Ukugqithiswa komzimba ngexesha lokubeletha

Iimpawu zokuzalwa zomama ezilindelekileyo zijongene nokunyulwa okunzima ngenxa yengcinezelo kwimisipha yomgangatho weplavic. Ngenxa yoko, imonakalo eyahlukeneyo inokwenzeka. Izikhefu kwindawo yokuzalwa yomnxeba zivela ngexesha lobasebenzi kwiindawo ezimashumi ezisixhenxe ukuya kweleshumi elinesibini zabasetyhini, kunye nalabo ababeletha okokuqala, ukubhuka kubakho okwenyuka kabini ukuya kweyesithathu ngokuphindaphindiweyo kunabo ababelethayo okokuqala. Ukuphela komsebenzi kuxhomekeke kwindlela ezithintekayo ngayo izihlunu zomzimba.


Ekubeni umntwana ushicilela intloko ngexesha lomsebenzi, into ebizwa ngokuba yi "permeum" iyabonakala. I-crotch ngeli xesha lizama ukubuyisela ifomu elidala. Umthwalo omkhulu ufumana umlenze wesibeleko wengane, ngoko unokulimala ngokukhawuleza, oku kuya kubakho kwimiphumo engathandekiyo, ingakumbi ikhanda, ukuphazamiseka kokusebenza komlenze kunye nezihlunu zesandla. Kule meko, kuphela ukusikwa kwe-perineum kunokunceda, ngenxa yoko ukunyamezela kwayo kuya kuncipha, kwaye ukulimala kwentambo yomgogodla kuya kuba ngumntwana.

Ngokuqhelekileyo kwenzeka ukuba kuphela ukukhutshwa kukunceda ukukhawulezisa imithana yegazi, ezilibaziseko ngezizathu ezahlukahlukeneyo, nokukhusela i-oxygen yenkomo yenkomo.

Ukuba kukho ingozi yokuphazamiseka kwe-perineum, oogqirha, ukwenzela ukukhusela, ukubeka i-apernotomy, kunye nokusabalalisa i-perineum ukuya kwi-anus, okanye ukwenza u-incineotomy. I-Perineotomy iyenziwa ngabasetyhini abane-perineum ephakamileyo.

Uhlobo oluncedo kakhulu lokunqunyulwa luyinto yokuqala, nangona kunjalo, kule meko, kukho iingxaki ezahlukeneyo. Ezi zibandakanya ubunzima bokukhupha, ukuvalelwa kwintlungu kwintsimi yokuthunga iishubhu, ngeenyanga ezintandathu ezibangela ukungahambi kakuhle, kunye nokungahambi kakuhle emva kwendlu yangasese, ukutshisa kunye nokuvutha komlilo kwindawo yecala.

Inketho yesibini ayingozi kakhulu, kwaye isetyenziswa rhoqo ngexesha lokusebenza. Nangona kunjalo, apha kukho i-minus - kule meko, kukho iingxaki zokuphilisa.

Yintoni enokuyenza ukuze ugweme isithuba

Ukuze ugweme ukusebenza okunzima, kuyimfuneko ukulungiselela izihlunu zangaphambili kwaye zibenze ngakumbi. Qinisekisa ukuya kwiinkalo zoomama abakhulelweyo, apho inkqubo yoqeqesho iquka ukuqinisa imisipha yeeplavis.

Kodwa nangona kunjalo, ukukhusela okuphambili kokuphunyezwa kufuneka kuqhutyelwe oogqirha noogqirha. Bamele bafumane ngexesha lokubona iimpawu ezibonisa i-gap kwi-crotch, ngokufanelekileyo ukwenza ukuhanjiswa nokukhawuleza ukusika i-perineum, ukuba kuyimfuneko.

Oogqirha kunye nababeleki bafanele bakhusele i-perineum nge-otterm ukususela ngexesha umntwana enesigxina esingaphantsi kwentloko evela kwidolobho yokuzalwa. Kulo mzuzwana apho intloko yomntwana iyancitshiswa, ngenxa yokuba uxinzelelo kwiimisipha zesitya segazi landa.

Umdlali wesigqirha kufuneka enze umsebenzi wokuthintela ukunweba okukhawulezileyo kunye nokuqala kwangaphambili kwilungu ngexesha lovavanyo. Ngokungathandabuzekiyo, uphando othabatha umzimba uyazi ukukhusela i-perineum ngexesha lokubeletha. Ngoko ke, cacisa le nkqubo ayifanelekanga.

Ukwahlukana kwi-dissection of crotch

Ukwahlukana kwezikhewu ezivela kumbono kukuba bazinzulu kakhulu, kunye neengxube ezingafaniyo kwaye bahlala kwindawo engaphezulu yolusu. Kungenxa yoko, bahlala ixesha elide, ngokungafani noko kuthethwa ngako, okwenziwe nge-scalpel efanelekileyo.

Phakathi kwezinye izinto, izikhefu zikhokelela ekubangeni kwimiphumo emibi. Ukulimala kwesikhumba kunceda ukuqinisekisa ukuba iinyembezi zisengozini yokusuleleka. Ngenxa yentsholongwane, ukuvuvukala kwesisu, umlomo wesibeleko kunye nokunye okunokuqalisa.

Ukuba ikhefu lenzekile

Ukuba kukho ukuphazamiseka kwe-perineum, kuhambelana nokuhamba kwegazi. Okubaluleka ngokukodwa kwinqanaba lokulimala. Ngokukhawuleza emva koko, njengoko kuphuma okokugqibela - igobolondo ye-fetus ne-placenta, kwaye isiqhamo sachithwa, sahlulwa. Ukuba ukuphuma kwegazi kunzima, ngoko nangaphambi kokuphuma kwaloo mva, bafaka intambo kwi-crotch.

I-Sutures isetyenziswe kwi-perineum phantsi kwe-anesthesia yendawo. Ukukhutshwa ngaphandle kwinqanaba lesithathu lokuphuka komzimba. Kule meko, i-anesthesia jikelele isetyenziselwa ukusebenzisa i-sutures. Ukuze usebenzise i-crotch, i-vikrilovorassovasyvayuschimisya ngentambo ngomhla wesithoba anesithoba anesithandathu isetyenziswa rhoqo.

Ukunakekelwa koMgca

I-Sutures kufuneka imiswe emva kwexesha elithile. Emva kokuzalwa kuphelile, iiplanga kwi-perineum kunye nelabia ziphathwa nge-manganese ne-hydrogen peroxide kanye ngosuku. Ngaloo xesha, ngelixa umama osebhedlele, le nkwenkwe. Ekhaya, umama omncinci uya kufuneka enze yonke into.

Ukuba ukuphuka kubunzulu obunzulu, ngoko ugqirha unokunikezela iziyobisi zonyango, ekubeni i-rectum isondele kwaye mhlawumbi ikhulelwe. Ukuba ibhinqa ihamba neentlungu ezinzima, ugqirha ubeka iyeza zentlungu, ekufuneka isetyenziswe emva kokubeletha iintsuku ezintathu. Ukuba kukho ukuvuvukala, sebenzisa ibhobho ngeqhwa.

Iingxaki

Kwindawo yokuguqulwa, i-edema inokuvela, i-hematoma, isifo sosulelo, ama-abscesses, imivimbo, intlungu. Kuxhomekeke kukuphi uhlobo lweengxaki, ugqirha uya kukhetha kwaye anikeze unyango olufanelekileyo.

Xa i-uterine yaphuka ibalulekileyo, inzulu, kwaye ihamba neenkqubo zokuvuvukala, ngokukhawuleza emva kokuba iisetyenzisiwe zisetyenzisiwe, izicubu ezixhumeneyo zezikratshi ziyakunqanda isisu. Ukuphelisa iziphene ezibonakalayo kuphela ekusebenziseni i-laser, kwaye ukuba isilonda sinzulu kakhulu, iplastiki inokuchitha.

Ukuphulukiswa kwamabhinqa kunye namancinci amancinci adlula kakuhle. Izikrakra zishiya. Nangona kunjalo, ukuba kukho ikhefu kummandla weklasi, oku kubangele iingxaki zokunciphisa ubunzulu beli candelo. Nangona kunjalo, akufanelekile ukukhathazeka malunga. Ngokuqhelekileyo ngeenyanga ezimbalwa ububele bubuyiselwe ngokupheleleyo.

Ixesha lokuphilisa i-perineum lihamba ngaphandle kweengxaki. Ukuba kukho ukuvuvukala kwesini, i-sutures iyasasazeka. I-Sutures kwi-perineum ingasasazeka emva kokuvuvukala kwesini. Kulo mzekelo kuyimfuneko ukubiza udokotela.