Ngasekuqaleni kwale nyanga usoseshini Ukulethwa Kungokwethu ulahle iphosta elenga esibhedlela saseCanarian, imiyalezo yalo ephikisana nemihlahlandlela ye- Izivumelwano ezisemthethweni ekunakekelweni kokubeletha. Okubi kakhulu ukwesekwa okuvela kuhulumeni waseCanary Islands naseCanary Islands Health Service, zombili izikhungo ezivele kulo mkhangiso. Ngihlatshwe umxhwele kakhulu yisiqondiso esilandelayo: “Thanda ukusebenza kwama-episotomies aphakathi nendawo. Thanda ama-intradermals "; futhi ikakhulukazi lapho kusu leQhinga lokunaka ukuzalwa okujwayelekile koMnyango Wezempilo kucaciswa ngokusobala ukuthi '"uma kunesidingo" i-episotomy izoba nge-Medio-lateral, kanye nokuthungwa kwayo kwezinto ezingabuyiseka'.
Kukhona inganekwane ethile egijima iqinisekisa ukuthi i-episiotomy (ngoba isikwe ngokuphelele futhi ihlanzekile) ingcono kunokukhala, kodwa ingabe lokho kuyiqiniso? Yebo, kufanele wazi ukuthi umkhuba onjalo wokuhlinza awunazo izingozi, njengokungenwa yizifo, noma ukopha ngokweqile.. Ngaphezu kwalokho, akukaze kufakazelwe ukuthi ubungozi bokuhlukumezeka okukhulu kwe-perineal noma ukutakula okungcono kwe-perineal kuncishisiwe kusetshenziswa le ndlela. Bekungeke futhi kusize ekwehliseni ukungabambeki komchamo.
Imibono eyiphutha mayelana ne-episiotomy.
I-episiotomy ingukusikwa kwe-perineum (indawo ephakathi kwendunu nesitho sangasese sowesifazane) eyenziwa ngesikhathi sokubeletha, ngokuqiniseka ukuthi ukuphuma kwengane kwenziwa lula, kuvimbela izinyembezi. Kepha ake sicabange ngokucophelela: akugcini nje ngokusikwa kwesikhumba, kepha nezicubu nemisipha ezibaxhuma. Ubufakazi beluleka ngale nqubo Eqinisweni, i-WHO uqobo ikhombisa ngokusobala ukuthi (uma ama-episiotomi enziwa esikhungweni sesibhedlela) lokhu ngeke kube yinto ejwayelekile.
Kuyinto yokungenelela kokuhlinzwa, ngakho-ke kuhlotshaniswa nokutheleleka, ukuphulukiswa kabi, ukuphuma kwegazi okunzima, ubuhlungu ngesikhathi sokuya ocansini ...; akuphephile nakancane, futhi akufanele isetshenziswe kaningi ngangokunokwenzeka. Kunezinkolelo ezithile ezigcina i- ukungazethembi emzimbeni wesifazane, nezinqubo zomzimba ngaphandle kokungenelela. Kwesinye isikhathi ngezwa umqondo ongajwayelekile maqondana ne-episiotomy owawuthethelela ukuvimbela ukulimala kobuchopho enganeni, okuthi ngesikhathi sokubeletha 'ishaye' i-perineum.
Kepha kungenzeka abelethe ngaphandle kokungenelela, ngaphandle kwezinyembezi, futhi ngaphandle kwezingozi enganeni.
Uma ungafuni ukusikwa kwakho kwe-perineum ...
Thola ngemikhuba yokunakekelwa kokubeletha endaweni lapho ufuna ukubelethela khona, Buza ukuthi ngabe bayawalandela amasu okunakekelwa kokulethwa okujwayelekile, ukhuluma nomxhumanisi wenkonzo yokubelethisa, wethula i- Uhlelo Lokuzalwa, funa ezinye izindlela uma ucabanga ukuthi ziyadingeka. Lapha sikhulume ngakho ukusikhipha ngomlomo ukuphumula nokuqinisa indawo; futhi kufanele wazi ukuthi ukuzala ngokukhululeka, esimweni lapho umzimba ubuza kuwe, futhi ukunyakaza uma kunesidingo, kusiza ukuxoshwa ngaphandle kwezinyembezi!
Kuyadingeka ukwenza kubonakale ukuthi i-oxytocin yokwenziwa, ukuqapha, ukuhambisa okufana ne- UKristeller, ... Bakubeka esimweni esingesihle, okwenza umsebenzi ube nzima.
Ngabe uke waba ne-episiotomy futhi awazi ukuthi uzonakekela kanjani okusikiwe?
Khumbula ukugeza indawo ngensipho namanzi, ukomisa kahle (eshaweni engcono kunokugeza), futhi uma ukwazi futhi ukuzihlanza ngemuva kokuya endlini encane. Lawula ubuhlungu ngeqhwa lendawo noma amanzi nosawoti, uphuze amaphilisi ezinhlungu (zombili ibuprofen neparacetamol ziyahambisana nokuncelisa ibele). Ukuze i-perineum yakho ibe sesimweni ngemuva kokungenelela, thintana nombelethisi, noma uchwepheshe omuhle we-physiotherapy, bazokweluleka. Uma unezimpawu zokutheleleka (ukuvuvukala, imfiva, ukubomvu ...) iya kudokotela.
Isithombe - Izithombe ze-Wellcome