Njengomama okhulelwe, ungase wesabe kancane noma ube nesifiso sokubeletha. Kuyinto evamile kakhulu. Enye yezinto abantu abaningi abazibuzayo futhi abazesabayo ukuthi indawo ezungeze isitho sangasese sowesifazane izodabuka yini lapho umntwana ezalwa. Lokhu empeleni kuyinto omama abaningi ababhekana nayo. Kodwa ngaphambi kokuba wesabe ngakho, ake sixoxe ngakho ngokucacile nangokulula.
Kalula nje, kuyini ukudabuka kwesitho sangasese sowesifazane?
Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi "i-Perineal Laceration". Kalula nje, ngesikhathi sokubeletha, lapho umntwana ephuma esithweni sangasese sowesifazane, isikhumba nezicubu ezizungeze isitho sangasese sowesifazane ziyadabuka. Indawo ephakathi komgodi wesitho sakho sangasese sowesifazane kanye ne-anus yakho ibizwa ngokuthi "i-Perineum". Ukudabuka kuvame ukwenzeka kule ndawo.
Cabanga nje, njengoba umntwana esezophuma, isikhumba esithweni sakho sangasese sowesifazane siqala ukwelula kakhulu. Imizimba yethu yenzelwe ukwelula le ndawo kahle ukuze umntwana aphume ngaphandle kokulimala. Kodwa-ke, ngezinye izikhathi le ndawo ingadabuka kancane lapho ikhanda lomntwana liphuma. Ungakhathazeki, lokhu kuvamile kakhulu. Eqinisweni, cishe omama abangu-90% ababeletha ngendlela evamile babhekana nokudabuka okuthile.
Ukwelashwa kwalokhu kudabuka kuncike ekutheni kunjani. Ezimweni eziningi, amakhambi asekhaya angasiza ekunciphiseni ukungakhululeki futhi asheshise ukuphulukiswa.
Kunezinhlobo ezine eziyinhloko zala ma-Iriyam.
Lezi zimpawu zihlukaniswe ngamazinga amane ayinhloko kuye ngokuthi zinzima kangakanani. Ake sibone ukuthi ziyini.
| Izinga lokudabuka | Incazelo elula |
|---|---|
| Izinga lokuqala | Leli yizinga elingathí sina kakhulu. Ingqimba ephezulu yesikhumba kuphela endaweni yesitho sangasese sowesifazane kanye ne-perineum edabukile kancane. Ezimweni eziningi, lokhu akudingi ukuthungwa. |
| Izinga lesibili | Leli izinga elivame kakhulu. Lapha, ukudabuka kufinyelela ungqimba lwemisipha ngaphansi kwesikhumba. Lokhu kuzodinga ukuthungwa nakanjani. |
| Izinga lesithathu | Lapha, ukudabuka kudlula kusukela esithweni sangasese sowesifazane kuya endunu. Lokhu kusho ukuthi isikhumba nemisipha yendawo ye-perineum yonakele, kanye nemisipha ye-anal sphincter elawula ukunyakaza kwamathumbu. Lokhu kudinga nokuthungwa. |
| Izinga lesine | Lolu uhlobo lokudabuka olunzima kakhulu nolungavamile. Ukudabuka kusuka esithweni sangasese sowesifazane, kudlule ku-perineum, kudlule emisipheni yendunu, kuze kufike odongeni lwangaphakathi lwe-rectum. Kulesi simo, ungase uthathwe usuka egumbini lokubelethisa uyiswe ekamelweni lokuhlinza ukuze uthungwe. |
Khumbula, ukusikwa kwezinga lesithathu nelesine akuvamile kakhulu. Ngaphansi kuka-5% omama ababhekana nalesi simo. Ukusikwa kwezinga lesibili yikona okuvame kakhulu.
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Isizathu esiyinhloko salokhu kudabuka ngesikhathi sokubeletha ukwelulwa kwesitho sangasese sowesifazane kanye ne-perineum njengoba umntwana ephuma. Lena inqubo evamile. Asikwazi ukulawula izinto ezifana nokunwebeka kwesikhumba sakho sangasese sowesifazane. Kodwa-ke, izici ezithile zingandisa ingozi yalokhu kudabuka.
- Uma lokhu kungukuzalwa kwakho kokuqala.
- Uma umntwana ebheke phezulu esikhundleni sokubheka phansi uma ephuma.
- Uma kufanele usebenzise idivayisi ethi ``Forceps``` noma ``Vacuum``` ukuze ususe umntwana.
- Uma ingane ikhuluphele kancane (ngaphezu kwamakhilogremu angu-8).
- Uma isigaba sesibili sokubeletha, noma ukusunduza, kuthatha isikhathi eside.
- Uma unikezwe i-epidural ukuze unciphise ubuhlungu.
- Ezinye izifundo zithole ukuthi abesifazane base-Asia basengozini enkulu kancane.
Ungakhuluma nodokotela wakho ngalokhu bese uthola ukuthi unazo yini lezi zinto eziyingozi.
Yiziphi izinkinga ezingabangelwa yilokhu?
Ukukhala kungadala ukungakhululeki nobuhlungu. Kodwa-ke, iningi lezinyembezi ezincane liyaphola zingakapheli amasonto amabili. Uma ukukhala kukhulu kancane, kuvamile ukuzizwa ungakhululekile inyanga eyodwa noma ezimbili. Ngokukhala kwesigaba sesithathu nesesine, ingozi yezinkinga iphakeme kancane.
- Ukutheleleka:Uma inxeba lingagcinwa lihlanzekile, lingangenwa yileli gciwane.
- Ukopha.
- Ubuhlungu ngesikhathi socansi: (ngemuva kwemvume kadokotela)
- Ukungakwazi ukuzibamba kwendle: Lokhu kungenzeka ezimweni ezinzima kakhulu.
- Ubuhlungu obuqhubekayo nobuhlungu.
Uma uzizwa kanje, qiniseka ukuthi utshela udokotela wakho ngesikhathi sokubonana nodokotela wakho ngemva kokubeletha. Angakutshela ukuthi lokho okuzwayo kuyinto evamile noma cha.
Ungalinakekela kanjani inxeba ekhaya lize liphole?
Ngemva kokubeletha umntwana, cishe uzozwa ukungakhululeki ngesikhathi ukukhala kuphola. Kunezinto ezimbalwa ezilula ongazenza ekhaya ukusiza ekunciphiseni lokho kungakhululeki. Lokhu kungenziwa nganoma yiliphi izinga lokudabuka.
- Qaphela ukuhlanzeka: Ngemva kokusebenzisa indlu yangasese, sebenzisa `(peri-bottle)` (ibhodlela lokuhlikihla) ukuze ugeze indawo ngamanzi afudumele. Esikhundleni sokusula ngephepha langasese, shaya indawo kancane ukuze yome.
- Faka iphakethe leqhwa: Kunezindwangu ezikhethekile zangasese eziqukethe iphakethe leqhwa ongazithenga ekhemisi. Noma, songa ama-ice cubes ambalwa ngendwangu ehlanzekile bese uwabeka enxebeni imizuzu eyi-10-15. Lokhu kuzonciphisa ukuvuvukala nobuhlungu.
- Vimbela ukuqunjelwa: Gwema ukuzikhandla phakathi nalesi sikhathi. Phuza amanzi amaningi. Futhi, yidla ukudla okune-fiber eningi (izithelo, imifino, kanye nemifino). Uma kudingeka, buza udokotela wakho mayelana nokuthatha isithambisi sendle.
- Geza Ngesitsha Sokugeza: Uma unebhavu, ligcwalise ngamasentimitha ambalwa ukuphakama ngamanzi afudumele bese uhlala kulo imizuzu eyi-10-15. Lokhu kuzonciphisa ubuhlungu futhi kusize inxeba ukuthi liphole ngokushesha. Kungcono ukwenza lokhu kabili noma kathathu ngosuku.
- Sebenzisa Umcamelo We-Donut: Uma uzizwa ucindezelekile enxebeni lakho lapho uhleli, hlala emcamelweni ofana ne-donut onembobo phakathi nendawo. Lokhu kuzonciphisa ukucindezeleka enxebeni.
- Gwema izikhundla ezingakhululekile: Yeka ukwenza izivivinyo ezilimaza ukulimala, njengokwehla izitebhisi, ukugoba, njll. isikhashana.
- Ama-Painkillers: Thatha umuthi wokuqeda ubuhlungu njenge-paracetamol njengoba udokotela wakho ekuyalele. Uma ukudabuka kukhulu, angase akunikeze umuthi wokuqeda ubuhlungu onamandla.
- Isifutho sobuhlungu: Ungasebenzisa isifutho esinciphisa ubuhlungu kanye nokuba ndikindiki, njenge-``(Dermoplast®)``, engathengwa emakhemisi. Kodwa-ke, kuwukuhlakanipha ukubuza udokotela wakho.
Okubaluleke kakhulu: Uma ungumama oncelisayo, hlala uthintana nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
Kuthatha isikhathi esingakanani ukululama? Yiziphi izinto ezibangela ingozi?
Kwabaningi omama, ubuhlungu nokungakhululeki kuzoncipha kakhulu ngemva kwamasonto amabili. Uma ukudabuka kukhulu, kungathatha isikhathi eside ukuphola. Imithungo oyitholayo izoncibilika yodwa ngemva kwesikhathi esithile, ngakho-ke asikho isidingo sokuba inqunywe.
Nokho, kufanele uqaphele izimpawu zokutheleleka ngesikhathi inxeba liphola.
| Isikhathi sokufonela udokotela wakho ngokushesha | |
|---|---|
| Iphunga elibi | Uma kukhona uketshezi olunuka kabi oluvela endaweni yokuthungwa noma oluvela esithweni sangasese sowesifazane. |
| Imfiva | Uma uzizwa ushisa. |
| Ubuhlungu obukhulu | Uma uphuza imithi yokubulala izinhlungu, kodwa ubuhlungu buya bukhula kunokuba bunciphe. |
| Ukulahlekelwa ukulawula | Uma ungakwazi ukulawula amathumbu noma umchamo wakho. |
Ungacabanga ngokuthola omunye umntwana?
Yebo, kungenzeka nakanjani. Ukuba nesibeletho esiqhumile ekuzalweni kwangaphambilini akusho ukuthi awukwazi ukubeletha ngendlela evamile ngesikhathi esizayo. Ngisho nezifundo ezisebenzise omama abaqhumile kakhulu kwesibeletho azinikezi ubufakazi obucacile bokuthi ukuhlinzwa ngokuhlinzwa kuyadingeka ngesikhathi esilandelayo.
Futhi, ukuthi nje iyadabuka okokuqala akusho ukuthi izodabuka njalo. Eqinisweni, omama abaningi abadabuka kakhulu ngesikhathi sokubeletha kwabo kwesibili noma kwesithathu. Ngakho ungakhathazeki ngakho. Khuluma nodokotela wakho nganoma yini ekukhathazayo.
I-episiotomy noma i-episiotomy - yikuphi okungcono?
Ngezinye izikhathi, uma ingane ingenalo ithuba elanele lokuphuma, udokotela uzokwenza ukusika okuncane emaphethelweni omgodi wesitho sangasese sowesifazane. Lokhu kubizwa ngokuthi "i-Episiotomy". Lokhu kwenzelwa ukwandisa umgodi wesitho sangasese sowesifazane ngendlela elawulwayo nokuvimbela ukudabuka okungalawuleki.
Kodwa-ke, umbono wezokwelapha wamanje uthi akukhuthazwa ukwenza i-episiotomy njalo. Ucwaningo lwakamuva lusikisela ukuthi kungcono ukuvumela ukudabuka kuphole ngokwemvelo. Ngakho-ke, odokotela manje abavamile ukwenza lokhu kusikwa, ngaphandle kwalapho kudingeka kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukudabuka esithweni sangasese sowesifazane ngesikhathi sokubeletha kuyinto evamile futhi evamile. Ungakhathazeki kakhulu ngakho.
- Ukusha okuningi (okungaphezu kuka-95%) kungokwezinga lokuqala nelesibili, akukubi kakhulu. Kuphola ngokushesha.
- Qaphela kakhulu inhlanzeko yakho ngesikhathi senqubo yokuphulukiswa. Ukwelashwa okulula njengokugeza ngamanzi afudumele nokufaka iqhwa kungasiza ekunciphiseni ubuhlungu.
- Uma unomkhuhlane, uketshezi olunuka kabi, noma ubuhlungu obungabekezeleleki , bona udokotela wakho ngokushesha.
- Ungesabi ngokubeletha kwakho okulandelayo ngoba wake wadabuka ngaphambilini. Khuluma nodokotela wakho ngakho bese unquma.
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