Kev Tswj Kab Mob Tom Qab Yug Me Nyuam
Kab mob tom qab yug menyuam, tseem hu ua kab mob puerperal, yog ib qho teeb meem loj rau cov poj niam tom qab yug menyuam. Kab mob no tuaj yeem tshwm sim hauv ob peb hnub mus rau ob peb lub lis piam tom qab yug menyuam thiab tuaj yeem cuam tshuam rau ntau qhov ntawm lub cev, xws li lub tsev menyuam (endometritis), qhov txhab episiotomy, lossis qhov chaw phais yog tias tau ua cesarean section. Vim nws muaj feem cuam tshuam loj rau kev noj qab haus huv ntawm leej niam thiab muaj peev xwm ua rau muaj kev mob nkeeg thiab kev tuag ntau, kev tswj hwm kab mob tom qab yug menyuam zoo yog qhov tseem ceeb heev.
Cov Ua Rau Thiab Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo
Cov kab mob tom qab yug me nyuam yog tshwm sim los ntawm ntau yam kab mob me me, suav nrog cov kab mob aerobic thiab anaerobic. Qee cov kab mob feem ntau yog Escherichia coli, Staphylococcus aureus, pawg B Streptococcus, thiab Clostridium perfringens. Feem ntau cov kab mob yog tshwm sim los ntawm cov kab mob ib txwm muaj nyob rau hauv txoj hnyuv, uas tuaj yeem ua rau muaj kab mob hauv qee yam mob.
Muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev kis tus kab mob tom qab yug menyuam. Qee qhov ntawm cov no suav nrog:
1. Kev Yug Me Nyuam Ntev: Kev yug me nyuam ntev tuaj yeem ua rau muaj kev pheej hmoo ntawm kev kis kab mob vim tias daim nyias nyias ntawm amniotic yuav tawg ntev dhau ua ntej yug los.
2. Kev phais mob caesarean: Cov poj niam uas phais mob caesarean feem ntau yuav muaj kev kis kab mob ntau dua li cov poj niam uas yug menyuam ib txwm.
3. Kev Poob Qis Tom Qab Yug Me Nyuam: Qhov mob no ua rau cov kab mob nkag mus rau hauv lub tsev menyuam tau yooj yim dua.
4. Kab mob ntshav tsis txaus: Kev tsis txaus hlau tuaj yeem txo qhov kev tiv thaiv kab mob ntawm lub cev.
5. Kev Tu Kom Huv Si Tsis Zoo: Kev ua kom huv si tsis zoo thaum lub sijhawm thiab tom qab yug me nyuam tuaj yeem ua rau muaj kev pheej hmoo ntau ntxiv.
6. Keeb Kwm Kev Kis Kab Mob Yav Dhau Los: Cov poj niam uas tau kis kab mob tom qab yug me nyuam yav dhau los muaj feem yuav kis tau kab mob ntau dua.
Cov tsos mob thiab kev kuaj mob
Cov tsos mob ntawm kev kis tus kab mob tom qab yug me nyuam yuav txawv nyob ntawm qhov chaw thiab hom kev kis tus kab mob. Txawm li cas los xij, qee cov tsos mob uas pom ntau suav nrog:
– Kub taub hau (≥ 38°C) hauv 24 teev thawj zaug tom qab yug me nyuam.
- Mob thiab o ntawm thaj tsam plab qis lossis ntawm qhov chaw txiav.
- Cov kua tawm ntawm qhov chaw mos uas txawv txawv, tsw ntxhiab tsw phem.
- Mob thaum tso zis.
- qaug zog heev los yog tsis muaj zog.
- Mob Toxic shock syndrome hauv cov mob hnyav dua.
Kev kuaj mob tom qab yug menyuam feem ntau pib nrog kev kuaj lub cev thiab keeb kwm ntxaws ntxaws. Tus kws kho mob yuav ua cov kev kuaj hauv chaw kuaj mob xws li suav cov ntshav tag nrho, kuaj cov ntshav, lossis kuaj cov zis kom paub txog cov kab mob uas cuam tshuam. Qee zaum, kev kuaj duab xws li ultrasound yuav raug ua los ntsuas seb puas muaj qhov o lossis cov khoom seem ntawm lub tsev menyuam uas tseem nyob.
Kev Tswj thiab Kev Kho Mob
Kev tswj cov kab mob tom qab yug me nyuam nyob ntawm seb hom kab mob thiab qhov hnyav ntawm cov kab mob. Feem ntau yuav tsum muaj kev kho mob ntau yam, uas muaj cov kws kho mob poj niam, cov kws kho mob dav dav, thiab lwm tus tswv cuab ntawm pab pawg saib xyuas. Cov hauv qab no yog qee cov kauj ruam tseem ceeb hauv kev tswj cov kab mob tom qab yug me nyuam:
1. Tshuaj tua kab mob
- Cov tshuaj tua kab mob feem ntau yog thawj qhov kev xaiv hauv kev kho cov kab mob tom qab yug me nyuam.
– Cov tshuaj tua kab mob yuav tsum tsim nyog rau cov kab mob uas yuav ua rau muaj kab mob. Kev sib xyaw ua ke ntawm cov tshuaj tua kab mob tuaj yeem siv los tua cov kab mob aerobic thiab anaerobic.
- Piv txwv li, postpartum endometritis feem ntau kho nrog kev sib xyaw ua ke ntawm clindamycin thiab gentamicin.
2. Kev Nqus Dej thiab Kev Tshem Tawm
- Yog tias muaj abscesses los yog cov qhov txhab uas kis tau kab mob, yuav tsum tau muab cov kua dej thiab cov tshuaj ntxuav tawm.
- Cov txheej txheem no lub hom phiaj yog tshem tawm cov khoom sib kis thiab cov nqaij tuag, pab tsim kom muaj cov xwm txheej huv dua.
3. Kev Kho Mob Qhov Mob
- Kev saib xyuas qhov txhab yog qhov tseem ceeb heev, tshwj xeeb tshaj yog rau cov poj niam uas tau phais cesarean lossis episiotomy.
- Cov qhov txhab yuav tsum tau khaws cia kom huv si, nrog rau kev ntxuav thiab hloov cov ntaub qhwv tsis tu ncua.
4. Kev Kho Mob Thaum Muaj Mob
- Mob thiab kub taub hau tuaj yeem kho tau nrog cov tshuaj tua kab mob thiab tshuaj tiv thaiv kub taub hau xws li ibuprofen lossis acetaminophen.
- Lwm yam kev pab txhawb nqa kuj tseem yuav suav nrog kev haus dej kom txaus thiab so kom txaus.
5. Kev Saib Xyuas thiab Kev Ua Raws Li
- Cov neeg mob uas muaj kab mob tom qab yug menyuam yuav tsum tau saib xyuas ze kom paub tseeb tias teb rau kev kho mob.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas cov cim tseem ceeb, cov zis tawm thiab cov tsos mob hauv chaw kuaj mob kom paub txog kev nce qib hauv kev kho mob.
Kev Tiv Thaiv
Kev tiv thaiv kab mob tom qab yug me nyuam muaj txiaj ntsig zoo dua thiab ua tau zoo dua li kev kho cov kab mob uas twb muaj lawm. Qee qhov kev tiv thaiv suav nrog:
1. Kev Ua Kom Huv Si Zoo
– Kev tu cev huv si thaum lub sijhawm yug menyuam thiab tom qab yug menyuam yog qhov tseem ceeb. Qhov no suav nrog kev ntxuav tes tsis tu ncua los ntawm leej niam, cov neeg ua haujlwm kho mob, thiab lwm tus neeg koom nrog kev yug menyuam.
2. Cov Tshuaj Tua Kab Mob Tiv Thaiv Kab Mob
- Kev siv tshuaj tua kab mob ua ntej phais cesarean tau pom tias yuav txo tau tus kab mob.
– Cov tshuaj tua kab mob kuj tseem yuav muab rau cov poj niam uas muaj qee yam kev pheej hmoo siab, xws li kev yug menyuam ntev nrog rau kev tawg ntawm cov amniotic membranes ntau tshaj 18 teev.
3. Cov kev pab cuam kev noj qab haus huv Zoo
- Nkag mus rau cov kev pabcuam kev noj qab haus huv zoo uas tuaj yeem ua haujlwm tau teeb meem ntawm kev yug menyuam sai thiab raug tuaj yeem pab tiv thaiv kev kis kab mob.
- Qhov no suav nrog kev txawj ntse hauv kev ua caesarean sections thiab ua kev tswj qhov txhab kom zoo.
4. Kev Kawm Ntawv
- Muab kev kawm rau cov poj niam cev xeeb tub Cov ntaub ntawv hais txog cov cim thiab cov tsos mob ntawm kev kis tus kab mob tom qab yug me nyuam thiab qhov tseem ceeb ntawm kev tu cev huv si tuaj yeem pab ua kom muaj kev paub ntau ntxiv thiab kev kho mob thaum ntxov yog tias muaj kev kis tus kab mob.
Xaus
Cov kab mob tom qab yug me nyuam yog cov mob hnyav uas xav tau kev saib xyuas tshwj xeeb. Kev siv txoj hauv kev dav dav, suav nrog kev tiv thaiv, kev kuaj mob thaum ntxov, thiab kev tswj hwm kom zoo, yog qhov tseem ceeb rau kev txo qhov mob thiab kev tuag uas cuam tshuam nrog cov mob no. Kev koom tes ntawm cov kws kho mob thiab cov neeg mob yog qhov tseem ceeb rau kev ua kom ntseeg tau tias muaj txiaj ntsig zoo tshaj plaws rau cov niam tom qab yug me nyuam. Nrog kev kawm kom zoo thiab kev txhawb nqa tas mus li, ntau yam kab mob tom qab yug me nyuam tuaj yeem tiv thaiv lossis kho tau zoo, ua kom ntseeg tau tias cov niam tshiab muaj kev noj qab haus huv mus sij hawm ntev.
