Depressed main factor postpartum

Depressed main factor postpartum
Uterus skin tumour and differentiation main foundation physical sign of uterine prolapse. In addition, should also do certain inspection. Advise a patient and does not understand that urinates, fetching the bladder cuts the skill location of stone. Let patient cough or spout angry in order to increase belly, pigeonhole first check, observe, have urine overflow road junction of the urine, whether have tension nature urinary incontinence by distinguishing, then empty the bladder, go on the gynaecology, check. The uterus is from the normal position along dropping, the mouth is reached under the ischium sour jujube level outside the palace neck, even the uterus is all taken off out of beyond the mouth, is called uterine prolapse (uterineprolapse) . It amalgamate by wall before having often uterine prolapse and after expand out wall. [Support to organize failing to return to normal as the main reason after it causes palace neck, palace neck main ligament and damage and childbirth of the uterus sacral bone ligament that the cause of disease learns ] to give a birth. According to the example palace procident patient of Jinan city 2504, produce persons who happen and account for 58 by 1- 3. 21%. In addition, the lying-in woman like to lie supine more in puerperium, and apt to erupt chronic urine retention, the location after the uterus is apt to become simultaneously, the uterus axle keeps the same with axle direction, if the belly is pressed and increased, the uterus drops and prolapses along the direction promptly. Used to working (for instance, wash diaper, washing the vegetables,etc.) in squating type postpartum ,Can all make the belly press and increase, impel uterine prolapse. Not the person who takes place uterine prolapse of the lying-in woman, has resulted from the reason that the genitals have supported to organize development to be bad. [Uterine prolapse of clinical manifestation ] can be divided into 3 degrees according to the procident intensity for the uterus along shifting downwards: ��Degree: Outside meaning the cervix uteri has already been taken off, exporting, and body of uterus or some uterus body is still inclusive. Include range to be too big, the lighter the intersection of palace and neck take off export outside only, can lengthen because of the palace neck while being getting heavy, so that palace neck and wall lengthened all take off the export outside. ��Degree of uterine prolapse is divided again lightly, seriously and two type. Light the intersection of �� and degrees of cervix uteri and wall look through take off export outside before the some. It is heavy �� degrees of palace neck and some palace and before wall the greater part or if you can't look through, take off by export outside all. Degree: Mean whole the intersection of uterus and body and the intersection of palace and neck and wall and wall look through, take off export outside behind the some before the all. [Physical sign of main foundation of diagnosis ]. In addition, should also do certain inspection. Advise a patient and does not understand that urinates, fetching the bladder cuts the skill location of stone. Let patient cough or spout angry in order to increase belly, pigeonhole first check, observe, have urine overflow road junction of the urine, whether have tension nature urinary incontinence by distinguishing, then empty the bladder, go on the gynaecology, check. Chronic urine retention is paid attention to under using the strength situation at first, and the situation of uterine prolapse that the wall prolapses. And notice vulva situation and perineum breaking the intensity. The speculum observes wall and palace neck and festers, whether there is uterus rectum nest hernia. Should notice both sides anus proposes the skin situation, confirms the anus and proposes the crack width of skin while examining inside, the neck position of the palace, then define the uterus size, position and attachment in the pelvis have inflammation or tumour. Advising a patient finally uses the belly to press, squat in the location desirably if necessary, make the uterus deviate from and carry on palpation, in order to confirm the intensity of uterine prolapse. [The intersection of differential diagnosis ] and one, skin tumour find the intersection of the palace and mouth in deviating from the thing under the mucous membrane, the front and back wall is not deviated from, hands can be touched while inserting to the cervix uteri. It is mostly not lying-in women that second, cervix uteri lengthen diseases. The front and back wall is not deviated from, the front and back dome portion is very high, the body of uterus is still within the pelvis, only the extreme extension of cervix uteri protrudes from the mouth like the column. Third, look through disease, find the intersection of uterus and mouth on lump in the chronic uterus, can find the intersection of both sides and oviducal dent of entry, the surface is red mucous membrane, apt to bleed, three is examined in uncle jointly hollowly, can't touch the body of uterus. Fourth, cyst of the wall or skin tumour can often misdiagnose, expand appearing or uterine prolapse for the bladder, or is crowded to the top by lump through checking the uterus still in the normal position, and the swollen thing has nothing to do with the palace neck. [Treat measure ] take place already patient of uterine prolapse should adopt, combine traditional Chinese and western medicine, and treatment, nutrition, comprehensive measure having a rest to combine together. Can divide on therapeutic method: Use the uterus to ask, take traditional Chinese medicine orally, acupuncture and moxibustion, wash etc. and does not perform the operation smokedly treatment and operation are mended. Because have a certain influence in giving a birth again after the operation, so the operation is only suitable for the serious case and not regenerate the women that educated.

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