Amathiphu Wokugcina Isilonda Sihlanzekile futhi Sikhululekile Sokutheleleka
I- episiotomy iyinkimbinkimbi yokuhlinzwa endaweni ephakathi kwe-vagina kanye ne-anus eyenziwe ngaphambi kokubeletha ukukhulisa ukuvulwa kwesisu. Ngemuva kokuba ingane ikhululwe, iziqu zizosetshenziselwa ukuvala isilonda. Ukunakekela lezi zibonda kubalulekile njengoba kusiza ukunciphisa ingozi yobuhlungu kanye nokutheleleka ngesikhathi senqubo yokuphulukisa.
Mayelana ne-Episiotomy Stitches
Ngemuva kokuba i-episiotomy yenziwe, udokotela noma umbelethisi uzokwakhiwa i-perineum (indawo ephakathi kwe-anus ne-vulva) ngokufaka isilonda esivaliwe.
Namuhla, i-sutures engancibiliki (eyaziwa nangokuthi i-sutures engenakunyakaziswa) cishe isetshenziswe njalo nge-episiotomy. Ngokuvamile kuthatha isonto noma amabili ukuze izibhamu ziphule ngokuphelele. Ngenxa yalokho, akudingeki ubuyele esibhedlela ukuze ususwe, futhi azikho neze izinkinga ezihlobene nokusetshenziswa kwazo.
Izitshalo zivamnyama kodwa zingase zifike kwezinye imibala, futhi. Ngokuvamile bazoqala ukuchitha phakathi nezinsuku ezimbalwa, ozozibona uma usula. Uma wenza, kuzoba nezincane ezincane ezishiywe ngemuva. Lokhu kuvamile ngokuphelele.
Indlela Yokunakekela Izilinganiso
Uma ubuyela ekhaya usuka esibhedlela, cishe uzozizwa unethenda nxazonke ze-perineum. Kungenzeka kube khona ubuhlungu obunzima noma ukuqhuma, noma ungase uzwe ukuqhuma ngezikhathi ezithile noma i-jab. Ungavame ukunciphisa lokhu kungakhathazeki ngokusebenzisa iphakethe leqhwa ngosuku lokuqala noma ngaphezulu, ikakhulukazi uma isilonda sisathukuthele futhi sibomvu.
Nakuba kungekho imiyalelo ekhethekile yokunakekelwa nge-se, ngokuqinisekile uzofuna ukugcina i-perineum yakho ihlanzekile. Ungakwenza lokhu usebenzisa ibhodlela le-squirt elifudumele njalo uma usebenzisa indlu yokugezela. Gcina nje indawo eyomile kunokuba isula ukuvimbela ukudonsa izigxobo.
Amanye amathiphu awusizo afaka:
- Sebenzisa ingane isula esikhundleni sephepha lezindlu zangasese, uma kungenzeka.
- Sula njalo phambili emuva.
- Sebenzisa i-santizer antibacterial ukuvimbela ukuthelela isilonda ngesandla sakho.
- Shintsha pad yakho njalo amahora amabili kuya kwangu-4.
- Thenga ibhishi elincane elingajulile elibizwa ngokuthi i- sitz bath ehambisana nesitulo sezindlu zangasese futhi ikuvumela ukuba ugijime amanzi afudumele phezu kwezigxiko zokuhlanza nokuphumula.
- Uma unenkinga yokumisa isilonda, ungasebenzisa umshini omile ophansi.
- Ubuhlungu obuningi bokubuyisa obufana ne-ibuprofen bungasiza ekunciphiseni ukungakhululeki.
- Izindwangu zokugcoba ezidayiswayo ezithengiswa ukusetshenziswa kwe-hemorrhoid zingase zinikeze nokuphumula. Khetha eyodwa e-hypoallergenic, i-pH elinganisiwe, ne-perfume-free.
- Amapulisi okumbumbulula okwenzelwe omama abasha angatholakala nakwezinye izindawo zokudayisa izidakamizwa. I-Lidocaine gels ingasiza.
- Amathoni kufanele agwenywe emavikini ayisithupha okuqala.
Ngokuvamile uyoba neziqu zakho ezihlolwe ekuvakasheni kwakho kweviki lesithupha emva kokuhamba . Ngaleso sikhathi, udokotela noma umhlengikazi uzokwazi ukukutshela uma ungaqhubeka ubuhlobo bobulili futhi unikeze amathiphu ukuthi ungabhekana kanjani nokungaziphathi kahle noma yimuphi omunye inkinga ongase ubhekene nakho.
Ungase ululekwe mayelana nezenzo ze-kegel ukusiza ukubuyisela ithoni ye-muscle emhlabeni we-perineum.
Nini Ukufuna Ukunakekelwa Okuphuthumayo
Njengazo zonke izinqubo zokuhlinzwa, ukutheleleka kungenzeka ngokulandela i-episiotomy.
Unganqikazi ukubiza udokotela wakho uma ubona noma iyiphi yalezi zimpawu ezilandelayo:
- Ubuhlungu obukhulu endaweni yesehlakalo
- Ukubomvu nokuvuvukala emaphethelweni
- I-pus ebonakalayo ngaphakathi noma ezungeze isilonda
- Umkhuhlane we-100 o F noma ngaphezulu
Uma udokotela wakho engatholakali, iya ekamelweni eliphuthumayo eliseduzane ngaphandle kokulibala.
Imithombo
> I-Kettle, i-C.; Dowswell, T .; kanye no-Ismail, K. "Izinto ezingenakwenzeka zokukhanda okuyisisekelo sokukhishwa okuyisisekelo kwe-episiotomy kanye nezinyembezi zezinga lesibili." I-Cochrane Database yezibuyekezo ezihleliwe . 2010: CD000006.
> I-Kettle, i-C.; Dowswell, T .; kanye no-Ismail, K. "Ukuqhubeka nokuphazanyiswa amasu okukhwabanisa ukulungiswa kwe-episiotomy noma izinyembezi zesibili." I-Cochrane Database yezibuyekezo ezihleliwe . 2012; 11: cd000947