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Ua tib zoo mloog! Koj yuav tsum paub txoj kev kho mob ntawm lub tsev menyuam torsion nyob rau hauv yug me nyuam nyuj.

Yuav ua li cas kho uterine torsion nyob rau hauv yug me nyuam nyuj?

Muab lo rau  Hlis ntuj nqeg 18, 2019, Kho los ntawm Eleanor, Qeb  
Ua tib zoo mloog! Koj yuav tsum paub txoj kev kho mob ntawm lub tsev menyuam torsion nyob rau hauv yug me nyuam nyuj.
Ua tib zoo mloog! Koj yuav tsum paub txoj kev kho mob ntawm lub tsev menyuam torsion nyob rau hauv yug me nyuam nyuj.

Bovine uterine torsion hais txog torsion (kev sib hloov) ntawm tag nrho lub tsev menyuam cev xeeb tub, ib sab ntawm lub ces kaum ntawm lub tsev menyuam nyob ib puag ncig nws txoj kab ke ntev, nrog los ntawm torsion ntawm lub ncauj tsev menyuam thiab qhov chaw mos. Feem ntau ntawm qhov chaw sib tw yog lub ncauj tsev menyuam thiab nws cov khoom ua ntej thiab tom qab. Qhov tshwm sim ntawm kev sib tw rau sab xis yog ntau dua rau sab laug. Qib ntawm kev sib tw feem ntau yog 90o-180o, thiab tus lej ntawm tus neeg tuaj yeem ncav cuag 360o. Feem ntau ntawm lawv tshwm sim ua ntej yug menyuam lossis thaum pib yug menyuam. Lawv muaj qhov pib mob hnyav thiab cov tsos mob hnyav. Yog tias lawv tsis kuaj mob thiab kho lub sijhawm, lawv tuaj yeem ua rau tuag ntawm cov tsiaj cev xeeb tub thiab menyuam hauv plab. Tsib qhov mob ntawm mis nyuj nyuj uterine torsion kab mob tau kuaj mob thiab kho. Plaub qhov xwm txheej tau kho thiab ib kis tuag vim yog ncua sijhawm kuaj mob.

Ua rau

1. Nws yog tshwm sim los ntawm cov yam ntxwv ntawm lub cev ntawm cov poj niam cev xeeb tub. Nyob rau theem tom qab ntawm cev xeeb tub, tus menyuam hauv plab loj tuaj txawv txav, lub tsev menyuam khoov mus rau qhov pom tau zoo, lub hauv ntej qhov kawg ntawm lub tsev menyuam horn yog qhov pib dawb hauv lub plab kab noj hniav, nyob hauv qab ntawm lub plab, tso siab rau rumen thiab lwm yam viscera thiab plab phab ntsa txhawb nqa, kev ruaj ntseg ntawm lub tsev menyuam tsis zoo. Cov qauv ntawm lub cev, ua ke nrog txoj kev ntawm mis nyuj nyuj dag, tuaj yeem ua rau lub tsev menyuam hauv plab uas tsis pub dawb hauv lub plab kab noj hniav tig mus rau ib sab thaum nws plam ntawm qhov nce siab, vim yog qhov tsis muaj zog; qee tus nyuj kuj tseem caum thiab nkag mus hla lwm tus poj niam poj niam nyuj thaum lub caij cev xeeb tub lig thiab poob qis, uas tseem tuaj yeem ua rau sib tw thaum lub sijhawm yug menyuam. Kev dag dag vim raug mob thaum yug menyuam.

2. Tsis muaj kev nruj ntawm lub tsev menyuam, phab ntsa ntawm lub tsev so so me me, uas tsis yog cev xeeb tub ntawm lub tsev menyuam, so ntawm mesometrium, tsis muaj cov kua amniotic txaus ua rau lub tsev menyuam torsion.

3. Tsis raug kev noj haus thiab kev tswj hwm thiab kev tawm dag zog tsis txaus kuj tseem tuaj yeem txhawb nqa lub tsev menyuam torsion.

Cov tsos mob

Cov tsos mob dav dav:
Muaj qhov tshwm sim ib txwm ntawm kev yug menyuam hauv plab, tsis muaj zog thaum lub sijhawm ua haujlwm, tsis qab los noj mov, nquag tshee tshee, forefoot scraping, tshuaj xyuas lub plab, rov qab ncaws pob, rov qab rov qab, nquag liam, me me ntawm cov kua amniotic ntws tawm, uas yog, tsis muaj menyuam hauv plab thiab lub taub hau me nyuam raug. Cov kwj dej yug me nyuam tsis tau qhib tag nrho thiab tus kws yug menyuam tsis tuaj yeem ncav tes nrog ib txhais tes. Tom qab qhov tshwm sim ntawm kev sib tw ntawm lub tsev menyuam, lub ncauj tsev menyuam sib cog lus vim yog qhov sib tw, ua rau lub ncauj ncauj tsis yooj yim nthuav lossis nthuav tsis txaus.

Kev kuaj qhov chaw mos

Tom qab siv tshuaj tua kab mob ntawm caj npab mus rau hauv qhov chaw mos, txhais tes tsis tuaj yeem ncav cuag lub ncauj tsev menyuam thaum qib kev sib tw yog qhov pom tau yooj yim; yog tias qib kev sib tw loj heev, cov kwj dej yug los yuav nqaim, txhais tes tsis tuaj yeem nkag mus, kov raws qhov kev taw qhia ntawm kev sib tw, phab ntsa ntawm qhov chaw mos yog quav quav. Hauv cov nyuj uas muaj lub zog hnyav, lub labia tau o thiab lub xeev o tuaj yog oval, uas yog hais, qhov kev taw qhia ntawm torsion yog rov qab rau cov lus qhia ntawm labia nthuav.

Lub xeem tshuaj

Cov neeg ua liaj ua teb siv mis siv tes ua kom sib sib zog nqus mus rau hauv lub qhov quav thiab xav tias lub qhov quav sib zog. Nws xav tias lub qhov quav tsis ncaj thiab muaj tig mus rau ib sab. Qhov chaw mos yog ib txoj hlua khi, uas ua rau lub tsev menyuam nruj. Nws tuaj yeem kov qhov quav ntawm lub tsev menyuam, nthuav txoj kev nruj ntawm txoj hlab ntaws ntawm lub tsev menyuam ntawm ib sab, thiab so qhov dav ntawm lub tsev menyuam nyob rau lwm sab. Qee zaum, tus menyuam hauv plab tuaj yeem kov lub tsev menyuam lub cev ntev. Bit los yog subordinate.

mob

Kev sib tw hauv tsev menyuam tuaj yeem kuaj pom los ntawm cov tsos mob, kuaj lub qhov quav thiab qhov chaw mos.

Kev kho mob

Raws li qhov hnyav ntawm kev sib tw, nws tau txiav txim siab siv txoj hauv kev dov lossis phais kho kom kho lub tsev menyuam torsion nyob rau lub sijhawm, rov qab mus rau qhov qub qub lub cev thiab kom ua haujlwm tau zoo.

Kev saib xyuas kho mob

"Rolling Maternal Method" txhawm rau kho lub tsev menyuam sib tw: nteg cov nyom nyob rau hauv qhov dav tiaj tiaj tso nyuj, khi lub hauv pliaj thiab tus nqaj qaum nrog cov hlua sib xws, tawm ntawm 100 cm ntawm lub taub hau hlua. Nyuj nyob ntawm tib sab ntawm lub tsev menyuam ntswj thiab rub txoj hlua nrawm hauv tib txoj kev ntawm kev sib tw nrog kwv yees li peb tus neeg ntawm txhua sab kom tus nyuj tig qeeb. Maj mam rov qab mus rau lub xeev qub qub, ib zaug ntxiv cia nws qhov kev sib hloov nrawm. Dov 2 mus rau 3 zaug zoo li no, muab tes ntxuav tes kom huv mus rau hauv lub qhov dej yug me nyuam thiab xyuas kom zoo seb nws puas nyob hauv. Txoj hauv kev no tuaj yeem ua tiav qhov chaw nyob hauv feem ntau nrog kev thim rov qab thaum ntxov thiab muaj sia nyob ntawm cov menyuam nyuj.

Kev phais phais

Thaum txoj kev tiv thaiv kab mob hnyav heev tuaj yeem kho tsis tau lossis tus menyuam hauv plab tau tuag ntev, kev ua haujlwm yog ua los ntawm laparotomy. Txoj hauv kev tshwj xeeb thiab cov tswv yim.

Raug mob

Cov chaw kuaj mob

Thaum Dingmou, tus neeg ua liaj ua teb nyuj nyob hauv Balanghu Village, Malianqu Township, Litong District, yug tus menyuam thib plaub, nws nyob ze rau lub sijhawm yug menyuam tas, thiab cov kua amniotic ntws ntau, uas yog, menyuam hauv plab taw thiab taub hau tsis tuaj yeem pom , thiab nyuj mob tsis tuaj yeem noj lossis haus dej. Cov tsiaj muaj mob tsis nyob ntsiag to, wagging lawv cov tails nquag, ua rau me me lossis thuam ib ntus, ncaws lub plab ib qib zuj zus, tab sis tsis pom cov menyuam hauv plab lossis menyuam hauv plab. Lub cev kub yog 40.5 C, thiab lub plawv dhia 105 zaug/feeb.

Kev soj ntsuam ntawm qhov chaw mos: kev tua kab mob ntawm caj npab mus rau hauv qhov chaw mos, zoo li nqaim heev sab hauv, phab ntsa ntawm qhov chaw mos tau muab kauv mus rau sab xis, tsuas tuaj yeem tso tau ib txhais tes nkaus xwb. Kev kuaj lub qhov quav: Tes mus tob rau hauv lub qhov quav, xav tias lub qhov quav kuj tau sib tw, koj tuaj yeem hnov ​​qhov sib ntswg sib tw ntawm qhov chaw mos, lub tsev menyuam sab nraub qaum nruj ntawm ib sab, lwm sab ntawm kev so, tsis muaj kev sib cuag nrog tus menyuam hauv plab. Nws tuaj yeem txiav txim siab tias cov nyuj muaj lub tsev menyuam ntswj mus rau sab xis, uas ua rau muaj qhov qhib tsis txaus ntawm qhov chaw yug me nyuam thiab lub ncauj tsev menyuam, thiab kev xa menyuam hauv plab ib txwm muaj.

Kev kho kom rov zoo los ntawm "Niam Txoj Kev Yob"

Raws li cov txheej txheem tau hais tseg, sab xis ntawm Baoding cov mob muaj mob, plaub tus neeg thiab ib pab pawg, feem, txhim kho sab xub ntiag thiab nraub qaum, thaum qee tus neeg tiv thaiv lub taub hau nyuj. Nyob rau tib lub sijhawm, peb tus neeg rub txoj hlua tawv, tig cov nyuj mus rau sab xis, thiab tau kuaj qhov chaw mos kom pom tias qhov kev sib tw raug kho lawm. Thawj yob tsis raug kho. Maj mam tig cov nyuj mus rau sab xis, tom qab ntawd nrawm tig mus rau sab laug, rov kuaj qhov chaw mos. Tom qab peb txoj kab sib law liag, qhov sib tw tau ua tiav zoo. Lub tsev menyuam ntawm cov nyuj muaj kab mob tau zoo los ntawm kev sib tw, tag nrho cov kwj dej yug tau qhib, cov kua amniotic ntws tawm thiab cov menyuam hauv plab tau nthuav tawm hauv vitro. Tom qab yug menyuam yooj yim, tus menyuam hauv plab yug tau zoo, thiab leej niam thiab menyuam tau noj qab nyob zoo.

Kev kho mob yam mob

Vim yog lub sijhawm ntev ntawm kev kho menyuam thiab raug mob ntawm ncauj tsev menyuam los ntawm kev sib tw, nws yog qhov tsim nyog los txhawb lub plawv, txo qhov mob, ntxiv cov calcium thiab lub zog los txhawb kev rov kho dua ntawm cov nyuj mob. 10% kev txhaj tshuaj qab zib 1 500 ml, 1 000 mL ntsev, 10% calcium gluconate 500 ml, 10% sodium caffeine txhaj tshuaj 20 ml, hydrocortisone txhaj tshuaj 100 mL, Cefalexin 6 g, VC txhaj tshuaj 50 mL, VB1 txhaj 50 mL, tsim nyog siv tau, qeeb tso dej tawm. Oxytocin 10 IU txhaj tshuaj intramuscular tuaj yeem txhawb kev tshem tawm ntawm cov menyuam hauv plab me me thiab lochia, uas muaj txiaj ntsig zoo rau kev rov zoo ntawm lub tsev menyuam.

Kev kho mob

Thaum qib kev sib tw me me thiab qhov qhib ntawm lub ncauj tsev menyuam tsis tiav, tus nyuj tuaj yeem sawv ntsug thiab nqa lub tsev menyuam hla lub rooj tsavxwm hauv qab lub plab. Nws kuj tseem tuaj yeem ua rau lub tsev menyuam ntswj thiab rov qab los ntawm kev tuav ib feem ntawm tus me nyuam hauv plab los ntawm qhov chaw mos lossis qhov quav thiab tom qab ntawd tig sai sai rau qhov rov qab ntawm qhov sib tw. Txoj kev no yooj yim rau kev khiav lag luam thiab yooj yim rau tus tswv.

Ua ntej kev ua haujlwm, cov neeg tsim tsiaj nyuj yuav tsum txiav txim siab qhov kev coj ncaj ncees ntawm lub tsev menyuam, txawm tias mus rau sab xis lossis sab laug; kev taw qhia ntawm lub cev nqaij daim tawv yob yuav tsum zoo ib yam li kev taw qhia ntawm kev sib hloov; tom qab txhua qhov yob, peb yuav tsum tshuaj xyuas qhov chaw mos, txiav txim siab seb puas yuav rov qab los ntawm qhov qhib ntawm cov kwj dej yug menyuam thiab txiav txim siab seb puas yuav txuas ntxiv mus.

Kev kuaj mob ntxov thiab raug thiab ntsuas ntsuas yog qhov tseem ceeb tshaj plaws. Rau cov xwm txheej ntawm kev qhib tsis tiav ntawm cov kwj dej yug me nyuam thiab lub ncauj tsev menyuam, qhov kev yug menyuam tsis taus yuav tsum tau ua qhov muag tsis pom kom tsis txhob muaj teeb meem xws li mob ncauj tsev menyuam, raug mob hnyav ntawm cov kwj dej yug menyuam thiab los ntshav loj heev. Raws li tus kab mob tsis yog ib txwm muaj thiab tshwm sim ntau zaus, peb yuav tsum sab laj nrog lub siab qhib, tham nrog kws kho tsiaj kws paub txog kev paub nplua nuj, tshuaj xyuas kom zoo, tshuaj xyuas qhov xwm txheej, ua kom pom tseeb qhov kev txiav txim siab, kho kom raws sijhawm, thiab rov qab nyiaj txiag poob rau cov neeg ua liaj ua teb nyuj. . Yog tias kev kuaj mob tsis raug, nws yuav plam txoj hauv kev kho zoo tshaj plaws thiab ua tsis tiav.

Hauv theem tom ntej ntawm cev xeeb tub, peb yuav tsum ntxiv dag zog rau kev tswj kev pub mis thiab txo qhov ua rau muaj kev sib tw ntawm lub tsev menyuam. Kev tu tas li ntawm cov quav lev, khaws cov qib hauv av ntawm cov thawv thiab cov kis las ncaws pob, tiv thaiv cov nyuj thaum cev xeeb tub los ntawm kev ntog; ntxiv rau ntxiv dag zog rau qhov tseeb ntawm kev noj zaub mov, peb yuav tsum nce qhov kev tawm dag zog kom raug, tsis khi thiab txwv kev ua ub no, rau tswj kom lub cev haum. Thaum lub sijhawm yug menyuam, peb yuav tsum ua txoj haujlwm zoo ntawm kev tshuaj xyuas, mob siab rau soj ntsuam, kuaj pom ntxov, thiab kho sai. Yog tias nws tau hloov pauv mus rau qhov sib tw hnyav, kev kho mob tsis yooj yim kho. Xav tau kev phais plab, uas yuav ua rau kom nce ntxiv nqi yug me nyuam.

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