Njengomama oza kuzala, usenokuba uyoyika kancinci kwaye unomdla wokuzala , akunjalo? Usenokuba ukhe waweva amagama anje ngokuthi 'krazukile' kunye 'stitched' xa uthetha ngezinto ezinokwenzeka ngexesha lokuzala. Oku kuyinto eyenzeka koomama abaninzi, kodwa akuxoxwa ngayo ngokwenene. Ngoko ke namhlanje sicinge ukuba singathetha nawe ngale nto ngendlela enobuhlobo. Sithetha nge-perineal tear eyenzeka ngexesha lokuzala, okanye into esiyibiza ngokwezonyango ngokuthi '(Perineal Tear)'.
Kutheni ezi nyembezi zisenzeka ngokwenene?
Ngamafutshane, ukuzala yinkqubo yendalo emangalisayo. Umzimba wakho ulungiselela indlela yokuba umntwana wakho aphume ngokunciphisa ulusu kunye nezicwili ezijikeleze i-vagina yakho kwaye ulwenze lube lomelele ngakumbi. Oku kwenzelwa ukuqinisekisa ukuba intloko yomntwana ingaphuma ngaphandle komonakalo.
Kodwa ngamanye amaxesha, ingakumbi ukuba ukuzala kukhawuleze kakhulu, olu lusu alunaxesha laneleyo lokunwebeka kangangoko kufanele. Kulapho ke izicubu ezijikeleze i-vagina zinokukrazuka khona. Oku kuqhelekile kakhulu kwaye kwenzeka koomama abaninzi.
Ngamanye amaxesha, oogqirha benza utyando oluncinci ukuze bandise umngxuma welungu lobufazi ukuze balawule ukukrazuka okanye babeleke umntwana ngokukhawuleza. Oku sikubiza ngokuba yi-" episiotomy ". Oku kwenzelwa ukulawula ukopha okubangelwa kukukrazuka okukhulu okanye ukusindisa umntwana ngokukhawuleza ukuba kukho imeko engxamisekileyo.
Zeziphi iintlobo ezine eziphambili zerayisi?
Ezi ntanda zahlulwe zibe ziintlobo ezine eziphambili ngokusekelwe kubunzulu bazo kunye nomonakalo wazo. Cinga ngokusuka kwindawo encinci eqhekekileyo kwindlela ukuya kwindawo enkulu. Masiziqonde kakuhle ezi ntlobo.
| Ubungakanani bokukrazula | Iindawo ezonakeleyo | Izinto ekufuneka uzazi |
|---|---|---|
| Isidanga sokuqala | Kuphela lulusu kunye nezicubu ezingaphantsi phakathi kwelungu lobufazi kunye ne-anus. Ukukrazuka okungaphezulu kakhulu. | Usenokuziva utshisa kancinci okanye intlungu xa uchama. Uninzi lwexesha, akufuneki uthunge, kodwa ngamanye amaxesha uthungelwe omnye okanye emibini. Iya kuphola ngokupheleleyo kwiiveki ezimbalwa. |
| Isidanga sesibini | Ukongeza kulusu, izihlunu ezijikeleze isini nazo zonakele, nto leyo enzulu kunesigaba sokuqala. | Olu lolona hlobo luqhelekileyo lwesiphene sokuzalwa. Ngokuqinisekileyo kuya kufuneka uthungwe. Ezi zithungo ziya kunyibilika zodwa emva kwexesha elithile. Ziya kuphola kwiiveki ezimbalwa. |
| Inqanaba lesithathu | Ukukrazuka kufikelela kwizihlunu ezijikeleze i-anus (i-anal sphincter). | Le yimeko enzima kakhulu. Ngokuqinisekileyo kuya kufuneka ilungiswe ngokuthungwa. Kungathatha iiveki ezimbalwa ukuphola. Abanye abantu banokufumana iingxaki ezifana nokungakwazi ukuzibamba kunye nentlungu ngexesha lokwabelana ngesondo. |
| Inqanaba lesine | Olu lolona hlobo lunzima kakhulu. Ukukrazuka kudlulela kwizihlunu ezijikeleze i-anus ukuya eludongeni lwangaphakathi lwe-rectum. | Oku kufuna uhlobo oluthile lokulungiswa kwigumbi lotyando yingcali. Kuthatha ixesha elide ukuphiliswa. Kukho umngcipheko omkhulu weengxaki, njengakwinqanaba lesithathu. |
Ziziphi izinto ezibangela umngcipheko wokukrazuka?
Izinto ezithile zinokunyusa umngcipheko wokuba nolu hlobo lokukrazuka. Nangona kunjalo, ukuba nezi zinto akuthethi ukuba uza kuba nokrazuka. Ezi zizinto eziyingozi kuphela.
- Ukuba uzala umntwana wakho wokuqala : Umngcipheko uphezulu ngexesha lokubeleka kokuqala kuba izicubu azinazoluka kangako.
- Ukuba umntwana utyebile kakhulu: Xa umntwana omkhulu ephuma, kubakho uxinzelelo olungakumbi kwizicubu zomzimba.
- Ukuba ukuzala kukhawuleze kakhulu: Izicubu azinaxesha laneleyo lokufinyela.
- Ukuba usebenzisa izixhobo zokususa umntwana: `(Forc EPSUkuba kufuneka usebenzise isixhobo esithi ``(forceps)`` okanye ``(Vacuum)```.
- Indawo yomntwana: Ukubonakaliswa kwesisu xa umntwana ejonge phezulu.
- Ukuba umama sele ekhulile.
- Ukuba ngumfazi waseAsia: Izifundo zibonise ukuba abafazi baseAsia basengozini enkulu kancinci ngenxa yendalo yezicubu zabo.
- I-Episiotomy: Kukho umngcipheko wokuqhubeka nokukrazuka, ingakumbi xa kusenziwa i-midline episiotomy.
Ziziphi iingxaki ezinokubakho ngenxa yokudumba?
Into ebalulekileyo kukuba uninzi lwezi ngxaki zinokuthintelwa okanye zilawulwe ngonyango olufanelekileyo kunye neengcebiso.
Amanqanaba okuqala nawesibini adla ngokungabangeli ngxaki zibalulekileyo, kodwa amanqanaba amathathu nawesine anzima anokubangela iingxaki ezithile.
- Ukopha: Ngexesha nasemva kokukrazuka.
- Usulelo: Usulelo lunokwenzeka ukuba indawo yomthungo ayigcinwanga icocekile.
- Intlungu: Ingakumbi kwiiveki zokuqala ezimbalwa.
- Intlungu ngexesha lokwabelana ngesondo: Abanye abantu banokuhlangabezana nale ngxaki nasemva kokuba bephilile.
- Ukungakwazi ukuzibamba komchamo: Ukuvuza komchamo ngokungazi, njengaxa ukhohlela okanye uhleka.
- Ukungakwazi ukuzibamba kwamathumbu: Oku kunokunxulunyaniswa norhudo olunzima.
- Ukuphola okulibazisekileyo: Ukuphola kunokulibazisekile ngenxa yezinto ezifana nokuqhekeka kwakhona kwemithungo.
Iphathwa njani kwaye yintoni omawuyenze?
Unyango luxhomekeke kuhlobo lokukrazuka onalo. Ukukrazuka kwenqanaba lokuqala kusenokungadingi kuthungwa konke konke. Nangona kunjalo, ukukrazuka kwenqanaba lesibini, lesithathu, nelesine ngokuqinisekileyo kuya kufuna ukuthungwa ukuze kulungiswe.
Eyona nto ingcono kukuba izititshi ezisetyenzisiweyo kule nkqubo ziyanyibilika ngokuhamba kwexesha . Ngoko ke akufuneki ubuyele esibhedlele ukuze uzisuse. Ezi zititshi zihlala zinyibilika kwisithuba seeveki ezi-6.
Intlungu yokukrazula idla ngokuphela emva kweeveki ezimbini . Ugqirha uza kukunika amayeza okudambisa iintlungu.
Izinto onokuzenza kwicala lakho
- Ucoceko: Gcina indawo apho kufakwe khona izititshi icocekile kwaye yomile. Hlamba ngamanzi afudumeleyo emva kokusebenzisa indlu yangasese, yomise ngelaphu elicocekileyo, uze uyomise.
- Ukuphumla:Phumla kangangoko unako. Musa ukuhlala kwindawo efanayo ixesha elide.
- Ukutya: Ukuze uthintele ukuqhinwa, yitya ukutya okunefayibha eninzi, njengemifuno eluhlaza, imifuno, neziqhamo, kwaye usele amanzi amaninzi.
- Ingcebiso yezonyango: Landela imiyalelo kagqirha wakho ngokuchanekileyo.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza:
- Ukuba unomkhuhlane.
- Ukuba kukho ivumba elibi okanye ulwelo olufana nobovu oluvela kwindawo yomthungo.
- Ukuba intlungu iyaqhubeka nokukhula nangona usela amayeza okudambisa iintlungu.
- Ukuba indawo apho kuthungwe khona izithungo idumbile, ibomvu, kwaye ibuhlungu kakhulu.
Ukuba uqhubeka uva iintlungu ngexesha lokwabelana ngesondo, ungabi nantloni okanye ungoyiki ukuthetha nogqirha wakho ngazo. Zikhona izinto onokuzenza ngayo.
Umyalezo Wokuya Ekhaya
- Ukopha igazi kwilungu lobufazi ngexesha lokubeleka kuxhaphakile kakhulu. Akuyonto ifanelekileyo ukuba neentloni okanye ukoyika.
- Uninzi lokutsha (inqanaba lokuqala nelesibini) luphola ngokupheleleyo ngononophelo olufanelekileyo nonyango.
- Kubalulekile ukuqaphela kakhulu ukugcina indawo icocekile ukuze kuthintelwe usulelo.
- Ukuba ufumana iintlungu eziqatha, iimpawu zosulelo (umkhuhlane, ivumba elibi), okanye iingxaki zokulawula isinyi/amathumbu, bona ugqirha wakho ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na iingxaki eziqhubeka emva kokuchacha, ingakumbi iintlungu ngexesha lokwabelana ngesondo. Lilungelo lakho ukufuna izisombululo ezifanelekileyo.
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