Episiotomy. Isalathisi emva kwe-episiotomy: inkcazo, ukubonakala nokunyango

Ukuzalwa komntwana ngummangaliso. Umama ozayo uza kulungiselela ngokubonakala kwintsana. Kodwa ngexesha lomsebenzi kukho imeko engalindelekanga, xa, mhlawumbi, i-episiotomy iyadingeka. Ukutshitshiswa emva kwe-episiotomy kuyinkxalabo ethile kubafazi abakhulelweyo. Makhe sithethe ngalokhu ngokubanzi.

Yintoni na?

I-Episiotomy yinto encinci ye-perineum, enikwa umfazi osebenzayo ngexesha lokuxoshwa komntwana. Ngokuqhelekileyo, i-anesthetic yendawo ilawulwa phambi kwalo mama olindelekileyo, kodwa ngamanye amaxesha alikho ithuba loku, kwaye abanalo i-anesthesia.

Lo msebenzi uvimbela ikhefu ngokukhawuleza, uncedise umntwana ukuba adlule kwi-canal yokuzalwa.

Ngubani ofuna i-episiotomy

Ngubani oboniswe i-episiotomy? I-Sutures emva kwe-episiotomy ixesha elide philisa. Yilungile njani le nkqubo? Izicubu zesisu zixakeke kakhulu. Uhlobo luyalele ukuba ibhinqa lizalise ngokwemvelo ngaphandle kweengxaki. Kodwa kukho izizathu ezizodwa zezizathu ezibalulekileyo zokuthi i-episiotomy iyimfuneko:

• Umntwana unethuba lokusasaza, oko kukuthi, uya phambili kunye nemilenze yakhe okanye imilenze;
• Kubalulekile ukukhawuleza ukuzalwa, kuba umntwana unesifo se-hypoxia - ukungabi naso komoya;
• Kukho umngcipheko wokuphuka kwe-perineum ukuba izicubu zingenangqondo.

Ngelishwa, ngeli xesha le ntsebenzo isetyenziselwa ukusasaza, kwaye yenziwa phantse yonke intokazi yesibini ekusebenzeni. Kulula ukuba ugqirha ukuba anqumle kunokuqulunqa ezinye iindlela zokuhambisa. Ukuba kunokwenzeka, kungcono ukufumana kwangaphambili ugqirha onokungqina kwaye onamava ongeke avumele ukungenelela ngophengululo. Kwaye ke, imvakalelo yesiphumo esiyimpumelelo ibalulekile.

Iimpawu kunye neengxaki ze-episiotomy

Ngokuqhelekileyo ukubeleka ibhinqa esele ibudeni bexesha lomsebenzi ibeka phambi kweyona mfuneko yokunqunyulwa, eveliswa ngoncedo lwekhisi ezikhethekileyo. Oku, ekubonweni kokuqala, inkqubo enyantyileko inamathuba amaninzi:

• Isigaba sesibini sezabasebenzi siphuthuma;
• Umntwana uzalelwa ngaphandle kokulimala, le nkqubo ikhuselekile kuye;
• Ngoxinzelelo, amandla angaphantsi kakhulu aya kumama ozayo.

Iingxaki zilandelayo:

• Suturing Painful;
• Ukungakwazi ukuhlala ixesha elide;
• Unokulimaza i-rectum;
• Ukufumana ixesha elide emva kokubeletha.

Nangona uninzi lweqhinga, ufanele uthembele oogqirha. Kwaye ukuba inhlalakahle, impilo okanye nokuba nobomi bengumntwana usengozini, kungcono ukuvumelana nenkqubo enjalo njenge-episiotomy. Ukutshitshiswa emva kwe-episiotomy kunokugula ixesha kunye nokukhuphazeka. Indlela yokunyamekela ngayo, unokufumana phantsi.

Ngaba kunokwenzeka ukuphepha i-episiotomy?

Olu kungenelelo lokukhusela lunokuphetshwa. Kuye kwangexesha elide libonakaliswe ukuba ukubeleka kwangaphambi kwexesha kudla ngokuphela kwama-multiple discontinuities. Kuya kubonakala ukuba oku kuphazamiseka, kuba intloko yaloo mntwana, ngokuqinisekileyo, ingaphantsi. Kodwa, kuvela, iiveki ezimbalwa ngaphambi kokuba kuzalwe, umzimba uvuselela i-hormone ezandisa ukwanda kwebhinqa. Ngoko ke, kufuneka uzame ukuzisa umntwana ngaphambi komhla wokugqibela.

Ukongezelela, unokukwazi ukuzimela ngokuzimeleyo i-perineum yokubeletha. Kungcono ukuqala kwangaphambili. Oogqirha bacebisa ukuba baphile impilo enempilo ngexesha lokukhulelwa, kungekhona ukudla ngokutya kunye nokubukela ubunzima. Kukulungele ukutyelela i-pool okanye i-yoga ngabafazi abakhulelweyo, ukuba umgqirha-gynecologist akachasene nalo kwaye akukho nto ingqinelanayo kwimeko nganye.

Ngenyanga enye ngaphambi kokuba uzalwe, kufuneka uqale ukwenza i-massage enobudlelwane kunye neoli ekhethekileyo. Ukuba kwakungenakwenzeka ukuthenga, ungasebenzisa i-sunflower, i-almond, i-olive or sea-buckthorn. Indlela ukuxiliswa ngayo okuqhelekileyo kuboniswe ngokubanzi kwizifundo zabasetyhini abakhulelweyo, ngoko akufanele bahoywa. Le nkqubo mayiyenze yonke imihla. Ukwaziwa kakhulu ngeKegel izokuncedisa i-perineum ukuba ithole ukunyaniseka kwaye ibuyele kwinto evamile emva kokubeletha. Kwimeko nayiphi na into, ukuba kwenzeka ukuba ugqirha wayenqunywe, ungakhathazeki.

Zingaphi iisamu eziphilisa emva kwe-episiotomy?

Ukuba ubungqina bubonakala ngexesha lokunikezelwa, ugqirha uya kunqumla ngokukhawuleza ukukhangela. Ukuziqhelanisa kubonisa ukuba ngokuqhelekileyo kwicala lasekunene. Izitambo ziphakanyiswe ngetambo eziguqula, okanye ngabo bafuna ukususwa ngosuku lwesihlanu. Okokukhethayo - ugqirha ugqiba.

Kwiiveki ezintathu zokuqala awukwazi ukuhlala, ngaphandle koko umngcipheko wokungafani kwe-sutures unokwenzeka. Kukho ukuvalwa kwemisebenzi yesondo kwiiveki ezi-5-6. Ngokuqhelekileyo ngeli xesha le mizuzu iphilisa. Ukugqiba ukuhlaziywa kwesini kubonakala emva kweenyanga ezi-6-9 emva kokubeleka, kodwa kuphela xa ukunyamekela okufanelekileyo kwe-perineum kuthathwa ingqalelo.

Ukunyamekela i-perineum emva kokubeleka

Yintoni ibukeka ngayo nje emva kwe-episiotomy? Emva kokubeleka, ibhinqa liyakwazi ukufumana izikrakra ezinkulu. Ukuba uzama ukuzibona usebenzisa isibuko, ngoko umboniso awuyi kuba yintliziyo ephazamisayo. Oku kuqhelekileyo. Ukuba ulandela iziphakamiso zogqirha, emva kweveki ezimbini ukuvuvukala kuya kuphelisa, kwaye emva kweenyanga zinyanga ezintandathu, akuyi kubakho mkhondo.

Iinqununu eziphambili zokunyamekelwa kweemigodi:

• Musa ukuhlala kumgangatho weeveki ezingama-2-3;
• Phantse iinyanga ezi-2 musa ukuphakamisa into enzima kunomntwana;
• Gcina i-crotch ehlambulukileyo, utshintshe iipads rhoqo kangangoko kunokwenzeka, hlamba emva kokuhambela kwindlu yangasese;
• Ukucwangcisa iisisi kunye nesisombululo se-furacilin okanye i-zelenka;
• 3-4 izihlandlo ngosuku ukunika izibilini "ukuphefumula", kufana neengubo zangaphantsi;
• Ukutya ukutya okuvuselela isenzo sokuxhatshazwa, ukwenzela ukuba isitulo sihlale sihleli kwaye izibonda zingagcini;
• Ukuphumla ngokwesondo ngeeveki ezingama-6-8;
• Yenza umsebenzi wamaKegel;
• Phuza amanzi amaninzi.

Into engathandekiyo kaninzi kunina oomama ukungabikho kwamathuba okuhlala. Ukutya umntwana omiyo okanye olala ngokungahambi kakuhle. Kodwa impilo yeemvuthu ibaluleke kakhulu, ngoko unokulinda iiveki ezimbalwa. Ukuba iimpazamo zenziwe kwiinkonzo zokunyamekela, ingozi yokuxakeka ingxaki.

Iingxaki emva kwe-episiotomy

Njengeyiphi enye ingenelelo yokuphaphaza, i-episiotomy inokuba neengxaki. Yintoni enokuyenza xa umthunzi uphula emva kwe-episiotomy, kwaye zeziphi izizathu ezi zinto? Oku kunokwenzeka ukuba ibhinqa liphakamisa izisindo, umzekelo, ithwele umqhubi kunye nomntwana kwizitepsi, okanye uhlale ngaphambi kwexesha. Ngokukhawuleza ukuba kubonakale iimpawu zokuqala zokuqhawuka, umzekelo, i-suture emva kwe-episiotomy, ngoko kuyimfuneko ukuba nxamnye nxamnye nogqirha. Unokudinga i-suturing yesibini.

Isondo emva kwe-episiotomy

Kwimeko nayiphi na, emva kokubeleka, kuyimfuneko ukuyeka ukulala ngesondo kwiiveki ezingama-6. Emva kolu xeshanye udinga ukutyelela i-gynecologist. Ukuba ama-sutures alungile kwaye ugqirha unikela kakuhle, ngoko unokukhumbula ngokuphila kwakhe obusondeleyo.

Uninzi lwabasetyhini abaye bafumana i-episiotomy bayavuma ukuba baqala ukuloyika kunye nentlungu ngexesha lesini. Ngokuhamba kwexesha, ukuphazamiseka kuya kuhamba. Ngethuba lokuqala kungcono ukusebenzisa i-gel-grease kwaye unike ixesha elingakumbi kwi- caresses yokuqala. Kufanelekile ukuzama ukuzibuza, ukukhetha okulungileyo. Ukuba intlungu ayikwazi ukunyamezela, ngoko ke kufunekakile ukuyeka nokuzama emva kweentsuku ezimbalwa. Ukuba intlungu iqhubeka iinyanga eziliqela kwaye idonsa umsila emva kwe-episiotomy, kufuneka udibane nogqirha ngcebiso.

Ngaba ndiyakwazi ukuzala emva kwe-episiotomy?

Abasetyhini abaye bafumana lo msebenzi wokuhlinzwa basebenza ngokuxhalaba ukuba ngaba abantwana abaza kuzalwa banokwenzeka? Ngethamsanqa, akukho nto evinjelwe kulo. Kumele kuthathelwe ingqalelo ukuba i-episiotomy ifunekayo okwesibini. Ukutsalana emva kwe-episiotomy ayinakululwa. Ngoko ke ababelekazi ukwenzela ukuba bagweme ukuphuka komthunzi omdala, benze ukuchaneka okutsha.

Ngesiqingatha seemeko, ukuzalwa kweyesibini kunye nokuza kulandela ngaphandle kokungenelela. Kufuneka ukuba uhlalutye kwisiphumo esihle sabasebenzi kwaye uzilungiselele ngokucophelela. Ukuzala abantwana kuyimfuneko, nangona ukwesaba okubangela ukuba i-episiotomy. Isalathisi emva kwe-episiotomy - oku ku ncinane kakhulu xa kuthelekiswa nolonwabo olunikezwa ngabantwana!