Cov Mob Tom Qab Mob Tom Fab Kis Tom Qab: Qhov no tshwm sim tau licas?

Zoo Siab

• Kev pheej hmoo rau C-section kiav txhab zoo mob
• Cov tsos mob ntawm tus mob tom qab siv tshuaj ntxuav tes mob los yog ua lwm yam mob
• Yuav kuaj li cas thiaj paub tias yog mob qhov txhab?
• Hom thiab tsos ntawm kev kis mob tom qab C-seem
• Cellulitis
• Mob rau hauv plab (mob plab) mob ntuav
• Thav
• Mob txeeb zig thiab zais zis
• Yuav kho qhov txhab vuam mob li cas?
• Yuav tiv thaiv li cas C-ntu kiav txhab sib kis
• Teeb meem ntawm tus mob no
• Txoj kev pom tom qab kis mob tom qab phais mob

Kev phais mob tom qab phais mob (C-seem)

Kev kis mob tom qab phais mob yog ib qho mob uas tshwm sim tom qab C-seem, uas tseem hu ua kev mob plab lossis yug menyuam. Feem ntau nws yog vim muaj kabmob voos rau hauv qhov chaw phais mob.

Cov tsos mob tshwm sim suav nrog ua npaws (100.5ºF txog 103ºF, lossis 38ºC txog 39.4ºC), qhov mob rhiab, liab thiab o ntawm thaj chaw, thiab mob plab hauv qis. Nws yog ib qho tseem ceeb uas yuav tau txais kev kho mob kom sai tiv thaiv kom tsis txhob muaj teeb meem kis kab mob.

Kev pheej hmoo rau C-section kiav txhab zoo mob

Qee tus poj niam yog cov ntau dua li lwm tus kom tau txais tus mob tom qab phais mob. Yam txaus ntshai muaj xws li:

• rog dhau
• mob ntshav qab zib lossis cov tshuaj tiv thaiv kab mob (zoo li HIV)
• chorioamnionitis (mob sib kis ntawm cov kua dej khov thiab cov leeg hauv plab) thaum lub zog ua haujlwm
• noj steroids mus sij hawm ntev (los ntawm qhov ncauj lossis tso ntshav)
• kev saib xyuas ua ntej xeeb tub zoo (ob peb mus ntsib kws kho mob)
• cov khoom xa tuaj dhau los
• tsis muaj kev ceev faj tshuaj tua kab mob los yog kev npaj ua ntej kho mob antimicrobial kev saib xyuas
• kev ua haujlwm ntev lossis phais mob
• ntshav ntau dhau thaum yug menyuam, yug menyuam, lossis phais

Raws li kev tshawb nrhiav tawm xyoo 2012 nyob rau hauv phau ntawv xov xwm no, cov poj niam uas tau txais nylon sutures tom qab phais menyuam tom qab yug menyuam tag tseem muaj feem kis tus kabmob. Staple sutures kuj tseem muaj qhov teeb meem. Sutures ua los ntawm polyglycolide (PGA) yog qhov zoo dua vim tias lawv yog ob qho tib si absorbable thiab biodegradable.

Cov tsos mob ntawm tus mob tom qab siv tshuaj ntxuav tes mob los yog ua lwm yam mob

Yog tias koj tau phais menyuam, nws yog ib qho tseem ceeb uas yuav tau saib xyuas koj lub qhov txhab kom zoo thiab ua raws li koj tus kws kho mob cov lus qhia tom qab zoo. Yog tias koj tsis tuaj yeem pom lub qhov txhab, kom muaj ib tug neeg hlub kuaj lub qhov txhab txhua hnub los saib xyuas cov cim ceeb toom ntawm kev kis mob. Muaj txoj kev phais mob phais mob tseem tuaj yeem ua rau koj muaj kev pheej hmoo rau lwm yam teeb meem, xws li cov ntshav txhaws.

Hu rau koj tus kws kho mob rau cov lus qhia lossis nrhiav kev kho mob yog tias koj muaj qee yam ntawm cov tsos mob no tom qab koj tso tawm hauv tsev kho mob:

• mob plab heev
• liab ntawm thaj chaw phais
• o ntawm thaj chaw phais
• kua paug tawm los ntawm qhov chaw phais
• mob ntawm qhov chaw phais uas tsis mus los yog mob heev ntxiv
• kub taub hau siab dua 100.4ºF (38ºC)
• mob tso zis heev
• foul-qhov quav tsw ntxhiab tsw
• los ntshav uas tsau ib tug poj niam ntxau nyob rau hauv ib teev
• los ntshav uas muaj ntau cov txhaws
• mob ceg lossis o

Yuav kuaj li cas thiaj paub tias yog mob qhov txhab?

Qee qhov mob tom qab phais mob yog saib xyuas ua ntej tus neeg mob tau tawm hauv tsev kho mob. Txawm li cas los xij, ntau tus kab mob tsis tshwm sim txog ntua thaum koj tawm hauv lub tsev kho mob mus. Qhov tseeb, ntau qhov mob tom qab mob phais mob feem ntau tshwm sim hauv thawj ob peb lub lis piam tom qab yug menyuam. Vim li no, feem ntau ntawm cov mob no tuaj kuaj tom qab rov qab tuaj ntsib.

Cov mob viav vias yog kuaj tau los ntawm:

• qhov txhab pom
• kev kho kom zoo ntxiv
• muaj cov tsos mob sib txawv
• muaj qee cov kab mob

Koj tus kws kho mob yuav tsum tau qhib lub qhov txhab txhawm rau ua kev kuaj mob thiab muab kev kho kom zoo rau koj. Yog tias kua paug tawm los ntawm qhov phais, tus kws kho mob yuav siv rab koob tshem cov kua paug ntawm qhov txhab. Cov kua dej yuav xa mus rau qhov chaw kuaj ntshav kuaj xyuas seb ib hom kab mob twg nyob hauv.

Hom thiab tsos ntawm kev kis mob tom qab C-seem

Kev kis mob tom qab phais mob yog muab cais raws li qhov txhab mob lossis qhov txhab (mob plab). Cov mob txhab no tseem yuav kis tau thiab ua teeb meem rau cov nruab nrog cev, tawv nqaij, ntshav thiab nqaij hauv zos.

Cellulitis

Cellulitis ntawm lub qhov txhab mob feem ntau yog los ntawm cov kab mob staphylococcal lossis streptococcal. Cov kab mob no yog ib feem ntawm cov kab mob ib txwm pom ntawm daim tawv nqaij.

Nrog cellulitis, mob nqaij hauv qab daim tawv nqaij ua mob. Liab thiab o tshwm sim sai sai ntawm qhov phais mob sab nraud mus rau daim tawv nqaij ze. Cov tawv nqaij sib kis feem ntau sov thiab kev sib tw ntawm tus kov. Feem ntau, kua paug tsis tuaj hauv qhov phais nws tus kheej.

Mob rau hauv plab (mob plab) mob ntuav

Lub qhov txhab (mob plab) ua hauj lwm los ntawm tib yam kab mob xws li mob cellulitis thiab lwm yam kab mob. Kev kis rau ntawm qhov chaw ntawm phais mob phais ua rau liab, khaus, thiab o raws ntug ntawm qhov phais. Pus khaws hauv cov nqaij hauv lub cev los ntawm tus kab mob. Feem ntau qhov txhab txhab uas nyob ntawm lub qhov txhab.

Kev tshem tawm tuaj yeem tshwm sim ntawm txoj kev phais ntawm lub tsev menyuam, caws pliav nqaij, zes qe menyuam, thiab lwm yam nqaij los yog cov kabmob nyob ze thaum muaj mob kis tom qab phais mob.

Qee cov kab mob uas ua rau lub qhov txhab ua paug kuj tseem tuaj yeem ua rau endometritis. Nov yog kev kho mob tom qab phais tas ntawm lub plab uterine uas tuaj yeem ua rau:

• kev mob
• ntshav txawv txav
• tso tawm
• o tuaj
• ua npaws
• malaise

Lwm yam mob uas tshwm sim tom qab C-section tsis yog ib txwm muaj rau cov poj niam uas muaj qhov chaw phais mob. Cov no suav nrog kev tawm ua zis thiab tso zis lossis zais zis:

Thav

Taug kev tshwm sim los ntawm cov pwm Candida, uas yog ib txwm muaj nyob rau hauv tib neeg lub cev. Cov kab mob no tuaj yeem ua rau tus neeg kis kab mob steroids lossis tshuaj tua kab mob thiab nyob hauv cov neeg tsis muaj zog tiv thaiv kab mob. Cov kab mob no tuaj yeem ua rau lub poov xab kab mob ua paug los yog ua pob liab thiab dawb tawm ntawm qhov ncauj. Kev siv tshuaj tsis yog tas li tas li, tab sis cov tshuaj tua kab mob los yog tshuaj ntxuav qhov ncauj yuav pab tau koj kom tua tau tus kab mob. Noj cov kua mis nyeem qaub thiab lwm yam probiotics tiv thaiv kev hla ntawm cov poov xab, tshwj xeeb yog tias koj tau siv tshuaj tua kab mob.

Mob txeeb zig thiab zais zis

Tus kws siv siv thaum nyob hauv tsev khomob tuaj yeem ua mob txeeb zig thiab tso zis. Cov mob no feem ntau yog ua los ntawm E. coli cov kab mob thiab kho tau nrog tshuaj tua kab mob. Nws tuaj yeem ua rau txoj kev xav tsis txaus thaum tso zis, nquag tso zis, thiab kub ib ce.

Yuav kho qhov txhab vuam mob li cas?

Yog tias koj muaj qhov txhab cellulitis mob, tshuaj tua kab mob yuav tsum tshem tawm tus kab mob. Cov tshuaj tua kab mob tshwj xeeb tua staphylococcal thiab streptococcal kab mob. Nyob hauv tsev kho mob, mob viav vias feem ntau yog kho nrog tshuaj tua kab mob los ntawm cov leeg ntshav. Yog tias koj raug saib xyuas raws li kev tsis tuaj sab nrauv, koj yuav muab tshuaj lossis tshuaj tua kab mob rau noj hauv tsev.

Cov qhov txhab mob txhab tau kho nrog tshuaj tua kab mob thiab xav tau kev saib xyuas tshwj xeeb. Koj tus kws kho mob yuav qhib qhov phais ntawd thoob plaws thaj chaw muaj mob, thiab tom qab ntawd hno cov kua paug. Tom qab qhov chaw ntxuav tu kom zoo, koj tus kws kho mob yuav tiv thaiv kom tsis txhob muaj paug paug los ntawm kev muab tshuaj tua kab mob nrog cov ntaub qhwv rau nws. Lub qhov txhab yuav tsum raug kuaj xyuas kom tsis tu ncua kom ntseeg tau tias kho tau zoo.

Tom qab ob peb hnub ntawm kev siv tshuaj tua kab mob thiab dej tshuaj, koj tus kws kho mob yuav rov kuaj dua. Txij ntawm no, lub qhov txhab yuav raug kaw dua los yog cia kom kho nws tus kheej.

Yuav tiv thaiv li cas C-ntu kiav txhab sib kis

Qee qhov chaw phais mob mus tawm ntawm koj txoj kev tswjhwm. Yog tias koj muaj C-section, Txawm li cas los xij, koj tuaj yeem ua qee yam los txo kev pheej hmoo kis mob. Yog tias koj tab tom xav txog Kev Xaiv C-ntu, koj tuaj yeem ua kev ntsuas txhawm rau tiv thaiv kom tsis txhob muaj teeb meem.

Yog tias koj twb tau txais hom kev phais mob no, ntawm no yog qee qhov kev ntsuas koj tuaj yeem ua:

• Ua raws li cov lus qhia txog kev saib xyuas mob thiab tom qab ntawv qhia kev noj tshuaj tom qab muab los ntawm koj tus kws kho mob lossis kws saib xyuas neeg mob Yog koj muaj lus nug, tsis txhob yig hu rau koj tus kws kho mob.
• Yog tias koj tau muab tshuaj tua kab mob los kho lossis tiv thaiv tus kab mob, tsis txhob hla cov koob tshuaj lossis tsis siv lawv kom txog thaum koj tau ua tiav tas nrho kev kho mob.
• Ntxuav koj lub qhov txhab thiab hloov qhov txhab hnav kom tsis tu ncua.
• Tsis txhob hnav cov ris tsho nruj me ntsis los yog pleev lub cev rau ntawm qhov txhab.
• Nug txog cov lus qhia txog kev tuav thiab pub mis rau tus menyuam kom tsis txhob muaj kev ntxhov siab rau koj lub qhov txhab, tshwj xeeb yog tias koj npaj yuav pub mis.
• Sim ua kom tsis txhob pub cov tawv nqaij khawm npog thiab kov thaj chaw phais.
• Siv koj tus ntsuas kub nrog tus pas ntsuas kub ntawm qhov ncauj yog tias koj ua npaws. Nrhiav kev kho mob lossis hu rau koj tus kws kho mob yog tias koj ua npaws tshaj 100ºF (37.7ºC).
• Nrhiav kev kho mob rau thaj chaw phais uas muaj pob, o, mob heev dua, los yog mob liab rau ntawm daim tawv nqaij uas kis tawm los ntawm thaj chaw phais.

Cov poj niam nrog yug menyuam qhov chaw mos yuav tsis tshua muaj mob tom qab yug menyuam. Muaj qee kis, txawm li cas los xij, kev yug tus menyuam mos tom qab C-section (VBAC) yog qhov txaus ntshai vim tias muaj lwm yam txaus ntshai rau leej niam thiab tus menyuam. Sib tham txog koj tus kheej qhov kev pheej hmoo nrog koj tus kws kho mob.

Yog tias koj tsis tau muaj C-section, Nov yog qee qhov koj tuaj yeem ua:

• Tswj qhov hnyav. Yog tias koj tseem tsis tau xeeb tub, qoj ib ce thiab ua raws li kev noj zaub mov zoo kom tsis txhob cev xeeb tub nrog cev rog (BMI).
• Xaiv rau qhov paum, lub zog thiab tus me nyuam yog tias ua tau. Cov poj niam nrog yug menyuam qhov chaw mos yuav tsis tshua muaj mob tom qab yug menyuam. (Nov yog rooj plaub txawm hais tias cov poj niam uas tau muaj tus C-section, tab sis VBAC muaj qee qhov txaus ntshai. Nws yuav tsum tham nrog tus kws kho mob.)
• Kho cov kev ua haujlwm preexisting uas ua rau koj lub cev thev taus. Yog koj muaj mob los yog muaj mob, sim kom coj los kho ua ntej cev xeeb tub lossis ua ntej hnub kawg yog qhov zoo rau koj thiab tus menyuam ua.

Koj kuj yuav tsum xaiv rau qhov kev nyab xeeb tshaj plaws ntawm qhov txhab kaw. Yog tias koj tus kws kho mob npaj yuav siv cov tshuaj staples, nug seb puas muaj lwm txoj hauv kev (xws li PGA sutures). Nug txog cov tshuaj tua kab mob ua ntej thiab kev kho mob kom huv si los ntawm cov kws kho koj hauv tsev kho mob. Tsis tas li, hais kom koj raug kuaj seb puas muaj kab mob ua ntej koj yuav mus tsev los ntawm tsev kho mob.

Teeb meem ntawm tus mob no

Muaj qee kis, mob viav-vias tuaj yeem ua rau mob hnyav ntxiv. Piv txwv li:

• necrotizing fasciitis, uas yog ib qho kab mob tua cov nqaij mos noj qab nyob zoo
• ruptured fascia lossis dehiscence ntawm lub qhov txhab, uas yog qhov qhib ntawm daim tawv nqaij thiab cov nqaij mos uas tau sutured tom qab kev phais
• evisceration, uas yog qhov qhib ntawm qhov txhab nrog qhov quav tuaj ntawm qhov phais

Yog tias koj tsim ib qho ntawm cov teeb meem no, lawv yuav tsum tau kho phais mob. Qhov no tseem tuaj yeem ua rau lub sijhawm ntev dua. Tsawg tsawg zaus, teeb meem yuav ua rau neeg tuag taus.

Txoj kev pom tom qab kis mob tom qab phais mob

Yog tias koj tau raug kho thaum ntxov, koj tuaj yeem rov zoo los ntawm kev kis mob tom qab phais mob nrog ob peb lub txim uas yuav muaj ntev. Raws li Mayo Clinic, kev kho mob phais mob yuav siv sij hawm plaub mus rau rau lub lis piam. Txawm li cas los xij, yog tias kuaj pom qhov txhab ua ntej koj yuav tawm hauv tsev kho mob, koj lub tsev kho mob yuav nyob li ob peb hnub ntev dua. (Qhov no tseem yuav ntxiv koj cov nqi pw tsev kho mob.)

Yog tias koj twb tau raug xa mus tsev los ntawm lub sijhawm koj kis mob tom qab phais mob, koj yuav tsum tau txais kev tso cai kom tau txais cov tshuaj tiv thaiv lossis phais mob ntxiv. Qee qhov kev tiv thaiv no tuaj yeem kho tau rau kev kho mob sab nrauv nrog rau kev mus ntsib kws kho mob ntxiv thiab tshuaj tua kab mob.