Episiotomy. Sutures episiotomy: incazelo, ukubukeka, kanye nokwelashwa

Ukuzalwa kwengane - kuyisimangaliso. umama okhulelwe ukulungiselela ngokucophelela ukuze ukuvela ingane. Kodwa ngesikhathi sokuzalwa engenzeka isimo ezingalindelekile lapho kungenzeka udinga episiotomy. Ezivuzayo episiotomy ezibaluleke ngokukhethekile kubantu besifazane abakhulelwe. Sizobe ukukhuluma okuningi mayelana naleyo.

Kuyini lokhu?

Episiotomy - a imbobo encane perineum, okuyinto eyenza ebeletha ngesikhathi ukuxoshwa umbungu. Ngokuvamile ngaphambi ukuthi umama okhulelwe iqondiswa a izinzwa wendawo, kodwa ngezinye izikhathi ayinayo isikhathi, futhi ukwenza ngaphandle izinzwa.

Lo msebenzi kuvimbela ukudabuka nokuguqulwa, ukusiza ingane ukuba adabule emgudwini wokuzala.

Ubani odinga episiotomy

Ubani futhi libonisa i episiotomy? Stitches emva kwesikhathi episiotomy eside ukuphola. Indlela kulingane le nqubo? izicubu kwesitho sangasese ngokwanele nokunwebeka. Lona kanye uhlobo lanquma ukuba owesifazane kufanele abelethe ngendlela yemvelo ngaphandle kwezinkinga. Kodwa kukhona ezinye zezizathu esikhethekile lapho episiotomy kuyadingeka:

• isethulo ingane breech, okungukuthi, uyahamba imbongolo ngaphambi noma imilenze;
• kudingeka kusheshiswe lokuzalwa ngoba ingane hypoxia - yokushodelwa umoya;
• kukhona ingozi izinyembezi isizalo uma indwangu akunakudluliswa nokunwebeka.

Ngeshwa, esikhathini sethu, lokhu kusebenza lufakwa ekusakazeni, kwenza cishe njalo owesifazane yesibili emshikashikeni. Ukuze udokotela ukwenza Imi kulula ukudlula ekhuphuka nge ezinye izindlela zokubeka inkulumo. Uma kungenzeka, kungcono ufune udokotela efakazelwe futhi abanolwazi, ongabubekezeleli ukuhlinzwa. Futhi-ke, engqondweni kubalulekile ukuthi lokhu kwakuyoba nomphumela ngempumelelo.

Izinzuzo nezingozi episiotomy

Ngokuvamile, ukubeletha owesifazane enezinwele ngesikhathi sokubeletha nge imbobo fait accompli kudingekile, okuyinto kuveza ngosizo sikelo ekhethekile kuhlinzwa. Kulesi, lapho uqala nje ukubona, inqubo esabekayo kunezinzuzo eziningana:

• Isigaba sesibili ngesivinini izizukulwane;
• ingane izalwe ngaphandle ukulimala, inqubo kuphephile yini kuye;
• nemizamo ize kuthatha amandla ingasaphathwa komama esizayo.

I yokuntula zihlanganisa lezi ezilandelayo:

• yaseZimbabwe buhlungu;
• ukungakwazi ukuhlala isikhathi eside;
• kungaba ona le ingemuva;
• yokutakula isikhathi eside ngemva kokubeletha.

Naphezu kwakho konke lokhu lenqwaba nemibi, kusamelwe uthemba odokotela. Futhi uma inhlalakahle kusengozini, impilo ngisho kwengane, kungcono ukuvumelana inqubo efana episiotomy. episiotomy ezivuzayo kungenzeka sigule sibangwe isikhathi esithile futhi ibakhathaze. Indlela ukubanakekela, ingatholakala ngezansi.

Kungenzeka yini ukuba ugweme episiotomy?

Lokhu kuhlinza kungagwenywa. Sekuyisikhathi eside kungase kutholakale ukuthi wazalwa kungakabi isikhathi ngokuvamile bagcina waphuka amaningi. Kunengqondo indida, ngoba ikhanda e ingane enjalo, yebo, ezincane. Kodwa kuvela, emasontweni ambalwa ngaphambi kokuzalwa, e-hormone wentombi ocushiwe, okwandisa kuyaqina sangasese. Ngakho-ke, kumelwe sizame ukwazisa ingane ukuba eside.

Ngaphezu kwalokho, ungakwazi ngokuzimela nokulungisa perineum sokubelethisa. Kungcono ukuqala kusengaphambili. Odokotela belulekwa ukuba ahole indlela yokuphila enempilo, yonke ukukhulelwa, musa udla kakhulu, futhi nizibhale isisindo. Kungcono ukusebenzisa pool noma yoga kwabesifazane abakhulelwe, uma Udokotela Wabesifazane ongamelene futhi akukho Izimo esimweni ngasinye.

Sekusele inyanga ukulethwa kufanele uqale ukwenza massage obuseduze amafutha akhethekile. Uma akakwazi ukuthenga, ungasebenzisa amafutha sunflower, uwoyela alimondi, amafutha omnqumo noma ulwandle lalesi sihlahla. is a massage ezinjalo, ngokuvamile kuboniswa kanjani ngezifundo kwabesifazane abakhulelwe, ngakho kufanele banganakwa. Le nqubo kumele kwenziwe nsuku zonke. Njengoba baziwa Kegel umzimba futhi ukusiza bathole kuyaqina we perineum bese ubuyela evamile ngemuva kokubeletha. Kunoma yikuphi, uma kwenzeka ukuthi udokotela kwadingeka benze Imi, ningatatazeli.

Bangaki yaseZimbabwe ukuphulukisa episiotomy?

Uma ngesikhathi sokubeletha babe izinkomba udokotela kwenza ngokucophelela imbobo. Prakthiza libonisa ukuthi ngokuvamile ohlangothini lwesokudla. Ezivuzayo kuyendlulela noma ngentambo bioresorbable, noma labo okudingeka zisuswe ngosuku lwesihlanu. Yini ngentambo ukukhetha - ukunquma kudokotela.

Emavikini okuqala amathathu, awukwazi ahlale, ingozi ngenye okungenzeka kwehlukana ka ezivuzayo. Kukhona kuvinjelwe umsebenzi wocansi amasonto 5-6. Ngokuvamile, phakathi nalesi sikhathi emalungeni okuphulukisa. sokubuyiselwa Okugcwele sangasese kwenzeka ezinyangeni ezingu 6-9 emva kokuzalwa, kodwa ukuthatha kuphela ku-akhawunti ukunakekelwa kahle le perineum.

Ukunakekela perineum ngemuva kokubeletha

Kubonakala sengathi i-episiotomy umphetho? Ngemva kokuzalwa, owesifazane angathola izibazi omkhulu evuvukele. Uma uzama ukubona ngokwabo ngokusebenzisa esibukweni, imibukiso akuyona eyethile inhliziyo. Lokhu kuvamile ngokuphelele. Uma ulandela izincomo likadokotela, ngemva 2 amaviki we ukuvuvukala ukuncipha, futhi ngemva kwezinyanga eziyisithupha kuyoba phezu.

izincomo Key for ukunakekelwa emalungeni:

• hhayi ukuhlala phezu flat amasonto 2-3;
• mayelana 2 izinyanga akuphakamise lutho ngoyisiwula kusinda kunakho ingane;
• ukugcina perineum ahlanzekile, ushintsho pads kaningi ngangokunokwenzeka ukugeza emva isikhathi ngasinye lapho sivakashela ethoyilethi;
• ukucutshungulwa isixazululo furatsilina ezivuzayo noma zelenkoj;
• 3-4 izikhathi ngosuku, enikeza ezivuzayo "ukuphefumula" sengathi akekho zangaphansi;
• udle ukudla ukufukula isenzo sokuzikhulula, ukuthi kwesitulo kwaba njalo nezihlanganiso kungukuthi buhle;
• ukuphumula ngokobulili amasonto 6-8;
• ukwenza Kegel umzimba;
• phuza amanzi amaningi.

Iningi worryingly komama abaningi - kuyinto ukungakwazi ukuhlala. Okuphakelayo ingane yakho imi noma ulele kubonakala kuphatheke kabuhlungu kakhulu. Kodwa okubaluleke nakakhulu kuka impilo imvuthu, ngakho eningakuthwala emasontweni ambalwa azayo. Uma unakekelwe perineum namaphutha, ingozi engaba ngenxa yezinkinga.

Izinkinga ngemva episiotomy

Njenganoma iyiphi enye nenqubo yokuhlinzwa, episiotomy ungaba ukuxakeka. Kuthiwani uma ithengiswa episiotomy umthungo, futhi izizathu lokhu? Lokhu kungenzeka uma owesifazane phakamisa izinsimbi, ezifana ethwele stroller nengane ezitebhisini, noma ngaphambi kwesikhathi emzaneni. Njengoba nje izimpawu zokuqala ukudabuka, ezifana ubuhlungu bamalunga ngemuva episiotomy, kufanele uxhumane nodokotela ngokushesha. Ungahle udinge suturing yesibili.

Ubulili ngemva episiotomy

Kunoma yikuphi, ngemva kokubeletha kuyadingeka ukuba nidede ezinkanukweni ubuhlobo bobulili amasonto 6. Emva kwalesi sikhathi kubalulekile ukuba uvakashele udokotela wezifo zabesifazane. Uma ezivuzayo ngayo yonke inqubo kanye nodokotela uyonika okuhle ukhumbule mayelana yabo yokuphila obuseduze.

Iningi labesifazane abaye i episiotomy, bayavuma ukuthi ngaso ukwesaba lokuqala abanolwazi futhi ubuhlungu ngesikhathi socansi. Ngokuhamba kwesikhathi, ubuhlungu yakho izodlula. Ngokokuqala ngqá kungcono ukusebenzisa gel-nivame futhi esiningi foreplay. Liphinde ukusebenzisa zibhekise ngokuchofoza ngakwesokudla. Uma ubuhlungu ngeke nakancane sihambisane nakho, kubalulekile ukuba ayeke futhi uzame izinsukwana. Uma ubuhlungu iqhubeka izinyanga eziningana bese idonsa suture ngemva episiotomy, kubalulekile ukuba kudokotela iseluleko.

Namanje ngingakwazi abelethe episiotomy

Abesifazane abaye zabhekana lokhu ukuhlinzwa ngokuvamile ukhathazeke ukuthi ukudiliva okwalandela zingenzeka? Ngenhlanhla, ukuvinjelwa akuyona. Kumele kukhunjulwe ukuthi okwesibili kungase kudingeke i episiotomy. Stitches ngemva episiotomy akuyona nokunwebeka. Ngakho-ke ababelethisi ukuze ugweme umphetho igebe ubudala, yenza imbobo entsha kucocekile.

Cishe ingxenye izizukulwane yesibili futhi okwalandela kudlule ngaphandle lokhu kokungenela. Kuyadingeka ukuba ngizivumelanise nawo yize ngangihola omuhle lokuzalwa imiphumela kahle hlomela them. Bear izingane kufanele nakanjani, naphezu ukwesaba, okuholela episiotomy. Ezivuzayo episiotomy - kuba okuncane okufana kuqhathaniswa injabulo ezinikeza izingane!