Kev yug me nyuam yog txuj ci tseem ceeb. Tus niam expectant ua tib zoo npaj rau qhov tsos ntawm tus menyuam. Tab sis thaum yug me nyuam, qhov xwm txheej tsis tau pom dua tuaj yeem tshwm sim thaum xav tau ib qho episiotomy. Stitches tom qab ib qho episiotomy yog qhov kev txhawj xeeb tshwj xeeb rau cov poj niam cev xeeb tub. Wb tham kom ntxaws ntxiv.
Qhov no yog dab tsi?
Ib qho episiotomy yog ib qho me me hauv qhov perineum uas tau ua rau tus poj niam ua haujlwm thaum lub sijhawm tshem tawm ntawm tus menyuam hauv plab. Feem ntau, tus niam uas muaj kev cia siab tau muab tshuaj loog hauv zos ua ntej qhov no, tab sis qee zaum tsis muaj sijhawm rau qhov no, thiab lawv ua yam tsis muaj tshuaj loog.
Txoj haujlwm no tiv thaiv lub kua muag los ntawm kev pab tus menyuam hla tus kwj dej yug.
Leej twg xav tau qhov episiotomy
Leej twg xav tau kev kho mob episiotomy? Sutures tom qab episiotomy kho tau ntev. Qhov txheej txheem no ncaj ncees npaum li cas? Cov ntaub so ntswg qhov chaw mos yog elastic heev. Xwm nws tus kheej tau txiav txim tias tus poj niam yuav tsum yug me nyuam yam tsis muaj teeb meem. Tab sis muaj ntau qhov laj thawj tshwj xeeb vim li cas thiaj xav tau ib qho episiotomy:
- tus me nyuam muaj kev nthuav qhia breech, uas yog, nws mus pem hauv ntej nrog nws lub nroog Yeiuxalees lossis ob txhais ceg;
- koj yuav tsum ceev kom yug me nyuam, vim tus me nyuam muaj hypoxia - tsis muajoxygen;
- Yuav muaj kev pheej hmoo ntawm perineal tsim kua muag yog tias cov ntaub tsis zoo.
Hmoov tsis zoo, hauv peb lub sijhawm, qhov haujlwm no tau tso rau hauv kwj dej, thiab nws tau ua tiav rau yuav luag txhua tus poj niam thib ob hauv kev ua haujlwm. Nws yog ib qho yooj yim rau tus kws kho mob los txiav txim siab dua li tuaj nrog lwm txoj hauv kev xa khoom. Yog tias ua tau, nws yog qhov zoo dua los nrhiav tus kws kho mob uas ntseeg siab thiab paub txog ua ntej uas yuav tsis tso cai rau kev phais. Thiab tau kawg, lub siab xav rau qhov ua tau zoo yog qhov tseem ceeb.
Pros and cons of an episiotomy
Feem ntau, tus poj niam uas yug me nyuam twb thaum yug me nyuam tau ntsib nrog qhov xav tau kev phais, uas yog tsim los siv txiab tshwj xeeb. Qhov no, thaum xub thawj siab ib muag, cov txheej txheem txaus ntshai muaj ntau qhov zoo:
- theem thib ob ntawm kev ua haujlwm nrawm;
- tus me nyuam yug los tsis raug mob, txoj kev no muaj kev nyab xeeb rau nws;
- thaum sim, siv zog tsawg dua rau tus niam uas xav tau.
Cons suav nrog cov hauv qab no:
- mob suturing;
- tsis tuaj yeem zaum ntev;
- tuaj yeem ua rau lub qhov quav;
- ntev rov zoo tom qab yug menyuam.
Txawm hais tias muaj ntau qhov tsis zoo, ib tus yuav tsum ntseeg cov kws kho mob. Thiab yog tias kev noj qab haus huv, kev noj qab haus huv lossis txawm tias lub neej ntawm tus menyuam muaj feem cuam tshuam, ces nws yog qhov zoo dua los pom zoo rau cov txheej txheem xws li episiotomy. Stitches tom qab ib qho episiotomy tuaj yeem ua mob rau qee lub sijhawm thiab ua rau tsis xis nyob. Saib hauv qab no seb yuav tu lawv li cas.
Yuav zam tauepisiotomy?
Qhov kev phais no zam tau. Nws tau ntev tau ua pov thawj tias kev yug ntxov ntxov feem ntau xaus rau ntau qhov kev tawg. Nws yuav zoo li tias qhov no yog ib qho kev tsis sib haum xeeb, vim hais tias lub taub hau ntawm tus menyuam yaus, ntawm chav kawm, me dua. Tab sis nws hloov tawm tias ob peb lub lis piam ua ntej yug me nyuam, cov tshuaj hormones yog qhib rau hauv tus poj niam lub cev uas ua rau kom elasticity ntawm qhov chaw mos. Yog li ntawd, koj yuav tsum sim coj tus menyuam mus rau lub sijhawm.
Ntxiv rau, koj tuaj yeem npaj tus kheej ntawm perineum rau kev yug menyuam. Nws yog qhov zoo dua los pib ntxov. Cov kws kho mob qhia kom ua lub neej noj qab nyob zoo thaum cev xeeb tub, tsis txhob overeat thiab saib xyuas qhov hnyav. Nws yog qhov zoo tshaj plaws mus xyuas lub pas dej ua ke lossis yoga rau cov poj niam cev xeeb tub, yog tias tus kws kho mob poj niam cev xeeb tub tsis mloog thiab tsis muaj contraindications rau txhua kis.
Ib hlis ua ntej yug me nyuam, koj yuav tsum pib ua ib qho kev sib raug zoo nrog cov roj tshwj xeeb. Yog tias nws tsis tuaj yeem yuav nws, koj tuaj yeem siv sunflower, almond, txiv ntseej lossis hiav txwv buckthorn. Yuav ua li cas xws li ib tug massage yog ua li cas feem ntau yog qhia nyob rau hauv cov kev kawm rau cov poj niam cev xeeb tub, yog li ntawd lawv yuav tsum tsis txhob muab pov tseg. Cov txheej txheem no yuav tsum tau ua txhua hnub. Cov kev paub zoo Kegel ce tseem yuav pab kom lub perineum rov qab elasticity thiab rov qab mus rau qhov qub tom qab yug menyuam. Txawm li cas los xij, yog tias nws tshwm sim tias tus kws kho mob yuav tsum tau txiav, tsis txhob ntshai.
Nws yuav siv sijhawm ntev npaum li cas rau stitches los kho tom qab tus kabmob episiotomy?
Yog tias muaj cov tsos mob tshwm sim thaum yug menyuam, tus kws kho mob yuav ua tib zoo txiav. Kev xyaum qhia tau hais tias nws feem ntau yog nyob rau sab xis. Sutures muab tso rau ib qhoabsorbable threads, los yog cov uas yuav tsum tau muab tshem tawm nyob rau hauv lub thib tsib hnub. Cov xov twg xaiv - tus kws kho mob txiav txim siab.
Hauv thawj peb lub lis piam, koj tuaj yeem zaum tsis tau, txwv tsis pub muaj kev pheej hmoo ntawm kev sib txawv ntawm cov seams. Kuj tseem muaj kev txwv tsis pub muaj kev sib deev rau 5-6 lub lis piam. Feem ntau thaum lub sij hawm no cov sutures kho. Kev rov zoo tag nrho ntawm qhov chaw mos tshwm sim hauv 6-9 lub hlis tom qab yug menyuam, tab sis tsuas yog nrog kev saib xyuas ntawm perineum kom zoo.
Kev saib xyuas Perineal tom qab yug menyuam
Lub suture zoo li cas tom qab ib qho episiotomy? Tom qab yug me nyuam, ib tug poj niam tuaj yeem hnov mob loj heev. Yog tias koj sim pom koj tus kheej nrog kev pab los ntawm daim iav, ces qhov spectacle yuav tsis yog rau lub plawv. Qhov no yog kiag li qub. Yog tias koj ua raws li tus kws kho mob cov lus pom zoo, tom qab 2 lub lis piam qhov o yuav ploj mus, thiab tom qab rau lub hlis ntxiv yuav tsis muaj qhov tshwm sim.
Cov lus qhia txog kev saib xyuas stitch:
- tsis txhob zaum ntawm qhov chaw tiaj tus li 2-3 lub lis piam;
- tsis txhob nqa ib yam hnyav dua tus menyuam li 2 lub hlis;
- ua kom koj lub qhov ncauj huv si, hloov koj cov pawm kom ntau li ntau tau, ntxuav koj tus kheej tom qab siv chav dej;
- kho cov seams nrog kev daws ntawm furacilin lossis ci ntsuab;
- 3-4 zaug ib hnub, cia cov seams "ua pa", taug kev ncig yam tsis muaj ris tsho hauv qab;
- noj zaub mov uas txhawb nqa kev tso quav kom cov quav tsis tu ncua thiab cov seams tsis strain;
- kev sib deev so rau 6-8 lub lis piam;
- do Kegel exercises;
- haus dej ntau.
Qhov kev ntxhov siab tshaj plaws rau ntau tus niam yog qhov tsis muaj peev xwm zaum. Pub mis rau koj tus menyuam sawv lossis pw yog qhov tsis yooj yim heev. Tab sis kev noj qab haus huv ntawm cov crumbs tseem ceeb dua, yog li koj tuaj yeem tiv taus ob peb lub lis piam. Yog tias ua yuam kev hauv kev saib xyuas ntawm perineum, ces qhov kev pheej hmoo ntawm cov teeb meem yuav tshwm sim.
Cov teeb meem tom qab episiotomy
Zoo li lwm yam kev cuam tshuam kev phais, ib qho episiotomy tuaj yeem muaj teeb meem. Yuav ua li cas yog hais tias lub seam tau qhib tom qab ib tug episiotomy, thiab dab tsi yog vim li cas rau qhov no? Qhov no tuaj yeem tshwm sim yog tias tus poj niam nqa qhov hnyav, piv txwv li, nqa lub tsheb kauj vab nrog tus menyuam nce ntaiv, lossis zaum ua ntej. Sai li thawj cov tsos mob tshwm sim, piv txwv li, suture tom qab mob episiotomy, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Tej zaum yuav xav tau kev suturing thib ob.
Kev sib deev tom qab episiotomy
Txawm li cas los xij, tom qab yug me nyuam, koj yuav tsum tsis txhob muaj kev sib deev rau 6 lub lis piam. Tom qab lub sij hawm no, koj yuav tsum mus ntsib ib tug gynecologist. Yog hais tias txhua yam nyob rau hauv kev txiav txim nrog stitches thiab tus kws kho mob muab rau ua ntej, ces koj yuav nco ntsoov koj lub neej intimate.
Feem ntau cov poj niam uas tau muaj tus kab mob episiotomy lees paub tias lawv pib muaj kev ntshai thiab mob thaum sib deev. Nyob rau tib lub sijhawm, qhov tsis xis nyob yuav ploj mus. Thawj thawj zaug, nws yog qhov zoo dua los siv cov roj nplaum gel thiab siv sijhawm ntau rau kev ua si. Nws tseem tsim nyog sim nrog poses, xaiv qhov yog. Yog tias qhov mob tsis tuaj yeem tiv taus, ces koj yuav tsum nres thiab sim ua ob peb hnub. Yog tias qhov mob tshwm sim rau ob peb lub hlis thiab rub lub sutureTom qab kuaj mob episiotomy, koj yuav tsum sab laj nrog kws kho mob kom tau tswv yim.
Kuv puas tuaj yeem yug tau tom qab tus kabmob episiotomy
Cov poj niam uas tau phais qhov no feem ntau txhawj xeeb txog qhov muaj feem yuav yug tom ntej? Hmoov zoo, tsis muaj kev txwv rau qhov no. Nws yuav tsum raug coj mus rau hauv tus account tias ib qho episiotomy yuav tsim nyog rau zaum ob. Sutures tom qab episiotomy tsis elastic. Yog li ntawd, midwives ua ib qho kev phais tshiab kom tsis txhob rhuav tshem cov qub suture.
Nyob rau ib nrab ntawm cov xwm txheej, qhov kev yug zaum thib ob thiab tom qab dhau los yam tsis muaj kev cuam tshuam no. Nws yog ib qho tsim nyog yuav tau ua kom tau txais txiaj ntsig zoo ntawm kev yug menyuam thiab ua tib zoo npaj rau lawv. Kev muaj menyuam yog ib qho yuav tsum tau, txawm tias muaj kev ntshai tias episiotomy induces. Stitches tom qab episiotomy yog ib qho me me piv rau qhov kev zoo siab uas cov me nyuam muab!
