Cov xwm txheej txaus ntshai rau kev mob ntshav qab zib tom qab yug me nyuam ntawm cov khoom xa tuaj yog: fetal macrosomia (tshaj 4000 g); cev xeeb tub-induced hypertension; cev xeeb tub tsim los ntawm kev pab cuam kev ua me nyuam; hnyav qhov chaw mos los yog perineal lacerations; thiab hnyav nce ntau dua 15 kg thaum cev xeeb tub.
PPH yog dab tsi?
Cov txiaj ntsig: Cov kev pheej hmoo tseem ceeb ntawm PPH suav nrog primiparity, ua ntej Caesarean seem, placenta previa lossis low-lying placenta, marginal umbilical cord insertion in the placenta, transverse lie, labour induction thiab augmentation, uterine lossis cervical trauma ntawm tus me nyuam, lub hnub nyoog gestational < 32 lub lis piam, thiab qhov hnyav yug …
Dab tsi ua rau PPH thaum cev xeeb tub?
Uterine atony . Qhov no yog qhov ua rau PPH ntau tshaj plaws. Nws tshwm sim thaum cov leeg hauv koj lub tsev menyuam tsis cog lus (tighten) zoo tom qab yug menyuam. Uterine contractions tom qab yug me nyuam pab kom tsis txhob los ntshav los ntawm qhov chaw nyob rau hauv lub tsev me nyuam qhov chaw uas cov placenta so.
Leej twg yog tus pheej hmoo siab tshaj rau ntshav qab zib?
Leej twg txaus ntshai rau ntshav qab zib?
- Placental abruption. Qhov no yog thaum ntxov detachment ntawm lub tsev menyuam.
- Placenta previa. …
- uterus overdistended. …
- Muaj tus menyuam cev xeeb tub.
- High blood pressure disorders of cev xeeb tub.
- Muaj ntau yam yug dhau los.
- Nyob ntev zog.
- Kev mob.
4 feem ntau yog dab tsiFeem ntau ua rau mob ntshav qab zib?
Plaub T's mnemonic tuaj yeem siv los txheeb xyuas thiab hais txog plaub feem ntau ua rau mob ntshav qab zib (uterine atony [Tone]; laceration, hematoma, inversion, rupture [Tauma]; khaws cov ntaub so ntswg lossis cov placenta invasive [Tissue]; thiab coagulopathy [Thrombin]).