Zamkatimu
Kodi episiotomy ndi mwadongosolo?
Kwa zaka zambiri, episiotomy inali yofala, makamaka pa kubadwa koyamba (mayi oposa mmodzi
Pa awiri!). Kafukufuku wasonyeza kuti akamachitidwa mwadongosolo, sikubweretsa phindu kwa mayi ndi mwana. Kuyambira 2005 ndi malingaliro a National College of French Gynecologists ndi Obstetricians, maguluwa asintha machitidwe awo ndipo mlingo wawonjezeka kufika 20%.
Kuchitapo kanthu kumeneku kumayenera kuteteza kuopsa kwa kung'ambika ndikuletsa kusakhazikika kwa mkodzo kapena prolapse (kutsika kwa chiwalo). Maphunziro angapo pambuyo pake awonetsa zosiyana. Episiotomy ingakhale yoopsa kwambiri kusiyana ndi kung'ambika kwa amayi, chifukwa chodulidwacho nthawi zambiri chimakhala chokulirapo, chimafuna kudulidwa, kumayambitsa magazi ambiri komanso kuchira msanga. Mu 2005, College of French Gynecologists idasindikizidwa malingaliro ochepetsa mchitidwewu. Gulu lachipatala liyenera kuchita episiotomy pokhapokha ataona kuti ndikofunikira. Malingaliro awa adamveka chifukwa malinga ndi kafukufuku waposachedwa wa Ciane, gulu la ogwiritsa ntchito, kuchuluka kwa episiotomies kudatsika mu 2013. Imayima pa 30%.
Kodi episiotomy ndi yowawa?
Episiotomy, yomwe imadulidwa m'mimba kuti khanda lituluke, amawopa amayi ambiri.
Kawirikawiri, kudula sikupweteka konse. Choyamba chifukwa, pansi pa epidural, ululu wonse umachepa. Kuonjezera apo, chifukwa sing'anga nthawi zambiri amawombera panthawi yodutsa, zomwe zimakopa chidwi chanu chonse. The suture imakhala yowawa kwambiri. Koma kawirikawiri ndi nkhani ya anesthesia wamba ndi xylocaine, kapena locoregional, yochitidwa nthawi imodzi ndi epidural. Ndi masiku oyambirira, ndipo nthawi zina masabata oyambirira, pamene episiotomy imakhala yovuta kwambiri.
Kodi episiotomy ndiyofunikira kwa mwana woyamba?
Osati kwenikweni. Malinga ndi kafukufuku wa perinatal wa 2016, mlingo wa episiotomy ndi 34,9% pakubereka koyamba, 9,8% kwa otsatirawa. Episiotomy ikhoza kuchitidwa pamene mwanayo ali wolemera kuposa wapakati kapena ngati mutu wawo uli waukulu kwambiri, kugunda kwa mtima wawo kumachepa ndipo kutuluka kwawo kuyenera kufulumira. Izi zimaganiziridwanso ngati mwana ali ndi matayala mwachitsanzo kapena ngati m'mimba mwa mayiyo ndi wosalimba.
Kuti muwone muvidiyo: Kodi mungapewe bwanji episiotomy?
Muvidiyoyi: Momwe mungapewere episiotomy?
Zimatenga nthawi yayitali bwanji kuti episiotomy ichire?
Mwamsanga kwambiri - masiku 8 mpaka 10 - pakhungu, gawo lowoneka la episiotomy. Ndi nthawi yayitali mkati momwe zimatengera pakati pa miyezi 12 ndi 18 kuti chilichonse chichiritsidwe… Chifukwa chake kusapeza bwino, ngakhale kumva kuwawa komwe kumatha miyezi ingapo mutabereka. M’masiku oyambirira, mungavutike kukhala pansi ndi kusuntha. Uzani gulu lachipatala. Adzakupatsani mankhwala oletsa kutupa kuti muchepetse. Isabelle Halot
Kodi tingakane episiotomy?
Palibe chithandizo chamankhwala kapena chithandizo chomwe chingachitike popanda chilolezo chaulere komanso chodziwitsidwa ndi munthuyo. Potero, mukhoza kukana kukhala ndi episiotomy. Ndikofunikira kuti mukambirane izi ndi gynecologist kapena mzamba. Mukhozanso kutchula kukana kwanu episiotomy mu dongosolo lanu lobadwa. Komabe, patsiku loperekera, ngati gululo likuweruza kuti episiotomy ndi yofunika, simungathe kutsutsa.
Kodi epidural imakhudza bwanji episiotomy?
Awiriwo sali pachibale. Mayi yemwe ali pa epidural sadzakhala ndi episiotomy. Komabe, ndizotsimikizika kuti epidural, momwe imafooketsa dera la perineal, imatha kupangitsa kuti pakhale mikwingwirima yomwe imatambasula kwambiri perineum. Chifukwa chake, episiotomy ingafunike.
Kodi mungapewe bwanji episiotomy?
Pofuna kufewetsa msana ndi kupangitsa kuti ikhale yotambasuka pang'ono pa D-Day, "mungathe kusisita milungu ingapo musanabadwe ndi mafuta a masamba kwa mphindi khumi. Kutikita kwapamtima kumeneku kungachepetse pang'ono chiopsezo chokhala ndi episiotomy *. Komabe, izi zimafuna kukhala omasuka ndi thupi lanu, lomwe siliperekedwa kwa amayi onse oyembekezera, "akutero Pulofesa Deruelle. (IH)
ndi Mphunzitsi. Philippe Deruelle, obstetrician, mlembi wa College of French gynecologists ndi obstetricians.
* Chiwerengero cha 2016 perinatal survey