Ntchito & Kutumiza: Episiotomy

Zamkati

• Chisamaliro cha Episiotomy Pambuyo Pakubereka
• Lankhulani ndi Dokotala Wanu

Kodi Episiotomy Ndi Chiyani?

Mawu akuti episiotomy amatanthauza kutsekeka mwadala kutseguka kwa ukazi kuti mufulumizitse kubereka kapena kupewa kapena kuchepetsa kung'amba. Episiotomy ndiyo njira yofala kwambiri yomwe imachitika m'masiku amakono obereketsa. Olemba ena amaganiza kuti 50 mpaka 60% ya odwala omwe amabereka kumaliseche adzakhala ndi episiotomy. Mitengo ya episiotomy imasiyanasiyana padziko lonse lapansi ndipo ikhoza kukhala yotsika 30% m'maiko ena aku Europe.

Ndondomeko ya episiotomy idafotokozedwa koyamba mu 1742; kenako idalandiridwa, kufalikira m'ma 1920. Zopindulitsa zake zimaphatikizapo kuteteza umphumphu pansi pamimba komanso kupewa kutuluka kwa chiberekero ndi zowawa zina za m'mimba. Kuyambira zaka za m'ma 1920, chiwerengero cha amayi omwe amalandira episiotomy panthawi yobereka chatsika pang'ono. M'mabanja amakono, episiotomy siimachitika kawirikawiri. Komabe, nthawi zina komanso pochitidwa ndi dokotala waluso, episiotomy itha kukhala yopindulitsa.

Zifukwa zofala zochitira episiotomy:

• Gawo lachiwiri lalitali la ntchito;
• Kusokonezeka kwa fetal;
• Kubereka kumaliseche kumafunikira thandizo pogwiritsa ntchito forceps kapena chotsitsa chotsuka;
• Mwana wakhanda akuwonetsedwa;
• Kupereka kawiri kapena kangapo;
• Mwana wamkulu;
• Malo osadziwika amutu wamwana; ndipo
• Mayi akamakhala ndi mbiri yakuchita opaleshoni ya m'chiuno.

Chisamaliro cha Episiotomy Pambuyo Pakubereka

Kusamalira chilonda cha episiotomy kumayamba atangobereka ndipo kuyenera kuphatikizanso kuphatikiza kwa chisamaliro cha mabala am'deralo ndikuwongolera ululu. Pakadutsa maola 12 mutabereka, phukusi la ayisi lingakhale lothandiza popewa kupweteka komanso kutupa kwa tsamba la episiotomy. Dulani malowo ayenera kukhala oyera ndi owuma kuti apewe matenda. Malo osambira pafupipafupi (kulowetsa malo pachilondacho m'madzi ofunda pang'ono kwa mphindi 20 kangapo patsiku), zitha kuthandiza kuti malowo akhale oyera. Tsamba la episiotomy liyeneranso kutsukidwa pambuyo poyenda m'mimba kapena mukakodza; izi zitha kuchitika pogwiritsa ntchito botolo la utsi ndi madzi ofunda. Botolo la utsi limatha kugwiritsidwanso ntchito pokodza kuti muchepetse kupweteka komwe kumachitika mkodzo ukakhudzana ndi bala. Tsambalo likathiridwa kapena kuthiridwa, malowo ayenera kuyanika polemba pang'ono ndi pepala (kapena chowumitsira tsitsi chitha kugwiritsidwa ntchito kuyanika malowa popanda kukwiya ndi pepala lokhalitsa).

Kukula kwa episiotomy ya abambo kapena misozi nthawi zambiri kumatchulidwa m'madigiri, kutengera kukula kwa kapangidwe kake ndi / kapena kutayika. Episiotomies yachitatu ndi yachinayi imakhudza kutulutsa kwa anal sphincter kapena rectal mucosa. Pazochitikazi, zofewetsa pansi zitha kugwiritsidwa ntchito kuti zisawonongeke kapena kuvulaza tsamba la episiotomy. Pofuna kuthandizira kuchira kwa bala lalikulu, wodwalayo amatha kusungidwa pamiyeso yopitilira kopitilira sabata.

Kafukufuku angapo adayesa kugwiritsa ntchito mankhwala osiyanasiyana opweteka pakuthana ndi ululu wokhudzana ndi episiotomies. Mankhwala osagwiritsa ntchito steroidal, anti-inflammatory, monga ibuprofen (Motrin), amapezeka kuti ndi njira yabwino kwambiri yothetsera ululu. Komabe, acetaminophen (Tylenol) yagwiritsidwanso ntchito ndi zotsatira zolimbikitsa. Pamene episiotomy yayikulu yachitika, adokotala amatha kupereka mankhwala osokoneza bongo kuti athetse ululu.

Odwala ayenera kupewa kugwiritsa ntchito tampons kapena mipando munthawi ya postpartum kuti awonetsetse kuchira koyenera komanso kupewa kuvulaza m'deralo. Odwala ayenera kulangizidwa kuti azigonana mpaka episiotomy itawunikiridwa ndikuchiritsidwa kwathunthu. Izi zitha kutenga milungu inayi kapena isanu ndi umodzi mutabereka.

Lankhulani ndi Dokotala Wanu

Pali zifukwa zochepa, ngati zilipo, zomwe zimapangitsa kuti episiotomy ichitidwe pafupipafupi. Dokotala kapena namwino-mzamba ayenera kupanga chisankho panthawi yobereka ponena zakufunika kwa episiotomy. Zokambirana zomasuka pakati pa woperekayo ndi wodwalayo panthawi yobereka asanabadwe komanso panthawi yobereka ndi gawo lofunikira pakupanga chisankho. Pali nthawi zina pomwe episiotomy imatha kukhala yopindulitsa kwambiri ndipo ingalepheretse kufunikira kwa gawo lakusiyidwa kapena kuthandizira kubereka kumaliseche (pogwiritsa ntchito forceps kapena chotsitsa chotsukira).