Chirwere chepisiotomy ndiko kushandiswa kwekuvhiya mu perineum (nzvimbo yeganda pakati pemukadzi uye anus). Izvo zvakare mhirizhonga huru pakuberekwa nhasi.
Episiotomi inowanikwa muzvidimbu - inowanzova ye2 degree (pakati pemakina uye anus) uye zvisinganyanyozivikanwa kuva 4th degree (Kuwedzera kuburikidza ne rectum, inonzi episiorectoprotomy).
Kunewo marudzi akasiyana eepisiotomy. Iyo midline ndiyo inowanzoshandiswa muU.SA (iyo inowedzera zvakananga kune anus), uye mediolateral inoratidzika diagonal kune rumwe rutivi kuti kudzivirira kuputira mu rectum.
Dr. JM Thorp, muEpisiotomy: Ko kushandiswa kwayo nguva dzose kunogona kudzivirirwa here? , inoti, "Pane humwe humwe uchapupu hunosimbisa kushandiswa kwepurootomy." Iyi nzira inogona kuwedzera kukanganisa kwechikamu chechitatu uye chechina-degree. Pane zvishoma zvinyorwa zvinotsigira zvakakosha kuti izvi zvinorambidza kunakidzwa kwepenzi. "
IAmerican College of Obstetricians naGynecologists vanoti episiotomy "haisi nguva dzose inodiwa" uye "haifaniri kuonekwa seitiro."
Batsirwa
Episotomi inonzi inopa zvinotevera:
- Kurumidza kuberekwa
- Kudzivirira Kurira
- Inodzivirira kudzivisa
- Dzinodzivirira kupera kwepasi pepecvic
- Anoporesa nyore kupfuura misodzi
Izvo zvose zvinoita sezvikonzero zvakanaka.
Ichokwadi ndechokuti tsvakurudzo yezvokurapa haina kuratidza chimwe chezvinhu izvi zvinobatsira. Ichokwadi, mune zvimwe zvezviitiko, zvakashata ndezvechokwadi. Episiotomi inogona kukonzera kukuvadza. Kunyangwe paine nguva ichange iine huwandu hwemadzimai avo vane episiotomy inobatsira.
Migumisiro Yechiri
Izvo zvinotevera zvakataurwa semagumisiro episiotomy:
- Kurwara
- Kuwedzera kurwadziwa
- Kuwedzera mu 3 uye 4th-degree mumadzimai ekudzivirira (euphemistically anonzi extensions)
- Nguva refu yekuporesa
- Kuwedzera kunetseka apo bonde rinotangazve
Madzimai anonzi MH Bromberg anoti zvakanakisisa uye, "Kudzokorora kwezvinyorwa zvepisiotomy zvinoratidza mukana wekuti unoshandiswa zvakanyanyisa, uye unofanirwa kururamiswa zvakanakisisa.Icho chinoratidzika kuti chinonzwisisika kujekesa kuti chirwere chepisiotomy chisingaverengeki pane chekutanga-(mucheche ) kana kuti yechipiri-degree (mumumvuri wepasi) kuvhara kana pasina huwandu hwehutano hunoratidza. "
Episotomu haisi nguva dzose inodiwa, uye kune zvakawanda zvaunogona kuita kuti uderedze mikana yako yekuve nekugadzirwa uku kwekupura. Zvimwe zvinodzivirira zviyero ndezvi:
- Chikafu chakanaka (Ganda rinotapira rinowedzera nyore nyore)
- Kegels (kurovedza muviri wemapundu ako pasi)
- Kukurukurirana kwepabonde nemudzidzisi wako pamusoro pepisiotomy
- Kubata Prenatal Perineal massage
- A slowly pushing stage (chikwata chechipiri)
- Kuchengetedza kwekudziya, kushambadza muviri, nekusimbiswa panguva yekubereka
Yeuka, sezvinoitwa noutano hupi, nguva dzose pane nguva uye nzvimbo iyo inenge yakakodzera chisarudzo ichi ndipo apo kukurukurirana kwakanaka nevarapi vako kunouya zvakanaka.
Sezvo nguva dzose, uchiziva kodzero dzako semurwere / mutengi uye kuva nezivo pamusoro pemuviri wako uye nzira inorongwa ichakutora iwe kure.
Nhanho yakanaka nekuberekwa kwakanaka !
Sources:
Alperin, M, Krohn, MA, Parviainen, K. Episiotomy uye Kuwedzera muNengozi yeChipatara Chisina Kuchengetedza muKupera KwemaVaginal Delivery. Obstet Gynecol 2008 111: 1274-1278.
Althabe F, Buekens P, Bergel E, Belizán JM, Campbell MK, Moss N, Hartwell T, Wright LL; Guidelines Trial Group. Kuzvipindira kwetsika kunobatsira kugadzirisa kuchengetedzwa kwevabereki. N Engl J Med. 2008 May 1; 358 (18): 1929-40.
Mikolajczyk RT, Zhang J, Troendle J, Chan L. Dambudziko rekuberekwa kwechirwere chinotarirwa mumadzimai ekutanga. Am J Perinatol. 2008 May; 25 (5): 259-64.
Sze EH, Ciarleglio M, Hobbs G. Ngozi dzinokonzerwa neal anal sphincter kusiyana kwemafuro pakati pekuyamikidza, chiremba wezvigadzirwa zvemunhu, uye kugadziriswa. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar 13.
Kushandisa Episiotomy uye Forceps Panguva Yokuberekwa Kwevana, C-Section Rates Up. AHRQ News uye Numeri, Kubvumbi 28, 2011. Sangano reZvesheni yeZveshudzo neUnhu, Rockville, MD. http://www.ahrq.gov/news/nn/nn042811.htm
Yildirim G, Beji NK. Migumisiro yekumanikidzira maitiro ekuberekwa kwaamai ne fetus: kudzidza kusinganzwisisiki. Kuberekwa. 2008 Mar; 35 (1): 25-30.