Oxytocin, raws li nws lub npe implies, stimulates uterine contraction thiab accelerates tus txheej txheem ntawm kev ua hauj lwm. Lub tsev menyuam cev xeeb tub yog qhov nkag siab zoo rau oxytocin, thiab tshuaj estrogen tuaj yeem ua rau lub tsev menyuam rhiab heev rau oxytocin. Oxytocin yog peptide hormone secreted los ntawm posterior lobe ntawm pituitary caj pas. Nws muaj 9 amino acids thiab raug thauj mus rau neurohypophysis rau kev tso tawm ntawm tus nqi ntawm 2-3 hli ib hnub.
Oxytocin feem ntau pom muaj nyob rau hauv cov txiv neej, poj niam, thiab tsiaj txhu. Nws tseem tuaj yeem txo qis cov tshuaj hormones kev ntxhov siab xws li adrenal ketone hauv tib neeg lub cev kom txo cov ntshav siab.
Koj puas yuav tsum ua si oxytocin kom yug menyuam?
Raws li ib txwm muaj, feem ntau cov niam uas muaj kev cia siab tsis tas yuav siv oxytocin, vim hais tias cov qog pituitary ntawm tib neeg lub hlwb tuaj yeem tso cov oxytocin, uas yuav ncaj qha ua rau cov niam txiv uas muaj menyuam hauv plab, txhawb nqa thiab ua kom muaj zog uterine contraction, thiab yog li txhawb nqa tus menyuam. lub fetus los ntawm leej niam.
Yog li thaum twg kuv xav tau oxytocin? Nws tsuas yog tsim nyog thaum muaj kev txawv txav tshwm sim thaum lub sijhawm ua haujlwm.
1. Cov niam txiv uas muaj lub cev tsis muaj zog lossis tsis sib haum xeeb ntawm lub tsev menyuam
Muaj ntau qhov laj thawj rau qhov tsis sib haum xeeb thiab tsis muaj zog ntawm cov niam uas muaj kev cia siab. Ntawm lawv, muaj ob qho tib si uas xav tau oxytocin: 1) cov cim ntawm kev ua haujlwm tshwm sim thaum hmo ntuj. Txawm hais tias qhov zaus ntawm uterine contractions nyob rau lub sij hawm no tsis tshua muaj thiab lub sij hawm luv luv, ntau tus niam expectant yuav nyob twj ywm ib hmos vim yog nruj thiab mob. Thaum lub uterine contraction tiag tiag nyob rau nruab hnub, tsis muaj tus ntsuj plig thiab lub cev muaj zog, yog li nws yooj yim kom muaj qhov tsis txaus uterine contraction siv (xws li uterine contraction tsis muaj zog) lossis uterine contraction tsis sib koom ua ke, uas tsis txaus los thawb lub cev. fetus mus rau qhov chaw mos, thiab nws tsis yooj yim rau nthuav lub ncauj tsev menyuam. Qhov no yuav tsis tsuas yog ncua kev ua haujlwm tab sis kuj tuaj yeem ua rau mob ntshav qab zib. 2) Kuj tseem muaj qee cov niam txiv uas muaj lub cev tsis muaj zog hauv cov txheej txheem ntawm kev ua haujlwm, uas tuaj yeem ua rau cov uterine contraction tsis sib haum xeeb thiab uterine contraction asthenia. Nyob rau lub sijhawm no, nws yog ib qho tsim nyog yuav tsum muab cov niam uas muaj kev cia siab rau oxytocin kom ntxiv dag zog rau kev ua haujlwm thiab ua kom cov txheej txheem ua haujlwm zoo.
Txawm li cas los xij, yog tias tus niam uas xav tau kev txom nyem los ntawm uterine tsis muaj zog los yog qhov tsis sib haum xeeb ntawm lub tsev menyuam vim qhov tsis zoo ntawm lub fetus thiab lub tsev menyuam deformity, nws tsis tuaj yeem raug ntxias los ntawm oxytocin. Nyob rau hauv Feem ntau, nws yuav tsum tau xa los ntawm txoj kev phais.
2. Thaum ntxov nteg dej expectant niam
Feem ntau, dej rupture tshwm sim thaum yug me nyuam, thaum lub qhov ncauj ntawm lub tsev menyuam ze li qhib. Yog hais tias tus niam expectant lov dej ua ntej, tab sis tsis muaj uterine contraction, nws yog hu ua premature rupture ntawm daim nyias nyias, feem ntau hu ua premature rupture ntawm dej, thiab nws kuj xav tau ib tug nco oxytocin, uas yuav induce tus expectant niam lub uterine spontaneous. uterine contraction. Thaum cov niam txiv muaj peev xwm ua tau zoo (ib zaug txhua 3 feeb, kav ntev li 30 vib nas this), lawv tuaj yeem tso tseg tsis siv oxytocin.
3. Cov niam txiv uas muaj kev cia siab nyob rau hauv lub tsev menyuam hypoxia
Ua ntej lub sij hawm cev xeeb tub, yog hais tias tus me nyuam hauv plab yog xav tias intrauterine hypoxia, tus kws kho mob yuav ua ib qho oxytocin drip test los ntsuam xyuas qhov kam rau ntawm tus me nyuam hauv plab rau uterine contraction.
Tom qab siv oxytocin, yog tias tus menyuam lub plawv dhia qis dua 120 zaug / min sai li sai tau thaum leej niam muaj lub tsev me nyuam, nws qhia tau hais tias tus menyuam muaj anoxic thiab intolerant rau uterine contraction, yog li nws yuav tsum tau nqa. tawm ntawm qhov chaw phais kom sai li sai tau; Yog hais tias tus me nyuam lub plawv dhia ceev ceev yog ib txwm nyob rau lub sij hawm ntawm uterine contraction, nws qhia tau hais tias qhov kev ntsuam xyuas ntawm fetal hypoxia yog tsis raug, thiab cov expectant niam muaj peev xwm mus txuas ntxiv mus rau lub ntuj ua hauj lwm.
4. Cov niam txiv uas xav tau kev pab cuam los txiav cev xeeb tub
Rau qee qhov laj thawj, xws li cev xeeb tub ntev, oligohydramnios, thiab lwm yam, tus menyuam hauv plab tsis tsim nyog yuav tsum tau tos hauv tsev menyuam, tab sis nws tsis tuaj yeem ua tau raws li cov xwm txheej rau kev phais, yog li nws xav tau ib qho oxytocin los ua kom lub uterine contraction. Thaum tag nrho cov txheej txheem ntawm oxytocin infusion, cov neeg ua haujlwm tshwj xeeb yuav tsum tau saib xyuas. Nyob rau hauv cov ntaub ntawv ntawm txawv txav, ib tug caesarean seem yuav tsum tam sim ntawd.
5. Niam tom qab yug me nyuam
Txawm hais tias nws yog kev yug me nyuam los yog Caesarean, tus kws kho mob yuav muab oxytocin tom qab yug me nyuam. Lub hom phiaj yog txhawm rau ntxiv dag zog rau lub tsev menyuam, cia cov placenta tev tawm, thiab tuaj yeem ua rau cov hlab ntsha qhib hauv cov phab ntsa ntawm lub tsev menyuam kom tiv thaiv cov ntshav tawm, uas yog qhov zoo rau kev noj qab haus huv hemostasis thiab rov qab los ntawm lub cev. Yog hais tias lub tsev me nyuam tsis zoo, tus me nyuam hauv plab yuav raug thaiv nyob rau hauv lub tsev me nyuam kwj dej. Txawm li cas los xij, uas tau tsav los ntawm lub tsev menyuam muaj zog, tus menyuam hauv plab yuav tawg los ntawm kev thaiv, rhuav lub tsev menyuam thiab txawm tias lub cev uterine. Tus niam tshiab yuav ntsib kev mob ntshav qab zib tom qab yug me nyuam lossis txawm tias muaj hysterectomy.
Nqe Lus Nug: Cov duab hauv kab lus yog los ntawm Is Taws Nem. Yog tias muaj kev ua txhaum cai, thov hu rau kuv kom tshem tawm.