Zoona-zabodza pa episiotomy

Yesani chidziwitso chanu cha episiotomy

Dr Frédéric Sabban, dokotala wa opaleshoni ya amayi ku Paris anati: "Episiotomy imafanana ndi opaleshoni yomwe imachitidwa panthawi yobereka kuti asagwetse misozi yayikulu m'mimba mwake." Opaleshoniyi imakhala ndi kudulidwa kwa 4 mpaka 6 cm pamlingo wa kutsegula kwa nyini, molunjika kapena mozungulira. Mwa njira iyi, kumasulidwa kwa mutu wa mwanayo kumathandizidwa panthawi yobereka, popanda kung'ambika kosalamulirika. Ndi mwadongosolo? Kodi kugonana kuyenera kupewedwa panthawi ya machiritso? Kodi tiyenera kusintha makhalidwe athu aukhondo? Mfundo ndi izi zoona / zabodza pa episiotomy.

Episiotomy imachitika nthawi zonse

Zabodza. Ngati sizili mwadongosolo, episiotomy idzachitidwa mu 20 mpaka 50% ya zobereka ku France malinga ndi Dr Sabban. Ndi bwino makamaka pa nkhani ya m'zigawo za mwana ntchito forceps. Malinga ndi Dr Sabban, chigamulo choti apitirize kapena ayi ndi episiotomy ndi "dokotala kapena mzamba amadalira" ndipo amapangidwa panthawi yomaliza, pamene mutu wa mwanayo ukuwonekera. Komabe, mutha kukambirana izi pasadakhale ndi gulu lachipatala lomwe lidzakuyang'anirani, kuti zonse ziyende bwino momwe zingathere panthawi yobereka.

Popanda episiotomy, nthawi zina pamakhala chiopsezo chong'ambika

Zoona. Ngati episiotomy sikuchitika pakafunika, pali chiopsezo " kuphulika kwa sphincter, makamaka kumatako, komwe kungayambitse vuto la kusadziletsa kumatako, ” akuchenjeza dokotala woyembekezera. Chifukwa chake, episiotomy nthawi zambiri imaperekedwa ngati njira yodzitetezera kuti mupewe zovuta izi. Komabe ndi a nkhani yotsutsana, chifukwa akatswiri ena azaumoyo amatsindika kuti episiotomy imachitidwa mwadongosolo kwambiri.

Mtseno wa episiotomy ndi wowawa

Zabodza. Pambuyo pobereka, episiotomy imadulidwa. Mofanana ndi episiotomy yokha, suture imachitidwa pansi pa epidural anesthesia ngati mayiyo adakhala nayo, kapena pansi pa anesthesia wamba ngati kubereka kunachitika popanda epidural. A priori mfundo yosoka sayenera kupweteka, popeza dera likugona.

Chovalacho chimapangidwa ndi ulusi womwe nthawi zambiri umatha kuyamwa ndipo umagwera pawokha pakatha milungu ingapo.

Muyenera kudikirira musanayambe kuyambiranso moyo wogonana

Zoona. Kumbali ya kugonana, akatswiri achikazi amavomerezana. Amalangiza motsutsana ndi kugonana kulikonse pasanafike mwezi umodzi mpaka masabata asanu ndi limodzi. "Mwachizoloŵezi, tikukulangizani kuti mudikire nthawi yobereka" yomwe inakonzedwa ndi gynecologist kapena mzamba, mwachidule Dr. Sabban. Chifukwa sikuti kugonana kumakhala kowawa tsiku lino lisanafike, koma chilondacho chimatha kutsegulidwanso ndikubweretsa zovuta. Pokambirana pambuyo pobereka, dokotala kapena mzamba adzayang'ana momwe chipsera chochokera ku episiotomy chasinthira ndikupereka kapena ayi "kuwala kobiriwira" kuti ayambirenso kugonana.

Palibe chifukwa choganizira kwambiri zaukhondo waderalo

Zabodza. Dr Sabban akulangiza kuti Dziyeretseni mwadongosolo mukapita kuchimbudzi kuti mukachire nthawi, kupewa ngozi yopsa kapena matenda. Ngati muwona kumaliseche konunkha kapena kwamitundu yosiyanasiyana, ndi bwino kufunsa mosazengereza chifukwa izi zitha kukhala chizindikiro cha matenda, zomwe zingachedwetse kuchira. Onetsetsaninso kuti chilondacho chimakhala chouma nthawi zonse pochisisita ndi chopukutira choyera kapena kugwiritsa ntchito chowumitsira tsitsi.