Kubeleka sikungakhale kosayembekezereka, kotero ndikofunikira kuti mutenge njira yoyenera yosankha dokotala amene mungadalire.
Zomwe zimachitika nthawi ndi nthawi pamene mukuyenera kubweretsa chisankho chochita masewera olimbitsa thupi.
Episiotomy - ndi chiyani?
Episiotomy sizowonjezera njira yokhayokha yophatikizapo, mwachitsanzo, perineal incision, yomwe imachitidwa mwachangu kwa katswiri wodziŵa za matenda odwala matenda a mitsempha. Kubadwa ndi episiotomy nthawi zambiri, zizindikiro kwa iwo zingakhale:
- chiopsezo chachikulu chowombera pa perineum;
- kufotokoza momveka bwino kwa mwanayo;
- chotchedwa "mkulu", pamene mtunda wa pakati pa khomo la vagin ndi anus ndi 7-8 cm kapena kuposa;
- kuchepa kwa nthawi ya kubadwa kwachiwiri, viz. Kutuluka magazi, kuwonjezeka kwa magazi, fetal hypoxia, ntchito yofooka;
- kubereka msanga;
- kufunika kokakamiza mphamvups kapena aspirum.
Malingana ndi njira yopangira episiotomy, episiotomy ndi perineotomy ndizosiyana. Pachiyambi choyamba, episiotomy ndi perineal incision kumbali pambali ya madigiri 45. Kachiwiri - kupangidwira kumapangidwa pakati pa mzere pakati pa vagina ndi anus. Kubwezeretsa pambuyo pa episiotomi kumakhala kovuta kwambiri, movutikira kwambiri, zimakhala zochepa pang'onopang'ono, koma izi zimakhala zotetezeka, monga momwe peresitomyumayi imayambira kungachititse kuti phokoso liwonongeke. Kodi ndi njira yotani yomwe adasankhidwa ndi dokotala, wotsogoleredwa ndi mkhalidwe komanso zochitika za munthu yemwe ali pachibwenzi ndi mwanayo.
Kodi episiotomy?
Chiwonetsero cha zizindikiro za episiotomy chafika kale kwa ife. Ngati vutoli likukhala lovuta kwambiri, ndiye kuti n'zosatheka kupewa episiotomy. Akazi ambiri nthawi yomweyo amakhala ndi chidwi ndi funsoli, koma kodi ndi zopweteka kuchita episiotomy? Cholinga chake n'chakuti kutengeka kumachitika panthawi ya zoyesayesa, pamene minofu imakhala yokwanira, ndipo palibe imene imayendetsedwa mwa iwo, pali kutayika kwa kumva ululu. Choncho, episiotomy mu njira yobereka - sikumapweteka nkomwe. Zinthu zina zili mu nthawi yoberekera. Pogwiritsidwa ntchito, mzimayi akhoza kumva kupweteka kwambiri, kotero kuti musanabwezeretse, aesthesia am'deralo ayenera kuchitidwa.
Zotsatira za episiotomy
Episiotomy, ndithudi, ikhoza ndipo ndizofunika nthawi zina, komabe ziri ndi zotsatira zovuta zambiri kwa mkazi wogwira ntchito:
- Mkazi atatha kuperewera kwa episiotomy amafunikira chisamaliro chapadera;
- m'masiku oyambirira msoko wochokera ku episiotomy ukhoza kubwazikana;
- kukhala pansi pambuyo pa episiotomy sikuletsedwa kwa pafupi masabata awiri, kapena kuposa;
- kumverera kosalekeza kosalekeza mu crotch;
- kuwotcha;
- pazovuta kwambiri, kukomoka kwa ubongo, kusalimba kwa minofu, kusamveka komanso kupweteka kwa ziwalo zoberekera;
- kuthekera kwa edema, matenda a chilonda sichidawonedwe;
- chivundi pambuyo pa episiotomy chikhoza kukhumudwitsa pamene mukuyambanso ubwenzi wapamtima.
Episiotomy - mankhwala
Pofuna kupewa zotsatira zotsatira za episiotomi momwe zingathere, nkofunika kutsatira ndondomeko za dokotala zokhudza machiritso ofulumira kwambiri a machiritso, omwe ndi:
- nthawi zambiri momwe mungathere kusintha gasket;
- kusamba perineum mutatha kukacheza kuchimbudzi;
- apange mabafa a mpweya;
- onetsetsani chakudya kuti asamangidwe;
- yendetsani zambiri kuti muzitha kuyendetsa magazi m'madera awa;
- Gwiritsani ntchito ziwalozo kawiri pa tsiku.
Kubadwa kwachiwiri pambuyo pa episiotomy sikuti kubwereza koyamba. Ngati mutapanga nthawi yoyenera kupewa episiotomy, n'zotheka kubereka mwachibadwa popanda kupaleshoni. Chinthu chachikulu ndicho kusamalira kuphulika kwa minofu m'derali pasanakhale ndi chithandizo chamaphunziro apadera ndi misala pogwiritsa ntchito mafuta osiyanasiyana.