Wonke owesifazane owasinda ekubelethweni akanalo izinkumbulo ezinhle kakhulu emva kwalolu hlelo. Ukubuyiselwa futhi akuletha injabulo enkulu, ikakhulukazi uma owesifazane obelethwe eshiye ukugxila ngemuva kwe- episiotomy . Lokhu kutholakala ngokusika indandatho yesisu ngesikhathi sokubeletha. Odokotela "basiza" ingane ukuba ifike emhlabeni ngokushesha kunokuba ikwazi ukuyenza yedwa. Kunezizathu eziningi zezenzo ezinjalo zodokotela, kodwa okubaluleke kakhulu kuzo:
- usongo lokuphuka ngesikhathi sokubeletha ingane enkulu;
- amantombazane anterior anterior;
- Ukubekwa okungalungile kwekhanda kukhanda;
- i-gestosis yengxenye yesibili yokukhulelwa;
- ukuphuma kwegazi kanye nomsebenzi omnene;
- izifo ezithile zezitho zangaphakathi;
- ukuzalwa ngaphambi kwesikhathi .
I-episiotomy inhle noma imbi?
Odokotela banamuhla bavame ukusebenzisa izindlela zokuhlinza ukulethwa ukuze kulungiswe futhi kuphuthumise le nqubo. Kodwa kudingekile ukwazi ukuthi emva kwe-episiotomy, ukunakekelwa ngokucophelela kwe-sutures kuyadingeka, ngoba ukuphuma kwesilonda kanye nesiswini kuqala. Ngakho-ke, kufanelekile ukugeza izigqoko ngamanzi afudumele, nokuthi yini okufanele uyiphathe ngemuva kwe-episiotomy udokotela kufanele athi, kodwa ngokuvamile i-antiseptics elula (iodine noma i-zelenka). Gcoba amalunga okungenani kabili ngelanga nge-swab oyinyumba, ukuze ungagciwane ukutheleleka futhi uvimbele ukuphindaphinda kwamabhaktheriya e-pathogenic. Akunakwenzeka ukusho ukuthi umcibisholo we-episiotomy ukwelashwa isikhathi eside kangakanani, akunakwenzeka, kwabanye besifazane amanxeba aphuze isikhathi esisodwa kuya kwamasonto amabili, kuyilapho abanye le nqubo ingahlala izinyanga ezimbalwa. Okufanayo nangombuzo wokuthi ingakanani i-suture ebuhlungu ngemva kwe-episiotomy - ngokuvamile ukukhathazeka nokuqeda amandla endaweni yesikhumba kubonakala isikhathi esithile ngemuva kokuphulukiswa okuphelele kwe-sutures.
Kodwa kunoma yikuphi, i-episiotomy iholela emiphumeleni embi kakhulu, njengobunzima nokungahambi kahle uma uhamba, uvutha ukuchama, ubuhlungu ngesikhathi sokulala ngokocansi. Ngokuvamile, kusuka ocansini kungcono ukugwema kuze kube yilapho isilonda siphulukiswa ngokuphelele, ngoba kuvame ukuthi kwenzeka ukuthi laba besifazane babesebenza ngemuva kwe-episiotomy.
Uma uphinde usule ukuchotshozwa, ubuhlungu buyoqina nakakhulu, ngaphandle kwalokho, kuyodingeka ugcine zonke lezi zihluthulelo. Ngakho ngaphambi kokuthi "ujabulise" umyeni wakho, cabanga ngokucophelela ukuthi yini ezoba ngcono kuwe: ukuzwa ubuhlungu ngesikhathi socansi futhi uphinde uye kudokotela ukuze akuthume, noma ukuhlupheka kancane futhi uthole ngcono maduzane.
Ngingahlala nini emva kwe-episiotomy?
Ukubuyiselwa emva kwe-episiotomy kwenzeka maduzane, isikhathi esincane sokuphulukiswa kwesilonda ngamasonto amabili. Phakathi nalesi sikhathi kungcono ukuthi ungahlali phansi, kodwa uma ungase uhlale ngemuva kwe-episiotomy, udokotela wakho uzothatha isinqumo uma uhlolile amanxeba. Ukuvinjelwa kokuhlala akukhona nje kuphela: kuvame ukuthi kwenzeke ukuthi abesifazane abahlala phansi ngokushesha ngemuva kokuzalwa, lapho bebuyela ewadi, embhedeni, bahlangana ngokushesha. Lena umuzwa ongajabulisi kakhulu, ngakho-ke udinga ukuziqaphela.
Ungacabangi ngalokho okubonakala khona umthunzi ngemuva kwe-episiotomy. Odokotela banamuhla benza konke ngokucophelela futhi, uma ulandela imithetho yokuzilungisa, ngeke kube nomkhondo oshiywe kusayithi le-cut. Ezimweni eziningi, ukwenza lula impilo yamasimini amasha asevele amatasa, ama-sutures asetshenziselwa izintambo zemvelo eziziqeda ngenyanga, ngakho-ke abesifazane akudingeki basuse i-sutures ngemuva kwe-episiotomy.
Ngemuva kwe-episiotomy
Kwabesifazane abathile kwenzeka ukuthi umcibisholo ngemuva kwe-episiotomy usuke uvutha futhi ngenxa yalokho usakaze. Uqala ukuphaphaza - kulokhu, ukukhishwa kumele kuvuselelwe, kodwa akubona wonke umuntu ovumelana nalokhu, ngakho-ke banquma ngokushesha nge-plastiki yangaphandle, futhi ngesikhathi esifanayo, izitho zangasese zangaphakathi. Futhi, ipulasitiki iboniswa kulabo besifazane abanobucayi babo abazange baphatheke, bahlambalaza futhi banethonya kakhulu ekubukeni kwezitho zangasese kanye nekhwalithi yokuphila ngokocansi.