Umswakama uhlakazekile emva kokubeletha: yini okufanele ukwenze, yini okufanele uyenze? Bangaki ama-sutures baphulukisa ngemva kokuzalwa?

Ukukhulelwa nokuzalwa kwengane kuhlolwa okuyinkimbinkimbi komzimba wesifazane. Ngokuvamile enkambeni yokubeletha owesifazane obelethwe uyalimala. Abanye babo baphulukisa masinyane futhi bangashiyi lutho, kanti abanye balethe ukukhathazeka okuningi kowesifazane. Omunye wemiphumela enjalo ukuhlukumeza kanye nokucubungula, kanye nokusetshenziswa okulandelayo kwezigaba zezokwelapha. Inxeba kumele ihlolwe njalo futhi ilandelwe. Ngaphandle kwalokho, izinkinga zingase zenzeke. Indlela yokunakekela izihlalo kanye nokuthi benzeni uma behlukana?

Izinhlobo zezinyawo

Zonke izingxenye zihlukaniswe zibe:

1. Ngaphakathi.
2. Ngaphandle.

Ama-sutures asetshenziselwa izicubu zangaphakathi

Ziyizimboni, ezibekiwe emkhakheni wesibeletho kanye nasezindongeni zesifazane. Inqubo yokusebenzisa lolu hlobo lwe-suture esibelethweni akulona isisetshenziswa samanzi. Kule ndawo azikho ama-terminals terminals, ngakho-ke i-anesthesia ayisetshenzisiwe. Uma ubulili buqothuliwe, kusetshenziselwa ukujola umzimba. Ngemuva kokuhlinzwa okunjalo abahlinzayo bakhetha ukuphoqa sutures self-absorbing emva kokubeletha.

Ukumiswa okusetshenziselwa izitho zangaphakathi akudingi ukwelashwa okukhethekile. Owesifazane kufanele aphendule ngokucophelela ekugcineni kwemikhuba yokunakekela impilo yakhe.

Ukuqinisekisa ukuthi isilonda ayibangeli izinkinga ngemuva kokusebenza, udinga ukunakekelwa kahle. Ukwenza lokhu:

• Sebenzisa i- gaskets nsuku zonke. Ngesikhathi sokuqala i-seam izokhonjiswa, futhi ingabhubhisi izingubo zangaphansi, kungcono ukusebenzisa ukuvikeleka okwengeziwe.
• Ngesikhathi sokuphulukisa, zithande izingubo zangaphansi ezenziwe ngezinto zemvelo. Akufanele kubangele ukunganaki, ukugubha noma ukuvimbela ukunyakaza kwakho. Okukhethwa kukho konke ukusebenzisa ama-panties alahlayo.
• Ungakhohlwa mayelana nokuhlanzeka. Ngemuva kokusebenza, kubalulekile ukwenza ukugeza njalo (ngemuva kwendlu yangasese ngayinye). Ukwenza inqubo, khetha ithuluzi elimnene. Kungcono ukunikeza intando yesana. Ungenza ukuhlanza ngezikhathi ezithile nge-infallion ye-herbal (isibonelo, i-chamomile).

Ukuze i-seam yangaphakathi ingamniki wesifazane ukukhathazeka, kunconywa ukuthi:

• Ukuziqeda ubulili okungenani izinyanga ezimbili.
• Yekela ekuzikhandla okukhulu ngokomzimba. Ezemidlalo kuzodingeka zihlehliswe okungenani izinyanga ezimbili. Ukunciphisa amandla kule nkathi akufanele futhi kugqoke.
• Qaphela ngokucophelela endlini yangasese yansuku zonke. Owesifazane akufanele abone ukumbotshwa, ukubambezeleka noma izitembu ezinzima kakhulu. Ukuze kulungiswe inqubo yokuhlukunyezwa ngemuva kokubeletha, kutuswa ukuba uphuze i-spoonful eyodwa yamafutha ngaphambi kokudla.

Izizathu zokusetshenziswa kwezikhala zangaphakathi, njengombuso, zifanayo:

• Ukuziphatha okungalungile komama ekubelethweni (okuyisisekelo futhi okuvamile). Uma lesi sikhumba singakalungi ngenqubo yokuzalwa, futhi umsebenzi wokuzalwa usuqalile kakade, khona-ke owesifazane kufanele aqhubekele. Ngaleso sikhathi, ikhefu livela.
• Umsebenzi wangaphambilini esibelethweni.
• Ukuzalwa kwesikhathi esilandelayo.
• Ukunciphisa ukuqina kwe-cervix.

Ukuhlangana kwangaphandle

Lolu hlobo lwamalungu lubekwe phezulu emva kokulethwa kwesigaba sokudla futhi uma kunesidingo ukuhlushwa kwe-perineal. Kuye ngohlobo nohlobo lwe-cut, kusetshenziswe izintambo ezahlukene. Inketho ejwayelekile kunazo zonke yi- sutures yokuzithandela ngemva kokubeletha.

Izizathu zokususa:

• Ukwehliswa okuphansi kwezicubu zesisu.
• Amakhanda.
• Ukuvimbela imizamo ebufakazini bukadokotela. Isibonelo, emva kokubeletha ngokwenza isigaba se-cearean ekuzalweni kokuqala noma eseduze, owesifazane akufanele aqhube.
• Isikhundla esingalungile, isisindo esikhulu noma usayizi wengane. Ukuze kuncishiswe ingozi yokuphuka, odokotela bakhetha ukwenza ukuchotshozwa okuncane. Baphulukisa ngokushesha futhi kangcono.
• Ukulethwa kwezinga eliphezulu. Esimweni esinjalo, kuncishiswa ukunciphisa ingozi yokulimala ingane.
• Amathuba okuphuka kwesisu. Ngokungenelela kokuhlinzwa, inqubo yokuphulukisa iyashesha futhi kulula.

Izikhala zangaphandle zidinga ukunakekelwa nokunakekelwa njalo. Uma kungenjalo, kungase kube nezinkinga. Isibonelo, ukuvuvukala, i-suppuration suture. Ngokuvamile ngemva kwezinkinga ezinjalo abesifazane abaphendukela odokotela mayelana nokuthi umswakama uhlukanisile ngemuva kokubeletha.

Ekhaya lokubeletha, lona wesifazane ulandelwa abahlengikazi nodokotela owenze lo msebenzi. Iziqu zicutshungulwa kabili ngosuku. Uma ngesikhathi sokuhlinzwa udokotela wasebenzisa izintambo ezilula noma okuyisisekelo, khona-ke ngaphambi kokukhipha ngokuvamile kukhishwa.

Ukuziphatha okulungile ngemva kokusebenza kwamalungu angaphandle

1. Isikhathi sokuqala umcibisholo uzothatha. Ngesikhathi esifanayo, akuvunyelwe ukuyikhiphela.
2. Uma ukhetha izingubo zangaphansi, zithanda izinto zemvelo, kuyilapho isitayela kufanele sibe njalo kangangokuthi akuthinti ukunyakaza, kungabi ncishise kakhulu. Kuyinto elula kakhulu ukusebenzisa ama-panties alahlwayo (okungenani ezinsukwini zokuqala).
3. Ngemuva kwezinsuku ezine kuya kwezinhlanu emva kokuzalwa, lona wesifazane ubona, ngakho-ke udinga ukusebenzisa imikhiqizo yokunakekela yomuntu siqu (amaphuzu). Shintsha njalo amahora angu-1.5-2.
4. Isikhathi esithile emva kokusebenza (izinsuku ezimbili kuya kwezintathu), amanzi awavunyelwe ukungena kwilonda. Ngakho-ke, ukugeza kungathathwa ngokushesha. Ngesikhathi sokugeza, zama ukumanzisa isilonda. Kungcono ukuthenga i-patch ekhethiwe yokungena kwamanzi ukuze usebenze. Ungayithenga kunoma iyiphi ikhemisi.
5. Kufanele ushiye umsebenzi owenziwe okwedlulele. Ubukhulu abukwazi ukuphakanyiswa ezinyangeni ezingu-1 ukuya kwezi-3.
6. Ukuphila ngokocansi okokuqala kuzovinjelwa. Kuthatha okungenani izinyanga ezimbili ukuyeka.
7. Khokha ngokukhethekile ukuhlanzeka. Yenza njalo phansi, usebenzisa ukuhlanzeka okuncane. Ngemuva kwenqubo, qiniseka ukuthi usula isilonda somile. Kuhle emva kokugeza okwesikhashana ukuhamba ngaphandle kokuhlanza. Amanzi okugezela emoyeni abangela ukuphulukiswa kokuqala kwamanxeba.
8. Uma usebenzisa i-sutures esifundeni se-perineal, akufanele uhlale okungenani ngesonto nengxenye.
9. Ngemuva kokukhishwa kwezinsuku ezimbalwa, kuzodingeka ukhethe izigxobo nge-antiseptic (isibonelo, "Chlorhexidine" noma "i-Miramistin").
10. Ukuze unciphise ingozi yokuphuka, ezinsukwini ezimbalwa zokuqala udinga ukulandela ukudla nokulandela isihlalo. Ukuthinta ngalesi sikhathi akukhuthazwa. Ukudla kufanele kube lula noma okuketshezi. Ukuqeda ukupheka nokumnandi. Yidla imikhiqizo yobisi obuningi. Bayosiza ekuthuthukiseni isimo samagciwane emathumbu.

Izincomo ezingeziwe ngemuva kokulethwa ngokwenza lokhu:

• Ukuze ungaphuli umsizi emva kwesigaba se-cearean, zama ukondla umntwana endaweni ehlezi noma ehleliwe.
• Ukuze uthole ukuphulukiswa okulimazayo okungcono, ungagqoka i-bandage. Esikhundleni sedivaysi yezokwelapha, ungasebenzisa i-flannel diaper. Mbophe eduze nesisu. Lokhu kuzosiza ukwakha ifreyimu endaweni ebuthakathaka.

Ukuze uqinisekise ukuthi izigxiko ziphulukisa kahle, masinyane, ungabangeli izinkinga nezinkinga, ungakhohlwa ukuvakashela umgogodla ngemuva kokubuyela ekhaya. Kunconywa ukubona udokotela ngesonto noma amabili emva kokukhishwa esibhedlela ukuze ahlole isilonda kanye nezinga lokuphulukiswa kwalo.

Isikhathi sokuvala

Ngokuvamile abesifazane bayazibuza: Kuze kube nini i-suture igula? Isivinini sokuphulukisa sithinteka yizici eziningi: ikhono lohlinza, izinto ezisetshenziswayo, izinkomba zezokwelapha, izinqubo zokusika kanye nezinye izici.

Ukumiswa kungahle kubekwe:

• Izintambo ezizimelayo.
• Izintambo ezivamile.
• Sebenzisa okuyisisekelo esikhethekile.

Izinto ezisetshenzisiwe zibaluleke kakhulu ukuthi zingaki ukuphulukisa i-sutures ngemuva kokuzalwa. Uma usebenzisa uhlobo lokuqala lwempahla, ukuphulukiswa kwesilonda kuthatha amasonto amabili. Uma usebenzisa ukugxila usebenzisa okuyisisekelo noma izintambo ezijwayelekile, isikhathi sokuphulukisa sizoba ngamasonto amabili-ngenyanga. Ama-Sutures asusiwe ezinsukwini ezimbalwa ngaphambi kokukhishwa.

Izimpawu ezibuhlungu nezingajabulisayo

Uma i- suture ibuhlungu ngemuva kwesigaba sokugcina, akufanele uqale ukukhathazeka. Ukuzwela okungajabulisi endaweni ye-suturing kuyomkhathaza owesifazane cishe ingxenye eyodwa nengxenye kuya kwezinyanga ezimbili. Ubuhlungu endaweni esetshenziswayo kungakapheli isonto noma amabili. Uma i- suture ngemuva kwesigaba se-caesarean isikhathaza isikhathi eside, kungcono ukubona udokotela.

Ukuze uthole ulwazi olunembile, kufanele ukhulume nodokotela ohlinzayo. Uzokwazi ukukutshela ukuthi mangaki ama-sutures aphulukisa ngemuva kokuzalwa esimweni sakho.

Uma ezinsukwini zokuqala isilonda sikhathazekile kakhulu, ungasheshi ukuthatha imithi yobuhlungu. Akuyona yonke imithi ehlangene nokuncelisa. Xhumana nodokotela ngaphambi kwesikhathi.

Indlela yokunakekela umshini ekhaya

Ngokuvamile ngemva kokubeletha, abesifazane baphendukela esibhedlela ngenkinga yokuthi ngemuva kokuzalwa i-suture ayiphilisi. Ngaphambi kokubeletha owesifazane ekubelethweni, uchazwa indlela yokuphatha amanxeba ngokwakhe. Njengomthetho, izixazululo ze-antiseptic zisetshenziselwa inqubo enjalo, njenge: "Chlorhexidine", "i-Miramistin", i-hydrogen peroxide. Kungenzeka ukuthi usebenzise amafutha ashicilelwe odokotela: "Solcoseryl", "Levomikol" nabanye. Ngokunakekelwa okufanele, ingozi yemiphumela emibi ingaphansi.

Izinkinga ezingenzeka

Uma izincomo kanye nemiyalelo kadokotela kungabonwa, isimo sengqondo sokunganaki ekubhekaneni nokungahlwithwanga nokucutshungulwa komswakama, ingozi yokuzibandakanya inhle kakhulu. Ukususwa okukhona okungenzeka, ukuvuvukala, ukungafani kwe-seam, kwenzeka ukuthi i-suture ihlangana ngemva kokubeletha.

1. Ukususwa. Izimpawu zenqubo yokuvuvukala kungaba: ukuvuvukala kwesilonda, ukubomvu, izinga lokushisa lomzimba ophezulu, ukuvinjelwa kwepus endaweni eqhutshwayo, ubuthakathaka nokunganaki. Imiphumela enjalo ingenzeka ngokunakekelwa ngokwanele kwemigqa noma ukungabikho kwemigomo yokuhlanzeka komuntu siqu. Ukwelapha odokotela ezimweni ezinjalo kufakazela ukunakekelwa kwekhaya usebenzisa ama-tampons ngamafutha okuphulukisa.
2. Ubuhlungu endaweni yesigxobo. Isikhathi sokuqala emva kokuhlinzwa, ukuzwa okungavamile kuyimvelo. Ukuqala ukukhathazeka ukuthi uma beqhubeka bekhathazeka isikhathi eside noma ngezikhathi ezithile bakha. Izimpawu ezifanayo zingabonisa ukuqala kokuvuvukala noma ukutheleleka kwesilonda.
3. Umswakama wahlukana ngemuva kokubeletha. Izimo ezinjalo azikwenzeka njalo, kodwa zidinga ukunakekelwa okukhulu.

Umswakama wahlukana ngemuva kokubeletha. Yini okufanele ngiyenze?

Ukuxoshwa kwe-sutures kuyinto engavamile, futhi njengomthetho, kungukungabikho kwemigomo yokuqapha. Ngaphambi kokukhipha esibhedlela, owesifazane uchazwa ukuthi ukugcoba kungakapheli isikhathi eside, yiziphi imithetho okumele zigcinwe nokuthi kufanele zinakekele kanjani indawo eqhutshwayo.

Izizathu zokuhlukana kwezigxobo:

1. Ukuphila ngokocansi okuqala (kunconywa ukuba uhlale ezinyangeni ezincane).
2. Ukucindezeleka ngokomzimba ngokweqile (isibonelo, ukuphakamisa izisindo).
3. Ukungahambisani nezincomo ngesikhathi sokufika lapho ungakwazi ukuhlala khona.
4. Ukufakwa kokutheleleka endaweni eqhutshwayo.

Izimpawu zokuthi umcengezi uye wahlukana ngemva kokubeletha kungaba: ukuvuvukala, ukuvuvukala, ukuphawula, ubuhlungu, ukushisa komzimba okuphezulu.

Umswakama ungahlakazeka:

• Ngokwengxenye;
• Ngokuphelele.

Kuye lokhu, izenzo zesidokotela ozoya zizohluka.

Ukuhlukanisa okuhlangene okuhlangene

Ngemuva kokuhlinzwa, ukuhlukana okuncane kwe-seam kungenzeka. Kungaba iziqu ezimbili noma ezintathu. Lesi simo asidingi ukungenelela okuphuthumayo okuphuthumayo. Ngokuvamile, umsila ushiywe ngendlela efanayo, uma kungekho usongo lokutheleleka noma ukungafani okuphelele.

Gcwalisa ukuhlukana kwesigxobo sezokwelapha

Ngokwehlukana okuphelele kwe- suture postoperative , kudingeke ukuxubusha okusha. Izigcawu ziphakanyisiwe. Lokhu kwenziwa ukuze kuvinjelwe ukutheleleka okungenzeka futhi ukuthuthukiswa kwenqubo yokuvuvukala.

Ngokuvamile, abesifazane bangena esibhedlela ngenxa yokuthi umswakama uqhekeke ngokuphelele ngemva kokuzalwa, usuvele usuka endlini. Esimweni esinjalo, unganqikazi, kungcono ukuba uye ngokushesha ku-ambulensi. Nakuba ukuhlukana kungenzeka futhi ngokushesha ngemva kokubeletha. Khona-ke ungakhathazeki, kungcono ukuthi utshele udokotela ngokushesha ngale nkinga. Ekuqaleni, isilonda kumele siphathwe ngezixazululo ze-antiseptic, emva kwalokho i-sutures isetshenziswe kabusha.

Ukuze kunciphise ingozi yokuhlukana, owesifazane akufanele anqabe ukuhlala okuphoqelekile esibhedlela. Ungasheshi ukugijima ekhaya. Ukuba ngaphansi kokuqondiswa udokotela kanye nabasebenzi bezokwelapha kunciphisa amathuba okuba nezinkinga.

Ingabe i-suture ingahamba ngemuva kokuphela kwe-cearean?

Ukuphazamiseka kwe-sutures ngemuva kokubeletha kuyanda. Uma owesifazane enezinsolo zokuthi umcibisholo uphume ngemuva kwesigaba se-cearean, kufanele usheshe uye emtholampilo endaweni yokuhlala noma ku-ambulensi. Ngokuqondile ukwenza ukuxilongwa kuleso simo udokotela kuphela emva kokuhlolwa kokuhlolwa. Uma i-seam yangaphakathi iphukile, akukho ukubuyisela kabusha okusebenzayo.

Uma i-seam yangaphandle iqala ukuhlukana, izimpawu (izimpawu) zowesifazane zizokwazi ukuzibona. Izimpawu zokuhlukana komthunzi ngemuva kokuhlinzwa:

• Ukusakaza kusuka kwilonda;
• Ubuhlungu, okwandayo ekuhleleni nokuma;
• Vuka ekushiseni.

Uma unesibopho esivulekile emva kokubeletha, kufanele ukwenze, udokotela uzokutshela. Udinga ukuya esibhedlela ngokushesha. Uma umcibisholo wangaphandle uphambana, udokotela wenza i-suture ephindaphindiwe. Kulokhu, emva kwenqubo, inkambo yama-antibiotic inqunyelwe ukuvimbela ukuthuthukiswa kokuvuvukala. Ngeshwa, ngemuva kokwelashwa, owesifazane uphoqeleka ukuba ashiye ukuncelisa, njengoba izidakamizwa zitholwa emzimbeni futhi zidluliselwa emntwaneni ngobisi.

Uma uhlukanisile iziqu emva kokubeletha, imiphumela izobonakala kuphela ukuthi leli qiniso lizocatshangelwa ngokukhulelwa okulandelayo nokubeletha.

Isiphetho

Ukwehlisa emva kokubeletha kuyindlela ejwayelekile. Ungamesabi. Ngokunakekelwa kahle kwesilonda bese ulandela izincomo zikadokotela, isilonda sizophulukisa ngokushesha, futhi uhlamvu ngeke lubonakale ngokubonakala kwesikhathi.