Medical road
Chapter 663
Li Hui's current state is sweet potatoes and potatoes, and noodles when cooked!
Tears, nasal mucus, and desperate eyes, he was paralyzed on the floor. Although he was not a gynecologist and did not transfer to gynecology, he was too aware of the consequences of the birth canal weakness.
On TV, there are often many scenes like this. A doctor comes out and asks: "Keep the big and the small?" Actually, this kind of situation is not common.This is only possible when the birth canal is weak.
What is going on when a pregnant woman gives birth to a child? In layman's terms, the placenta, like the base of a child, is attached to the uterus.
This base is a channel connecting the mother body and the child body.The sperm (a) forms a placenta in the uterus (a) at the fourth weekend, and the child's facial features and limbs and cardiovascular pulsations appear at the eighth week.
At twenty weeks, this gadget begins to swallow and urinate. When the child is in the mother's body, all the nutrient oxygen needed is transmitted from the umbilical cord to the child's body through the placenta.
And this gadget swims in the amniotic fluid. What is the amniotic fluid is actually a small swimming pool purified by the mother's blood.
The kid is swimming in this swimming pool, and he is still a kid who doesn't care about hygiene. Not only does he urinate and defecate here, he also drinks the liquid containing his own secretions from time to time. Go down.
When this gadget felt that the swimming pool was not enough, it began to make trouble to go out and have a look.
Then, just like the Kesai, the head is facing the mouth of the uterus (a), and the whole body is curled up, ready to rush off.
The Kesai of the Maruko Country back then, it is estimated that the director of this cartoon might not be from a medical background, because the preparations for Kesaik’s launch are very similar to the fetus preparation.
This time is the most dangerous time for children and mothers.When the child is in the mother's body, it is a closed inner ring.
What does it mean? It is the result of human body evolution. This inner ring is to prevent the child from falling off immature.
When the child matures, this inner ring becomes a barrier, waiting for the child and mother to break through.
The child must first crawl out of the zi (a) palace, walk through the pelvis, and enter the Yin (a) tract before being born.
Of the three barriers, the most dangerous is the pelvic barrier, because this barrier is directly bone, even if the ligaments are expanding, there are still certain limitations.
The child works hard, and the mother spends her life's energy to squeeze through these three barriers.
So when the child is born smoothly, the head is not round, but like a thermos cup, it is a small stick.
The ability to pass these passes depends on the productivity of the pregnant woman.When the child is stuck at a certain threshold, and the pregnant woman is out of force, this time is called insufficient productivity.
Call it a pass. The simplest thing is that the place is narrow, and the child’s breathing transmits oxygen from the mother’s placenta through the umbilical cord. At this time, the umbilical cord will be squeezed and oxygen cannot pass normally, so the child will suffocate.
At this time, it is often the most dangerous time, and the placenta is peeling off because of the child's whereabouts.
The placenta is connected with many bloody capillary networks. One carelessness is heavy bleeding.
People with itchy hands like blood scabs in wounds. When the blood scabs are opened, blood begins to ooze out. In fact, the bleeding of pregnant women is almost the same as the blood scabs, but only how many times it is enlarged.
(A) There is hemorrhage in the uterus, and the child is stuck in the birth canal. This is the time when you need to choose, that is, when the doctor appears on the TV to ask the family to choose the young child.
Also, some mischievous children don't stop much in the mother's body and have no toys.
He was playing with the umbilical cord, playing around, and wrapped the umbilical cord around his neck.Then there is the so-called navel around the neck, this thing is the posture of hanging.
This situation has increased the risk of production. Therefore, prenatal inspections are very important. These inspections are to determine whether they can be smooth.
If you don't have a birth check, you can really say that it is a blind birth. You must not be careless. Even if you have a regular birth check, there may be accidents, let alone no birth check.
Therefore, regular inspections are very important.
Let's talk about the advantages of normal delivery. First, it is the least damage to pregnant women. Although it may seem very simple, the incision is quite large and the damage is huge.
Second, the kid, when he was a mother, not only drank amniotic fluid containing his own urine and feces, but at sixteen weeks, he would still suck, right.
At sixteen weeks, the respiratory system of this thing began to move, and then he would take two mouthfuls of this amniotic fluid when he was fine, and the amniotic fluid mixed with black and green meconium entered his respiratory tract.
When giving birth smoothly, because of the narrow birth canal, it can almost be said that the child is squeezed out like a meatball.
This squeezing will press out the feces in the child's respiratory tract.Therefore, when a newborn is born, it is a scene:
The whole body is pale, because there is no oxygen and its own blood has not circulated, so when the child is born, the whole body is pale, and it is still white with black, just like the little zombies in Hong Kong movies.
Then a little stick head, with fetal fat like white ringworm on his face, the most weird place is the corner of his mouth.
There was some black mushy liquid hanging, like a slap on the TV with blood on the corner of his mouth.This black mushy liquid is his own meconium.
Because the umbilical cord is connected, the child cannot breathe. When the child comes out, the doctor will pinch the child's mouth immediately, put the index finger in, and take out the disgusting object in the respiratory tract.
Then cut the umbilical cord to stimulate the gadget. As long as it is normal, the child's lungs will begin to expand at this time. When the first cry, it means that he is breathing.
This is smooth, and when it is not smooth, there will be too many accidents.
While Zhang Fan ran, the little nurse chased after him with a white coat, running fast, and the phantom could be seen in the nurse's white shoes under the fluorescent light.
A very cruel department. When these little nurses get older and cannot escape the phantom, they will be slowly cleared out. How many administrative posts can there be?
Zhang Fan took the white lab coat, put on a hat, put on a mask, and rushed into the delivery room.
"how about it?"
"Yuan Zhang, the operation is too late and forceps have been used."
The director of the obstetrics and gynecology department did not raise his head.
"Can't a negative pressure aspirator work?" Zhang Fan asked as he walked.
What is a negative pressure suction device? Elderly people should know a toilet tool. After the toilet is blocked, there is a thing with a suction cup.
This is the negative pressure aspirator. When the mother's fertility is insufficient, this will be stuffed into the birth canal, sucking the child's head, just like pulling a carrot, the doctor will help it out.
Sometimes, there will be a bang in the delivery room!Bang!Bang!This is the sound of doctors sucking with a negative pressure aspirator.
"No, the head is not upright, and the position is not good."
Obstetric forceps, this device is the ultimate weapon of obstetrics when the cesarean section is not formed.
It is powerful, but it is not easy to operate, and it is also quite dangerous. The forceps are actually quite large.
Just like the big tongs of two badminton rackets, this racket is made of metal and has no net. It is this one thing to be stuffed into the mother's birth canal, holding the baby's head, and then clamping the baby out.
It can be said that this operation is quite dangerous. The clamping position is wrong, and it hurts the child's nose and eyes. It is not without it. This thing is metal!
Moreover, if the force is not enough, the child cannot get out, and the child caught in the birth canal will die from suffocation after a while.
Excessive force, the child’s ears and even the cervical spine may be damaged. It can even be said that sometimes, when the child is pulled out, the child’s head and cervical spine...
Therefore, obstetric forceps, this device, in the obstetrics and gynecology department, doctors who have no confidence in it, dare not use it.This confidence is accumulated by doctors over decades of work, and this strength cannot be experienced in a few decades.
"Half an hour! I'm out of strength, and I don't have any strength in my hands, what should I do!" The director of the obstetrics and gynecology department almost cried.
This effort is not reckless, but like a fish, it is quite laborious.
The director of the obstetrics and gynecology department is already a fifty-year-old lady. After more than 20 minutes of competition, her hands began to tremble.
The deputy director of the obstetrics and gynecology department and the other attending on the stage of another pregnant woman, which pregnant woman gave birth is not very smooth.
The director of the obstetrics and gynecology department here and Lu Shuyan.
The obstetrics director was sweaty, and there were water drops in his eyes. She was old, really old. Ten years ago, she would never let this situation hold her, but now, she really It was intentional to kill the thief, but was powerless.
The negative pressure suction device can be handed over to Lu Shuyan for operation, but the director of the obstetric forceps did not dare to give it, and Lu Shuyan did not dare to pick it up, so the director of obstetrics asked for help.
"No, no, director, the child's heartbeat is getting slower and slower." The midwife's head is big.This kind of situation is the most dangerous.
The pain of the parturient mother was extreme. The child and the forceps were mixed and stuffed into the body, and the severe pain of the exfoliation before delivery had already brought the mother to the edge of collapse.
"I'm dying, doctor, I'm dying." The screaming stopped, she didn't even scream, and looked at the doctors and nurses with pleading eyes.
"Shut up for the old lady, eat, open your mouth, eat, fast! Your child will depend on you now, do you still have the qualifications to be a mother? Hurry up, shut up, and you will come out again."
Red Bull and chocolate were stuffed directly into the mouth of pregnant women.The midwife didn't dare to be warm, afraid to comfort, and was afraid that a little bit of relaxation would cause the woman to give up.
Sometimes, the desire to survive is very important. When life and death are on the line, any comfort and tenderness are fake, only iron-and-blooded scolding makes her unable to think in her mind, and makes her subconsciously seek survival.
Really, for obstetrics and gynecology doctors and nurses, sometimes they have to be considerate, they are not inherently vulgar, they are forced.
"I'm coming!" Zhang Fan looked at the desperate expression of the obstetrics and gynecology director, he spoke.
"You? Zhang Yuan, it's too dangerous, you never..."
To be honest, it is quite dangerous to take over at this time. In the hospital, to be honest, it is too common to be dead.Especially in the top three hospitals, it is strange to live without death for one day.
However, the Department of Obstetrics and Gynecology is different. In other departments, no matter what the circumstances of the dead, it is not as serious as the Department of Obstetrics and Gynecology.
In this way, China is quite unreasonable in this respect. There are quotas for deaths in obstetrics and gynecology every year. No matter what your situation is, if you exceed this number of deaths a year, accountability will follow.
Therefore, everyone can scold the government and the hospital, but for this rule, really, everyone can be fortunate that because the country is unreasonable, the maternal mortality rate in China is one of the lowest in the world.
"It's too late, can the children and pregnant women persist until the doctor's arrival?"
"can,……"
"It's nothing, come on, leave it to me, you stand on the platform for me. Lu Shuyan, quickly change my clothes."
Zhang Fan’s words were like an iron rod. The next time Lu Shuyan was motivated, she immediately helped Zhang Fan put on the surgical gown. When tying the last dress belt, she quietly said: "Be careful!"
Zhang Fan didn't look back, as if he hadn't heard.
At this moment, the director is as weak as a pregnant woman, and other doctors can’t take care of it. If Zhang Fan is not there, he won’t say anything, but Zhang Fan is here. Although he is not sure, he can watch. Did the pregnant woman and the fetus die in front of him?
Can't!Then do it!
"Director, get started! I'm starting to use force."
"Zhang Yuan, you must use force along the way. When the other party's muscles contract, you must unload. When the muscles relax, you must use force. Be careful not to injure the child's cervical spine."
The director of the gynecology department said while Zhang Fan did it. The head of the gynecology department was shaking hands with despair in his tone.
At this time, what is the difference between turning over the book after going to the surgeon!
However, she underestimated Zhang Fan.Hand feel is a tasteless condition for ordinary doctors, but the doctors who reach the peak value this feel.
As for Zhang Fan's hand feel, it can be said that, at present, he himself says that his hand feel is second in the world. It is estimated that no doctor would dare to say first.
"Shrinked!" Zhang Fan felt the maternal muscles come out quite clearly. As the muscles contracted, the muscles of Zhang Fan's arms began to relax.
"It relaxes!" Zhang Fan's arm muscles began to strain.
Just like a tug-of-war, when the muscles of the mother's body are retracted and retracted, they have outward and inward thrust and suction to the fetus. Therefore, pregnant women have to forcefully offset the inward forces when they are in extreme pain.
Really, motherhood is not easy, the masters really have to be right at this moment of others.
When Zhang Fan exerted force, the midwife shouted loudly: "Quickly, give me strength. Our dean has gotten started. You must be able to persevere. Quickly, give the old lady the power to eat (a) milk. "
...
The door of the delivery room suddenly opened, and a little nurse came out with a signature book.
When Li Hui saw it, he went straight and broke, "Look for me to sign, I have come to sign!
Zhang Fan!"
Don't know why, he called out Zhang Fan's name.
"Quickly, call your wife's house! What's the use of crying!" Shao Hua was also awakened by his voice.
"Good! Good!" Although he said yes, his eyes were always on the little nurse.
As a result, the little nurse ignored him and walked towards the others.
"Uh!" Li Hui's teardrops shining on his face seemed to freeze.