Ungayinyamekela njani i-episiotomy emva kokubeleka

Umxholo

• Khathalela ukuthintela usulelo kunye nokudumba
• Unonophelo lokuthomalalisa iintlungu nokungonwabi
• Khathalela ukukhawulezisa ukuphilisa

Emva konikezelo oluqhelekileyo, kubalulekile ukuthatha unonophelo nge-episiotomy, enje ngokungenzi nzame, ukunxiba umqhaphu okanye ipenti elahlwayo kunye nokuhlamba indawo esondeleyo kwicala lakwalapha emngxunyeni emva kokusebenzisa igumbi lokuhlambela. Olu khathalelo nge-episiotomy lujolise ekukhawuleziseni ukuphilisa kunye nokuthintela ummandla ekubeni wosuleleke kwaye kufuneka ugcinwe ukuya kuthi ga kwinyanga enye emva kokuhanjiswa, xa unyango luphelile.

I-Episiotomy yinqumle eyenziwe kwingingqi yemisipha phakathi kwesini kunye ne-anus, ngexesha lokuhanjiswa kwesiqhelo, ukulungiselela ukuphuma komntwana. Ngokubanzi, owasetyhini akaziva zintlungu ngexesha le-episiotomy ngenxa yokuba engacacanga, kodwa kuyinto eqhelekileyo ukuva iintlungu kunye nokuphazamiseka kwi-episiotomy kwiiveki zokuqala ezi-2 ukuya kwezi-3 emva kokubeleka. Qonda xa kufuneka i-episiotomy kwaye zithini iingozi.

Izitishi ezisetyenziswa kwi-episiotomy zihlala zifunxwa ngumzimba okanye ziwe ngokwendalo, akukho mfuneko yokuba ubuyele esibhedlele ukuze uzisuse kwaye ummandla ubuyela esiqhelweni emva kokuba unyango luphelile.

Khathalela ukuthintela usulelo kunye nokudumba

Ukuthintela usulelo kwingingqi ye-episiotomy, kuya kufuneka:

• Nxiba umqhaphu okanye iphenti elahlwayo ukuze ulusu lwengingqi luphefumle;
• Hlamba izandla zakho ngaphambi nasemva kokusebenzisa igumbi lokuhlambela kwaye utshintshe into yokufunxa xa kufuneka njalo;
• Hlamba indawo esondeleyo ukusuka kwilungu lobufazi ukuya kwi-anus emva kokusebenzisa igumbi lokuhlambela;
• Sebenzisa iimveliso zococeko olusondeleyo kunye ne-pH engathathi hlangothi, njengeLucretin, iDermacyd okanye i-Eucerin isepha yolwelo olusenyongweni, umzekelo;
• Ungenzi nzame, unakekele ukuphumla iingalo zakho esitulweni xa uhleli kwaye ungahlali kwizitulo ezisezantsi ukunqanda imitya ukuba ingagqabhuki.

Kubaluleke kakhulu ukuba owasetyhini azi imiqondiso yosulelo kwi-episiotomy, enjengobomvu, ukudumba, ukukhutshwa kobofu okanye ulwelo enxebeni kwaye, kwezi meko, thetha nengcali yokubelekisa ebeleke umntwana okanye uye kwangoko igumbi lezongxamiseko.

Unonophelo lokuthomalalisa iintlungu nokungonwabi

Ukuthomalalisa iintlungu kunye nokuphazamiseka okubangelwa yi-episiotomy, kuya kufuneka:

• Sebenzisa umqamelo onomngxuma ophakathi, onokuthengwa ezikhemesti okanye umqamelo wokuncancisa, ukuze xa uhleli ungacinezeli i-episiotomy, uthomalalise iintlungu;
• Yomisa indawo esondeleyo, ngaphandle kokurabha okanye ukucinezela ukuze ungazilimazi;
• Faka isicelo sokucinezelwa okubandayo okanye ityhubhu yomkhenkce kwindawo ye-episiotomy yokuphelisa iintlungu;
• Ukuchitha amanzi kwindawo esondeleyo ngelixa uchama ukunciphisa umchamo kunye nokunciphisa ukutsha kwindawo ye-episiotomy, njengoko i-asidi yomchamo edibene ne-episiotomy inokubangela ukutshisa;
• Cinezela i-episiotomy ephambi kwakho ngoxinzelelo olucocekileyo xa uphuma ukuze unciphise ukungonwabi okunokuvela xa usebenzisa amandla.

Ukuba iintlungu kwingingqi ye-episiotomy zinzima kakhulu, ugqirha unokumisela iintlungu ezinje ngeparacetamol okanye ioyile yokuthomalalisa iintlungu ukuthomalalisa iintlungu kunye nokungonwabi, ekufuneka isetyenziswe kuphela phantsi kwengcebiso yezonyango.

Ngokwesiqhelo, unxibelelwano olusenyongweni lunokuphinda luqale malunga neeveki ezi-4 ukuya kwezi-6 emva kokubeleka, nangona kunjalo, kuyinto eqhelekileyo ukuba owasetyhini afumane iintlungu okanye ukungonwabi, nangona kunjalo, ukuba iintlungu zinamandla kakhulu, umfazi kufuneka aphazamise unxibelelwano olusondeleyo kwaye abonane nogqirha wabasetyhini.

Khathalela ukukhawulezisa ukuphilisa

Ukukhawulezisa ukuphiliswa kwengingqi ethe yafumana i-episiotomy, umntu kufuneka aphephe ukunxiba iimpahla ezixineneyo, ukuze ulusu lukwazi ukuphefumla nge-episiotomy kwaye lukhawulezise ukuphilisa kunye nokwenza umthambo we-Kegel, njengoko zisonyusa ukuhamba kwegazi kule ngingqi, ukunceda ukukhawulezisa ukuphilisa. Funda ukuba ungayenza njani le mithambo.

Ukongeza, ugqirha unokucebisa nokusetyenziswa kwezithambiso ezithile ezinceda ekuphiliseni, ezinokuba neehomoni ekubunjweni, ii-antibiotics okanye ii-enzymes ezikhuthaza ukuphilisa, umzekelo.