I-Perineal massage: yintoni kunye nendlela yokwenza ngayo

Umxholo

• Inyathelo nenyathelo lokwenza umyalezo
• Uyiphulula njani iPPE-Hayi

I-Perineal massage luhlobo lokuthambisa olwenziwe kwindawo esondeleyo yomfazi encedisa ukolula izihlunu zelungu lobufazi kunye nomjelo wokuzalwa, ukuququzelela ukuphuma komntwana ngexesha lokuzalwa kwesiqhelo. Le massage inokwenziwa ekhayeni kwaye, ngokufanelekileyo, kufuneka ikhokelwe ngugqirha wezifo zabasetyhini okanye ugqirha wokubelekisa.

Ukuphulula i-perineum yindlela elungileyo yokunyusa ukuthambisa kunye nokolula izicubu zalo mmandla, ezinceda ekuthambekeni, kwaye ngenxa yoko kwindlela yokuhamba komntwana kumjelo wokuzalwa.Ngale ndlela kunokwenzeka ukuba ube neenzuzo ezingokweemvakalelo nezomzimba zale massage.

Inyathelo nenyathelo lokwenza umyalezo

I-massage kwi-perineum kufuneka yenziwe yonke imihla, ukusuka kwiiveki ezingama-30 zokukhulelwa, kwaye kufuneka ihlale malunga nemizuzu eli-10. Amanyathelo ngala:

1. Hlamba izandla zakho kunye nebrashi phantsi kweenzipho zakho. Iikhonkwane kufuneka zigcinwe zifutshane kangangoko;
2. Faka into yokuthambisa esekwe emanzini ukuhambisa umyalezo, ngaphandle komngcipheko wosulelo, ioyile okanye ukhilimu wokuthambisa akufuneki usetyenziswe;
3. Umfazi kufuneka ahlale kamnandi, exhasa umqolo wakhe ngemiqamelo efanelekileyo;
4. Lubricant kufuneka isetyenziswe kubhontsi nakumnwe wesalathiso, kunye nakwipineine nakwilungu lobufazi;
5. Umfazi kufuneka afake malunga nesiqingatha sesithupha kwilungu lobufazi, kwaye atyhale izihlunu ezibonisa umva ngasemva, ngase-anus;
6. Emva koko, thambisa kancinci indawo engezantsi yelungu lobufazi, kubume be-U;
7. Ke owasetyhini kufuneka agcine malunga nesiqingatha sezithupha ezi-2 ekungeneni kwelungu lobufazi kwaye ucinezele izicwili ezingaphezulu kangangoko anako, ade azive iintlungu okanye ukutshisa kwaye abambe eso sikhundla umzuzu omnye. Phinda kabini amaxesha.
8. Emva koko kuya kufuneka ucinezele ngendlela efanayo emacaleni, kunye nokugcina umzuzu omnye wokuzolula.

I-Perineal massage ikwaluncedo ukuyenza emva kokubeleka, ukuba une-episiotomy. Kuyanceda ukugcina ukuqina kwezicubu, kwandise ukungena kwelungu lobufazi kwakhona kunye nokunyibilikisa amanqaku e-fibrosis anokubumba ecaleni kwesikrelemnqa, ukwenza ukudibana kwesondo ngaphandle kwentlungu. Ukwenza i-massage ibabuhlungu kancinane, ungasebenzisa ioyile ye-anesthetic malunga nemizuzu engama-40 ngaphambi kokuqala kokuthambisa, umzekelo olungileyo yi-Emla mafutha.

Uyiphulula njani iPPE-Hayi

I-EPI-Hayi sisixhobo esincinci esisebenza ngokufana nesixhobo esilinganisa uxinzelelo. Iqukethe ibhaluni yesilicone ekufuneka ifakwe kwilungu lobufazi kwaye kufuneka inyuswe ngesandla ngumfazi. Ke, umfazi unokulawula ngokupheleleyo ukuba ibhaluni ingazalisa kangakanani ngaphakathi kumjelo wesini, ukwandisa izicwili.

Sebenzisa i-EPI-Hayi, igrisi kufuneka ibekwe emnyango welungu lobufazi nakwi-EPI-No inflatable balloon silicone. Ke, kunyanzelekile ukuba unyuse ngokwaneleyo ukuze ikwazi ukungena kwilungu lobufazi kwaye emva kokuhlalwa, ibhaluni kufuneka iphinde inyuswe umoya ukuze ikwazi ukukhula kwaye ishenxise emacaleni obufazi.

Esi sixhobo sinokusetyenziselwa amaxesha ama-1 ukuya kwezi-2 ngosuku, ukuqala kwiiveki ezingama-34 zokukhulelwa, njengoko kukhuseleke ngokupheleleyo kwaye kungachaphazeli kakubi umntwana. Eyona nto ilungileyo kukuba isetyenziselwa yonke imihla ukolula ngokuqhubekayo umjelo wesini, onokuthi uququzelele ukuzalwa kosana. Esi sixhobo sincinci sinokuthengwa kwi-intanethi kodwa sinokuqeshiswa ngamanye ama-doulas.