Isikhundla seLithotomy: Ingabe Kuphephile?

-Delile

• Isikhundla seLithotomy ngesikhathi sokuzalwa
• Izinkinga
• Isikhundla seLithotomy ngesikhathi sokuhlinzwa
• Izinkinga
• Okubalulekile

Siyini isikhundla se-lithotomy?

Isikhundla se-lithotomy sivame ukusetshenziswa ngesikhathi sokubeletha nokuhlinzwa endaweni ye-pelvic.

Kubandakanya ukulala ngomhlane imilenze yakho iguqulwe ngama-degree angama-90 okhalweni lwakho. Amadolo akho azogobeka kuma-70 kuya kuma-90 degrees, futhi izinyawo ezinamaphini ezinamathele etafuleni zizokuxhasa imilenze yakho.

Lesi sikhundla sibizwa ngokuxhumeka kwaso ne-lithotomy, inqubo yokususa amatshe esinye. Ngenkathi isasetshenziselwa izinqubo ze-lithotomy, manje inezinye izinto eziningi ezisetshenziswayo.

Isikhundla seLithotomy ngesikhathi sokuzalwa

Isikhundla se-lithotomy sasiyindawo ejwayelekile yokubeletha esetshenziswa izibhedlela eziningi. Kwakuvame ukusetshenziswa phakathi nesigaba sesibili somsebenzi, lapho uqala ukucindezela. Abanye odokotela bayayithanda ngoba ibanikeza ukufinyelela okungcono kubo bobabili umama nengane. Kodwa izibhedlela manje sezisuka kulesi sikhundla; ngokuya ngokwengeziwe, basebenzisa imibhede yokubelethisa, izihlalo zokubelethisa, kanye nendawo yokuhlwitha.

Ucwaningo lusekele ukusuka kuleso sikhundla sokubeletha esihlangabezana nezidingo zikadokotela kunokuba kube ngowesifazane obelethayo. Ukuqhathanisa izikhundla ezahlukahlukene zokubeletha kuphawule ukuthi isikhundla se-lithotomy sehlisa umfutho wegazi, ongenza ukufinyela kube buhlungu kakhulu futhi kudwebe inqubo yokubeletha. Lolu cwaningo olufanayo, kanye nolunye olusuka ku-2015, luthole ukuthi isikhundla sokuhlala phansi asibuhlungu futhi sisebenza kahle esigabeni sesibili somsebenzi. Ukuphoqa ingane ukuthi ikhuphuke kusebenza ngokumelene namandla adonsela phansi. Esimeni sokuxhuzula, amandla adonsela phansi kanye nesisindo sengane kusiza ukuvula umlomo wesibeletho futhi kube lula ukulethwa.

Izinkinga

Ngaphezu kokwenza kube nzima ukusunduza ngesikhathi sokubeletha, isikhundla se-lithotomy sibuye sihlotshaniswe nezinkinga ezithile.

Omunye uthole ukuthi isikhundla se-lithotomy sandisa amathuba okudinga i-episiotomy. Lokhu kufaka ukusika izicubu phakathi kwesitho sangasese sowesifazane kanye nendunu, nayo ebizwa nge-perineum, okwenza kube lula ukuthi ingane idlule. Ingozi efanayo itholakale engcupheni ephezulu yezinyembezi ezingaphelele kusikhundla se-lithotomy. Olunye ucwaningo luxhumanise isikhundla se-lithotomy nengozi eyengeziwe yokulimala ku-perineum uma kuqhathaniswa nokuqhekeka okulele ohlangothini lwakho.

Olunye ucwaningo oluqhathanisa isikhundla se-lithotomy nezikhundla zokuhlwitha luthole ukuthi abesifazane ababelethe endaweni ye-lithotomy babedinga kakhulu isigaba seCesariya noma i-forceps ukususa ingane yabo.

Okokugcina, ukubheka ngaphezu kokuzalwa okungu-100 000 kutholakale ukuthi isikhundla se-lithotomy sandisa ingozi yowesifazane yokulimala kwe-sphincter ngenxa yengcindezi eyengeziwe. Ukulimala kweSphincter kungaba nemiphumela ehlala njalo, kufaka phakathi:

• ukungazibambi kwezindle
• ubuhlungu
• ukungakhululeki
• ukungasebenzi ngokocansi

Khumbula ukuthi ukuzala inqubo eyinkimbinkimbi enezinkinga eziningi ezingaba khona, ngaphandle kwesikhundla esisetshenzisiwe. Kwezinye izimo, isikhundla se-lithotomy singase sibe inketho ephephe kakhulu ngenxa yesikhundla sengane emseleni wokuzalwa.

Njengoba uhamba nokukhulelwa kwakho, khuluma nodokotela wakho mayelana nezikhundla zokuzala. Bangakusiza ukuthi uze nezinketho ezilinganisela okuncamelayo nezinyathelo zokuphepha.

Isikhundla seLithotomy ngesikhathi sokuhlinzwa

Ngaphezu kokubeletha, isikhundla se-lithotomy sisetshenziselwa nokuhlinzwa okuningi kwe-urological ne-gynecological, kufaka phakathi:

• ukuhlinzwa kwe-urethra
• ukuhlinzwa kwamathumbu
• ukususwa kwesinye, kanye nezicubu eziwunxande noma zeprotate

Izinkinga

Ngokufana nokusebenzisa isikhundla se-lithotomy sokubeletha, ukuhlinzwa endaweni ye-lithotomy nakho kunezingozi ezithile. Izinkinga ezimbili eziyinhloko zokusebenzisa isikhundla se-lithotomy ekuhlinzeni yi-acute compartment syndrome (ACS) kanye nokulimala kwemizwa.

I-ACS yenzeka lapho ingcindezi inyuka ngaphakathi kwendawo ethile yomzimba wakho. Lokhu kwanda kwengcindezi kuphazamisa ukuhamba kwegazi, okungalimaza ukusebenza kwezicubu zakho ezizungezile. Isikhundla se-lithotomy sandisa ubungozi be-ACS ngoba sidinga ukuthi imilenze yakho iphakanyiswe ngaphezu kwenhliziyo yakho isikhathi eside.

I-ACS ivame kakhulu ngesikhathi sokuhlinzwa isikhathi esingaphezu kwamahora amane. Ukugwema lokhu, udokotela wakho ohlinzayo cishe uzokwehlisa imilenze yakho ngokucophelela njalo emahoreni amabili. Uhlobo lokusekelwa komlenze olusetshenzisiwe nalo lungadlala indima ekwandiseni noma ekwehliseni ingcindezi yegumbi. Ukusekelwa kwethole noma izisekeli ezifana nebhuthi kungakhuphula ukucindezelwa kwegumbi ngenkathi izisekeli ze-ankle sling zingehlisa.

Ukulimala kwemithambo kungenzeka futhi ngesikhathi sokuhlinzwa endaweni ye-lithotomy. Lokhu kuvame ukwenzeka lapho izinzwa ziselulwa ngenxa yokuma okungafanele. Izinzwa ezijwayeleke kakhulu ezithintekile zifaka phakathi i-nerve femur ethangeni lakho, i-nerve ye-sciatic emhlane wakho ophansi, kanye nemizwa ejwayelekile ye-peroneal emlenzeni wakho ophansi.

Njengokubeletha, noma yiluphi uhlobo lokuhlinzwa lunengozi yalo yezinkinga. Khuluma nodokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana nokuhlinzwa okuzayo, futhi ungazizwa ungakhululekile ukubuza imibuzo mayelana nokuthi bazokwenzani ukunciphisa ubungozi bezinkinga.

Okubalulekile

Isikhundla se-lithotomy sisetshenziswa kakhulu ngesikhathi sokubeletha kanye nokuhlinzwa okuthile. Kodwa-ke, ucwaningo lwamuva luxhumanise lesi sikhundla nengozi eyengeziwe yezinkinga eziningana. Khumbula ukuthi, ngokuya ngesimo, izinzuzo zayo zingadlula izingozi. Khuluma nodokotela wakho mayelana nokukhathazeka onakho mayelana nokubeletha noma ukuhlinzwa okuzayo. Bangakunika umbono ongcono wobungozi bakho futhi bakwazise nganoma iziphi izinyathelo abazothatha uma basebenzisa isikhundla se-lithotomy.