Ese uri umubyeyi ukunda abana? Niba ari byo, ushobora kuba warumvise ijambo "gukomeretswa" iyo uganira ku kubyara. Ni ibisanzwe ko ababyeyi benshi bumva bafite ubwoba cyangwa impungenge iyo bumvise aya magambo. Uku gukomeretswa ni iki? Mu buvuzi, tubyita episiotomy. Ese ibi bikorwa kuri buri wese? Kuki bikorwa? Muri iyi nkuru, tuzasubiza ibibazo byose ufite kuri ibi.
Episiotomy ni iki?
Mu magambo make, episiotomy ni uguca gato kwa muganga mu ruhu no mu mikaya iri hagati y’igitsina gabo n’ikibuno (kizwi nka perineum) mu gihe cyo kubyara kugira ngo umwana agire umwanya wo kwagura no gufasha umwana gutambuka byoroshye.
Hari igihe, mu gihe umwana arimo kuvuka, aka gace gashobora gushwanyagurika mu buryo busanzwe nta gushwanyagurika. Ibi byitwa gushwanyagurika mu buryo busanzwe. Nubwo gushwanyagurika mu buryo bw’imyakura byafatwaga nk’ibisanzwe mu gihe cyo kubyara, ubu abaganga bemeranya ko ari byiza kwemera gushwanyagurika mu buryo busanzwe keretse bibaye ngombwa rwose .
Kuki gukorerwa episiotomy bikiri ngombwa?
Nubwo bitakiri igikorwa gisanzwe, mu bihe bimwe na bimwe byihariye, muganga ashobora gukenera gukora iki gikorwa cyo gukata kugira ngo umubyeyi n'umwana bagire umutekano. Tekereza nko gufunga feri mu buryo butunguranye kugira ngo hirindwe impanuka mu muhanda. Muri ibi bihe by'ingenzi harimo:
- Iyo umwana afite ibibazo (ibibazo by’umwana uri mu nda) kandi akaba akeneye kubyara vuba bishoboka.
- Iyo umubyeyi ananiwe nyuma yo kubyara igihe kirekire kandi nta mbaraga zo gusunika.
- Niba hakenewe ibikoresho byo gukuramo ibyuma cyangwa ibikoresho byo gukuramo umwuka kugira ngo umwana abyare, ibi bikoresho bisaba umwanya munini w'igitsina.
- Niba umwana ahagaze nabi, urugero, mu mwanya wo ku nda cyangwa mu gihe amatugu y'umwana yafashe (dystocia yo ku rutugu).
- Iyo umwana ari munini kurusha ikigereranyo.
- Iyo umwana adasohoka nubwo nyina amusunika igihe kirekire.
Igikuru ni uko umuganga afata iki cyemezo gusa iyo nta bundi buryo buhari kandi bikaba bifatwa nk'ibikenewe cyane ku mutekano w'umubyeyi n'umwana.
Uku gukata bikorwa gute kandi ni ubuhe bwoko bw'ibice bicibwamo?
Ntuzumva ububabare mu gihe cyo kubagwa. Niba waramaze kubagwa epidural, ntuzumva ikintu kiri munsi y'ikibuno, bityo nta yindi miti ikenewe. Bitabaye ibyo, muganga azatera ikinyabutabire cyo mu gace kugira ngo agabanye agace. Hanyuma, uko umutwe w'umwana utangiye kugaragara (crowning), gukata agace gakorwa n'imikasi yihariye yo kubagwa. Nyuma y'uko umwana avutse, agace gasanwa n'imiti ishongesha.
Hari ubwoko bubiri bw'ingenzi bw'ibice.
| Ubwoko bw'Igitonyanga | Ibisobanuro |
|---|---|
| Igisebe cyo hagati (hagati) | Iyi ni incision ihagaze iva mu gitsina igana mu kibuno. Biroroshye kuyikora kandi ntibibabaza cyane mu gihe cyo gukira. Ariko, hari ibyago byinshi byo gucika bigana ku gice cy'ikibuno. |
| Gukata igice cyo hagati mu ruhande rumwe | Iyi ni incision ikorwa ku mfuruka ya dogere 45 uvuye mu gitsina ugana ku ruhande. Ingaruka zo kwangirika kwa sphincter yo mu kibuno ni nkeya. Ariko, biragoye kudoda gato, kuva amaraso byinshi, kandi hashobora kubaho ububabare bwinshi mu gihe cyo gukira. |
Ingano z'amarira
Byaba ari ugucika kw'umubiri bisanzwe cyangwa gucibwamo ibice, bishyirwa mu byiciro 4 hashingiwe ku buremere bw'umubiri.
- Icyiciro cya mbere: Uruhu rw'igitsina gabo nirwo rwonyine rwacitseho gato.
- Icyiciro cya kabiri: Gucika kw'amacandwe binyura mu ruhu rw'igitsina cy'umugore bikagera no mu bice biri munsi y'umubiri. Inyinshi muri izi episiotomie zigwa muri iki cyiciro.
- Icyiciro cya gatatu: Gucika kw'amaraso mu gitsina no mu mitsi ikikije ikibuno (anal sphincter).
- Icyiciro cya kane: Igipimo gikomeye cyane, kikagera no mu nda y'igifu, gifite ibyago byinshi byo kugira ibibazo.
Ni iki wakora mu rugo kugira ngo ukire vuba ikibazo cy'ingona?
Ibyumweru bike bya mbere nyuma yo gucibwamo bishobora kubabaza. Ariko, iyo byitabwaho neza, bishobora gukira vuba. Ubusanzwe bifata ukwezi kugira ngo bikire neza. Izi nama zizagufasha cyane.
| Uburyo | Ibisobanuro |
|---|---|
| Paki y'urubura | Shyira uduce tw'urubura dupfunyitse mu gitambaro gisukuye ahantu hadoze mu gihe cy'iminota 10-15. Ibi bigabanya cyane kubyimba no kubabara. |
| Ubwiherero bwa Sitz | Koresha akabati ko kwiyuhagiriramo gafite isuku gakwira hejuru y'ubwiherero cyangwa akabati kanini kuzuyemo amazi ashyushye hanyuma ukagaturamo iminota 15. Kubikora kabiri cyangwa gatatu ku munsi bifasha igisebe gusukura, bikongera gutembera neza kw'amaraso, kandi bigafasha gukira vuba. |
| Icupa rya Peri | Uzuza amazi ashyushye mu icupa rya peri ritangwa n'ibitaro hanyuma woze aho hantu nyuma yo kunyara cyangwa kuva mu bwiherero. Ibi bigabanya kurumwa kandi bigafasha igisebe kuguma gisukuye. |
| Imiti igabanya ububabare | Fata imiti igabanya ububabare (urugero, Paracetamol) wahawe na muganga wawe mu bihe byagenwe. Niba ugize ububabare bukabije, menyesha muganga wawe. |
| Umusego wa Donut | Koresha umusego umeze nk'umusego mugihe wicaye kugira ngo ugabanye ububabare. Ibi bigabanya umuvuduko ku gice cyadozwe. |
Ni ryari ugomba guhita ubonana na muganga?
Witondere cyane umubiri wawe mu gihe cyo gukira. Niba ubonye kimwe muri ibi bimenyetso bikurikira, ntutinde kuvugana na muganga wawe cyangwa kujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro.
- Niba ububabare bwiyongera aho kugabanuka umunsi ku wundi.
- Iyo hari amashyira anuka nabi cyangwa amashyira asohoka mu mishumi.
- Niba agace gakikije igikomere gatukura, kabyimbye, kandi kakumva gashyushye ugakoraho.
- Niba hari amaraso ava mu gace kadodewe.
- Niba ufite umuriro, ubukonje, cyangwa ububabare bw'umubiri .
Ibi bishobora kuba ibimenyetso by'ubwandu, bityo gusaba ubufasha bwihuse kwa muganga ni ingenzi cyane.
Ubutumwa bwo kujyana mu rugo
- Gupima umwana mu gihe cyo kubyara ntibikibaho. Bikorwa gusa iyo ari ngombwa cyane ku mutekano w'umubyeyi n'umwana.
- Nirogi Lanka
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