Ua ib leej niam yog ib qho kev xyiv fab tshaj plaws ntawm lub neej. Nrog rau qhov kev paub zoo nkauj ntawd, nws tseem ceeb heev rau peb kom paub txog qee qhov teeb meem kev noj qab haus huv uas tuaj yeem tshwm sim tom qab muaj menyuam. Vim tias thaum ntawd peb tuaj yeem ntsib lawv kom raug yam tsis muaj kev ntshai. Niaj hnub no peb tab tom tham txog qhov mob hnyav, tab sis qee zaum tsis tshua muaj xws li kev los ntshav tom qab yug menyuam, lossis Kev Los Ntshav Tom Qab Yug Me Nyuam (PPH) . Qhov no feem ntau tshwm sim hauv 24 teev thawj zaug ntawm kev muaj menyuam, tab sis qee zaum nws tuaj yeem tshwm sim txog 12 lub lis piam.
Qhov no tshwm sim li cas tiag?
Hais yooj yim xwb. Thaum koj cev xeeb tub, ib lub cev tshwj xeeb hu ua placenta yuav tsim nyob hauv koj lub tsev menyuam. Qhov no yog qhov uas muab cov pa oxygen thiab cov as-ham rau tus menyuam. Tom qab tus menyuam yug los, koj lub tsev menyuam yuav ua kom lub placenta nruj dua thiab tso lub placenta tawm. Qhov kev ua kom lub placenta nruj no tseem ceeb heev. Vim tias nws pab tiv thaiv kom tsis txhob los ntshav los ntawm kev ua kom cov hlab ntsha uas lub placenta txuas rau lub tsev menyuam nruj.
Xav txog seb, yog tias muaj qee yam ua rau cov kev sib cog lus no tsis muaj zog txaus, yuav ua li cas? Cov hlab ntsha ntawd pib los ntshav. Qee zaum, yog tias cov khoom me me ntawm lub placenta tseem nyob hauv lub tsev menyuam, qhov ntawd kuj tuaj yeem ua rau los ntshav ntau. Yog tias lub placenta tsis tawm hauv 30 feeb tom qab yug menyuam, peb hu nws tias "Retained Placenta". Qhov no kuj tuaj yeem ua rau los ntshav ntau thiab muaj kab mob loj heev.
Yog tias koj muaj lus nug lossis kev txhawj xeeb txog lub placenta, tsis txhob ntshai tham nrog koj tus kws kho mob txog nws thaum koj cev xeeb tub.
Cov tsos mob tseem ceeb ntawm qhov no yog dab tsi?
Kev Los Ntshav Tom Qab Yug Me Nyuam (PPH) tsis cuam tshuam rau txhua tus poj niam tib yam. Txawm li cas los xij, muaj qee cov tsos mob uas tseem ceeb uas yuav tsum paub txog.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Kev los ntshav hnyav uas tsis tuaj yeem tswj tau | Qhov no yog cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws. Yog tias koj los ntshav ntau dua li qub, koj yuav tsum txhawj xeeb. |
| Ntshav siab txo qis | Thaum cov ntshav tawm ntawm lub cev ntau heev, cov ntshav siab tuaj yeem poob qis tam sim ntawd. Qhov no tuaj yeem ua rau muaj kev xav tias tsaus muag thiab kiv taub hau. |
| Lub plawv dhia ceev dua | Zoo li xav them rau qhov ntshav siab qis, lub plawv pib dhia sai dua. |
| Txo cov qe ntshav liab | Vim tias muaj ntau cov qe ntshav liab raug tso tawm ntawm lub cev nrog cov ntshav, qhov no tuaj yeem kuaj pom hauv kev kuaj ntshav. |
| O thiab mob hauv thiab ib puag ncig lub qhov chaw mos | Qee zaum ntshav sib sau ua ke hauv cov nqaij (hematoma), ua rau mob thiab o. |
Tej yam ua rau muaj kev pheej hmoo ntxiv no yog dab tsi?
Muaj ib txhia poj niam muaj feem yuav mob PPH ntau dua li lwm tus. Muaj ntau yam uas ua rau qhov no tshwm sim. Yog tias koj muaj ib qho ntawm cov mob no, nws yog ib lub tswv yim zoo kom qhia rau koj tus kws kho mob paub ua ntej.
- Teeb meem ntawm lub plab :
- Placental abruption: Lub placenta tawm ntawm lub tsev menyuam ua ntej tus menyuam yug los.
- Placenta previa: Lub placenta nyob qis dua hauv lub tsev menyuam, ze ntawm lub qhov ncauj tsev menyuam.
- Kev ncab ntawm lub tsev menyuam ntau dhau: Yog tias koj tab tom nqa menyuam ntxaib, yog tias tus menyuam hnyav ntau, lossis yog tias muaj ntau cov kua amniotic hauv lub tsev menyuam, lub tsev menyuam yuav ncab ntau dhau.
- Ntshav siab thaum cev xeeb tub: Cov mob xws li ntshav siab thaum cev xeeb tub lossis preeclampsia.
- Tau muaj ntau tus menyuam yug los ua ntej.
- Kev yug menyuam siv sijhawm ntev dua li qub.
- Tej yam mob sib kis .
- Kev rog dhau.
- Kev siv cov tshuaj los txhawb kev ua haujlwm.
- Kev siv cov tshuaj los tiv thaiv kev sib cog lus ntawm lub tsev menyuam hauv cov menyuam yug ua ntej lub sijhawm .
- Siv cov khoom siv xws li lub tshuab nqus tsev los yog forceps thaum yug menyuam.
- Muab tshuaj loog dav dav.
Ntxiv rau qhov ntawd, PPH kuj tseem tuaj yeem tshwm sim los ntawm kev rhuav lossis txiav hauv cov hlab ntsha hauv lub qhov ncauj tsev menyuam, cov nqaij mos ntawm qhov chaw mos, lossis lub tsev menyuam, cov ntshav txhaws tsis zoo, thiab lwm yam teeb meem ntsig txog lub placenta.
Cov kws kho mob kho qhov no li cas?
Txawm hais tias qhov no yog qhov teeb meem loj heev los xij, tsis txhob ntshai . Hauv tsev kho mob, cov kws kho mob thiab cov neeg ua haujlwm tu mob tau kawm los daws qhov teeb meem zoo li no. Lawv lub hom phiaj tseem ceeb tshaj plaws yog kom tsis txhob los ntshav sai li sai tau. Lawv siv ntau yam kev kho mob rau qhov no.
Tus kws kho mob yuav txiav txim siab qhov kev kho mob zoo tshaj plaws rau koj raws li cov yam ntxwv xws li koj keeb kwm kev noj qab haus huv thiab qhov hnyav ntawm koj tus mob.
Muaj ntau txoj kev kho mob:
- Muab tshuaj: Cov tshuaj raug muab los pab lub tsev menyuam ua haujlwm.
- Zaws Lub Tsev Me Nyuam: Tus kws kho mob zaws lub tsev me nyuam los ntawm saum lub plab kom pab tiv thaiv kom tsis txhob los ntshav thiab ua rau lub tsev me nyuam nruj.
- Tshem tawm cov khoom me me ntawm lub tsev menyuam: Lub tsev menyuam raug kuaj xyuas seb puas muaj cov khoom me me ntawm lub tsev menyuam uas tseem tshuav thiab raug tshem tawm.
- Kev kuaj xyuas lub tsev menyuam: Xyuas seb puas muaj qhov tawg hauv qhov chaw mos lossis lub tsev menyuam.
- Lub raj mis uterine balloon tamponade: Lub raj mis tshwj xeeb hu ua uterine balloon tamponade raug muab tso rau hauv lub tsev menyuam thiab inflated kom nias cov hlab ntsha thiab tiv thaiv kev los ntshav.
- Kev Phais Mob: Qee zaum yuav tsum tau phais me me los ua tej yam xws li khi cov hlab ntsha. Tsis tshua muaj, yog tias tsis muaj lwm yam kev kho mob uas tuaj yeem tiv thaiv qhov ntshav, kev phais hysterectomy yuav ua tau ua qhov kawg los cawm leej niam txoj sia.
Nrog rau kev kho mob no, nws tseem ceeb heev rau kev hloov cov ntshav thiab cov kua dej uas ploj lawm. Qhov no ua tiav sai nrog cov ntsev (cov kua IV) thiab, yog tias tsim nyog, hloov ntshav.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Los Ntshav Tom Qab Yug Me Nyuam (PPH) yog ib qho mob hnyav, tab sis nws muaj kev kho mob sai thiab zoo . Qhov tseem ceeb tshaj plaws yog kom paub txog cov tsos mob thaum ntxov thiab nrhiav kev kho mob hauv tsev kho mob.
- Qhov no tsis yog koj qhov txhaum, yog li ntawd tsis txhob xav txog nws thiab tu siab.
- Yog tias koj xav tias koj los ntshav ntau dhau, txawm tias nyob hauv tsev kho mob lossis hauv tsev, tom qab yug menyuam, hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Ceev (ETU) ntawm tsev kho mob ze tshaj plaws .
- Tham nrog koj tus kws kho mob thaum koj cev xeeb tub. Nws yog ib qho tseem ceeb uas yuav tsum paub txog koj cov yam uas ua rau muaj kev pheej hmoo thaum ntxov.
- Yog kuaj pom thiab kho thaum ntxov, feem ntau cov niam tsev tuaj yeem rov zoo tag nrho.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus