Atony ntawm Uterus

Zoo Siab

• Cov tsos mob ntawm Atony ntawm qhov Uterus yog dab tsi?
• Dab tsi Ua Rau Atony Uterus?
• Kev kuaj mob Atony ntawm Uterus
• Teeb meem ntawm Atony ntawm Uterus
• Kev Kho Mob Rau Atony of Uterus
• Dab Tsi Yog Qhov Kev Xam Pom rau Cov Neeg Nrog Atony Uterus?
• Tiv Thaiv Atony Ntawm Uterus

Dab tsi yog Atony ntawm Uterus?

Atony ntawm lub tsev me nyuam, tseem hu ua uterine atony, yog ib qho mob hnyav uas tuaj yeem tshwm sim tom qab yug menyuam. Nws tshwm sim thaum lub tsev menyuam tsis ua haujlwm tom qab xa tus menyuam tas, thiab nws tuaj yeem ua rau muaj kev phom sij txog kev phom sij txog lub neej hu ua tom qab yug menyuam los ntshav.

Tom qab yug menyuam tas, cov leeg ntawm lub tsev menyuam niaj zaus nruj, lossis cog lus, kom xa tawm qhov tso tawm. Qhov kev tawm tsam kuj tseem pab ua kom cov hlab ntshav uas tau txuas nrog qhov tso tseg. Kev nyem siab yuav pab tiv thaiv los ntshav. Yog tias cov leeg ntawm lub tsev menyuam tsis cog lus txaus, cov hlab ntshav tuaj yeem dawb los ntshav. Qhov no ua rau muaj ntshav ntau dhau, lossis los ntshav.

Yog tias koj muaj lub cev ntaj ntsug rau hauv lub tsev menyuam, koj yuav tsum tau kho tam sim ntawd kom pab ua kom qhov ntshav los ntshav thiab hloov ntshav ploj. Cov mob hemorrhage tom qab yug menyuam tuaj yeem yog mob hnyav heev. Txawm li cas los xij, kev paub ntxov thiab kho tau tuaj yeem ua rau kom rov zoo li qub.

Cov tsos mob ntawm Atony ntawm qhov Uterus yog dab tsi?

Cov tsos mob tseem ceeb ntawm atony ntawm lub tsev menyuam yog lub tsev menyuam uas nyob twj ywm thiab tsis muaj kev ntxhov siab tom qab yug menyuam tas. Atony ntawm lub tsev menyuam yog ib qho ntawm cov feem ntau pom ua tom qab los ntshav. Txoj kev kuaj ntshav tom qab yug me nyuam txhais tau hais tias yuav poob ntau dua 500 milliliters ntshav tom qab xa tawm ntawm lub cev.

Cov tsos mob hemorrhage suav nrog:

• ntau dhau thiab tsis tuaj yeem los ntshav tom qab yug tus menyuam
• txo cov ntshav siab
• lub plawv dhia rau lub siab
• kev mob
• mob taub hau

Dab tsi Ua Rau Atony Uterus?

Muaj ob peb lub hauv paus uas tuaj yeem tiv thaiv cov leeg ntawm lub tsev menyuam los ntawm kev cog lus tom qab ua haujlwm tas. Cov no suav nrog:

• Lub caij nyoog ua haujlwm ntev
• ua hauj lwm hnyav heev
• overdistention ntawm lub tsev menyuam, los yog ntau dhau ntawm lub tsev menyuam
• kev siv cov tshuaj oxytocin (Pitocin) lossis lwm yam tshuaj noj lossis tshuaj loog thaum lub sijhawm ua haujlwm
• vim raug mob

Tej zaum koj yuav muaj feem ntau dua atony ntawm lub tsev menyuam yog hais tias:

• koj tau xa cov lej sib npaug, xws li menyuam ntxaib lossis triplets
• koj tus me nyuam muaj ntau dua li qhov nruab nrab, uas yog hu ua fetal macrosomia
• koj muaj hnub nyoog tshaj 35 xyoos
• koj yeej rog
• koj muaj cov kua dej amniotic ntau dhau, uas hu ua polyhydramnios
• koj tau muaj ntau yam ua ntej yug

Uterine atony tuaj yeem tshwm sim rau cov poj niam uas tsis muaj kev phom sij.

Kev kuaj mob Atony ntawm Uterus

Atony ntawm lub tsev me nyuam feem ntau paub thaum lub tsev me nyuam mos thiab xis thiab muaj ntshav ntau heev tom qab yug me nyuam. Koj tus kws kho mob yuav kwv yees cov ntshav ploj los ntawm kev suav tus naj npawb ntawm cov poov xab lossis los ntawm kev ntsuas lub cev txhuam siv los nqus ntshav.

Koj tus kws kho mob yuav kuaj ib ce thiab ua rau lwm cov ua rau los ntshav. Qhov no suav nrog kev ua kom paub tseeb tias tsis muaj kua muag hauv lub ncauj tsev menyuam lossis ntawm lub paum thiab tsis muaj ib qho twg ntawm cov placenta tseem nyob hauv lub tsev menyuam.

Koj tus kws khomob yuav kuaj lossis saib xyuas cov hauvqab hauv qab no:

• mem tes dhia
• ntshav siab
• cov ntshav liab
• txhaws ntshav hauv ntshav

Teeb meem ntawm Atony ntawm Uterus

Atony ntawm lub tsev menyuam ua rau 90 feem pua ​​ntawm cov mob tom qab yug menyuam, raws li Kev Hloov ntshav hauv Kev Siv Tshuaj. Hemorrhage feem ntau tshwm sim tom qab lub cev tus me nyuam.

Lwm yam kev cuam tshuam ntawm uterine atony suav nrog:

• orthostatic hypotension, uas yog lub teeb taws taub hau lossis kiv taub hau vim tias tsis muaj ntshav siab
• anemia
• nkees
• kev pheej hmoo ntawm cov ntshav khov tom qab tau yug menyuam tas tom qab yug menyuam tas

Tsis muaj zog thiab nkees tom qab yug me nyuam kuj tseem muaj feem ntau ntawm leej niam muaj kev nyuaj siab tom qab los so tas.

Ib qho kev phom sij loj ntawm atony ntawm lub tsev menyuam yog hemorrhagic ceeb. Tus mob no txawm yuav ua lub neej txoj sia.

Kev Kho Mob Rau Atony of Uterus

Txoj kev kho yog txhawm rau txwv kev los ntshav thiab hloov cov ntshav uas ua ploj. Tus niam tsev yuav muab tshuaj rau ntshav (IV), tso ntshav, thiab ntshav tawm sai li sai tau.

Kev kho mob atony ntawm lub tsev menyuam muaj xws li:

• lub tsev menyuam zaws, uas yuav nrog koj tus kws kho mob tso ib sab tes rau ntawm lub paum thiab thawb tawm tsam lub tsev menyuam thaum lawv txhais tes nias lub tsev menyuam los ntawm lub plab phab ntsa
• tshuaj uterotonic suav nrog oxytocin, methylergonovine (Methergine), thiab prostaglandins, xws li Hemabate
• ntshav ntxiv

Hauv cov mob hnyav, txoj kev kho mob suav nrog:

• phais mus khi tawm cov hlab ntshav
• uterine artery embolization, uas koom nrog txhaj cov tshuaj me me rau hauv lub tsev menyuam los cuam tshuam cov ntshav mus rau lub tsev menyuam
• hysterectomy yog tias tag nrho lwm yam kev kho mob swb

Dab Tsi Yog Qhov Kev Xam Pom rau Cov Neeg Nrog Atony Uterus?

Txoj kev mob ntshav nyab tom qab los so yog qhov ua rau muaj kev ploj tuag ntau dua tom qab yug me nyuam hauv cov tebchaws uas tsis muaj chaw kho mob tsawg thiab tsis muaj cov neeg paub txog kev noj qab haus huv. Kev tuag los ntawm kev kuaj mob tom qab yug menyuam yog ib qho muaj tsawg dua hauv tebchaws Meskas. Nws tshwm sim hauv tsawg dua 1 feem pua ​​ntawm cov neeg mob.

Tus poj niam txoj kev pheej hmoo yuav tuag los ntawm tus mob nce ntxiv thaum muaj kev thauj mus rau tom tsev kho mob qeeb, ua qhov kev kuaj mob, thiab tau txais kev kho mob pom zoo. Cov teeb meem muaj tsawg tsawg yog hais tias muab kev kho mob kom raug.

Tiv Thaiv Atony Ntawm Uterus

Atony ntawm lub tsev menyuam tsis tuaj yeem tiv thaiv tas li. Nws yog ib qho tseem ceeb uas koj tus kws kho mob yuav tsum paub tswj cov mob no nyob rau txhua theem ntawm kev mob plab. Yog tias koj muaj kev pheej hmoo siab ntawm lub tsev menyuam, koj yuav tsum coj koj tus menyuam mus tom tsev kho mob lossis chaw muaj khoom siv txaus los txhawm rau txhawm rau los ntshav. Kev tso dej ntawm txoj leeg (IV) yuav tsum npaj kom txhij thiab noj tshuaj yuav tsum nyob ntawm tes. Cov neeg ua haujlwm tu neeg mob thiab muab tshuaj loog yuav tsum muaj txhua lub sijhawm. Nws tseem yog ib qho tseem ceeb kom ceeb toom cov ntshav ntshav ntawm lub peev xwm xav tau cov ntshav.

Koj tus kws kho mob yuav tsum tau soj ntsuam koj lub cim tseem ceeb thiab cov ntshav tawm uas tshwm sim tom qab yug los txog los ntshav. Oxytocin muab sai tom qab xa khoom tuaj yeem pab txoj kev cog lus ntawm lub tsev menyuam. Txoj kev zaws ib ce tom qab muab tus me nyuam tso tawm kuj tseem yuav txo qhov kev pheej hmoo ntawm atony ntawm lub tsev me nyuam thiab tam sim no ib qho kev coj ua.

Kev noj cov tshuaj muaj hnub yug, suav nrog cov tshuaj muaj hlau, kuj tseem tuaj yeem pab tiv thaiv kom tsis txhob muaj ntshav khov thiab lwm yam kev cuam tshuam ntawm uterine atony thiab hemorrhage tom qab xa khoom.