Ngesikhathi sokubeletha, umlomo wesibeletho ubaluleke kakhulu. Kusuka ekudaluleni kwayo kuxhomeke ekuhambeni kwenqubo yonke. Ezimweni eziningi, ukuhlukana komlomo ngesikhathi sokubeletha kwenzeka uma engenayo isikhathi sokuvula ngokugcwele, futhi ingane isivele ivele ivele.
Izimbangela zokuphuka komlomo wesibeletho
Izinyembezi zomlomo wesibeletho zivame ukwenzeka ngokuzenzekelayo uma:
- izinguquko zesicacisi emva kokuhlinzwa;
- ukuvuvukala okungapheli;
- ukubeletha kokuqala kokubeletha;
- ukukhululeka komlomo wesibeletho;
- isikhathi eside esiyindilinga sokubeletha;
- i-fetus enkulu;
- ikhanda elikhulu kakhulu;
- isikhumba esincane;
- Ukubekwa okungalungile kwe-fetus esibelethweni.
Ukuphuka komlomo wesibeletho kungatholakala nangendlela enobudlova, lapho odokotela kudingeka bathathe umntwana ngezandla zabo. Lokhu kwenzeka kuphela ezimweni eziphuthumayo.
Izinhlobo zokuphulwa komlomo wesibeletho
I-pathological ibhekwa njengalezi zikhala ezinokude okungaphezu kwe-1 cm. Ngokuya kokujula kokuphuka, zihlukaniswe zibe ama-degree amathathu:
- ukuqhuma komlomo wesibeletho se-1 degree - ngakwesinye noma kwesigamu kuya ku-2 cm;
- ukuphuka komlomo wesibeletho sezinga lesibili - okungaphezu kwe-2 cm, ukungena emgqeni;
- ukuphuka komlomo wesibeletho ama-degree amathathu - okujulile, ukufinyelela e-arch noma ngisho nokuyidlulisela.
Ngezinye izikhathi, ukubeletha komlomo wesibeletho ngesikhathi sokubeletha kuya ezigodini zangasese noma usakaze emgodleni wangaphakathi wesibeletho. Ezimweni ezinjalo, isimo siyinkimbinkimbi nge-hemorrhage enkulu.
Imiphumela yokuphulwa komlomo wesibeletho
Okokuqala, imiphumela yalesi sifo se-postpartum ixhomeke ezingeni lokunakekelwa okuhlinzekwayo kanye nokuyinkimbinkimbi kwegebe. Ukutholakala kwezikhala kulula. Emakhaya okubeletha ngemuva kokubeletha, wonke owesifazane uhlolwe, i-pathologies ye-postpartum iyatholakala kalula ngokuhlolwa ngezibuko ezikhethekile. Ukwelapha ukwelashwa kwesibeletho kusetshenziswe i-sutures kedgood, eyaziqeda ezinyangeni ezimbili.
Uma amalunga engehlezi kahle noma uma kukhona ukuphuka okungahlosiwe, lona wesifazane
- ukuvuvukala okukhulu kungenzeka;
- ukukhulelwa emva kokuphuka komlomo wesibeletho okungalungile kungasengozini;
- Ingcindezi eyingozi kunazo zonke ukuguqulwa komlomo wesibeletho, okubangela izifo ezingokwemvelo.
Ukuvimbela
Ukuze unike izinyembezi zomlomo wesibeletho, kudingeka ulandele zonke izincomo zezidakamizwa nodokotela ngesikhathi sokubeletha. Ngaphandle komunye umuntu kufanele aqale ukwenza imizamo ekuvuleni okuncane komphimbo. Ukuqeqeshwa okuhle kwemisipha ye-perineum, okwandisa ukuqina kwawo ngisho nangesikhathi sokubeletha umntwana, ukusebenza kwamaKegel umzimba.