Kev cev xeeb tub thiab yug menyuam yog qhov nyuaj rau poj niam lub cev. Feem ntau, thaum yug me nyuam, ib tug poj niam hauv lub cev raug mob. Ib txhia ntawm lawv kho sai sai thiab tsis muaj ib co kab tom qab, thiab ib txhia coj ib tug ntau ntawm inconvenience rau ib tug poj niam. Ib qho ntawm cov txiaj ntsig no yog kua muag thiab incisions, nrog rau cov ntawv thov tom qab kho mob sutures. Lub qhov txhab yuav tsum tau saib xyuas thiab saib xyuas tas li. Txwv tsis pub, muaj teeb meem tshwm sim. Yuav tu cov seams li cas thiab yuav ua li cas yog tias lawv sib nrug?
Nyob ntawm seams
Tag nrho cov seams muab faib ua:
- Nyob.
- External.
Stitches on puab fabrics
Lawv yog cov hlua khi uas muab tso rau ntawm lub ncauj tsev menyuam thiab cov phab ntsa hauv qhov chaw mos. Cov txheej txheem ntawm kev siv hom stitches ntawm lub tsev menyuam tsis yog tshuaj loog. Tsis muaj cov nqaij ntshiv hauv cheeb tsam no, yog li tshuaj loogtsis siv. Thaum qhov chaw mos torn, siv tshuaj loog. Tom qab ua haujlwm li no, cov kws phais neeg nyiam siv cov sutures absorbable tom qab yug menyuam.
Stitches muab tso rau hauv lub cev tsis tas yuav kho tshwj xeeb. Ib tug poj niam yuav tsum ua lub luag haujlwm tseem ceeb hauv kev ua raws li cov qauv kev tu tus kheej.
Yuav kom lub qhov txhab tsis ua teeb meem tom qab ua haujlwm, nws yuav tsum tau saib xyuas kom zoo. Ua qhov no:
- Siv panty liners. Thaum xub thawj, cov seam yuav los ntshav, thiab txhawm rau kom tsis txhob muaj cov ris tsho hauv qab, nws yog qhov zoo dua los siv kev tiv thaiv ntxiv.
- Rau lub sijhawm kho, muab kev nyiam rau cov ris tsho hauv qab ua los ntawm cov khoom ntuj tsim. Nws yuav tsum tsis txhob ua rau tsis xis nyob, rub lossis txwv koj txoj kev txav. Qhov kev xaiv zoo tshaj yuav yog siv cov panties pov tseg.
- Tsis txhob hnov qab txog kev huv. Tom qab ua haujlwm, ntxuav yuav tsum tau ua tsis tu ncua (tom qab txhua chav dej). Txhawm rau ua kom tiav cov txheej txheem, xaiv cov tshuaj maj mam. Nws yog qhov zoo tshaj los muab kev nyiam rau tus me nyuam xab npum. Koj tuaj yeem ua lub sijhawm ntxuav nrog tshuaj ntsuab infusions (piv txwv li, chamomile).
Yuav kom cov seam sab hauv tsis ua teeb meem rau poj niam, nws raug pom zoo:
- Kev zam kev sib deev yam tsawg ob lub hlis.
- Tsis kam ua lub cev hnyav. Kev ua kis las yuav tsum tau ncua tsawg kawg ob lub hlis. Kev hnyav thaum lub sijhawm no kuj tsis tsim nyog hnav.
- Nco ntsoov txog koj qhov tso quav txhua hnub. Ib tug poj niam yuav tsum tsis txhob cem quav, tuav, los yog cov quav tawv heev. Rau normalizationCov txheej txheem ntawm defecation tom qab yug me nyuam, nws raug nquahu kom haus ib diav roj ua ntej noj mov.
Yog vim li cas rau cov sutures sab hauv feem ntau yog tib yam:
- Kev coj tus cwj pwm tsis zoo ntawm tus poj niam hauv kev ua haujlwm (qhov tseem ceeb thiab feem ntau). Yog hais tias lub tsev menyuam tseem tsis tau npaj txhij rau kev yug menyuam, thiab kev ua haujlwm tau pib, ces tus poj niam yuav tsum thawb. Lub sijhawm no, qhov sib txawv tshwm sim.
- Kev phais uterine yav dhau los.
- khoom xa tuaj lig.
- Txo lub ncauj tsev menyuam elasticity.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
hom suture no yog siv tom qab yug me nyuam los ntawm kev phais mob thiab, yog tias tsim nyog, ib qho kev phais perineal. Nyob ntawm hom thiab qhov xwm txheej ntawm qhov kev txiav, cov xov sib txawv tau siv. Qhov kev xaiv tshaj plaws yog nws tus kheej-absorbable sutures tom qab yug me nyuam.
Yog vim li cas rau suturing:
- Kev elasticity ntawm qhov chaw mos.
- Scars.
- txwv tsis pub sim ntawm tus kws kho mob cov lus tim khawv. Piv txwv li, tom qab yug me nyuam los ntawm kev phais mob thaum yug thawj zaug lossis myopia, tus poj niam yuav tsum tsis txhob thawb.
- txoj haujlwm tsis raug, qhov hnyav lossis qhov loj ntawm tus menyuam. Txhawm rau txo qhov kev pheej hmoo ntawm kev tsim kua muag, cov kws kho mob nyiam ua qhov kev txiav me me. Lawv kho sai thiab zoo dua.
- Kev yug me nyuam. Nyob rau hauv cov xwm txheej zoo li no, kev phais yog tsim los txo qhov kev pheej hmoo ntawm kev yug me nyuam hauv tus menyuam.
- Qhov tshwm sim ntawm qhov chaw mos ruptures. Nrog kev phais, cov txheej txheem kho tau sai thiab yooj yim dua.
Yuav tsum tau mus tas lisaib xyuas thiab saib xyuas. Txwv tsis pub, tej zaum yuav muaj teeb meem. Piv txwv li, o, suppuration ntawm seam. Nws yog feem ntau tom qab muaj teeb meem uas cov poj niam tig mus rau kws kho mob txog qhov tseeb tias cov seam tau sib cais tom qab yug me nyuam.
Nyob hauv tsev kho mob maternity, cov kws saib xyuas neeg mob thiab kws kho mob uas ua haujlwm saib xyuas tus poj niam. Cov stitches ua tiav ob zaug ib hnub. Yog tias thaum lub sijhawm ua haujlwm, tus kws kho mob siv cov xov yooj yim lossis staples, feem ntau lawv raug tshem tawm ua ntej tso tawm.
Kev coj tus cwj pwm zoo tom qab kev phais sab nraud
- Lub seam yuav khaus thaum xub thawj. Nyob rau tib lub sijhawm, khawb nws yog txwv tsis pub.
- Thaum xaiv cov ris tsho hauv qab, muab qhov nyiam rau cov khoom siv ntuj, thaum cov style yuav tsum zoo li nws tsis cuam tshuam kev txav, thiab ntau dua li tsis rub. Nws yog qhov yooj yim tshaj plaws los siv cov panties pov tseg (tsawg kawg hauv cov hnub thaum ntxov).
- Hais txog plaub mus rau tsib hnub tom qab yug me nyuam, ib tug poj niam muaj qhov muag pom, yog li koj yuav tsum tau siv cov khoom siv tu cev (pads). Lawv yuav tsum tau hloov txhua ib thiab ib nrab mus rau ob teev.
- Qee lub sijhawm tom qab ua haujlwm (ob lossis peb hnub) nws raug txwv kom tsis txhob muaj dej ntawm qhov txhab. Yog li ntawd, da dej tsis tuaj yeem nqa tam sim ntawd. Thaum ntxuav, sim tsis txhob ntub lub qhov txhab. Nws yog qhov zoo tshaj plaws los yuav ib qho tshwj xeeb waterproof plaster rau seams. Koj tuaj yeem yuav nws ntawm txhua lub tsev muag tshuaj.
- Peb yuav tsum tso tseg kev tawm dag zog ntxiv. Qhov hnyav yuav tsis nqa li 1 txog 3 lub hlis.
- Kev sib deev lub neej yuav raug txwv thawj zaug. Koj yuav tsum tau zam tsawg kawg ob lub hlis.
- Ua tib zoo saib xyuas kev nyiam huv. Kev ntxuav yuav tsum tau ua tsis tu ncua, siv cov khoom siv tu cev. Tom qab cov txheej txheem, nco ntsoov kom qhuav qhov txhab. Nws yog qhov zoo mus tsis muaj ris tsho hauv qab rau ib pliag tom qab da dej. Kev da dej hauv huab cua txhawb kev kho mob sai sai.
- Thaum suturing cheeb tsam perineal, tsis txhob zaum tsawg kawg ib lub lim tiam thiab ib nrab.
- Tom qab tso tawm, ob peb hnub ntxiv yuav tau kho cov stitches nrog tshuaj tua kab mob (piv txwv li, Chlorhexidine lossis Miramistin).
- Txhawm rau txo qhov kev pheej hmoo ntawm cov kab mob sib kis, thawj ob peb hnub koj yuav tsum tau ua raws li kev noj haus thiab saib xyuas cov quav. Kev thawb lub sijhawm no tsis pom zoo. Cov zaub mov yuav tsum yog mos los yog kua. Tsis txhob pastries thiab khoom qab zib. Noj cov khoom noj siv mis ntau dua. Lawv yuav pab txhim kho qhov mob ntawm plab hnyuv microflora.
Cov lus pom zoo ntxiv tom qab yug los ntawm kev phais:
- Txhawm rau tiv thaiv cov seams los ntawm qhov sib nrug tom qab qhov chaw phais, sim pub koj tus menyuam nyob rau hauv lub supine lossis ib nrab zaum.
- Rau qhov mob zoo dua, koj tuaj yeem hnav ntaub qhwv. Es tsis txhob siv cov cuab yeej kho mob, koj tuaj yeem siv lub pawm tus me nyuam flannel. Khi nws ib ncig ntawm koj lub plab. Qhov no yuav pab tsim lub moj khaum ntawm thaj chaw tsis muaj zog.
Kom paub meej tias cov stitches kho kom raug, sai, thiab tsis ua teeb meem thiab teeb meem, tsis txhob hnov qab mus xyuas gynecologist tom qab rov qab los tsev. Nws raug nquahu kom mus ntsib kws kho mob ib lub lim tiam lossis ob lub lis piam tom qab tso tawm hauv tsev kho mob kom nws tuaj yeem kuaj xyuas qhov txhab thiab qib ntawm nws kho.
Sijhawmsuture kho
Ntau cov poj niam nug cov lus nug: Ntev npaum li cas cov seam zoo? Ntau yam cuam tshuam rau kev kho tus nqi: kev txawj ntawm tus kws phais, cov khoom siv, kev qhia kho mob, cov txheej txheem phais thiab lwm yam.
Sutures tuaj yeem siv nrog:
- Tus kheej-absorbable threads.
- Nyob zoo ib tsoom phooj ywg.
- Siv cov khoom tshwj xeeb.
Cov khoom siv yog qhov tseem ceeb rau ntev npaum li cas cov stitches kho tom qab yug menyuam. Thaum siv thawj hom khoom, qhov txhab kho yuav siv sij hawm ib mus rau ob lub lis piam. Thaum suturing siv staples lossis cov pa xov, lub sijhawm kho yuav yog qhov nruab nrab ntawm 2 lub lis piam - ib hlis. Tshem tawm ob peb hnub ua ntej tso tawm.
mob thiab tsis xis nyob
Yog tias cov seam mob tom qab phais, ces koj yuav tsum tsis txhob pib txhawj. Kev hnov lus tsis zoo nyob hauv thaj chaw suture yuav cuam tshuam tus poj niam li ntawm ib thiab ib nrab mus rau ob lub hlis. Mob hauv qhov chaw ua haujlwm yuav ploj mus hauv ib lub lis piam lossis ob zaug. Yog hais tias lub seam mob tom qab ib tug caesarean seem ntev, ces nws yog zoo dua mus ntsib kws kho mob.
Yog xav paub ntxiv, koj yuav tsum tham nrog tus kws phais. Nws yuav tuaj yeem qhia ntev npaum li cas cov stitches kho tom qab yug menyuam hauv koj qhov xwm txheej.
Yog thawj hnub lub qhov txhab mob heev, ces tsis txhob maj mus noj tshuaj kho mob. Tsis yog txhua yam tshuaj siv tau nrog kev pub niam mis. Nrog koj tus kws kho mob ua ntej.
Yuav ua li cas tu lub seam hauv tsev
Ntau zaus tom qab yug menyuamcov poj niam mus rau hauv tsev kho mob nrog cov teeb meem uas suture tsis kho tom qab yug me nyuam. Ua ntej tus poj niam hauv lub cev tawm mus, nws tau piav qhia yuav ua li cas kho qhov txhab ntawm nws tus kheej. Raws li txoj cai, cov tshuaj tua kab mob yog siv rau cov txheej txheem xws li: Chlorhexidine, Miramistin, hydrogen peroxide. Nws tuaj yeem siv tshuaj pleev raws li kws kho mob tau sau tseg: Solcoseryl, Levomikol thiab lwm yam. Nrog kev saib xyuas kom raug, qhov kev pheej hmoo ntawm qhov tshwm sim tsis zoo yog tsawg.
Muaj Teeb Meem
Yog tias tus kws kho mob cov lus pom zoo thiab cov lus qhia tsis ua raws, yog tias kev tshuaj tua kab mob thiab kev kho suture tsis raug saib xyuas, qhov kev pheej hmoo ntawm cov teeb meem yog siab. Suppuration, o, divergence ntawm seam yog ua tau, nws tshwm sim tias seam los ntshav tom qab yug me nyuam.
- Txhob Cia Siab. Cov cim qhia ntawm cov txheej txheem inflammatory tuaj yeem yog: o ntawm lub qhov txhab, liab, lub cev kub, tawm cov kua paug los ntawm qhov chaw ua haujlwm, tsis muaj zog thiab tsis txaus ntseeg. Cov txiaj ntsig zoo li no tuaj yeem ua rau muaj kev saib xyuas tsis txaus rau cov seams lossis tsis ua raws li cov hauv paus ntawm kev nyiam huv ntawm tus kheej. Mus koom cov kws kho mob hauv cov xwm txheej zoo li no ntxiv kev saib xyuas hauv tsev nrog kev siv tampons nrog tshuaj pleev qhov txhab.
- Mob hauv qhov chaw suture. Thawj zaug tom qab kev ua haujlwm, kev tsis xis nyob yog ntuj. Nws yog ib qho tsim nyog pib txhawj xeeb yog tias lawv txuas ntxiv cuam tshuam rau lub sijhawm ntev lossis nce ntxiv. Cov tsos mob zoo li no yuav qhia tau tias qhov pib mob lossis kis mob ntawm qhov txhab.
- Cov seam sib nrug tom qab yug me nyuam. Cov xwm txheej zoo li no tsis tshwm sim ntau zaus, tab sis yuav tsum tau ua tib zoo saib.
Cov seam sib nrug tom qab yug me nyuam. Yuav ua li cas?
Seam divergence tshwm simtsis tshua muaj, thiab yog vim li cas rau qhov no, raws li txoj cai, yog tsis muaj kev ceev faj. Ua ntej tso tawm hauv tsev kho mob, tus poj niam tau piav qhia ntev npaum li cas cov suture yuav kho tau zoo, cov cai dab tsi yuav tsum ua thiab yuav saib xyuas thaj chaw ua haujlwm li cas.
Cas of seam divergence:
- Kev sib deev thaum ntxov (pom zoo kom tsis pub tsawg kawg ob lub hlis).
- kev tawm dag zog ntau dhau (piv txwv li nqa hnyav).
- Tsis ua raws li cov lus pom zoo ntawm lub sijhawm thaum koj zaum tsis tau.
- Kab mob hauv thaj chaw ua haujlwm.
Cov tsos mob uas cov seam tau qhib tom qab yug menyuam tuaj yeem yog: o, o, pom, mob, lub cev kub.
Seam tuaj yeem sib nrug:
- ib nrab;
- ua kom tiav.
Vim qhov no, kev ua ntawm tus kws kho mob tuaj koom kuj yuav txawv.
ib nrab seam split
Tom qab ua haujlwm, tej zaum yuav muaj qhov sib txawv me ntsis ntawm cov seam. Nws yog hais txog ob los yog peb stitches. Qhov xwm txheej no tsis tas yuav muaj kev phais xwm txheej ceev. Raws li txoj cai, cov seam yog nyob rau hauv tib daim ntawv, tshwj tsis yog tias muaj kev hem thawj ntawm kev kis kab mob lossis kev sib cais tiav.
Ua tiav qhov sib txawv ntawm kev kho mob suture
Thaum lub postoperative suture yog qhib kiag li, yuav tsum tau ib tug tshiab incision. Cov stitches yog rov kaw. Qhov no ua tiav txhawm rau tiv thaiv kev kis kab mob thiab txhim kho cov txheej txheem inflammatory.
Feem ntau, cov poj niam mus rau hauv tsev kho mob vim qhov tseeb tias cov seam tau qhib tag nrho tom qab yug me nyuam, twb los ntawm tsev. Nyob rau hauv xws liQhov xwm txheej yuav tsum tsis txhob yig, nws yog qhov zoo dua los hu rau lub tsheb thauj neeg mob tam sim ntawd. Txawm hais tias muaj qhov sib txawv tuaj yeem ua tau thiab yuav luag tam sim tom qab yug menyuam. Tom qab ntawd tsis txhob txhawj, nws yog qhov zoo dua los qhia koj tus kws kho mob tam sim ntawd txog qhov teeb meem. Thaum pib, lub qhov txhab yuav tsum tau kho nrog tshuaj tua kab mob, tom qab ntawd rov ua dua.
Txawm kom txo qhov kev pheej hmoo ntawm qhov tsis sib xws, tus poj niam yuav tsum tsis txhob tso tseg lub tsev kho mob yuav tsum tau nyob. Tsis txhob maj khiav mus tsev. Ua raws li kev saib xyuas ntawm tus kws kho mob thiab cov neeg ua haujlwm kho mob txo qis qhov muaj feem cuam tshuam.
Puas plooj tuaj yeem sib nrug tom qab c-section?
Qhov sib txawv ntawm cov seams tom qab yug me nyuam tsis yog ib txwm muaj. Yog hais tias ib tug poj niam xav tias lub seam tau qhib tom qab ib tug cesarean seem, ces koj yuav tsum tam sim ntawd hu rau lub tsev kho mob ntawm qhov chaw nyob los yog lub tsheb thauj neeg mob. Tsuas yog tus kws kho mob tuaj yeem kuaj pom tseeb hauv qhov xwm txheej zoo li no tom qab kuaj xyuas. Yog hais tias lub puab seam tau sib nrug, ces re-suturing yog tsis ua lawm.
Yog tias cov seam sab nraud pib sib txawv, tus poj niam yuav tuaj yeem kuaj pom cov tsos mob (cov cim qhia) nws tus kheej. Cov cim qhia ntawm kev sib cais tom qab kev phais:
- ntshav los ntawm qhov txhab;
- mob hnyav thaum zaum thiab sawv;
- kub nce.
Yog tias koj muaj txoj hlua khi tom qab yug menyuam, tus kws kho mob yuav qhia koj ua dab tsi. Koj yuav tsum mus rau tom tsev kho mob tam sim ntawd. Yog hais tias lub seam sab nraud diverges, tus kws kho mob re-suturing. Txawm li cas los xij, tom qabtxheej txheem, ib chav kawm ntawm cov tshuaj tua kab mob yog muab los tiv thaiv kev loj hlob ntawm o. Hmoov tsis zoo, tom qab kev kho mob, tus poj niam raug yuam kom tsis txhob pub niam mis, vim tias cov tshuaj sib xyaw hauv lub cev thiab dhau los ntawm cov kua mis mus rau tus menyuam.
Yog tias koj txoj hlua khi sib nrug tom qab yug me nyuam, qhov tshwm sim tsuas yog qhov tseeb no yuav raug coj mus rau hauv tus account tom qab cev xeeb tub thiab yug menyuam.
Zoo kawg
Suturing tom qab yug me nyuam yog ib txoj kev ncaj ncees. Koj yuav tsum tsis txhob ntshai nws. Nrog kev saib xyuas lub qhov txhab kom raug thiab ua raws li tus kws kho mob cov lus pom zoo, lub qhov txhab yuav zoo sai sai, thiab caws pliav yuav tsis tshua pom thaum lub sijhawm.
