Iqiniso-amanga ku-episiotomy

Hlola ulwazi lwakho lwe-episiotomy

"I-episiotomy ihambisana nesenzo sokuhlinzwa okwenziwa ngesikhathi sokubeletha ukuze kugwenywe izinyembezi ezinkulu ku-perineum", udonga olungezansi lwe-pelvis, kuchaza uDkt Frédéric Sabban, udokotela wokubelethisa nodokotela wabesifazane eParis. Lesi senzo sokuhlinzwa sihlanganisa ukwenza i-incision engaba ngu-4 kuya ku-6 cm ezingeni lokuvuleka kwesitho sangasese sowesifazane, ngokuqondile noma ngokugobile. Ngale ndlela, ukukhululwa kwekhanda lomntwana lula ngesikhathi sokubeletha, ngaphandle kokuklebhula okungalawuleki okwenzekayo. Ingabe ihlelekile? Ingabe ubulili kufanele bugwenywe ngesikhathi sokwelashwa? Ingabe kufanele sishintshe imikhuba yethu yokuhlanzeka? Iphuzu elinaleli qiniso / amanga ku-episiotomy.

I-Episiotomy yenziwa ngokujwayelekile

Amanga. Uma kungenasisekelo, I-episiotomy izokwenziwa ku-20 kuya ku-50% wokulethwa eFrance ngokusho kukaDkt Sabban. Kunconywa ikakhulukazi esimweni sokukhishwa komntwana usebenzisa ama-forceps. NgokukaDkt Sabban, isinqumo sokuthi kuqhutshekwe ne-episiotomy noma ukungaqhubeki “kuncike kudokotela noma kumbelethisi” futhi senziwa ngomzuzu wokugcina, lapho kuvela ikhanda lomntwana. Nokho, ungaxoxa ngalokhu kusengaphambili nethimba lezokwelapha elizokuqondisa, ukuze konke kuhambe kahle ngangokunokwenzeka ngesikhathi sokubeletha.

Ngaphandle kwe-episiotomy, ngezinye izikhathi kunengozi yokukhala

Kuliqiniso. Uma i-episiotomy ingenziwanga uma kunesidingo, kunengozi yokuthi ” ukudabuka kwe-sphincter, ikakhulukazi endunu, engabangela izinkinga ngokungakwazi ukuzibamba, ”kuxwayisa udokotela wezifo zabesifazane. Ngakho-ke i-episiotomy ivame ukunikezwa njengendlela yokuvimbela ukugwema le nkinga yezinkinga. Nokho a isihloko esiyimpikiswano, ngoba abanye ochwepheshe bezempilo bagcizelela ukuthi i-episiotomy yenziwa ngendlela ehlelekile kakhulu.

I-suture ye-episiotomy ibuhlungu

Amanga. Ngemva kokubeletha, i-episiotomy iyathungwa. Njenge-episiotomy ngokwayo, i-suture ngokuvamile yenziwa ngaphansi kwe-epidural anesthesia uma owesifazane eke wayithola, noma ngaphansi kwe-anesthesia yendawo uma ukubeletha kwenzeke ngaphandle kwe-epidural. I-priori iqiniso lokuthunga akufanele lilimaze, ngoba indawo ilele.

I-suture yenziwa ngemicu evame ukumuncwa futhi izowa yodwa ngemva kwamasonto ambalwa.

Kufanele ulinde ngaphambi kokuqalisa kabusha impilo yocansi

Kuliqiniso. Ngasohlangothini lokuya ocansini, odokotela bezifo zabesifazane bavumelana ngazwi linye. Bacebisa ngokumelene nanoma yikuphi ukuya ocansini ngaphambi kwenyanga eyodwa kuya emasontweni ayisithupha. "Njengomthetho ojwayelekile, sikweluleka ukuthi ulinde ukuqokwa kwangemva kokubeletha" okuhlelwe nodokotela wezifo zabesifazane noma umbelethisi, kufingqa uDkt. Sabban. Ngoba ucansi ngeke lube buhlungu kuphela ngaphambi kwalolu suku, kodwa isibazi singase sivuleke futhi sibangele izinkinga. Ngesikhathi sokubonisana kwangemva kokubeletha, udokotela noma umbelethisi uzobheka ukuthi isibazi esivela ku-episiotomy siguquke kanjani futhi anikeze noma cha "ukukhanya okuluhlaza" ukuze baphinde baqale ukuya ocansini.

Asikho isidingo sokunaka ngokukhethekile inhlanzeko yendawo

Amanga. UDkt Sabban uyeluleka ukuba Zihlanze ngendlela ehlelekile ngemva kokuya endlini yangasese ukuze uthole isikhathi sokuphulukiswa, ukugwema noma iyiphi ingozi yokusha noma ukutheleleka. Uma ubona ukukhishwa kwesitho sangasese esinukayo noma esinemibala engavamile, kungcono ukubonisana ngaphandle kokulibala ngoba lokhu kungase kube uphawu lokutheleleka, okuzobambezela ukuphulukiswa. Futhi qiniseka ukuthi isibazi sihlale somile ngokusimbambatha ngethawula elihlanzekile noma usebenzisa isomisi sezinwele.