Yog tias koj tau phais C-section ua ntej lawm, tej zaum koj yuav muaj ib lo lus nug loj hauv koj lub siab tam sim no uas koj cev xeeb tub dua. "Kuv puas yuav yug tau menyuam li qub lub sijhawm no?" "Puas yuav muaj teeb meem dab tsi los ntawm kev phais C-section?" Nrog rau cov lus nug zoo li no, tej zaum koj kuj tau hnov lo lus "uterine rupture ." Nws yog ib qho ib txwm muaj kev ntshai thaum koj hnov qhov ntawd. Tab sis tsis txhob txhawj. Peb yuav tham txog nws txhua yam hnub no, yooj yim heev thiab hauv txoj kev uas koj tuaj yeem nkag siab.
Qhov tseeb yog dab tsi yog qhov uterine rupture?
Hais yooj yim xwb, lub tsev menyuam yog ib lub cev khov kho zoo li lub hnab uas loj hlob hauv koj tus menyuam lub tsev menyuam. Nws cov phab ntsa yog ua los ntawm peb txheej ntawm cov leeg nqaij. Thaum koj tus menyuam loj hlob, lub tsev menyuam nthuav dav zoo li lub npas. Tom qab tus menyuam yug los, nws maj mam rov qab mus rau nws qhov loj qub.
Tiamsis thaum koj phais cesarean, tus kws kho mob yuav txiav cov leeg nqaij ntawm lub tsev menyuam kom coj tus menyuam tawm. Tom qab ntawd lawv yuav xaws qhov phais. Tiamsis txawm lawv xaws li cas los xij, qhov caws pliav uas tsim los tsis muaj zog 100% li lwm qhov ntawm lub tsev menyuam. Nws yog qhov chaw tsis muaj zog me ntsis.
Thaum koj cev xeeb tub dua, koj lub tsev menyuam yuav pib nruj dua thaum lub sijhawm yug menyuam zuj zus. Thaum ntawd, qhov chaw tsis muaj zog hauv phab ntsa ntawm koj lub tsev menyuam los ntawm qhov caws pliav cesarean yav dhau los tuaj yeem rhuav lossis tawg. Qhov no yog qhov peb hu ua lub tsev menyuam tawg. Qhov no feem ntau tshwm sim thaum lub sijhawm yug menyuam.
Qhov no yog ib qho xwm txheej ceev heev. Tiam sis nco ntsoov, qhov no yog ib qho xwm txheej tsis tshua muaj . Thiab yog tias muaj kev kho mob sai sai, txoj sia ntawm niam thiab menyuam yuav pab tau lawv heev.
Qhov laj thawj tseem ceeb rau qhov no yog dab tsi?
Qhov kev pheej hmoo loj tshaj plaws thiab tseem ceeb tshaj plaws rau qhov no yog qhov tau muaj kev phais cesarean ua ntej . Qhov kev pheej hmoo no tshwj xeeb tshaj yog thaum sim yug menyuam hauv qhov chaw mos tom qab phais cesarean (peb hu qhov no ua TOLAC - Kev Sim Ua Haujlwm Tom Qab Cesarean). Koj tau phais cesarean ntau npaum li cas, qhov kev pheej hmoo ntawd yuav ntau dua.
Tiamsis tsis yog li ntawd xwb. Muaj ntau lwm yam laj thawj uas yuav cuam tshuam rau qhov no.
| Qhov Ua Rau Muaj Kev Pheej Hmoo | Piav qhia yooj yim |
|---|---|
| Kev tawg ntawm lub tsev menyuam yav dhau los | Yog tias qhov mob no tau tshwm sim ua ntej lawm, qhov kev pheej hmoo ntawm kev rov tshwm sim yog siab. |
| Cov tshuaj mob thaum cev xeeb tub | Qee cov tshuaj loog mob (piv txwv li, Oxytocin) tuaj yeem ua rau lub tsev menyuam nruj heev, ua rau muaj kev pheej hmoo no ntau ntxiv. |
| Kev raug mob rau lub plab | Kev raug mob hnyav rau lub plab, xws li los ntawm kev sib tsoo tsheb. |
| Tus naj npawb lossis qhov ntau ntawm cov menyuam | Qhov kev pheej hmoo siab dua yog tias koj muaj menyuam ntxaib, tus menyuam loj (ntau tshaj 4kg), lossis muaj cov kua amniotic ntau hauv lub tsev menyuam, vim tias lub tsev menyuam ncab ntau dhau. |
| Qhov sib nrug ntawm cev xeeb tub | Cev xeeb tub dua tsawg dua 18 lub hlis tom qab phais cesarean ua ntej. |
| Hom kev phais cesarean | Qhov kev pheej hmoo ntawm kev phais ib txwm muaj, uas ua rau siab dua hauv lub tsev menyuam, siab dua li kev phais qis, uas ua rau qis dua. |
Yuav ua li cas qhov kev txiav raug cuam tshuam thaum lub sijhawm ua caesarean
Qhov kev pheej hmoo no kuj txawv nyob ntawm seb qhov kev phais hauv koj lub tsev menyuam thaum koj phais cesarean.
- Qis Transverse: Qhov no yog qhov phais feem ntau niaj hnub no, tseem hu ua "bikini cut," thiab ua kab rov tav hauv qab ntawm lub tsev menyuam. Qhov no muaj qhov pheej hmoo qis tshaj plaws ntawm kev tawg ntawm lub tsev menyuam.
- Qis Ntsug: Ib qho kev phais ua ntsug rau hauv qab ntawm lub tsev menyuam. Qhov no muaj kev pheej hmoo me ntsis dua li kev phais kab rov tav.
- Kev phais mob siab ntsug (Classical): Qhov no yog kev phais ntsug uas ua rau sab saud ntawm lub tsev menyuam. Yog tias ua hom kev phais no, cov kws kho mob pom zoo kom kev yug menyuam tom ntej yog kev phais cesarean uas tau npaj tseg.
Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?
Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob vim qhov no yog xwm txheej ceev. Txawm li cas los xij, qee zaum nws tuaj yeem tshwm sim yam tsis muaj tsos mob.
| Cov tsos mob tseem ceeb uas yuav tshwm sim thaum lub sijhawm tawg ntawm lub tsev menyuam | |
|---|---|
| Lub plawv dhia ntawm tus menyuam | Lub plawv dhia qeeb heev (bradycardia) yog thawj qhov cim qhia uas pom ntau tshaj plaws. |
| Mob plab | Mob plab sai sai, tsis tuaj yeem ua tau, thiab mob heev. Qee zaum qhov mob no tuaj yeem mob mus txog thaum lub sijhawm koj yug menyuam tas. |
| Kev hloov pauv ntawm qhov mob thaum yug menyuam | Qhov mob uas tau muaj ntev lawm mam li nres. |
| Kev los ntshav ntawm qhov chaw mos | Kev los ntshav txawv txawv. |
| Kev los ntshav sab hauv | Niam cov ntshav siab poob qis, nws lub plawv dhia ceev zuj zus, thiab nws kiv taub hau. |
| Kev hloov pauv ntawm tus menyuam txoj haujlwm | Zoo li tus menyuam tab tom nqes los ntawm txoj hlab ntaws yug thiab tom qab ntawd rov qab los dua. |
Qhov tseem ceeb tshaj plaws yog mus rau tsev kho mob tam sim ntawd yog tias koj muaj cov tsos mob txawv txawv zoo li no.Tej zaum yuav yog mob plab ib txwm muaj, tab sis nws tsis yog lub tswv yim zoo los pheej hmoo. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob lossis cov neeg ua haujlwm hauv tsev kho mob.
Tej yam txaus ntshai ntawm qhov no yog dab tsi?
Qhov no yog ib qho xwm txheej ceev uas tuaj yeem ua rau tuag taus rau leej niam thiab tus menyuam.
Tej yam txaus ntshai rau leej niam:
- Kev Los Ntshav : Kev los ntshav ntau dhau los ntawm kev tawg ntawm lub tsev menyuam tuaj yeem ua rau muaj kev phom sij rau lub neej.
- Kev rho menyuam tawm: Qee zaum, yog tias qhov ntshav tsis tuaj yeem nres, lub tsev menyuam yuav tsum tau muab tshem tawm tag nrho kom cawm tau leej niam txoj sia.
- Kev puas tsuaj rau lwm cov kabmob: Cov kabmob ze ntawm lub cev, xws li lub zais zis, tej zaum yuav raug puas tsuaj. Qhov no kuj tseem yuav tsum tau phais.
- Kev ntxiv ntshav: Yuav kom hloov tau cov ntshav uas poob lawm, yuav tsum muab ntshav rau sab nraud.
Tej yam txaus ntshai rau tus menyuam:
- Hypoxia: Thaum lub tsev menyuam tawg, cov ntshav uas mus rau lub placenta raug txiav tawm, txo cov pa oxygen uas tus menyuam tau txais. Qhov no tuaj yeem ua rau lub hlwb puas tsuaj lossis tuag taus.
- Yug ntxov ntxov: Vim tias tus menyuam yuav tsum tau yug sai sai, tus menyuam yuav yug ntxov ntxov.
- Kev Poob Txoj Sia: Tu siab kawg li, tus me nyuam lub neej muaj kev pheej hmoo loj heev yog tias tsis tau txais kev kho mob sai.
Tiam sis nco ntsoov, ntau yam kev pheej hmoo no tuaj yeem txo qis yog tias koj mus txog tsev kho mob sai thiab tau txais kev kho mob thaum muaj xwm txheej ceev .
Yuav kho li cas?
Thaum muaj kev xav tias lub tsev menyuam tawg, tib yam uas yuav tsum ua yog phais mob thaum muaj xwm txheej ceev thiab yug tus menyuam. Tsis muaj ib pliag twg uas yuav nkim tau ntawm no.
1. Kev phais mob thaum muaj xwm txheej ceev: Tus kws kho mob yuav ua ib qho kev phais sai sai hauv koj lub plab (laparotomy) thiab tshem tus menyuam tawm. Qhov no yuav ua rau tus menyuam tau txais kev kho mob cawm siav uas nws xav tau.
2. Kho lub tsev menyuam: Tom qab yug tus menyuam tas, tus kws kho mob yuav sim kho qhov tawg hauv lub tsev menyuam.
3. Kev kho mob ntxiv: Yog tias muaj kev los ntshav ntau dhau, yuav muab tshuaj los tiv thaiv nws, thiab yuav muab ntshav yog tias tsim nyog.
4. Kev phais tsev menyuam: Tsis tshua muaj, yog tias lub tsev menyuam kho tsis tau lossis tsis tuaj yeem nres qhov ntshav, kev phais tsev menyuam yuav tsum tau cawm tus niam txoj sia.
Puas muaj ib txoj kev los tiv thaiv qhov no?
Nws tsis yooj yim sua kom tiv thaiv qhov no tau 100%, vim peb tsis tuaj yeem kwv yees tau tias nws yuav tshwm sim thaum twg. Tab sis muaj tej yam uas peb ua tau los txo qhov kev pheej hmoo.
- Tham nrog koj tus kws kho mob:Qhov no yog qhov tseem ceeb tshaj plaws. Tham nrog nws txog koj qhov kev phais cesarean yav dhau los, hom kev phais, thiab koj qhov mob, thiab txiav txim siab zoo txog txoj kev npaj yug menyuam lub sijhawm no.
- Cia sijhawm txaus ntawm kev xeeb tub: Tos tsawg kawg 18-24 lub hlis tom qab phais cesarean ua ntej xeeb tub dua yuav muab sijhawm rau qhov caws pliav kom zoo.
- Xaiv ib lub tsev kho mob uas muaj cov chaw zoo: Xyuas kom tseeb tias lub tsev kho mob uas koj xaiv los yug koj tus menyuam muaj cov chaw phais mob thaum muaj xwm txheej ceev 24 teev .
- Kev phais cesarean uas tau npaj tseg: Yog tias koj muaj cov yam ntxwv muaj kev pheej hmoo siab (piv txwv li, ntau zaus phais cesarean yav dhau los, phais ntsug), koj tus kws kho mob yuav pom zoo kom phais C-section uas tau npaj tseg ib hnub ua ntej pib yug menyuam.
Kev yug me nyuam los ntawm qhov chaw mos tom qab phais cesarean (VBAC) tsis yog ib qho ua tsis tau. Muaj ntau tus niam uas tsim nyog tau ua tiav lawm. Tab sis koj yuav tsum txiav txim siab tom qab tham txog cov kev pheej hmoo thiab cov txiaj ntsig nrog koj tus kws kho mob thiab pom zoo rau cov kev xaiv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tawg ntawm lub tsev menyuam yog ib qho mob hnyav heev, tab sis tsis tshua muaj, yog li ntawd tsis txhob ntshai nws.
- Qhov ua rau muaj kev pheej hmoo tseem ceeb rau qhov no yog qhov tau muaj kev phais cesarean ua ntej.
- Ceev faj txog cov tsos mob thaum lub sijhawm yug menyuam, xws li mob plab sai sai thiab mob hnyav thiab tus menyuam lub plawv dhia qeeb .
- Tham txog txhua qhov kev txiav txim siab txog koj txoj kev yug menyuam nrog koj tus kws kho mob . Tsis txhob txiav txim siab ib leeg xwb.
- Yuav kom yug tau koj tus menyuam, nws yog ib qho tseem ceeb heev uas yuav tsum xaiv lub tsev kho mob uas muaj txhua yam chaw tsim nyog rau thaum muaj xwm txheej ceev.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus