Bitcoin Forum
September 11, 2024, 03:55:21 AM
Welcome,
Guest
. Please
login
or
register
.
News
: Latest Bitcoin Core release:
27.1
[
Torrent
]
Home
Help
Search
Login
Register
More
Bitcoin Forum
>
Local
>
中文 (Chinese)
>
离题万里
>
“新式剖宫产”可引发严重黏连,生二胎该怎么办
Pages: [
1
]
« previous topic
next topic »
Print
Author
Topic: “新式剖宫产”可引发严重黏连,生二胎该怎么办 (Read 160 times)
etiewytied
(OP)
Newbie
Offline
Activity: 53
Merit: 0
“新式剖宫产”可引发严重黏连,生二胎该怎么办
June 27, 2017, 02:26:58 PM
#1
新式剖宫产,曾在上世纪90年代风靡一时。这种方法可以缩短剖宫产的手术时间,理论上可以尽可能降低手术时间过长对孕妇造成的不利影响。但当时对该手术后可能带来的黏连问题估计不足,导致曾接受此手术的妈妈在生育二宝及再次做妇科手术时,可能会遇到难题。
上海交通大学医学院附属新华医院产科副主任医师王磊指出,很多医院在2010年后就已经从新式剖宫产又恢复到传统模式。虽然手术用时将近翻倍,但的确可以减少术后黏连等不良并发症的发生。
可能引发严重黏连
王磊医生解释,新式剖宫产和传统的剖宫产最主要的区别不是“剖开”,而是“缝合”。新式剖宫产的缝合方法是上世纪八九十年代以色列医生Stark发明的,他的理论是壁层腹膜、膀胱腹膜反褶腹层有很强的自我修复能力,术后可以短时间内可自主愈合。所以,手术的缝合可以大大简化。手术时间缩短后,出血量少,恢复也会更快。因此,国内外都曾推广过这种方法。
自上世纪90年代,我国产科业内引入该术式到21世纪初期,新式剖宫产是国内很多医院妇产科的首选方法。当然也有医院对该方法有顾虑没有采取的。临床工作时间长了,病例数多了,一些新式剖宫产的后遗症如腹腔的严重黏连开始显现,到2010年后,很多医院又将“新式剖宫术”恢复到了传统的旧式。
要知道“新式剖宫产”到此存在什么问题,就需要先了解一下剖宫产到底是怎么回事。
通常,剖宫产需要剖开这些地方,从表及里的顺序是:皮肤、皮下脂肪层、筋膜层、肌肉层、腹膜层、膀胱腹膜反褶层、子宫肌壁层。最后将羊膜腔打开,就会看到婴儿的头和身体。
孩子顺利出生后,就需要替产妇缝合。传统的缝合方式是,每一层都要缝合,就得缝7层。新式则简化成子宫肌壁层缝合一遍;腹膜层、膀胱腹膜反褶层根本不需要缝合,再缝合腹直肌前鞘和脂肪皮肤全层就完成了手术。
“简单说就是缝3层和缝7层的差别。”王磊医生指出,缝合少自然速度快。但由于缝合面不光滑,后续就容易产生黏连的问题。
腹腔的黏连,并不一定会马上影响到日常生活,但如果要生育二胎,问题就来了。当产妇再次剖宫时,医生看到的可能是广泛黏连到哪里是正常组织都分不清楚的场面。
“医生要先把黏连全部分开,让内脏组织都恢复到正常该在的地方,这样才能动刀。”王磊医生表示,这会给手术带来很多不可控的因素,延长手术时间、增加出血风险。如果产妇还有一些别的情况,比如疤痕子宫、凶险性前置胎盘引发大出血,那就一下子成为“高危孕妇”,命悬一线。
另外,一些术后黏连严重的女性,可能会出现尿频的症状,主要就是因为膀胱被“黏”上去了。
如何判断是否经历过新式剖腹产
如今想要二宝的妈妈,如何判断自己前一胎是不是做了新式剖宫产?王磊医生坦言单凭腹部外观很难做出判断,产前检查也不可能探腹,最好孕期能带上次的手术记录作参考。
希望提醒每一个孕妇的是,产前检查一定要做足。不管你是第一胎,还是第二胎;不管当时用的是哪一种缝合方法。只要准备生育,都要做好产前检查。
如果准备二胎,那也要做好孕前评估,看一下是否适合再次怀孕。孕期也要定期产检,遇到问题可以及时和医生沟通。虽说一胎生、二胎熟,孕妇也不能大意。当年龄增长之后,生育的风险也会跟着上升。
Pages: [
1
]
Print
Bitcoin Forum
>
Local
>
中文 (Chinese)
>
离题万里
>
“新式剖宫产”可引发严重黏连,生二胎该怎么办
« previous topic
next topic »
Jump to:
Please select a destination:
-----------------------------
Bitcoin
-----------------------------
=> Bitcoin Discussion
===> Legal
===> Press
===> Meetups
===> Important Announcements
=> Development & Technical Discussion
===> Wallet software
=====> Electrum
=====> Bitcoin Wallet for Android
=====> BitcoinJ
=====> Armory
=====> Mycelium
=====> Hardware wallets
=> Mining
===> Mining support
===> Pools
===> Mining software (miners)
===> Hardware
=====> Group buys
===> Mining speculation
=> Bitcoin Technical Support
=> Project Development
-----------------------------
Economy
-----------------------------
=> Economics
===> Speculation
=> Marketplace
===> Goods
=====> Computer hardware
=====> Digital goods
=======> Invites & Accounts
=====> Collectibles
===> Services
===> Currency exchange
===> Gambling
=====> Games and rounds
=====> Investor-based games
=====> Gambling discussion
===> Lending
=====> Long-term offers
===> Securities
===> Auctions
===> Service Announcements
=====> Micro Earnings
===> Service Discussion
=====> Web Wallets
=====> Exchanges
=> Trading Discussion
===> Scam Accusations
===> Reputation
-----------------------------
Other
-----------------------------
=> Meta
===> New forum software
===> Bitcoin Wiki
=> Politics & Society
=> Beginners & Help
=> Off-topic
=> Serious discussion
===> Ivory Tower
=> Archival
===> Корзина
===> CPU/GPU Bitcoin mining hardware
===> Chinese students
===> Obsolete (buying)
===> Obsolete (selling)
===> MultiBit
-----------------------------
Alternate cryptocurrencies
-----------------------------
=> Altcoin Discussion
=> Announcements (Altcoins)
===> Tokens (Altcoins)
=> Mining (Altcoins)
===> Pools (Altcoins)
=> Marketplace (Altcoins)
===> Service Announcements (Altcoins)
===> Service Discussion (Altcoins)
===> Bounties (Altcoins)
=> Speculation (Altcoins)
-----------------------------
Local
-----------------------------
=> العربية (Arabic)
===> العملات البديلة (Altcoins)
=====> النقاشات
===> إستفسارات و أسئلة المبتدئين
===> التعدين
===> النقاشات الأخرى
===> منصات التبادل
=> Bahasa Indonesia (Indonesian)
===> Marketplace (Bahasa Indonesia)
===> Mining (Bahasa Indonesia)
===> Altcoins (Bahasa Indonesia)
===> Trading dan Spekulasi
===> Ekonomi, Politik, dan Budaya
===> Topik Lainnya
=> Español (Spanish)
===> Mercado y Economía
=====> Servicios
=====> Trading y especulación
===> Hardware y Minería
===> Esquina Libre
===> Mercadillo
=====> Mexico
=====> Argentina
=====> España
=====> Centroamerica y Caribe
===> Primeros pasos y ayuda
===> Altcoins (criptomonedas alternativas)
=====> Minería de altcoins
=====> Servicios
=====> Tokens (Español)
=> 中文 (Chinese)
===> 跳蚤市场
===> 山寨币
===> 媒体
===> 挖矿
===> 离题万里
=> Hrvatski (Croatian)
===> Trgovina
===> Altcoins (Hrvatski)
=====> Announcements (Hrvatski)
===> Off-topic (Hrvatski)
=> Deutsch (German)
===> Anfänger und Hilfe
===> Mining (Deutsch)
===> Trading und Spekulation
===> Projektentwicklung
===> Off-Topic (Deutsch)
===> Treffen
===> Presse
===> Altcoins (Deutsch)
=====> Announcements (Deutsch)
===> Marktplatz
=====> Auktionen
=====> Suche
=====> Biete
=> Ελληνικά (Greek)
===> Αγορά
===> Mining Discussion (Ελληνικά)
===> Altcoins (Ελληνικά)
=====> Altcoin Announcements (Ελληνικά)
=====> Altcoin Mining (Ελληνικά)
=> עברית (Hebrew)
=> Français
===> Actualité et News
===> Débutants
===> Discussions générales et utilisation du Bitcoin
===> Mining et Hardware
===> Économie et spéculation
===> Place de marché
=====> Échanges
=====> Produits et services
=====> Petites annonces
===> Le Bitcoin et la loi
===> Wiki, documentation et traduction
===> Développement et technique
===> Vos sites et projets
===> Hors-sujet
===> Altcoins (Français)
=====> Annonces
=> India
===> Mining (India)
===> Marketplace (India)
===> Regional Languages (India)
===> Press & News from India
===> Alt Coins (India)
===> Buyer/ Seller Reputations (India)
===> Off-Topic (India)
=> Italiano (Italian)
===> Guide (Italiano)
===> Progetti
===> Discussioni avanzate e sviluppo
===> Trading, analisi e speculazione
===> Mercato
=====> Mercato valute
=====> Beni
=====> Servizi
=====> Esercizi commerciali
=====> Hardware/Mining (Italiano)
=====> Gambling (Italiano)
===> Accuse scam/truffe
===> Mining (Italiano)
===> Alt-Currencies (Italiano)
=====> Annunci
===> Raduni/Meeting (Italiano)
===> Crittografia e decentralizzazione
===> Off-Topic (Italiano)
=> 日本語 (Japanese)
===> アルトコイン
=> Nederlands (Dutch)
===> Markt
===> Gokken/lotterijen
===> Mining (Nederlands)
===> Beurzen
===> Alt Coins (Nederlands)
===> Off-topic (Nederlands)
===> Meetings (Nederlands)
=> Nigeria (Naija)
===> Politics and society (Naija)
===> Off-topic (Naija)
=> 한국어 (Korean)
===> 대체코인 Alt Coins (한국어)
=> Pilipinas
===> Altcoins (Pilipinas)
=====> Altcoin Announcements (Pilipinas)
===> Pamilihan
===> Others (Pilipinas)
=> Polski
===> Tablica ogłoszeń
===> Alternatywne kryptowaluty
=====> Nowe kryptowaluty i tokeny
=====> Tablica ogłoszeń (altcoiny)
=> Português (Portuguese)
===> Primeiros Passos (Iniciantes)
===> Economia & Mercado
===> Mineração em Geral
===> Desenvolvimento & Discussões Técnicas
===> Criptomoedas Alternativas
===> Brasil
===> Portugal
=> Русский (Russian)
===> Новички
===> Бизнес
=====> Барахолка
=====> Обменники
===> Идеи
===> Кодеры
===> Майнеры
===> Политика
===> Трейдеры
===> Альтернативные криптовалюты
=====> Токены
=====> Бayнти и aиpдpoпы
===> Хайпы
===> Работа
===> Разное
===> Oбcyждeниe Bitcoin
=====> Новости
=====> Юристы
=> Română (Romanian)
===> Anunturi importante
===> Offtopic
===> Market
=====> Discutii Servicii
===> Minerit
===> Tutoriale
===> Bine ai venit!
===> Presa
===> Altcoins (Monede Alternative)
=====> Anunturi Monede Alternative
=> Skandinavisk
=> Türkçe (Turkish)
===> Bitcoin Haberleri
===> Pazar Alanı
===> Madencilik
===> Ekonomi
===> Servisler
=====> Fonlar
===> Proje Geliştirme
===> Alternatif Kripto-Paralar
=====> Madencilik (Alternatif Kripto-Paralar)
=====> Duyurular (Alternatif Kripto-Paralar)
===> Konu Dışı
===> Yeni Başlayanlar & Yardım
===> Buluşmalar
=> Other languages/locations
Loading...