Naute i neih hunah episiotomy i mamawh dawn em? Hemi chungchang hi han sawi ila!

Nau neih i inbuatsaih a nih chuan i rilruah zawhna pakhat chu " Episiotomy ka neih a ngai dawn em?".. tih hi a ni ngei ang. Kan nu leh pi te pian lai khan hetiang hi tih dan pangngai a nih laiin, tunlai hian thil a danglam hle. Mahse, a chang chuan emergency vangin hetiang hi a tul thei a ni. Chuvangin, he thu hi chiang tak leh awlsam takin sawi ila.

A awlsam zawngin, episiotomy tih hi eng nge ni?

Episiotomy chu nau neih laiin doctor-in vagina leh anus inkar (damdawi lama `perineum` an tih) hmuna surgical incision te tak te a siam a, naute chhuah awlsam zawk nan vagina hawnna chu a ti lian a ni. Hei hi a tum ber chu naute chhuah theihna tur hmun tihpun a ni.

Tun hma chuan he incision hi nu nau pai zawng zawng deuhthaw chungah an ti thin. Mahse vawiinah chuan tih dan pangngaia tih a ni lo. Mahse, hei hi thil kal tawh zawng zawng a ni lo.

Chutih lai leh Tunah: Engvangin nge he policy hi a inthlak?

Kum sawmhnih kalta khan episi OT omy hi a lo awm tawh hle a. Tin, chutiang a nih chhan pawh a awm bawk.

Chutih lai chuan doctor tam tak chuan nau neihna kawnga pui turin forceps ang chi hmanrua an hmang thin. Chuvângin, chu instrument-te chu dik taka hman theih nân hmun dang an mamawh a ni. Tin, chutih laia doctor-te chuan a pianphung anga tihchhiat ai chuan uluk taka tan chu a tha zawk niin an ngai bawk. He cut hian nau neih hnua hun rei tak chhunga harsatna awm thei, insum theih lohna leh sex hman laiin natna te a tihziaawm dawn tih rinna a awm bawk.

Mahse, zirchianna atanga a lan dan chuan hetiang hi a ni lo.

Kum 1990 chho atanga zirchianna atanga a lan dan chuan episiotomy hian a hmaa ngaihtuah angin hlawkna tam tak a pe lo.

Zirna thenkhatah chuan hmeichhia 85% vel chuan nau an neih laiin natural tearing engemaw zat an nei thin. Heng mittui (leh episiotomy cut) te hi a tenau atanga na tak thlengin a awm thei (doctor-te chuan first, second, third, leh fourth degree tiin an classified). A nasat ber lai chuan rectum ruh leh a chhung lam lining a chhe thei a , chu chuan riltam control harsatna a thlen thei a ni.

Episiotomy tih a nih chuan, a pianphungah chuan rectal muscles a tikehsawm a, a tichhe thei aiin incision hi a darh zau zawk thei tih a hlauhawm hle.

Chuti a nih chuan, eng case-ah nge tun thlengin episiotomy hi tih a la nih?

Tunlai hian doctor-te chuan nute tan episiotomy hi duhthlan tur atan an rawt tam lo hle. Mahse, emergency leh damdawi lama thil tul tak takah chuan a tul thei a, chu chu a hnuaia mi ang hi a ni:

• Naute hian harsatna eng emaw a tawk a nih chuan (fetal distress): Entirnan, naute heart rate a inthlak thut a nih chuan.
• Naute a lian a nih chuan: Naute chhuah theihna tur hmun a awm lo.
• Nau neih thuai a ngai a nih chuan: Nu emaw naute emaw himna tura nau neih thuai a ngai a nih chuan.

Tin, zirchianna atanga a lan dan chuan episiotomy hi emergency situation ` Shoulder Dystocia` , naute kekawrte chu birth canal-a a tlakbuaknaah a tangkai vak lo tih a tarlang bawk. A chhan chu chutiang a nih chuan a tikhawlotu chu nu pelvic bones a ni a, soft tissues a ni lo.

Episiotomy neih chhung leh tih zawhah eng nge beisei tur?

A kalpui chhung hian

Episiotomy hi i hriat hma pawha thil thleng a ni. Incision hi second tlemte chhungin tih a ni.

• Natna tihziaawmna turin epidural i tih chuan engmah i hre lovang.
• Nu pakhat, pianphung anga nau pai tan pawh, he incision hi chutih laia nau neih natna nen a hranin hriat theih a ni lo mai thei.

A kalphung zawhah

I naute a pian hnuah i doctor chuan a incision chu a stitch ang a, a siam tha ang. Chumi hnuah ni engemaw zat chu natna leh hliam engemaw zat i nei thei bawk. A hnuaia thilte hian a pui thei a ni:

• Darkar 24 hmasa ber: Ice the area.
• Painkillers: I doctor hnenah i tan painkiller tha tak dil rawh.
• Faina: Tui lum nen squirt bottle hmangin a hmun chu tihfai tur a ni.
• Sitz baths: Tui lum basin-a minute engemaw zat thut hian natna leh hrehawmna nasa takin a tiziaawm thei a ni.

Naute lo awm tur tan episiotomy tih a ni dawn em?

A ni lo mai thei. I nau neih hmasak ber lai khan episiotomy i neih vang mai mai chuan i pian vawi hnihna atan i neih a ngai tihna a ni lo. I doctor chuan a vawi hnihnaah chuan mittui chu a pianphung anga thleng turin a rel mai thei.

Naupai leh nau neih apiang hi a danglam vek. Entirnan, i naute hmasa ber chu a lian a, episiotomy i tih a ngai a, mahse i naute pahnihna chu a te zawk a nih chuan, a nih loh leh naute chu hmun dangah a awm a nih chuan, incision i mamawh lo mai thei. A pianphung anga mittui lo awm chu surgical incision aiin a te zawk thei.

Mahse, a hmain mittui tla nasa tak emaw, episiotomy emaw i neih tawh a, chu chuan fecal incontinence a thlen a nih chuan, i doctor chuan i nau neih leh tur atan C-section neih a rawt thei a, chu chu mittui tla na tak a lo awm leh loh nan leh hun rei tak chhung harsatna a thlen loh nan a ni.

Episiotomy emaw tear emaw hi ven theih a ni em?

Episiotomy emaw tear emaw venna tur 100% guaranteed a awm lo a, mahse a hlauhawmna tihziaawmna tur thil i tih theih a awm.

• Perineal massage hmanga tihfai: 1.1.Hmeichhe thenkhat chuan naupai thla hnuhnung berah hian vagina leh anus inkar hmun chu oil chi khat an hmang thin. Hei hi scientific-in a hlawkpui tih finfiah ni lo mah se, a pawi lo bawk.
• Slow, controlled delivery: Hei hi a pawimawh ber a ni. Naute lu a chhuah (crowning) chuan vawi khatah na taka nawr ai chuan "little pushes" hmang zawk ang che. Hei hian vaginal tissue te chu zawi zawiin a inzawm theih nan hun a pe a ni. I doctor emaw nurse emaw in instruction dik taka zawm a pawimawh hle.

Nau neih chungchanga hlauhthawnna emaw rinhlelhna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I tana hmanraw remchang leh him ber a hrilhfiah ang che.