Tom qab yug menyuam, cov poj niam yuav tshem tawm lochia lossis ntshav puerperal nrog ntau qhov ntim (sib npaug rau cov ntshav coj khaub ncaws) thiab tom qab ntawd maj mam txo qis. Qhov tseeb, qhov ntshav no yog qhov tshwm sim ntawm lub cev kom tshem tawm cov ntshav, cov nqaij thiab cov kab mob tom qab yug menyuam thiab yog li ntawd, qhov xwm txheej no zoo ib yam. Txhawm rau paub seb qhov ntshav puas zoo li qub lossis tsis yog, xyuas kom koj muaj peev xwm txheeb xyuas cov yam ntxwv ntawm ntshav qis tom qab yug me nyuam thiab ntau dhau tom qab yug me nyuam (tsis tshua muaj mob tab sis nws cov txiaj ntsig txaus ntshai heev). Yog tias koj pom qhov xwm txheej tsis txaus ntseeg lossis cov tsos mob, hu rau koj tus kws kho mob tam sim ntawd!
Kauj ruam
Txoj Kev 1 ntawm 3: Txheeb Ntshav Li Qub Tom Qab Los
Kauj Ruam 1. Npaj kom ntshav los hnyav rau peb mus rau kaum hnub
Kwv yees li ib lub lim tiam tom qab yug menyuam, qhov chaw mos yuav los ntshav liab nrog lub ntim loj heev. Feem ntau yuav, nyob rau theem no koj tseem yuav pom ntau cov ntshav txhaws ntawm qhov sib txawv.
- Hauv thawj theem ntawm cov ntshav tom qab yug menyuam, koj yuav zoo li yuav tsum tau hloov koj daim ntaub huv huv txhua peb teev.
- Muaj feem yuav, koj tseem yuav pom ib lossis ob qho ntshav txhaws loj npaum li cas ntawm ib npib, thiab ob peb cov ntshav txhaws qhov loj ntawm cov txiv hmab.
- Yog tias koj ua qhov kev phais plab, yuav muaj feem ntau ntawm cov ntshav uas tawm los yuav ntau dua.
- Ob rau plaub hnub tom qab yug menyuam, xim ntawm cov ntshav puerperal yuav tsum hloov me ntsis.
Kauj Ruam 2. Pom xim ntawm cov ntshav tawm los
Rau peb txog kaum hnub tom qab yug menyuam, cov ntshav puerperal yuav tsum ci thiab tsaus xim liab (xim yuav ploj tom qab plaub hnub). Tom qab lub sijhawm ntawd, cov ntshav ntshav yuav tsum ploj mus rau xim liab. Tom qab ob peb hnub, cov xim ntawm cov ntshav yuav tig xim av thiab thaum kawg tig daj dawb.
Kauj Ruam 3. Npaj rau kev los ntshav tsis tu ncua
Thaum lub tswv yim koj yuav tsum tsuas yog tso ntshav hnyav rau peb txog kaum hnub tom qab xa khoom, nws yuav zoo li lub teeb mus rau qhov nruab nrab ntawm cov ntshav tseem yuav tawm los rau ob peb lub lis piam tom qab yug menyuam (txog li rau rau lub lim tiam). Sij hawm dhau mus, qhov ntim ntawm cov ntshav yuav tsum txo qis thiab cov xim yuav ploj mus.
- Feem ntau yuav yog, cov ntshav suav thiab mob hnyav yuav nce me ntsis thaum koj tab tom pub niam mis (lossis tom qab ntawd tsis ntev). Tsis txhob txhawj, qhov xwm txheej no yog ib txwm vim tias kev pub niam mis yuav ua rau lub tsev menyuam sib cog lus.
- Feem ntau yuav, qhov chaw mos tseem yuav los ntshav (pom) tom qab rau lub hlis yog tias koj pib noj tshuaj tiv thaiv menyuam. Tham nrog txhua qhov muaj peev xwm nrog tus kws kho mob!
Kauj Ruam 4. Nkag siab tias muaj dab tsi tshwm sim hauv koj lub cev
Ntseeg kuv, kev ntshai uas tshwm sim tuaj yeem raug ntsiag to yog tias koj nkag siab cov xwm txheej ntuj uas tshwm sim hauv lub cev ntawm tus poj niam tom qab yug menyuam. Tom qab yug me nyuam, tus me nyuam tso me nyuam tawm ntawm lub tsev menyuam. Vim li ntawd, cov hlab ntshav hauv cheeb tsam yuav qhib thiab ua rau los ntshav los ntawm lub tsev menyuam. Tom qab qhov tso menyuam tawm, lub tsev menyuam tseem yuav cog lus kom tshem tawm cov ntshav thiab lwm cov ntaub so ntswg, kua, thiab kab mob tawm ntawm koj lub cev. Cov ntawv cog lus no yuav nyob ntev li rau rau lub lim tiam tom qab yug menyuam, thiab yuav tsum tau ua los ntawm lub cev los ntxuav lub tsev menyuam, kaw cov hlab ntshav qhib, thiab rov qab ua haujlwm tau zoo.
- Thaum cev xeeb tub, cov ntshav hauv koj lub cev yuav nce ntxiv 50%. Kev nce ntxiv hauv cov ntshav tshwm sim vim tias lub cev tab tom npaj nws tus kheej kom tshem tawm cov ntshav tom qab yug menyuam.
- Yog tias koj lub paum puas thaum lub sijhawm yug menyuam, lossis yog tias koj muaj episiotomy (kev ua haujlwm hauv thaj tsam perineal los pab txhawb nqa tus menyuam), muaj txoj hauv kev zoo uas cov ntshav tseem yuav tawm ntawm qhov kua muag lossis tom qab phais tas.
Txoj Kev 2 ntawm 3: Paub Thaum Hu Tus Kws Kho Mob
Kauj Ruam 1. Saib xyuas cov ntshav loj
Feem ntau, cov ntshav puerperal yuav tso ntshav me me mus rau nruab nrab. Yog li ntawd, hu rau koj tus kws kho mob tam sim yog tias cov ntshav khov uas tawm los loj dua li pob golf.
Kauj Ruam 2. Saib xyuas tus qauv ntawm kev siv cov ntaub so huv
Ib txoj hauv kev los saib xyuas cov ntshav yog saib xyuas qhov hloov pauv ntau zaus. Yog li ntawd, sim ua raws tus qauv ntawm kev siv cov ntaub huv huv rau peb teev lossis ntau dua. Hu rau koj tus kws kho mob tam sim yog tias ib teev, koj yuav tsum siv ntau dua ib lub ncoo.
- Hloov chaw, tsis txhob siv tampons vim tias muaj kev pheej hmoo qhia kab mob rau hauv qhov chaw mos.
- Qhov zoo tshaj, feem ntau cov ntshav yuav tawm hauv thawj ob peb hnub thiab pib txo qis tom qab. Hu rau koj tus kws kho mob tam sim yog tias koj cov ntshav tsis txo qis tom qab ob peb hnub!
Kauj Ruam 3. Soj ntsuam cov xim ntawm cov ntshav
Tau ob peb hnub tom qab yug menyuam, cov ntshav yuav tsum yog xim liab liab. Tom qab txog plaub hnub, cov xim yuav tsum pib ploj mus. Hu rau koj tus kws kho mob tam sim yog tias tom qab plaub hnub lossis ntau dua, cov ntshav uas tawm los tseem yog xim liab.
Kauj Ruam 4. Saib xyuas rau qhov tsis hnov tsw txawv txawv
Yog tias cov ntshav uas tawm los muaj qhov tsw ntxhiab lossis tsis hnov tsw, feem ntau koj yuav muaj tus kab mob tom qab yug menyuam vim tias nws yuav tsum hnov tsw zoo li ntshav tom qab yug menyuam, tsis txawv ntawm qhov hnov tsw ntawm cov ntshav coj khaub ncaws. Hu rau koj tus kws kho mob tam sim yog tias koj pom cov tshuaj tsw qab lossis tsw ntxhiab hauv cov ntshav uas dhau mus!
Feem ntau, tus poj niam uas muaj tus mob tom qab yug menyuam tseem yuav mob hnyav thiab kub cev tshaj 38 ° C
Txoj Kev 3 ntawm 3: Txheeb Xyuas Cov Qub Qub Tom Qab Los
Kauj Ruam 1. Nkag siab tias qhov xwm txheej no tsawg
Qhov tseeb, ntau dhau tom qab yug menyuam (PPH) yog qhov xwm txheej tsis tshua muaj tshwm sim thiab tsuas cuam tshuam txog 4-6% ntawm cov poj niam tom qab yug menyuam. Txawm li cas los xij, tus mob no txaus ntshai heev thiab tseem yog lub hauv paus tseem ceeb ntawm kev tuag rau poj niam tom qab yug menyuam. Yog li ntawd, xyuas kom koj paub txog ntau yam tsos mob thiab muaj feem yuav raug saib xyuas!
Kauj Ruam 2. Nkag siab txog kev kho mob uas tuaj yeem ua rau muaj kev pheej hmoo los ntshav ntau ntxiv tom qab yug menyuam
Qhov tseeb, ntau qhov kev kho mob uas cuam tshuam rau lub tsev menyuam, tso menyuam, thiab ntshav lub peev xwm los txhaws yuav ua rau tib neeg muaj kev pheej hmoo los ntshav ntau tom qab yug menyuam.
- Cov kev kho mob uas cuam tshuam rau lub tsev menyuam suav nrog uterine atony (feem ntau hu ua uterine atony), hloov pauv ntawm lub tsev menyuam, thiab lub tsev menyuam tawg.
- Kev mob nkeeg uas cuam tshuam rau tus me nyuam suav nrog kev tso me nyuam hauv plab, qhov nyuaj uas hu ua placenta accrete/increta/percreta, thiab placenta pelvia (ntsaum npog lub ncauj tsev menyuam).
- Cov xwm txheej kho mob uas cuam tshuam rau kev muaj peev xwm ntawm cov ntshav los ua ke yog von Willebrand syndrome thiab nthuav tawm cov hlab ntshav coagulation (DIC), thiab yog tias koj tab tom noj tshuaj anticoagulant xws li warfarin, enoxaparin, thiab lwm yam.
Kauj Ruam 3. Nkag siab txog lwm yam kev pheej hmoo
Qhov tseeb, ntau yam kev pheej hmoo tuaj yeem ua rau tus neeg muaj kev pheej hmoo rau ntshav ntau tom qab yug menyuam. Yog tias koj muaj ib lossis ntau qhov ntawm cov hauv qab no, koj qhov kev pheej hmoo rau ntshav ntau dhau tom qab yug menyuam yuav nce ntxiv, tab sis qhov ntawd tsis txhais tau tias koj yuav tau ntsib nws tiag. Nco ntsoov, qhov xwm txheej no yog qhov tsawg heev! Qee qhov kev pheej hmoo koj yuav tsum paub txog:
- Kev rog dhau
- Ua haujlwm ntev (ntau dua 12 teev)
- Ua kev phais mob xwm txheej ceev
- Muaj ntshav tsis txaus
- Muaj preeclampsia lossis muaj ntshav siab
- Tau ntsib qhov los ntshav ntau dhau ntawm cev xeeb tub dhau los
- Muaj tus kab mob hauv tsev menyuam (endometritis)
Kauj Ruam 4. Paub txog cov tsos mob
Kev tso ntshav tawm ntau dhau feem ntau tshwm sim ib hnub ua ntej tus poj niam yug menyuam. Txawm li cas los xij, qee qhov xwm txheej kuj tshwm sim txog ob lub lis piam tom qab txheej txheem yug me nyuam tshwm sim. Hu rau koj tus kws kho mob tam sim rau kev kho kom raug yog tias koj pom cov tsos mob hauv qab no:
- Cov ntshav los ntawm qhov chaw hnyav uas tsis ploj mus lossis tsis nres
- Cov ntshav siab poob qis lossis cov tsos mob pib xws li pom kev tsis pom kev, tawv nqaij tawv, lub plawv dhia nrawm, tsaus muag, lossis hnov qab kiv taub hau
- Cov tawv nqaij daj
- O thiab mob ib ncig ntawm qhov chaw mos thiab/lossis perineum
