Thaum twg thiaj li yuav tau mus rau qhov chaw caesarean thiab dab tsi koj yuav tsum paub kom nws mus zoo

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Kev ntshaw ntawm tus poj niam cev xeeb tub ib leeg tsis txaus rau kev ua haujlwm.

Yuav ua li cas yog ib tug caesarean seem

Qhov no yog kev phais mob thaum lub sij hawm obstetrician-gynecologist txiav lub Cesarean Section / US. National Library of Medicine cev xeeb tub anterior plab phab ntsa thiab uterus kom tshem tawm tus me nyuam. Qhov kev cuam tshuam no yuav raug npaj yog tias tus kws kho mob ntseeg tias qhov chaw mos yuav ua rau muaj kev phom sij rau leej niam lossis tus menyuam. Thiab nyob rau hauv qee qhov xwm txheej, ntu caesarean tau ua sai sai thaum muaj teeb meem tshwm sim.

Leej twg muaj kev phais mob phais?

Muaj cov lus qhia nruj rau kev ua haujlwm, thiab ib txwm muaj qhov ua tau tias qee yam yuav mus tsis ncaj ncees lawm thiab teeb meem yuav tshwm sim. Yog li ntawd, cov poj niam uas thov kom hloov ib qho kev yug me nyuam nrog ib tug caesarean seem feem ntau poob siab.

Indications rau elective phais

Kev ua haujlwm yog npaj yog tias, thaum cev xeeb tub, cov kws kho mob pom muaj teeb meem kev noj qab haus huv hauv tus poj niam, vim tias nws tsis tuaj yeem yug menyuam. Los yog thaum tus me nyuam tus mob yuav tsis cia nws yug los. Nov yog qee qhov Kev Cai Cesarean (C-Sections) / KidsHealth nyeem:

• tus me nyuam nyob rau hauv kev nthuav qhia breech (booty down), lateral txoj hauj lwm (dhau ntawm lub tsev menyuam);
• lub fetus muaj qhov tsis xws luag thaum yug los, xws li hydrocephalus;
• nyob rau hauv ib tug poj niam cev xeeb tub, placenta previa, thaum nws thaiv kev tawm ntawm lub tsev menyuam;
• tus poj niam muaj mob hnyav, xws li HIV lossis kab mob ntawm qhov chaw mos herpes;
• ntau lub cev xeeb tub, tab sis tsis tas li;
• Niam tau phais uterine los yog caesarean seem.

Indications rau kev phais xwm txheej ceev

Caesarean seem yog ua tau yog tias Cesarean Sections (C-Sections) / KidsHealth muaj teeb meem tshwm sim thaum lub sij hawm los yog ua ntej ua hauj lwm:

• Kev ua haujlwm tau nres: piv txwv li, tsis muaj kev sib cog lus lossis lawv tsis sib xws thiab tsis ua rau lub ncauj tsev menyuam dilate;
• placental abruption tau tshwm sim, thiab nws raug cais tawm ntawm lub tsev menyuam ua ntej tus menyuam yug los;
• txoj hlab ntaws yog pinched los yog poob tawm mus rau hauv lub qhov dej yug me nyuam ua ntej fetus;
• fetal distress syndrome - kev hloov hauv lub plawv dhia, vim tias tus menyuam tsis tau txais cov pa oxygen;
• Thaum yug me nyuam, nws tau pom tias lub taub hau lossis lub cev tsis dhau mus rau hauv lub qhov dej yug me nyuam.

Vim li cas txoj kev caesarean thiaj li txaus ntshai?

Zoo li lwm yam kev phais mob, muaj kev pheej hmoo rau ob tus menyuam hauv plab thiab tus poj niam cev xeeb tub. Ntawm no lawv yog:

Rau ib tug me nyuam

Cov teeb meem tsis tshua muaj, tab sis lawv tsis tuaj yeem txiav txim siab tag nrho. Qhov no tuaj yeem yog C-section / Mayo Clinic:

• Teeb meem ua pa. Cov tshuaj uas siv tshuaj loog tuaj yeem nkag mus rau hauv cov hlab ntsha mus rau tus menyuam hauv plab los ntawm txoj hlab ntaws thiab ua rau muaj kev nyuaj siab ntawm qhov chaw ua pa hauv tus menyuam lub hlwb. Yog li ntawd, ob peb hnub tom qab phais tas, muaj kev pheej hmoo ntawm kev ua pa sai sai, lossis tachypnea.
• Kev raug mob. Nws yog qhov tsawg heev uas kev txiav ntawm daim tawv nqaij yuav tshwm sim thaum phais.

Rau Niam

Cov poj niam muaj kev pheej hmoo ntau dua los ntawm kev phais C-section / Mayo Clinic:

• Cov tshuaj loog. Nws tsis yog ib txwm ua tau kom pom tias tus poj niam yuav txhaj tshuaj loog lossis tshuaj loog nrog kev txhaj tshuaj rau hauv tus txha caj qaum.
• Kev phais mob. Tus kws kho mob tuaj yeem ua mob rau lub nkoj hauv plab, plab hnyuv, lossis zais zis. Kev phais ntxiv feem ntau yog xav tau tom qab qhov no.
• Thrombosis. Kev phais ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws hauv cov hlab ntsha sib sib zog nqus ntawm ob txhais ceg lossis pelvis. Yog tias cov ntshav txhaws tawm, nws tuaj yeem thaiv cov hlab ntsha hauv lub ntsws, uas ua rau tuag taus.
• Kab mob. Tom qab kev phais, cov kab mob tuaj yeem nkag mus rau hauv lub tsev menyuam los ntawm qhov chaw mos, ua rau mob, lossis endometritis.
• Ntshav. Nws tuaj yeem tshwm sim ob peb teev lossis hnub tom qab yug menyuam vim kev puas tsuaj rau lub nkoj, cov seem ntawm daim nyias nyias lossis cov placenta hauv lub tsev menyuam.
• Mob mob. Yog tias cov kab mob nkag mus rau hauv nws, qhov mob yuav tshwm sim, uas ua rau qhov kev phais tsis zoo.
• Kev pheej hmoo rau kev xeeb tub yav tom ntej. Feem ntau tus poj niam tau txais ib qho kev phais, qhov ntau dua qhov tshwm sim thaum lub sij hawm rov qab yug me nyuam ntawm tus me nyuam, tus poj niam cev xeeb tub yuav muaj placenta previa los yog feem ntau nws yuav loj hlob mus rau phab ntsa ntawm lub tsev menyuam thiab yuav tsis tuaj yeem sib cais. Tsis tas li ntawd, qhov caws pliav tom qab phais muaj cov ntaub so ntswg uas tsis tuaj yeem ncab. Yog li ntawd, lub tsev menyuam tuaj yeem rupture, uas ua rau tuag taus rau fetus.

Yuav ua li cas npaj rau ib tug caesarean seem

Nyob rau hauv rooj plaub ntawm kev npaj ua haujlwm, tus poj niam cev xeeb tub raug xa mus rau tsev kho mob ua ntej los ntawm Caesarean seem / NHS. Nyob ntawd, ib tug poj niam tau kuaj ntshav dav dav los kuaj ntshav ntshav. Cov mob no muaj kev cuam tshuam tsis zoo rau kev rov qab los ntawm qhov chaw phais.

Tsis tas li ntawd, cov tshuaj tua kab mob tuaj yeem raug sau tseg los tiv thaiv cov kab mob sib kis, tshuaj tua kab mob, thiab tshuaj kom txo cov plab acidity. Compression stockings nrog kawm tiav compression yuav tsum tau hnav ua ntej thiab thaum lub sij hawm phais kom tsis txhob sib sib zog nqus vein thrombosis thaum lub sij hawm nyob rau hauv tsev kho mob / Cochrane nyob rau hauv compression stockings kom txo tau txoj kev pheej hmoo ntawm thrombosis.

Caesarean seem yog ua rau ntawm lub plab khoob, yog li cov zaub mov kawg yuav nyob rau yav tsaus ntuj ua ntej kev cuam tshuam.

Yog tias kev ua haujlwm ceev, ces tsis muaj sijhawm rau kev npaj.

Yuav ua li cas thaum lub sij hawm phais phais

Twb tau nyob hauv chav ua haujlwm, tus poj niam yuav muaj C-section / Mayo Clinic catheter tso rau hauv nws lub zais zis kom nws khoob thiab tswj cov zis ntws. Thiab cov hlab ntsha rau cov hlab ntsha yuav raug kho hauv cov leeg.

Tus kws kho mob mam li muab tshuaj loog rau koj. Nws tuaj yeem yog tus txha caj qaum lossis epidural, thaum txhaj tshuaj rau tus txha caj qaum hauv thaj tsam lumbar. Ces tus poj niam tsis tsaug zog, tab sis nws kuj tsis hnov mob hauv qab lub duav. Thiab qee zaum, kev siv tshuaj loog yog siv, thiab tus poj niam cev xeeb tub tsis nco qab thaum lub sijhawm ua haujlwm.

Tsuas yog tom qab ntawd obstetrician-gynecologist pib ua haujlwm. Kev phais plab tuaj yeem yog Caesarean seem / NHS ntawm ob hom:

• ntsug - nyob rau hauv nruab nrab ntawm lub dab teg thiab yuav luag mus rau pubis;
• kab rov tav - nyob rau hauv lub quav saum lub bosom.

Txoj kev twg yog qhov tsim nyog, tus kws kho mob txiav txim siab tus kheej. Piv txwv li, yog hais tias ib tug caesarean seem twb tau ua siv ib tug ntsug incision, ces tib yam yuav ua rau lub thib ob lub sij hawm.

Tom qab txiav txim siab, tus kws kho mob txiav lub tsev menyuam, tshem tawm cov menyuam yug tshiab thiab cais txoj hlab ntaws. Yog tias leej niam nco qab, tus menyuam tuaj yeem muab tso rau ntawm nws lub mis. Tom qab ntawd tus menyuam raug muab rau tus kws kho menyuam yaus-neonatologist rau kev ua thiab ntsuas. Yog tias qhov kev ua haujlwm ceev ceev thiab qhov xwm txheej ntawm tus menyuam yug tshiab yog qhov hnyav, ces cov kws kho mob ntawm kev saib xyuas menyuam yaus yuav daws tau tam sim ntawd.

Tom qab tus me nyuam yug los, cov kws kho mob manually cais cov placenta los ntawm lub tsev menyuam thiab txhaj tshuaj rau tus poj niam nrog cov tshuaj hormone oxytocin los ua kom lub tsev menyuam contraction. Tom qab ntawd, lub qhov txhab yog sutured. Feem ntau, tag nrho cov haujlwm yuav siv sijhawm 40-50 feeb.

Yuav ua li cas tom qab phais tas

Los ntawm chav ua haujlwm, tus poj niam raug xa mus los ntawm Caesarean seem / NHS mus rau pawg ntseeg nyob rau hauv kev saib xyuas ntawm cov kws kho mob. Tus neeg mob tau muab cov tshuaj droppers nrog cov kev daws teeb meem los them cov ntshav poob, thiab cov tshuaj kho mob hnyav tau raug sau tseg. Qee lub sij hawm muab tshuaj tua kab mob lossis cov ntshav thinners los tiv thaiv cov ntshav txhaws.

Lub zais zis catheter tsuas yog tshem tawm 12-18 teev tom qab kev phais.

Koj tuaj yeem noj thiab haus sai li sai tau thaum koj tshaib plab. Rau cov neeg uas tau los txog lawv txoj kev xav, midwives pab kawm kom pub niam mis rau tus menyuam mos.

Yuav ua li cas rov qab los ntawm kev phais phais?

Koj yuav tau nyob hauv tsev kho mob li 3-4 hnub, thiab qee zaum txawm ntev dua. Tag nrho cov sij hawm no, tus poj niam yuav nrog tus me nyuam yog tias nws tus mob txaus siab.

Tus poj niam hauv plab yuav raug hais kom tawm ntawm txaj sai li sai tau, feem ntau yog thawj hnub. Qhov no yog qhov xav tau los ntawm C-section / Mayo Clinic los tiv thaiv cov hlab ntsha thiab cem quav.

Tus kws yug menyuam yuav ntxuav lub plab qhov txhab txhua hnub thiab hloov cov khaub ncaws tsis muaj menyuam. Cov stitches raug tshem tawm ntawm Caesarean seem / NHS tom qab li 5-7 hnub. Thiab yog hais tias absorbable threads tau siv, lawv yuav poob tawm ntawm lawv tus kheej.

Feem ntau, tom qab phais tas, koj lub cev tom qab yug me nyuam / NHS lochia tshwm los ntawm qhov chaw mos. Qhov no yog cov ntshav tawm uas tshwm sim vim kev kho ntawm lub tsev menyuam. Hauv ib lub lis piam, lawv ua daj thiab slimy, thiab nres tag nrho tom qab txog ib hlis.

Tom qab koj tawm hauv tsev, ua raws li C-section / Mayo Clinic cov lus qhia zoo li no:

• tsis txhob nqa tej yam hnyav dua koj tus menyuam;
• so kom ntau li ntau tau;
• tsis txhob sib deev rau rau lub lis piam;
• noj cov tshuaj tua kab mob tom khw yog tias xav tau
• mus ntsib koj tus kws kho mob hauv peb lub lis piam, thiab tom qab ntawd mus ntsib kws kho mob gynecologist tom qab 12 lub hlis.

Cov tsos mob dab tsi koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd tom qab tawm hauv tsev?

Kev rov qab los tsis yog ib txwm mus zoo. Yuav tsum tau mus ntsib kws kho mob gynecologist yog tias cov tsos mob hauv qab no tshwm sim hauv Caesarean seem / NHS:

• mob hnyav nyob rau hauv lub qhov txhab los yog lub plab mog Cesarean Sections (C-Sections) / KidsHealth;
• muaj liab, o, los yog kua paug tawm ntawm lub qhov txhab nyob ib ncig ntawm qhov incision;
• ntshav ntau los yog tawm nrog ib qho tsis kaj siab tsw ntawm qhov chaw mos;
• nce lub cev kub;
• mob thiab o ntawm ob txhais ceg;
• ua tsis taus pa luv, hnoos, thiab mob hauv siab;
• cem quav;
• incontinence;
• mob hnyav nyob rau hauv cov qog mammary, muaj teeb meem nrog kev pub mis rau tus menyuam;
• kev xav ua phem rau koj tus kheej lossis koj tus menyuam mos;
• kev nyuaj siab.