I-episiotomy yinto yokugonywa kwi-perineum (indawo yesikhumba phakathi kwesini kunye ne-anus). Kwakhona ingxabano enkulu ekubelekeni namhlanje.
I-Episiotomi ilinganiswa kuma-degree - eyona nto iqhelekileyo ibe yi-2 degree (emkhatsini we-vagina kunye ne-anus) kunye neyona nto iqhelekileyo ibe yi-4 degree (Ukunyuka kwi-rectum, ebizwa ngokuba yi-episiorectoprotomy).
Kukho iintlobo ezahlukeneyo ze-episiotomy. I-midline iyona eqhelekileyo e-USA (iyaqhubeka ngokuthe ngqo kwi-anus), kwaye i-mediolateral isinqamle ukudibanisa ukuya kwicala lokuthintela ukungena kwi-rectum.
UDkt. JM Thorp, kwi- Episiotomy: Ngaba ingasetyenziswa ngokuqhelekileyo? , uthi, "Kukho ubungqina obuncinane bokuxhasa ukusetyenziswa kwe-episiotomy." Le nkqubo inokunyusa ukwanda kweemeko zesithathu kunye neyesine. Kukho iinkcukacha ezimbalwa zokuxhasa ukuba le nkqubo inqanda ukuphumla kwe-pelvic. "
I-American College of Obstetricians kunye ne-Gynecologists ithi i-episiotomy "ayisoloko ifunekayo" kwaye "ayifanele ibe yinto eqhelekileyo."
Izinzuzo
Kuthiwa i-episiotomi ukubonelela ngeenzuzo ezilandelayo:
- Ukukhawuleza ukuzalwa
- Ukuthintela Ukuvuthwa
- Ukhusela ukungabikho
- Ukhusela ukuphumula kweplavic
- Uphilisa lula kunezinyembezi
Zonke ezi zibonakalisa zizathu ezifanelekileyo.
Inyaniso kukuba, uphando lwezokwelapha aluzange lubonise naluphi na lwezi zibonelelo. Enyanisweni, kwezinye iimeko, inyaniso iyinyaniso. I-Episiotomi ingabangela ingozi. Nangona kuya kubakho i-pesenti encinci yabasetyhini abaye bazuza ngayo i-episiotomy.
Imiphumela
Ezi zilandelayo zibikwe njengeempembelelo ze-episiotomy:
- Sulelo
- Uphulo olwandisiweyo
- Ukwandiswa kwe-3rd kunye ne-4-degree degree of vaginal laceration (ekuthiwa yi-extensions)
- Ixesha elide lokuphilisa
- Ukwenyuka ngakumbi xa ubulili buqalisa kwakhona
Ummkwenyana uMH Bromberg uthi, "Ukuhlaziywa kweencwadi kwi-episiotomy kubonisa ukuba kunokwenzeka ukuba kusetyenziswe ngokugqithiseleyo, ngokuqinisekileyo kulungelelanisa. Kubonakala kunengqiqo ukubonisa ukuba i-episiotomy ye-medium ayinakuncedo ngaphezu kokuqala (kwesikhumba ) okanye isiqendu sesibini (kwi-muscle ephantsi) xa kungekho zibonakaliso ezingaphezulu komntwana. "
I-Episiotomi ayisoloko ifunekayo, kwaye kuninzi ongayenza ukuze unciphise amathuba okuba unobungozi. Amanye amanyathelo okuthintela:
- Ukutya okunomsoco (Ipilo ekhulayo ilula ngokulula)
- I-Kegels (ukusetyenziswa kwemisipha yakho ye-pelvic)
- Ingxoxo engaphantsi kokubeletha kunye nomboneleli wakho wokunakekela malunga ne-episiotomy
- Ukuxilwa kwe-Pineatal Perineal
- Isithuba esicothayo (isigaba sesibini)
- Ukunciphisa ngokufudumalayo, ukusilalisa umzimba, kunye nenkxaso ngexesha lokunikezelwa
Khumbula, njengaye nayiphi na inkqubo yezokwelapha, kukho ixesha kunye nendawo apho kuyindlela efanelekileyo oku kuxoxisana ngayo kunye nogqirha wakho.
Njengamaxesha onke, ukwazi amalungelo akho njengesigulane / umxhasi kunye nolwazi ngomzimba wakho kunye nenkqubo ecetywayo iya kuthatha ixesha elide.
Inhlanhla kunye nokuzalwa kakuhle !
Imithombo:
Alperin, M, Krohn, MA, Parviainen, K. Episiotomy kunye nokwandiswa koMngcipheko woLwaphulo olungavumelekanga kwi-Vaginal Delivery Delivery. I-Obstet Gynecol 2008 111: 1274-1278.
Althabe F, Buekens P, Bergel E, Belizán JM, Campbell MK, Moss N, Hartwell T, Wright LL; IQela leZilingo loLuhlu. Ukungenelela kokuziphatha ukuphucula unyango. N Engl J Med. 2008 Meyi 1; 358 (18): 1929-40.
Mikolajczyk RT, uZhang J, Troendle J, Chan L. Izinto ezinobungozi zokungena kwindlela yokuzalwa yecala lokubeleka kwabasetyhini abakhulu. Am J Perinatol. 2008 Meyi; 25 (5): 259-64.
I-Sze EH, i-Ciarleglio M, i-Hobbs G. Iimeko zobungozi ezinxulumene ne-anal sphincter ukuhlukana kweentlungu phakathi komkwenkcekazi, umgqirha wezodwa, kunye nokudilizelwa kwabemi. Int Urogynecol J Umgangatho wePelvic. 2008 Mar 13.
Ukusetyenziswa kwe-episiotomy kunye ne-Forceps ngexesha lokubeleka, phantsi kwee-C-Section Rates. Iindaba ze-AHRQ kunye neNombolo, ngo-Ephreli 28, 2011. I-Arhente yoPhando lwezeMpilo kunye neMigangatho, i-Rockville, MD. http://www.ahrq.gov/news/nn/nn042811.htm
Yildirim G, Beji NK. Iimpembelelo zokusasaza ubuchule ekuzalweni komama kunye nomntwana: isifundo esingenangqondo. Ukuzalwa. 2008 Mar; 35 (1): 25-30.