Kev tshem tawm ntawm kev yug me nyuam yog theem kawg ntawm kev xeeb menyuam. Yuav ua li cas sai sai thiab "qualitatively" yug me nyuam ntawm lub tsho me nyuam thiab cov hnub nyoog, qhov kev noj qab haus huv ntawm tus poj niam thiab kev xav tau tu thaum yug me nyuam .
Feem ntau qhov kawg yog sib cais thiab yug ntawm nws tus kheej tsis pub dhau 30 feeb tom qab tus me nyuam mos liab pom. Qee zaum cov txheej txheem no yog ncua ntev txog 1-2 teev. Hauv qhov no, obstetrician txiav txim tias cov cim qhia ntawm kev sib cais ntawm kev yug tom qab.
Cov cim tseem ceeb tshaj plaws ntawm kev sib cais yog:
- Ib daim ntawv ntawm Schroeder. Tom qab yug tus me nyuam, lub tsev me nyuam yuav ncig thiab nyob hauv plawv ntawm lub plab, thiab nws cov hauv qab yog nyob rau theem ntawm lub puj ntaws. Tom qab kev sib cais, lub uterus stretches thiab sib cog lus, nws qab yog txhais saum toj ntawm lub ntaws, feem ntau nws tig mus rau sab xis.
- Kos npe ntawm Dovzhenko. Yog tias tus placenta tau sib cais lawm, ces nrog txoj kev nqus pa, txoj hlab ntaws qis tsis tuaj rau hauv lub txiv paum.
- Daim ntawv kos npe ntawm Alfeld. Sib cais, lub tsho me nyuam mus rau hauv qis dua ntawm lub tsev menyuam los yog hauv qhov chaw mos. Hauv qhov no, lub clamp thov rau txoj hlab ntaws qis yog txo qis 10-12 cm.
- Ib qho kev mob ntawm Klein. Tus poj niam hom. Lub tsho me nyuam tau sib cais los ntawm phab ntsa uterine, yog tias tom qab qhov kev tshem tawm ntawm qhov kev raug mob lawm qhov kawg ntawm qhov qaum tsis tuaj rau hauv lub txiv paum.
- Ib tug kos npe rau ntawm Kyustner-Chukalov. Lub plab ntawm lub xib teg yog nias rau ntawm lub tsev me nyuam sab saum lub pubis, yog hais tias qhov kawg ntawm txoj hlab ntaws tsis tuaj mus rau hauv qhov chaw yug me nyuam, lub tsho hauv plab yog sib cais.
- Kos npe ntawm Mikulich-Radetsky. Separating los ntawm phab ntsa uterine, tus tom kawg descends rau hauv cov kwj dej yug me nyuam, thaum lub sij hawm no yuav muaj kev kub siab ua kom siab.
- Kos npe rau Hohenbichler. Yog hais tias placenta tsis tau sib cais, nrog rau cov lus cog tseg ntawm lub tsev menyuam, txoj hlab ntaws ntawm lub qhov ncauj tawm ntawm qhov chaw mos yuav tig ib ncig ntawm nws txoj kab xis, vim hais tias txoj hlab ntaws yog tag nrho ntawm cov ntshav.
Kev zes ntawm placenta yog kuaj los ntawm 2-3 cim. Qhov feem ntau txhim khu kev qha yog cov cim ntawm Alfeld, Schroeder thiab Kyustner-Chukalov. Yog tias tom kawg yog sib cais lawm, leej niam tau ua haujlwm. Raws li txoj cai, qhov no yog txaus rau kev yug menyuam hauv plab thiab lub plab.
Thaum qhov kev ncua qeeb qeeb, tsis muaj cov cim qhia ntawm nws txoj kev sib cais, nrog rau sab nraud thiab sab hauv, los ntawm kev sib cais ntawm kev yug tom qab tshwm sim.