Discoordination zog: yog hais tias, kev faib tawm, ua thiab kev kho mob

Thaum ib txwm cev xeeb tub los ze zog mus tus me nyuam cov hnub muaj cai thaum uterine phab ntsa uas yog feem ntau tsis mob, tab sis lawv feem ntau tshwm sim thaum hmo ntuj thiab ntxias lub tsev me nyuam softening.

Lub ntsiab ntawm ntau yam anomalies txog discoordination zog, uas provokes cov ntxaug ntawm lub cev chav kawm ntawm cev xeeb tub. Tej kev ua txhaum yog ib tug loj kev hem thawj rau lub noj qab haus huv ntawm tus poj niam thiab cov me nyuam hauv plab, uas yog vim li cas yuav tsum tau raws sij hawm kev kho mob kev pab thiab tshuaj kho.

Yuav ua li cas yog ib tug generic ua si

Yuav kom to taub li cas yog qhov teeb meem ntawm zog, nws yog ib qho tseem ceeb yuav tsum tau meej txog yuav ua li cas tus me nyuam yug tshwm sim nyob rau hauv lub qub xeev. Ib tug cev xeeb tub poj niam yuav tsum kom meej meej to taub hais tias yog ib tug natural zog, yuav ua li cas kom paub txog qhov pib ntawm ua hauj lwm thiab yog dab tsi nws yog nyob ntawm cov kev siv ntawm tus txheej txheem.

Tej hauj lwm hauv essence yog ib tug uterine phab ntsa, alternating nrog so. Skirmishes txuas ntxiv thoob plaws hauv lub chav kawm ntawm lub sij hawm uas tus me nyuam. Lub cev ntawm ib tug cev xeeb tub lawv ntxias ntau hom kev hloov, nyob rau hauv particular xws li:

• softening ntawm lub ncauj tsev menyuam;
• Disclosure ntawm lub ncauj tsev me nyuam;
• nce qib ntawm tus me nyuam los ntawm cov me nyuam yug kwj dej;
• me nyuam yug ntawm ib tug me nyuam;
• sib cais ntawm lub tsho me nyuam los ntawm lub tsev menyuam phab ntsa;
• tsev me nyuam tawm.

Tej chav kawm ntawm ua hauj lwm rau yog yus muaj los ntawm dynamism thiab regularity. Regularity assumes bout sib npaug ntev thiab siv muaj sib npaug zos Team sib. Dynamic implies ib gradual nce ntawm cov kev siv thiab ntev ntawm lub sij hawm zuj zus uterine contractions.

Lus yog yuav tsum tau cov dilation ntawm lub ncauj tsev menyuam, raws li zoo raws li lub ntxiv nce qib ntawm fetus los ntawm cov me nyuam yug kwj dej. Lub tsev menyuam yog ntau compressed thaum lub sij hawm ua hauj lwm rau, nws yuav ntau npaum li cas tuab thiab me ntsis txo nyob rau hauv volume, li no thawb tawm tus me nyuam. Feem ntau kom txog thaum cov lus tsis muaj zog thiab luv luv ncauj tsev me nyuam yog qeeb txaus, thiab thaum twg cov lus ua ntau mob siab heev, lub qhov nyob rau hauv lub ncauj tsev menyuam ntau ncav us txog, thiab tus me nyuam pib maj mam txav los ntawm cov me nyuam yug kwj dej.

Yuav ua li cas provokes lus discoordination

Discoordination zog yog yus muaj los ntawm qhov tseeb hais tias kev sib ntaus muab qhov chaw sai heev, mob heev thiab feem ntau tsis zoo. Nyob rau hauv cov ntaub ntawv no, kev qhia tawm ntawm lub ncauj tsev menyuam thiab lub tom ntej nce qib ntawm tus me nyuam tsis coj qhov chaw. Tsis zoo li ntau lwm yam hom teeb meem, discoordination zog tsos mob txij thaum pib yog heev pronounced, li ntawd nws yog tau kom paub txog nws ntws nyob rau hauv lub cev. Tsis zoo li tej yam ntuj tso percolation tus me nyuam (uas tus thawj bout ze li ntawm tsis mob), mob thawj kev yuav ntse heev thiab mob heev.

Nyob rau hauv ib txwm tej hauj lwm hais es maj mam thiab maj, raws li tus thawj heev bout, uas pom tau tias cev xeeb tub, feem ntau yog kav rau ib ob peb lub vib nas this, thiab qhov ntev ntawm lawv yog tsis muaj ntau tshaj li 20 feeb. Discoordination zog yus muaj los ntawm qhov tseeb hais tias lawv ua heev thiab ntau heev txij thaum pib ntawm lub sib ntaus sib tua, raws li lawv tseem xav paub ntau tshaj 1 feeb, thiab thaum cov Team sib tsis ntau tshaj li ob peb feeb nyob rau hauv nruab nrab. Nyob rau hauv tas li ntawd, cov lus cov lus txaus thiab lawv muaj heev heev. Tsis muaj nyob rau ntawm no thiab qhov zoo muaj zog txaus ntawm ua hauj lwm thiab ib tug gradual nce ntawm cov lus.

pathology Ua

Nyob rau hauv sib piv rau lub ntuj kawg ntawm me nyuam, lub pathological txheej txheem yog yus muaj los ntawm mob, spasmodic thiab lus lus ntawm lub tsev me nyuam, raws li tau zoo raws li qhov uas tsis muaj kev hloov nyob rau hauv nws cov qauv. Thaum ua txhaum ntawm lub cev chav kawm ntawm ua hauj lwm rau lub ncauj tsev menyuam yog tsis softened, nws yuav denser thiab yuav luag tsis qhia tawm. Pathological txheej txheem yuav kav rau ob peb hnub.

Yog hais tias muaj discoordination zog, yog vim li cas rau qhov no tej zaum yuav sib txawv heev, nyob rau hauv particular, mus rau ib tug zoo xws li cov tshwm sim raws li:

• tshee kev nyuaj siab;
• inflammatory dab nyob rau hauv lub tsev me nyuam;
• metabolic thiab endocrine ntshawv siab.

Nyob rau hauv tas li ntawd, discoordination zog yog vim li cas tej zaum yuav muaj lwm yam, raws li ib tug ntawm xws li kev ua txhaum lub hnub nyoog kev pauv hloov. Nyob rau hauv kev pathology yuav tshwm sim yog tias nulliparous muaj hnub nyoog ntau dua 30 los yog tsawg tshaj li 17 xyoo.

pathology nta

Muaj ntau cev xeeb tub uas nyiaj: discoordination zog - dab tsi yog qhov no thiab yuav ua li cas nws tsim pathology? Xws li ib tug ua txhaum yog yus muaj los ntawm erratic khaus lus ntawm lub tsev menyuam ntau departments, originating raws li ib tug tshwm sim ntawm cov xaav nqi teb. Nyob rau tib lub sij hawm ib tug zoo xws li cov mob no yuav tshwm sim nyob rau hauv ntau cov chaw ntawm lub tsev menyuam. Nyob rau hauv cov ntaub ntawv no muaj yog tsis muaj synchrony ntawm contraction thiab so.

Discoordination zog - nws yog ib tug txaus ntshai pathology uas provokes ua txhaum ntawm uterine contractions, thiab ncua kev sib tawg ntawm lub week. Lub ncauj tsev me nyuam ua ntau denser, thiab lub tsev me nyuam sawv ua txhav thiab tsis tau ncav us txog.

Yog li, discoordination zog (nws yog dab tsi thiab yuav ua li cas qhia nws ib tug uas zoo sib xws pathology, peb tau sib tham txog saum toj no) yuav tsum tau cov kev pab ntawm cov kws tshwj xeeb uas yuav tsum tau sai sai qhia kev ua txhaum uas tshwm sim nyob rau hauv lub cev thiab kom xaiv qhov feem ntau txoj kev tsim nyog ntawm kev kho mob.

kab mob cov tsos mob

Discoordination fights yog lub feem ntau txawv txawv thiab heev txaus ntshai mob ua hauj lwm rau. Tsis zoo li ntau lwm yam teeb meem, cov ua ntawm tus kab mob yog tsis hais txog cov kev kho mob ntawm lub cev xeeb tub poj niam, los yog nrog cov khiav ntawm tus txheej txheem ntawm nqa ib tug me nyuam. Lub ntsiab yog vim li cas rau kev ua txhaum uas txuam nrog rau lub paj hlwb ntawm cov poj niam nyob rau hauv lub sij hawm ntawm qhov pib ntawm txoj hauj lwm.

Lus tshwm sim vim cov zaj uas lub paj impulses uas xa mus rau lub hlwb ntawm lub tsev menyuam. Yog hais tias lub pulses yog heev heev thiab haphazard, muaj yog discoordination zog. Lub ntsiab ua muaj tus mob no thiab puas tabkaum lub ntuj kawg ntawm me nyuam ntshai cev xeeb me nyuam ua ntej yuav muab yug.

Raws li ib tug tshwm sim ntawm poob siab system malfunction Pib ntsais koj teeb uas yog lub luag hauj lwm rau cov ndlwg ntawm zog, mus sufficiently sis tsis ncaj thiab muaj peev xwm tsis muaj zog thaum lub sij hawm los yog, nyob rau hauv tsis tooj, ua rau kom. Vim kev sib ntaus ua txhaum cai yog ntau npaum li cas mob heev thiab insufficiently tsim. Feem ntau cov sib ntaus yog tsis zoo rau cov kev kho mob ntawm lub cev xeeb tub niam thiab tus me nyuam.

Lub ntsiab yam tshwm sim ntawm incoordination yug yuav tau intensification ntawm mob thaum lub sij hawm yog tau me nyuam raws li ib tug poj niam muaj ib tug ntshai nro, ntshai yog tau me nyuam thiab muaj cov tsis zoo tus cwj pwm txawv. Nyob rau hauv cov ntaub ntawv no, spasmodic contraction ntawm lub tsev me nyuam thaum lub sij hawm cov lus yuav tshwm sim tsis tau tsuas yog nyob rau hauv lub cheeb tsam ntawm lub longitudinal paj fibers, tab sis kuj nyob rau hauv lub cheeb tsam ntawm tus ntoo khaub lig.

Nyob rau hauv tej rooj plaub, discoordination zog los ntawm hom ntawm ncauj tsev menyuam dystocia zaum yuav tshwm sim, uas tau los ntawm lub xub ntiag ntawm kev txawv txav nyob rau hauv lub fetus los yog cev xeeb tub poj niam. Xws li ib tug lub xeev tej zaum yuav tshwm sim vim cov muaj ib tug haum nqaim plab mog poj niam uas provokes ib tug complex ndlwg ntawm txoj hauj lwm.

Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum cai ntawm tej hauj lwm thiab tus me nyuam yuav tshwm sim ntau lub tsev me nyuam cov pob txha lov ntawm qhov chaw mos, raws li zoo raws li lub phab ntsa ntawm lub tsev me nyuam lub kua muag. Nyob rau hauv tas li ntawd, ib lub caij nyoog kawg uas tus me nyuam tej zaum yuav tshwm sim, thiab nyob rau hauv tej rooj plaub muaj ib tug yug me nyuam poob plig nyob rau hauv ib tug me nyuam.

Lub degree ntawm tus kab mob heev

Nyob rau hauv tus txheej txheem ntawm kev yug menyuam tau feem ntau yuav cai discoordination zog. Cov kev faib xws li cov kab mob yog nqa tawm raws li nyob rau hauv lub heev thiab tau mob ntawm tus kab mob.

Tus thawj theem ntawm ib tug kab mob tsiag ntawv los ntawm tshwm sim ntawm ntev, nquag thiab mob lus. so lub sij hawm yog significantly txo. lub tsev me nyuam dilatation yog qeeb heev, nrog rau cov tshwm sim hais tias muaj tej zaum yuav muaj teeb meem loj khoob. Nyob rau hauv ib daim ntawv ntsuam xyuas pom tias me nyuam hauv plab dej yog heev me me. Yog hais tias muaj yog ib tug kuaj lub cev uas tau tuag ntawm week, cov sib ntaus sib tua yuav tam sim ntawd rov qab mus rau qub.

Qhov thib ob degree ntawm pathology manifests nws tus kheej feem ntau nyob rau hauv lub xub ntiag ntawm ib tug nqaim plab mog ntawm ib tug poj niam los yog raws li ib tug tshwm sim ntawm tej yam rodostimulyatsii uas txwv tsis pub cev xeeb tub. Nyob rau hauv tas li ntawd, lub 2nd degree yog lub txiaj ntsim ntawm thab plaub lub khiav ntawm lub 1 theem ntawm lub pathology. Qhov no yuav tsis nyob ntev yog yus muaj los ntawm ib tug txaus ntev thiab mob kev kawm ntawm txoj hauj lwm. Lub ncauj tsev me nyuam tej zaum yuav nyob twj ywm tsis paub qab hau thiab tshaj 10 teev tom qab qhov pib ntawm txoj hauj lwm. Cov txiv hmab txiv ntoo ntawm tag nrho cov sij hawm tseem nyob ruaj ruaj thiab tsis tsiv mus nyob rau lub nkag mus rau ib tug me me phiab. Xws li ib tug lub xeev hawv ua phem mus ua txhaum down cov phab ntsa hauv lub tsev me nyuam, raws li tau zoo raws li kev raug mob rau ib txhia lub nruab nrog fetus.

Qhov thib peb theem yog qhov loj tshaj plaws pathology, raws li cov tsev menyuam nyob rau hauv cov ntaub ntawv no yog muab faib ua ob peb qhov chaw, qhov chaw uas txhua yuav siv sij hawm muaj nuj nqi ntawm ib hom ntawm cov starting chaw. Txhua department ntawm lub tsev me nyuam txo nyob rau hauv nws tus kheej lub suab, uas tsis coincide nrog txhua lwm yam. Tej hauj lwm tej zaum yuav mam li tso tseg kiag li.

Lub tsev me nyuam heev xav squeezes lub txiv hmab txiv ntoo, ua rau nws raug kev txom nyem heev, thiab tej zaum ib tug natural yug yuav kuaj mob. Thaum cov ndlwg ntawm raws li ntawm pathology qhia caesarean seem, yog hais tias muaj yog tsis muaj contra-indications ntawm xws li ib lub lag luam.

Mob discoordination yug

Peb twb paub tias dab tsi discoordination zog. Mob, kev kho mob yuav tsum tau ib tug competent, kev mus kom ze. Nws yog ib qho tseem ceeb kom paub txog cov uas twb muaj lawm ua txhaum nyob rau hauv ib tug raws sijhawm, raws li nws yuav pub rau xaiv cov kev kawm txoj kev ntawm txoj kev kho.

Mob yuav nqa tawm cardiotocography. Thaum tua thov rau lub plab mog ntawm ib tug cev xeeb tub sensors dockable elastic ribbons. Ib tug ntawm cov sensors no lub plawv dhia me nyuam.

Lwm sensor yuav pab tau tswj fights txheej txheem. Tag nrho cov tau yog kaw nyob rau hauv daim ntawv ntawm cov graphs. Ntsuam xyuas cov kev tshwm sim, tus kws kho mob yuav tau txais ib tug ua tiav daim duab ntawm lub khiav ntawm ua hauj lwm thiab nws tau abuses.

Kev kho mob ntawm infringements ntawm zog

Kev kho mob discoordination zog yuav tsum tau feem ntau aimed ntawm lub tshem tawm ntawm lub pathological txheej txheem. Yog hais tias muaj yog ib tug muaj zog uterine chua, ces cev xeeb tub muab tranquilizers thiab antispasmodics. Thaum txiav ntawm lub siv tshuaj hauj lwm bounces rov qab.

Therapy yuav tsum tau tswj xa cov mob uterine contractions, raws li zoo raws li lub acceleration ntawm lub ncauj tsev menyuam hloov khoom nruab nrog qhia tawm. Rau cov kev kho mob ntawm incoordination ntawm zog siv analgesics, antispasmodics, thiab sedatives. Rau operative lub tsev me nyuam npaj rau lub qhia tawm thiab pib ntawm zog siv tshuaj raws li prostaglandin. Duration ntawm kev kho nyob rau hauv lub khiav yam ntxwv ntawm lub pathological txheej txheem, tab sis nws yuav tsum tsis txhob kav ntau tshaj li 3-5 hnub. Nyob rau hauv lub qhaj ntawv ntawm lub Desired nyhuv ntawm txoj kev kho qhia caesarean seem.

Yuav ua li cas yog hais tias tus expectant niam vim hais tias nws discoordination zog? Clinic pathology cev xeeb tub muaj tag nrho cov tsim nyog txhais tau tias mus nqa tawm high-zoo kev kho mob, ces nws yog ib qho tseem ceeb mus ntsib ib tug kws kho mob nyob rau hauv ib tug raws sijhawm.

kev tiv thaiv

Rau cov hom phiaj ntawm kev tiv thaiv yug discoordination qhia scrupulous ua raws li tus Tswv txib tus kws kho mob hom, raws li zoo raws li mob-dawb thiab ceev faj kev tswj ntawm lub tag nrho cov txheej txheem thiab kev tswj tag nrho nyob rau ib feem ntawm cov tub txawg. Tshuaj kho yog yuav tsum tau raws li prophylaxis nyob rau hauv lub xub ntiag ntawm muaj tej yam uterine contraction anomalies.

Cov poj niam uas muaj feem yuav, nco ntsoov nqa tawm physiological thiab puas siab puas ntsws kev npaj rau kev yug menyuam, thiab nws yog ib qho tseem ceeb rau kev kawm rau cev xeeb tub hom kev kawm ntawm npag so. Nws yog yuav tsum tau muaj los tswj nqaij laus thiab tsis txhob ntxhov siab ntau zaus. Duration ntawm hmo ntuj pw tsaug zog tsum muaj tsawg kawg 8-10 hom sij hawm, thiab nws yog ib qho tseem ceeb kom zoo zoo npaj cov hnub so. Muab rau ntev mus taug kev nyob rau hauv lub tshiab huab cua thiab kom khaws zaub mov.

Lub ndlwg ntawm khwv nyob rau hauv discoordination

Genera nrog discoordination dhau lawm los yog tsa los ntawm Caesarean seem - nws tag nrho cov nyob rau hauv lub degree ntawm heev ntawm tus kab mob thiab tej teeb meem.

Nyob rau hauv lub qhaj ntawv ntawm indications rau lub lag luam nqa tawm cov tshuaj kho. Yuav kom qhov no kawg tsa taw qhia antispasmodics, nyob rau hauv particular xws li "Baralgin" los yog "Tsis muaj-spa." Nyob rau hauv tas li ntawd, analgesics siv. Yuav kom tshem tawm cov hypertonicity ntawm lub tsev me nyuam siv "Brikanil", "Partusisten", "alupenta", thiab ces nyob rau hauv cia li ib tug ib nrab teev sib ntaus sib tua resumes thiab tau nyaij nquag.

Yuav Tsum qhia tau hais tias cov kev tiv thaiv ntawm me nyuam hauv plab hypoxia, thiab yuav tsum tau epidural tshuaj loog (tshuaj no yog txhaj rau hauv cov leeg nrob sab) nrog 4 cm ncauj tsev menyuam nqa qhia tawm.

Yog hais tias kev kho mob kho tsis, yuav muaj ib tug phais plab seem, lub ntsiab indications phais yog xam tau tias yog .:

• cov neeg pluag tshwm sim ntawm yav dhau los tiam neeg;
• concomitant kab mob;
• loj txiv hmab txiv ntoo;
• nqaim lub plab mog;
• perenashivanie cev xeeb tub;
• malposition.

Nyob rau hauv lub xub ntiag ntawm tus kab mob ua ntej peb lub sij hawm yog tau me nyuam yuav tsum tam sim no tej gynecologist, anesthesiologist thiab neonatologist.