Okuqukethwe
Ingabe i-episiotomy ihlelekile?
Iminyaka eminingi, i-episiotomy yayivamile, ikakhulukazi lapho kuzalwa umntwana wokuqala (umama ongaphezu koyedwa
Kubili!). Ucwaningo luye lwabonisa ukuthi uma kwenziwa ngendlela ehlelekile, akuzange kulethe nzuzo kubo bobabili umama nengane. Kusukela ngo-2005 kanye nezincomo zeNational College of French Gynecologists and Obstetricians, amaqembu athuthukise imikhuba yawo futhi izinga likhuphuke lafika ku-20%.
Lokhu kungenelela kwakufanele kuvimbele ingozi yokudabula nokuvimbela ukungakwazi ukuzithiba komchamo noma ukukhuphuka (ukwehla kwesitho). Ucwaningo oluningana luye lwabonisa okuphambene kamuva. I-episiotomy ingaba yingozi kakhulu kunonyembezi lukamama, ngoba ukusika kuvame ukuba kukhudlwana, kudinga ukuthungwa, kubangela ukopha okwengeziwe futhi kuphuluke ngokushesha. Ngo-2005, iCollege of French Gynecologists yanyatheliswa izincomo zokukhawulela lo mkhuba. Ithimba lezokwelapha kufanele lenze i-episiotomy kuphela lapho libona kudingekile ngempela. Lezi zincomo zezwakala njengoba ngokocwaningo lwakamuva lukaCiane, iqembu lezinhlangano zabasebenzisi, izinga le-episiotomies lehla ngo-2013. Limi ku-30%.
Ingabe i-episiotomy ibuhlungu?
I-episiotomy, i-episiotomy, imbobo eyenziwe ku-perineum ukuze kube lula ukuphuma kwengane, yesatshwa omama abaningi.
Imvamisa, ukusika akulimazi neze. Okokuqala ngoba, ngaphansi kwe-epidural, bonke ubuhlungu buyancipha. Ukwengeza, ngoba udokotela uvamise ukusika phakathi nokufinyela, okubamba ukunaka kwakho okugcwele. I-suture ibuhlungu kakhulu. Kodwa ngokuvamile kuyindaba yokubulala izinzwa yendawo nge-xylocaine, noma i-locoregional, eyenziwa ngesikhathi esifanayo ne-epidural. Kuphakathi kwezinsuku ezimbalwa zokuqala, futhi ngezinye izikhathi emasontweni okuqala, lapho i-episiotomy ihlupha kakhulu.
Ingabe i-episiotomy iyadingeka kumntwana wokuqala?
Akunjalo. Ngokwenhlolovo ye-perinatal ka-2016, izinga le-episiotomy lingama-34,9% ekulethweni kokuqala, 9,8% kokulandelayo. I-episiotomy ingenziwa lapho umntwana enesisindo esingaphezu kwesilinganiso noma uma ikhanda lakhe likhulu kakhulu, ukushaya kwenhliziyo yakhe kuhamba kancane futhi ukuphuma kwayo kudinga ukusheshisa. Lokhu kungenelela kuyacatshangelwa futhi uma ingane ibelethelwe ibhulukwe ngokwesibonelo noma uma i-perineum kamama intekenteke.
Ukuze uthole kuvidiyo: Indlela yokugwema i-episiotomy?
Kuvidiyo: Ungakugwema kanjani i-episiotomy?
Kuthatha isikhathi esingakanani ukuthi i-episiotomy iphole?
Ngokushesha kakhulu - izinsuku ezingaba ngu-8 kuya kweziyi-10 - esikhumbeni, ingxenye ebonakalayo ye-episiotomy. Kude ngaphakathi lapho kuthatha phakathi kwezinyanga eziyi-12 neziyi-18 ukuze yonke into ilulame ... Ngakho-ke ukungaphatheki kahle, ngisho nokuzwa ubuhlungu obungahlala izinyanga ezimbalwa ngemva kokubeletha. Ezinsukwini ezimbalwa zokuqala, ungase ube nobunzima ukuhlala phansi nokunyakaza. Tshela ithimba lezokwelapha. Uzokunikeza umuthi oqeda ukuvuvukala ukuze ukhululeke. Isabelle Hall
Singakwazi yini ukwenqaba i-episiotomy?
Asikho isenzo sokwelashwa noma ukwelashwa okungenziwa ngaphandle kwemvume yamahhala nenolwazi lomuntu. Ngalokho, ungenqaba ukwenza i-episiotomy. Kubalulekile ukuthi uxoxe ngalokhu nodokotela wakho wezifo zabesifazane noma umbelethisi. Ungasho futhi ukwenqaba kwakho i-episiotomy ohlelweni lwakho lokuzalwa. Kodwa-ke, ngosuku lokulethwa, uma ithimba lihlulela ukuthi i-episiotomy ibalulekile, ngeke ukwazi ukuyiphikisa.
Ingabe i-epidural iyayithinta i-episiotomy?
Laba ababili abahlobene. Owesifazane okwi-epidural ngeke ngempela abe ne-episiotomy. Noma kunjalo, kuqinisekile ukuthi i-epidural, uma nje ivala indawo ye-perineal, ingaholela ekugxilweni okungaqondile okwelula i-perineum kakhulu. Ngakho-ke, i-episiotomy ingadingeka.
Indlela yokugwema i-episiotomy?
Ukuze uthambe i-perineum futhi uyenze inwebe kakhudlwana ngo-D-Day, “ungayibhucunga amasonto ambalwa ngaphambi kokubeletha ngamafutha emifino cishe imizuzu eyishumi. Lokhu kubhucungwa okuseduze kunganciphisa kancane ingcuphe yokuba ne-episiotomy *. Kodwa-ke, lokhu kudinga ukukhululeka ngomzimba wakho, onganikezwa bonke omama abakhulelwe, ”kusho uSolwazi Deruelle. (IH)
With Mfundisi. Philippe Deruelle, udokotela wokubelethisa, unobhala weKholeji lama-gynecologists aseFrance kanye nodokotela wokubelethisa.
* Isibalo senhlolovo ka-2016 yokubeletha