Txhua yam yog tsis txaus ntshai li nws yuav zoo li thaum xub thawj siab. Yog tias qhov kev ua haujlwm tau zoo thiab tsis muaj teeb meem, cov kws kho mob xav kom tos ib xyoo thiab ib nrab ua ntej yuav sim cev xeeb tub. Qhov no yog ib lub sij hawm ntawm lub sij hawm "nrog ib tug paj tau paj." Feem ntau qhov phais yog cicatrized nyob rau hauv peb lub hlis, thiab nyob rau hauv rau lub hlis lub tsev me nyuam rov qab rau qub. Cov kev xyuam xim muaj feem xyuam nrog qhov tseeb tias ntau lub sij hawm dhau los ntawm kev khiav hauj lwm, qhov ntau dua yuav tsis muaj teeb meem xws li qhov chaw hauv plab tsis tshua muaj vim tus caws pliav ntawm lub tsev menyuam, qhov chaw ploj zais hauv plab tom qab cev xeeb tub lossis qhov teeb meem tsis sib haum xeeb hauv tus txheej txheem ntawm qhov chaw mos nrog tus menyuam mos tom ntej. Feem ntau, yog tias koj cev xeeb tub ib xyoos tom qab koj lub plab los sis tom qab, koj lub cev xeeb tub thiab kev yug menyuam yuav tsis zoo li qub. Cov mob plab thiab kev qaug zog ntawm lub zog yog ib lub ntsiab lus ntawm kev tshaj tawm.
Qhov kev xeeb tub thib ob
Yog hais tias qhov zoo ntawm qhov caws pliav yog qhov qub, ces koj lub cev tsis tuaj yeem tsis phom sij. Dua li ntawm qhov tseeb hais tias nyob rau hauv tus txheej txheem ntawm kev coj tus me nyuam lub tsev menyuam tau loj hlob tuaj loj, muaj suab tsis muaj kev pheej hmoo tias cov seam yuav disperse. Txawm li cas los xij, muaj teeb meem ntawm lwm yam zoo. Lawv yuav tsum tsis txhob ntshai. Tsuas yog koj lub cev xeeb tub yuav tsum tau tshwj xeeb saib xyuas los ntawm tus kws kho mob, uas npaj koj rau yug me nyuam thiab lees txais lawv. Qhov feem ntau txaus ntshai yog lub rupture ntawm uterus raws rumen. Qhov no yuav tsis tsuas yog tom qab lub qhov quav, tab sis kuj tom qab txhag cia cov tshuaj tua kabmob (tshem kev ua haujlwm ntawm cov hlab ntsws), tom qab tshem tawm ntawm ectopic cev xeeb tub (txoj kev ntawm excision ntawm lub uterine kaum), tom qab ntau abortions.
Placental cuam tshuam
Qhov no kuj tshwm sim rau cov neeg uas tsis muaj lub cev nqaij daim tawv nyob hauv keeb kwm, tab sis qhov kev pheej hmoo ntawm qhov teeb meem no tseem nce ntxiv. Hauv qhov no, cov kws kho mob yuav tsum tau ua qhov mob ceev ceev kom txuag tau tus me nyuam.
Noob ntawm lub tsho me nyuam
Yog xav paub seb nws tshwm sim ua ntej hnub yug pib, nws tsis yooj yim sua. Tus essence ntawm no phenomenon yog tias nyob rau hauv lub xeem lub sij hawm ntawm yug, qhov chaw ntawm lub tsho me nyuam yuav tsis cais los ntawm cov ntaub so ntswg uas qhov caws pliav nyob hauv. Yog li ntawd, nyob rau lub sijhawm tomqab yug menyuam tas, cov ntshav yuav tuaj yeem qhib, thiab cov kws kho mob yuav tsum tau siv cov kev ntsuas xwm ceev.
Tsawg qhov chaw ntawm lub tsho me nyuam
Nws ua tau kuj yog ib qho caws pliav hauv lub tsev menyuam.
Cov mob plab heev
Yog tias koj xav muab yug me nyuam tom qab lub qhov quav, nrog tus kws kho mob tham. Feem ntau, tsis muaj dab tsi tiv thaiv qhov yug me nyuam mos. Txawm hais tias muaj tej yam teeb meem thaum tus mob plab zoo dua los rov qab kho mob nkeeg. Tus kws kho mob yuav hais lus qis dua zaum ob hauv qee zaum.
- Yog hais tias tus mob plab zis dhau los no tau tsim tawm (nws yog tsim los ntawm ib txoj kab ntawm lub plab los ntawm lub plab mus rau tus puj ntaws, thiab tsis kab rov tav nyob rau hauv lub tshooj sab hauv ntawm lub tsev menyuam), ces qhov no yog tsis meej - ib qho kev qhia rau lub plab. Xws li cov lus hais txog: yog tias tus me nyuam nyob rau hauv lub tsev menyuam yaus, lossis yog tias nws tsis zoo, los yog lwm yam rau lwm tus neeg siv thaum muaj xwm txheej ceev (piv txwv li, prolapse ntawm txoj hlab ntaws qis, mob siab khaus mis hauv siab).
- Tus mob ntawm lub caws pliav ntawm lub tsev menyuam (raws li ultrasound). Qhov caws pliag yuav tsum yog feem ntau ntawm cov qauv ua homogeneous, tsis muaj "niches", entanglements thiab deformations. Lub thickness ntawm caws pliag thaum 38-39 lub lis piam - tsis pub tsawg tshaj 4 hli.
- Qhov chaw ntawm tus me nyuam mos nyob hauv plab. Nyob rau hauv txoj hauj lwm tav toj, qhov chaw mos yog qhov tsis yooj yim sua, nrog rau kev qhia txog pelvic - nws yog forbidden, yog tias muaj ib tug mob caj npab hauv ib qho anamnesis.
- Tsis muaj qhov dej yug me nyuam. Feem ntau, kev loj hlob ntawm lub ncauj tsev menyuam tsis tshwm sim vim yog qhov tsis sib haum xeeb ntawm qhov caws pliav ntawm lub tsev menyuam.
- Contraindication rau ntuj yug menyuam tom qab yug me nyuam yog ib tug loj fetus: qhov hnyav ntawm tus me nyuam los ntawm ultrasound yuav tsum tsis pub tshaj 3800.0 g.
- Ob lossis ntau dua Qhov ntau ntawm cov nti rau ntawm lub tsev menyuam, qhov siab zog ntawm cov teeb meem. Hauv particular, qhov kev sib cais hauv plab plab zuj zus tuaj yeem nyuaj, yog tias nws "hlob zoo" rau hauv qhov caws pliav, muaj qhov kev pheej hmoo ntawm kev sib tshuam ntawm txoj kev sib ntaus.
- Tsawg qhov chaw lossis kev nthuav qhia ntawm lub tsho me nyuam. Hauv qhov no, raws li txoj cai, kev lag luam raug pom zoo, xws li cov neeg laus xws li lub tsho me nyuam yuav ua rau exfoliate, uas yuav ua rau lub cev tshee tshee oxig ntawm tus menyuam. Yog tias koj tsis muaj ib qho kev qhia txog kev mob plab zis thib ob, txiav txim seb puas yuav ua rau yug me nyuam yug los.
- Muaj ib qho laj thawj yog vim li cas koj tau ua haujlwm dhau lub sijhawm. Piv txwv, koj muaj ib qho retinal detachment, thiab nce qhov muag siab ntawm cov kev sim yuav ua rau koj lub qhov muag tsis pom kev.
Qhov chaw mos tom qab yug me nyuam tom qab yug me nyuam
Qhov sib txawv ntawm cov yug me nyuam tom qab yug me nyuam tom qab yug me nyuam yog tias cov kev yug me nyuam tsis yau: lawv yuav tsum nquag khiav lawv tus kheej, tsis muaj oxytocin los yog enzaprost, vim muaj zog ntawm txoj kev ua haujlwm tuaj yeem ua rau muaj kev sib tawg. Tsis tas li ntawd, xws li cov hnub yug sim tsis ua kom zoo rau lawv kom tsis txhob siv daim npog ntsej muag rau hauv daim duab ntawm lub uterine rupture. Tsuas pub, nrog rau tshuaj loog, niam yuav tsis muaj peev xwm yws txog cov tsos mob tsis zoo, thiab cov kws kho mob yuav tsis tuaj yeem nyob rau lub sijhawm los pab nws. Lub tswv yim ntawm qhov chaw mos ntawm tom qab yug me nyuam tom qab yog ib yam li qub. Koj yuav tsis raug txwv tsis pub muaj kev ywj pheej thaum muaj kev sib ntaus sib tua: koj tuaj yeem siv txoj hauj lwm zoo, ua rau kev ua pa, ua kom lub caij da dej los yog hauv lub pas dej tshwj xeeb kom txo tau qhov mob. Txawm li cas los xij, nws kuj yuav tsim nyog rau cov kws kho mob kom pom tus me nyuam lub plawv dhia nrog kev pab ntawm kev saib xyuas, xws li tau ua ntau zaus, thaum xav tau kev soj ntsuam txog tus me nyuam qhov teeb meem.
Qhov zoo ntawm kev yug me nyuam hauv plab ua ntej tus mob thib ob
- Koj yuav sai sai. Nws yuav yooj yim dua rau koj kom saib xyuas tus me nyuam thiab pab koj tus kheej.
- Kev yug me nyuam yeej pab tau tus me nyuam mus qhib lub neej txoj sia, piv txwv, ua pa.
- Nyob rau hauv qhov chaw yug me nyuam, qhov kev pheej hmoo ntawm tus kab mob yuav qis dua.
- Koj tuaj yeem xa rov qab tuaj tom tsev ib lub limtiam yav dhau los, thiab koj yuav tsis tas xyuas cov caws pliav hauv thaj chaw hauv bikini.
- Yog hais tias lub plawv los ntawm cov roj ntsha hauv qab no, koj tsis tuaj yeem pom tus me nyuam, tsim kom muaj kev sib txuas nrog thiab muab tso rau hauv siab, uas yog qhov tseem ceeb rau kev noj qab haus huv ntawm cov pob zeb thiab koj lub tsev menyuam mus ua ib txwm nyob rau lub sijhawm tom qab ntawd.
- Kev caws pliav ntau dhau ntawm lub tsev menyuam tau ua rau kom muaj kev phom sij rau cov me nyuam mos ntxiv thiab txo qhov uas yuav ua rau tus pojniam yug menyuam.
- Txhua txhua tom qab lub qog nqaij hlav yog qhov nyuaj rau kev siv tsis muaj teeb meem rau kev noj qab haus huv. Muaj cov poj niam uas yug me nyuam los yog ntau dua los ntawm cov caesarean, tab sis qhov no tej zaum kuj ua rau ntshav thiab xav tau kev tso ntshav, thiab tshem tawm ntawm lub tsev menyuam yuav tsum tau txhaj.
- Kev ua haujlwm hauv kev ua haujlwm raug ua rau txoj haujlwm khiav haujlwm. Qhov no txhais tau hais tias cov ntaub so ntswg ntawm lub hauv nruab nrog cev muaj zog ua ke, uas txwv lawv txoj kev muaj mob thiab ua rau mob hnyav. Feem ntau, spikes tuaj yeem tshwm sim nyob rau hauv cov hlab ntaws, uas tuaj yeem ua rau muaj teeb meem nrog conceiving. Nws tsis muaj teeb meem yog tias koj yuav tsum tau rov qab los yog koj yuav yug me nyuam - tus me nyuam yuav tsum pom hauv qhov kaj vim nws yuav zoo dua rau nws thiab koj txoj kev noj qab haus huv.
Tshem nyiaj
Cov kev tsis zoo ntawm qhov chaw mos yog muaj teeb meem nrog cov perineum, uas tsis yog txhua leej txhua tus yuav tsum tsis txhob noj, tsis hais seb puas muaj mob ntsws los yog tsis mob. Muaj feem ntau ntawm episiotomy, tsis muaj zog ntawm cov hlab zis hauv lub cev tom qab, ncab lossis qis ntawm cov phab ntsa paum thiab qhov mob tom qab yug me nyuam. Ua tib zoo saib, txawm nyob rau cov teb chaws twg los xij, lawv pom zoo txog ob lub tsev me nyuam tom qab yug me nyuam thiab yug hauv tsev, tsis pom zoo muab yug rau cov neeg uas muaj keeb kwm nyob rau hauv lub tsev kho mob. Txawm hais tias qhov tseeb yog qhov tsawg tshaj plaws, tus kws kho mob tseem xav tias nws tsim nyog los soj ntsuam tus me nyuam tus mob hauv qhov teeb meem no kom zoo zoo, thiaj li yuav tau ua txhua yam kev ntsuas yog tias nws muaj kev hem rau nws lub neej los yog kev noj qab haus huv.
Kev Cuam Tshuam
Yog li, yog hais tias koj twb tau muaj ib qho kev phais plab, koj yuav tsum nco ntsoov qee cov ntsiab lus. Yog hais tias yav dhau los yog tsawg tshaj li ib nrab ntawm ib xyoos dhau los, nrog ib tus kws kho mob tshwj xeeb saib xyuas koj qhov kev xeeb tub tshwj xeeb. Tom qab 30 lub lim tiam ntawm cev xeeb tub, sib tham nrog tus kws kho mob cov tswv yim thiab lub tswv yim ntawm kev tswj xyuas haujlwm. Yog tias tus kws kho mob hais tias qaug qis dua zaum ob, nrog nws tham, nrog saib seb yog vim li cas nws thiaj li tsis ua rau tus pojniam yug menyuam. Pib ntawm lub asthiv 36th, nws yuav tsum tau mus ntsib tus kws kho mob txhua lub limtiam, yog ua tau, coj 2-3 kuaj ntxiv ultrasound caws pliav hauv lub tsev menyuam, piv txwv li, thaum 38 thiab 39 lub limtiam uas cev xeeb tub, los txiav txim tias nws cov kev sib luag. Yog hais tias yav dhau los yog ua tiav ib lub xyoo lossis ntau dhau los, kho koj cev xeeb tub li niaj zaus, tab sis nws yog ib qho zoo los saib xyuas qhov teeb meem ntawm lub caws pliav ntawm lub tsev menyuam thaum npaj ultrasound. Yog tias tus kws kho mob pom zoo kom koj sim yug me nyuam, tsis txhob muab koj tus kheej tso rau hauv: "Zoo li yog tias tsis yog Caesarean!" Nco ntsoov tias ib tus poj niam twg xav tau kev phais - nws yuav pab tiv thaiv koj thiab tus menyuam ntawm ntau yam teeb meem thiab teeb meem .