Ungabelapha Kanjani Ubuhlungu Bomzimba Nokuvuvukala Ngesikhathi Sokukhulelwa nangemva Kokukhulelwa

-Delile

• Ukubeletha Kuthinta Kanjani I-Perineum?
• Yini Okunye Okungadala Ukudabuka KwePerineum?
• Yiziphi Izici Zobungozi Benyembezi Engapheli?
• Ngabe Kukhona Ukwelashwa Kwe-Sore Perineum?
• Ingabe Ekugcineni Ubuhlungu Buyoba Bungcono?
• Kuvinjelwa Kanjani Ukudangala Kwengqondo?

IPerineum nokukhulelwa

I-perineum yakho yindawo encane yesikhumba nemisipha etholakala phakathi kwesitho sangasese sowesifazane kanye nendunu.

Nge-trimester yesithathu yokukhulelwa, ingane yakho ithola isisindo futhi yehla ngezansi okhalweni lwakho. Ingcindezi eyengeziwe ingadala ukuvuvukala kwezitho zangasese ne-perineum. Ngasikhathi sinye, i-perineum yakho iqala ukwelula ukulungiselela ukubeletha.

I-perineum ebuhlungu ngenxa yokukhulelwa iyinkinga yesikhashana, noma ingahle ingakhululeki.

Ukubeletha Kuthinta Kanjani I-Perineum?

I-perineum iphinde yelulwe ngesikhathi sokubeletha. Akuvamile ukuthi i-perineum idabuke njengoba ingane idlula. Ngokusho kwe-American College of Nurse-Midwives (ACNM), noma yikuphi kusuka kumaphesenti angama-40 kuye kwangama-85 abesifazane banenyembezi ngesikhathi sokubeletha kwabesifazane. Cishe izingxenye ezimbili kwezintathu zalaba besifazane zidinga umthungo ukulungisa umonakalo.

Ukwehlisa amathuba okwehla kwezinyembezi, udokotela wakho angasika i-perineum. Le nqubo ibizwa ngokuthi i-episiotomy. Lokhu kunikeza ingane indawo eyengeziwe yokudlula ngaphandle kokubangela izinyembezi ezinzima.

Noma ngabe uthola izinyembezi noma une-episiotomy, i-perineum yindawo ebucayi. Ngisho nezinyembezi ezincane zingadala ukuvuvukala, ukushisa, nokunwaya. Ukudabuka okukhulu kungaba buhlungu impela. Iziqu ze-Episiotomy zingazizwa zibuhlungu futhi zingakhululeki.

Izimpawu zingahlala izinsuku ezimbalwa ezinyangeni ezimbalwa. Ngaleso sikhathi, kungaba nzima ukuhlala noma ukuhamba ngokunethezeka.

Yini Okunye Okungadala Ukudabuka KwePerineum?

Ukukhulelwa nokubeletha yizimbangela ezivame kakhulu ze-perineum ebuhlungu kwabesifazane. Ezinye izinto zingaholela ku-perineum ebuhlungu, kepha akulula ngaso sonke isikhathi ukuthola imbangela.

Ubuhlungu bendawo ye-vulvar noma i-perineum bungabangelwa yinto elula njengamabhulukwe aqinile noma ukuhlala endaweni engathandeki isikhathi eside. Ukuya ocansini ngaphandle kokuthambisa okwanele nakho kungadala i-perineum ebuhlungu.

I-vulvodynia ejwayelekile ubuhlungu obungapheli endaweni ye-vulvar kepha ngaphandle kwesizathu esisobala. Ubuhlungu bungathinta yonke indawo, kufaka phakathi i-labia, i-clitoris, ne-perineum.

Ukwehla kwe-perineum syndrome kwenzeka lapho amabhaluni e-perineum edlula ukuma kwawo okujwayelekile. Lokhu kungenzeka uma unenkinga eqhubekayo yokuzikhulula noma yokuchama futhi uzikhandla kanzima. Uma une-perineum eyehlayo, isinyathelo sokuqala ukuthola imbangela.

Kungabhekiswa nangobuhlungu. Uma unezinhlungu ezingachazeki, ukuxilonga inkinga cishe kuzoqala ngokuhlolwa okuphelele kwabesifazane.

Yiziphi Izici Zobungozi Benyembezi Engapheli?

Ucwaningo lwango-2013 luveze ukuthi abanye besifazane basengozini enkulu yezinhlobo ezithile zokudabuka ngamandla ngesikhathi sokubeletha. Izici zobungozi zifaka:

• ukubeletha umntwana esemusha
• ngina-27 noma ngaphezulu
• ukuba nengane enesisindo sokuzalwa esiphakeme
• ukulethwa ngensimbi

Ukuba nezici ezingaphezu kwesisodwa kulezi ezinobungozi kwenza izinyembezi ezingaphelele zibekhona kakhulu.Uma unezici ezingaphezu kweyodwa zalezi zingozi, udokotela wakho angacabangela i-episiotomy ukuzama nokuvimbela ukukhala.

Ngabe Kukhona Ukwelashwa Kwe-Sore Perineum?

Uma une-perineum ebuhlungu, ukuhlala phansi kungakwenza kubi kakhulu. Ukulungiswa okulula futhi okungabizi kakhulu isiguqo se-hemorrhoid noma idonut ukugcina isisindo sakho ku-perineum yakho lapho uhleli.

Ukubhucunga indawo ngesikhathi sokukhulelwa kungasiza ekudambiseni ubuhlungu futhi kulungiselele i-perineum yokubeletha.

Abanye besifazane bathola ukuthi ukusebenzisa iqhwa noma iphakethe elibandayo kunciphisa izimpawu ezifana nokuvuvukala, ukulunywa, nokushisa i-perineum.

Iphepha lango-2012 elanyatheliswa eMtatsheni Wezincwadi waseCochrane laphetha ngokuthi kunobufakazi obuncane kuphela bokuthi imishanguzo yokupholisa iphephile futhi iyasebenza ekudambiseni izinhlungu zangasese.

Uma uhlangabezane nokukhala noma i-episiotomy, udokotela wakho uzokunikeza imiyalo yokunakekelwa ngemuva. Kubalulekile ukuthi ubalandele ngokucophelela.

Cishe bazokunika ibhodlela lokunisela ngomfutho. Ungawasebenzisela ukukhipha amanzi afudumele endaweni ukuyihlanza nokuyidambisa, ikakhulukazi ngemuva kokuya endlini yangasese.

Ukusiza ukuvikela ukutheleleka, kuzodingeka ugcine indawo ihlanzekile kakhulu. Ukugeza okufudumele, okungajulile kungasiza ekudambiseni ukungakhululeki okwesikhashana. Sebenzisa ithawula elihlanzekile ukuzishaya owomile kunokuzihlikihla endaweni. Akufanele ube ne-bubble bath noma usebenzise eminye imikhiqizo enezithako ezinzima kuze kube yilapho selulame ngokuphelele.

Ingabe Ekugcineni Ubuhlungu Buyoba Bungcono?

Kungakanani ukudabuka onakho nokuthi kuzohlala isikhathi eside kangakanani kungahluka kuye ngomuntu. Kuhlobene kakhulu nesizathu. Uma ngabe unezinyembezi ezinkulu nokuvuvukala, kungathatha isikhathi eside ukuphola.

Kwabesifazane abaningi, ukukhathazeka okuhlobene nokubeletha kwe-perineum kuyancipha ezinsukwini ezimbalwa kuye emasontweni ambalwa. Imvamisa ayikho imiphumela yesikhathi eside.

Bona udokotela wakho uma ngabe ukubukeka kubonakala kungathuthuki noma kuya ngokuya kuba kubi. Kufanele futhi ushayele udokotela wakho uma une:

• umkhuhlane
• ukukhishwa okunuka kabi
• ukopha okuphelele
• ubunzima bokuchama
• ubuhlungu obukhulu
• ukuvuvukala
• izinkinga zokuthungwa okuphelele

Kuvinjelwa Kanjani Ukudangala Kwengqondo?

Uma ujwayele ukuba ne-perineal soreness, zama ukugwema ukugqoka amabhulukwe aqinile kakhulu. Kufanele futhi uqiniseke ukuthi uthanjiswe kahle ngaphambi kokuya ocansini.

Uma ukhulelwe, ungahlomula ngokubhucungwa ngamaphaphu. Ngokusho kwezibhedlela zaseBrighton naseSussex University, ucwaningo lukhombisa ukuthi ekukhulelweni kokuqala, ukubhucungwa ngomgogodla ngemuva kwesonto lama-34 kungakunciphisa ukuklebhuka.

Ukulungiselela ukubhucungwa, i-ACNM isikisela ukuthi usike izinzipho zakho zibe mfushane bese ugeza izandla zakho kahle. Khululeka uguqe ngamadolo. Sebenzisa imicamelo ukuthola induduzo eyengeziwe.

Uzodinga ukugcoba izithupha zakho kanye ne-perineum. Ungasebenzisa uwoyela kavithamini E, u-almond oyela, noma uwoyela wemifino. Uma ukhetha, ungasebenzisa i-jelly encibilikiswa ngamanzi. Ungasebenzisi uwoyela wengane, uwoyela wamaminerali, noma i-petroleum jelly.

Ukubhucunga:

1. Faka izithupha zakho cishe ngama-intshi ayi-1 kuye ku-1.5 esithweni sakho sangasese.
2. Cindezela phansi nasezinhlangothini uze uzizwe selula.
3. Bamba umzuzu owodwa noma emibili.
4. Sebenzisa izithupha zakho ukubhucunga kancane ingxenye engezansi yesitho sakho sangasese esimeni esingu- “U”.
5. Gxila ekugcineni imisipha yakho ikhululekile.
6. Massage i-perineum ngale ndlela cishe imizuzu eyi-10 ngosuku.

Uma ungakhululekile ukukwenza ngokwakho, umlingani wakho angakwenzela wena. Ozakwethu kufanele basebenzise inqubo efanayo, kepha ngeminwe yenkomba esikhundleni sezithupha.