Episiotomy. Sutures episiotomy: kufotokoza, maonekedwe, ndi mankhwala

Kubadwa kwa mwana - chozizwa. Mayi woyembekezera mosamala kukonzekera zikamera wa mwanayo. Koma nthawi yobereka zingachitike zochitika zosayembekezeka pamene mungafunike ndi episiotomy. Matabwa episiotomy ndi nkhawa kwambiri mu amayi apakati. Ife tikamba zambiri zokhudza izo.

Ndi chiyani icho?

Episiotomy - ndi ang'ambe thupilo ka perineum, umene umatipanga kubereka pa nthawi ya athamangitsidwe wa mwana wosabadwayo. Bwinobwino kale kuti mayi woyembekezera ndi kutumikiridwa ndi mankhwala ochititsa m'deralo, koma nthawi zina alibe nthawi, ndi kuchita popanda mankhwala oletsa ululu.

Opaleshoni imeneyi kumathandiza mowiriza chophukacho, kuthandiza mwana kudutsa ngalande kubadwa.

Amene amafunika episiotomy

Amenenso amaonetsa episiotomy? Stitches pambuyo episiotomy nthawi yaitali kuchiza. Kodi wolungamitsidwa njirayi? Ukazi minofu mokwanira zotanuka. Mmene analamula kuti mkazi ayenera kubereka mwachibadwa popanda vuto. Koma pali zifukwa zina zapadera zimene episiotomy n'kofunika:

• mwana breech ulaliki, ndiye iye akupitirira bulu kapena miyendo;
• ayenera kufulumizitsa kubadwa thangwi mwana hypoxia - chosowa mpweya;
• pali chiopsezo kuichotsa perineal ngati nsalu ndi sanali zotanuka.

Mwatsoka, nthawi yathu, ntchito ili kuvala mtsinje, zimapangitsa pafupifupi mkazi wachiwiri ntchito. Kwa dokotala kuti adulidwe ndi mosavuta kuposa akubwera ndi njira zina za pobereka. Ngati n'kotheka, ndi bwino kuyang'ana kwa chotsimikiziridwa ndi ozindikira dokotala, amene salola opaleshoni. Ndipo, ndithudi, zofunika mindset wa zotsatira bwino.

Ubwino ndi kuipa kwa episiotomy

Bwinobwino kubereka mkazi ali pobereka ndi fait accompli ang'ambe thupilo zofunika, amene amapangidwa mothandizidwa ndi lumo wapadera opaleshoni. Mu izi, pakuwonana koyamba, njira yoopsa angapo ubwino:

• yachiwiri Iyamba genera;
• mwana wabadwa popanda choipa, ndondomeko ndi otetezeka kwa iye;
• zoyesayesa pachabe pamafunika zambiri wochepa mphamvu mu mayi m'tsogolo.

The kuipa zotsatirazi:

• chowawa stitches;
• kulephera kukhala kwa nthawi yaitali;
• akhoza kuvulaza ya rectum;
• kuchira yaitali pambuyo pobereka.

Ngakhale nambala yaikulu ya kuipa, tiyenera kukhulupirira madokotala. Ndipo ngati umoyo uli pangozi, thanzi ndi moyo wa mwana, ndi bwino kugwirizana ndondomeko monga episiotomy ndi. Matabwa episiotomy mwina akudwala kwa nthawi yaitali ndipo chifukwa kusapeza. Kodi kuwasamalira, angapezeke m'munsimu.

Kodi n'zotheka kupeŵa episiotomy?

opaleshoni Zimenezi zikhoza kupewedwa. Iwo kalekale zatsimikiziridwa kuti kubadwa msanga zambiri kukathera ndi fractures angapo. Zingaoneke chododometsa, chifukwa mutu kamwana, ndithudi, ang'onoang'ono. Koma likukhalira, masabata angapo asanabadwe, mu mahomoni ya mkazi adamulowetsa, kuwonjezera elasticity wa nyini. Choncho, tiyenera kuyesetsa dziwitsani mwana yaitali.

Komanso, inu mukhoza paokha kukonzekera perineum azikhala. Ndikwabwino kuyambitsa pasadakhale. Madokotala akulangizidwa kukhala ndi moyo wathanzi, ndi mimba lonse, musati asamadye kwambiri, ndi mungawononge kulemera. Ndi bwino ntchito dziwe kapena yoga kwa amayi apakati, ngati azamba-gynecologist sakutsutsana ndi palibe contraindications lililonse.

mwezi A pamaso yobereka ayenera kuyamba kuchita kutikita wolimba ndi mafuta wapadera. Ngati sangathe kugula, mukhoza kugwiritsa ntchito mafuta mpendadzuwa, amondi mafuta, mafuta kapena nyanja buckthorn. Kodi amenewo kutikita, kawirikawiri asonyezedwa pa maphunziro kwa amayi apakati, kotero iwo sayenera kunyalanyaza. Ndondomeko ziyenera kuchitidwa tsiku lililonse. Wotchuka Kegel Zochita komanso kuthandiza kupeza elasticity wa perineum ndi kubwerera mwakale pambuyo pobereka. Mulimonsemo, ngati izo zinachitika kuti dokotalayo kuti adulidwe, musati mantha.

Kodi stitches ambiri kuchiritsa episiotomy?

Ngati nthawi yobereka anali zikuonetsa dokotala mosamala wopanga ang'ambe thupilo. Khalani limasonyeza kuti nthawi zambiri kumanja. Matabwa alipo kapena bioresorbable ulusi kapena amene ayenera kuchotsedwa pa tsiku lachisanu. Kodi ulusi kusankha - kusankha dokotala.

M'nthawi ya masabata atatu, inu simungakhoze kukhala, chiopsezo mwinamwake mwina divergence wa matabwa. Palinso kuletsa kugonana kwa masabata 5-6. Kawirikawiri, pa nthawi iyi malo kuchiza. Full kubwezeretsedwa kwa nyini amapezeka mkati miyezi 6-9 atabadwa, koma kutenga okha nkhani kuisamalira wa perineum lapansi.

Kusamalira perineum akabereka

Ikukhala ngati msoko episiotomy? Atabadwa, mkazi akhoza kupeza yaikulu zipsera kutupa. Mukayamba kuona kuti kudzera galasi, zinthu zochititsa chidwi si kukomoka mtima. Izi sankaganiza. Ngati mutsata kuwapempha dokotala, pambuyo masabata 2 kutupa kuchepa, ndipo patapita miyezi isanu adzaoneka pa.

ayamikira Ofunika amasamalidwa zimfundo:

• osati kukhala pa lathyathyathya pamwamba pa masabata 2-3;
• 2 miyezi ngakhale kunyamula chilichonse yolemera kuposa mwana;
• kusunga perineum woyera, ziyangoyango kusintha monga Nthawi zambiri kusamba pambuyo ulendo uliwonse ku chimbudzi;
• processing njira furatsilina matabwa kapena zelenkoj;
• Nthawi 3-4 tsiku, kupereka seams "kupuma" ngati palibe kabudula;
• kudya zakudya yotithandiza kuchita defecation, kuti mpando anali zonse ndi zimfundo si unasokonezeka;
• zina kugonana kwa masabata 6-8;
• kuchita Kegel Zochita;
• kumwa madzi ambiri.

Ambiri worryingly amayi ambiri - ndi kulephera kukhala. Kuyamwitsa mwana wanu ataimirira kapena chigonere wovuta kwambiri. Koma chofunika kwambiri kuposa thanzi la nyenyeswa, kotero simungapirire masabata ochepa. Ngati kusamalira perineum zinali zolakwika, ngozi Nkosatheka matendawo.

Zovuta pambuyo episiotomy

Monga ndondomeko ina opaleshoni, episiotomy akhoza kukhala zosokonezeka. Kodi ngati anagulitsa msoko episiotomy, ndi zifukwa? Izi zingachitike ngati mkazi zolemera, monga kunyamula stroller ndi mwana pa masitepe, kapena m'mudzi pasadafike. Mwamsanga pamene zizindikiro loyamba chophukacho, monga molumikizana mafupa pambuyo episiotomy, muyenera kukaonana ndi dokotala mwamsanga. Mungafunike ndi suturing sekondale.

Kugonana pambuyo episiotomy

Mulimonsemo, akabereka n'kofunika kupewa kugonana kwa masabata 6. Itatha nthawi iyi m'pofunika kukaona gynecologist. Ngati matabwa ndi ndondomeko yonse ndi dokotala idzakupatsani zabwino mukhoza kukumbukira za zawo moyo wapamtima.

akazi ambiri amene anali episiotomy, kuvomereza kuti pa mantha woyamba odziwa ndi ululu nthawi yogonana. M'kupita kwa nthawi, kusapeza azipita. Kwa nthawi yoyamba ndi bwino kugwiritsa ntchito gel osakaniza-afewetsedwa ndi nthawi yochuluka pa foreplay. Amagwiritsidwanso kwambiri ndi kuika mwa ufulu. Ngati ululu sangakhoze kupirira, m'pofunika kuti aime ndi kuyesa masiku angapo. Ngati ululu amalimbikira kwa miyezi ingapo ndipo chimakakamiza suture pambuyo episiotomy, m'pofunika dokotala malangizo.

Kodi ine ndingathenso kubereka episiotomy

Akazi amene opaleshoni kawirikawiri nkhawa ngati makontena wotsatira ndi zotheka? Mwamwayi, boma si. Kumbukirani kuti nthawi yachiwiri mungafunike ndi episiotomy. Stitches pambuyo episiotomy si zotanuka. Choncho anamwino pofuna kupewa wakale msoko kusiyana, kupanga bwino latsopano ang'ambe thupilo.

Pafupifupi theka lachiwiri ndipo anayamba mibadwo pochitika popanda izi. M'pofunika kuzolowera zakambidwa zabwino kubadwa ndi bwino kukonzera. Chimbalangondo ana ayenera ndithudi, ngakhale mantha, imbaenda episiotomy. Matabwa episiotomy - ndi amenewa pang'ono poyerekeza ndi chimwemwe kupereka ana!