Uma ulungiselela ukubeletha, omunye wemibuzo engqondweni yakho ngokuqinisekile uthi "Ingabe kuzodingeka ngihlinzwe i- episiotomy ?". Nakuba lokhu kwakuyinto evamile ngesikhathi sokuzalwa komama nogogo bethu, izinto zihlukile kakhulu namuhla. Kodwa-ke, ngezinye izikhathi lokhu kungadingeka ngenxa yesimo esiphuthumayo. Ngakho-ke, ake sixoxe ngalokhu ngendlela ecacile nelula.
Kalula nje, kuyini i-episiotomy?
I-episiotomy ukuhlinzwa okuncane okwenziwa udokotela endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (ngokwezokwelapha okubizwa ngokuthi i-'perineum') ngesikhathi sokubeletha ukuze kwandiswe ukuvulwa kwesitho sangasese sowesifazane ukuze kube lula ngomntwana ukuphuma. Inhloso eyinhloko yalokhu ukwandisa isikhala esikhona ukuze umntwana aphume.
Esikhathini esidlule, lokhu kusikwa kwakwenziwa cishe kubo bonke omama ababeletha. Kodwa namuhla, akwenziwa njalo. Kodwa-ke, lokhu akuyona into yesikhathi esidlule ngokuphelele.
Esikhathini Esidlule Namanje: Kungani le nqubomgomo yashintsha?
Eminyakeni eminingi edlule, i-episi OT omy yayivame kakhulu. Futhi kwakukhona izizathu zalokho.
Ngaleso sikhathi, odokotela abaningi babesebenzisa amathuluzi afana ne-forceps ukusiza ngesikhathi sokubeletha. Ngakho babedinga isikhala esengeziwe ukuze basebenzise lawo mathuluzi kahle. Futhi, odokotela ngaleso sikhathi babecabanga ukuthi kungcono ukusika kahle kunokukuvumela kudabuke ngokwemvelo. Kwakukhona nenkolelo yokuthi lokhu kusika kuzonciphisa izinkinga zesikhathi eside ezingase zenzeke ngemva kokubeletha, njengokungakwazi ukuzibamba kanye nobuhlungu ngesikhathi socansi.
Kodwa-ke, ucwaningo lukhombisile ukuthi akunjalo.
Ucwaningo kusukela ngawo-1990 lubonise ukuthi i-episiotomy ayinikezi izinzuzo eziningi njengoba kwakucatshangwa ngaphambili.
"Nakuba kulula ukuthunga i-episiotomy kunokuthunga ulwelwesi olungokwemvelo, kunengozi enkulu yokuthi ulwelwesi lusabalale kakhulu futhi lubangele umonakalo omkhulu," kusho odokotela bezifo zabesifazane.
Ngokusho kwezinye izifundo, cishe abesifazane abangu-85% babhekana nokudabuka ngokwemvelo ngesikhathi sokubeletha. Lokhu kudabuka (kanye nokusikwa kwe-episiotomy) kungahluka kusukela kokuncane kuya kokubi kakhulu (odokotela bakuhlela njengezinga lokuqala, elesibili, elesithathu, nelesine). Ezimweni ezinzima kakhulu, imisipha ye-rectum kanye nolwelwesi lwayo lwangaphakathi ingalimala , okungaholela enkingeni yokulawula ukunyakaza kwamathumbu.
Uma kwenziwa i-episiotomy, kunengozi yokuthi ukusikwa kungasakazeka kakhulu kunokuba kungadabula futhi kulimaze imisipha ye-rectal ngokwemvelo.
| Isici | Inkolelo eyayikhona ngaleso sikhathi | Okutholakele kwamanje |
|---|---|---|
| Sika futhi udabule | Ukusikwa okucocekile kungcono kunokudabuka kwemvelo. | Ukusikeka kungasakazeka kude ngokungadingekile futhi kubangele umonakalo omkhulu. |
| Ukwelapha | Ukusika okuhlanzekile kuphola ngokushesha. | Izinyembezi zemvelo zivame ukuphola ngobuhlungu obuncane futhi ngokushesha. |
| Izinkinga zesikhathi eside | Kuvimbela izinkinga ezifana nokulahlekelwa ukulawula umchamo. | Akukho bufakazi obucacile bokuthi lokhu kuvimbela izinkinga ezinjalo. |
Ngakho-ke, kuziphi izimo lapho i-episiotomy isaqhubeka khona nanamuhla?
Kulezi zinsuku, odokotela abavamile ukuncoma i-episiotomy njengenketho kamama. Kodwa-ke, kungadingeka ezimweni eziphuthumayo nezidingekayo kwezokwelapha, njengalezi ezilandelayo:
- Uma ingane izwa ukungakhululeki (ukucindezeleka kombungu): Isibonelo, uma kukhona ushintsho olusheshayo ekushayeni kwenhliziyo yengane.
- Uma umntwana emkhulu: Akukho sikhala esanele sokuba umntwana aphume.
- Uma ukubeletha kudinga ukusheshiswa: Uma ukubeletha kudinga ukusheshiswa ukuze kuphephe umama noma umntwana.
Cabanga nje, udokotela ekutshela ukuthi, "Ingane ibhekene nobunzima, futhi lesi sikhumba sibambezela ukuzalwa kwengane." Lesi yisikhathi lapho kwenziwa khona lesi sinqumo.Lokhu ngokuvamile akuyona into ehlelwa kusengaphambili, kodwa yisinqumo esenziwe okwamanje.
Futhi, ucwaningo lukhombisile ukuthi i-episiotomy ayisizi kakhulu esimweni esiphuthumayo esibizwa ngokuthi ' Shoulder Dystocia' , lapho ihlombe lomntwana libhajwa khona emgudwini wokuzalwa. Ngoba kuleso simo, ukuvinjelwa amathambo esinqe sikamama, hhayi izicubu ezithambile.
Yini ongayilindela ngesikhathi nangemva kokuhlinzwa kwe-episiotomy?
Ngesikhathi senqubo
I-episiotomy yinto eyenzeka ngaphambi kokuba uqaphele. Ukusikwa kwenziwa ngemizuzwana embalwa.
- Uma uthola i-epidural ukuze unciphise ubuhlungu, ngeke uzwe lutho.
- Ngisho nomama obeletha ngokwemvelo, lokhu kusikwa kungase kungezwakali ngokwehlukana nobuhlungu bokubeletha ngaleso sikhathi.
Ngemva kwenqubo
Ngemva kokuzalwa kwengane yakho, udokotela wakho uzothunga imbobo bese eyilungisa. Ungase uzwe ubuhlungu nokuvuvukala izinsuku ezimbalwa ngemva kwalokho. Izinto ezilandelayo zingasiza:
- Amahora angu-24 okuqala: Faka iqhwa endaweni.
- Ama-Painkiller: Cela udokotela wakho ukuthi akunike umuthi ofanele wokuqeda ubuhlungu.
- Ukuhlanza: Sebenzisa ibhodlela le-squirt elinamanzi afudumele ukuhlanza indawo.
- Ukugeza nge-Sitz: Ukuhlala esitsheni samanzi afudumele imizuzu embalwa kunganciphisa kakhulu ubuhlungu nokungakhululeki.
Ingabe i-episiotomy izokwenziwa kumntwana olandelayo?
Mhlawumbe akunjalo. Ukuthi nje wenze i-episiotomy ngesikhathi sokuzalwa kwakho kokuqala akusho ukuthi kufanele wenze eyodwa okwesibili. Udokotela wakho angase anqume ukuvumela ukudabuka kwenzeke ngokwemvelo okwesibili.
Ukukhulelwa nokubeletha ngakunye kuhlukile. Isibonelo, uma ingane yakho yokuqala yayinkulu futhi kwadingeka wenze i-episiotomy, kodwa ingane yakho yesibili incane, noma uma ingane isesimweni esihlukile, ungase ungadingi ukusikwa. Ukudabuka okwenzeka ngokwemvelo kungaba kuncane kunokusikwa kokuhlinzwa.
Kodwa-ke, uma uke waba nokudabuka okukhulu noma i-episiotomy ngaphambilini okubangele ukungalawuleki kwendle, udokotela wakho angase ancome ukuhlinzwa ngokuhlinzwa kwe-C ukuze abelethe okulandelayo ukuze avimbele ukudabuka okukhulu ukuthi kuphinde kwenzeke futhi futhi kubangele izinkinga zesikhathi eside.
Ingabe i-episiotomy noma ukudabuka kungavinjelwa?
Ayikho indlela eqinisekisiwe eyi-100% yokuvimbela i-episiotomy noma ukudabuka, kodwa kunezinto ongazenza ukusiza ukunciphisa ingozi.
- Ukubhucungwa kwe-perineal:Abanye besifazane basebenzisa uhlobo lwamafutha ukuhlikihla indawo ephakathi kwesitho sangasese sowesifazane kanye nendunu ngenyanga yokugcina yokukhulelwa. Nakuba lokhu kungakafakazelwa ngokwesayensi ukuthi kuyazuzisa, futhi akunangozi.
- Ukubeletha okuhamba kancane, okulawulwayo: Lena yinto ebaluleke kakhulu. Lapho ikhanda lomntwana liphuma (ukuqhola), esikhundleni sokusunduza kanzima ngesikhathi esisodwa, sebenzisa "ukusunduza okuncane." Lokhu kunikeza izicubu zesitho sangasese sowesifazane isikhathi sokunwebeka kancane kancane. Kubaluleke kakhulu ukulandela imiyalelo enikezwe udokotela noma umhlengikazi wakho ngqo.
Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba noma ukungabaza onakho ngokubeletha. Uzochaza indlela efanele nephephile kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-episiotomy akuyona into evamile kulezi zinsuku.
- Kwenziwa kuphela uma kudingeka ngokwezokwelapha ukuze kuphephe umama noma umntwana.
- Izinyembezi zemvelo zivamile futhi zivame ukuphola kahle.
- Ngaphambi kokubeletha, khuluma nodokotela wakho ngokwesaba kwakho nokukhathazeka kwakho ukuze uthole ukuqonda okungcono.
- Ngemva kokusikeka noma ukudabuka, landela imiyalelo kadokotela wakho ngqo ukuze ululame ngokushesha.
- Ukubeletha umntwana kancane nangendlela elawulwayo kunganciphisa ingozi yokudabuka okukhulu.
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