I-episiotomy - imiphumela

I-Episiotomy iyindlela yokuhlinzwa, eyenziwa ngesikhathi sokusebenza ngemuva kokubeletha. Ingqikithi yayo ihlanganisa ukusika i-perineum nokugqugquzela inqubekelaphambili yengane ngendlela ejwayelekile. Ngeshwa, odokotela akenzi njalo ukwenza le nqubo ngendlela efanele, futhi bavame ukufaka isicelo sokusheshisa inqubo yokulethwa kwezidingo . I-episiotomy ayiyona inqubo engenabungozi nhlobo futhi ingaba nemiphumela emibi, uma ungahambisani nemithetho ethile yokuzilungisa.

Ungayinakekela kanjani isilonda ngemuva kwe-episiotomy?

1. Esinye sezimo ezibaluleke kakhulu zokuphulukisa okuphumelelayo kwesilonda se-episiotomy ukuhambisana nemithetho ye-asepsis. Okokuqala, ukukhishwa ngokwayo kufanele kwenziwe ngaphansi kwezimo ezingenamthetho. Okwesibili, ukunakekelwa okufanele kwe-sutures esikhathini sokuhamba kwesikhathi kubalulekile. Kudingekile ukuthi usebenze ngokuhlanzekile kwamajoyina emva kokuvakashelwa endlini yangasese (lokhu ungasebenzisa i-decoction ye-marigold ne-chamomile), njalo uguqule ama-gaskets, futhi uphathe amajoyina nge-antiseptic (isixazululo se-iodine noma i-diamond green) kabili ngosuku.
2. Isimo sesibili ukugcinwa kokudla okuthile, okungafaki ufulawa, i-pasta neminye imikhiqizo engabangela ukuqotshwa. Umama osemusha kufanele avame ukungena emathunjini, ngaphandle kokucindezela i-perineum ukuvimbela ukuhlukaniswa kwemisipha.
3. Isimo sesithathu sokuphulukiswa okuhle kungabikho kokugqugquzelwa kwamagatsha. Owesifazane onjalo uyelulekwa ukuba angahlali papa ngamasonto amathathu, ungaphakamisi isisindo, futhi ukondla ingane kuyomelwe ime noma ilele eceleni kwayo. Ngeke kube yinto engafanele ukwenza imisebenzi ye- Kegel ye-perineum, enye yalawo asetshenziselwa ukuzivocavoca kwabesifazane abakhulelwe.

I-episiotomy - izinkinga

Isizathu esivame kakhulu sezinkinga emva kwe-episiotomy ukunganakwa kwemithetho ye-aseptic. Ukuvuvukala kwe-suture ngemuva kwe-episiotomy kubonakala ngobuhlungu, i-edema endaweni yokulimala kanye nokukhishwa kwe-sucritic.

Uma ubuhlungu futhi usika i-suture ngemuva kwe-episiotomy, kufanele ubuye nodokotela ukuze uthole i-hematoma. Ngezinye izikhathi phakathi kwezindonga zesilonda amafomu we-hematoma, angakhula, abangela ubuhlungu endaweni yombono. I-hematoma eyakhiwe ingahle ibonakale futhi iholele ekuhlukeni kwe-sutures, kanti isilonda esinjalo siyophulukisa ngokuphazamiseka kwesibili (isikhathi eside ngokubunjwa kwesibalo). I-fistula ngemuva kwe-episiotomy ingakhiwa uma kube nokuvuvukala kwe-suture noma i-silk ligature engazange isuswe ngokuphelele (enye yayo yahlala esilonda). Ukutholakala kwe-fistula kungahambisana nokuxoshwa okuphuma emulenzeni.

Indlela yokubhekana nezinkinga emva kwe-episiotomy?

Uma umama osemusha ezwa ubuhlungu ezinsukwini ezimbalwa ngemva kokuhlaselwa kwe-episiotomy, kufanele ngokushesha aye kudokotela ukuze athole imbangela futhi athole usizo olufanele ngesikhathi. Uma kwenzeka ukuxoshwa noma ukwakheka kwe-hematoma, izigxobo zisuswe esilweni se-episiotomy, ukwelapha okulwa namagciwane okusebenzayo kwenziwa, ama-ointment aphezulu okuvuvukala asetshenziswa. Uma inqubo yokuvuvukala isiphelile futhi isilonda sihlanzekile futhi somile, lona wesifazane unikezwa ukusebenzisa ama-seams wesibili. Kumele kukhunjulwe ukuthi inqubo yokuphulukisa isilonda esinjalo izokwandiswa isikhathi eside.

Ngakho-ke, i-episiotomy ayilona ukungenelela okulungile, okungaletha izinkinga eziningi kumama osemusha, osevele anele. Indlela engcono kakhulu yokugwema i-episiotomy ekubelethweni kokubeletha ukulungiselela kahle ukubeletha. Kuwo wonke umuntu okhulelwe, owesifazane kufanele aphile ngokuphila okusebenzayo (ukuhamba ngaphandle, ukwenza i-gymnastics kwabesifazane abakhulelwe). Ukondla ngokucophelela kuzokuvumela umama wesikhathi esizayo ukuthi angatholi amakhilogremu angaphezulu futhi angeke akhombise ukuthi izithelo ziyoba mkhulu kakhulu.