Episiotomy

I-episiotomy lutyando oluncinci olwandisa ukuvulwa kwelungu lobufazi ngexesha lokubeleka. Yinqumle kwi-perineum - ulusu kunye nezihlunu phakathi kokuvulwa kwelungu lobufazi kunye ne-anus.

Kukho umngcipheko wokuba ne-episiotomy. Ngenxa yobungozi, ii-episiotomies aziqhelekanga njengoko beziqhelekile. Umngcipheko ubandakanya:

• Ukusikwa kunokukrazula kwaye kube kukhulu ngexesha lokuhanjiswa. Iinyembezi zinokufikelela kwimisipha ejikeleze i-rectum, okanye nakwi-rectum uqobo.
• Kunokubakho ukulahleka kwegazi okungakumbi.
• Ukusikwa kunye nemithungo inokusuleleka.
• Ukwabelana ngesondo kunokuba buhlungu kwiinyanga ezimbalwa zokuqala emva kokuzalwa.

Ngamanye amaxesha, i-episiotomy inokukunceda nakwiingozi.

Abasetyhini abaninzi bafumana ukuzala ngaphandle kokukrazula bodwa, kwaye ngaphandle kokufuna i-episiotomy. Ngapha koko, uphononongo lwamva nje lubonisa ukuba ukungabinayo i-episiotomy yeyona nto ilungileyo kubafazi abaninzi kwezabasebenzi.

I-Episiotomies ayiphilisi ngcono kuneenyembezi. Bahlala bethatha ixesha elide ukuphilisa kuba ukusikwa kuhlala kunzulu kunenyembe yendalo. Kuzo zombini ezi meko, ukusikwa okanye iinyembezi kufuneka zithungwe kwaye zikhathalelwe ngokufanelekileyo emva kokubeleka. Ngamanye amaxesha, i-episiotomy ingafuneka ukuze kuqinisekiswe iziphumo ezilungileyo kuwe nakumntwana wakho.

• Umsebenzi unoxinzelelo emntwaneni kwaye isigaba sokutyhala kufuneka sincitshiswe ukunciphisa iingxaki zomntwana.
• Intloko yomntwana okanye amagxa akhe makhulu kakhulu kuvulo lobufazi lukanina.
• Usana lukwindawo epholileyo (iinyawo okanye iimpundu ziza kuqala) kwaye kukho ingxaki ngexesha lokubeleka.
• Izixhobo (i-forceps okanye i-vacuum extractor) ziyafuneka ukunceda ukukhupha umntwana.

Utyhala njengoko intloko yosana isondele ekuphumeni, kwaye iifom zinyembezi zijongise kwindawo ye-urethral.

Ngaphambi nje kokuba umntwana wakho azalwe kwaye nanjengoko intloko sele iza kuthi thsaba, ugqirha wakho okanye umbelekisi uya kukunika ifoto ukuze ubambe indawo (ukuba awukabinayo i-epidural).

Emva koko, kusikwa (ukusika) okuncinci. Zimbini iintlobo zokusika: iMedian kunye naphakathi.

• Ukuqhawulwa komdibaniso lolona hlobo luqhelekileyo. Kusikwe ngokuthe tye embindini wendawo phakathi kwelungu lobufazi kunye ne-anus (perineum).
• Ukuqhekeka kwamacala amabini kwenziwa kwikona. Kuncinci amathuba okuba udabule uye kwi-anus, kodwa kuthatha ixesha elide ukuphilisa kunokusikwa okuphakathi.

Umboneleli wakho wokhathalelo lwempilo uya kuthi emva koko ahambise umntwana ngokuvulwa okwandisiweyo.

Emva koko, umboneleli wakho uya kuzisa i-placenta (emva kokuzalwa). Ke ukusika kuya kuthungwa kuvaliwe.

Unokwenza izinto ukomeleza umzimba wakho kwimisebenzi enokunciphisa amathuba akho okufuna i-episiotomy.

• Ziqhelanise nokuzilolonga kukaKegel.
• Yenza umthambo opheleleyo ngeeveki ezi-4 ukuya kwezi-6 ngaphambi kokuzalwa.
• Ziqhelanise neendlela ozifundileyo kwiklasi yokubeleka ukulawula ukuphefumla kwakho kunye nomnqweno wakho wokutyhala.

Gcina ukhumbula, nokuba uzenza ezi zinto, usenokufuna i-episiotomy. Umboneleli wakho uya kuthatha isigqibo sokuba ngaba unayo enye ngokusekwe kwinto eyenzekayo ngexesha lomsebenzi wakho.

Umsebenzi - i-episiotomy; Unikezelo lobufazi - episiotomy

• Episiotomy - uthotho

IBaggish MS. Episiotomy. Ku: Baggish MS, Karram MM, ii-eds. I-Atlas yePelvic Anatomy kunye noPhando lweGynecologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahl 81.

I-Kilpatrick SJ, iGarrison E, i-Fairbrother E. Umsebenzi oqhelekileyo kunye nokuhanjiswa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 11.

• Ukubeleka