Episiotomy inoshandiswa pakuvhiya, iyo inoitwa mushure mekupedzisira kwebasa rebasa. Chinonyanya kukosha ndechekucheka perineum nekuita kuti mwana afambire mberi munzira dzese. Zvinosuruvarisa, vanachiremba havaiti nguva dzose kuita izvi nenzira inonzwisisika, uye vanowanzoshanda kuitira kuti kukurumidze kushandiswa kwekutakura . Episiotomy haisi nzira isina kunaka zvachose uye inogona kuva nemigumisiro yakaipisisa, kana iwe usingateere mitemo mimwe yekugadzirisa.
Nzira yekuchengetedza sei vanga shure kwepisiotomy?
- Chimwe chezvinhu zvinonyanya kukosha zvekuporesa kuporesa kwevanga re episiotomy ndiko kutevedza mitemo ye asepsis. Chokutanga, kusungirirwa pachako kunofanira kuitwa pasi pemamiriro asina kumira. Chechipiri, kutarisira kwakakodzera kwe sutures mu postpartum period inokosha. Zvakakosha kuti uite hutano hwehutano hwemajoini mushure mokushanyira imwe imba yega yega (nokuda kweizvi, unogona kushandisa decoction ye marigold uye chamomile), kazhinji inoshandura gaskets, uye inobata majoini neanoriseptic (doro remvura yeodhini kana kuti dhizinesi yakasvibirira) kaviri pazuva.
- Chechipiri chiitiko ndechekuchengetwa kweimwe kudya, izvo zvisingabatanidzi upfu, pasta nemimwe michina inogona kukonzera kubatwa. Amai vadiki vanofanira kugara vachidurura matumbo, pasina kushatisa perineum kudzivirira kuparadzaniswa kwemhepo.
- Chechitatu chiitiko chekupora kwakanaka ndiko kusina kwekugadzirisa mafungiro emajoini. Mukadzi akadaro anorayirwa kuti asagara papa kwevhiki nhatu, usasimudza uremu, uye kufudza mwana kuchafanirwa kumira kana kurara parutivi rwaro. Izvo hazvingavi zvisingakoshi kuita Kegel maitiro ekuratidza pineineum, imwe yeiyo yakashandiswa mumitambo yevakadzi vanozvitakura.
Episiotomy - zvinetso
Chikonzero chinonyanya kukonzerwa nezvinetso mushure mokunge episiotomy ndiko kukanganwa kwemitemo ye aseptic. Kuvhiringidza kwe suture mushure mokunge episiotomi inoratidzwa nehutwa, edema muvanga nzvimbo uye kutevedza kutevera.
Kana iyo ikarwadza uye ichicheka suture mushure me episiotomy, saka iwe unofanira kutarisa nachiremba wehematoma. Dzimwe nguva pakati pemadziro epavhesi maitiro ehematoma, anogona kukura, achikonzera marwadzo mumumvuri. Iyo yakagadzirwa hematoma inogona kukonzerwa uye inotungamirira mukusiyana kweva sutures, saka maronda akadaro achaporesa nekushungurudza kwechipiri (kwenguva yakareba nekuumbwa kwechivara). Fistula mushure mokunge episiotomy inogona kuumbwa kana pane kuve nekuputika kwe suture kana silk ligature haina kumbobviswa zvachose (mamwe acho yakaramba iri muvanga). Kuvapo kwe fistula kunogona kuendeswa nekusununguka kunobva kune vanga.
Nzira yekugadzirisa sei zvinetso pashure pekunge episiotomi?
Kana amai vechidiki vachinetseka kwemazuva mashomanana mushure mekuita episiotomy, anofanirwa kuenda kuna chiremba kuti awane chikonzero uye kuwana rubatsiro rwakakodzera panguva. Mukana wekugadzirisa kana kuumbwa kwehematoma, mashizha anobviswa kubva pachirwere chepisiotomy, antibacterial therapy inoshandiswa, mafuta anonhuwira anonyanyisa anoshandiswa. Kana kupisa kwekwakapera kwepera uye ronda racho rakachena uye rakaoma, mukadzi wacho anopiwa kuti ashandise seams secondary.
Nokudaro, episiotomy haisi nguva dzose kupindira, izvo zvinogona kuunza matambudziko akawanda kune amai vechidiki, izvo zvave atova nazvo zvakakwana. Nzira yakanakisisa yekudzivirira episiotomy mukuberekwa ndeyokugadzirira kuberekwa. Muhutano hwose, mukadzi anofanira kutungamira mararamiro anoshanda (kuenda kunze, kuita gymnastics kuvakadzi vane pamuviri). Kunyatsogadziridzwa kudya kunobvumira amai vari mberi kuti varege kuwana mapaundi akawedzera uye havazotungamiri kune icho chibereko chichave chakakura.