Ukubeleka kungenakwenzeka, ngoko kubalulekile ukuthatha indlela efanelekileyo yokukhetha ugqirha onokumthemba.
Iimeko eziqhelekileyo kukuba xa kuqhutywa ukunikezelwa kufuneka kwenziwe isigqibo malunga nokuqhuba i-episiotomy.
Episiotomy - yintoni na?
I-episiotomy ayikho into engenelelo lokungenelela kwinkqubo yemvelo yokunikezelwa, oko kukuthi, ukuchithwa kwe-perineal, eyenziwa ngokwengqiqo ye-obstetrician-gynecologist. Ukuzalwa kunye ne-episiotomy kudla ngokwaneleyo, izibonakaliso zazo zingaba:
- ingongoma enkulu yokubetha ngokukhawuleza i-perineum;
- intetho yomntwana;
- i-crotch ebizwa ngokuthi "phezulu", xa umgama phakathi komnyango wesini kunye ne-anus u-7-8 cm okanye ngaphezulu;
- ukuhla kwexesha lesibini lokuzalwa, i-viz. ukuphuma kwegazi, ukwanda kwengcinezelo yegazi, i-hypoxia ye-fetal, umsebenzi obuthathaka;
- ukuhanjiswa kwangethuba;
- isidingo sokusebenzisa i-forceps okanye i-extractor.
Ngokuxhomekeke kwindlela yokwenza i-episiotomy, i-episiotomy kunye ne-perineotomy ziyahlukahlukana. Kwimeko yokuqala, i-episiotomy yi-incine incision kwicala kwicala lama-45 degrees. Okwesibini - ukukhankanywa kwenziwa kwinqanaba eliphakathi ukusuka kwisini ukuya kwi-anus. Ukubuyiselwa emva kokuba i-episiotomy idlula ngakumbi, ngokubuhlungu, i-seams iyaphilisa kancinci, kodwa oku kubakho okukhuselekileyo, njengokuba i-perineotomy ingabangela ukuphuka kwe-perineum kumonakalo kwi-rectum. Yiyiphi indlela ekhethwa ngugqirha okhethiweyo, okhokelwa yimeko kunye neempawu ezizimeleyo zowesifazane ongumfazi kunye nomntwana.
I-episiotomy?
Isethi yamanqaku e-episiotomy sele esicacile kuthi. Ukuba imeko iya kubaluleka, ke akunakwenzeka ukuphepha i-episiotomy. Abafazi abaninzi banomdla ngokukhawuleza kulo mbuzo, kodwa ngaba kubuhlungu ukwenza i-episiotomy? Ingongoma yinto yokuba isenzo senziwa ngexesha linye lemizamo, xa izicubu zinelisekile, kwaye akukho nto ihamba ngayo kubo, kukho ukulahleka kwentlungu. Ngoko ke, i-episiotomy kwinkqubo yokubeletha - ayibuhlungu nakanye. Ezinye izinto zisesithuba sokugqibela. Ngexesha lokusetyenziswa kwezibonda, ibhinqa linokuva ubunzima obukhulu, ngoko ngaphambi kokuba umonakalo ubuyiselwe, i-anesthesia yendawo kufuneka ifakwe.
Iziphumo ze-episiotomy
I-episiotomy, eqinisweni, inokuthi kwaye kuyimfuneko kwezinye iimeko, kodwa kunjalo inemiphumo embi yowesifazane osemsebenzini:
- ibhinqa emva kwe-episiotomy idinga ukunakekelwa okhethekileyo;
- Kwiintsuku zokuqala umthunzi ovela kwi-episiotomy unokusasazeka;
- ukuhlala emva kwe-episiotomy inqatshelwe ngokukodwa malunga neveki ezimbini okanye ngaphezulu;
- ukuvakalelwa rhoqo kwintlungu kwi-crotch;
- ukutshisa ngokucoca;
- kwiimeko ezingathandekiyo, ukungabikho kwamanzi okungcola, ukungaphumeleli kwemisipha, ukungaphumeleli kunye nokuguqulwa kwamalungu omzimba;
- ukuba kungenzeka ukuba i-edema, ukusuleleka kwilonda akukhangeli;
- inqabunga emva kwe-episiotomy inokuphazamisa xa ubuya ubuhlobo obusondeleyo.
Episiotomy - unyango
Ukuze kuphephe imiphumo emva kwe-episiotomy ngokusemandleni akho, kuyimfuneko ukulandela ngokucokisekileyo iingcebiso zogqirha malunga nokuphulukiswa ngokukhawuleza kwamalungu, oko kukuthi:
- rhoqo kangangoko kunokwenzeka ukutshintsha i-gasket;
- ukuhlamba i-perineum emva kokutyelela kwindlu yangasese;
- ukuhlamba umoya;
- iliso lokutya ukuphepha ukuzitywa;
- ukuhamba ngakumbi ukuphucula ukujikeleza kwegazi kule ndawo;
- ukuphatha amacandelo kabini ngosuku.
Ukuzalwa okwesibini emva kwe-episiotomy akukona ukuphindaphinda kokuqala. Ukuba uthatha amanyathelo okukhawuleza ukukhusela i-episiotomy, kunokwenzeka ukuba uzalwe ngokwemvelo ngaphandle kokungenelela. Into ephambili kukunyamekela ukunyaniseka kwezicubu kule ndawo kwangaphambili ngoncedo lwezandla ezizodwa kunye nokusikwayo ngokusebenzisa amafutha amaninzi.