Izinyembezi Zesondo Ngesikhathi Sokulethwa

-Delile

• Ziyini izimbangela zezinyembezi zesitho sangasese sowesifazane?
• Yiziphi izinto ezinobungozi kwezinyembezi zangasese?
• Yiziphi izimo ezingakhula ngenxa yokudabuka kwesitho sangasese sowesifazane?
• Zilashwa kanjani izinyembezi zangasese?
• Uyini umbono wesinyembezi sowesifazane sangasese?

Yini ukukhala kwesitho sangasese sowesifazane?

Izinyembezi zesitho sangasese sowesifazane zivame ukwenzeka lapho ikhanda lengane yakho lidlula emseleni wakho wesitho sangasese sowesifazane futhi isikhumba asikwazi ukwelula ngokwanele ukwamukela ingane yakho. Ngenxa yalokho, isikhumba siyadabuka. Ngenkathi izinyembezi ziyizinto ezejwayelekile ngesikhathi sokubeletha, ezinye zinkulu kunezinye.

Odokotela bavame ukuhlukanisa izinyembezi zesitho sangasese njengezinga lokuqala nge-degree yesine.

• Izinyembezi zezinga lokuqala: Lezi izinyembezi ezincane kunazo zonke, ezibandakanya isikhumba esizungeze ukuvuleka kwesitho sangasese sowesifazane noma isikhumba sangaphakathi. Lokhu akudingi njalo ukuthi kuthungwe futhi kungaziphilisa ngokwako.
• Izinyembezi zezinga lesibili: Lezi zinyembezi zibandakanya imisipha yomzimba. Le misipha iphakathi kwesitho sangasese sowesifazane kanye nendunu.
• Izinyembezi zezinga lesithathu: Izinyembezi zezinga lesithathu zibandakanya indawo kusuka emisipheni yamapayipi kuya emisipheni ezungeze ingquza. Lokhu kungadinga ukungenelela kokuhlinzwa ukuze kulungiswe futhi kungathatha izinyanga ukuphola.
• Izinyembezi zezinga lesine: Izinyembezi zezinga lesine yizinyembezi ezinzima kunazo zonke. Lezi zinyembezi zibandakanya imisipha yomzimba, i-anal sphincter, nezicubu ezizungeze i-rectum. Lezi zinyembezi ngokuvamile zidinga ukulungiswa kokuhlinzwa.

Ngenkathi izinyembezi zezinga lesithathu nelesine zingenzeka, azivamile.

Ziyini izimbangela zezinyembezi zesitho sangasese sowesifazane?

Izinyembezi zangasese zenzeka lapho ikhanda noma amahlombe wengane emakhulu kakhulu ukudlula ekuvulekeni kwesitho sangasese sowesifazane. Kwesinye isikhathi ukulethwa okusizwayo - kusetshenziswa i-forceps noma i-vacuum - kunikela ekhaleni lesitho sangasese sowesifazane ngoba le divayisi yandisa amandla esikhunjeni, ibangele ukuthi idabuke kalula.

Yiziphi izinto ezinobungozi kwezinyembezi zangasese?

Abanye besifazane banamathuba amaningi kunabanye okuthola izinyembezi zangasese. Izici zobungozi zifaka:

• ukuzalwa okusizwayo ngesikhathi sokubeletha, njenge-forceps noma ukusetshenziswa komshini
• ihlombe lengane linamathele ngemuva kwethambo lakho le-pubic
• ukuba ngowokuzalwa e-Asia
• zabasebenzi
• ingane yokuqala
• ingane enkulu
• omama abadala
• isikhathi sesibili somsebenzi

Uma udokotela wakho azi ukuthi usengozini yezinyembezi zesitho sangasese sowesifazane, bangancoma ukubhucungwa kwe-perineal emasontweni aholela ekuzalweni kwengane yakho. I-Perineal massage ingasiza ukwelula izicubu eziphakathi kwesitho sangasese sowesifazane kanye nendunu ukuze ivumele izicubu zikhululeke futhi ivumele ingane yakho idlule kalula. Udokotela wakho noma umbelethisi angancoma ukuthi uyiqale cishe emasontweni angama-34 ekukhulelweni kwakho.

Le ndlela ifaka ukwelula izicubu zesitho sakho sangasese, njengoba uzokwenza lapho ingane yakho idlula. Kodwa-ke, akufanele usebenzise le nqubo uma unesifo sangasese noma i-herpes yangasese.

Yiziphi izimo ezingakhula ngenxa yokudabuka kwesitho sangasese sowesifazane?

Ukudwengulwa kwesitho sangasese sowesifazane kungathatha isikhathi ukuphola - kwesinye isikhathi izinyanga ukukhala kakhulu. Ngalesi sikhathi, ungathola ukungakhululeki nobunzima bokuhamba kwamathumbu. Ukutheleleka kungenzeka futhi ngenxa yokuveza izicubu kumagciwane.

Izinkinga zesikhathi eside ezihambisana nezinyembezi zesifazane zibandakanya ukuya ocansini okubuhlungu nokungavumelani kwendle. Ungathola ucansi olubuhlungu ngenxa yokuthungwa kwezinyembezi, okungashiya isikhumba sizizwe siqine kakhulu kunokujwayelekile. Ngenxa yokuthi izinyembezi zihilela imisipha yethambo lomgogodla, elibandakanyeka ekuchameni nasekudluliseni indle, abesifazane bangathola ukungazibambi. Ngenkathi ukungalawuleki kuxazululeka kwabanye besifazane ngokuhamba kwesikhathi, abanye banezinkinga zesikhathi eside. Udokotela wakho angakudlulisela kuchwepheshe we-urologist ukusiza ukuphatha ukungahambi kahle.

Zilashwa kanjani izinyembezi zangasese?

Uma udokotela wakho elindele ukuthi isitho sakho sangasese singadabuka ngesikhathi sokubeletha, bangakhetha ukwenza lokho okubizwa ngokuthi i-episiotomy. Lokhu kungukusikwa okwenziwe esithweni sangasese futhi kwesinye isikhathi kube izingqimba zemisipha. Lokhu kuvumela ikhanda lengane yakho ukuthi lidlule ngaphandle kokudwengula. Kodwa-ke, abanye odokotela nababelethisi abakhethi ukwenza ama-episiotomies njengoba kwesinye isikhathi bengezelela ubungozi bokuqhekeka okubaluleke kakhulu. I-Episiotomies nayo ayizithuthukisi izimpawu zangemva kokubeletha, njengokunciphisa ukungabambeki.

Noma ngabe ubene-episiotomy noma wehlelwa izinyembezi ngesikhathi sokubeletha, udokotela wakho angakhetha ukuthunga indawo ethintekile. Odokotela abavamile ukuthunga izinyembezi ezincane. Izikhathi lapho udokotela wakho angagxilisa izinyembezi zifaka:

• izinyembezi azibonakali zivimba ukopha
• izinyembezi zide ngosayizi futhi kungenzeka zingapholi zodwa
• izinyembezi azilingani futhi kungenzeka zingapholi kahle ngaphandle kokuthungwa

Izitishi ziyoqedwa ngokuhamba kwesikhathi.Udokotela wakho uzosebenzisa umuthi wokubulala izinzwa ukundikaza indawo ethintekile uma ungatholanga i-epidural noma enye indlela yokusiza ubuhlungu ngesikhathi sokubeletha.

Uyini umbono wesinyembezi sowesifazane sangasese?

Udokotela wakho uzohlelela ukuhlela ukuqokwa kokulandela ngemuva kokubeletha. Lokhu kuvame ukuba cishe amasonto ayisithupha ngemuva kokubeletha, kepha kungenzeka kusheshe uma ngabe ubelethe kanzima. Ngalesi sikhathi, udokotela wakho uzohlola izinyembezi ukuze aqinisekise ukuthi yelashwa kahle. Uma ubona izimpawu zokutheleleka noma ubuhlungu obuya buba bucayi, shayela udokotela wakho.

Ngenkathi izinyembezi zangasese zizolulama, zingaletha ubunzima ngemuva kokubeletha. Ukuba nohlelo lokusekelwa oluhle kakhulu lwabangane nomndeni ekhaya kungakusiza ukuthi uphinde ululame ngangokunokwenzeka. Ukulala lapho ingane yakho ilele nokwamukela usizo oluvela kwabathandekayo ekudleni, ukunakekela ingane yakho encane, nokuzinika isikhathi sakho lapho kungenzeka khona kungasiza ekwelapheni kwakho.