Episiotomy - ukhathalelo lwasemva kwexesha

I-episiotomy sisicucu esincinci esenziwe ngexesha lokubeleka ukuze kwandiswe ukuvulwa kwelungu lobufazi.

Ukuqhawulwa komntu okwenyaniweyo okanye ukuqaqanjelwa sisisu kudla ngokwenzeka ngexesha lokuzalwa komfazi. Rare, ezi nyembezi ziya kubandakanya umsipha ojikeleze i-anus okanye i-rectum. (Iingxaki ezimbini zokugqibela azixoxwa apha.)

Zombini i-episiotomies kunye ne-perineal lacerations zifuna imithungo yokulungisa kunye nokuqinisekisa ukuphiliswa okungcono. Zombini ziyafana ngexesha lokubuyisa kunye nokungonwabi ngexesha lokuphilisa.

Uninzi lwabasetyhini luyaphilisa ngaphandle kwengxaki, nangona kunokuthatha iiveki ezininzi.

Izitishi zakho akufuneki zisuswe. Umzimba wakho uya kuwangenisa. Unokubuyela kwimisebenzi yesiqhelo xa uziva ulungile, njengokukhanya kweofisi okanye ukucoca indlu. Lindela iiveki ezi-6 ngaphambi kokuba:

• Sebenzisa iitampon
• Yabelana ngesondo
• Yenza nawuphi na omnye umsebenzi onokuqhekeka (uqhekeze) imithungo

Ukunciphisa iintlungu okanye ukungonwabi:

• Cela umongikazi wakho ukuba afake iipakethe zomkhenkce kwangoko emva kokuzalwa. Sebenzisa iipakethe zomkhenkce kwiiyure zokuqala ezingama-24 emva kokuzalwa kunciphisa ukudumba kwaye kunceda kwintlungu.
• Thatha ibhafu eshushu kodwa ulinde de kube ziiyure ezingama-24 emva kokuba ubelekile. Qinisekisa ukuba ibhafu icociwe ngesibulali zintsholongwane phambi kwebhafu nganye.
• Thatha amayeza afana ne-ibuprofen ukunciphisa iintlungu.

Unokwenza ezinye izinto ezininzi ukunceda ukukhawulezisa inkqubo yokuphilisa, enje:

• Sebenzisa indawo yokuhlambela (hlala emanzini egubungela indawo yakho ye-vulvar) amaxesha ambalwa ngemini. Lindela kude kube ziiyure ezingama-24 emva kokuba ubelekile ukuba uthathe ibhafu ye-sitz nayo. Ungathenga iibhafu kuyo nayiphi na ivenkile yeziyobisi eya kulunga esiphelweni sendlu yangasese. Ukuba ukhetha, unokuhlala kolu hlobo lwebhafu endaweni yokukhwela ebhafini.
• Guqula iipads zakho rhoqo emva kweeyure ezi-2 ukuya kwezi-4.
• Gcina indawo ejikeleze imithungo icocekile kwaye yomile. Pat indawo eyomileyo ngetawuli ecocekileyo emva kokuba uhlambile.
• Emva kokuchama okanye ukuhamba kwamathumbu, tshiza amanzi afudumeleyo kuloo ndawo kwaye wome ngetawuli ecocekileyo okanye usule usana. Sukusebenzisa iphepha langasese.

Thatha izinto zokuthambisa usele amanzi amaninzi. Oku kuyakuthintela ukuqhina. Ukutya kakhulu ifayibha kuya kunceda. Umboneleli wakho wezempilo unokucebisa ukutya okunefayibha eninzi.

Yenza imithambo kaKegel. Cinezela izihlunu ozisebenzisayo ukubamba umchamo imizuzu emihlanu. Yenza la maxesha ali-10 ngemini imini yonke.

Fowunela umnikezeli wakho ukuba:

• Intlungu yakho iya isiba mandundu.
• Uya kwiintsuku ezi-4 okanye ngaphezulu ngaphandle kokuhamba kwamathumbu.
• Udlula i-clot yegazi enkulu kune-walnut.
• Ukhutshiwe unevumba elibi.
• Inxeba libonakala ngathi liza kuvuleka.

Ukuhlanjululwa okungapheliyo - emva kokukhathalela; Ukuzalwa kwangaphantsi kweenyembezi zangasese - emva kokukhathalela; Ukunyamekela emva kokubeleka - i-episiotomy - emva kokunyamekela; Umsebenzi - ukhathalelo lwe-episiotomy; Ukuhanjiswa kwelungu lobufazi-episiotomy emva kokukhathalela

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-Kilatrick 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
• Unonophelo lwasemva kokubeleka