Mukati
Episiotomy yakarongeka here?
Kwemakore, episiotomy yakanga yakajairika, kunyanya pakusununguka kwekutanga (vanopfuura amai mumwe
Paviri!). Ongororo dzakaratidza kuti paikaitwa zvakarongeka, hapana chayaiunza kuna amai nemwana. Kubva 2005 uye kurudziro yeNational College yeFrench Gynecologists uye Obstetricians, zvikwata zvakavandudza maitiro avo uye chiyero chakawedzera kusvika 20%.
Kupindira uku kwaifanirwa kudzivirira njodzi yekubvarura uye kudzivirira weti incontinence kana prolapse (organ descent). Zvidzidzo zvakawanda zvakazoratidza zvinopesana. Episiotomy inogona kunge ine njodzi kupfuura kubvarura kwaamai, nekuti iyo incision kazhinji yakakura, inoda sutures, inokonzeresa kubuda ropa uye inopora zvishoma nekukurumidza. Muna 2005, Koreji yeFrench Gynecologists yakabudiswa mazano ekuderedza tsika iyi. Chikwata chekurapa chinongofanira kuita episiotomy pavanenge vachiona zvakakodzera. Aya mazano akanzwika kubva maererano nekuongorora kwechangobva kuitwa naCiane, boka revashandisi vevashandisi, chiyero chepisiotomies chakaderera muna 2013. Inomira pa30%.
Episiotomy inorwadza here?
Episiotomy, kuchekwa kwakaitwa mujinga memuviri kuitira kuti mucheche abude, kunotyiwa navanaamai vakawanda.
Kazhinji, kuchekwa hakurwadze. Chokutanga pane zvose nokuti, pasi pe epidural, marwadzo ose anoderera. Mukuwedzera, nokuti murapi anowanzo kupinza panguva yekuputika, izvo zvinotora pfungwa dzako dzose. Iyo suture inorwadza zvakanyanya. Asi kazhinji inyaya yeanesthesia yemunharaunda ine xylocaine, kana kuti locoregional, inoitwa panguva imwe chete neye epidural. Iko mukati memazuva mashoma ekutanga, uye dzimwe nguva mavhiki ekutanga, iyo episiotomy inonyanya kunetsa.
Episiotomy inosungirwa kumwana wekutanga here?
Kwete hazvo. Maererano ne2016 perinatal ongororo, iyo episiotomy rate ndeye 34,9% yekutanga kusununguka, 9,8% kune zvinotevera. Episiotomy inogona kuitwa kana mwana akaremerwa kupfuura avhareji kana kuti musoro wavo wakakurisa, kurova kwemwoyo yavo kuri kunonoka uye kubuda kwavo kunoda kukurumidza kukurumidza. Kupindira uku kunotariswawo kana mwana ari mubhurugwa semuenzaniso kana kuti perineum yaamai isina kusimba.
Kuti uwane muvhidhiyo: Nzira yekudzivirira sei episiotomy?
Muvhidhiyo: Maitiro ekudzivirira episiotomy?
Zvinotora nguva yakareba sei kuti episiotomy apore?
Nekukurumidza - mazuva anenge 8 kusvika ku10 - nokuda kweganda, chikamu chinooneka chepisiotomy. Yakareba mukati umo zvinotora pakati pemwedzi gumi nemiviri negumi nemisere kuti zvinhu zvose zvinyatsopora ... Nokudaro kusagadzikana, kunyange kunzwa kunorwadza uko dzimwe nguva kunopedza mwedzi yakati wandei mushure mekusununguka mwana. Mumazuva mashomanana okutanga, unganetseka kugara pasi uye kufamba. Udza boka rezvechiremba. Achakupa anti-inflammatory treatment kuti usununguke. Isabelle Hallot
Tinogona here kuramba episiotomy?
Hapana chiitiko chekurapa kana kurapwa kunogona kuitwa pasina mvumo yemahara uye neruzivo rwemunhu. Naizvozvo, unogona kuramba kuita episiotomy. Zvakakosha kuti mutaurirane nezvechikadzi kana nyamukuta. Iwe unogona zvakare kutaura kuramba kwako episiotomy muurongwa hwako hwekuzvarwa. Zvisinei, pazuva rekuberekwa, kana boka racho richitonga kuti episiotomy inokosha, haugoni kuipikisa.
Ko epidural inokanganisa episiotomy here?
Vaviri ava havana hukama. Mukadzi ari pachirwere chepidural haafaniri kunge aine episiotomy. Zvakangodaro, ichokwadi kuti epidural, kana ichinge yaveveve nzvimbo yeperineal, inogona kutungamira kune yakarasika kurovera iyo inotambanudza perineum yakawandisa. Saka, episiotomy inogona kudiwa.
Nzira yekudzivirira sei episiotomy?
Kupfavisa perineum uye kuita kuti ive yakati rebei paD-Day, “unogona kuikwiza mavhiki mashoma usati wasununguka nemafuta emuriwo kwemaminitsi angangoita gumi. Uku kukwizwa kwemukati kunoderedza zvishoma njodzi yekuva ne episiotomy *. Nekudaro, izvi zvinoda kuve wakasununguka nemuviri wako, uyo usingapiwe kune vese vanaamai vane pamuviri, "anodaro Muzvinafundo Deruelle. (IH)
ne Mudzidzisi. Philippe Deruelle, obstetrician, munyori weKoreji yeFrench gynecologists uye obstetricians.
* 2016 perinatal ongororo nhamba