Ezabasebenzi Nokulethwa: I-Episiotomy

-Delile

• Ukunakekelwa kwe-Episiotomy Ngemuva Kokulethwa
• Khuluma nodokotela wakho

Kuyini i-Episiotomy?

Igama elithi episiotomy libhekisa ekusikeni ngamabomu kokuvulwa kwesitho sangasese sowesifazane ukusheshisa ukulethwa noma ukugwema noma ukunciphisa ukudwengula okungaba khona. I-Episiotomy yinqubo ejwayelekile kakhulu eyenziwa ezinsukwini zokubelethisa zosuku lwanamuhla. Abanye ababhali balinganisela ukuthi iziguli ezingama-50 kuya kwezingama-60 ezihambisa ngokwesitho sangasese sowesifazane ku-kuzoba ne-episiotomy. Amanani we-episiotomy ayahluka kuwo wonke umhlaba futhi angaba ngaphansi ngama-30% kwamanye amazwe aseYurophu.

Inqubo ye-episiotomy yachazwa okokuqala ngo-1742; ngemuva kwalokho yathola ukwamukelwa kabanzi, ifinyelela phezulu kuma-1920. Izinzuzo zayo ezibikiwe zibandakanya ukulondolozwa kobuqotho besitezi sezitho zangasese kanye nokuvinjelwa kwesibeletho esibuhlungu nokunye ukuhlukumezeka kwesitho sangasese sowesifazane. Kusukela ngama-1920s, inani labesifazane abathola i-episiotomy ngesikhathi bebeletha lehlile kancane. Kuma-obstetrics anamuhla, i-episiotomy ayenziwa njalo. Kodwa-ke, ezimweni ezithile futhi lapho kwenziwa ngudokotela onekhono, i-episiotomy ingasiza.

Izizathu ezivamile zokwenza i-episiotomy:

• Isigaba sesibili sokusebenza eside;
• Ukucindezeleka kwe-Fetal;
• Ukulethwa kwesitho sangasese sowesifazane kudinga usizo ngokusetshenziswa kwe-forceps noma i-vacuum extractor;
• Ingane ekwethulweni kwe-breech;
• Ukudiliva amawele noma amaningi;
• Usana olukhulu;
• Isimo esingajwayelekile sekhanda lengane; futhi
• Lapho umama enomlando wokuhlinzwa okhalo.

Ukunakekelwa kwe-Episiotomy Ngemuva Kokulethwa

Ukunakekelwa kwesilonda se-episiotomy kuqala ngokushesha ngemuva kokubeletha futhi kufanele kufake inhlanganisela yokunakekelwa kwesilonda sendawo nokuphathwa kobuhlungu. Ngesikhathi samahora ayi-12 okuqala ngemuva kokubeletha, ipakethe yeqhwa ingaba wusizo ekuvimbeleni bobabili ubuhlungu nokuvuvukala kwesiza se-episiotomy. Ukusikeka kufanele kugcinwe kuhlanzekile futhi komile ukugwema ukutheleleka. Ukugeza okuhlala njalo kwe-sitz (ukufaka indawo yesilonda emanzini amancane afudumele cishe imizuzu engama-20 amahlandla amaningi ngosuku), kungasiza ukugcina indawo ihlanzekile. Isiza se-episiotomy kufanele futhi sihlanzwe ngemuva kokunyakaza kwamathumbu noma ngemuva kokuchama; lokhu kungafezwa ngokusetshenziswa kwebhodlela lokufafaza namanzi afudumele. Ibhodlela lesifutho lingasetshenziswa futhi ngesikhathi sokuchama ukunciphisa izinhlungu ezenzeka lapho umchamo uhlangana nesilonda. Ngemuva kokuthi isiza sifuthwe noma sifakwe emanzini, indawo kufanele yomiswe ngokususwa kahle ngephepha lezicubu (noma isomisi sezinwele singasetshenziselwa ukomisa indawo ngaphandle kokucasulwa kwephepha elicasulayo).

Ubukhulu be-episiotomy noma izinyembezi zesifazane kuvame ukubhekiswa kubo ngama-degree, kuya ngobungako bokusikwa kanye / noma nokuqunjelwa. I-episiotomies yesithathu neyesine-degree ibandakanya ukusikwa kwe-anal sphincter noma i-rectal mucosa. Kulezi zimo, izithambisi zendle zingasetshenziswa ukuvimbela ukulimala okuqhubekayo noma ukuphinda kulimale isiza se-episiotomy. Ukwenza lula ukwelashwa kwesilonda esikhudlwana, isiguli singagcinwa ezithambisweni zesitulo isikhathi esingaphezu kwesonto.

Ucwaningo oluthile luye lwahlola ukusetshenziswa kwemithi ehlukene yezinhlungu ekuphathweni kobuhlungu obuhambisana nama-episiotomies. Imithi engeyona eye-steroidal, eqeda ukuvuvukala, njenge-ibuprofen (Motrin), itholakale ngokungaguquguquki ukuthi iluhlobo oluhle kakhulu lokuqeda izinhlungu. Kodwa-ke, i-acetaminophen (iTylenol) nayo isetshenzisiwe nemiphumela ekhuthazayo. Lapho kwenziwa i-episiotomy enkulu, udokotela angahle anikeze umuthi wezidakamizwa ukusiza ukudambisa izinhlungu.

Iziguli kufanele zikugweme ukusebenzisa ama-tampon noma ama-douches ngesikhathi sokubeletha ukuqinisekisa ukwelashwa okufanele nokugwema ukulimala kabusha kwendawo. Iziguli kufanele zifundiswe ukuthi ziyeke ukuya ocansini kuze kube yilapho i-episiotomy ihlolwe kabusha futhi yelulama ngokuphelele. Lokhu kungathatha amasonto amane kuya kwayisithupha ngemuva kokubeletha.

Khuluma nodokotela wakho

Kunezizathu ezimbalwa, uma zikhona, zokuthi i-episiotomy yenziwe ngokujwayelekile. Udokotela noma umhlengikazi-umbelethisi kufanele enze isinqumo ngesikhathi sokubeletha maqondana nesidingo se-episiotomy. Ingxoxo evulekile phakathi komhlinzeki nesiguli ngesikhathi sokuvakasha kokubeletha nangesikhathi sokubeletha yingxenye ebaluleke kakhulu yenqubo yokwenza izinqumo. Kunezimo lapho i-episiotomy ingasiza kakhulu futhi ingavimbela isidingo sesigaba sokuhlinzwa noma isize ukulethwa kwesitho sangasese sowesifazane (kusetshenziswa i-forceps noma i-vacuum extractor).