Kusununguka kunogona kunge kusingazivikanwi, saka zvakakosha kutora nzira yakasimba yekusarudza chiremba waunogona kuvimba.
Chimwe chiitiko ndechekuti panguva yekutengeswa inofanirwa kuita sarudzo pamusoro pekuita episiotomy.
Episiotomy - chii ichocho?
Episiotomy haisi chinhu kunze kwekupindira kwekupindira mune zvakasikwa zvekuberekwa, kureva, the perineal incision, inoitwa pakuziva kwechiremba-gynecologist. Kuberekwa ne episiotomy nguva zhinji, zviratidzo kwavari zvinogona kuva:
- dambudziko guru rekuputira kwepineum;
- kutaurirana kwemucheche wemwana;
- iyo iyo inonzi "yakakwirira," apo nzvimbo iri pakati pechipinda chechikadzi uye anus is 7-8 cm kana kupfuura;
- kuderera muhutano hwekuzvarwa kwechipiri, viz. kubuda ropa, kuwedzerwa kweropa, fetal hypoxia, kushanda kusimba;
- kutanga kusununguka;
- chido chekushandisa simbaps kana dhigiridzi wechipu.
Zvichienderana netsika yekuita episiotomy, episiotomy uye perineotomy inoratidzika. Muchiitiko chekutanga, episiotomy is incine perineal kudivi pamakona ema 45 degrees. Muchipiri - kusanganisa kunoitwa pamutsara wepakati kubva kumadzimai kuenda kune anus. Kudzoka mushure mokunge episiotomi inopfuurira zvakanyanya, zvinorwadza, zvikamu zvinoporesa zvishoma nezvishoma, asi izvi zvinosunungura zvakachengeteka, sezvinonzi pineineotomy inogona kukonzera kuparara kwe perineum kusvika mukukuvadza kwerutsi. Ndeipi nzira inosarudzwa nachiremba akasarudzwa, akatungamirirwa nemamiriro ezvinhu uye humwe humwe hunhu hwomukadzi wechidiki uye fetus.
Ko episiotomy?
Chimwe chezviratidzo zvepisiotomy chave chava pachena kwatiri. Kana mamiriro acho ezvinhu akaoma, saka hazvibviri kudzivisa episiotomy. Vakadzi vazhinji vanobva vafarira mubvunzo uyu, asi zvinorwadza kuita episiotomy here? Icho chikonzero ndechekuti kusanganisa kunoitwa panguva imwechete yekuedza, apo maviri acho akakwana zvakasimba, uye pane zvinenge zvisingafambidzani mavari, pane kurasika kwekunzwa kurwadziwa. Nokudaro, episiotomy mukutora kubereka - hazvikuvadzi zvachose. Zvimwe zvinhu zviri mu postpartum period. Munguva yekushandiswa kwemakumbo, mukadzi anogona kunetseka kwazvo, naizvozvo vasati vakuvadzwa, nzvimbo yeanesthesia inofanira kuitwa.
Migumisiro yepisiotomy
Episiotomy, yezvokwadi, inogona uye inofanirwa pane dzimwe nguva, asi zvisinei zvakadaro ine migumisiro yakawandisa yemigumisiro kumukadzi ari kubasa:
- mumwe mushure mekunge episiotomy anoda kutarisirwa kwakakwana;
- mumazuva okutanga muromo wepisiotomy unopararira;
- kugara shure kwepisiotomy kunorambidzwa zvachose kwemavhiki maviri, kana kupfuura;
- kugara achishungurudzika mukutambudzika;
- ichipisa nekugunzva;
- mune zvakanyanya kusagadzikana, urinary incontinence, kusagadzikana kwemisungo, kusakanganiswa uye kupera kwezvikamu zvepabonde zvingaitika;
- mukana wehutema, hutachiona hwegonda hahutongi;
- ruvara shure kwepisiotomy kunogona kuodza mwoyo kana uchitangazve hukama hukama hwepedyo.
Episiotomy - kurapa
Kuti urege kudzivisa migumisiro shure kwekuongorora episiotomi zvakanyanya, zvinotofanira kutevera zvakanyatsobvunzwa nechiremba maererano nekuporesa kudarika kwezvibatanidzwa, kureva:
- kazhinji kana zvichibvira kuchinja gasket;
- kushambidza perineum mushure mekunge kushanyira imwe mudzimba;
- ita mabhati emhepo;
- Chengetedza zvokudya kuti urege kudzivirirwa;
- kufamba zvakawanda kuti uwedzere kupararira kweropa munharaunda ino;
- shandisa majoini kaviri pazuva.
Kuberekwa kwechipiri mushure mekunge episiotomy haisi kureva kudzokorora kwekutanga. Kana iwe ukatora matanho akakwana kuti udzivise episiotomy, zvinokwanisika kubereka zvisizvo pasina nzira dzokuvhiya. Chinhu chikuru ndechekucherechedza kuwedzera kwezvimedu munzvimbo ino zvisati zvaitika nekubatsirwa kwekudzidzira kwakakosha uye kushambadzira uchishandisa mafuta akasiyana-siyana.