I-Episiotomy - ukunakekelwa ngemuva

I-episiotomy ukusikeka okuncane okwenziwa ngesikhathi sokubeletha ukukhulisa ukuvuleka kwesitho sangasese sowesifazane.

Izinyembezi noma ukugcotshwa okuvamile kuvame ukuzenzela ngokwakho ngesikhathi sokuzalwa kwesisu. Imvamisa, lokhu kukhalwa kuzophinde kubandakanye imisipha ezungeze i-anus noma i-rectum. (Izinkinga ezimbili zokugcina azidingidwanga lapha.)

Kokubili i-episiotomies kanye ne-perineal lacerations kudinga imithungo yokulungisa nokuqinisekisa ukwelashwa okuhle kakhulu. Zombili ziyefana ngesikhathi sokutakula nokungahambi kahle ngesikhathi sokuphulukiswa.

Iningi labesifazane liyaphola ngaphandle kwezinkinga, yize kungathatha amasonto amaningi.

Izitishi zakho azidingi ukususwa. Umzimba wakho uzowamunca. Ungabuyela emisebenzini ejwayelekile lapho uzizwa ulungele, njengokusebenza okulula kwehhovisi noma ukuhlanza indlu. Linda amaviki ayisithupha ngaphambi kwakho:

• Sebenzisa amathamponi
• Yenza ucansi
• Yenza noma yimuphi omunye umsebenzi ongahle uqhekeze (wephule) iziqu

Ukudambisa ubuhlungu noma ukungakhululeki:

• Cela umhlengikazi wakho ukuthi afake amaphakethe eqhwa ngemuva nje kokuzalwa. Ukusebenzisa amaphakethe eqhwa emahoreni angama-24 okuqala emva kokuzalwa kunciphisa ukuvuvukala futhi kusize ngobuhlungu.
• Geza okugeza okufudumele kodwa ulinde kuze kuphele amahora angama-24 ubelethile. Qiniseka ukuthi ubhavu uhlanzwa ngesibulali-magciwane ngaphambi kwawo wonke amanzi okugeza.
• Thatha imithi efana ne-ibuprofen ukudambisa izinhlungu.

Ungenza ezinye izinto eziningi ukusiza ukusheshisa inqubo yokuphulukisa, njenge:

• Sebenzisa ama-sitz bath (hlala emanzini amboze indawo yakho ye-vulvar) izikhathi ezimbalwa ngosuku. Linda kuze kuphele amahora angama-24 ubelethile ukuze ugeze i-sitz. Ungathenga amashubhu kunoma yisiphi isitolo sezidakamizwa esizolingana onqenqemeni lwendlu yangasese. Uma uthanda, ungahlala kulolu hlobo lobhavu esikhundleni sokukhuphuka kubhavu wokugezela.
• Shintsha ama-pads akho njalo emahoreni amabili kuya kwangu-4.
• Gcina indawo ezungeze imithungo ihlanzekile futhi yomile. Pat indawo eyomile ngethawula elihlanzekile ngemuva kokugeza.
• Ngemuva kokuchama noma ukuphuma kwamathumbu, fafaza amanzi afudumele endaweni bese uyomisa ngethawula elihlanzekile noma usule ingane. Ungasebenzisi iphepha langasese.

Thatha izithambisi zendle uphuze amanzi amaningi. Lokhu kuzovimbela ukuqunjelwa. Ukudla i-fiber eningi nakho kuzosiza. Umhlinzeki wakho wokunakekelwa kwezempilo angaphakamisa ukudla okune-fiber eningi.

Yenza izivivinyo zikaKegel. Cindezela imisipha oyisebenzisela ukubamba umchamo imizuzu engu-5. Yenza lokhu izikhathi eziyishumi ngosuku usuku lonke.

Shayela umhlinzeki wakho uma:

• Ubuhlungu bakho buba bubi kakhulu.
• Uhamba izinsuku ezine noma ngaphezulu ngaphandle kokunyakaza kwamathumbu.
• Udlulisa ihlwili legazi elikhudlwana kunelnut.
• Unokukhipha okunephunga elibi.
• Isilonda kubukeka sengathi sizovuleka.

Ukuqothulwa kwesisu - ukunakekelwa ngemuva; Ukuzala kwesitho sangasese izinyembezi zangasese - ukunakekelwa ngemuva; Ukunakekelwa kwangemva kokubeletha - i-episiotomy - ukunakekelwa ngemuva; Umsebenzi - ukunakekelwa ngemuva kwe-episiotomy; Ukulethwa kwesitho sangasese sowesifazane - ukunakekelwa kwe-episiotomy

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.

UKilatrick SJ, uGarrison E, uFairbrother E. Umsebenzi ojwayelekile kanye 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
• Ukunakekelwa Kwangemva Kokubeletha