Indawo yeLithotomy: Ngaba ikhuselekile?

Umxholo

• Isikhundla seLithotomy ngexesha lokuzalwa
• Iingxaki
• Isikhundla seLithotomy ngexesha lotyando
• Iingxaki
• Umgca wezantsi

Ithini indawo ye-lithotomy?

Isikhundla se-lithotomy sisoloko sisetyenziswa ngexesha lokubeleka kunye nokuhlinzwa kwindawo ye-pelvic.

Kubandakanya ukulala ngomqolo kunye nemilenze yakho eguqulweyo iidigri ezingama-90 esinqeni sakho. Amadolo akho aya kugotywa kuma-70 ukuya kuma-90 degrees, kwaye iinyawo ezinamacala aqhotyoshelwe kwitafile ziya kuyixhasa imilenze yakho.

Isikhundla sibizwa ngokuba siqhagamshelene ne-lithotomy, inkqubo yokususa amatye esinyi. Ngelixa isasetyenziselwa iinkqubo ze-lithotomy, ngoku inokusetyenziswa okuninzi.

Isikhundla seLithotomy ngexesha lokuzalwa

Isikhundla se-lithotomy sasisisigxina sokumitha esisetyenziselwa izibhedlele ezininzi. Yayidla ngokusetyenziswa ngexesha lesibini lomsebenzi, xa uqala ukutyhala. Abanye oogqirha bayayikhetha kuba ibanika ukufikelela okungcono kumama nomntwana. Kodwa izibhedlele ngoku ziyashenxa kwesi sikhundla; baya besanda, basebenzisa iibhedi zokuzalela, izitulo zokubelekisa, kunye nendawo yokuchopha.

Uphando luxhase ukufuduka kude kwindawo yokubeleka ehlangabezana neemfuno zikagqirha kunokuba kungowasetyhini osebenzayo. Ukuthelekisa izikhundla ezahlukileyo zokuzalela kuqaphele ukuba indawo ye-lithotomy yehlisa uxinzelelo lwegazi, olunokuthi lwenze ukuqaqanjelwa kube buhlungu ngakumbi kwaye kukhuphe inkqubo yokuzala. Olu phononongo lunye, kunye nolunye olusuka ku-2015, lufumanise ukuba indawo yokuhlutha ibibuhlungu kwaye inempumelelo ngakumbi kwinqanaba lesibini labasebenzi. Ukutyhala umntwana phezulu kusebenza ngokuchasene nomxhuzulane. Kwimeko yokuchopha, amandla omxhuzulane kunye nobunzima bosana kunceda ukuvula umlomo wesibeleko kunye nokwenza lula ukuhanjiswa.

Iingxaki

Ukongeza ekwenzeni kube nzima ukutyhala ngexesha lomsebenzi, indawo ye-lithotomy ikwanxulunyaniswa nezinye iingxaki.

Omnye wafumanisa ukuba isikhundla se-lithotomy sonyusa amathuba okufuna i-episiotomy. Oku kubandakanya ukusika izicwili phakathi kwelungu lobufazi kunye ne-anus, ekwabizwa ngokuba yi-perineum, okwenza kube lula ukuba umntwana adlule. Ngokufanayo kwafunyanwa umngcipheko ophezulu weenyembezi ezizenzekelayo kwindawo ye-lithotomy. Olunye uphononongo ludibanise indawo ye-lithotomy kunye nomngcipheko owandileyo wokulimala kwi-perineum xa kuthelekiswa nokuqhekeka okulele kwicala lakho.

Olunye uphononongo ngokuthelekisa indawo ye-lithotomy kwizikhundla zokuqhekeza kwafumanisa ukuba abasetyhini ababelethayo kwindawo ye-lithotomy babesenokufuna icandelo laseKesariya okanye i-forceps yokususa usana lwabo.

Okokugqibela, ukujonga ngaphezulu kokuzalwa kwe-100,000 kufumanise ukuba isikhundla se-lithotomy sonyusa umngcipheko womfazi wokulimala kwe-sphincter ngenxa yokunyuka koxinzelelo. Ukulimala kweSphincter kunokuba nemiphumo ehlala ihleli, kubandakanya:

• ukungahambi kakuhle kwelindle
• intlungu
• ukungonwabi
• ukungasebenzi kakuhle ngokwesondo

Gcina ukhumbula ukuba ukuzala yinkqubo entsonkothileyo eneengxaki ezininzi ezinokubakho, nokuba sithini na isikhundla esisetyenzisiweyo. Kwezinye iimeko, indawo ye-lithotomy inokuba yeyona ndlela ikhuselekileyo ngenxa yesikhundla somntwana kumjelo wokuzalwa.

Njengoko uhamba nokukhulelwa kwakho, thetha nogqirha wakho malunga nezikhundla zokubeletha. Banokukunceda uze neenketho ezinokulinganisela izinto ozikhethayo kunye nezokhuseleko.

Isikhundla seLithotomy ngexesha lotyando

Ukongeza ekuzaleni umntwana, indawo ye-lithotomy ikwasetyenziselwa uninzi lotyando kunye nonyango lwabasetyhini, kubandakanya:

• Utyando
• utyando lwekolon
• ukususwa kwesinyi, kunye ne-rectal okanye iprotate tumors

Iingxaki

Kuyafana nokusebenzisa indawo ye-lithotomy xa uzala umntwana, ukwenza utyando kwindawo ye-lithotomy kukwanobungozi. Ezi ngxaki zimbini ziphambili zokusebenzisa indawo ye-lithotomy kuqhaqho zi-compartment syndrome (i-ACS) kunye nokwenzakala kwentliziyo.

I-ACS yenzeka xa uxinzelelo lonyuka ngaphakathi kwendawo ethile yomzimba wakho. Olu konyuka koxinzelelo luphazamisa ukuhamba kwegazi, okunokwenzakalisa ukusebenza kwezicubu zakho ezingqongileyo. Isikhundla se-lithotomy sonyusa umngcipheko we-ACS kuba ifuna imilenze yakho iphakanyiswe ngaphezulu kwentliziyo yakho ixesha elide.

I-ACS ixhaphake kakhulu ngexesha lotyando oluhlala ngaphezulu kweeyure ezine. Ukuthintela oku, ugqirha wakho wotyando uya kuyithoba imilenze ngononophelo rhoqo kwiiyure ezimbini. Uhlobo lwenkxaso yomlenze olusetyenzisiweyo lunokudlala indima ekwandiseni okanye ukunciphisa uxinzelelo lwegumbi. Ukuxhaswa kwethole okanye ukuxhaswa okufana ne-boot kunokunyusa uxinzelelo lwegumbi ngelixa inkxaso ye-ankle ye-ankle inokunciphisa.

Ukulimala kwamathambo kunokwenzeka kwakhona ngexesha lotyando kwindawo ye-lithotomy. Oku kuhlala kwenzeka xa imithambo yolulwe ngenxa yokuma okungafanelekanga. Iimbilini eziqhelekileyo ezichaphazelekayo zibandakanya i-femal nerve kwithanga lakho, i-nerve ye-sciatic kumqolo wakho osezantsi, kunye ne-neroneal nererone eqhelekileyo kumlenze wakho osezantsi.

Njengokuzalwa komntwana, naluphi na uhlobo lotyando luneengozi zalo. Thetha nogqirha wakho malunga nayiphi na inkxalabo onayo malunga notyando oluzayo, kwaye ungaziva ungonwabanga ukubuza imibuzo malunga nento abaya kuyenza ukunciphisa umngcipheko weengxaki.

Umgca wezantsi

Isikhundla se-lithotomy sisetyenziswa rhoqo ngexesha lokubeleka kunye nonyango oluthile. Nangona kunjalo, uphononongo lwamva nje luye lwadibanisa isikhundla nomngcipheko okhulayo weengxaki ezininzi. Gcina ukhumbula ukuba, ngokuxhomekeke kwimeko, izibonelelo zayo zinokugqitha ubungozi. Thetha nogqirha wakho malunga neenkxalabo onazo malunga nokuzala okanye utyando oluzayo. Banokukunika umbono ongcono wobungozi bakho kwaye bakwazise ngazo naziphi na izinto abazithathayo ukuba basebenzise indawo ye-lithotomy.