Lub tsev menyuam tsis nruj zoo tom qab yug menyuam? Cia peb tham txog (Uterine Atony)!

Ua ib leej niam yog ib qho ntawm cov kev paub zoo nkauj thiab muaj lub luag haujlwm tshaj plaws hauv lub neej. Txawm li cas los xij, nrog rau qhov kev xyiv fab no, qee zaum cov teeb meem kev noj qab haus huv tsis tau xav txog tuaj yeem tshwm sim. Hnub no, peb yuav tham txog ib qho mob loj tab sis kho tau uas qee tus niam ntsib tom qab yug menyuam. Qhov no hu ua uterine atony, lossis hauv cov lus kho mob , uterine atony .

Uterine Atony yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, Uterine Atony yog thaum koj lub tsev menyuam tsis sib zog lossis nruj zoo tom qab yug menyuam. Feem ntau, tom qab tus menyuam yug los, lub tsev menyuam yuav sib zog zoo thiab tswj kev los ntshav tom qab lub placenta tau yug los. Txawm li cas los xij, nyob rau hauv qhov xwm txheej no, cov leeg nqaij ntawm lub tsev menyuam tsis ua haujlwm zoo, txhais tau tias lawv xoob thiab tsis nruj. Qhov no txaus ntshai heev vim nws tuaj yeem ua rau los ntshav ntau uas tuaj yeem ua rau tuag taus .

Xav txog nws, thaum koj tus menyuam loj hlob hauv lub tsev menyuam thaum cev xeeb tub, tus menyuam tau txais tag nrho cov ntshav, oxygen, thiab cov khoom noj khoom haus uas nws xav tau los ntawm lub placenta. Muaj ntau cov hlab ntsha uas muab ntshav rau lub placenta no. Tom qab tus menyuam yug los, lub tsev menyuam yuav sib zog kom tso lub placenta tawm. Thaum nws sib zog, cov hlab ntsha ntawd nruj thiab tsis txhob los ntshav. Yog li, yog tias lub tsev menyuam tsis sib zog kom zoo, uas yog, yog tias muaj (uterine atony), cov hlab ntsha ntawd pib los ntshav tas li. Qhov no yog qhov peb hu ua kev los ntshav tom qab yug menyuam .

Qhov mob no (uterine atony) tuaj yeem tshwm sim tom qab rho menyuam lossis lwm yam kev phais mob uas cuam tshuam rau lub tsev menyuam. Nws tuaj yeem tshwm sim thaum lub sijhawm yug menyuam ib txwm thiab thaum lub sijhawm cesarean section. Txawm hais tias qhov mob no tshwm sim rau kwv yees li 2% ntawm txhua tus menyuam yug los, nws tsis yog ib txwm ua rau los ntshav ntau dhau. Txawm li cas los xij, qhov no yog ib qho mob uas xav tau kev kho mob tam sim ntawd. Yog tias kho sai sai, nws yuav rov zoo tag nrho.

Yuav ua li cas yog tias lub tsev menyuam tsis txav tom qab yug menyuam?

Yog tias cov leeg nqaij hauv tsev menyuam tsis nruj tom qab yug menyuam, koj muaj feem yuav los ntshav ntau. Raws li peb tau hais ua ntej lawm, tom qab yug menyuam, lub placenta yuav tsum sib cais ntawm phab ntsa hauv tsev menyuam. Qhov no qhib cov hlab ntsha nyob ntawd. Qhov kev nruj ntawm lub tsev menyuam ua rau cov hlab ntsha ntawd nruj thiab tiv thaiv kev los ntshav. Yog li, yog tias cov leeg nqaij tsis nruj, kev los ntshav yuav txuas ntxiv mus. Qhov no yog xwm txheej ceev hauv kev kho mob, vim nws tuaj yeem ua rau tuag taus.

Yam dab tsi ua rau muaj kev pheej hmoo ntawm tus mob no?

Muaj ntau yam ua rau koj lub tsev menyuam tsis khov. Cov yam no yuav cuam tshuam rau koj lub tsev menyuam tom qab yug menyuam:

• Yog tias qhov no yog koj thawj tus menyuam , lossis yog tias koj muaj ntau tshaj tsib tus menyuam .
• Yog tias koj xav tias koj yuav muaj menyuam ntxaib, menyuam peb, lossis ntau dua .
• Koj tus me nyuamYog tias nws loj dua li qub (cov kws kho mob hu qhov no ua Fetal Macrosomia) .
• Yog tias koj muaj hnub nyoog tshaj 35 xyoo .
• Yog tias koj muaj kua dej amniotic ntau dhau (cov dej nyob ib puag ncig tus menyuam) (qhov no hu ua polyhydramnios) .
• Yog koj rog dhau lawm .
• Yog tias koj muaj cov uterine fibroids .

Tsis tas li ntawd xwb, cov kws kho mob ntseeg tias yog tias tej yam no tshwm sim thaum lub sijhawm yug menyuam, lub tsev menyuam yuav tsis nruj tom qab yug menyuam:

• Yog tias koj mob plab ntev heev , lossis yog tias koj yug menyuam sai heev .
• Yog tias koj muaj kev yug menyuam nyuaj .
• Yog tias koj txoj haujlwm tau raug txhawb nqa .
• Yog tias koj tau muaj mob hu ua Chorioamnionitis (kev kis kab mob ntawm cov ntaub so ntswg uas nyob ib puag ncig tus menyuam).
• Yog tias koj tau txais tshuaj loog dav dav .
• Yog tias koj lub tsev menyuam loj hlob .

Tseem Ceeb: Yog tias koj muaj ntau tshaj ob yam ntawm cov yam no, koj muaj feem yuav mob plab hnyuv ntau dua. Cov kws kho mob txheeb xyuas cov uas muaj feem yuav mob thaum ntxov thiab npaj ua ntej yug menyuam, kom lawv thiaj li ua tau sai.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov mob plab hnyuv tshwm sim thaum cov leeg ntawm lub tsev menyuam tsis teb zoo rau cov tshuaj hormones (oxytocin) uas koj lub cev tsim los txhawb kom lub tsev menyuam sib zog ua ntej thiab thaum lub sijhawm yug menyuam. Hais yooj yim xwb, nws zoo li lub tsev menyuam "tsis mloog."

Cov tsos mob ntawm qhov no yog dab tsi?

Qhov cim qhia loj tshaj plaws thiab tseem ceeb tshaj plaws ntawm qhov tsis muaj zog ntawm lub tsev menyuam yog los ntshav tas li lossis ntau dhau ntawm lub tsev menyuam . Feem ntau, koj tus kws kho mob yuav kuaj pom qhov mob no tom qab koj yug koj tus menyuam. Tsis tas li ntawd, tom qab yug menyuam, koj lub tsev menyuam yuav xoob, tsis muaj zog, thiab tsis khov kho.

Lwm cov tsos mob yog:

• Ntshav siab qis .
• Lub Plawv Ceev .
• Hnov kiv taub hau los yog tsaus muag .
• Tshwm sim dawb .
• Tsis nco qab .
• Tsis muaj peev xwm tso zis .
• Mob, tshwj xeeb tshaj yog mob nraub qaum .

Cov kws kho mob paub qhov no li cas ?

Peb cov kws kho mob tau kawm los kuaj mob thiab kho qhov mob Uterine Atony sai sai. Feem ntau qhov no yuav kuaj tau los ntawm kev kuaj xyuas qhov loj thiab mos ntawm koj lub tsev menyuam tom qab yug menyuam. Tus kws kho mob yuav muab ib txhais tes tso rau ntawm koj lub plab thiab muab cov ntiv tes ntawm lwm sab tes ntxig rau hauv koj lub qhov chaw mos los kuaj xyuas koj lub tsev menyuam. Qee tus kws kho mob kuj tseem yuav ntsuas cov ntaub qhwv lossis daim ntaub qhwv uas siv los nqus cov ntshav kom kwv yees seb koj tau poob ntshav ntau npaum li cas.

Yog koj lub tsev menyuam tsis khov, koj lub tsev menyuam loj, mos, thiab tsis muaj zog. Thaum yug menyuam li qub, lub tsev menyuam yuav tsum nruj (tawv los yog tawv) thiab pib ntsws tom qab yug tus menyuam.

Vim tias qhov uterine atony yog qhov ua rau los ntshav ntau tom qab yug menyuam, koj tus kws kho mob kuj tseem yuav kuaj xyuas cov hauv qab no:

• Puas muaj qhov kua muag hauv koj lub qhov ncauj tsev menyuam, qhov chaw mos, lossis lub tsev menyuam ?
• Seb cov feem ntawm lub placenta (Retained Placental Tissue) puas daig hauv lub tsev menyuam.

Koj tus kws kho mob yuav txuas ntxiv saib xyuas koj cov ntshav siab thiab lub plawv dhia kom paub txog kev hloov pauv. Lawv kuj tseem yuav kuaj ntshav kom paub koj cov qe ntshav liab thiab cov ntshav txhaws.

Cov kev kho mob yog dab tsi?

Qhov mob uterine atony yog ib qho xwm txheej ceev, yog li nws yuav tsum tau ua tam sim ntawd los ntawm koj pab neeg kho mob. Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom tsis txhob los ntshav sai li sai tau thiab hloov cov ntshav lossis cov kua dej uas poob . Txawm tias tom qab tswj tau qhov kev los ntshav lawm, koj yuav tsum tau hloov ntshav lossis cov kua dej IV kom hloov cov uas tau poob lawm.

Koj tus kws kho mob poj niam thiab kws kho mob poj niam feem ntau yuav pib kho los ntawm kev zaws lub tsev menyuam kom pab nws zawm zog dua. Nyob ntawm seb qhov mob hnyav npaum li cas, qhov no yuav pab kho tau qhov mob uterine atony.

Ntxiv rau kev zaws lub tsev menyuam tom qab yug menyuam, koj tus kws kho mob yuav siv ntau yam tshuaj los pab koj lub tsev menyuam zawm. Cov tshuaj no suav nrog:

• (Oxytocin) (lub npe lag luam Pitocin®)
• (Methylergonovine) (lub npe lag luam Methergine®)
• Cov tshuaj Prostaglandins , piv txwv li 15-methyl-PGF2 (Hemabate®), misoprostol (Cytotec®) lossis dinoprostone .
• Cov hom Ergot Alkaloids , piv txwv li (Ergometrine) .

Siv lub zog rau ntawm phab ntsa ntawm lub tsev menyuam (Tamponade Techniques)

Tej zaum koj tus kws kho mob yuav tsum nias ntau dua rau koj lub tsev menyuam kom txo qhov ntshav ntws. Cov txheej txheem no suav nrog kev ntim lub tsev menyuam nrog daim ntaub qhwv lossis tshuab lub pob zeb hauv lub tsev menyuam. Nrog rau cov txheej txheem no, tus kws kho mob siv kev nias ncaj qha rau ntawm phab ntsa tsev menyuam kom tsis txhob los ntshav.

Kev kho mob los ntawm kev phais

Yog tias lwm txoj kev kho mob tsis pab kom tsis txhob los ntshav, tej zaum yuav tsum tau phais. Cov txheej txheem phais mob uas siv los kho qhov atony ntawm lub tsev menyuam muaj xws li:

• (Uterine Curettage): Hauv qhov no, tus kws kho mob khawb thiab tshem tawm cov ntshav lossis cov ntshav hauv lub tsev menyuam uas raug kaw hauv lub tsev menyuam (zoo ib yam li D&C).
• Kev khi cov hlab ntsha hauv tsev menyuam: Ib txoj kev kho mob uas khi cov hlab ntsha uas xa cov ntshav mus rau lub tsev menyuam.
• (Uterine Artery Embolization): Ib txoj kev kho mob uas siv cov khoom me me zoo li xuab zeb los tiv thaiv kev los ntshav hauv lub tsev menyuam.
• Kev phais mob hysterectomy: Yog tias txhua yam tsis ua haujlwm, tshem tawm lub tsev menyuam.

Qhov no ua rau muaj teeb meem dab tsi ntxiv?

Uterine atony tuaj yeem ua rau muaj teeb meem xws li:

• Anemia - qhov ntawd txhais tau tias tsis muaj ntshav txaus.
• Xav tias nkees heev los yog ua haujlwm ntau dhau .
• Hnov ​​​​mob taub hau los yog tsaus muag vim yog ntshav siab qis.
• Muaj kev pheej hmoo ntxiv ntawm kev los ntshav hauv cov cev xeeb tub yav tom ntej.

Qhov no puas tiv thaiv tau?

Feem ntau, qhov mob uterine atony tsis tuaj yeem tiv thaiv tau. Tab sis yog tias koj muaj kev pheej hmoo, koj tus kws kho mob tuaj yeem ua cov kauj ruam los npaj rau kev los ntshav ntau. Piv txwv li, muaj cov neeg pab lossis cov khoom siv ntxiv hauv chav yug menyuam, lossis cia koj yug koj tus menyuam ntawm lwm lub tsev kho mob, tuaj yeem pab tau. Koj tuaj yeem ua cov kauj ruam kom muaj kev xeeb tub noj qab haus huv. Qhov no suav nrog kev noj cov vitamins ua ntej yug menyuam , ua raws li koj cov sijhawm teem tseg ua ntej yug menyuam , thiab tswj qhov hnyav noj qab haus huv thaum cev xeeb tub.

Yog tias koj tau los ntshav ntau thaum lub sijhawm yug menyuam dhau los, thov nco ntsoov qhia rau koj tus kws kho mob poj niam thiab kws kho mob poj niam txog qhov ntawd.

Qhov no puas yuav tshwm sim dua?

Yog, nws muaj peev xwm ua rau lub tsev menyuam tsis ua haujlwm ntau dua ib zaug. Yog tias koj tau muaj nws ua ntej, koj muaj feem yuav rov muaj nws dua.

Thaum kawg, kuv yuav tsum qhia rau koj ... (Cov Lus Coj Mus Tsev)

Qhov mob uterine atony yog ib qho teeb meem loj heev uas tuaj yeem tshwm sim tom qab yug menyuam. Yog tias koj muaj tus mob no, koj pab neeg kho mob yuav tsum tau kho koj sai sai kom tsis txhob los ntshav ntau dhau. Tham nrog koj tus kws kho mob txog qhov mob uterine atony thiab seb koj puas muaj feem yuav mob. Kev paub txog cov kev pheej hmoo ua ntej yuav pab koj npaj rau kev kho mob thaum muaj xwm txheej ceev yog tias tsim nyog. Nco ntsoov, kev paub txog cov no tsis yog qhov ua rau ntshai, tab sis yog lub sijhawm los tau txais kev pab sai sai yog tias xav tau. Koj tsis nyob ib leeg, thiab cov kws kho mob yeej ib txwm npaj txhij los pab koj.

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