需要一种不同的方法来治疗子宫内膜异位症:我们在做什么?我们要去哪里?

pAboTaleb Saremip
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引用次数: 0

摘要

剖宫产,也就是人们常说的剖腹产,会在产后几周内对母亲的身心健康产生巨大影响。为了加速他们的恢复,人们可以尝试各种生活方式和健康方法,这将有所帮助。大多数接受剖腹产的妇女接受硬膜外阻滞或脊髓阻滞。这种麻醉使身体麻木,但仍能使人保持清醒。硬膜外麻醉后需要几个小时才能恢复知觉。在术后的这段时间里,没有帮助是不可能控制方向或上厕所的。大多数女孩在分娩后几个小时会有导尿管来帮助她们排尿。如果需要全身麻醉,苏醒可能需要一段时间。一位女士在麻醉后可能会感到昏昏沉沉、恶心、害怕或困惑。对于一些初为父母的人来说,最重要的问题就是孩子。医院工作人员在分娩后要求婴儿离开母亲将不再是例行公事。现在,许多医院提供所谓的温和剖宫产。温和剖腹产意味着,如果胎儿状况良好,通常会把胎儿放在母亲的胸前,或者由另一名护理人员抱着,同时外科医生会在母亲的腹部缝合切口。与阴道分娩相比,世界范围内剖腹产频率的上升导致了某些并发症的有趣增加。手术干预本身是在术后并发症和术后疼痛发生率升高和恢复时间延长的情况下进行的。此外,大多数剖宫产发生时的情况可能会改变病人的自尊,并使母亲和婴儿之间难以建立联系。我们的目标是在这里展示法国产科医生之间的合作成果,他们致力于改善患者在手术过程中的体验,并促进母亲和婴儿之间的接触。这种方法包括具体的环境、心理和技术方面,总结为7项原则:(1)在怀孕期间确定适合剖宫产的构想分娩,(2)允许伴侣在剖宫产时在场,(3)在程序的每个步骤中专门满足婴儿和母亲的要求,(4)协助母亲在该方法中移动,(5)建议立即和延长皮肤接触。(6)使用一种微创的剖宫产技术,如改良的腹膜外入路;(7)促进母亲与婴儿之间的联系。该演示在视频支持下开发了这些方面。大多数孕妇在剖腹产时都是醒着的,你应该准备好直接抱着你的宝宝。你会被带到病房,护士会检查你的生命体征、心跳和呼吸,并一直盯着你。你可能会感到胃部不适、昏昏沉沉或发痒,但在手术过程中药物不会使你麻木。你需要一个泵,这样你就可以改变通过细管进入静脉的止痛药的量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Need a different approach for endometriosis management: What are we doing? And where are we going?
Having a caesarean delivery, which individuals also often ask as a C-section, can have an enormous impact on a mother’s mental and physical health within the weeks afterward. to hurry up their recovery, people can try various lifestyle and wellness methods which will help. Most women undergoing a C-section receive an epidural or spinal block. this type of anesthesia numbs the body but still allows the person to be awake. It can take several hours to regain feeling after an epidural. it'll not be possible to steer or use the toilet without assistance, during this immediate postoperative period. most girls will have a catheter for several hours after delivery to assist them urinate. If general anaesthesia is required, awakening can take a while. a lady may feel groggy, nauseated, afraid, or confused as she comes out of anesthesia. for several new parents, the foremost significant concern is that the baby. It won’t to be routine for hospital staff to require the baby from the mother following delivery. Now, many hospitals offer so-called gentle cesarean deliveries. Gentle C-section means if the baby is doing well, it is often left to rest on the mother’s chest or be held by another caregiver while the surgeon sews up the incision within the mother’s abdomen. The worldwide rise within the frequency of caesarean sections is liable for an interesting increase of certain complications if compared to vaginal delivery. The operative intervention itself is amid an elevated occurrence of post-surgical complications and post-operative pain and an extended recovery time. Moreover, the conditions during which takes place most of the caesarean sections are liable for an altered patient self-esteem and difficulties in creating the bond between the mother and her baby. We aim to present here the fruit of collaboration between French obstetrical surgeons dedicated to improve the patient’s experiences during the procedure and to facilitate the encounter between the mother and her baby. This approach includes specific environmental, psychological and technical aspects which will be sum up in 7 principles: (1) to determine during the pregnancy an idea birth adapted to the birth by cesarean delivery , (2) to permit the partner to be present at the time of cesarean delivery , (3) to specialise in the requirements of the baby and therefore the mother at every step of the procedure, (4) to assist the mother to move during the method , (5) to propose immediate and extended skin to skin contact, (6) to use a minimally invasive technique of cesarean delivery like the modified extra-peritoneal approach and (7) to facilitate the creation of the bond between the mother and therefore the baby. The presentation develops each of those aspects with a video support. Most women are awake for the C-section, and you ought to be ready to hold your baby directly. You’ll be taken to a hospital room, where nurses will check your vital sign, heartbeat, and breathing and keep an eye fixed on you. You may feel sick to your stomach, groggy, or itchy from the drugs won’t go numb you during the surgery. you'll tend a pump so you'll change the quantity of pain medication that’s browsing a skinny tube into your veins.
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