Ob txhais phais plab seem: Yuav ua li cas yog ib qho tseem ceeb kom paub? Phais plab yug seem: indications, sij hawm poob, rov qab

Txhua cev xeeb tub poj niam yuav siv sij hawm ib tug tshiab, tsis zoo li yav dhau los ib tug. Me nyuam, ntsig txog, kuj sib txawv. Yog hais tias tus thawj tus me nyuam yug los nrog kev pab los ntawm cov neeg phais thiab gynecologists, nws tsis txhais hais tias tam sim no txhua yam yuav tshwm sim raws li cov tib scenario. Yuav ua li cas yog hais tias tus thib ob yuav muaj ib tug phais plab seem? Yuav ua li cas yog ib qho tseem ceeb kom paub tias tus poj niam nws tus kheej? Kuv tsis txhob muab hlais tawm lawm? Nyob rau cov thiab lwm yam lus nug uas koj yuav teb niaj hnub no tsab xov xwm. Koj yuav kawm tau li cas yuav ua li cas lub sij hawm thib ob npaj phais plab seem raws li lub cev zaug tom qab ntawm txoj kev, seb nws puas yuav tau npaj peb cev xeeb tub thiab seb nws yog tiag tiag muab yug rau nws tus kheej.

Ntuj me nyuam thiab phais plab

Cia peb kawm seb yuav ua li cas nws yog ua, thiab tej pov thawj muaj lub thib ob phais plab seem. Yuav ua li cas yog ib qho tseem ceeb kom paub? Lub ntuj tshwm sim ntawm tus me nyuam - ib tug txheej txheem rau txoj kev xwm npaj. Thaum lub sij hawm ua hauj lwm rau, tus me nyuam kis tau los ntawm lub duas paub paths, muaj kev nyuaj siab thiab npaj nyob ua ib ke nyob rau hauv lub ntiaj teb tshiab.

Caesarean seem yuav lub dag tsos ntawm tus me nyuam. Cov neeg phais ua ib qho kev incision nyob rau hauv lub plab mog thiab tus poj niam lub tsev menyuam los ntawm kev uas thiab tawm tus me nyuam. Pipsqueak tshwm mam li nco dheev thiab poob nthav, nws tsis muaj sij hawm los hloov. Nws yuav tsum tau muab sau tseg tias txoj kev loj hlob ntawm tej me nyuam yuav mus nyuab me ntsis thiab ntau tham tshaj lawv nyob rau hauv ib tug tej yam ntuj tso yug.

Thaum lub sij hawm cev xeeb tub, muaj ntau yam expectant niam scares phais plab txheej txheem. Tom qab tag nrho, qhov kom zoo dua twb yeej ib txwm muab rau tej yam ntuj tso tau me nyuam. Kom txog rau thaum ib tug ob peb centuries dhau los, tus poj niam tom qab phais plab twb tsis muaj lub caij nyoog ntawm cov ciaj sia taus. Nyob rau hauv kev ua ntej lawm lub sij hawm manipulations yog nqa tawm tsuas yog nyob hauv cov neeg mob uas twb tuag lawm. Tam sim no cov tshuaj tau ua zoo txhob. Caesarean seem yog tsis tsuas muaj kev nyab xeeb kev cuam tshuam, tab sis nyob rau hauv tej rooj plaub, tsim nyog txuag lub neej ntawm tus me nyuam thiab leej niam. Tam sim no, lub lag luam yuav siv sij hawm xwb ob peb feeb, thiab tau ua kom loog tso cai rau tus neeg mob nyob twj ywm tsaug zog.

Ob txhais phais plab seem: Yuav ua li cas yog ib qho tseem ceeb kom paub txog cov lus tim khawv?

Yuav ua li cas thim cov xim uas tus kws kho mob, xaiv txoj kev uas tus me nyuam? Yuav ua li cas yog cov indications rau lub thib ob pab nyob rau hauv lub ntuj txheej txheem? Txhua yam yog yooj yim. Indications thib ob phais plab seem yog tib yam li rau thawj lub lag luam. Manipulation yuav tsum npaj thiab thaum muaj xwm ceev. Muab elective Caesarean seem, cov kws kho mob cia siab rau cov nram no indications:

• cov neeg pluag tsis pom kev nyob rau hauv cov poj niam;
• varicose leeg ntawm lub qis extremities;
• lub plawv tsis ua hauj lwm;
• mob kab mob;
• mob ntshav qab zib;
• mob hawb pob thiab tawg;
• Oncology;
• puas hlwb raug mob;
• nqaim lub plab mog thiab ib tug loj txiv hmab txiv ntoo.

Tag nrho cov no ntau zaus yog vim li cas rau cov thawj cuam tshuam. Yog hais tias tom qab yug tus me nyuam (cov thawj) ntawm tus kab mob tsis tau raug tshem tawm, lub lag luam yuav tsum tau nqa tawm thiab thaum lub thib ob uas cev xeeb tub. Ib txhia kws kho mob yog inclined rau qhov no saib: thawj phais plab seem tsis pub ib tug poj niam muab yug rau ntau tshaj feem ntau. Qhov no daim ntawv qhia yog erroneous.

Yog nws tau mus yug rau koj tus kheej?

Yog li ntawd koj pom zoo kom ib tug thib ob phais plab seem. Yuav ua li cas yog ib qho tseem ceeb kom paub txog nws? Yuav ua li cas yog lub sij indications rau kev phais, yog cov poj niam txoj kev noj qab haus huv tag nrho cov cai? Re-Keying yog pom zoo nyob rau hauv cov nram no mob:

• tus me nyuam muaj breech kev nthuav qhia ;
• tom qab thawj zaug phais plab seem tsis dhau lwm ob xyoos;
• leeg nyob rau lub tsev me nyuam them tsis tau yus tej nqi;
• thaum lub sij hawm thawj lag luam twb ua ib tug longitudinal seem;
• rho menyuam ntawm me nyuam;
• nyob rau hauv lub xub ntiag ntawm lub connective cov ntaub so ntswg ntawm lub caws pliav;
• qhov chaw ntawm lub tsho me nyuam nyob rau hauv lub rumen;
• pathology ntawm cev xeeb tub (polyhydramnios, oligohydramnios).

Thaum muaj xwm ceev kev phais yog ua thaum muaj ib tug npaj txhij txog divergence ntawm lub caws pliav, ib tug tsis muaj zog ua hauj lwm rau kev ua si, hnyav poj niam raws li txoj cai thiab thiaj li nyob.

Nws yog ua tau rau yug me nyuam, thiab feem ntau, yog tias pom zoo los ntawm tus thib ob phais plab seem. Yuav ua li cas yog ib qho tseem ceeb kom paub? Niaj hnub nimno cov tshuaj tsis tsuas pub ib tug poj niam rau lub ntuj txheej txheem ntawm kev yug me nyuam, tab sis zoo siab txais tos nws. Nws yog ib qho tseem ceeb uas lub expectant niam tau tau ua tib zoo soj ntsuam. Lub tej yam kev mob rau ib tug tej yam ntuj tso yug tom qab phais plab seem yog cov nram qab no:

• tom qab thawj zaug lag luam ntau tshaj peb lub xyoos;
• caws pliav yog ib tug muaj nyiaj (yeej los ntawm tej nqaij, lub cheeb tsam txhab thiab txo);
• thickness nyob rau hauv lub cheeb tsam leeg ntau tshaj 2 hli;
• tsis tuaj kawm ntawv ntawm cov teeb meem thaum lub sij hawm cev xeeb tub;
• cov poj niam xav kom muaj lawv tus kheej.

Yog hais tias koj xav tau ib tug thib ob tus me nyuam yog lub ntuj txoj kev, nws yog tsim nyog los saib xyuas ntawm nws. Nrhiav maternity tsev kho mob, uas nyob rau hauv no qhov teeb meem. Sib tham txog nyob rau hauv ua ntej nrog koj tus kws kho mob thiab mus los ntawm nws cov xeev xeem. Tu ncua mus xyuas lo lus uas peb lub tswv yim thiab ua raws li cov tswv yim pom zoo ntawm ib tug gynecologist.

thaum Cev xeeb Tub saib xyuas

Yog hais tias tus thawj me nyuam coj qhov chaw los ntawm caesarean seem, ces tag nrho cov yuav ua tau zoo ib txoj kev los sis txawv heev lub thib ob lub sij hawm. Rau expectant niam, tom qab xws li ib tug txheej txheem yuav tsum muaj ib tug neeg mus kom ze. Thaum koj tau kawm txog koj txoj hauj lwm tshiab, koj yuav tsum mus ntsib ib tug gynecologist. Tag ntawm ib tug cev xeeb tub muaj ntau cov kev tshawb fawb. Piv txwv li, lub US nyob rau hauv xws li mob ua tsis tau peb lub sij hawm rau tag nrho lub sij hawm, thiab ntau dua. Nquag mob ua ntej yug tus me nyuam. Koj tus kws kho mob yuav tsum saib xyuas koj tus uterine caws pliav. Tom qab tag nrho, qhov no qhia nyob rau lub sij hawm ntawm tag nrho cev xeeb tub.

Nco ntsoov mus ntsib lwm cov kws tshwj xeeb ua ntej tus me nyuam. Koj yuav tsum mus rau qhov chaw mus rau lub kws kho mob, kws kho qhov muag, kev kho plawv, neurologist. Xyuas kom tseeb tias hais tias muaj tsis muaj kev txwv rau tej yam ntuj tso tau me nyuam.

Ntau thiab ib txwm cev xeeb tub: ib tug thib ob phais plab

Yog li ntawd, koj tseem xaiv ib tug thib ob phais plab seem. Nyob rau dab tsi lub sij hawm ua li ib lub lag luam thiab seb nws puas yuav tau muab yug rau nws tus kheej nyob rau hauv ntau yam me nyuam?

Piv txwv hais tias lub yav dhau los tus me nyuam twb tau surgically, thiab ces tus poj niam txawm xeeb tub nrog menyuam ntxaib. Yuav ua li cas yog cov forecasts? Nyob rau hauv feem ntau lub sij hawm yog tus thib ob caesarean seem. Nyob rau dab tsi lub sij hawm ua nws - qhia tus kws kho mob. Nyob rau hauv txhua rooj plaub, coj mus rau hauv tus account tus neeg yam ntxwv ntawm tus neeg mob. Manipulation yog teem tseg rau ib lub sij hawm ntawm 34 mus 37 ib lub lim tiam. Thaum ntau me nyuam tsis txhob tos ntev, vim hais tias lawv muaj peev xwm pib sai tej yam ntuj tso tau me nyuam.

Yog li ntawd, koj yuav nqa ib tug me nyuam, thiab kuv xaiv tus neeg thib ob phais plab seem. Thaum ua lub lag luam? Nyob rau hauv lub ntsiab txhais ntawm lub sij hawm plays lub luag hauj lwm ntawm cov thawj manipulation. Re-kev pab yog tsa los 1-2 lub lis piam ua ntej lawm. Yog hais tias tus thawj lub sij hawm phais plab ua nyob rau hauv 39 lub lis piam, tab sis tam sim no nws yuav tshwm sim nyob rau hauv 37-38.

leeg

Koj twb paub dab tsi lub sij hawm los ua kom lub teem sij hawm thib ob phais plab seem. Phais plab yug yog ua pheej nyob rau hauv tib leeg raws li cov thawj lub sij hawm. Muaj ntau expectant niam yog heev muaj kev txhawj xeeb txog cov aesthetic lo lus nug. Lawv txhawj tias tag nrho plab yog littered nrog nti. Tsis txhob txhawj, tsis txhob tshwm sim. Yog hais tias lub tswv yim npaj manipulation, tus kws kho mob yuav ua tus txiav qhov uas nws tau nyob rau hauv thawj lub sij hawm. Tus xov tooj ntawm lwm nti koj tsis nce.

Qhov teeb meem no yog txawv nrog txiav genitals. Ntawm no txhua txhua ob lub lag luam mus xaiv ib tug tshiab qhov chaw ntawm lub caws pliav. Yog li ntawd, cov kws kho mob tsis pom zoo rau cov qauv no mus muab yug rau ntau tshaj peb lub sij hawm. Muaj ntau cov kws kho mob hais cov neeg mob muaj menyuam tsis taus, tshwj tsis yog tias muab ib tug thib ob phais plab seem. Thaum muab tso rau hauv lub tsev kho mob gynecologists hais no qhov teeb meem. Optionally, tus neeg mob no yog ua los khi nyuam. Tsis txhob txhawj, tsis muaj kev tso cai, cov kws kho mob tsis muaj cai xws manipulation.

Tom qab cov kauj ruam ntawm: txo cov txheej txheem

Koj twb paub hais tias thaum qhia tau hais tias ib tug thib ob phais plab seem, ua rau dab tsi lub sij hawm. Xyuas poj niam uas qhia hais tias cov rov qab lub sij hawm tsis txawv ntawm qhov uas yog tom qab thawj zaug lag luam. Sawv ib leeg poj niam yuav txog ib hnub twg. Pub niam mis rau koj tus menyuam tshiab khiv-ua niam pub luag tam sim ntawd (muab nws yog tsis siv tshuaj yeeb txhaum cai).

Kua tom qab lub thib ob lub lag luam tib yam li nyob rau hauv lub natural me nyuam. Tsis pub dhau ib tug los yog ob lub hlis yog cai paug lochia. Yog hais tias koj muaj ib tug phais plab seem, nws yog ib qho tseem ceeb mus saib xyuas lawv kev noj qab nyob. Nrog tus kws kho mob yog tias tej yam txawv paug, qhov kub thiab txias yog tsa, lub deterioration ntawm lub dav mob. Rho tawm ntawm lub tsev kho mob tom qab lub thib ob caesarean seem txog 5-10 teev, raws li zoo raws li cov thawj lub sij hawm.

tau teeb meem

Thaum reoperation uas muaj feem yuav muaj teeb meem, ntawm chav kawm, muaj zog. Tab sis qhov no tsis txhais hais tias lawv cia li tshwm sim. Yog hais tias koj muab yug tom qab phais plab seem ib leeg, muaj ib tug tau ntawm divergence ntawm lub caws pliav. Txawm yog hais tias tus leeg muaj nplua nwj, cov kws kho mob yuav tsis tau kiag li txoj cai tawm tau. Uas yog vim li cas lub dag stimulation thiab painkillers yog yeej tsis siv nyob rau hauv xws li mob. Qhov no yog ib qho tseem ceeb kom paub.

Rau qhov thib ob phais plab tus kws kho mob los xij tshwm sim. Tus thawj lag luam yeej ib txwm muaj txim nyob rau hauv daim ntawv ntawm cov adhesions. Nyias zaj duab xis ntawm cov tub ceev xwm es cov ua hauj lwm ntawm tus kws phais. Tus txheej txheem nws tus kheej yuav siv sij hawm ntev. Nws yuav ua tau fraught rau tus me nyuam. Tom qab tag nrho, nyob rau ntawm no point nyob rau hauv nws los yog nws lub cev mus rau lub hwj chim cov tshuaj siv rau tshuaj loog.

Mob pheej rov qab ua phais plab yuav ua tau tag nrho tib yam li cov thawj lub sij hawm: pluag uterine contractions, nws inflection, o thiab thiaj li nyob.

ntxiv

Ib txhia poj niam xav nyob rau hauv, Yog hais tias muaj nyob rau nws ob phais plab seem, thaum nws yog tau muab yug rau lub sij hawm? Kws txawj yuav tsis teb lo lus nug no unambiguously. Nws nyob rau lub xeev ntawm lub rumen (nyob rau hauv cov ntaub ntawv no ob). Yog hais tias lub leeg cheeb tsam yog thinned thiab sau nrog connective ntaub so ntswg, lub cev xeeb tub yog txhob zoo rau nws. Thaum muaj myiaj nti yog tseem ua tau kom muab yug dua. Tab sis feem ntau yuav, nws yuav yuav tus thib peb phais plab seem. Muaj peev xwm tej yam ntuj tso tus me nyuam txo rau txhua successive lag luam.

Ib txhia poj niam tswj kom muab yug mus rau tsib cov me nyuam los ntawm Caesarean seem thiab xav tias zoo kawg thiab. Ntawm no ntau npaum li cas nyob ntawm tus neeg thiab tus kws phais tus txheej txheem ua hauj lwm. Nyob rau hauv longitudinal sectional cov kws kho mob pom zoo kom koj tsis txhob ua tim ntau tshaj ob zaug.

Nyob rau hauv xaus

Caesarean seem thaum lub sij hawm xeeb tub thawj zaug - tsis muaj yog vim li cas rau retransmission txoj kev. Yog hais tias koj xav tau thiab yuav muab yug rau koj tus kheej, nws tsuas yog ib tug ntxiv. Nco ntsoov hais tias tej yam ntuj tso tau me nyuam yog ib tug tseem ceeb. Tham nrog lub gynecologist rau hauv kev kawm tau thiab kawm tau tag nrho cov nuances. Nyob zoo nej!