Ngaba uza kuyidinga i-episiotomy xa unomntwana? Makhe sithethe ngale nto!

Ukuba ulungiselela ukuzala, omnye wemibuzo engqondweni yakho ngokuqinisekileyo ngulo "Ngaba kuya kufuneka ndityandwe i- episiotomy ?". Nangona oku kwakuyinto eqhelekileyo ngexesha lokuzalwa koomama noomakhulu bethu, izinto zahlukile kakhulu namhlanje. Nangona kunjalo, ngamanye amaxesha oku kunokuba yimfuneko ngenxa yengxamiseko. Ngoko ke, masithethe ngale nto ngendlela ecacileyo nelula.

Ngamafutshane, yintoni i-episiotomy?

I-episiotomy lutyando oluncinci oluyenziwa ngugqirha kwindawo ephakathi kwelungu lobufazi kunye ne-anus (ngokwezonyango ebizwa ngokuba yi-'perineum') ngexesha lokubeleka ukuze kwandiswe ukuvulwa kwelungu lobufazi ukuze kube lula ukuba umntwana aphume. Eyona njongo iphambili yoku kukwandisa indawo ekhoyo yokuba umntwana aphume.

Ngaphambili, olu siko lwalusenziwa phantse kubo bonke oomama ababelethayo. Kodwa namhlanje, alwenziwa rhoqo. Nangona kunjalo, oku akuseyonto yexesha elidlulileyo ngokupheleleyo.

Ngelo Xesha Nangoku: Kutheni le nkqubo itshintshile?

Kwiminyaka emininzi eyadlulayo, i-episi OT omy yayixhaphakile kakhulu. Kwaye kwakukho izizathu zaloo nto.

Ngelo xesha, oogqirha abaninzi babesebenzisa izixhobo ezifana nee-forceps ukunceda ekubelekeni. Ngoko ke babefuna indawo eyongezelelekileyo yokusebenzisa ezo zixhobo ngokufanelekileyo. Kwakhona, oogqirha ngelo xesha babecinga ukuba kungcono ukusika kakuhle kunokukuvumela ukuba kukrazuke ngokwendalo. Kwakukho nenkolelo yokuba olu kusika lwaluya kunciphisa iingxaki ezihlala ixesha elide ezinokubakho emva kokubeletha, ezinje ngokungakwazi ukuzibamba kunye nentlungu ngexesha lokwabelana ngesondo.

Nangona kunjalo, uphando lubonise ukuba oku akunjalo.

Uphando olwenziweyo ukususela ngeminyaka yoo-1990 lubonise ukuba i-episiotomy ayiboneleli ngeenzuzo ezininzi njengoko bekucingelwa ngaphambili.

Ngokwezinye izifundo, malunga nama-85% abasetyhini bafumana ukukrazuka okuthile ngokwemvelo ngexesha lokubeleka. Ezi krazulo (kunye nokusikwa kwe-episiotomy) zinokuqala kwezincinci ukuya kwezinzima (oogqirha bazibeka njengezinga lokuqala, elesibini, elesithathu, nelesine). Kwiimeko ezinzima kakhulu, izihlunu ze-rectum kunye nolwelo lwangaphakathi zinokonakala , nto leyo enokubangela ubunzima ekulawuleni ukuhamba kwamathumbu.

Ukuba kwenziwa i-episiotomy, kukho umngcipheko wokuba utyando lunokusasazeka kude kunokuba beluya kukrazula kwaye lonakalise izihlunu ze-rectal ngokwendalo.

Ngoko ke, kuphantsi kwaziphi iimeko apho i-episiotomy isaqhutywa nanamhlanje?

Kule mihla, oogqirha abacebisi kakhulu i-episiotomy njengokhetho kumama. Nangona kunjalo, inokuba yimfuneko kwiimeko ezingxamisekileyo neziyimfuneko kwezonyango, ezifana nezi zilandelayo:

• Ukuba umntwana ufumana naluphi na usizi (uxinzelelo lwe-fetal): Umzekelo, ukuba kukho utshintsho olukhawulezileyo kwisantya sentliziyo yomntwana.
• Ukuba umntwana mkhulu: Akukho ndawo yaneleyo yokuba umntwana aphume.
• Ukuba ukubeletha kufuneka kukhawuleziswe: Ukuba ukubeletha kufuneka kukhawuleziswe ngenxa yokhuseleko lukamama okanye lomntwana.

Kwakhona, uphando lubonise ukuba i-episiotomy ayiluncedo kakhulu kwimeko engxamisekileyo ebizwa ngokuba yi- 'Shoulder Dystocia' , apho igxalaba lomntwana libhajwa khona kumjelo wokuzalwa. Kuba kwimeko enjalo, ukuvaleka ngamathambo esinqe sikamama, kungekhona izicubu ezithambileyo.

Yintoni onokuyilindela ngexesha nasemva kwe-episiotomy?

Ngexesha lenkqubo

I-episiotomy yinto eyenzekayo ngaphambi kokuba uqaphele. Ukusika kwenziwa kwimizuzwana embalwa.

• Ukuba ufumana i-epidural ukunciphisa iintlungu, awuyi kuva nto.
• Nokuba kumama ozala ngokwendalo, olu siko lusenokungavakali ngokwahlukileyo kwintlungu yokubeleka ngelo xesha.

Emva kwenkqubo

Emva kokuba umntwana wakho ezelwe, ugqirha wakho uza kumthunga umsi osikiweyo aze awulungise. Usenokuva iintlungu kunye nokudumba kangangeentsuku ezimbalwa emva koko. Ezi zinto zilandelayo zinokukunceda:

• Iiyure zokuqala ezingama-24: Faka umkhenkce kuloo ndawo.
• Iipilisi zokunciphisa iintlungu: Cela ugqirha wakho ukuba akunike ipilisi yokunciphisa iintlungu efanelekileyo.
• Ukucoca: Sebenzisa ibhotile yesquirt enamanzi afudumeleyo ukucoca indawo.
• Ukuhlamba nge-Sitz: Ukuhlala esityeni samanzi afudumeleyo imizuzu embalwa kunokunciphisa kakhulu iintlungu kunye nokungonwabi.

Ngaba kuza kwenziwa i-episiotomy kumntwana olandelayo?

Mhlawumbi akunjalo. Ukuba nje wenze i-episiotomy ngexesha lokuzalwa kwakho kokuqala akuthethi ukuba kufuneka uyenze okwesibini. Ugqirha wakho unokugqiba ekubeni avumele ukukrazuka kwenzeke ngokwendalo okwesibini.

Ukukhulelwa nokuzalwa ngakunye kwahlukile. Umzekelo, ukuba umntwana wakho wokuqala wayemkhulu kwaye kwafuneka wenze i-episiotomy, kodwa umntwana wakho wesibini mncinci, okanye ukuba umntwana ukwindawo eyahlukileyo, usenokungadingi ukunqunyulwa. Ukukrazuka okwenzeka ngokwendalo kusenokuba kuncinci kunokwenziwa ngotyando.

Nangona kunjalo, ukuba ukhe wakrazulwa kakhulu ngaphambili okanye wahlinzwa i-episiotomy eyabangela ukungalawuleki kwendle, ugqirha wakho unokucebisa ukuba kwenziwe utyando lwe-C-section xa uza kubeleka ukuze kuthintelwe ukukrazulwa okukhulu kwakhona okubangela iingxaki zexesha elide.

Ngaba i-episiotomy okanye ukukrazuka kungathintelwa?

Akukho ndlela iqinisekisiweyo eyi-100% yokuthintela i-episiotomy okanye ukukrazuka, kodwa kukho izinto onokuzenza ukunceda ukunciphisa umngcipheko.

• Ukuphulula i-perineal:Abanye abafazi basebenzisa uhlobo lweoyile ukuphulula indawo ephakathi kwelungu lobufazi kunye ne-anus kwinyanga yokugqibela yokukhulelwa. Nangona oku kungakhange kungqinwe ngokwesayensi ukuba kuluncedo, akunabungozi nako.
• Ukuzala okucothayo nokulawulwayo: Le yeyona nto ibalulekileyo. Xa intloko yomntwana iphuma (ukuqhola), endaweni yokutyhala ngamandla ngaxeshanye, sebenzisa "ukutyhala okuncinci." Oku kunika izicubu zesini ixesha lokuzolula kancinci kancinci. Kubaluleke kakhulu ukulandela imiyalelo enikwe ngugqirha okanye umongikazi wakho ngokuchanekileyo.

Thetha ngokukhululekileyo nogqirha wakho malunga noloyiko okanye amathandabuzo onawo malunga nokuzala. Uza kukuchazela eyona ndlela ifanelekileyo nekhuselekileyo kuwe.