Episiotomy. Sutures episiotomy: hauj lwm, tsos, thiab kev kho mob

Yug ib tug me nyuam - yog ib tug txuj ci tseem ceeb. Tos niam ua tib zoo npaj rau lub rov tshwm sim ntawm tus me nyuam. Tab sis thaum lub sij hawm yug me nyuam yuav tshwm sim npaj txhij txog qhov teeb meem no thaum koj yuav xav tau ib tug episiotomy. Nqaws episiotomy yog kev txhawj xeeb nyob rau hauv cev xeeb tub cov poj niam. Peb mam li tham ntxiv txog qhov ntawd.

Yuav ua li cas yog nws?

Episiotomy - ib tug me me incision ntawm lub perineum, uas ua rau muab yug thaum lub sij hawm ntawm lub ntiab tawm ntawm lub fetus. Feem ntau ua ntej hais tias tus expectant niam yog xeem ib lub zos ua kom loog, tab sis tej zaum nws tsis muaj lub sij hawm, thiab ua li cas tsis ua kom loog.

Qhov no lub lag luam tsis pub tshwm sim rupture, pab kom tus me nyuam kis tau los ntawm cov me nyuam yug kwj dej.

Leej twg xav tau ib tug episiotomy

Leej twg kuj qhia tau hais tias ib tug episiotomy? Stitches tom qab episiotomy lub sij hawm ntev yuav kho tsis tau. Yuav ua li cas justified txoj kev ua no? Paum cov ntaub so ntswg sufficiently elastic. Cov xwm heev decreed tias ib tug poj niam yuav tsum tau muab yug nyob rau hauv ib tug tej yam ntuj tso txoj kev tsis muaj teeb meem. Tab sis muaj ib co tshwj xeeb yog vim li cas rau cov uas lub episiotomy yog tsim nyog:

• tus me nyuam breech kev nthuav qhia, uas yog, nws mus ua ntej lub nroog Yeiuxalees los yog txhais ceg;
• yuav tsum kom tus me nyuam yug vim hais tias tus me nyuam hypoxia - tsis muaj oxygen;
• muaj ib tug uas yuav ntawm perineal tsim kua muag yog hais tias tus ntaub yog uas tsis yog-elastic.

Tu siab, nyob rau hauv peb lub sij hawm, lub lag luam no yog muab tso rau hauv kwj deg, thiab nws yuav ua rau yuav luag txhua txhua ob tug poj niam nyob rau hauv txoj hauj lwm. Rau cov kws kho mob yuav ua rau tus txiav yog yooj yim dua los txog rau ib co lwm yam txhais tau tias tus me nyuam. Yog hais tias ua tau, nws yog zoo dua mus nrhiav rau ib tug pov thawj thiab tej kws kho mob, uas tsis tso phais. Thiab, ntawm chav kawm, ib qho tseem ceeb mindset ntawm ib tug muaj kev vam meej lub sij hawm.

Pros thiab cons ntawm episiotomy

Feem ntau, muab yug ib tug poj niam muaj thaum lub sij hawm yog tau me nyuam nrog ib tug qhov tseeb accompli incision tsim nyog, uas yog ua nrog kev pab los ntawm tshwj xeeb phais txiab. Nyob rau hauv no, thaum xub thawj pom, ib tug txaus ntshai txoj kev muaj ob peb qhov tsav:

• theem ob accelerates genera;
• ib tug me nyuam yug los tsis muaj kev raug mob, tus txheej txheem yog zoo rau nws;
• nrog vain sim nws yuav siv sij hawm tsawg npaum li cas zog nyob rau hauv lub neej yav tom ntej leej niam.

Qhov tsis zoo muaj xws li cov nram qab no:

• mob stitches;
• tsis muaj peev xwm mus zaum rau ib tug ntev lub sij hawm;
• yuav raug mob lub qhov quav;
• heev tom qab tau me nyuam.

Dua li no lossis loj tus naj npawb ntawm disadvantages, peb tseem yuav tsum tso siab rau cov kws kho mob. Thiab yog hais tias tus zoo yog ceg txheem ntseeg, noj qab haus huv thiab txawm lub neej ntawm tus me nyuam, nws yog ib qhov zoo tshaj plaws rau pom zoo rau ib txoj kev xws li ib tug episiotomy. Nqaws episiotomy tej zaum yuav mob rau ib txhia lub sij hawm thiab ua rau tsis xis nyob. Yuav ua li cas tu lawv, yuav nrhiav tau hauv qab no.

Puas yuav ua tau kom tsis txhob muaj ib tug episiotomy?

Qhov no phais yuav zam tau. Nws tau ntev tau qhov tseeb hais tias ntxov ntxov yug feem ntau xaus nrog ntau yam pob txha lov. Nws yuav zoo li ib tug paradox, vim hais tias lub taub hau nyob rau hauv xws li ib tug me nyuam, ntawm chav kawm, me me thiab. Tab sis nws puv tawm, ib tug ob peb lub lis piam ua ntej yug tus me nyuam, nyob rau hauv tus poj niam lub tshuaj hormones yog tshuab txais, nce lub elasticity ntawm qhov chaw mos. Yog li ntawd, peb yuav tsum sim qhia rau tus me nyuam mus sij hawm.

Nyob rau hauv tas li ntawd, koj muaj peev xwm ntawm nws tus kheej npaj lub perineum rau me nyuam. Zoo pib nyob rau hauv ua ntej. Cov kws kho mob yuav tsum tau mus ua ib tug noj qab nyob zoo txoj kev ua neej, tag nrho lub cev xeeb tub, tsis txhob overeat, thiab kom khiav ntawm qhov ceeb thawj. Nws yog qhov zoo tshaj plaws los mus siv rau hauv lub pas dej ua ke los yog yoga rau cev xeeb tub cov poj niam, yog hais tias tus obstetrician-gynecologist yog tsis tiv thaiv thiab tsis muaj contraindications nyob rau hauv txhua rooj plaub.

Ib lub hlis ua ntej qhov tus me nyuam yuav tsum pib ua intimate massage nrog tshwj xeeb roj. Yog hais tias nws tsis muaj peevxwm mus yuav, koj yuav siv tau sunflower roj, almond roj, txiv ntseej roj los hiav txwv buckthorn. Yuav ua li cas yog xws li ib tug zaws, feem ntau yog muaj nyob rau ntawm lub hoob kawm rau cev xeeb tub cov poj niam, li ntawd, lawv yuav tsum tsis txhob tsis saib tsis xyuas. Qhov no txoj kev yuav tsum tau ua txhua txhua hnub. Lug paub Kegel ce kuj pab tau cov elasticity ntawm lub perineum thiab xa rov qab mus rau li qub tom qab tus me nyuam. Nyob rau hauv txhua rooj plaub, yog hais tias nws thiaj li tshwm sim uas tus kws kho mob yuav tsum tau ua tus txiav, tsis txhob ntshai.

Yuav ua li cas muaj ntau yam stitches kho episiotomy?

Yog hais tias thaum lub sij hawm tus me nyuam twb indications tus kws kho mob ua tib zoo ua ib qho kev incision. Xyaum qhia tau hais tias nws yog feem ntau nyob rau sab xis. Nqaws sib tshooj los yog bioresorbable xov, los yog cov neeg uas yuav tsum tau yuav tsum tau muab tshem tawm nyob rau hauv lub thib tsib hnub. Yuav ua li cas xov xaiv - los mus txiav txim tus kws kho mob.

Nyob rau hauv thawj peb lub lim piam, koj yuav tsis zaum, txwv tsis pub tau kev pheej hmoo ntawm divergence ntawm ntug txaj. Muaj kuj yog ib tug txiav npluav rau kev sib deev kev ua si rau 5-6 lub lis piam. Feem ntau, thaum lub sij hawm lub sij hawm no cov pob qij txha zoo. Tag nrho cov kho tshiab ntawm lub chaw mos los tshwm sim nyob rau 6-9 lub hlis tom qab yug tus me nyuam, tiam sis tsuas yog noj mus rau hauv tus account lub tu ntawm lub perineum.

Care ntawm lub perineum tom qab tau me nyuam

Nws zoo li ib leeg episiotomy? Tom qab yug me nyuam, ib tug poj niam muaj peev xwm nrhiav tau ib tug lossis loj o nti. Yog hais tias koj sim mus saib lawv tus kheej los ntawm cov iav, lub spectacle yog tsis rau qhov tsaus muag ntawm lub plawv. Qhov no yog ua dab tsi. Yog hais tias koj ua raws li tus kws kho mob pom zoo, tom qab 2 lub lim piam ntawm o zuj zus lawm tso, thiab tom qab rau lub hlis ntawm nws yuav yuav ntau tshaj.

Ntsiab tswv yim pom zoo rau kev saib xyuas ntawm cov pob qij txha:

• tsis mus zaum rau ntawm ib tug ca saum npoo rau 2-3 lub lis piam;
• txog 2 lub hlis tsis tsa dab tsi hnyav dua ib tug me nyuam;
• kom lub perineum huv si, hloov pawm no ntau npau li feem ntau raws li tau ntxuav tom qab txhua zaus mus ntsib mus rau lub tso zis tso;
• ua tshuaj furatsilina nqaws los yog zelenkoj;
• 3-4 lub sij hawm ib hnub twg, muab lub nqaws "ua pa" zoo li tsis muaj ris tsho hauv qab;
• noj cov khoom noj uas tsim kho lub ua los ntawm kev defecation, uas lub rooj zaum yog ib tug tsis tu ncua thiab pob qij txha tsis strained;
• kev sib deev so rau 6-8 lub lis piam;
• ua Kegel ce;
• haus dej haus kom txaus dej.

Feem ntau cov worryingly rau ntau leej niam - yog lub cev tsis zaum. Pub koj tus me nyuam thaum sawv los yog pw heev seeb. Tiam sis ntau tshaj ib qho tseem ceeb tshaj qhov kev kho mob ntawm lub crumbs, li ntawd, yuav ua tim ib tug ob peb lub lis piam. Yog hais tias qhov kev kho mob ntawm lub perineum twb tsis, lub tej zaum yuav raug teeb meem.

Teeb meem tom qab episiotomy

Zoo li lwm yam kev phais, episiotomy yuav muaj teeb meem. Yuav ua li cas yog tias muag leeg episiotomy, thiab yog vim li cas rau qhov no? Qhov no yuav tshwm sim yog tias ib tug poj niam tsa tes taw hnyav li, xws li nqa ib stroller nrog ib tug me nyuam nyob rau hauv cov kauj ruam, los yog hauv lub zos ua ntej ntawm lub sij hawm. Sai li sai tau raws li thawj cov cim qhia ntawm kev sib tawg, xws li mob tej pob txha tom qab ib qho episiotomy, koj yuav tsum tham ib tug kws kho mob sai li sai tau. Tej zaum koj yuav xav tau ib tug thib ob suturing.

Pw ua ke tom qab episiotomy

Nyob rau hauv txhua rooj plaub, tom qab muab yug yog tsim nyog los tsis txhob sib deev com rau 6 lub lis piam. Tom qab no lub sij hawm nws yog tsim nyog mus xyuas ib tug gynecologist. Yog hais tias lub nqaws nrog tag nrho cov txheej txheem thiab tus kws kho mob yuav muab zoo koj yuav nco ntsoov txog lawv intimate lub neej.

Feem ntau cov poj niam uas tau muaj ib tug episiotomy, lees hais tias thaum xub thawj txog tej kev ntshai thiab mob thaum lub sij hawm nrog txiv neej pw. Thaum lub sij hawm, qhov tsis zoo nyob yuav mus tam sim ntawd. Rau cov thawj lub sij hawm nws yog zoo dua siv gel-lubricated thiab siv sij hawm ntau rau foreplay. Nws kuj xyaum nrog poses los ntawm txoj cai. Yog hais tias tus mob yuav tsis zam lub txim rau, nws yog tsim nyog mus lawm thiab sim ib ob peb hnub. Yog hais tias tus mob tsawv rau ob peb lub hlis thiab cia li nkaum kiag suture tom qab episiotomy, nws yog tsim nyog los tham ib tug kws kho mob rau kev pab tswv yim.

Kuv tseem muab yug episiotomy

Cov poj niam uas muaj undergone no phais feem ntau txhawj txog seb tom ntej xa tuaj yog ua tau? Qhov zoo ces, tus txiav npluav tsis yog. Nws yuav tsum tau nco ntsoov tias ob lub sij hawm tej zaum koj yuav xav tau ib tug episiotomy. Stitches tom qab episiotomy yog tsis elastic. Yog li ntawd midwives nyob rau hauv kev txiav txim kom tsis txhob muaj cov laus leeg ntxi, ua ib tug zoo huv si tshiab incision.

Hais txog ib nrab ntawm cov thib ob thiab tom ntej tiam neeg tau dhau tsis muaj no pab. Nws yog tsim nyog yuav tau kho mus rau ib tug zoo yug tau thiab meej npaj rau lawv. Xyooj cov me nyuam yuav tsum twv yuav raug hu, nyob rau hauv kev phem ntawm lub ntshai, uas ua rau yus episiotomy. Nqaws episiotomy - nws yog xws li ib tug me ntsis piv rau cov kev zoo siab uas muab rau cov me nyuam!