Ungayinakekela kanjani i-episiotomy ngemuva kokubeletha

-Delile

• Ukunakekela ukugwema ukutheleleka nokuvuvukala
• Ukunakekela ukuqeda izinhlungu nokungahambi kahle
• Ukunakekela ukusheshisa ukuphulukiswa

Ngemuva kokulethwa okujwayelekile, kubalulekile ukuthi unakekele i-episiotomy, njengokungenzi mzamo, ukugqoka ukotini noma iphenti elilahlwayo nokugeza indawo esondelene nokuqondiswa kwesitho sangasese sowesifazane kuya endunu ngemuva kokusebenzisa indlu yangasese. Lokhu kunakekelwa nge-episiotomy kuhlose ukusheshisa ukwelashwa nokuvimbela isifunda ukuthi singatheleleki futhi kufanele kugcinwe kuze kube inyanga eyodwa ngemuva kokubeletha, lapho ukuphulukiswa sekuphelile.

I-Episiotomy ukusikwa okwenziwe esifundeni semisipha phakathi kwesitho sangasese sowesifazane kanye nendunu, ngesikhathi sokubeletha okujwayelekile, ukwenza lula ukuphuma kwengane. Ngokuvamile, owesifazane akabuzwa ubuhlungu ngesikhathi se-episiotomy ngoba u-anesthetised, kepha kuyinto ejwayelekile ukuzwa ubuhlungu nokungahambi kahle nge-episiotomy emasontweni amabili kuya kwamathathu okuqala ngemuva kokubeletha. Qonda lapho kudingeka i-episiotomy nokuthi ziyini izingozi.

Imithungo esetshenziswe ku-episiotomy imvamisa imuncwa ngumzimba noma iwele ngokwemvelo, asikho isidingo sokubuyela esibhedlela ukuyisusa futhi isifunda sibuyele kokujwayelekile ngemuva kokuphulukiswa.

Ukunakekela ukugwema ukutheleleka nokuvuvukala

Ukugwema ukutheleleka esifundeni se-episiotomy, kufanele:

• Gqoka ukotini noma amaphenti alahlwayo ukuze isikhumba sendawo siphefumule;
• Geza izandla zakho ngaphambi nangemva kokusebenzisa indlu yokugezela bese ushintsha okokumisa lapho kunesidingo;
• Geza indawo esondelene kusuka esithweni sangasese kuya endunu ngemuva kokusebenzisa indlu yangasese;
• Sebenzisa imikhiqizo yenhlanzeko esondelene ne-pH engathathi hlangothi, njengeLucretin, iDermacyd noma i-Eucerin insipho engamanzi esetshenziswayo, isibonelo;
• Ungenzi imizamo, qaphela ukubeka izingalo zakho esihlalweni lapho uhleli futhi ungahlali ezihlalweni eziphansi ukuvimbela ukuthi imithungo ingagqabuki.

Kubaluleke kakhulu ukuthi owesifazane azi izimpawu zokutheleleka ezivela kwi-episiotomy, njengokubomvu, ukuvuvukala, ukukhishwa kobomvu noma uketshezi esilondeni futhi, kulezi zimo, thintana nodokotela wababelethisi obelethe ingane noma uye ngokushesha igumbi labezimo eziphuthumayo.

Ukunakekela ukuqeda izinhlungu nokungahambi kahle

Ukuqeda ubuhlungu nokungahambi kahle okubangelwa i-episiotomy, kufanele:

• Sebenzisa umcamelo onembobo phakathi, ongathengwa ezikhemisi noma umcamelo wokuncelisa ibele, ukuze kuthi lapho uhleli, ungacindezeli i-episiotomy, uqede izinhlungu;
• Yomisa indawo esondelene nayo, ngaphandle kokuzihlikihla noma ukucindezela ukuze ungazilimazi;
• Faka izingcindezi ezibandayo noma i-ice cube endaweni ye-episiotomy ukuqeda ubuhlungu;
• Splash amanzi endaweni esondelene ngenkathi uchama ukunciphisa umchamo futhi wehlise umuzwa ovuthayo endaweni ye-episiotomy, njengoba i-asidi yomchamo oxhumana ne-episiotomy ingadala ukushisa;
• Cindezela i-episiotomy ephambi kwakho ngokucindezela okuhlanzekile lapho uphuma ukuze unciphise ukungakhululeki okungavela lapho usebenzisa amandla.

Uma ubuhlungu esifundeni se-episiotomy bukhulu kakhulu, udokotela anganikeza ama-analgesics afana ne-paracetamol noma amafutha okugcoba okubulala izinhlungu ukudambisa izinhlungu nokungahambi kahle, okufanele kusetshenziswe kuphela ngaphansi kweseluleko sezokwelapha.

Imvamisa, ukuthintana okusondelene kungaphinde kuqalwe ngemuva kwamasonto ama-4 kuye kwayi-6 ngemuva kokubeletha, kepha-ke, kungokwemvelo ukuthi owesifazane ezwe ubuhlungu noma ukungaphatheki kahle, noma kunjalo, uma ubuhlungu bukhulu kakhulu, owesifazane kufanele aphazamise oxhumana naye osondelene futhi abonane nodokotela wezifo zabesifazane.

Ukunakekela ukusheshisa ukuphulukiswa

Ukusheshisa ukuphulukiswa kwesifunda esenziwe i-episiotomy, umuntu kufanele agweme ukugqoka izingubo eziqinile, ukuze isikhumba sikwazi ukuphefumula i-episiotomy futhi sisheshise ukuphulukiswa futhi senze izivivinyo zeKegel, njengoba zandisa ukugeleza kwegazi esifundeni, kusiza ukusheshisa ukuphulukiswa. Funda ukuthi ungakwenza kanjani lokhu kuvivinya umzimba.

Ngaphezu kwalokho, udokotela futhi angancoma ukusetshenziswa kwamafutha athile asiza ekwelapheni, okungaba namahomoni ekwakhiweni, ama-antibiotics noma ama-enzyme akhuthaza ukuphulukiswa, ngokwesibonelo.