Qhov kev xyiv fab uas koj hnov tom qab koj tus menyuam los rau hauv lub ntiaj teb no tsis tuaj yeem hais tawm hauv cov lus, puas yog? Tab sis nrog rau qhov kev xyiv fab no, peb yuav tsum paub txog kev hloov pauv hauv koj lub cev ua ib tug niam. Nws yog ib txwm muaj los ntshav qee qhov tom qab muaj menyuam . Tab sis yog tias qhov kev los ntshav ntawd nce mus txog qhov tsis tuaj yeem tswj tau, nws tuaj yeem yog qhov xwm txheej txaus ntshai. Ib qho ntawm cov teeb meem tseem ceeb uas tuaj yeem tshwm sim thaum lub sijhawm zoo li no yog Uterine Atony. Cia peb tham txog qhov no hnub no, tsis muaj kev ntshai, yooj yim.
Uterine Atony yog dab tsi?
Hais yooj yim xwb, thoob plaws koj cev xeeb tub, uas yog 9 lub hlis, koj tus menyuam tau txais tag nrho cov khoom noj khoom haus thiab cov pa oxygen uas nws xav tau los ntawm cov hlab ntsha hauv koj lub tsev menyuam. Tom qab tus menyuam yug los, thaum lub placenta yug los, cov hlab ntsha no qhib.
Feem ntau thaum tus menyuam yug los, cov leeg nqaij hauv lub tsev menyuam yuav sib zog heev, kaw cov hlab ntsha qhib no thiab nres qhov ntshav. Xav txog nws zoo li nias lub yeeb nkab dej nrog koj txhais tes thiab dej tsis ntws.
Txawm li cas los xij, nyob rau hauv ib qho mob hu ua Uterine Atony , cov leeg ntawm lub tsev menyuam tsis nruj raws li xav tau. Lawv dhau los ua xoob thiab "tub nkeeg" (qhov ntawd yog qhov atony yog). Tom qab ntawd, cov hlab ntsha qhib ntawd pib los ntshav tsis tuaj yeem tswj tau.
Qhov no tuaj yeem tshwm sim thaum lub sijhawm yug menyuam los ntawm qhov chaw mos lossis phais cesarean. Nws kuj tseem tuaj yeem tshwm sim tom qab rho menyuam. Koj yuav tsum nco ntsoov tias qhov no yog ib qho mob hnyav heev uas xav tau kev kho mob ceev .
Cov yam tseem ceeb uas ua rau muaj tus mob no yog dab tsi?
Tus mob no tsis tshwm sim rau txhua tus neeg. Txawm li cas los xij, qee tus neeg yuav muaj feem yuav mob ntau dua me ntsis vim muaj qee yam. Yog vim li ntawd koj tus kws kho mob thiaj li paub txog cov yam txaus ntshai no.
| Qhov Ua Rau Muaj Kev Pheej Hmoo | Piav qhia yooj yim xwb |
|---|---|
| Ib txoj haujlwm ntev thiab nyuaj | Cov leeg ntawm lub tsev menyuam tuaj yeem nkees tom qab lub sijhawm ntev ntawm kev yug menyuam thiab kev yug menyuam nyuaj. |
| Kev sib cog lus ntawm lub tsev menyuam ntau dhau | Yog tias tus menyuam hnyav ntau (piv txwv li, ntau dua 4 kg), yog tias nws yog menyuam ntxaib, lossis yog tias muaj ntau cov kua dej amniotic (dej) hauv lub tsev menyuam (polyhydramnios), lub tsev menyuam yuav ncab dhau lawm. |
| Tsim ib lub paj dag | Thaum ib tug me nyuam yug los ntawm kev muab tshuaj xws li oxytocin thiab ua kom lub sijhawm yug me nyuam ntev. |
| Cov pob txha tawg | Cov fibroids hauv lub tsev menyuam tuaj yeem tiv thaiv lub tsev menyuam kom tsis txhob cog lus zoo. |
| Cov kab mob sib kis | Kev kis kab mob ntawm cov ntaub so ntswg uas nyob ib puag ncig tus menyuam (chorioamnionitis). |
| Kev rog dhau | Kev rog dhau kuj yog ib qho ua rau muaj kev pheej hmoo. |
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob tseem ceeb thiab txaus ntshai tshaj plaws ntawm tus mob no yog los ntshav ntau dhau tom qab yug menyuam ( Postpartum Hemorrhage ) .
Txawm hais tias nws yog ib qho ib txwm muaj los ntshav me ntsis tom qab yug me nyuam, yog tias koj xav tias los ntshav ntau dhau, lossis yog tias daim pam uas koj siv tau ntub tag hauv lub sijhawm luv luv, xws li ib teev, lossis yog tias koj cov ntshav txhaws loj, tsis txhob xav tias nws yog ib txwm muaj. Qhia rau koj tus kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob tam sim ntawd.
Thaum cov ntshav ntau dhau tawm ntawm lub cev, lwm cov tsos mob kuj tseem yuav tshwm sim.
- Ntshav siab qis (Hypotension)
- Lub plawv dhia ceev dua
- Lub cev yuav txias thiab dawb
- Hnov mob taub hau, qhov muag tig xiav
- Cov zis tso tawm tsawg dua
- Kev poob siab hauv cov xwm txheej hnyav tshaj plaws
Tus kws kho mob paub qhov no li cas?
Koj tus kws kho mob.Feem ntau yuav kuaj pom tus kab mob no los ntawm kev kuaj lub tsev menyuam.
Tom qab yug me nyuam li qub, tus kws kho mob yuav muab nws txhais tes tso rau ntawm koj lub plab thiab kuaj koj lub tsev menyuam. Yog tias koj tau phais cesarean, qhov kev kuaj no yuav ua tiav thaum kawg ntawm kev phais. Feem ntau, tom qab yug me nyuam, koj lub tsev menyuam yuav tsum tau ntsws thiab tawv li pob zeb . Txawm li cas los xij, thaum muaj qhov tsis zoo ntawm lub tsev menyuam, lub tsev menyuam loj heev thiab mos thaum kov.
Tus kws kho mob kuj yuav xyuas seb puas muaj lwm yam ua rau muaj qhov ntshav ntau dhau no. Piv txwv li:
- Puas muaj kev raug mob lossis kev rhuav tshem rau ntawm lub qhov ncauj tsev menyuam lossis qhov chaw mos?
- Puas muaj ib feem ntawm lub placenta tseem nyob hauv lub tsev menyuam (retained placenta)?
Tus kws kho mob lees paub qhov mob ntawm uterine atony tom qab kuaj xyuas tag nrho cov no.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov no yog ib qho xwm txheej ceev, yog li kev kho mob yuav tsum pib tam sim ntawd. Lub hom phiaj tseem ceeb yog kom tsis txhob los ntshav sai li sai tau. Lub sijhawm no, koj yuav tau txais cov dej ntsev los hloov cov kua dej uas poob hauv koj lub cev, thiab cov pa oxygen yog tias tsim nyog. Yog tias muaj ntshav ntau dhau, tej zaum yuav tsum tau hloov ntshav .
Muaj ntau txoj kev kho mob.
| Txoj kev kho mob | Ua li cas rau nws? |
|---|---|
| Kev Kho Mob | |
| Oxytocin (Pitocin) | Ib yam tshuaj hormones uas pab kom lub tsev menyuam nruj. Muab qhov no rau hauv cov hlab ntsha nrog rau cov dej ntsev. |
| Lwm cov tshuaj (piv txwv li Methylergonovine, Prostaglandins) | Cov tshuaj no yog cov tshuaj uas muab rau kom lub tsev menyuam nruj dua. Ib txhia muab ua tshuaj txhaj, thaum lwm tus muab ua tshuaj ntsiav uas muab ntxig rau hauv qhov chaw mos lossis qhov quav. |
| Kev Phais Mob & Lwm Yam Txheej Txheem | |
| Kev Ntim Khoom/Lub Pob Nplua Rau Hauv Tsev Me Nyuam | Yuav muab ib daim ntaub qhwv tshwj xeeb los yog lub npas tso rau hauv lub tsev menyuam, uas yuav tuav cov hlab ntsha los ntawm sab hauv thiab tiv thaiv kom tsis txhob los ntshav. |
| Kev Sib Txuas ntawm Cov Hlab Ntxwm Hauv Tsev Me Nyuam | Qhov no yog ib qho kev phais me me. Cov hlab ntsha tseem ceeb uas xa cov ntshav mus rau lub tsev menyuam raug khi, ua rau tsis txhob los ntshav. |
| Kev phais tshem tawm tsev menyuam | Yog tias tsis muaj dab tsi los tiv thaiv qhov ntshav, ua qhov kawg , koj lub tsev menyuam yuav tsum tau muab tshem tawm tag nrho kom cawm koj txoj sia. Qhov no yog ib qho kev phais loj. |
Kev phais tshem menyuam hauv plab tsuas yog ua rau cov neeg uas cawm tau txoj sia xwb, yog li ntawd tsis txhob ntshai nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov mob ntawm lub tsev menyuam tsis khov yog ib qho mob uas cov leeg ntawm lub tsev menyuam tsis nruj zoo tom qab yug menyuam, ua rau los ntshav ntau dhau. Qhov no yog ib qho xwm txheej ceev uas yuav tsum tau kho tam sim ntawd.
- Yog koj muaj kev xav tias koj los ntshav ntau dhau tom qab yug me nyuam (lub ntaub qhwv menyuam ntub sai sai, cov ntshav txhaws loj tawm), qhia rau koj tus kws kho mob lossis tus nais tam sim ntawd. Tsis txhob ncua nws.
- Txawm hais tias muaj ntau yam ua rau muaj tus mob no los, nws tuaj yeem tshwm sim rau txhua tus neeg, yog li nws yog ib qho tseem ceeb heev uas yuav tsum yug menyuam hauv tsev kho mob uas muaj cov neeg ua haujlwm tau kawm tiav.
- Muaj ntau txoj kev kho mob zoo heev rau qhov no. Cov kws kho mob siv ntau txoj kev, los ntawm kev siv tshuaj mus rau kev phais, los tiv thaiv kev los ntshav.
- Tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj txog koj lub cev, ua ntej thiab tom qab yug me nyuam.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus