其他妈妈也在搜按孕周分 6 段：首条固定生娃计算器 + 本段 4 条 + 通用 1 条；新增 50 个分段专题页（问题库共 100）；全部问题页加「孕 N 周」筛选；v26110201

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-11-02 05:28:58 +00:00
parent be74d7cf35
commit 7e02da209b
106 changed files with 14995 additions and 67 deletions
--- a/topic/cheqie/img/hero.webp
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--- a/topic/cheqie/index.html
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+<!DOCTYPE html>
+<html lang="zh-CN">
+<head>
+<meta charset="utf-8">
+<meta name="viewport" content="width=device-width,initial-scale=1,maximum-scale=1,user-scalable=no,viewport-fit=cover">
+<meta name="format-detection" content="telephone=no">
+<title>侧切、撕裂能避免吗？</title>
+<!-- 孕期专题 · 待产准备 · 侧切（首页「其他妈妈也在搜」按孕周分段新增，2026-11-02）
+     版式全在 ../_shared/article.css + article.js，本页只放内容数据 window.TOPIC 和 img/hero.webp。 -->
+<link rel="stylesheet" href="../_shared/article.css?v=26110126">
+</head>
+<body>
+<script>window.TOPIC = {
+ "slug": "cheqie",
+ "q": "侧切、撕裂能避免吗？",
+ "eyebrow": "待产准备 · 侧切",
+ "title": [
+  "侧切、撕裂",
+  "\n",
+  "能避免",
+  "吗？"
+ ],
+ "sub": "一张卡看懂：什么时候切、怎么少撕、怎么恢复",
+ "answer": "侧切现在<em>不常规做<\/em>，需要时才切；撕裂不能保证避免，但<em>多数是轻度<\/em>，缝好后恢复得快。",
+ "three": [
+  {
+   "b": "不常规侧切",
+   "s": "指南只推荐有需要时才切"
+  },
+  {
+   "b": "撕裂多是一二度",
+   "s": "严重撕裂少见，医生会仔细修复"
+  },
+  {
+   "b": "你能做的",
+   "s": "会阴按摩、控体重、听指挥用力"
+  }
+ ],
+ "sections": [
+  {
+   "type": "cards",
+   "title": "撕裂分四度",
+   "en": "DEGREES",
+   "key": "越往后越少见，一二度最常见。",
+   "tint": true,
+   "items": [
+    {
+     "name": "一度",
+     "verdict": "最轻",
+     "must": false,
+     "label": "伤到",
+     "amt": "皮肤",
+     "unit": "黏膜",
+     "when": "可能不缝或缝几针"
+    },
+    {
+     "name": "二度",
+     "verdict": "常见",
+     "must": false,
+     "label": "伤到",
+     "amt": "肌肉",
+     "unit": "",
+     "when": "缝合后多在 1～2 周好转"
+    },
+    {
+     "name": "三度",
+     "verdict": "少见",
+     "must": false,
+     "label": "伤到",
+     "amt": "括约肌",
+     "unit": "",
+     "when": "要仔细修复，产后随访"
+    },
+    {
+     "name": "四度",
+     "verdict": "很少",
+     "must": false,
+     "label": "伤到",
+     "amt": "直肠",
+     "unit": "",
+     "when": "需专门修复和随访"
+    }
+   ],
+   "why": {
+    "q": "切一刀和自己撕，哪个好？",
+    "a": "以前常规侧切，是以为能防止严重撕裂。后来研究发现常规切开并不能减少严重撕裂，伤口反而更大，所以现在指南不推荐常规做，只在需要时切。"
+   }
+  },
+  {
+   "type": "list",
+   "title": "医生可能侧切的情况",
+   "en": "WHEN NEEDED",
+   "key": "都是为了让宝宝更快、更安全地出来。",
+   "tint": false,
+   "items": [
+    {
+     "tag": "常见",
+     "tone": "warn",
+     "b": "宝宝缺氧，要尽快娩出",
+     "s": "胎心不好时缩短最后一段"
+    },
+    {
+     "tag": "常见",
+     "tone": "warn",
+     "b": "产钳或胎吸助产",
+     "s": "需要更大的空间"
+    },
+    {
+     "tag": "看情况",
+     "tone": "ok",
+     "b": "会阴紧、水肿",
+     "s": "评估可能严重撕裂时"
+    },
+    {
+     "tag": "看情况",
+     "tone": "ok",
+     "b": "宝宝偏大或肩难产",
+     "s": "由助产人员现场判断"
+    }
+   ]
+  },
+  {
+   "type": "steps",
+   "title": "减少撕裂，能做的事",
+   "en": "WHAT HELPS",
+   "key": "不能保证不撕，但能降低概率和程度。",
+   "tint": true,
+   "items": [
+    {
+     "b": "孕 34～35 周后会阴按摩",
+     "s": "先问医生；有前置胎盘、阴道感染、早产风险的不做"
+    },
+    {
+     "b": "控制体重，宝宝别太大",
+     "s": "体重增长在推荐范围内"
+    },
+    {
+     "b": "学会呼吸和用力",
+     "s": "胎头快出来时听助产士指挥，哈气、不要猛用力"
+    },
+    {
+     "b": "问问医院能否热敷",
+     "s": "第二产程热敷会阴，有研究显示能减少重度撕裂"
+    },
+    {
+     "b": "选合适的体位",
+     "s": "侧卧等体位按医院条件和助产士建议"
+    }
+   ]
+  },
+  {
+   "type": "timeline",
+   "title": "伤口怎么恢复",
+   "en": "RECOVERY",
+   "key": "多数人一两周明显好转，42 天复查。",
+   "tint": false,
+   "cols": [
+    "1～3天",
+    "1周",
+    "2～6周",
+    "产后42天"
+   ],
+   "rows": [
+    {
+     "name": "伤口",
+     "bars": [
+      {
+       "t": "最疼",
+       "span": 1,
+       "cls": ""
+      },
+      {
+       "t": "渐好转",
+       "span": 1,
+       "cls": "lt"
+      },
+      {
+       "t": "基本愈合",
+       "span": 1,
+       "cls": "lt"
+      },
+      {
+       "t": "复查",
+       "span": 1,
+       "cls": ""
+      }
+     ]
+    },
+    {
+     "name": "护理",
+     "bars": [
+      {
+       "t": "冰敷",
+       "span": 1,
+       "cls": ""
+      },
+      {
+       "t": "便后冲洗、勤换护垫",
+       "span": 2,
+       "cls": "lt"
+      },
+      {
+       "t": "盆底评估",
+       "span": 1,
+       "cls": ""
+      }
+     ]
+    },
+    {
+     "name": "练习",
+     "bars": [
+      {
+       "t": "先休息",
+       "span": 1,
+       "cls": "lt"
+      },
+      {
+       "t": "轻柔缩肛练习",
+       "span": 2,
+       "cls": "lt"
+      },
+      {
+       "t": "盆底康复",
+       "span": 1,
+       "cls": "dash"
+      }
+     ]
+    }
+   ],
+   "legend": [
+    [
+     "",
+     "重点"
+    ],
+    [
+     "lt",
+     "日常"
+    ],
+    [
+     "dash",
+     "听医生"
+    ]
+   ]
+  },
+  {
+   "type": "doc",
+   "title": "这些情况马上找医生",
+   "en": "SEE A DOCTOR",
+   "key": "伤口越来越疼不正常。",
+   "tint": true,
+   "b": "产后伤口出现这些，及时就医",
+   "s": "别硬扛，早处理恢复更好。",
+   "tags": [
+    "越来越疼",
+    "红肿流脓",
+    "伤口裂开",
+    "发烧",
+    "大便控制不住",
+    "排气控制不住",
+    "恶露有臭味"
+   ]
+  }
+ ],
+ "tools": {
+  "title": "用得上的工具",
+  "items": [
+   {
+    "id": "yunqitizhong",
+    "why": "体重长得合适，宝宝不容易过大",
+    "btn": "去记"
+   },
+   {
+    "id": "daichanqingdan",
+    "why": "产褥垫、冲洗瓶提前备好",
+    "btn": "去备"
+   }
+  ]
+ },
+ "sources": [
+  "中华医学会妇产科学分会产科学组《正常分娩指南（2020）》：不推荐常规会阴切开，应在有指征时实施（限制性会阴切开）",
+  "人民卫生出版社《妇产科学》（第 9 版）：会阴裂伤分为四度；会阴切开指征包括会阴过紧或胎儿过大估计裂伤不可避免、母儿有病理情况需结束分娩等",
+  "Cochrane 系统评价（国外）：孕 35 周起产前会阴按摩可降低初产妇会阴切开及需缝合的会阴损伤；第二产程会阴热敷可降低三四度裂伤",
+  "WHO（世界卫生组织，国外）《产时保健建议：积极的分娩体验》（2018）：不推荐常规或随意使用会阴切开术"
+ ],
+ "heroAlt": "孕晚期妈妈在瑜伽垫上练习呼吸，助产士在旁边温柔指导",
+ "color": [
+  "#109C9C",
+  "16,156,156",
+  "#E5F6F6"
+ ]
+};</script>
+<script src="../_shared/tools.js"></script>
+<script src="../_shared/article.js?v=26110126"></script>
+</body>
+</html>