Iintlobo zotyando lwe-caesarean section sutures

Iintlobo zotyando lwe-caesarean section sutures

I-Laser caesarean section suturing ibonelela ngeenzuzo ezininzi xa kuthelekiswa ne-suturing yendabuko, njengoko ithathwa njengento elula ukuyenza kwaye ayifuni i-anesthesia. Nangona kunjalo, ukopha okukhulu kunokwenzeka ngexesha nasemva kokubeleka ngenxa yotyando.

Bamele balumke malunga nemiphumo ye-anesthesia. Iimpendulo zinokuthi zenzeke kulo naluphi na uhlobo lwe-anesthesia esetyenzisiweyo.

Kukho iintlobo ezininzi ezahlukeneyo zokuthunga emva kotyando. I-Suturing yenziwa mhlawumbi nge-stapling, i-cosmetic subcutaneous suture, okanye i-tape yenxeba. Uhlobo ngalunye lwentambo lufuna ixesha elithile lokususwa.

I-suturing ye-cosmetic yangaphakathi ifuna umaleko wesikhumba phantsi kwenxeba. Kukho iindidi ezimbini ze-subcutaneous suture; Ziyintambo enganyibilikiyo kwaye ifuna ukurhoxiswa emva kweentsuku ezintlanu ukuya kwezisixhenxe, kunye nentambo enyibilikayo ngokuthe ngcembe kwiiveki ezintlanu.

Enye yezona ntlobo zilungileyo zotyando lwe-suturing yilaser suturing, apho oogqirha basebenzisa i-laser ukunyanga amanxeba otyando. Le nkqubo inceda ekunciphiseni amanxeba kunye nokuphucula ukubonakala kwesilonda.

Inkqubo yokuthunga i-laser idinga ukusetyenziswa kweentambo zesilika. Abantu bamandulo babekholelwa ukuba imisonto yesilika yayiyeyona ilungileyo kwinxeba lokuthunga. Ukongeza, i-laser suturing iphakathi kwezona ntlobo zidumileyo kwaye zisetyenziswa ngokubanzi kwi-caesarean section suturing.

Zingaphi iileya ezithungiweyo ngexesha lotyando?

Inkqubo yecaesarean ithatha ixesha kunye nomgudu ovela koogqirha ukwenza ngempumelelo. Imithombo ibonisa ukuba ngexesha lotyando, iileya ezisixhenxe zolusu kunye nezicubu ezingaphantsi ziyavulwa de kufike izihlunu zesisu kunye nodonga lwesibeleko. Lo msebenzi uthathwa njengenkqubo yokuhlinzwa kwaye wenziwa kwigumbi lokusebenza phantsi kwe-anesthesia jikelele okanye yendawo, kuxhomekeke kwimeko yempilo yowesifazane. Kuyaziwa ukuba inani leeleya ezithungelwayo ngexesha lokubeleka limalunga nesixhenxe, ukusuka eluswini ukuya kuthi ga eluswini.

Oogqirha basebenzisa i-suture yonyango okanye i-cosmetic suture ukuvala amanxeba enziwe emva kokuhlinzwa. Iindidi zokuthambisa zecandelo lokutyalwa kwentsimbi zisebenzisa imisonto enyibilikayo ngokuzenzekelayo ekuhambeni kwexesha. Emva kokuba amanxeba evaliwe, umfazi ugcinwa ethule iiyure ezi-4 ukuya kwezi-6 ngaphandle kokuvunyelwa ukuba athathe ukutya okanye ulwelo.

Inyibilika nini i-suture yangaphakathi xa kusenziwa uqhaqho?

Kuvela ukuba kukho iindidi ezimbini zemisonto esetyenziswe kule nkqubo. Uhlobo lokuqala luyimicu enyibilikayo enyibilika ngokuzenzekelayo ngaphakathi emzimbeni ngaphandle kwesidingo songenelelo lwezonyango. Ngokutsho kwemithombo yezonyango, inyibilika phakathi kwexesha eliphakathi kweveki enye kunye neeveki ezimbini emva kokuhlinzwa, njengoko inyibilika ngokuzenzekelayo kwaye inyamalale ngokupheleleyo ngaphakathi komzimba.

Uhlobo lwesibini luyi-insoluble sutures, efuna ukususwa ngesandla ngugqirha kwisithuba seeveki ezimbini emva kwenkqubo. Ngoko ke, isigulane sifuna idinga kunye nogqirha ukususa ezi sutures.

Ixesha lokuchithwa kwe-suture ye-caesarean section sutures inokwahluka kumntu nomntu, kuxhomekeke ekupholiseni kwenxeba kunye nokuphiliswa kwezinto. Ngokubanzi, ukubaluleka kokuthobela nayiphi na imiyalelo okanye imiyalelo yogqirha onyangayo emva kotyando kugxininiswa. Ukuqeshwa kokulandelela kunokucwangciswa ukuqinisekisa ukuphulukiswa kwenxeba ngokufanelekileyo kunye nokususa i-sutures ukuqinisekisa ukhuseleko lwesigulane.

Abasetyhini akufanele bakhawuleze ukukrazula okanye ukususa i-sutures ngaphandle kokubonisana nodokotela, njengoko oku kunokunyusa umngcipheko wokusuleleka okanye ukulibazisa inkqubo yokuphulukisa isilonda. Kungcono ukulandela izikhokelo zokhathalelo lwasemva kotyando olunikwa liqela lakho lokhathalelo lwempilo, kwaye ukuba akukho zimpawu zosulelo okanye iimpawu ezingaqhelekanga, unokuqiniseka ukuba inxeba liyaphola ngokufanelekileyo kwaye i-sutures isonjululwa ngokufanelekileyo nangokuzenzekelayo. .

Ndazi njani ukuba ndinamathelisiwe emva kotyando?

Ukubambelela kwesibeleko yenye yeengxaki ezinokuthi zenzeke emva kokuhlinzwa. Oku kuncamathela kwenzeka xa iithishu ezibomvu zenza indawo yecaesarean, zibangela ukuba izicubu ezijikeleze isibeleko zihlangane.

Iimpawu ezininzi kunye neempawu zokunamathela zingavela emva kwecandelo lokutya. Ezona zibalaseleyo kule miqondiso kunye neempawu zezi:

• Ukuphazamiseka kumjikelezo wokuya esikhathini, njengokungabikho okanye ukungahambi kakuhle.
• Ukuziva intlungu yesizathu esingaziwayo kwindawo yesisu.
• Ubunzima bokuma ngokuthe tye.
• Ukuqunjelwa.
• Ukuva intlungu ngexesha lokwabelana ngesondo.
• Amava okuphuma kwegazi ngexesha lokuzithuma.

Ukuba ukrokrela ukunamathela emva kwecandelo lokubeleka, kuyacetyiswa ukuba undwendwele ugqirha wakho wokubelekisa-ugqirha-gynecologist ukuze ahlolwe. Ubukho bokubambelela bunokufunyaniswa ngokuhlolisisa isibeleko sonke kunye nokulawula nayiphi na enye ingxaki yokuya esikhathini.

Ngaba kwa eli nxeba liyavulwa kwicandelo lesibini lokutyalwa?

Utyando lwesibini lunokuvula inxeba elifanayo nelokuqhambuka kokuqala, kodwa indawo yenxeba inokwahluka maxa wambi. Abanye oogqirha bezombeleko kunye neengcali ze-gynecologists baye bagcina ukuba inxeba lesibini lihlala libekwe kwindawo enye apho inxeba lokuqala lenziwe khona, ngaphandle kokuba inxeba elidala alikwazi ukumelana nokuvulwa kwakhona.

Uqhaqho lwenziwa ngotyando oluvulwe kwisisu nakwisibeleko ukuze kubelekwe umntwana ongekazalwa. Isiko sokuqala ngokuqhelekileyo siphakathi kwesisu okanye ngaphantsi kancinci, ngelixa indawo yokusikwa kwinqanaba lesibini lotyando inokuba yindawo enye apho uhlaselo lokuqala lwenziwe (ukuba ukusika okudala kuyakuvumela) okanye ukusika okutsha. ibekwe ezantsi ezantsi.

Nangona kunjalo, akunakuphepheka ukuba kuya kubakho utyando lwesibini emva kotyando lokuqala. Abanye abasetyhini banokubeleka ngokwemvelo okwesibini emva kotyando okokuqala. Xa utyando lwenziwa, ugqirha uvula inxeba langaphambili, kwiimeko ezininzi ezithe tye kunye neesentimitha ezine ukuya ezintlanu ubude. Isikhundla sesilonda sitshintshwa rhoqo, njengoko iphakanyiswe kancinci ngaphezu kwesilonda sangaphambili ukuphepha iingxaki ezinokwenzeka.

Ziziphi iimpawu zoqhaqho oluyimpumelelo?

Emva kotyando, kubalulekile ukuba umama azi ukuba utyando lube yimpumelelo na ngokwezonyango. Ezinye iimpawu zibonisa impumelelo yotyando kwaye ziqinisekisa ukuba umama uchacha kakuhle. Nazi ezona mpawu zibalulekileyo ezibonisa uqhaqho oluyimpumelelo:

1. Ukufunxwa kweMucosal: Emva kokubeleka, umzimba womfazi uqalisa ukuphalaza i-mucosa engaphezulu egquma isibeleko ngexesha lokukhulelwa. Le secretion yendalo ithathwa njengophawu oluhle lokuba icandelo lotyando liphumelele.
2. Ukuphiliswa kwindawo yokusikwa: Umama kufuneka abeke iliso kwindawo yenxeba kwaye adibane nogqirha onyanga rhoqo. Ukuba kukho ukuphiliswa kakuhle kwesilonda kwaye akukho zimpawu zokusuleleka ezifana nobomvu kunye nokuvuvukala, oku kuthathwa njengophawu oluhle lokuphumelela komsebenzi.
3. Iintlungu ezinxulumene nenkqubo: Abasetyhini banokuziva iintlungu emva kotyando, kodwa ekuhambeni kwexesha iintlungu kufuneka ziphele kancinci. Ukuba intlungu iyanda okanye ihlala ixesha elide, inokuba yingxaki kwaye umama kufuneka abonane nogqirha.
4. Akukho zingxaki: Ukuphumelela kwecandelo lotyando kufuna ukungabikho kweengxaki ezinkulu. Ukuba umama ufumana ukudumba okukhulu, ukopha okukhulu, iintlungu zesifuba, ukuphefumla nzima, umkhuhlane, intlungu okanye ukudumba kwemilenze, oku kunokubonisa iingxaki kwaye kufuneka aye kugqirha ngokukhawuleza.
5. Ukubuyisela umsebenzi oqhele ukwenziwa: Emva kotyando, umzimba usenokufuna ixesha elithile ukuze uchache, kodwa xa umama ekwazi ukwenza imisebenzi yakhe yemihla ngemihla ngokuqhelekileyo yaye ngaphandle kweengxaki, oku kubonisa ukuba utyando luphumelele.

Ngaba inxeba lotyando lingavulwa ngaphakathi?

Icaesarean section yinkqubo yotyando apho iqhekeza lesisu kunye nesibeleko livulwa ukuze kuhanjiswe umntwana ongekazalwa. Nangona icandelo lotyando lithathwa njengelikhuselekile, ezinye iingxaki zinokwenzeka ezikhokelela ekuvulekeni kwenxeba lotyando ngaphakathi kwezinye iimeko.

Kukho izinto ezininzi ezinokukhokelela kwinxeba elivulekileyo lotyando, ezibandakanya:

1. Ukosuleleka kwenxeba: Usulelo lusenokwenzeka kwinxeba lotyando, eliye lidumbe kukuqokelelana kweebhaktheriya kwindawo leyo, kwaye kunokukhatshwa bububovu obunobofu okanye igazi.
2. Ubushushu obuphezulu kunye nomkhuhlane: Ibhinqa lisenokuziva linyuke ngokukhawuleza iqondo lobushushu lize liphathwe ngumkhuhlane omkhulu emva kotyando.
3. Iintlungu ngexesha lokuchama: Abanye abafazi banokuva intlungu okanye ukutshisa ngexesha lokuchama emva kwecandelo lotyando, kwaye oku kusenokuba ngenxa yokuvulwa kwenxeba lokutyalwa ngaphakathi.

Kubalulekile ukuhlawula ingqalelo ekhethekileyo kwisilonda se-caesarean, ukuphepha naziphi na iingxaki. Kucetyiswa ukuba kufakwe i-topical antibacterial ointment kwindawo yokuvula inxeba ukuze ugweme usulelo. Kwakhona ibhinqa kufuneka likuphephe ukubeka inxeba kulo naluphi na ungcoliso, kwaye uqiniseke ukuba uyicoce kakuhle indawo leyo.

Kwakhona kufanele kuphawulwe ukuba utyando lusenokushiya amanxeba ahlala ixesha elide aze akhumbuze ibhinqa ngamava okubeletha umntwana walo. Kodwa ukungalinyamekeli inxeba emva kokubeleka kunokukhokelela kwiingxaki ezinzulu.

Ezinye izinto zinokunyusa umngcipheko wenxeba le-hernia emva kwecandelo lokutyalwa, kubandakanywa:

• Ukutyeba ngokugqithiseleyo kunye nobunzima, njengoko kwandisa uxinzelelo kudonga lwesisu kunye namathumbu. Umngcipheko mkhulu ukuba inxeba lotyando lingaphezulu okanye ngaphantsi kwesisu kunamacala.
• Ukukhulelwa rhoqo kukhokelela kubuthathaka bodonga lwesisu.
• Ubukho bokopha kwilungu lobufazi emva kotyando.

Kuthatha ixesha elingakanani ukuba inxeba eliqhawukayo liphole?

Inxeba lotyando lidla ngokuthatha malunga neeveki ezine ukuya kwezintandathu ukuze liphole ngokupheleleyo. Noko ke, kufanele kulumke xa kujongwa ezi nkcukacha-manani, njengoko ubude bexesha bunokwahluka ukusuka kwelinye ukuya kwelinye ngokwezinto ezahlukeneyo ezifana nohlobo lomzimba nenyameko elandelwayo.

Ngokuqhelekileyo, iintlungu ziyancipha iintsuku ezimbini okanye ezintathu emva kokuhlinzwa, kodwa uvakalelo kunye neentlungu kwindawo eyenzakeleyo zinokuqhubeka ukuya kwiiveki ezintathu okanye nangaphezulu. Ngokuhamba kwexesha, izibonda ziba nebala elimibalabala kwaye zibe mcaba.

Olunye uphando kunye nophononongo lubonisa ukuba ukuchacha ngokupheleleyo kwinxeba lecandelo lotyando kunokuthatha iiveki ukuya kwiinyanga ezintathu. Iimpawu zokuphucula zivela xa intlungu iyeka kwaye umntu ubuyela kwimisebenzi yakhe yesiqhelo yemihla ngemihla.

Umfazi usenokufuna uncedo lwamalungu entsapho okanye umyeni ukuze anyamekele usana de luchache ngokupheleleyo. Kungcono ukuba umntu adibane nengcali yezempilo ukuze abone ukuba ukuchacha kuhamba kakuhle ngokusekelwe kwimeko yakhe.

Lithini izinga lempumelelo lokuzala umntwana emva kotyando kabini?

Uhlolisiso lwenzululwazi lubonisa ukuba umlinganiselo ophumelelayo wokuzalwa kwemvelo emva kokuba ibhinqa lityalwe ngotyando uphakathi kwama-60 ukusa kuma-80 ekhulwini. Ngokuphathelele ukuzalwa ngokwemvelo emva kwamacandelo amabini okubeletha, akukho bungqina bucacileyo bezinga lokuphumelela. Noko ke, ngokutsho kohlolisiso olwenziwayo, iziphumo zibonisa ukuba amathuba okuzala ngempumelelo emva kotyando aphakathi kwama-60 ukusa kuma-80 ekhulwini.

Abasetyhini basenethuba eliqinileyo lokufumana ukuzalwa kwemvelo yelungu lobufazi. Nangona kunjalo, kukho izinto ekufuneka uziqwalasele ukwandisa amathuba akho okuphumelela. Phakathi kwezi zinto ziquka ubudala, imbali yangaphambili yokuzalwa, kunye nesimo sempilo sikamama ngokubanzi.

Enye yeengxaki eziphambili abasetyhini abazama ukubeleka ngokwemvelo emva kotyando ababini banokujongana nayo kukuba kunokwenzeka ukugqabhuka kwesibeleko. Ngokwezibalo, iziganeko zolu gqabhuko zimalunga neepesenti ze-1.5 kuphela, okuyiyona ndlela yokuphumelela kakhulu.

Yeyiphi engcono, i-suture okanye i-cosmetic tape yotyando?

Ngokutsho kukaGqr. Nagham Al-Qara Ghouli, i-laser suturing yenye yezona ntlobo zibalaseleyo kunye nezona zidumileyo ze-suturing ezisetyenziswa kumacandelo otyando. Uphononongo lubonisa ukuba akukho mahluko ucacileyo phakathi kwe-suturing yendabuko kunye ne-cosmetic tape ekuvaleni amanxeba.

I-cosmetic suturing ngexesha lotyando ithandwa kakhulu phakathi kwabasetyhini, kwaye yahlulwe yaba ziindidi ezimbini: i-suturing isebenzisa i-sutures enyibilikayo kunye ne-autodegradable sutures, kunye ne-suturing usebenzisa i-sutures enganyibilikiyo okanye ethotywayo.

Izifundo ezininzi zenziwe eziye zaqinisekisa ukuba ingozi ye-suturing emva kwecandelo lotyando incinci kwaye ayinabungozi. Ngoko ke, oogqirha kufuneka bathathe unonophelo olufunekayo kunye nokuchaneka ngexesha lenkqubo yokuthunga ukuqinisekisa ukuba isilonda sivalwe ngokufanelekileyo.

Ngakolunye uhlangothi, i-laser caesarean section suturing ibonakala ngokukhululeka kwayo kwaye ayifuni imicu ebolileyo kwaye inyibilike. Ukongeza, imicu yokuncamathela ye-silicone ingasetyenziselwa ukugudisa kunye nokuthambisa izibazi zecandelo le-C.

Xa wenza icandelo lotyando, ugqirha udala iintlobo ezimbini zamanxeba: isilonda sangaphandle kunye nesilonda sangaphakathi. Imisonto emincinci okanye iingcingo zisetyenziselwa ukuthunga inxeba. Ezi sutures zinokufakwa nzulu kwithishu okanye phezulu ukuvala amanxeba.