Ukubeletha kungabi nakanjani, ngakho-ke kubalulekile ukuthatha indlela enomthwalo wemfanelo yokukhetha udokotela ongayethemba.
Isimo esivamile uma kwenzeka ngesikhathi sokubeletha kuyadingeka ukuba wenze isinqumo mayelana nokwenza i-episiotomy.
I-episiotomy - iyini?
I-episiotomy ayiyona into engaphezu kokungenelela kokuhlinzekwa kwindlela yokuzalwa yemvelo, okungukuthi, i-perineal incision, eyenziwa ngokuqonda kwesigqila-gynecologist. Ukuzalwa nge-episiotomy kuvame ukwanele, izinkomba zazo zingaba:
- isongo esikhulu sokukhwabanisa i-perineum;
- isethulo sangasese somntwana;
- i-crotch okuthiwa "phezulu," uma ibanga eliphakathi kokungena kwesiswini ne-anus lingama-7-8 cm noma ngaphezulu;
- ukwehla esikhathini sokuzalwa kwesibili, i-bleeding, ukwanda kwengcindezi yegazi, i-hypoxia yentombazane, umsebenzi obuthakathaka;
- ukulethwa ngaphambi kwesikhathi;
- isidingo sokusebenzisa i-forceps noma i-extractor yocingo.
Ngokuya endleleni yokwenza i-episiotomy, i-episiotomy ne-perineotomy ziyahlukahluka. Esikhathini sokuqala, i-episiotomy yi-incine perineal ehlangothini nge-angi-45 degrees. Esikhathini sesibili - ukuchotshozwa kwenziwa emgqeni ophakathi kusuka kwesiswini kuya ku-anus. Ukubuyiselwa ngemuva kwe-episiotomy kudlula nakakhulu, ngokubuhlungu kakhulu, izikhukhula ziphulukisa kancane kancane, kodwa lokhu kuhlanganiswa kuphephile, njengoba i-perineotomy ingabangela ukuphuka kwe-perineum kuze kube yingozi komonakalo. Iyiphi indlela ekhethwa udokotela okhethiwe, oholwa yisimo kanye nezici zomuntu ngamunye wesifazane ohamba phambili kanye nesisu.
I-episiotomy kanjani?
Iqoqo lezinkomba ze-episiotomy selivele selicacile kithi. Uma isimo siqala njengento ebalulekile, akunakwenzeka ukugwema i-episiotomy. Abesifazane abaningi banesithakazelo ngokushesha kulo mbuzo, kodwa kuba kubi ukwenza i-episiotomy? Iphuzu liwukuthi ukukhwabaniswa kwenziwa ngenye yemizamo, lapho izicubu zithinteka ngokwanele, futhi cishe akukho ukusakazwa kuzo, kukhona ukulahlekelwa ubuhlungu obuzwelayo. Ngakho-ke, i-episiotomy inqubo yokubeletha - ayilimazi nhlobo. Ezinye izinto zisesikhathini sokuhamba kwesikhathi. Phakathi nokusetshenziswa kokugxila, owesifazane angase azwe ubuhlungu obunzima, ngakho-ke ngaphambi kokuba kubuyiselwe umonakalo, i-anesthesia yendawo kufanele ifakwe.
Imiphumela ye-episiotomy
I-episiotomy, yebo, kungenzeka futhi kudingekile kwezinye izimo, kodwa nokho kunezimo eziningana ezimbi kumfazi osebenzayo:
- owesifazane ngemuva kwe-episiotomy udinga ukunakekelwa okukhethekile;
- ezinsukwini zokuqala umcibisholo we-episiotomy ungahlakazeka;
- ukuhlala emva kwe-episiotomy kuvunyelwe ngokuphelele cishe amasonto amabili, noma ngaphezulu;
- ukuzwa njalo ubuhlungu ku-crotch;
- ukuvutha ukuchama;
- ezimweni ezingathandeki kakhulu, ukungahambisani kwamagciwane, ukuhluleka kwemisipha, ukwephulwa komzimba nokwehla kwesitho sobulili kungase kwenzeke;
- kungenzeka ukuthi i-edema, ukutheleleka kwesilonda akukhishwa;
- ukushaywa ngemva kwe-episiotomy kungaletha ukungathandeki uma ubuya ubuhlobo obuseduze.
I-episiotomy - ukwelashwa
Ukuze ugweme imiphumela emva kwe-episiotomy ngangokunokwenzeka, kubalulekile ukulandela ngokucophelela izincomo zodokotela mayelana nokuphulukiswa okusheshayo kwamalungu, okungukuthi:
- njalo ngangokunokwenzeka ukushintsha i-gasket;
- ukugeza i-perineum ngemva kokuvakashela endlini yangasese;
- yenza amabhati okugeza;
- ukuqaphela ukudla ukugwema ukuqotshwa;
- hamba okuningi ukuze uthuthukise ukujikeleza kwegazi kule ndawo;
- ukuphatha amalunga kabili ngosuku.
Ukubelethwa kwesibili emva kwe-episiotomy akuyona ukuphindaphinda kokuqala. Uma uthatha izinyathelo ezifanele ukugwema i-episiotomy, kungenzeka ukuthi ubelethe ngokwemvelo ngaphandle kokungenelela kokuhlinzwa. Into eyinhloko ukunakekela ukuqina kwezicubu kule ndawo kusengaphambili ngosizo lokuzivocavoca okukhethekile nokusikhipha ngamafutha ahlukahlukene.