Ungabunyanga njani ubuhlungu obungapheliyo kunye nokudumba ngexesha nasemva kokukhulelwa

Umxholo

• Ukuzalwa komntwana kuchaphazela njani iPerineum?
• Yintoni enye enokubangela ukudakumba kwePerineum?
• Zintoni izinto eziNgozi kwiNyembezi?
• Ngaba lukhona naluphi na unyango lwePoreineum eSore?
• Ngaba Ekugqibeleni Ukudakumba Kuya Kulunga?
• Kukhuselwa njani ukukhathazeka ngokukhawuleza?

IPerineum kunye nokukhulelwa

I-perineum yakho yindawo encinci yesikhumba kunye nemisipha ebekwe phakathi kwelungu lobufazi kunye ne-anus.

Ngekota yesithathu yokukhulelwa, umntwana wakho ufumana ubunzima kwaye ehla ezantsi kwi-pelvis yakho. Uxinzelelo olongeziweyo lunokukhokelela kukudumba kwamalungu esini kunye ne-perineum. Kwangelo xesha, i-perineum yakho iqala ukolula ukulungiselela ukubeleka.

I-perineum ebuhlungu ngenxa yokukhulelwa yingxaki yexeshana, nangona isenokungonwabi.

Ukuzalwa komntwana kuchaphazela njani iPerineum?

I-perineum iyolulwa ngakumbi ngexesha lokubeleka. Akuqhelekanga ukuba i-perineum ikrazule njengoko umntwana edlula. Ngokwe-American College of Nurse-Midwives (ACNM), naphi na ukusuka kuma-40 ukuya kuma-85 eepesenti yabasetyhini baneenyembezi ngexesha lokuhanjiswa kwabafazi. Phantse ezibini kwisithathu kwaba bafazi zifuna umthungo ukulungisa umonakalo.

Ukunciphisa amathuba okwehla kweenyembezi, ugqirha wakho angasika i-perineum.Le nkqubo ibizwa ngokuba yi-episiotomy. Oku kunika umntwana igumbi elingaphezulu lokudlula ngaphandle kokubangela iinyembezi ezinzima.

Nokuba ufumana iinyembezi okanye une-episiotomy, i-perineum yindawo ebuthathaka. Nokuba iinyembezi ezincinci zinokubangela ukudumba, ukutshisa kunye nokurhawuzelela. Inyembezi enkulu inokuba buhlungu kakhulu. Iziqu ze-Episiotomy zinokuziva zibuhlungu kwaye zingonwabisi.

Iimpawu zinokuhlala iintsuku ezimbalwa ukuya kwiinyanga ezininzi. Ngelo xesha, kunokuba nzima ukuhlala okanye ukuhamba kakuhle.

Yintoni enye enokubangela ukudakumba kwePerineum?

Ukukhulelwa nokubeleka zizona zizathu eziqhelekileyo zesifo esibuhlungu kubasetyhini. Ezinye izinto zinokukhokelela kwisifo esibuhlungu, kodwa akusoloko kulula ukufumana unobangela.

Ukudumba kwendawo ye-vulvar okanye i-perineum kunokubangelwa yinto elula njengeebhulukhwe eziqinileyo okanye ukuhlala kwindawo engonwabisiyo ixesha elide. Ukwabelana ngesondo ngaphandle kokuthambisa ngokwaneleyo kunokubangela ne-perineum ebuhlungu.

I-vulvodynia ngokubanzi yintlungu engapheliyo kwindawo ye-vulvar kodwa ngaphandle kwesizathu esicacileyo. Intlungu inokuchaphazela indawo yonke, kubandakanya ilebhu, iklitoris, kunye ne-perineum.

Ukuhla kwesifo se-perineum kwenzeka xa iibhaluni ze-perineum zingaphaya kokuma kwazo okuqhelekileyo. Oku kunokwenzeka ukuba unengxaki eqhubekayo yokuzichamela okanye ukuchama kwaye uxinisa nzima. Ukuba une-perineum eyehla, inyathelo lokuqala kukufumanisa unobangela.

Inokuthunyelwa kwakhona njengentlungu. Ukuba uneentlungu ezingachazwanga, ukuxilonga ingxaki kuya kuqala kuviwo olupheleleyo lwe-gynecological.

Zintoni izinto eziNgozi kwiNyembezi?

Uphononongo olwenziwe ngo-2013 lubonise ukuba abanye abantu basetyhini banomngcipheko ophezulu weentlobo ezithile zokukrazula xa bebeleka. Izinto zomngcipheko zibandakanya:

• ukubeleka umntwana xa efikisa
• una 27 okanye ngaphezulu
• ukuba nomntwana onesisindo sokuzalwa esiphakamileyo
• ukuhanjiswa ngesixhobo

Ukuba ngaphezulu kwesinye sezinto ezinobungozi kwenza ukuba iinyembezi ezingapheliyo zibonakale ngakumbi. Ukuba unezinto ezingaphezulu kwesinye sezinto ezinobungozi, ugqirha wakho unokuqwalasela i-episiotomy ukuzama ukukhusela iinyembezi.

Ngaba lukhona naluphi na unyango lwePoreineum eSore?

Ukuba unesifo esibuhlungu se-perineum, ukuhlala kungayenza mandundu imeko. Olunye ulungiso olulula nolungabizi kakhulu luyi-hemorrhoid okanye i-donut cushion ukugcina ubunzima bakho kwi-perineum yakho xa uhleli.

Ukuphulula indawo ngexesha lokukhulelwa kunokunceda ekunciphiseni ukukhathazeka kwaye kulungiselele i-perineum yokubeleka.

Abanye abantu basetyhini bafumanisa ukuba ukusebenzisa umkhenkce okanye ipakethe ebandayo kuthomalalisa iimpawu ezinje ngokudumba, ukurhawuzelela, kunye nokutsha kwesisu.

Iphepha le-2012 elipapashwe kwiThala leeNcwadi laseCochrane lagqiba kwelokuba kukho ubungqina obuncinci kuphela bokuba unyango lokupholisa lukhuselekile kwaye lusebenza ekudambiseni iintlungu.

Ukuba ufumene iinyembezi okanye i-episiotomy, ugqirha wakho uya kunika imiyalelo emva kokunyamekela. Kubalulekile ukuba ubalandele ngononophelo.

Mhlawumbi baya kukunika ibhotile yokunkcenkceshela. Ungayisebenzisa ukuhambisa amanzi ashushu kwindawo ukuyicoca kunye nokuyicola, ngakumbi emva kokuya kwigumbi lokuhlambela.

Ukunceda ukuthintela usulelo, kuya kufuneka ugcine indawo icoceke kakhulu. Ibhafu efudumeleyo, engekho nzulu inokunceda ukunciphisa okwexeshana okwexeshana. Sebenzisa itawuli ecocekileyo ukuze uziphathe ngokwakho endaweni yokurabha indawo. Akufanele ube ne-bubble bath okanye usebenzise ezinye iimveliso ezinezithako ezirhabaxa de ube uphile ngokupheleleyo.

Ngaba Ekugqibeleni Ukudakumba Kuya Kulunga?

Ubungakanani ubuhlungu onabo kunye nokuba buza kuhlala ixesha elingakanani bunokwahluka ngokuxhomekeke emntwini. Inokwenza okuninzi nesizathu. Ukuba ukhe wakrazula kakhulu kwaye wadumba, kungathatha ixesha elide ukuphola.

Kubafazi abaninzi, ukukhathazeka okunxulumene nokubeletha kwe-perineum kuncipha kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Ngokuqhelekileyo akukho miphumo yexesha elide.

Jonga ugqirha wakho ukuba ukubonakala kubonakala kungaphucuki okanye kuya kusiba mandundu. Kuya kufuneka ubize ugqirha wakho ukuba unayo:

• umkhuhlane
• ukubhobhoza okunuka kakubi
• ukopha okupheleleyo
• ubunzima bokuchama
• intlungu ebuhlungu
• ukudumba
• iingxaki zokuthunga okungagungqiyo

Kukhuselwa njani ukukhathazeka ngokukhawuleza?

Ukuba uthambekele ekukhathazekeni okungapheliyo, zama ukunqanda ukunxiba ibhlukhwe ezixineneyo. Kuya kufuneka kwakhona uqiniseke ukuba uthanjisiwe kakuhle ngaphambi kokuba ube neentlobano zesini.

Ukuba ukhulelwe, unokufumana inzuzo kwi-massage yangasese. Ngokwezibhedlele zeYunivesithi yaseBrighton naseSussex, uphononongo lubonisa ukuba ekukhulelweni kokuqala, ukuthanjiswa ngomqolo emva kweveki yama-34 kunokunciphisa ukukrazuka okukodwa.

Ukulungiselela ukuphulula, i-ACNM iphakamisa ukuba usike iinzipho zakho kwaye uhlambe izandla zakho kakuhle. Phumla ugobe amadolo. Sebenzisa imithwalo ukongeza intuthuzelo.

Kuya kufuneka uthambise izithupha zakho kunye ne-perineum. Ungasebenzisa ioyile ye-vitamin E, ioyile yealmond, okanye ioyile yemifuno. Ukuba ukhetha, ungasebenzisa ijeli enyibilikayo emanzini. Sukusebenzisa ioyile yosana, ioyile yezimbiwa, okanye ijeli yepetroleum.

Ukuthambisa:

1. Faka izithupha zakho malunga nee-intshi ezi-1 ukuya kwezi-1.5 kwilungu lobufazi.
2. Cinezela ezantsi kwaye emacaleni ude uzive wolula.
3. Bamba umzuzu omnye okanye emibini.
4. Sebenzisa izithupha zakho ukucola kancinci indawo engezantsi yelungu lobufazi ku "U".
5. Gxila ekugcineni izihlunu zakho zikhululekile.
6. Massage i-perineum ngale ndlela malunga nemizuzu eli-10 ngosuku.

Ukuba awukhululekanga ukwenza ngokwakho, iqabane lakho linokukwenza. Abalingani kufuneka basebenzise ubuchule obufanayo, kodwa ngeminwe yesalathiso endaweni yoobhontsi.