Kwace-tsaren jiki shine ƙwayar miki a cikin perineum (yankin fatar jiki tsakanin farji da jinin). Har ila yau, babban jayayya a haihuwa a yau.
An auna kwayoyin cutar a digiri - mafi yawancin kasancewar digiri na 2 (tsakiyar lokacin tsakanin farji da kuma anus) kuma mafi mahimmanci kasancewar digiri na 4 (Taɗa ta cikin ɗayan, wanda ake kira episiorectoprotomy).
Har ila yau, akwai nau'o'i daban-daban. Tsakanin tsakiya shine mafi yawancin a Amurka (shi ya kai tsaye zuwa ga anus), kuma a cikin gefen gefen gefen gefen gefen gefen gefe ne don hana yaduwa a cikin dubun.
Dokta JM Thorp, a cikin Episiotomy: Shin za a iya kare shi ta yau da kullum? , ya ce, "Akwai kananan shaida don tallafawa yin amfani da kayan aikin yau da kullum. Wannan hanya zai iya kara yawan haɓaka na lacerations na uku da na hudu. Akwai bayanai da yawa don tallafawa shirin cewa wannan hanya ta hana dakatarwa na pelvic."
Cibiyar Kwalejin Kwararrun Masana'antu ta Amirka da Masana ilimin halittu ta ce "ba a koyaushe" ba "ba dole ba ne a yi la'akari".
Amfanin
Ana bayar da maganin jita-jita don bayar da wadata masu amfani:
- Yi sauri a haife
- Tsayar da raɗaɗi
- Kare kariya daga lalacewa
- Kare kariya daga kaskantar ƙasa
- Warkar da sauki fiye da hawaye
Dukkan waɗannan sun zama dalilai masu mahimmanci.
Gaskiyar ita ce, wannan bincike na likita bai tabbatar da wani daga cikin waɗannan amfãni ba. A gaskiya ma, a wasu lokuta, akasin haka gaskiya ne. Kwayoyin cutar zai iya haifar da cutar. Kodayake akwai ƙananan matan da za su kasance mai amfani.
Hanyoyin Gaba
Wadannan sunyi rahoton azabar lalacewa na farfadowa:
- Kamuwa da cuta
- Ƙara Ƙara
- Ƙara yawan lacerations na 3rd da 4th-digiri (wanda ake kira kari)
- Yawan lokacin warkarwa
- Ƙara rashin jin daɗi lokacin da aka sake komawa
Midwife MH Bromberg ya ce ya fi kyau tare da, "Bincike na wallafe-wallafe a kan jigilar jiki ya nuna cewa yana da mahimmanci cewa yana da damewa, tare da nuna rashin amincewa a mafi kyau. Yana da kyau a tabbatar da cewa kwayar cutar ta tsakiya ba ta da amfani sosai a kan farko- (cikin fata ) ko digiri na biyu (cikin tsohuwar tsoka) laceration lokacin da babu alamar nuna alamar tayi. "
Kwararrun kwayoyi ba kullum ba ne, kuma akwai abubuwa da yawa da za ka iya yi don rage yawan damar da kake da shi na ciwon wannan motsi. Wasu matakan da aka hana su ne:
- Gishiri mai kyau (Lafiya mai laushi ya fi sauƙi)
- Kegels (motsa jiki don pelvic bene tsokoki)
- Tattaunawa tare da mai kula da ku game da farfadowa
- Prenatal Perineal tausa
- Aikin jinkiri (mataki na biyu)
- Ƙwanƙarar zafi, gyare-gyaren perineal, da goyan baya a lokacin bayarwa
Ka tuna, kamar yadda yake tare da kowace hanyar likita, akwai lokaci da kuma wurin da yake da wani zaɓi mai inganci wannan shine inda mai kyau sadarwa tare da mai aiki ya zo cikin aiki.
Kamar yadda kullun, sanin hakkokinku azaman mai haƙuri / abokin ciniki kuma kasancewa sanin game da jikinku da tsarin da aka tsara za ku dauki hanya mai tsawo.
Kyakkyawan sa'a da kyakkyawan haihuwa !
Sources:
Alperin, M, Krohn, MA, Parviainen, K. Episiotomy da Haɓaka cikin Risk na Laceration na Ƙananan Ƙwayar cuta a cikin Sauran Ƙarshe. Obstet Gynecol 2008 111: 1274-1278.
Althabe F, Buekens P, Bergel E, Belizán JM, Campbell MK, Moss N, Hartwell T, Wright LL; Rukunin Shawarar Jagora. Amfani da hali don inganta kulawa na obstetric. N Engl J Med. 2008 Mayu 1; 358 (18): 1929-40.
Mikolajczyk RT, Zhang J, Troendle J, Chan L. Risk dalilai na haihuwa haifar da lacerations a cikin mata preimiparous. Am J Perinatol. 2008 Mayu; 25 (5): 259-64.
Sze EH, Ciarleglio M, Hobbs G. Yanayin haɗari da ke da alaƙa da wariyar bambancin bambancin bambanci tsakanin ungozoma, masu zaman kansu da kuma masu zaman kansu. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar 13.
Amfani da jita-jita da ƙarfi a lokacin haihuwa, Ƙaddara C-Sashe na sama. AHRQ News da Lissafi, Afrilu 28, 2011. Cibiyar Nazarin Lafiya da Darajoji, Rockville, MD. http://www.ahrq.gov/news/nn/nn042811.htm
Yildirim G, Beji NK. Hanyoyi na turawa dabaru a haifa a kan mahaifi da tayin: binciken da aka bazu. Haihuwar. 2008 Mar; 35 (1): 25-30.