Qee lub sij hawm thaum yug me nyuam, muaj ntau yam teeb meem tsis zoo thiab muaj teeb meem tshwm sim, nrog rau cov kws kho mob thiab cov poj niam cev xeeb tub tuaj yeem yuam kev kho mob hauv kev ua lag luam.
Txoj kev xav tau kev kho mob sai thaum lub sijhawm yug me nyuam thaum muaj kev ua hauj lwm dhia ceev nrooj, thaum leej niam tsis muaj peev xwm yug tau tus kheej thiab lwm yam thaum muaj teeb meem rau kev noj qab haus huv thiab lub neej ntawm tus me nyuam hauv plab.
Kev pabcuam yuam kev hauv kev ua haujlwm tseemceeb yog qhov kev ua haujlwm ntawm obstetric forceps, lub tshuab nqus dej, thiab lub qhov muag ntawm lub cev.
Ib qho ntawm "feem ntau" txaus ntshai ua haujlwm thaum lub sij hawm ua haujlwm yog kev tsim ntawm obstetric forceps. Ntawm ntau tus neeg, muaj ntau cov lus nug thiab xav phem cais tsis hais txog qhov kev xav tau rau kev pabcuam, vim lawv ntseeg hais tias qhov kev lag luam no ua rau kev nyuaj siab ntawm tus xeeb ceem thaum yug tus me nyuam. Nws yuav tsum tau qhia meej tias qhov kev kub ntxhov ntawm kev lag luam no tsuas yog muaj feem xyuam nrog cov xwm txheej uas tau ua tiav. Nyob rau hauv qhov kev kawm ntawm tus me nyuam, tus kws kho mob yuav tsis coj tus me nyuam tawm ntawm kev yug me nyuam kw nrog cov pauv. Tab sis muaj qee zaum thaum tsis muaj kev cuam tshuam rau tus me nyuam hauv plab tuag taus.
Piv txwv, qhov teeb meem no thaum tus me nyuam hauv plab hauv lub taub hau me me pelvis me, thiab kev ua kom me nyuam muaj kev ntxhov siab. Hauv qhov no, lub plawv hauv plab ua rau lub cev, thiab tom qab ntawd maj mam nres, tus fetal hypoxia tshwm sim. Yog tias, thaum muaj teebmeem, nws tsis yog kho sai thiab cuam tshuam rab phom, tus fetus yuav tuag. Caesarean seem tsis tiav ntawm no, txij li thaum tus menyuam tau tso plab ntawm lub plab mus rau hauv thaj chaw hauv plab pelvic. Qhov tsuas yog los pab tus niam thiab tus me nyuam - daim ntawv thov yuam kev los yog lub nqus dej nqus ntawm lub fetus. Qhov tsawg dua lub sij hawm ua haujlwm, yuav zoo dua tus me nyuam yuav pom tau tom qab yug los, txij li thaum nws mob hypoxia.
Cov ntaub ntawv ntawm forceps thiab lub tshuab nqus tsev vacuum yog ua tsuas yog los ntawm cov kws tshwj xeeb uas paub cov txheej txheem ntawm kev ua cov haujlwm no. Qhov tseem ceeb ntawm cov haujlwm no yog tias tus menyuam tau muab rho tawm los ntawm kev yug me nyuam nrog kev pab tshwj xeeb ntawm kev hloov kho tshwj xeeb. Qhov sib txawv ntawm kev siv rab peev xwm thiab lub tshuab nqus tsev yog qhov kev tshem tawm ntawm lub plab yuav pab tus poj niam hauv kev ua hauj lwm kom thawb thiab yug tus me nyuam lub taub hau, thiab lub hwjchim hloov qhov kev sim, tus menyuam tawm hauv qhov chaw yug menyuam los ntawm sab nraud ntawm tus kws kho mob.
Cov kev pabcuam no tuaj yeem ua nrog rau kev ua haujlwm tsawg, nrog rau kev hem siab ntawm hypoxia, nrog rau kev ua rau kev ntxhov siab thaum lub sijhawm ua haujlwm (kab mob hauv lub plawv, mob qog nqaij hlav, ntshav siab, thiab lwm yam)
Extraction ntawm lub fetus los ntawm lub taub hau nrog forceps los yog lub tshuab nqus tsev tsis ua rau lub ncauj tsev menyuam thiab lub taub hau ntawm tus me nyuam, raws li tib neeg xav. Thaum koj tawm ntawm qhov chaw yug me nyuam, qhov fetal siv yog nyob rau hauv dav dav ntawm lub plab mog, uas txhais tau hais tias tus me nyuam tau raug muab tshem tawm ntawm txoj kev yug me nyuam nrog kev pab ntawm obstetrician thiab tus kws kho mob.
Lwm ntawm kev yuam ua haujlwm tseem ceeb thaum tab tom ua haujlwm yog kev poob siab ntawm cov perineum. Cov nqaij ntshiv ntawm cov perineum muaj zog, thiab qee zaus tiv thaiv tus menyuam lub xub pwg nyom ntawm qhov kaj, nias lawv. Yog li, nrog rau cov tsos ntawm tus me nyuam los ntawm cov kwj dej yug me nyuam, qhov ua rau ntawm perineum yog tam sim no dav kis mus pab txhawb txoj kev yug me nyuam.
Ntawm chav kawm, xws li kev pab kho mob, xws li kev pauv ntawm perineal, yog thaum obstetrical forceps tau thov thiab thaum lub nqus tawm ntawm lub fetus. Yog li ntawd, lub taub hau ntawm tus me nyuam yaus tsis raug mob dua thiab yooj yim dua tawm hauv qhov chaw yug me nyuam. Tsis tas li ntawd, qhov kev sib cav hauv plab yog siv thaum muaj kev hem thawj. Xyaum pom tias qhov sib txawv yog qhov nyuaj rau sew, nws kho tau zoo dua thiab ntev tshaj qhov kev txiav.
Lwm qhov tseem ceeb rau kev ua haujlwm ntawm kev txiav lub perineum yog tias cov leeg ntawm cov perineum yog raug qhov kev nruj nruj thiab ncab thaum lub sijhawm yug menyuam uas yav tom ntej lawv cov laus yuav txo tau kom muaj hnub nyoog xws li qhov teeb meem tsis txaus ntseeg thiab cov prolapse ntawm lub nrog cev hauv nruab nrog cev .
Nrog rau cov hnub yug ntxov, qhov phais plhaus nkas tsis tas yuav ua kom tsis txhob muaj kev raug mob rau tus menyuam thaum tawm hauv kwj dej yug menyuam.
Kho tag nrho cov kev kho mob hauv kev yug me nyuam, nrog rau kev yuam zog thaum ua haujlwm, ua ib txoj hauv kev yooj yim rau txoj kev yug me nyuam. Cov kws kho mob feem ntau xav pab kom yooj yim dua thiab ua tiav koj txoj kev yug me nyuam, thiab ua kom muaj kev nyab xeeb sai li sai tau rau tus me nyuam.
Muab yug me nyuam yooj yim!