Ukuphumula komzimba ngesikhathi sokubeletha

Izindwangu zokubeletha zomama olindelekile zibhekwa kakhulu ngenxa yokucindezelwa emisipha yomzimba. Ngenxa yalokho, ukulimala okuhlukahlukene kungenzeka. Amaphutha emgodini wokuzalwa owenziwa ngesikhathi sokubeletha ngamaphesenti angu-7 kuya kwayishumi nanhlanu kwabesifazane, nalabo ababeletha okokuqala, ukuphuka kwenzeka izikhathi ezimbili kuya kathathu kaningi kunelabo ababeletha hhayi okokuqala. Ukuphela komsebenzi kuxhomeke ekutheni ukuqina kwemisipha ye-perineal.


Njengoba ingane iqhuma ikhanda ngesikhathi sokubeletha, okuthiwa "ukuqubuka" kwe-perineum kwenzeka. I-crotch ngalesi sikhathi izama ukubuyisela ifomu elidala. Umthwalo omkhulu uthola umgogodla wesibeletho womntwana, ngakho kungalimala kalula, okuzoholela emiphumeleni engathandeki, ikakhulukazi ikhanda, ukuphazanyiswa kokusebenza komlenze kanye nemisipha yesandla. Kulesi simo, kuphela ukusika kwe-perineum kungasiza, ngenxa yalokho ukumelana kwayo kuyoncipha, futhi ukulimala komgogodla kuyoba ingane.

Kuvame ukuthi kwenzeka ukuthi ukushaywa komzimba kuphela kusiza ukusheshisa imithwalo yegazi, okubambezeleka ngenxa yezizathu ezihlukahlukene, nokuvimbela indlala yengane yomoya.

Uma kukhona ingozi yokuphazamiseka kwe-perineum, odokotela, ukuze bayigweme, beka i-apernotomy, bese behlukanisa i-perineum kuya ku-anus, noma benze ukuchotshozwa kohlangothi - i-episiotomy. I-Perineotomy nayo yenziwa abesifazane abano-perineum ephezulu.

Uhlobo oluphumelelayo kakhulu lokusika luyokuqala, noma kunjalo, kulokhu, kungaba nezinkinga ezahlukene. Lokhu kufaka phakathi ubunzima bokuthutha, ukuzwa okubuhlungu emkhakheni wokuthunga ama-tissue, phakathi nezinyanga eziyisithupha ezibangelwa ukungahambi kahle, kanye nokungahambi kahle ngemva kwendlu yangasese, ukuhlunga nokuzwa okuvuthayo endaweni yesilonda.

Ukhetho lwesibili aluyingozi kakhulu, futhi luvame ukusetshenziselwa ngesikhathi sokusebenza. Kodwa-ke, lapha kukhona okuncane - kulokhu, kunezinkinga zokuphulukisa.

Okufanele ukwenze ukuze ugweme igebe

Ukuze ugweme lokhu kusebenza okuyinkimbinkimbi, kubalulekile ukuthi ulungiselele imisipha ye-perineal kusengaphambili futhi ubenze ukwanda ngokwengeziwe. Qinisekisa ukuya emfundweni yabomama abakhulelwe, lapho uhlelo lokuqeqesha luhlanganisa ukuqinisa imisipha yesikhumba.

Kodwa nokho, ukuvimbela okuyinhloko kokuphuka kufanele kwenziwe odokotela nodokotela. Kufanele ngokuhamba kwesikhathi bathole izimpawu ezibonisa igebe ku-crotch, ngokwenza kahle ukulethwa kwezidingo kanye nokusika okwesikhashana i-perineum, uma kudingekile.

Odokotela nababelethisi kufanele bavikele i-perineum nge-otterm kusukela ngesikhathi ingane inesigxobo esiphansi sekhanda kusuka emgodini wokuzalwa. Kulo mzuzu lapho ikhanda lomntwana lithengiswa, ngenxa yokuthi ingcindezi emisipha yegazi isitsha isanda.

Isibhedlela kumele senze umsebenzi wokuvimbela ukwandisa okusheshayo nangaphambi kwesilungu sekhanda phakathi nomzamo. Ngokungangabazeki, isazi esithatha emzimbeni uyakwazi ukuvikela i-perineum ngesikhathi sokubeletha. Ngakho-ke, chaza le nqubo akufanelekile.

Ukwahlukana ekusatshaneni kwe-crotch

Umehluko lwezikhala ezivela kulokho okushiwo yizo ukuthi zijulile kakhulu, ezingenalutho ezingenalutho futhi zithatha indawo engaphezulu yesikhumba. Yingakho, zihlala isikhathi eside kakhulu, ngokungafani nalokho okushiwo, okwenziwa nge-scalpel ehlinzekwe kahle.

Phakathi kwezinye izinto, izikhala ze-crotch ngokuvamile ziholela emiphumeleni emibi. Ukulimala esikhumbeni kusiza ukuqinisekisa ukuthi izinyembezi ziba yingozi ekutheleleni. Ngenxa yokutheleleka, ukuvuvukala kwesisu, umlomo wesibeletho nokunye kungase kuqale.

Uma ikhefu lenzekile

Uma kukhona ukuphuka kwe-perineum, kuhambisana nokubola kwesisu. Okubaluleke kakhulu yizinga lokulimala. Ngokushesha ngemva kwalokho, njengoba lokhu kwaphuma - igobolondo le-fetus ne-placenta, futhi isithelo saqanjwa, saqothuka. Uma ukuphuma kwegazi kunzima, ngakho-ke ngisho nangaphambi kokuphuma kwalokhu, bafaka isikhwama phezu kwe-crotch.

Ama-sutures asetshenziselwa i-perineum ngaphansi kwe-anesthesia yendawo. Ukukhishwa kungumphumela wesithathu wokuphuka komzimba. Kule nkinga, i-anesthesia ejwayelekile isetshenziselwa ukusebenzisa i-sutures. Ukuze kusetshenziswe i-crotch, imicu ye-vikrilovorassovasyvayuschimisya ngosuku lwamashumi ayisishiyagalolunye nesishiyagalolunye nesithupha isetshenziswa kakhulu.

Ukunakekelwa kweSeam

Ama-sutures kudingeka asomiswe ngemuva kwesikhathi esithile. Ngemuva kokubeletha sekuphelile, izingxenye ze-perineum ne-labiya ziphathwa nge-manganese ne-hydrogen peroxide kanye ngosuku. Ngaleso sikhathi, ngenkathi unina osemncane esibhedlela, lo ngumkwenti. Ekhaya, lo mama osemncane kuzodingeka enze konke.

Uma ukuphuka kunokujula okukhulu, khona-ke udokotela angakhipha izidakamizwa zemithi elwa namagciwane, ngoba i-rectum iseduze futhi cishe isifo. Uma owesifazane ehambisana nobuhlungu obukhulu, udokotela ubeka imithi yokuhlunguphazwa, okumele isetshenziswe ngemuva kokubeletha izinsuku ezintathu. Uma kwakukhona ukuvuvukala, sebenzisa i-bubble neqhwa.

Izinkinga

Esikhathini suturing, i-edema ingenzeka, i-hematoma, ukutheleleka kwesilonda, ama-abscesses, izivunguvungu, ubuhlungu. Kuye ngokuthi hlobo luni lwezinkinga, udokotela uzokhetha futhi anikeze ukwelashwa okufanelekile.

Uma uterine ukuphuka kubalulekile, kujulile, futhi kuhambisane nezinqubo zokuvuvukala, ngokushesha ngemva kokusetshenziswa kwezigxobo zomzimba, izicubu ezixhumene nezibazi zingakwazi ukuguqula isisu. Ukuqeda iziphambeko ezivela kuphela ngokusebenzisa i-laser, futhi uma lesi sifo sijulile, ipulasitiki ingachitha.

Ukuphulukiswa kwama-labia nabesifazane abancane kudlula kahle. Izibazi ziyanyamalala. Kodwa-ke, uma kukhona ukuphuka esifundeni sezinhlanga, lokhu kuholela ezinkingeni zokuzwela okuncishisiwe kwalesi sigaba. Noma kunjalo, akufanelekile ukukhathazeka mayelana. Ngokujwayelekile izinyanga ezimbalwa ubuzwe buyabuyiselwa ngokugcwele.

Isikhathi sokuphulukiswa kwe-perineum asikho izinkinga. Uma kukhona ukuvuvukala kwesifazane, i-sutures ingahlakazeka. Ama-sutures ku-perineum angahlakazeka ngemva kokuvuvukala kwesifazane. Kulesi simo kubalulekile ukubiza udokotela.