Gufata amenyo (episiotomy) ni iki? Ese utinya gukata amenyo mu gihe cyo kubyara?

Nk'umubyeyi utwite, ushobora kugira ibibazo n'ubwoba bwinshi. Ni ibisanzwe kumva ufite ubwoba gato, cyane cyane iyo wumvise inkuru nko "gukata" no "kudoda" mu gihe cyo kubyara. Abantu benshi baratinya ibi, ariko umaze kumenya neza icyo ari cyo, igihe bikorerwa, n'uko wabyitwaramo nyuma yaho, ubwoba bwawe buzashira. None rero uyu munsi, reka tuvuge kuri iki kintu cyitwa episiotomy.

Episiotomi ni iki mu by'ukuri?

Muri make, gukata igitsina ni ugukata gato ko kubaga kwa muganga mu gace kari hagati y’umwobo w’igitsina cyawe n’ikibuno cyawe (aka gace kitwa perineum mu buvuzi) kugira ngo byorohereze umwana wawe gusohoka. Uku gukata igitsina bituma umwobo w’igitsina cyawe uba munini gato, bigatuma umwana wawe asohoka byoroha.

Ariko ibi si ibintu bibaho kuri buri wese. Hari igihe, hatabayeho gukata, agace k'umura gashobora gucika gato iyo umwana asohotse. Ibi tubyita amarira karemano `(amarira ya perineum)` cyangwa `(amarira yo gucika)`.

None se, ni ryari gukorerwa episiotomy biba ngombwa?

Nubwo uku gukata bitakunze gukorwa kenshi, hari igihe biba ngombwa ku mutekano wawe n'uw'umwana wawe. Muganga azafata icyemezo nk'icyo gusa iyo abona ko ari bwo buryo bwiza kuri wowe n'umwana wawe.

Dore zimwe muri izo manza:

• Niba umwana ari mu kaga: Mu gihe cyihutirwa, urugero nk'igihe umutima w'umwana utera cyane, ugomba kumukuramo vuba bishoboka. Uku gukata bishobora gukorwa kugira ngo byoroshye igikorwa.
• Niba unaniwe cyane: Niba unaniwe cyane nyuma yo gusunika amasaha menshi kandi ntugire imbaraga zo gusunika ukundi, ushobora kubikora kugira ngo ufashe umwana gusohoka.
• Niba ukeneye gukoresha ibikoresho byo mu gituba cyangwa ibikoresho byo mu gituba: Hari igihe ibi bikoresho biba ngombwa ko bikoreshwa mu gukuramo umwana. Niba nta mwanya uhagije mu gitsina uhari wo gushyiramo ibikoresho, iki gikorwa cyo gukata kirakenewe kugira ngo habeho umwanya.
• Iyo umwana ari mu mwanya utandukanye: niba umwana ari mu nda cyangwa niba amatugu ye yafashe (shoulder dystocia), iki gisebe gishobora gukenerwa kugira ngo umwana asohoke mu mwanya munini.
• Iyo umwana afite umubyibuho ukabije (umwana munini): Iyo umwana ari munini kuruta uko bisanzwe, hashobora kubura umwanya uhagije wo gusohoka.
• Niba udashobora kugenzura gusunika kwawe:Hari igihe, iyo umuntu asunika vuba cyane kandi nta kugenzura, perineum ishobora kwangirika cyane. Muri ibyo bihe, muganga ashobora gufata icyemezo cyo gukata gato kugira ngo agenzure ibyangiritse.

Kuki ari byiza kuyicamo ubwayo kuruta kuyicamo?

Mu bihe byashize, abaganga batekerezaga ko gukata inshinge byakira neza kandi bikarinda gucika cyane. Hari kandi n'imyizerere y'uko byagabanya ingorane ziza nyuma nko kunanirwa kwihagarika inkari.

Ariko ubushakashatsi bushya bwagaragaje ko iyo hakozwe episiotomy, gukata igice cy'umubiri bishobora gucika cyane kurusha uko byari byitezwe . Nanone, igisebe gisanzwe gikunda gukira ariko kikangirika gake. Niyo mpamvu abaganga ubu bagerageza kureka igikorwa kikagenda mu buryo busanzwe uko bishoboka kose.

Iyi gahunda yo gukata ikorwa ite?

Ibi bikorwa mu cyiciro cya kabiri cy'ibise, ari na cyo gihe umutwe w'umwana utangira gusohoka mu gitsina (crowning).

1. Imiti igabanya ububabare: Ubwa mbere, uzahabwa imiti igabanya ububabare kugira ngo ugabanye ububabare. Niba waramaze gufata imiti igabanya ububabare, ntuzakenera indi miti igabanya ububabare kuko umugongo wawe wo hasi uba umaze kugira ububabare. Bitabaye ibyo, muganga azatera umuti muto w’ikinyabutabire mu gice cy’imbere cy’umugongo kugira ngo ugire ububabare.

2. Gukata: Iyo umutwe w'umwana utangiye gukanda ku gice cy'imbere, muganga ahita akata akoresheje imikasi yihariye yo gukata.

3. Gukuraho umwana n'ingobyi: Nyuma yo gukata, umwana arasohoka, hanyuma ingobyi igakurwamo.

4. Kudoda: Hanyuma, muganga azakoresha ubwoko bw'umushongi ushonga mu buryo bwikora kugira ngo afunge incision. Muri icyo gihe, azareba ingano y'incision ndetse niba hari izindi ngorane.

Ni ubuhe bwoko bw'ibice?

Hari ubwoko bubiri bw'ingenzi bw'ibice.

Ni izihe 'dogere' z'igikomere cyangwa gucika kw'umubiri?

Byaba ari uguca igisebe bisanzwe cyangwa gucibwamo inshinge, bihabwa amanota kuva kuri 1 kugeza kuri 4 bitewe n'ubukana bwabyo.

• Icyiciro cya mbere: Gucika gato gafata gusa uruhu rwo hejuru y'igitsina.
• Icyiciro cya kabiri: Gucika kw'uruhu bijya mu ruhu. Ibisebe byinshi byo gucibwamo ibice biri muri iki cyiciro.
• Icyiciro cya gatatu: Gucika kw'igituba binyura mu gitsina bikagera mu gice cy'ikibuno.
• Icyiciro cya kane: Iki ni cyo cyiciro gikomeye cyane. Muri iki gihe, gucika kw'amaraso kunyura mu mitsi y'inyuma no mu rukuta rw'inyuma.

Gukorerwa episiotomy bibabaza gute?

Ariko, nyuma y’uko ibinure birangiye, ni ibisanzwe kumva ububabare aho washonze iminsi mike, no kumva utameze neza iyo ugenda cyangwa wicaye.

Ni izihe ngaruka n'ingorane bishobora guterwa no gukorerwa episiotomy?

Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe. Ariko ibuka ko zimwe muri izi ngaruka zishobora kubaho nubwo haba hari ikintu gisanzwe cyacitse.

• Kuva amaraso
• Kwandura igikomere cyo mu mushongi
• Kubabara mu mibonano mpuzabitsina nyuma yo gukira (dyspareunia)
• Kwangirika kw'imitsi yo mu nda y'igituba
• Gusiga inkovu
• Kugorwa no kugenzura inkari
• Bifata igihe kirekire kugira ngo gukira

Ibintu ushobora gukora uri mu rugo kugira ngo ufashe umushongi gukira vuba

Ni ibisanzwe kugira ububabare no kubabara mu byumweru bike nyuma yo gukurwaho imishumi. Hari ibintu byoroshye ushobora gukora mu rugo kugira ngo bigufashe kugabanya ubu bubabare no kwihutisha gukira.

• Shyira agapaki k'urubura: Kugira ngo ugabanye kubyimba no kubabara, shyira uduce duke tw'urubura dupfunyitse mu gitambaro gisukuye aho wadodeye mu gihe cy'iminota 10-15. Bikore inshuro nyinshi ku munsi.
• Koga mu mazi ashyushye: Ibi birafasha cyane. Uzuza amazi ashyushye mu gikombe kinini hanyuma ukicaremo iminota 15-20. Ibi bizagabanya ububabare, binoze gutembera neza kw'amaraso, kandi bifashe igisebe gukira vuba. Ni byiza kubikora kabiri cyangwa gatatu ku munsi.
• Koresha icupa rya peri: Ibitaro bizaguha kimwe muri ibi. Cyangwa ushobora gukoresha icupa ry'amazi meza. Umaze kuva mu bwiherero, uzuza icupa amazi ashyushye hanyuma woge witonze aho wadodeye. Ibi bizagumisha ahantu hasukuye kandi bigabanye ubushyuhe iyo uri kunyara.
• Imiti igabanya ububabare: Fata imiti igabanya ububabare, nka parasetamol, nk'uko muganga yabigutegetse.
• Kwicara ku musego w'idonati: Kwicara ku musego w'idonati bishobora gutera ububabare mu gihe imitako iwukubitaho. Kwicara ku musego ufite umwobo hagati bizagabanya umuvuduko w'aho imitako iri.
• Komeza ugire isuku: Buri gihe hindura isuku yawe kandi ukomeze gusukura ahantu humutse kandi hasukuye.

Ni ryari nshobora kongera gukora imibonano mpuzabitsina?

Igikomere gikunze gukira mu byumweru 6. Ariko, nyuma yo kujya kwa muganga nyuma yo kubyara, ugomba kugisha inama muganga wawe no kongera gukora imibonano mpuzabitsina nyuma yuko aguhaye uburenganzira. Ni ibisanzwe kumva ububabare cyangwa kutamererwa neza mu mezi make ya mbere. Gukoresha amavuta yo kwisiga akozwe mu mazi bishobora kugabanya ubu burwayi.

Niba ufite ibi bimenyetso, hita ubonana na muganga.

Niba warakorewe episiotomy kandi ukabona kimwe mu bimenyetso bikurikira, ugomba guhita ubonana na muganga wawe .