Ukuphuka kwamagciwane ngesikhathi sokubeletha

Ukuqhekeka kwamagciwane ukuphulwa kombuso ohlangene wezindonga zangasese. Ngokuvamile, lesi sifo senziwa ngesikhathi sokubeletha, kodwa singase senzeke nemisebenzi ehlukahlukene yezinkinga zomzimba kanye nezindakamizwa, ngokuziphatha okubi, lapho siwela ezintweni ezibukhali, njll. Njengomthetho, ukuphuka kuphawulwe ezingxenyeni ezingezansi nezingenhla zesiswini futhi kuhambisane nomonakalo ku-perineum. Ingxenye ephakathi kakhulu ayilimale kakhulu, njengoba inokuqina okukhulu futhi ingaphansi kancane.

Izimbangela zokuphuka kwesisu ngesikhathi sokubeletha

• Indawo ephezulu ye-perineum.
• I-Swift noma, ngokuphambene, isebenze isikhathi eside.
• Ubulili obunzima.
• Ukutholakala kwezibazi ezicukwaneni zesisu.
• Izinqubo zokuvuvukala.
• Ukuqina okwanele kwemigqa.

Ukuxilongwa Nezimpawu

Okubalulekile futhi okuwukuphela kwesibonakaliso sokuthi ukuqhuma kwodonga lwamaginini kwenzeke ukuphuma kwegazi. Ukuxilongwa kwe-pathology ephakama akuyona inzima kakhulu futhi akusithathi isikhathi esiningi. Njengomthetho, ukuphuka kwesisu kuvelele emehlweni noma ngezibuko ezikhethekile.

Ukwelapha

Ukuphuka kwamagciwane kudinga ukuhlinzwa, okwenzeka ngokushesha ngemva kokubeletha. Ngaphambi kokusebenza, indawo lapho izimboni zizosetshenziswa khona ziphathwa ngesisombululo se-antiseptic. Owesifazane unikezwa i-anesthesia (yendawo, i-epidural noma i-intravenous), udokotela uqala ukuthunga izikhala.

Ngemuva kokusebenza

Ukuvimbela ukungafani nokuxoshwa kwe-sutures, igciwane elivulekile (futhi, ukuba liqondile, izitho zokubeletha) kumele lilashwe ngezixazululo ze-disinfectant (potassium permanganate, chlorhexidine) okungenani izikhathi ezintathu ngosuku ngezinsuku ezingu-2-3. Uma kutholakala ukuqhuma okujulile, ama-antibiotic kanye ne-douching kufanele kwenziwe ngezinkinga ezifanayo phakathi nezinsuku ezingu-3-4 emva kokubeletha.

Kufanele kukhunjulwe ukuthi kulokhu, umama osemncane akavunyelwe ukuhlala amasonto angu-1,5-2. Ezinyangeni eziyi-1.5-2, owesifazane uphikisana nobuhlobo bobulili.

Ukuvimbela

Ukuvimbela ukuphuka kwesisu, owesifazane osebenza kufanele ahambisane nazo zonke izincomo zikadokotela oholele ukulethwa, ikakhulukazi ngesikhathi kubonakala ikhanda lomntwana. Okunye okubalulekile okuzosiza ekuvimbeleni umonakalo ezindongeni zesifazane, ukusebenza okulungile nokucophelela kwemisebenzi esiza owesifazane ukuba abelethe (ukusetshenziswa kwe-obstetrical forceps, isizinda, njll). Uma ukuqhuma kwesisu kungenakugwenywa, isazi sezidakamizwa kufanele senze i-perineotomy - ukucwaninga okuhlinzekwa kwezicubu zangasese phakathi komugqa ophakathi, noma i-episiotomy - ukuhlakazwa kwama-labi majora amabili ububanzi obuvela kokubili noma kolunye uhlangothi. Basebenzisa lezi zenzo ngenhloso yokukhula okusheshayo kwilonda, ngoba imiphetho enqunyiwe "yajwayele" komunye nomunye kangcono kunalabo abaphukile nabalimele.

Ucwaningo oluningi lwemitholampilo luye lwabonisa ukuthi ukulungiselela ukubeletha kwengqondo yokubeletha kudlala indima ebalulekile ekuvimbeleni ukuphuka . Kunolwazi lokuthi isisombululo se-lysada sijova ukuvimbela izicubu zomzimba wesisu.