Njengomama okhulelwe, ungase wesabe kancane futhi ube nesifiso sokubeletha , akunjalo? Kungenzeka ukuthi uke wezwa amagama anjengokuthi 'kudwengulwe' nokuthi 'kuthungwe' lapho kukhulunywa ngezinto ezingenzeka ngesikhathi sokubeletha. Empeleni lokhu kuyinto eyenzeka omama abaningi, kodwa akuxoxwa ngayo ngempela. Ngakho-ke namuhla sicabange ukuthi sizoxoxa nawe ngalokhu ngendlela enobungane. Sikhuluma ngokudabuka kwe-perineal okwenzeka ngesikhathi sokubeletha, noma lokho esikubiza ngokuthi '(Perineal Tear)' ngokwezokwelapha.
Kungani lezi inyembezi zenzeka ngempela?
Kalula nje, ukubeletha kuyinqubo yemvelo emangalisayo. Umzimba wakho ulungiselela indlela yokuba ingane yakho iphume ngokunciphisa isikhumba nezicubu ezizungeze isitho sakho sangasese sowesifazane bese usenza sinwebeke kakhudlwana. Lokhu kwenzelwa ukuqinisekisa ukuthi ikhanda lengane lingaphuma ngaphandle kokulimala.
Kodwa ngezinye izikhathi, ikakhulukazi uma ukubeletha kushesha kakhulu, lesi sikhumba asinaso isikhathi esanele sokunwebeka njengoba kufanele. Yilapho izicubu ezizungeze isitho sangasese sowesifazane zingadabuka khona. Lokhu kuvamile kakhulu futhi kwenzeka komama abaningi.
Ngezinye izikhathi, odokotela bazokwenza ukusika okuncane ukuze bandise imbobo yesitho sangasese sowesifazane ukuze balawule ukudabuka noma ukubeletha umntwana ngokushesha. Lokhu sikubiza ngokuthi "i- episiotomy ". Lokhu kwenzelwa ukulawula ukuphuma kwegazi okubangelwa ukudabuka okukhulu noma ukusindisa umntwana ngokushesha uma kukhona isimo esiphuthumayo.
Yiziphi izinhlobo ezine eziyinhloko zelayisi?
Lezi zimfa zihlukaniswe ngezinhlobo ezine eziyinhloko ngokusekelwe ekujuleni kwazo kanye nomonakalo wazo. Cabanga ngakho njengokusuka emfantwini omncane emgwaqweni uye emgodini omkhulu. Masiziqonde kahle lezi zinhlobo.
| Izinga lokudabuka | Izindawo ezonakele | Izinto okufanele uzazi |
|---|---|---|
| Izinga lokuqala | Isikhumba kanye nezicubu ezingaphansi kuphela phakathi kwesitho sangasese sowesifazane kanye ne-anus. Ukudabuka okungaphezulu kakhulu. | Ungase uzwe ukushisa okuncane noma ubuhlungu lapho uchama. Esikhathini esiningi, izithungo azidingeki, kodwa ngezinye izikhathi ukuthunga okukodwa noma okubili kuyaphola. Kuzophola ngokuphelele emavikini ambalwa. |
| Izinga lesibili | Ngaphezu kwesikhumba, imisipha ezungeze isitho sangasese sowesifazane nayo yonakele, okujule kakhulu kunesigaba sokuqala. | Lolu uhlobo oluvame kakhulu lokukhubazeka kokuzalwa. Ngokuqinisekile luzodinga ukuthungwa. Lezi zithungo zizozincibilikisa zodwa ngemva kwesikhashana. Zizophola emavikini ambalwa. |
| Izinga lesithathu | Ukudabuka kudlulela emisipheni ezungeze indunu (i-anal sphincter). | Lesi yisimo esibucayi. Kuzodinga ukulungiswa ngokuthungwa. Kungathatha amasonto ambalwa ukuphola. Abanye abantu bangase babe nezinkinga ezifana nokungakwazi ukuzibamba kanye nobuhlungu ngesikhathi socansi. |
| Izinga lesine | Lolu uhlobo olubi kakhulu. Ukudabuka kudlulela emisipheni ezungeze indunu kuye odongeni lwangaphakathi lwe-rectum. | Lokhu kudinga uhlobo olukhethekile lokulungiswa ekamelweni lokuhlinzwa nguchwepheshe. Kuthatha isikhathi eside ukuphulukiswa. Kunengozi enkulu yezinkinga, njengasesigabeni sesithathu. |
Yiziphi izinto ezandisa ingozi yokudabuka?
Izinto ezithile zingandisa ingozi yokuba nalolu hlobo lokudabuka. Kodwa-ke, ukuba nalezi zinto akusho ukuthi uzoba nokudabuka. Lezi yizinto eziyingozi kuphela.
- Uma uthola umntwana wakho wokuqala : Ingozi iphezulu ngesikhathi sokubeletha kokuqala ngoba izicubu azinwebekile kangako.
- Uma umntwana ekhuluphele ngokweqile: Uma umntwana omkhulu ephuma, kuba nokucindezeleka okwengeziwe ezicutshini.
- Uma ukubeletha kushesha kakhulu: Izicubu azinaso isikhathi esanele sokufinyela.
- Uma usebenzisa amathuluzi ukukhipha umntwana: `(Forc EPSUma kufanele usebenzise idivayisi ethi ``(forceps)`` noma ``(Vacuum)```.
- Indawo yomntwana: Ukwethula isifuba sakhe lapho umntwana ebheke phezulu.
- Uma umama esekhulile.
- Ukuba ngowesifazane wase-Asia: Ucwaningo lubonise ukuthi abesifazane base-Asia basengozini enkulu kancane ngenxa yemvelo yezicubu zabo.
- I-Episiotomy: Kukhona ingozi yokuqhubeka nokudabuka, ikakhulukazi nge-midline episiotomy.
Yiziphi izinkinga ezingaba khona ngenxa yalokhu kuvuvukala?
Into ebalulekile ukuthi eziningi zalezi zinkinga zingavinjelwa noma zilawulwe ngokwelashwa okufanele kanye neseluleko.
Isigaba sokuqala nesesibili ngokuvamile asibangeli izinkinga ezinkulu, kodwa isigaba sesithathu nesesine esinzima singabangela izinkinga ezithile.
- Ukopha: Ngesikhathi sokudabuka nangemva kwalokho.
- Ukutheleleka: Ukutheleleka kungenzeka uma indawo yokuthunga ingagcinwa ihlanzekile.
- Ubuhlungu: Ikakhulukazi emasontweni ambalwa okuqala.
- Ubuhlungu ngesikhathi socansi: Abanye abantu bangase babe nale nkinga ngisho nangemva kokululama.
- Ukungakwazi ukuzibamba umchamo: Ukuvuza komchamo okungenangozi, njengalapho ukhwehlela noma uhleka.
- Ukungakwazi ukuzibamba kwamathumbu: Lokhu kungahlotshaniswa nesifo sohudo esibi kakhulu.
- Ukwephuza ukuphola: Ukwephuza ukuphola kungase kuphuze ngenxa yezinto ezifana nokuphuka kwemithungo futhi.
Iphathwa kanjani futhi yini okufanele uyenze?
Ukwelashwa kuncike ekutheni hlobo luni lokudabuka onalo. Ukudabuka kwesigaba sokuqala kungase kungadingi ukuthungwa nhlobo. Kodwa-ke, ukudabuka kwesigaba sesibili, sesithathu, kanye nesesine nakanjani kuzodinga ukuthungwa ukuze kulungiswe.
Ingxenye engcono kakhulu ukuthi izithungo ezisetshenziswe kule nqubo ziyancibilika ngokuhamba kwesikhathi . Ngakho-ke akudingeki ubuyele esibhedlela ukuze uzisuse. Lezi zithungo zivame ukuncibilika zingakapheli amasonto ayi-6.
Ubuhlungu obuvela ekudabukeni buvame ukuphela ngemva kwamasonto amabili . Udokotela uzokunikeza imithi yokwelapha izinhlungu.
Izinto okufanele uzenze wena
- Ukuhlanzeka: Gcina indawo lapho kwafakwa khona izithungo ihlanzekile futhi yomile. Geza njalo ngamanzi afudumele ngemva kokusebenzisa indlu yangasese, yomise ngendwangu ehlanzekile, bese uyomisa.
- Ukuphumula:Phumula ngangokunokwenzeka. Ungahlali endaweni efanayo isikhathi eside kakhulu.
- Ukudla: Ukuze uvimbele ukuqunjelwa, yidla ukudla okune-fiber eningi, njengemifino eluhlaza, imifino, nezithelo, bese uphuza amanzi amaningi.
- Iseluleko sezokwelapha: Landela imiyalelo kadokotela wakho ngqo.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha:
- Uma unomkhuhlane.
- Uma kukhona iphunga elibi noma uketshezi olufana nobovu oluvela endaweni yomthungo.
- Uma ubuhlungu buqhubeka nokwanda naphezu kokuthatha imithi yokwelapha izinhlungu.
- Uma indawo lapho kuthungwe khona imithungo ivuvukele, ibomvu, futhi ibuhlungu kakhulu.
Uma uqhubeka nokuzwa ubuhlungu ngesikhathi socansi, ungabi namahloni noma wesabe ukukhuluma nodokotela wakho ngakho. Kunezinto ongayenza ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukopha esithweni sangasese sowesifazane ngesikhathi sokubeletha kuvame kakhulu. Akuyona into okufanele ube namahloni noma uyesabe.
- Iningi lokusha (isigaba sokuqala nesesibili) liyaphola ngokuphelele ngokunakekelwa nokwelashwa okufanele.
- Ukuqapha okukhulu ukugcina indawo ihlanzekile kubalulekile ukuvimbela ukutheleleka.
- Uma uzwa ubuhlungu obukhulu, izimpawu zokutheleleka (umkhuhlane, iphunga elibi), noma izinkinga zokulawula isinyi/amathumbu, bona udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izinkinga eziqhubekayo ngemva kokululama, ikakhulukazi ubuhlungu ngesikhathi socansi. Kuyilungelo lakho ukufuna izixazululo ezifanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho