kev pheej hmoo ntawm PPH hauv koj qhov kev yug tom ntej. Txawm tias koj qhov kev pheej hmoo siab dua li qub me ntsis los xij, nws tseem yuav qis. Koj tus kws kho mob tuaj yeem saib koj cov yam ntxwv kev pheej hmoo thiab txiav txim siab seb koj puas yuav tsum tau ua qee yam kev ceev faj tshwj xeeb hauv koj qhov kev yug tom ntej.

Koj yuav saib xyuas koj tus kheej li cas tom qab PPH?

Thaum koj tab tom saib xyuas koj tus menyuam mos, nws yuav nyuaj rau koj saib xyuas koj tus kheej. Tab sis, yog tias koj siv sijhawm so thiab saib xyuas koj tus kheej zoo, koj yuav rov zoo sai dua. Koj txoj kev noj qab haus huv yog qhov tseem ceeb heev.

Nov yog qee yam uas yuav pab tau koj:

• So: Koj lub cev xav tau sijhawm los kho. Tsis txhob ntshai thov kev pab, thiab tau txais kev so uas koj xav tau.
• Noj cov khoom noj muaj txiaj ntsig zoo: Cov khoom noj uas muaj hlau ntau xws li nqaij liab, zaub ntsuab, thiab cov khoom noj txom ncauj uas muaj hlau ntau pab tsim cov qe ntshav liab. Cov khoom noj muaj txiaj ntsig zoo tuaj yeem pab koj kho.
• Haus dej: Haus dej ntau tom qab yug me nyuam kom tiv thaiv kev qhuav dej.
• Ua raws li koj tus kws kho mob cov lus qhia: Koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj lossis hloov koj txoj kev ua neej kom pab koj rov zoo. Ua raws li cov lus qhia ntawd kom zoo.
• Saib xyuas seb los ntshav ntau npaum li cas: Hnav ib daim ntaub so quav. Saib xyuas seb nws yuav siv sijhawm ntev npaum li cas kom nws puv. Qhov los ntshav yuav tsum maj mam txo qis li ob peb lub lis piam. Yog tias nws tsis txo qis, mus ntsib koj tus kws kho mob.

Kev los ntshav ntau dhau tuaj yeem yog ib qho kev paub uas raug mob hnyav heev. Nws yog ib qho ib txwm muaj uas yuav siv sijhawm me ntsis los kho koj txoj kev xav los ntawm koj qhov kev yug menyuam. Tej zaum koj yuav xav tau kev txhawb nqa los ntawm koj tsev neeg, cov phooj ywg, cov kws kho mob, lossis lwm tus. Tham txog koj txoj kev xav, thiab thov kev pab thaum koj xav tau.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Feem ntau, PPH tshwm sim tom qab koj yug me nyuam lossis thaum koj nyob hauv tsev kho mob. Txawm li cas los xij, yog tias koj los ntshav ntau tom qab koj mus txog tsev lossis yog tias koj muaj cov tsos mob ntawm PPH, mus ntsib koj tus kws kho mob tam sim ntawd . Yog tias koj tus kws kho mob lub chaw ua haujlwm kaw lossis koj tsis tuaj yeem tiv tauj lawv, mus rau chav kho mob ceev ntawm koj lub tsev kho mob ze tshaj plaws.

Yog tias koj los ntshav ntau tom qab yug me nyuam, mus ntsib kws kho mob tam sim ntawd. Lwm cov tsos mob ntawm PPH suav nrog kiv taub hau, tsaus muag, thiab ua pa nyuaj. PPH yog ib qho mob hnyav uas xav tau kev kho mob tam sim ntawd.

Yog tias koj lossis ib tus neeg koj hlub muaj PPH, nws yog ib qho ib txwm muaj uas koj yuav xav tsis thoob thiab ntshai los ntawm qhov kev paub no. Tab sis nco ntsoov tias, kev kuaj pom thaum ntxov thiab kev kho mob sai sai tuaj yeem tiv thaiv cov teeb meem loj. Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum qhib siab thiab ncaj ncees nrog koj tus kws kho mob txog koj keeb kwm kev kho mob. Qhov no yuav pab koj txiav txim siab seb koj puas muaj feem yuav muaj PPH.

Cov Lus Xaus Kawg coj mus tsev

• PPH (Kev Los Ntshav Tom Qab Yug Me Nyuam) yog ib qho mob hnyav uas yuav tsum tau kho mob tam sim ntawd, uas yog los ntshav ntau dhau tom qab yug me nyuam.
• Yog tias koj muaj cov tsos mob xws li los ntshav ntau dhau, ntshav txhaws loj dhau, kiv taub hau, tsaus muag, lossis lub plawv dhia ceev ceev , nrhiav kev pab kho mob tam sim ntawd .
• Qhov ua rau mob PPH yog qhov uterine atony, uas yog qhov uas lub tsev menyuam tsis tuaj yeem cog kom zoo. Lwm yam ua rau muaj xws li raug mob, placenta khaws cia, thiab teeb meem ntshav txhaws.
• Txawm hais tias muaj qee yam ua rau muaj kev pheej hmoo, PPH tuaj yeem tshwm sim rau txhua tus neeg .
• Yog tias kuaj pom thaum ntxov thiab kho sai sai, feem ntau nws tuaj yeem kho tau tag nrho.
• Qhov kev paub txog PPH tuaj yeem ua rau lub siab qaug zog. Tsis txhob yig nrhiav kev pab txhawb nqa uas koj xav tau.

Kev saib xyuas koj txoj kev noj qab haus huv yog ib qho tseem ceeb heev, tshwj xeeb tshaj yog thaum lub sijhawm zoo li no. Koj tsis nyob ib leeg xwb, thov kev pab.

Kev los ntshav tom qab yug me nyuam , PPH, yug me nyuam, los ntshav, tsev menyuam, placenta, kev noj qab haus huv ntawm cov poj niam