Ọrụ & Nyefe: Episiotomy

Ndinaya

• Nlekọta nke Episiotomy Mgbe E Nyefechara
• Gwa dọkịta gị okwu

Gịnị Bụ Episiotomy?

Okwu a bu episiotomy na-ezo aka na nkpachapu obi nke imeghe uzo iji mee ngwa ngwa ma obu zere ma obu wedata ikwa. Episiotomy bụ usoro a na - ahụkarị nke eji eme n'oge a. Authorsfọdụ ndị na-ede akwụkwọ na-eme atụmatụ na ihe dị ka 50 ruo 60% nke ndị ọrịa na-enyefe nsogbu na uche ga-enwe episiotomy. Ọnụ ọgụgụ nke episiotomy dịgasị iche n'akụkụ ụwa niile ma ọ nwere ike ịdị ala dị ka 30% na ụfọdụ mba Europe.

A kọwara usoro episiotomy na nke mbụ na 1742; emesiri nabata ya ebe niile, na-eto na 1920s. Uru ya ndị a kọọrọ gụnyere ichebe iguzosi ike n'ezi ihe nke pelvic na igbochi prolapse nke akpanwa na trauma ndị ọzọ. Kemgbe afọ 1920, ọnụ ọgụgụ ụmụ nwanyị na-anata episiotomy n'oge a na-amụ ha ejirila nwayọọ daa. N'oge a, a naghị eme episiotomy n'oge a na-amụ nwa. Otú ọ dị, n'ọnọdụ ụfọdụ na mgbe onye dọkịta nwere nkà na-arụ ọrụ ahụ, episiotomy nwere ike ịba uru.

Ihe ndị kpatara eji eme episiotomy:

• Ogologo oge nke abụọ nke ọrụ;
• Nsogbu nwa ebu n’afọ;
• Nnyefe nke nwanyi na-achọ enyemaka site na iji ike ma ọ bụ onye na-ewepu agụụ;
• Baby na breech ngosi;
• Ejima ma ọ bụ ọtụtụ nnyefe;
• Nwa buru ibu;
• Ọnọdụ na-adịghị mma nke isi nwa ahụ; na
• Mgbe nne nwere akuko ịwa ahụ pelvic.

Nlekọta nke Episiotomy Mgbe E Nyefechara

Nlekọta nke ọnya episiotomy na-amalite ozugbo ịnyefe ma kwesịrị ịgụnye nchikota nke nlekọta ọnya mpaghara na njikwa mgbu. N'ime awa iri na abụọ mbụ mgbe mbuchara, ngwugwu ice nwere ike inye aka iji gbochie mgbu na ọzịza nke saịtị nke episiotomy. Mbepu ahụ kwesịrị ịdị ọcha ma kpoo iji zere ibute ọrịa. Igwe ịsa ahụ sitz na-adịkarị (ịmịkọrọ ebe ọnya ahụ na obere mmiri ọkụ maka ihe dị ka nkeji 20 ọtụtụ oge n'ụbọchị), nwere ike inye aka mee ka ebe ahụ dị ọcha. E kwesịkwara ihicha saịtị episiotomy mgbe eriri afọ ma ọ bụ mgbe urination gasịrị; enwere ike imezu nke a site na iji karama ịgba na mmiri ọkụ. Enwere ike iji karama ịgba mmiri n'oge urination iji belata ihe mgbu na-eme mgbe mmamịrị na-emetụta ọnya ahụ. Mgbe etinyere saịtị ahụ ma ọ bụ gbanye ya, a ga-akpọ nkụ ahụ site na iji nwayọ na-ehichapụ ya na akwụkwọ anụ ahụ (ma ọ bụ enwere ike iji draya ntutu kpoo ebe ahụ na-enweghị mgbakasị nke akwụkwọ abrasive).

A na-ekwukarị ogo nke episiotomy ma ọ bụ akwa akwa na ogo, dabere na njedebe nke mbepụ na / ma ọ bụ laceration. Episiotomies nke atọ na nke anọ na-agụnye mbepụ nke sphincter gbasara ike ma ọ bụ mucosa ahụ. N'okwu ndị a, enwere ike iji ndị na-eme ka ihe dị nro mee ihe iji gbochie mmerụ ọzọ ma ọ bụ mmerụ ọzọ nke saịtị episiotomy. Iji kwado ọgwụgwọ nke ọnya ka ukwuu, onye ọrịa nwere ike idebe ya na softeners ruo ihe karịrị otu izu.

Ọtụtụ ọmụmụ enyochala ojiji nke ọgwụ mgbu dị iche iche na njikwa nke ihe mgbu metụtara episiotomies. Ndị ọgwụ na-adịghị agwọ ọrịa, ọgwụ ndị na-egbochi mkpali, dị ka ibuprofen (Motrin), achọpụtawo na ọ bụ ụdị ihe mgbu kachasị mma. Otú ọ dị, a na-ejikwa acetaminophen (Tylenol) ejiri nsonaazụ na-agba ume. Mgbe emeela nnukwu episiotomy, dọkịta nwere ike ịkọwa ọgwụ ọgwụ iji nyere aka belata ihe mgbu.

Ndị ọrịa kwesịrị izere iji tampon ma ọ bụ douches na oge a na-amụ nwa iji hụ na ọgwụgwọ kwesịrị ekwesị na iji zere mmerụ ahụ nke mpaghara ahụ. E kwesịrị ịkụziri ndị ọrịa ka ha ghara inwe mmekọahụ ruo mgbe a ga-enyochaghachi episiotomy ma gwọọ ha kpamkpam. Nke a nwere ike were izu anọ ma ọ bụ isii ka enyechara gị.

Gwa dọkịta gị okwu

Enwere ole na ole, ma ọ bụrụ na ọ bụla, ihe kpatara episiotomy ka a rụọ na usoro ndabere. Dọkịta ma ọ bụ nọọsụ-midwife ga-eme mkpebi n'oge a ga-ebu ya gbasara mkpa ọ dị episiotomy. Mkparịta ụka mepere emepe n'etiti ndị na-eweta ọrụ na onye ọrịa n'oge nlebara anya nlekọta ahụike na oge a na-enyefe ya bụ akụkụ dị oke mkpa nke usoro mkpebi. Enwere ọnọdụ mgbe episiotomy nwere ike ịba uru dị ukwuu ma nwee ike igbochi mkpa maka ịwa ahụ ma ọ bụ nyere aka na-enyefe aka (yana iji ike ma ọ bụ ihe mgbochi agụụ).