I-perineum yindawo ephakathi kwe-pubis symphysis ne-coccyx. Kubesifazane, lena yinyama encane phakathi kwe-vagina kanye ne-anus. Unomngcele omncane wezicubu ezincibilikisiwe ze-fibromuscular kanye nesikhumba ngezinwele ezingaphansi kunezinye izitho zangasese.
Kuyo yonke iningi lempilo yakho, cishe ngeke unikeze i-perineum yakho umcabango wesibili. Kodwa-ke, ngesikhathi ukhulelwe, i-perineum yakho izothatha ukubaluleka okukhulu njengoba ulungiselela ukubeletha.
Ukuvimbela Izinyembezi Ze-Perineal
Ngesikhathi sokubeletha, i-perineum ilula kakhulu ngokuvumela umama ukuba aqhube umntwana. Ngesinye isikhathi lokhu kubangela izinyembezi eziphazamisayo, okungaba nzima ukugcizelela futhi uphulukise.
Usengozini enkulu yokudwengula ngesikhathi uzalwa ngokubeletha kokuqala uma uthola umntwana omkhulu, uma uthola isisindo esikhulu ngesikhathi ukhulelwe, noma usencane noma ngaphezulu.
Ngesikhathi sokukhulelwa, ungasebenzisa ukwelula i-perineum nokuvimbela ukudiliza ngezikhathi zokuzibulala ngokuvamile. Futhi eyaziwa ngokuthi i-canal yokuzalwa, ukuhanjiswa kwe-perineum kungenziwa ekhaya phakathi kwamasonto wokugcina okuholela ekutheni usuku lwakho lufanele.
Umgomo uwukufunda ukuphumula imisipha yakho ye-pelvic bese welula ukuvula kwesisu. Isibelethi sakho noma umbelethisi angakubonisa ukuthi unganikeza ukusikwa kwe-perineal.
Kuyini i-episiotomy?
Ukuze uvimbele ukuklebhula, udokotela wakho angenza i-episiotomy. I-episiotomy i-incine ku-perineum ukwenza ukuvuleka kube mkhulu ekubelethweni.
Uma ikhanda lomntwana libonwayo, udokotela noma umbelethisi uzokhulula ikhanda nesiqu.
Uma kuvulwa akukwanele, umhlinzeki wezempilo uyokwenza i-episiotomy. Uma ungakaze ube ne-epidural noma enye i-anesthetics, udokotela uzoqala ukuphazamisa indawo.
Khona-ke ngesikhathi sokuqhuma kwesibambiso, isazi sezinambuzane sizosebenzisa isikebhe sokuhlinza noma isikhumba se-scalpel ukuze senze ukuqhuma okusheshayo ku-perineum.
Lapho i-placenta ihanjiswa, udokotela uzohlola noma yikuphi ukudwengula okungeziwe ngaphambi kokugxuma endaweni leyo nge-sutures engaxubeki.
Ukuphulukiswa Ngemva kokubeletha
Ukulandela ukubeletha, kuvamile ukuzwa ubuhlungu ku-perineum, kungakhathaliseki ukuthi ukhona i-episiotomy noma cha. Iphakethe leqhwa lingasiza ukunciphisa ubuhlungu nokuvuvukala.
Udokotela wakho angase futhi ancoma ama-sitz okugeza ukuze unciphise ukuphulukisa nokuphulukisa ngesivinini, kanye nama-creams ahlotshisiwe noma ama-numbing spray.
Ukunciphisa ubuhlungu obukhulu kunakho konke kungasiza, kodwa qiniseka ukuthi uhlole nodokotela wakho mayelana nokuthi uyayincoma yini.
Uma uke waba ne-episiotomy, zama ukugcina ukuhlambulula kuhlanzekile futhi kuyomile, njengoba kunconywe udokotela wakho. Lokhu kubaluleke kakhulu emva kokuchama nokuhamba kwesisu.
Udokotela wakho angase futhi anciphise umsebenzi wakho ngokulandela i-episiotomy. Qiniseka ukulandela imiyalelo kadokotela wakho ngokuqondile. Akufanele futhi ubeke izandla, sebenzisa amathoni noma ulale ucansi kuze kube yilapho isazi sakho sezimbangi sichaza.
Qinisekisa ukuthi ugcine ukuhlolwa kwakho kwe-postpartum ukuqinisekisa ukuthi i-perineum iyaphulukisa kahle.
Umthombo:
I-episiotomy. I-Johns Hopkins Medicine Health Library iwebhusayithi.