Iimpawu zokuphilisa i-suture emva kokuzalwa, kwaye ngaba kuqhelekile ukuba igazi liphume kwindawo yokuzalwa ye-suture?

mohamed elsharkawy
2024-02-17T20:14:47+00:00
Iinkcukacha zajikelele
mohamed elsharkawyIsifundi sobungqina: adminNgoSeptemba 28, 2023Uhlaziyo lokugqibela: kwiveki eyi-XNUMX edlulileyo

Iimpawu zokuphilisa umthungo emva kokuzalwa

Eminye imithombo yezonyango ichaze ukuba inkqubo yokuphilisa i-postpartum suture ngokuqhelekileyo iyenzeka kwisithuba seeveki ezimbini ukuya kwezintlanu ukuya kwezintandathu. Oku kubonisa ukuba amanxeba aphola ngokuthe ngcembe kwaye aphucule ngokuhamba kwexesha.

Kwiveki yokuqala emva kokuzalwa, ezinye iimpawu zokuphulukisa i-suture zingavela. Ngokomzekelo, umfazi unokuva imiphetho yesilonda eqina kunye nokubunjwa kwesilonda. La manqaku ayinxalenye eqhelekileyo yenkqubo yokuhlaziya eyenzeka kumanxeba.

Ukongeza, ibhinqa lisenokuziva lingcono ukuba indawo ene-sutured idumbile. Iintlungu ngexesha lokuchama zinokuba zincinci okanye zingabikho ngokupheleleyo. Ezi mpawu zibonisa ukuba umthungo uphila kakuhle kwaye inxeba liya liphucuka ngokuthe ngcembe.

Ngokuqhelekileyo, i-sutures i-absorbeble isetyenziselwa i-postpartum sutures. Le misonto inyibilika yodwa kwiintsuku ezimbalwa kwaye inyamalale emva kweveki okanye ezimbini, kwaye akukho mfuneko yokuba isuswe ngugqirha.

Kwimeko apho umntwana wehla kwi-breech kwaye inkqubo ebizwa ngokuba yi-episiotomy isetyenziswe, akukho mfuneko yokungenelela kubasebenzi bezonyango ukususa izibonda, njengoko ziphuma ngokuzenzekelayo.

Nangona kunjalo, ukuba ibhinqa liyaqaphela ukuba intlungu iye yaba nzima kwaye ibuhlungu, okanye iqala ukutshisa ngokungaqhelekanga kwindawo yangasese xa ibanjwe ngamanzi okanye umchamo, kuyimfuneko ukudibana nodokotela wakhe. Kusenokubakho ingxaki efuna uvavanyo olongezelelweyo lwezonyango kunye nokhathalelo.

Ngokuqhelekileyo, abafazi bayacetyiswa ukuba bafumane ukuphumla okuninzi kwaye banakekele amanxeba abo emva kokubeleka. Ukugcina indawo ecocekileyo kunye nokubeka iliso ekuphuhlisweni kweempawu zokuphulukisa i-suture kunokunceda ukukhuthaza inkqubo yokuphulukisa kunye nokunciphisa naziphi na iingxaki ezinokubakho.

umfanekiso 9 - Echo of the Nation blog

Ndazi njani ukuba inxeba lokuzala lendalo losulelekile?

  1. Iimfihlo ze-purulent zivela kwindawo yenxeba.
  2. Iintlungu ezibuhlungu emazantsi esisu.
  3. Ukuvuvukala kwindawo ye-suture.
  4. Intlungu ebuhlungu kwindawo ye-suture.
  5. Iintlungu kwi-perineum.
  6. Ukutshintsha kombala kwezicubu ngaphakathi nakufutshane nemida yenxeba.
  7. Ukuphuma kobofu okanye ubofu, okanye ukubona ulwelo olungaqhelekanga luphuma enxebeni.
  8. Ubushushu obuphezulu.
  9. Ubomvu kunye nokudumba kwenxeba, ulwelo okanye ubovu kunye nencindi ephuma kuyo, kunye nokudumba kwesikhumba esijikelezileyo.
  10. Intlungu ebuhlungu kwi-perineum.
  11. Ubomvu kunye nokuvuvukala kwesikhumba esijikeleze isilonda, ngaphezu kwevumba elibi eliphuma kulo.

Ukuba ibhinqa liqaphela nayiphi na le mpawu, kufuneka lidibane nogqirha ngokukhawuleza ukuba lihlole imeko kwaye liqwalasele unyango olufanelekileyo. Unyango lunokuquka ukucoca ngokufanelekileyo inxeba kunye nokusebenzisa amayeza okubulala iintsholongwane ukuphelisa usulelo olunokubakho lwebhaktiriya. Ezinye iimeko zisenokufuna ukutshintshwa kwemithungo evuthayo.

Inxeba lokuzalwa liphola njani ngokukhawuleza?

Emva kokuzalwa komntwana wendalo, isantya sokuphulukiswa kwesilonda kwisini sihluka ukusuka komnye umfazi ukuya kwelinye kwaye kuxhomekeke kwizinto ezininzi, kubandakanywa nemeko yempilo yomama, indlela inkqubo yokuzalwa ehamba ngayo, kunye nabanye. Kudla ngokuthatha iiveki ezine ukuya kwezintandathu ukuba siphole isilonda. Ukuba umama uye watyandwa, inxeba liya kufuna ixesha elide ukuze liphole yaye kunokuthabatha iiveki ezine ukuya kwezintandathu.

Kukho ezinye izikhokelo ezinokulandelwa ukukhawulezisa inkqubo yokuphulukisa isilonda sakho sokuzalwa ngokukhawuleza. Phakathi kwezi zikhokelo, kucetyiswa ukuba kusetyenziswe i-sinamoni, eyaziwa ngokuba yimpawu zokuphulukisa isilonda kunye nefuthe le-analgesic. I-Cinnamon yimifuno okanye iziqholo ezifumaneka lula ekhitshini. I-Cinnamon inceda ekunciphiseni iintlungu, ububomvu kunye nokudumba kwilungu lobufazi okubangelwa kukubeleka kwendalo.

Ukongeza, kungcono ukubeka iityhubhu zomkhenkce ezisongelwe kwisiqwenga selaphu enxebeni. Oku kunceda ukukhulula intlungu kunye nokunciphisa ukudumba. Kucetyiswa ukuba utshintshe ilaphu rhoqo ukuze ugweme ukungcoliswa kwesilonda.

Umama uyacetyiswa ukuba aphumle ngokupheleleyo kwaye aphephe umgudu ogqithisileyo. Indawo kufuneka igcinwe icocekile kwaye yomiswe kakuhle, kunye neepads zococeko kufuneka zitshintshwe rhoqo. Iqhwa lingasetyenziselwa ukukhulula ukuvuvukala kunye nokukhawulezisa inkqubo yokuphulukisa isilonda.

Ngaba i-suture yangaphakathi yokubeleka ibangela ivumba?

Xa usulelo lwe-suture lwenzeka emva kokuzalwa, ummandla unokudumba kwaye uvuthe kwaye ubangele ubuhlungu obukhulu. Umntu usenokubona ivumba elibi kwaye obunye ububovu busenokuphuma enxebeni. Kukwakho nezinto ezikhutshwayo ezinokuthi zibe nevumba elibi kwaye zinokurhawuzelelwa ligazi okanye zibonakale ngemibala eyahlukileyo.

Eli vumba elingathandekiyo liphawu lokuvuvukala kwindawo ye-suture emva kokubeletha. Oku kunokubangelwa lusulelo lwangaphambili lomchamo okanye ukudumba kwelungu lobufazi ngenxa yokuhlolwa rhoqo kwangaphakathi. Usulelo olunjalo ludla ngokukhatshwa ziintlungu emazantsi esisu, ubushushu obuphezulu, nokuphuma kokungcola okunuka kakubi.

Kuyafaneleka ukuba uqaphele ukuba ukuxilongwa kusekelwe kwiimpawu eziqhelekileyo zowesifazane kunye neziphumo zokuhlolwa kweklinikhi. Kunconywa ukuba udibane nogqirha oyingcali ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nonyango olufanelekileyo. Ugqirha wakho unokukunika i-antibiotics, njenge-Betadine, ukunciphisa usulelo kunye nokunciphisa ivumba elibi.

Ukuze ugweme ukusuleleka kwi-suture site emva kokuzalwa, kuyacetyiswa ukuba ulandele imiyalelo yonyango malunga nococeko lomntu kunye nokunyamekela ngokufanelekileyo kwenxeba.

umfanekiso 10 - Echo of the Nation blog

Ngaba kuqhelekile ukuba igazi lophe kwindawo yokuzalwa?

Emva kokuzalwa komntwana, igazi elincinci lingaphuma kwindawo ye-suture, eqhelekileyo kwiintsuku zokuqala emva kokuzalwa. Oku kwenzeka ngenxa yokukrazuka kwilungu lobufazi kunye ne-sutures eyenziwe ukuyilungisa. Ngamanye amaxesha, ukopha kunokuhlala iintsuku ezimbalwa kwaye kube kuncinci kwaye kunciphe ngamandla ekuhambeni kwexesha.

Ukuba ukuphuma kwegazi kuqhubeka ixesha elide okanye ubuninzi balo buyanda, kucetyiswa ukuba uye kugqirha ukuze uqinisekise ukubekwa kwe-suture kunye nokuqinisekisa ukuba akukho ngxaki yezempilo ehambelana nayo. Ukuphuma kwegazi ngokugqithiseleyo kunokubonisa ukuvuvukala okanye ukusuleleka kwindawo edibeneyo, apho kufuneka iphathwe ngugqirha.

Kuyafaneleka ukuba uqaphele ukuba emva kwecandelo le-cesarean, igazi elithile lingaphinda livuze kwindawo yesilonda, kodwa kufuneka libe lincinci kwaye linciphise ixesha. Ukuba ukuphuma kwegazi kuyaqhubeka okanye kwanda, kufuneka udibane nogqirha ukuvavanya imeko.

Ngaba ukuhlala kuchaphazela ixesha lokuhambisa?

Ukuhlala kakhulu emva kokubeleka kunokuchaphazela ukuthungwa kwendawo engezantsi yesibeleko, kwaye kunokubangela intlungu kunye nobunzima bokuphilisa, kwaye kubangele ingxaki ngokukwazi kwenxeba ukupholisa ngokufanelekileyo.

UGqr. Al-Samhouri wachaza ukuba kubhetele ukuba umfazi ngexesha lokubeleka alale ngomqolo ngamaxesha athile, kwaye alumke angahlali kwindawo ethe tye ixesha elide, njengoko le meko inokubangela intlungu indawo ye-suture kunye nokulibazisa ukuphiliswa kwayo ngokufanelekileyo.

Ukongezelela, oogqirha bacebisa ukuhlehlisa ubomi bomtshato ubuncinane kwiiveki ezi-6 ukuya kwezi-8 emva kokubeleka, ukuvumela ixesha elaneleyo lokuba i-suture ye-vaginal iphole.

Ngokuphathelele ukusetyenziswa kwesithambiso setyuwa ekrakra ebudeni bexesha lokubeleka, uGqr. Nangona kunjalo, kuya kufuneka udibane nogqirha wakho ukuze ufumane iingcebiso ezichanekileyo ngaphambi kokuba usebenzise naziphi na iimveliso okanye ukuhlamba ngeli xesha libuthathaka.

Ekugqibeleni, abafazi kufuneka baqaphele ngelixa behleli ngexesha lokuhamba, kwaye bakhetha ukuhlala kwii-cushions ezithambileyo ukunciphisa uxinzelelo kwindawo ye-suture kunye nokuququzelela inkqubo yokuphulukisa.

umfanekiso 11 - Echo of the Nation blog

Ilungu lobufazi libuyela nini kwisiqhelo emva kokubeleka?

Ukuvuleka kwelungu lobufazi emva kokubeleka kufuna ithuba lexesha elisusela kwiiveki ezili-12 ukuya kunyaka ukuze kubuyelwe kwimeko yalo yesiqhelo phambi kokubeleka. Nangona kunjalo, ayizizo zonke iimeko ezibuyela kubukhulu obuqhelekileyo ngokukhawuleza. Ilungu lobufazi liqala ukubuyela kubukhulu balo obuqhelekileyo emva kokubeleka ngaphandle kwesidingo se-suturing, kwaye kungathatha malunga neenyanga ezi-6 ukubuya ngokupheleleyo. Nangona kunjalo, isenokungaphindi ibuyele kwisimo sayo esiqhelekileyo ukuba ibhinqa libe nokuzala izihlandlo ezininzi.

Olu tshintsho luthi shwaka ngokuthe ngcembe emva kwethuba elithile emva kokuzalwa. Ngokuqhelekileyo, kuthatha phakathi kweeveki ezi-6 ukuya kwezili-12 ukuze ukuvulwa kwelungu lobufazi kubuyele emva kokubeleka, kwaye ukuchacha kungathatha unyaka wonke. Ukuvulwa kwelungu lobufazi okanye inxeba lecandelo lotyando libandakanya kuphela iinyembezi ezincinci eluswini olujikeleze uvula lobufazi, kwaye inkqubo yokuzalwa ayichaphazeli umjikelezo wokuya esikhathini.

I-NHS iqinisekisile ukuba ukuhlanjululwa kwe-vaginal kunye nokuphumla ziinguqu eziqhelekileyo emva kokubeleka. Ilungu lobufazi lidla ngokubuyela kwisimo salo esiqhelekileyo nobunzulu emva kwexesha elifutshane. Isibeleko siphinda sishwabane emva kokuzalwa kwaye sibuyele kubukhulu baso obuqhelekileyo. Owasetyhini usenokuziva iintlungu kwindawo engqonge intunja yelungu lobufazi emva kokuba ebelekile, yaye umzimba wakhe ufuna ixesha elingokwemvelo ukuze uchache.

Ukubuyisela ukuvuleka kwe-vaginal kubukhulu bayo obuqhelekileyo, iinkqubo eziyimfuneko zexesha lokubuyisela kufuneka zithotyelwe kwaye zihlolwe ngokucophelela. Ixesha lokubuyisela lixhomekeke kwizinto ezininzi ezahlukeneyo ezifana nenani lokuzala kwangaphambili kunye nemeko yemisipha ye-pelvic. Ngokubanzi, umzimba ubuyisela ukuvuleka kwelungu lobufazi kubungakanani bayo obuqhelekileyo malunga neenyanga ezi-6 emva kokubeleka emva kokuba izihlunu ze-pelvic ziphinde zibe nobukhulu obuqhelekileyo. Nangona kunjalo, ukuba ukuzalwa kwakuhamba kunye nokwenzakala kwilungu lobufazi, ukukhulelwa kwamawele, okanye ubudala obudala, ukuchacha kwelungu lobufazi kunokuthatha ixesha elide.

Isibeleko sibuyela nini kubungakanani baso besiqhelo emva kokuzalwa ngokwemvelo?

Isibeleko sidinga ixesha elingangeeveki ezi-6 ukuze siphinde sifumane ubukhulu baso obuqhelekileyo emva kokuzalwa. Kwiiveki ezimbini kuphela emva kokubeleka, isibeleko sibuyela phantse kubukhulu baso obuqhelekileyo. Idla ngokuthatha malunga neeveki ezi-4 ngaphezulu ukuze iphinde ibuyise ubungakanani bayo obuqhelekileyo.

Nangona kunjalo, kubalulekile ukuqaphela ukuba eli xesha linokwahluka kumntu nomntu kwaye kuxhomekeke kwizinto ezininzi. Umzekelo, ilungu lobufazi lithatha malunga neenyanga ezi-6 ukubuyela kubukhulu bayo obuqhelekileyo emva kokubeleka. Emva kokuba i-placenta ihanjiswe, isibeleko siqala ukugoba kwaye sinciphise ubukhulu be-grapefruit. Isibeleko ke siyaqhubeka singena kwiiveki ezizayo de sibuyele kwindawo yaso yesiqhelo yangaphambi kokukhulelwa.

Iimpawu ezibonisa ukuba i-uterus ibuyele kubukhulu bayo obuqhelekileyo ngokuqhelekileyo ibandakanya utshintsho kubukhulu besisu kunye nombala wokukhutshwa kwesisu. Isisu sinokuba sincinci, kwaye iimfihlo zitshintsha ukusuka kubomvu oqaqambileyo ukuya kumthubi emva koko mhlophe. Isibeleko sibuyela kubukhulu baso obuqhelekileyo kunye nemeko ngaphambi kokuzalwa kwinkqubo ebizwa ngokuba yi-uterine contraction, apho ubunzima kunye nomthamo wesibeleko kuncipha ngamaxesha angama-16 ngenxa yokuhlaziywa kwezicubu.

Iicramps zingenzeka ngeli xesha, njengoko isibeleko siyancipha ukuya kubukhulu baso obuqhelekileyo phakathi kweeveki ezimbini. Nangona usenza umthambo, kusenokuthabatha iinyanga eziliqela ukuba isisu sibuyele kubukhulu baso besiqhelo. Kusenokuthatha ixesha elide ukubuyisela ubunzima bomzimba obuqhelekileyo.

Ndilicoca njani inxeba lokuzalwa?

  1. Sebenzisa iibhafu zamanzi ashushu: Kukhethwa ukuhlala kwindawo yokuhlambela enamanzi afudumeleyo anetyuwa okanye isisombululo esibulala amagciwane esongezwa kuso kanye okanye kabini ngemini ukunceda ukugcina inxeba lokuzala licocekile. Emva koko, kucetyiswa ukuba usomise ngobumnene isilonda.
  2. Ukusetyenziswa koxinzelelo lwamanzi abandayo: Uxinzelelo lwamanzi abandayo lunokusetyenziswa kwindawo yenxeba ukukhulula intlungu kunye nokuvuvukala.
  3. Ukucoca i-vagini usebenzisa amanzi afudumeleyo: Kukhethwa ukusebenzisa amanzi afudumeleyo kuphela ukucoca indawo ukuze ugweme ukucaphuka okanye ukusongela inkqubo yokuphilisa.
  4. Kuphephe ukusebenzisa izindlu zangasese zikawonke-wonke: Ukugcina inxeba lakho lokubeleka kwilungu lobufazi licocekile, kufuneka ukuphephe ukusebenzisa izindlu zangasese zikawonke-wonke ezinokuthi zingacocekanga kwaye zibe nobungozi bentsholongwane.
  5. Ukusebenzisa i-ice ukukhawulezisa inkqubo yokuphulukisa isilonda: Ukubeka iipakethi ze-ice ezifana ne-sanitary towel kwi-stitches kwisilonda kunokuncedisa ukunciphisa ukuvuvukala nokukhawulezisa inkqubo yokuphulukisa isilonda.
  6. Gcina inxeba licocekile kwaye lomile: Kuyacetyiswa ukuba ungasebenzisi iibhafu zamanzi okanye iimveliso zokukhathalela amanxeba njengeVaseline kunye neloshini yokuthambisa. Unokufaka ii-compresses ezibandayo okanye usebenzise iphedi yokupholisa kunye nesicatshulwa se-witch hazel phakathi kwe-sanitary pad kunye nommandla ophakathi kwevula lobufazi kunye ne-anus.
  7. Qinisekisa ukucoceka emva kokuchama kunye nokuhlamba: Indawo kufuneka icocwe ngobunono ngokusebenzisa amanzi kuphela ukusuka ngaphambili ukuya ngasemva. Kufuneka kwakhona uqinisekise ukuba uyomisa indawo kakuhle ukunciphisa intlungu kunye nokuququzelela inkqubo yokuphilisa, kwaye kuyacetyiswa ukuba utshintshe iipads zococeko rhoqo.
  8. Gwema ukuhlala ixesha elide: Ngexesha lokubuyisela, kucetyiswa ukuba ugweme ukuhlala ixesha elide ukukhulula uxinzelelo kwindawo echaphazelekayo.

Yintoni ebangela ukudumba komthungo wokuzalwa?

Ukuzala sesinye seziganeko ezinempembelelo kumzimba womfazi. Ukuzalwa kwendalo okanye utyando lunokuhamba kunye nokudumba kwindawo yokuthunga emva kotyando. Kule ngxelo, siya kucacisa izizathu zokudumba kwindawo ye-suture yokuzalwa kunye nemithungo yamanxeba, kwaye naxa kufuneka udibane nogqirha.

Kwimeko yokuzalwa kwendalo, indawo ye-suture inokubonakaliswa kwixinzelelo ngexesha lokuzalwa, kwaye oku kukhokelela ekudumbeni kwayo. Unokuqaphela kwakhona intlungu xa ubamba indawo edibeneyo okanye iindawo ezikufutshane. Ukuqunjelwa kunokunxulunyaniswa nokunyuka kwegazi kule ndawo.

Kwabasetyhini abajongene necandelo le-cesarean, ukuvuvukala kunye nobomvu bendawo ye-suture yinto eqhelekileyo kwaye ayifuni ukuxhalabisa ngexesha leentsuku zokuqala emva kwenkqubo. Ngexesha lotyando, indawo ye-suture ibonakaliswe kuxinzelelo, kwaye emva koko kwenziwa i-suturing. Le nkqubo inokukhatshwa kukungakhululeki kunye neentlungu kangangexesha elithile.

Xa kukho naziphi na ezi mpawu zilandelayo ezinxulumene nokuthungwa kunye namanxeba, kufuneka ubone ugqirha:

  • Ubomvu kunye nokuvuvukala kwindawo ye-suture.
  • Ubukho bolwelo kwindawo yenxeba.
  • ivumba elibi.
  • Intlungu ephakathi ukuya kwiintlungu ezinzima.

Kufuneka kuqatshelwe ukuba ezi zimpawu zingabonisa ukuvuvukala kwezitho zangasese kwaye zifuna unyango. Kuhlala kucetyiswa ukuba uqhagamshelane nogqirha ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nonyango olufanelekileyo.

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