Njengoba wazi, ngesikhathi sokubeletha umsele wokubeletha wesifazane okhulelwe ukwandisa futhi welula, okuvame ukuholela ekuhlukunyezweni kwabo. Ezimweni eziningi, ukulimala okunjalo akubalulekile, okungenakusho ngabesifazane besifazane.
Kuzo ngesikhathi sokubeletha kukhona ukulimala okuhlukahlukene, okuyinto ngokuyinhloko ehlotshaniswa nezicubu zomzimba. Ukuphelele kwazo zonke ukulimala nokulimala okwenzeka ngesikhathi sokuzalwa ngenxa yezenzo zesithakazelo kubizwa ngokuthi ukuhlukunyezwa kwe-obstetric.
Izici
Inkinga yokuhlukunyezwa kwengane nomntwana isifo esivame kakhulu. Yingakho kuhlanganiswe iminyaka engaphezu kweyishumi manje. Naphezu kokuthi inqubo yokwenza inqubo yokuzalwa ibhekene nokuthuthukiswa okuqhubekayo, imvamisa yokulimala kwe-obstetric ingumyalelo we-10-39% wezinombolo zokuzalwa. Ngokuvamile, imiphumela emibi yesikhathi eside yethonya elinamandla kokubili imisebenzi yokuzala nokucansi yomzimba wesifazane.
Ukuhlukaniswa
Ngokwezigaba ezihlongozwa yi-WHO, ukuhlukumezeka kwezinkinga kuhlanganisa:
- ukuhlukunyezwa kwe-perineum nezindonga zangasese;
- ukuhlukumezeka kwemivamisa ye-varicose ye-vulva ne-vagin ngokwehlukana;
- i-hematoma yezobulili zangasese nezangaphandle;
- uterine rupture;
- ukulimala kwamathambo kanye nokukhuluma kwamathambo;
- i-eversion yesisu.
Ngaphezu kwalokho, noma yikuphi ukuhlukunyezwa kokubeletha okuhlukile kuye:
- evela ngesikhathi sokubeletha okuqhubekayo okuqhubekayo;
- ukuzenzekelayo;
- inselele (ukuhlukaniswa kuxoxwe ngenhla).
Ngokwehlukana, ukulimala kwe-fetet obstetric kubonakala. Isibonelo ukuhlukaniswa kwamalungu, okuvame ukubonwa ngokulethwa okusheshayo .
Ukuvimbela
Namuhla, ukuvimbela ukuhlukunyezwa kwe-obstetric kunikelwa kakhulu. Ukuze kunciphise amathuba okulimala, ababelethisi baqhuba izifundo ezihlose ekuthuthukiseni izinga lobuchwepheshe. Ngaphezu kwalokho, umthwalo omkhulu walokho okubangelwa ukuhlukunyezwa kokubeletha ulala ngowesifazane ohamba phambili. Yingakho, ngamunye ngaphambi kokubeletha, ingxoxo iqhutshwa ngendlela yokuziphatha ngesikhathi sokuzalwa nendlela yokuphoqa kwesokudla.
Eyinkimbinkimbi, lezi zinyathelo zinciphisa amathuba okuhlukunyezwa kokubeletha . Ngakho-ke, ukukhishwa okuphelele kokulimala kwe-obstetric kusuka kumkhuba wezokwelapha wezokwelapha kuphela indaba yesikhathi esizayo esiseduze.