Episiotomy

Episiotomy ndi opaleshoni yaying'ono yomwe imakulitsa kutsegula kwa nyini panthawi yobereka. Ndi kudula kwa perineum - khungu ndi minofu pakati pa kutsegula kwa ukazi ndi anus.

Pali zoopsa zina zokhala ndi episiotomy. Chifukwa cha kuopsa kwake, ma episiotomies sakhala wamba monga kale. Zowopsa zake ndi izi:

• Kudulako kumatha kung'ambika ndikukula panthawi yobereka. Misozi imatha kufikira minyewa yozungulira rectum, kapena ngakhale rectum yomwe.
• Pakhoza kukhala kutaya magazi kochulukira.
• Kudulidwa ndi kumangirira kumatha kutenga kachilomboka.
• Kugonana kumatha kukhala kopweteka kwa miyezi ingapo yoyambirira atabadwa.

Nthawi zina, episiotomy itha kukhala yothandiza ngakhale pangozi.

Amayi ambiri amapita pobereka popanda kudzigwetsera okha, komanso osafunikira episiotomy. M'malo mwake, kafukufuku waposachedwa akuwonetsa kuti kusakhala ndi episiotomy ndibwino kwambiri kwa azimayi ambiri pantchito.

Episiotomies samachiritsa bwino kuposa misozi. Nthawi zambiri amatenga nthawi yayitali kuti achiritse popeza odulidwa nthawi zambiri amakhala ozama kuposa kulira kwachilengedwe. Pazochitika zonsezi, kudula kapena kung'ambika kuyenera kusokedwa ndikusamalidwa bwino akabereka. Nthawi zina, episiotomy imafunikira kuti mutsimikizire zabwino zanu ndi mwana wanu.

• Ntchito ndi yovuta kwa mwana ndipo gawo lomwe akukankha liyenera kufupikitsidwa kuti muchepetse mavuto kwa mwana.
• Mutu kapena mapewa a mwanayo ndi aakulu kwambiri kuti amayi angatsegule nyini.
• Mwanayo ali pakhosi pang'ono (mapazi kapena matako akubwera poyamba) ndipo pamakhala vuto pakubereka.
• Zida (forceps kapena vacuum extractor) zimafunikira kuthandiza kuti mwana atuluke.

Mukukankhira pamene mutu wa mwana watsala pang'ono kutuluka, ndipo misozi imapangika kulowera kumtunda.

Mwana wanu asanabadwe komanso pomwe mutu watsala pang'ono kuyamba korona, dokotala wanu kapena mzamba adzakupatsani mfuti kuti muchepetse malowa (ngati simunakhale ndi matenda).

Kenako, kudula pang'ono kumapangidwa. Pali mitundu iwiri ya mabala: apakatikati komanso apakati.

• Kudula kwapakatikati ndiye mtundu wofala kwambiri. Ndi kudulidwa kowongoka pakati pa dera pakati pa nyini ndi anus (perineum).
• Kutsekemera kwapakati kumapangidwa pang'onopang'ono. Sizingatheke kuti zidutse mpaka kumtunda, koma zimatenga nthawi yayitali kuchira kuposa kudula pakati.

Wothandizira zaumoyo wanu ndiye amaperekera mwanayo kudzera kukulira kokulira.

Chotsatira, omwe amakupatsani adzapereka chiberekero (pambuyo pobereka). Ndiye odulidwa adzasokedwa kutsekedwa.

Mutha kuchita zinthu kuti mulimbitse thupi lanu pantchito yomwe ingachepetse mwayi wanu wofuna episiotomy.

• Yesetsani kuchita masewera olimbitsa thupi a Kegel.
• Chitani misala ya perineal pamasabata 4 mpaka 6 asanabadwe.
• Gwiritsani ntchito maluso omwe mudaphunzira mukamabadwa kuti muchepetse kupuma kwanu komanso chidwi chanu chofuna kukankha.

Kumbukirani, ngakhale mutachita izi, mungafunikire episiotomy. Wothandizira anu amasankha ngati mungakhale nawo kutengera zomwe zimachitika mukamagwira ntchito.

Ntchito - episiotomy; Kubereka kumaliseche - episiotomy

• Episiotomy - mndandanda

Baggish MS. Episiotomy. Mu: Baggish MS, Karram MM, olemba. Atlas of Pelvic Anatomy and Gynecologic Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 81.

Kilpatrick SJ, Garrison E, Fairbrother E. Ntchito wamba komanso yobereka. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 11.

• Kubereka