Ese uzakenera gukorerwa episiotomy igihe uzaba ubyaye umwana? Reka tubiganireho!

Niba witegura kubyara, kimwe mu bibazo biri mu mutwe wawe ni "Ese nzagomba kubagwa ?". Nubwo ibi byari bisanzwe mu gihe cyo kubyara kwa ba mama na ba nyogokuru, ibintu biratandukanye cyane muri iki gihe. Ariko, rimwe na rimwe ibi bishobora kuba ngombwa bitewe n'ikibazo cyihutirwa. Reka tubiganireho mu buryo bwumvikana kandi bworoshye.

Mu magambo make, episiotomy ni iki?

Guca inshinge ni uguca gato k'umuganga gakorerwa mu gace kari hagati y'igitsina gabo n'ikibuno (bita 'perineum') mu gihe cyo kubyara kugira ngo wongere umwanya w'igitsina gabo kugira ngo byorohereze umwana gusohoka. Intego nyamukuru y'ibi ni ukongera umwanya umwana ashobora gusohoka.

Mu bihe byashize, iki gikorwa cyo gukata cyakorerwaga hafi ya buri mubyeyi wabyaye. Ariko muri iki gihe, ntabwo bikorwa buri gihe. Ariko, ibi si ibintu bya kera rwose.

Icyo gihe n'ubu: Kuki iyi politiki yahindutse?

Mu myaka ibarirwa muri za mirongo ishize, episi OT omy yari isanzwe cyane. Kandi hari impamvu zabyo.

Muri icyo gihe, abaganga benshi bakoreshaga ibikoresho nka forceps kugira ngo bifashe mu gihe cyo kubyara. Bityo bari bakeneye umwanya uhagije wo gukoresha ibyo bikoresho neza. Nanone, abaganga icyo gihe babonaga ko ari byiza gukata neza kuruta kureka bigacika mu buryo busanzwe. Hari kandi n'imyizerere y'uko uku gukata byagabanya ibibazo by'igihe kirekire byashoboraga kubaho nyuma yo kubyara, nko kunanirwa kwifata no kubabara mu gihe cy'imibonano mpuzabitsina.

Ariko, ubushakashatsi bwagaragaje ko atari ko bimeze.

Ubushakashatsi bwakozwe kuva mu myaka ya 1990 bwagaragaje ko gupima amenyo bidatanga inyungu nyinshi nkuko byatekerezwaga mbere.

Dukurikije ubushakashatsi bumwe na bumwe, abagore bagera kuri 85% bagira ubwivumbure busanzwe mu gihe cyo kubyara. Ubu buribwe (n'ibikomere byo mu kibuno) bushobora kuva ku buto kugeza ku bukomere (abaganga babushyira mu byiciro bya mbere, ibya kabiri, ibya gatatu, n'ibya kane). Mu bihe bikomeye cyane, imitsi yo mu mara n'imbere mu gice cyayo ishobora kwangirika , ibyo bikaba byatera ingorane mu kugenzura inzira z'amara.

Iyo hakozwe episiotomy, hari ibyago by'uko gukata bishobora gukwirakwira kure cyane kuruta uko byakwangiza imitsi yo mu maraso mu buryo busanzwe.

None se, ni mu bihe ibihe igikorwa cyo gupima amenyo kigikorwa kugeza ubu?

Muri iki gihe, abaganga ntibakunze gutanga inama yo gukorerwa episiotomi nk'amahitamo ku mubyeyi. Ariko, bishobora kuba ngombwa mu bihe byihutirwa ndetse n'ibikenewe na muganga, nko muri ibi bikurikira:

• Iyo umwana agize ikibazo icyo ari cyo cyose (ikibazo cy’umwana uri mu nda): Urugero, iyo habayeho impinduka zitunguranye mu gutera k’umutima k’umwana.
• Iyo umwana ari munini: Nta mwanya uhagije umwana ashobora gusohokeramo.
• Niba kubyara bigomba kwihutishwa: Niba kubyara bigomba kwihutishwa kubera umutekano w'umubyeyi cyangwa umwana.

Nanone, ubushakashatsi bwagaragaje ko gukorerwa episiotomy ntacyo bivuze cyane mu gihe cyihutirwa cyitwa ` Shoulder Dystocia` , aho urutugu rw'umwana rufatirwa mu nzira y'ivuka. Kuko muri icyo gihe, imbogamizi ni amagufwa y'ikibuno cya nyina, ntabwo ari ingingo zoroshye.

Ni iki umuntu yakwitega mu gihe cyo kubagwa no nyuma yo kubagwa?

Mu gihe cy'igikorwa

Gukata igice cy'inyuma ni ikintu kibaho mbere yuko ubimenya. Gukata igice cy'inyuma bikorwa mu masegonda make.

• Niba urimo guterwa epidural kugira ngo ugabanye ububabare, ntacyo uzumva.
• Ndetse no ku mubyeyi ubyara mu buryo busanzwe, iki gisebe gishobora kutamenyekana kitari ukwacyo bitewe n'ububabare bwo kubyara muri icyo gihe.

Nyuma y'igikorwa

Nyuma yo kuvuka k'umwana wawe, muganga wawe azadoda aho yacitse hanyuma akahasana. Ushobora kugira ububabare no kubyimba mu minsi mike nyuma yaho. Ibintu bikurikira bishobora gufasha:

• Amasaha 24 ya mbere: Koza ahantu hakonje.
• Imiti igabanya ububabare: Baza muganga wawe umuti ugabanya ububabare ukubereye.
• Gusukura: Koresha icupa ry'amazi ashyushye kugira ngo usukure aho hantu.
• Kwiyuhagira mu mazi ashyushye: Kwicara mu gikombe kirimo amazi y'akazuyazi mu minota mike bishobora kugabanya cyane ububabare n'imibabaro.

Ese umwana ukurikira azakorerwa episiotomy?

Birashoboka ko atari byo. Kuba warakorewe episiotomy mu gihe cyo kubyara kwawe kwa mbere ntibivuze ko ugomba kuyikora ku nshuro ya kabiri. Muganga wawe ashobora gufata icyemezo cyo kureka gucika ku nshuro ya kabiri mu buryo busanzwe.

Gutwita no kubyara byose biratandukanye. Urugero, niba umwana wa mbere yari munini kandi ukaba waragombaga kubagwa, ariko umwana wa kabiri akaba ari muto, cyangwa niba umwana ari mu mwanya utandukanye, ushobora kudakenera gucibwamo. Gucikamo kw'inyuma ku buryo busanzwe gushobora kuba guto ugereranije n'uko wakozweho kubagwa.

Ariko, niba warigeze gucibwa cyane cyangwa gucibwamo imyakura cyane bigatuma umwanda unanirwa kwifata, muganga wawe ashobora kukugira inama yo kubagwa mu gihe cyo kubyara gitaha kugira ngo wirinde ko umwanda ukomeye wongera kubaho kandi bigatera ibibazo by'igihe kirekire.

Ese gucibwa cyangwa gucibwamo bishobora kwirindwa?

Nta buryo bwizewe 100% bwo kwirinda gucibwa cyangwa gucika kw'inyuma y'impinja, ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo kugabanuka kw'impinja.

• Massage yo mu kibuno:Hari abagore bakoresha ubwoko bw'amavuta kugira ngo basige agace kari hagati y'igitsina gore n'ikibuno mu kwezi kwa nyuma ko gutwita. Nubwo ibi bitaragaragazwa na siyansi ko ari ingirakamaro, nta ngaruka mbi na byo.
• Kubyara buhoro buhoro kandi mu buryo bugenzurwa: Iki ni cyo kintu cy'ingenzi cyane. Iyo umutwe w'umwana usohotse (crowning), aho gusunika cyane icyarimwe, koresha "small pushings". Ibi biha imyanya ndangagitsina umwanya wo kurambura buhoro buhoro. Ni ngombwa cyane gukurikiza amabwiriza atangwa na muganga wawe cyangwa umuforomo neza.

Vugana na muganga wawe nta guhishanya ku bijyanye n'ubwoba cyangwa gushidikanya ufite ku bijyanye no kubyara. Azagusobanurira uburyo bwiza kandi bwizewe kuri wewe.