Qhov no tshwm sim thaum qee qhov chaw ntawm tus me nyuam qhov chaw nkaum rau hauv lub uterine kab noj hniav, qhov coagulation system tawg, kev cuam tshuam ntawm cov nqaij mos ntawm qhov chaw yug me nyuam, thiab hypotension thiab atony ntawm lub tsev menyuam tshwm sim.
Thaum lub hypotension ntawm ib lub tsev menyuam mos lub suab thiab kev muaj peev xwm ntawm ib lub tsev menyuam yuav txo tsawg. Nyob rau hauv kev tiv thaiv ntawm ntau yam txhais tau tias thiab kev ntsuas tsom txoj kev cog lus ntawm kev ua mob ntawm lub tsev menyuam, cov nqaij ntshiv ntawm lub tsev menyuam pib cog lus, tab sis nws qee zaum tshwm sim tias lub zog ntawm qhov txo cov tshuaj tiv thaiv tsis sib thooj ntawm lub zog ntawm cov nyhuv.
Nrog atony ntawm lub tsev menyuam, cov neeg ua hauj lwm uas qhib qhov kev cog lus qis ntawm lub tsev menyuam tsis muaj kev cuam tshuam rau nws. Cov hlab hlwb ntawm lub tsev menyuam yog nyob rau hauv lub xeev kev tuag tes tuag taw. Atony ntawm uterus yog heev ib tug tsawg tshwm sim, tab sis nws yog nrog los ntawm hnyav ntshav.
Lub etiology ntawm atonic thiab hypotonic ntshav yog ntau haiv neeg thiab tshwm sim los ntawm ntau yam:
- kev tuag ntawm lub cev thiab lub hlwb, vim yog mob hnyav thiab mob ntev, tsis muaj zog ntawm txoj haujlwm, oxytocin, sai, sai sai;
- hnyav gestosis thiab kub siab;
- txo qis ntawm lub tsho xees thiab kev nthuav qhia;
- functional inferiority ntawm uterus - overgrowth ntawm uterus vim polyhydramnios, loj fetus, ntau fetuses;
- anatomical inferiority ntawm lub tsev menyuam - underdevelopment thiab malformations ntawm lub tsev menyuam, kev khaus ntawm lub tsev menyuam tom qab kev phais mob, uterine fibroids, dhau los inflammatory kab mob thiab abortions, uas tshwm sim los ntawm kev hloov ntawm ib feem tseem ceeb ntawm cov leeg nqaij ntawm cov leeg ntawm lub tsev menyuam.
Atonic thiab hypotonic los ntshav kuj tuaj yeem tshwm sim los ntawm ntau yam ntawm cov lus saum toj no. Qhov no yuav yog lo lus teb rau vim li cas lub uterus yuav tsis cog lus tom qab yug me nyuam tam sim ntawd thiab tom qab ob peb teev.
Nyob rau hauv xws li ib tug teeb meem, los ntshav yuav ua tau ib tug loj cim tshaj. Muab qhov tseeb tias atonic los ntshav yog qhov nyuaj heev rau qhov txawv ntawm qhov txawv ntawm hypotonic, nws yog ib txoj kev xav siv ib lub sij hawm - hypotonic ntshav, thiab xws li kuaj raws li atony ntawm lub tsev menyuam yuav tsum tau teem thaum txhua yam kev ntsuas tau ua tsis zoo.
Cov kev mob tshwm sim ntawm hypotonic ntshav yog qhia los ntawm cov tsos mob tseem ceeb - los ntshav los ntawm qhov tom qab yug menyuam, thiab qhov no ua rau lwm cov tsos mob rau cov kev hemodynamic ntshawv siab thiab mob anemia. Muaj cov tsos mob ntawm hemorrhagic poob siab.
Tus poj niam cev nqaij daim tawv tuaj yeem nyob ntawm nws txoj kev mob nkeeg thiab ntev npaum li cas thiab kev mob ntshav siab npaum li cas. Cov ntshav poob thaum lub sijhawm yug menyuam yuav tsum tsis pub tshaj 0.5 feem pua ntawm lub cev, tab sis tsis pub tshaj 450 milliliters. Yog hais tias lub cev tsis muaj zog, thiab qhov reactivity ntawm lub cev txo heev, ces txawm me ntsis dhau ntawm cov ntshav poob tus nqi tuaj yeem ua rau muaj mob hnyav.
Qhov kev siv ntawm qhov los ntshav yog nyob ntawm qhov loj ntawm daim duab mob. Yog li, yog hais tias muaj ntau cov ntshav poob - 1000 ml lossis ntau tshaj, ntev, ces tus poj niam lub cev muaj peev xwm zoo dua qhov kev mob ntshav sai sai nrog cov ntshav tsawg hauv qhov qub los yog tsawg dua, muaj kev pheej hmoo ntawm kev tuag thiab kev tuag.
Qhov kev kuaj mob ntawm hypotension yog tsim los ntawm qhov pom ntawm kev los ntawm uterine thiab lub hom phiaj ntawm lub tsev menyuam.
Nrog hypotonic los ntshav txoj kev kho mob yog nqa tsis tau qeeb. Nyob rau tib lub sijhawm, kev ntsuas raug coj los txiav kev los ntshav thiab rov ua kom ntshav tsawg dua. Tag nrho cov kev tswj yuav tsum tau ua raws li kev txiav txim siab ncaj qha thiab tsom rau kev nce ntxiv thiab qhov mob ntawm lub tsev menyuam.
Nrog rau tus poj niam uas tuaj koom nrog, kom txo tau lub tsev me nyuam, nws yuav tsum siv tus menyuam yug mis rau thawj xoob moos tom qab yug los. Nyob rau hauv lub neej yav tom ntej, pub mis yuav tsum nquag - txhua ob teev thaum nruab hnub. Thaum ib tug me nyuam nqus mis, kev hnoos qeev tuaj ntawm oxytocin tshwm sim thiab qhov no yog qhov zoo tshaj plaws ntawm txoj kev khi ntawm lub tsev menyuam. Thaum lub sijhawm pub mis rau tus menyuam, lub tsev menyuam tau cog lus zoo thiab vim qhov no tus pojniam yuav mob siab rau hauv plab hauv plab, uas zoo ib yam li cov lus cog tseg. Hauv kev txiav txim rau lub tsev menyuam mus rau daim ntawv cog lus, thawj hnub tom qab yug me nyuam, yuav tsum tau thov dej khov rau 30 feeb thiab ntau zaus nyob rau hauv plab. Nws yog tawm tswv yim rau kev tiv thaiv kev kho mob nrog tshuaj ntsuab, pib nrog plaub thib rau postpartum. Rau cov hom phiaj no, koj tuaj yeem siv nettle nyom, noog nplooj, yawg thiab me nyuam tus tswv yug yaj lub hnab. Los yog, hloov, siv ib tug sib tov ntawm tshuaj ntsuab los npaj ib tug decoction.
Nws tsis raug nquahu kom koom tes rau hauv lub cev qoj ib ce kom nruj kom nrawm nrawm, vim muaj kev cuam tshuam loj ntawm lub tsev menyuam thiab lwm yam plab hnyuv siab plab uas tsis tau coj lawv qhov chaw qub tuaj yeem ua rau muaj kev mob nkeeg thiab ua rau muaj kev tsis zoo ntawm lub cev.
Raws li lub tsev menyuam sib cog lus, tom qab thawj lub sij hawm tom qab yug me nyuam, ntau cov ntshav faib tawm ntawm nws - lochia. Thaum koj hloov txoj hauj lwm ntawm lub cev thiab thaum twg ib tus poj niam nce, cov kua qaub no ua kom muaj zog. Maj mam lawv ua lub teeb, ces daj ntseg liab, thiab tom qab ntawd nres rau 6 lub lis piam tom qab yug me nyuam. Yuav kom ceev cov txheej txheem kho kom zoo thiab kom muaj kev nyiam huv, nws yog ib qhov tsim nyog kom ua tib zoo ua tus sab nraud. Ntxuav peb zaug ib hnub twg yuav tsum tau ua kom tiav los ntawm kev ntxuav tawm ntawm lub decoction ntawm chamomile los yog ntoo qhib pob zeb. Yog tias muaj seams, tom qab ntxuav tag, lawv yuav tsum tau kho ntxiv thiab nrog cov neeg kho mob zoo. Cov ntaub pua tsev yuav tsum tsuas yog tsim los ntawm cov ntaub fabrics.
Nws yog ib qho tseem ceeb heev uas yuav tau pib qhov txheej txheem ntawm kev pub niam mis rau menyuam noj txij hnub thawj. Qhov kev ua kom tus neeg muaj roj ntsha muaj txiaj ntsim zoo rau lub cev ntawm cov poj niam lub cev, thiab lub sij hawm rov pub tom qab yuav zoo dua. Yuav kom zoo dua qub zog thiab tswj kev tiv thaiv, ib tug poj niam muaj peev xwm nqa Rose hips nyob rau hauv daim ntawv ntawm syrup, infusion los yog nyob rau hauv daim ntawv ntawm compote.