Ezinsini zokubeletha, ukwelashwa kokusebenzisa umzimba kusetshenziswa kaningi, ngoba kuyindlela ephumelelayo yokwelapha izifo ezihlukahlukene. Faka isicelo semfundo engokwenyama esikhathini sokuhamba ngemuva kokusebenza okungalungile kwesibeletho (isibonelo, ngemuva kokusebenza emzimbeni wesifazane nangokwe-laparotomy), enezifo ezingapheli zendawo yesisu yomzimba wesisu sokuvuvukala. Noma kunjalo, isiko lomzimba akumele lithathwe ngezinkinga zamathambo ezitsheni zomkhawulo ophansi nezitho zomzimba (isibonelo, nge-phlebitis); nezinqubo ezivuthayo zokuvuvukala; ukuphuma kwegazi; izifunda ze-septic nezinye izinkinga emva kokuhlinzwa.
Imigomo ye-LFK yezinkinga zokubeletha kanye nezinkinga zezimbangela:
- Ukuhlinzeka ngethonya elihle emiphakathini esemqoka yokulawulwa kwemizwa yomzimba womuntu ukuze kulinganise izinqubo zokudabuka nokuvimbela, okungasaphazamiseka kaningi ngesikhathi sokukhulelwa noma ngesikhathi sokugula.
- Ukwandisa ukukhuthazela namandla okumisipha yomkhawulo ophansi kanye nebhande, okubandakanyeka ngokuqondile ekubelethweni.
- Ukwandisa ithoni evamile yesiguli: ukuzivivinya kokwelashwa kudala imizwa emihle engathuthukisa ukuphefumula nokujikeleza kwegazi, okusheshisa umzimba, futhi lokhu ngenxa yalokho kuthinta isimo somzimba jikelele.
- Ukunikeza ithonya elinenzuzo ngesikhathi sezifo zesifo somzimba: ukusetshenziswa kwezivivinyo ezikhethekile zomzimba kungathuthukisa ukujikeleza kwe-lympho-negazi, okusiza ukuxazululwa kokunamathela, ukungena kanye neminye imiphumela yokuvuvukala kwezitho zomzimba.
- Ukulungiswa kwe-uterine prolapse nokuphambuka-retroflection (ukugoba), uma lesi sifo singaqalwanga. Uma ukuphambuka kuboniswa ngokucacile, khona-ke ukuvivinya umzimba kusetshenziselwa ukuqinisa imisipha yamaphethelo aphansi kanye nesitezi se-pelvic ekulungiseleleni ukwelashwa okuhlinzekwa.
Indlela ejwayelekile yemfundo engokwenyama emithonjeni yezinkinga zokubeletha kanye nezithintekayo isekelwe ezimisweni:
- Ukusebenza ngendlela efanele yokuzivocavoca
- Ukukhetha okwanele kokuthukulula futhi ukuphulukisa izikhundla zokuqala
- Ukulawula ukuvivinya umzimba ngokuqinile ukuqinisekisa ukulinganisa okufaneleko kokuzivocavoca
- Inhlanganisela efanele yokunyakaza nokuphefumula
- Izimo ze-hygien zokuzivocavoca
- Ukwaneliseka komsebenzi kusuka endaweni yokubuka ngokomzwelo
- Ukubika nge-akhawunti yokusebenza koqeqesho
Uma kunezifo ezivuthayo ezithombeni zobulili zesifo esingavamile, i-LFK ibizwa ukuthi iqhutshwe ukuthuthukisa ukujikeleza kwegazi ezinzimbeni zomzimba, ukuvimbela ukuthuthukiswa kokunamathela kule ndawo, ukusheshisa inqubo yokuvuselela ukuvuvukala, ukusheshisa uhlelo lokuphefumula, nokwandisa ithoni yomzwelo nesimo somuntu jikelele. Futhi kubalulekile ukukhumbula ukuthi eklasini kufanele uhlinzekele ukulayishwa komzimba ekucindezelweni nge-axis eqondile; Awuvunyelwe ukwandisa ubuhlungu ngemuva kokwelashwa kokusebenza, ngakho-ke umzimba kufanele wenziwe, ulawule ubuhlungu.
Uma owesifazane enesimo esingalungile sesibeletho, khona-ke ukuzivocavoca kuyadingeka ukuze kuqinisekiswe ucingo lwesisu, imisipha yezinsimbi zomgogodla kanye nosuku lwe-pelvic, ukuthuthukisa ukujikeleza kwegazi, ukwandisa ukuhamba kwe-uterine nokudlulisela endaweni ejwayelekile edingekayo. Ngaphezu kwalokho, kusetshenziselwa ukuvamise ukusebenza komgudu wokugaya umzimba futhi ube nomthelela owenziwe ngokugcwele emzimbeni. Izinhlinzeko eziyinhloko zezifo ezinjalo kufanele zinciphise ukucindezelwa yizigungu zesisu esiswini.
Esikhathini esilandelayo emva kokuhlinza, ukwelashwa ukuvivinya umzimba kuhloswe ukuba kujwayelekile ukuphefumula, ukwandise ithoni yomzwelo nejwayelekile jikelele, ukusheshisa izinqubo zokuvuselela emzimbeni. Ngaphezu kwalokho, ukusebenzisa i-thérapie ukuvimbela izinkinga zokuphanga ngemva kokusebenza (i-stasis ezingxenyeni ezingezansi nezitho zomzimba, isifo se-postoperative, i-atony emathunjini, i-bronchitis). Inombolo yokuzivocavoca phakathi nalesi sikhathi kufanele ibe nemitha eqondile futhi ifake izikhundla zemisipha yosuku lwe-pelvic nomshini wesisu esiswini. Ukuzivocavoca okukhanyayo kuboniswa kusukela ngosuku lwesibili emva kokusebenza, uma kungekho ukuphikisana, nokuzivocavoca kungenziwa ngaphambi kosuku lokuqala emva kokuhlinzwa.