Njengomama oza kuzala, usenokuba noloyiko okanye unomdla wokuzala. Yinto eqhelekileyo leyo. Enye yezinto abantu abaninzi abazibuzayo nabayoyikayo kukuba ingaba indawo ejikeleze isini iya kukrazuka na xa umntwana ezalwa. Oku kuyinto eyenzeka koomama abaninzi. Kodwa ngaphambi kokuba uyoyike, masithethe ngayo ngokucacileyo nangokulula.
Ngamafutshane, yintoni ukukrazuka kwesitho sangasese sowesifazane?
Oku sikwenza ngokwezonyango ngokuthi "yi-Perineal Laceration". Ngamafutshane, ngexesha lokubeleka, xa umntwana ephuma kwilungu lobufazi, ulusu kunye nezicubu ezijikeleze ilungu lobufazi ziyakrazulwa. Indawo ephakathi komngxuma wakho wesibeleko kunye ne-anus yakho ibizwa ngokuba yi-"Perineum". Ukukrazula kudla ngokuvela kule ndawo.
Khawucinge nje, njengoko umntwana eza kuphuma, ulusu olukwilungu lobufazi bakho luqala ukunwebeka kancinci kakhulu. Imizimba yethu yenzelwe ukuba yolule le ndawo kakuhle ukuze umntwana aphume ngaphandle kokwenzakala. Nangona kunjalo, ngamanye amaxesha le ndawo inokukrazuka kancinci xa intloko yomntwana iphuma. Ungakhathazeki, oku kuqhelekile kakhulu. Enyanisweni, malunga nama-90% oomama ababelekayo abaqhele ukubeleka bafumana ukukrazuka okuthile.
Unyango lwale krazu luxhomekeke kuhlobo lwayo. Kwiimeko ezininzi, amayeza asekhaya anokunceda ukunciphisa ukungonwabi nokukhawulezisa ukuphiliswa.
Kukho iintlobo ezine eziphambili zezi Iriyams.
Ezi mpawu zahlulwe zibe ngamanqanaba amane aphambili ngokuxhomekeke kubukhali bazo. Masibone ukuba ziyintoni na.
| Umgangatho wokukrazula | Inkcazo elula |
|---|---|
| Isidanga sokuqala | Eli lelona nqanaba lincinci kakhulu. Ngumaleko ophezulu wesikhumba kwindawo yesini nakwi-perineum kuphela okrazukileyo kancinci. Kwiimeko ezininzi, oku akudingi ukuthungwa. |
| Isidanga sesibini | Eli lelona nqanaba liqhelekileyo. Apha, ukukrazuka kufikelela kumaleko wemisipha engaphantsi kolusu. Oku kuya kufuna ukuthungwa ngokuqinisekileyo. |
| Inqanaba lesithathu | Apha, ukukrazuka kuphuma kwilungu lobufazi ukuya kwi-anus. Oku kuthetha ukuba ulusu kunye nezihlunu zommandla we-perineum zonakele, kunye nezihlunu ze-anal sphincter ezilawula ukuhamba kwamathumbu. Oku kufuna nokuthungwa. |
| Inqanaba lesine | Olu lolona hlobo lokukrazula lunzima nolungaqhelekanga. Ukukrazula kuphuma kwilungu lobufazi, kudlule kwi-perineum, kudlule kwimisipha yempundu, kuze kufikelele eludongeni lwangaphakathi lwe-rectum. Kwimeko enjalo, ungathathwa kwigumbi lokubeleka usiwe kwigumbi lotyando ukuze uthungwe. |
Khumbula, ukukrazulwa kwesidanga sesithathu nesesine kunqabile kakhulu. Ngaphantsi kwe-5% yoomama abafumana le meko. Ukukrazulwa kwesidanga sesibini zezona zixhaphakileyo.
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Isizathu esiphambili sokukrazuka ngexesha lokubeleka kukwaluphala kwelungu lobufazi kunye nelungu lesisu njengoko umntwana ephuma. Le yinkqubo eqhelekileyo. Asinakulawula izinto ezifana nokuthamba kolusu lwakho lobufazi. Nangona kunjalo, kukho izinto ezithile ezinokunyusa umngcipheko wokukrazuka.
- Ukuba oku kukuzalwa kwakho kokuqala.
- Ukuba umntwana ujonge phezulu endaweni yokuba ajonge phantsi xa ephuma.
- Ukuba kufuneka usebenzise isixhobo esithi ``Forceps``` okanye ``Vacuum``` ukususa umntwana.
- Ukuba umntwana utyebile kancinci (ngaphezu kweekhilogram ezi-8).
- Ukuba inqanaba lesibini lokubeleka, okanye ukutyhala, lithatha ixesha elide.
- Ukuba unikwe i-epidural yokuphelisa iintlungu.
- Ezinye izifundo zifumanise ukuba abafazi baseAsia basengozini enkulu kancinci.
Ungathetha nogqirha wakho ngale nto uze ufumane ukuba unayo na enye yezi zinto ziyingozi.
Zeziphi iingxaki ezinokubangela oku?
Ukukrazula kunokubangela ukungakhululeki kunye nentlungu. Nangona kunjalo, uninzi lwezikhalo ezincinci ziyaphola kwisithuba seeveki ezimbini. Ukuba ukukrazula kukhulu kancinci, kuyinto eqhelekileyo ukuva ukungakhululeki inyanga okanye ezimbini. Xa kukho ukukrazula kwenqanaba lesithathu nelesine, umngcipheko weengxaki uphezulu kancinci.
- Usulelo:Ukuba inxeba aligcinwanga licocekile, linokuba nesifo.
- Ukopha.
- Intlungu ngexesha lokwabelana ngesondo: (emva kwemvume kagqirha)
- Ukungakwazi ukuzibamba kwindle: Oku kunokwenzeka kwiimeko ezinzima.
- Intlungu engapheliyo kunye nobuhlungu.
Ukuba uziva ngolu hlobo, qiniseka ukuba uxelela ugqirha wakho xa ukhulelwe. Yena angakuxelela ukuba oko ukuvayo kuqhelekile okanye akunjalo.
Ungalinyamekela njani inxeba ekhaya lide liphole?
Emva kokuba nomntwana, kusenokwenzeka ukuba uzive ungakhululekanga ngelixa iinyembezi ziphola. Kukho izinto ezimbalwa ezilula onokuzenza ekhaya ukunceda ukunciphisa loo ntlungu. Ezi zingenziwa nakweyiphi na inqanaba leentlungu.
- Lumka ucoceko: Emva kokusebenzisa indlu yangasese, sebenzisa `(peri-bottle)` (ibhotile yokutshiza) ukuhlamba indawo ngamanzi afudumeleyo. Endaweni yokusula ngephepha lendlu yangasese, yiphaphele kancinci loo ndawo yome.
- Faka ipakethi yomkhenkce: Kukho ii-sanitary pads ezikhethekileyo ezinepakethi yomkhenkce onokuthi uzithenge kwiikhemesti. Okanye, songa ii-ice cubes ezimbalwa ngelaphu elicocekileyo uze uzibeke enxebeni imizuzu eli-10-15. Oku kuya kunciphisa ukudumba kunye nentlungu.
- Kuthintele ukuqhina: Kuphephe ukuxinwa ngeli xesha. Sela amanzi amaninzi. Kwakhona, yitya ukutya okunefayibha eninzi (iziqhamo, imifuno, kunye nemifuno eluhlaza). Ukuba kuyimfuneko, buza ugqirha wakho malunga nokuthatha isithambisi sendle.
- Hlamba kwiSitz Bath: Ukuba unebhafu, yigcwalise ngamanzi afudumeleyo kangangeesentimitha ezimbalwa ubude uze uhlale kuyo imizuzu eli-10-15. Oku kuya kunciphisa iintlungu kwaye kuncede inxeba liphole ngokukhawuleza. Kungcono ukwenza oku kabini okanye kathathu ngemini.
- Sebenzisa umqamelo weDonut: Ukuba uziva uxinzelelo enxebeni lakho xa uhleli, hlala kumqamelo omile okwedonut onomngxuma phakathi. Oku kuya kunciphisa uxinzelelo enxebeni.
- Ziphephe iindlela ezingakhululekanga: Yeka ukwenza imithambo elimaza ukwenzakala, njengokuhla ngezinyuko, ukuqubha, njl. okwethutyana.
- Iipilisi zokunciphisa iintlungu: Sela ipilisi zokunciphisa iintlungu ezifana neparacetamol njengoko ugqirha wakho eyalele. Ukuba ukukrazuka kukhulu, angakunika ipilisi enamandla ngakumbi yokunciphisa iintlungu.
- I-Sprey ye-Painkiller: Ungasebenzisa i-spray enciphisa iintlungu kunye nokuba ndindisholo, efana ne-``(Dermoplast®)``, enokuthengwa kwiikhemesti. Nangona kunjalo, kububulumko ukubuza ugqirha wakho.
Eyona nto ibalulekileyo: Ukuba ungumama oncancisayo, soloko uqhagamshelana nogqirha wakho ngaphambi kokuba uthathe naluphi na unyango.
Kuthatha ixesha elingakanani ukuba umntu aphile? Zithini izinto ezinokubangela umngcipheko?
Kwabaninzi oomama, iintlungu kunye nokungonwabi kuya kuncipha kakhulu emva kweeveki ezimbini. Ukuba ukukrazuka kukhulu, kungathatha ixesha elide ukuphola. Izititshi ozifumanayo ziya kunyibilika zodwa emva kwexesha elithile, ngoko ke akukho mfuneko yokuba zinqunyulwe.
Nangona kunjalo, kufuneka uqaphele iimpawu zosulelo ngelixa inxeba liphola.
| Ufanele ufowunele ugqirha wakho ngokukhawuleza nini | |
|---|---|
| Ivumba elibi | Ukuba kukho ulwelo olunuka kakubi oluvela kwindawo yokuthungwa okanye oluvela kwilungu lobufazi. |
| Ifiva | Ukuba uziva ushushu. |
| Intlungu ebuhlungu | Ukuba usela amayeza okudambisa iintlungu, kodwa intlungu iba mandundu endaweni yokuba inciphe. |
| Ukulahlekelwa lulawulo | Ukuba awukwazi ukulawula amathumbu okanye umchamo wakho. |
Ungacinga ngokufumana omnye umntwana?
Ewe, kunokwenzeka ngokuqinisekileyo. Ukuba nesibeleko esiqhekekileyo ekuzalweni kwangaphambili akuthethi ukuba awunakuzala ngendlela eqhelekileyo kwixesha elizayo. Kwanezifundo ezisebenzise oomama abaye baqhekeka kakhulu kwisibeleko azibonisi bungqina bucacileyo bokuba kufuneka kwenziwe utyando lotyando kwixesha elizayo.
Kwakhona, ukuba nje ikrazukile okokuqala akuthethi ukuba iza kukrazuka rhoqo. Enyanisweni, uninzi loomama alunazo iikrazukezi ezininzi ngexesha lokuzala kwabo okwesibini okanye okwesithathu. Ngoko ke ungakhathazeki ngayo. Thetha nogqirha wakho ngayo nayiphi na into ekukhathazayo.
I-episiotomy okanye i-episiotomy - yeyiphi engcono?
Ngamanye amaxesha, ukuba umntwana akaphumi ngokukhawuleza ngokwaneleyo, ugqirha uya kwenza umngxuma omncinci emphethweni womngxuma welungu lobufazi. Oku kubizwa ngokuba yi-"Episiotomy". Oku kwenzelwa ukwandisa umngxuma welungu lobufazi ngendlela elawulwayo nokuthintela ukukrazuka okungalawulekiyo.
Nangona kunjalo, uluvo lwangoku lwezonyango luthi akukhuthazwa ukwenza i-episiotomy rhoqo. Uphando lwamva nje lubonisa ukuba kungcono ukuvumela iinyembezi ziphole ngokwendalo. Ke ngoko, oogqirha ngoku abasoloko besenza olu siko, ngaphandle kwaxa kukho imfuneko enkulu.
Umyalezo Wokuya Ekhaya
- Ukukrazuka kujikelezo lwesini ngexesha lokubeleka kuqhelekile kwaye kuyinto eqhelekileyo. Musa ukukhathazeka kakhulu ngako.
- Uninzi lokutsha (ngaphezulu kwama-95%) lukwinqanaba lokuqala nelesibini, alubi yingozi kangako. Luphola ngokukhawuleza.
- Lumka kakhulu ucoceko lwakho ngexesha lokuphiliswa. Unyango olulula olufana nokuhlamba ngamanzi afudumeleyo kunye nokufaka umkhenkce kunokunceda ukunciphisa iintlungu.
- Ukuba unomkhuhlane, ukukhupha ulwelo olubi, okanye intlungu enganyamezelekiyo , bona ugqirha wakho ngoko nangoko.
- Musa ukoyika ukuzalwa kwakho okulandelayo kuba ukhe wakrazuka ngaphambili. Thetha nogqirha wakho ngaloo nto uze wenze isigqibo.
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