Inehịa aka na Perineal: ihe ọ bụ na otu esi eme ya

Ndinaya

• Nzọụkwụ iji mee ịhịa aka n'ahụ
• Etu esi ete aka na PPE-No

Inehịa aka n'ahụ bụ ụdị ịhịa aka n'ahụ a na-eme na mpaghara nke nwanyị nke na-enyere aka ịgbatị ahụ ike na eriri ọmụmụ, na-eme ka ọpụpụ nwa ahụ pụọ n'oge a na-amụ ya. Enwere ike ime ịhịa aka a n'ụlọ, ma, ọ kwesịrị ịbụ onye ọkachamara n'ọrịa ụmụ nwanyị ma ọ bụ ọkachamara na-eduzi.

Massaging perineum bụ ezigbo ụzọ iji bulie mmanu ma gbatịa anụ ahụ nke mpaghara a, nke na-enyere aka ịgbasa, na nsonaazụ nwa ahụ site n'ọwa ọmụmụ.N'ụzọ dị otú a, ọ ga-ekwe omume ịnweta uru mmụọ na nke anụ ahụ nke ịhịa aka a.

Nzọụkwụ iji mee ịhịa aka n'ahụ

A ga-eme ịhịa aka n'ahụ na perineum kwa ụbọchị, site na izu 30 nke afọ ime, ma kwesịrị ịdịru nkeji 10. Nzọụkwụ ndị ahụ bụ:

1. Saa aka gị ma hichaa n'okpuru mbọ gị. Ekwesiri ichebe ntu dika o kwere mee;
2. Tinye mmanu mmiri mmiri iji mee ka ịhịa aka n'ahụ, na-enweghị ihe ize ndụ nke ịrịa ọrịa, mmanụ ma ọ bụ ude mmiri ekwesịghị iji mee ihe;
3. Nwanyị ahụ kwesịrị ịnọdụ ala nke ọma, jiri ohiri isi dị mma na-akwado ya;
4. Ekwesịrị itinye mmanu mmanu aka na mkpịsị aka na mkpịsị aka na mkpịsị aka, yana perineum na ikpu;
5. Nwanyị kwesịrị itinye ihe dị ka ọkara nke mkpịsị aka ukwu ahụ na ikpu, ma mee ka anụ ahụ perineal laghachi azụ, chee ihu ahụ ike;
6. Mgbe ahụ, jiri nwayọọ nwayọọ ịhịa aka na akụkụ nke ikpu, na U-udi;
7. Mgbe ahụ nwanyị kwesịrị idobe ihe dịka ọkara nke mkpịsị aka abụọ ahụ n'ọnụ ụzọ nke ikpu ma pịa anụ ahụ perineal ka o nwere ike, ruo mgbe ọ na-enwe ihe mgbu ma ọ bụ na-ere ọkụ ma jigide ọnọdụ ahụ maka 1 nkeji. Tinyegharịa ugboro 2-3.
8. Mgbe ahụ ịkwesịrị pịa n'otu ụzọ ahụ n'akụkụ, na-echekwa nkeji 1 nke ịgbatị.

Inehịa aka na Perineal bara uru ịme n'oge oge ịmụ nwa, ọ bụrụ na ị nwere episiotomy. Ọ na - enyere aka ịnọgide na-agbanwe agbanwe nke anụ ahụ, gbasaa ọnụ ụzọ nke ikpu ọzọ ma gbasaa isi ihe nke fibrosis nke nwere ike ịmalite n'akụkụ ọnya ahụ, iji mee ka mmekọrịta nwoke na nwanyị nwee mgbu. Iji mee ka ịhịa aka ahụ ghara ịbụ ihe na-egbu mgbu, ị nwere ike iji ude anestetiiki ihe dị ka nkeji 40 tupu ịmalite ịhịa aka n'ahụ, ezigbo ihe atụ bụ ude mmanụ Emla.

Etu esi ete aka na PPE-No

EPI-No bụ obere ngwaọrụ na-arụ ọrụ yiri nke ahụ na ngwaọrụ nke na-atụle nrụgide. Ọ nwere naanị balloon silicone nke a ga-enwerịrị n'ime ikpu na nwanyị ga-eji aka ya gbanye ya. Ya mere, nwanyị nwere njikwa zuru oke nke balịloon nwere ike jupụta n'ime ọwa mmiri, na-ebuwanye ibu.

Iji jiri EPI-Mba, a ga-etinye mmanu n'ọnụ ụzọ nke ikpu yana na EPI-No inflatable silicone balloon. Mgbe ahụ, ọ dị mkpa ibugharị naanị ka o wee nwee ike ịbanye na ikpu ma mgbe anabatachara ya, a ga-agbanye balloon ọzọ ka o wee gbasaa ma pụọ ​​n'akụkụ ikpu ahụ.

Enwere ike iji akụrụngwa a rụọ ọrụ 1 ruo 2 ugboro n'ụbọchị, bido na izu iri atọ na anọ nke afọ ime, ebe ọ bụ nchekwa zuru oke na anaghị emetụta nwa ahụ n'ụzọ na-adịghị mma. Ihe kachasị mma bụ na a na-eji ya kwa ụbọchị maka ịgbatị ịgbatị nke eriri mmiri, nke nwere ike ịkwalite ọmụmụ nwa. Enwere ike ịzụta obere ngwa a na ịntanetị mana ụfọdụ doula nwere ike ịgbazite ya.