I-Episiotomy

I-episiotomy ukuhlinzwa okuncane okwandisa ukuvuleka kwesitho sowesifazane sangasese ngesikhathi sokubeletha. Kusike i-perineum - isikhumba nemisipha phakathi kokuvula kwesitho sangasese sowesifazane kanye nendunu.

Kukhona ezinye izingozi zokuba ne-episiotomy. Ngenxa yezingozi, ama-episiotomi awavamile njengoba ayevame ukwenzeka. Izingozi zifaka:

• Ukusika kungadabula futhi kukhule ngesikhathi sokulethwa. Izinyembezi zingafinyelela emisipheni ezungeze i-rectum, noma ngisho naku-rectum uqobo.
• Kungaba nokulahleka kwegazi okuningi.
• Ukusika kanye nemithungo kungatheleleka.
• Ucansi lungaba buhlungu ezinyangeni ezimbalwa zokuqala ngemuva kokuzalwa.

Ngezinye izikhathi, i-episiotomy ingasiza ngisho nangengozi.

Abesifazane abaningi bathola ukubeletha ngaphandle kokudabula ngokwabo, futhi ngaphandle kokudinga i-episiotomy. Eqinisweni, ucwaningo lwamuva lubonisa ukuthi ukungabi ne-episiotomy kungcono kakhulu kwabesifazane abaningi abasebenzayo.

Ama-episiotomi akaphulukisi kangcono kunezinyembezi. Imvamisa kuthatha isikhathi eside ukuphola ngoba ukusika kuvame ukujula kunezinyembezi zemvelo. Kuzo zombili izimo, ukusika noma ukukhala kufanele kuthungwe futhi kunakekelwe kahle ngemuva kokubeletha. Ngezinye izikhathi, i-episiotomy ingadingeka ukuze kuqinisekiswe umphumela omuhle kakhulu kuwe nasenganeni yakho.

• Ukubeletha kuyayicindezela ingane futhi isigaba esicindezelayo sidinga ukufinyezwa ukunciphisa izinkinga zengane.
• Ikhanda noma amahlombe engane makhulu kakhulu ukuvuleka kukamama kwesitho sangasese sowesifazane.
• Ingane isesimweni esibandayo (izinyawo noma izinqe ziza kuqala) futhi kunenkinga ngesikhathi sokubeletha.
• Kudingeka izinsimbi (i-forceps noma i-vacuum extractor) ukusiza ukukhipha ingane.

Uyaphusha njengoba ikhanda lengane selisondele ekuphumeni, futhi ifomu lezinyembezi libheke endaweni yomchamo.

Ngaphambi nje kokuzalwa kwengane yakho futhi lapho ikhanda selizongena esihlokweni, udokotela noma umbelethisi wakho uzokunika isibhamu ukuze ukhulule leyo ndawo (uma ungakabi nayo i-epidural).

Okulandelayo, kwenziwa imbobo encane (ukusika). Kunezinhlobo ezi-2 zokusikeka: okuphakathi nokuphakathi.

• Ukuqhamuka okuphakathi uhlobo oluvame kakhulu. Ukusikwa okuqondile phakathi nendawo phakathi kwesitho sangasese sowesifazane kanye ne-anus (perineum).
• Ukuqhekeka kokuhlangana kwenziwa nge-engeli. Mancane amathuba okuthi adabule aye endunu, kepha kuthatha isikhathi eside ukuphola kunokusikwa okuphakathi.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobe eseletha ingane ngokuvula okukhulisiwe.

Okulandelayo, umhlinzeki wakho uzoletha i-placenta (ukubeletha). Ngemuva kwalokho ukusika kuzothungwa kuvaliwe.

Ungenza izinto ukuqinisa umzimba wakho ngomsebenzi onganciphisa amathuba akho okudinga i-episiotomy.

• Prakthiza izivivinyo zikaKegel.
• Yenza i-perineal massage phakathi kwamasonto amane kuya kwayisithupha ngaphambi kokuzalwa.
• Zijwayeze amasu owafunde ekilasini lokubeletha ukulawula ukuphefumula kwakho nesifiso sakho sokucindezela.

Gcina engqondweni, noma ngabe wenza lezi zinto, ungahle udinge i-episiotomy. Umhlinzeki wakho uzonquma ukuthi kufanele yini ube nayo ngokuya ngokwenzeka ngesikhathi somsebenzi wakho.

Umsebenzi - i-episiotomy; Ukulethwa kwesitho sangasese sowesifazane - i-episiotomy

• I-Episiotomy - uchungechunge

I-Baggish MS. I-Episiotomy. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 81.

UKilpatrick SJ, uGarrison E, uFairbrother E. Umsebenzi ojwayelekile nokulethwa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 11.

• Ukubeletha