Njengoko uyazi, ngexesha lokubeletha umbhobho wokuzalwa womfazi okhulelweyo uya kwandula kwaye welula, okusoloko kukhokelela kwingxaki yabo. Kwiimeko ezininzi, umonakalo onjalo awubalulekanga, awunakutsholwa ngabafazi be-primigravid.
Kukho ngexesha lokubeleka kukho ukulimala okuhlukahlukeneyo, okubaluleke kakhulu ukudibanisa nezicubu zomzimba. Ukubakho konke ukulimala kunye nokulimala okwenzeka ngexesha lokuzalwa ngenxa yezenzo zesigqirha kuthiwa yi-obstetric trauma.
Izixhobo
Ingxaki yentshutshiso engathintekiyo yomama kunye nesisu iqhelekile. Yingakho sele ithatyathwa iminyaka engaphezu kweli-10 ngoku. Nangona iprogram yokwenza inkqubo yokuzalwa iqhubekile ukuphuculwa rhoqo, ukuxhatshazwa kwezinto ezinobungozi kungumyalelo we-10-39% wenani labazali. Ngokuqhelekileyo, imiphumo emibi yexesha elide inefuthe eliqinileyo kwimisebenzi yokuzala kunye neyesondo yomzimba wesetyhini.
Ukwahlula
Ngokwezihlomelo ezicetywayo ngu-WHO, ukukhathazeka ngokubambisana kuquka:
- ukuxhatshazwa kwe-perineum kunye neendonga zamanzi;
- ukuxhatshazwa kwemivumba ye-varicose ye-vulva kunye nesondo ngokuhlukileyo;
- i-hematoma yezilwanyana zangasese kunye zangaphandle;
- utyine;
- umonakalo kwamathambo kunye nemigqaliselo ye-pelvic;
- i-eversion yesisu.
Ukongezelela, nayiphi na intlungu yokubeleka ekwahlukileyo iyahluka:
- kuvela ngexesha lokubeletha ngokuqhubekayo;
- ngokukhawuleza;
- umqobo (udidi luxoxwe ngentla).
Ngokwahlukileyo, ukuxhatshazwa komntwana kubonakala. Umzekelo ukutshatyalaliswa kwezitho, ezivame ukubonwa ngokunikezelwa ngokukhawuleza .
Thintelo
Namhlanje, ukuthintela ingcinezelo yembambano kunikwe ingqwalasela enkulu. Ukunciphisa amathuba okulimala kokuzalwa, ababelekazi baqhuba rhoqo izifundo ezijolise ekuphuculeni izinga lobugcisa. Ukongezelela, uxanduva oluninzi lweziganeko zokuxhatshazwa ngokubeleka luhlala kwindoda ehamba phambili. Yingakho, nganye ngaphambi kokubeletha, incoko iqhutyelwa malunga nendlela yokuziphatha ngexesha lokuzalwa kunye nendlela yokunyathela ngokufanelekileyo.
Eyinkimbinkimbi, le miqathango inciphisa amathuba okubeleka . Ngoko ke, ukukhutshwa okupheleleyo kwenzakalo yokulimala kwimizimba yonyango yonyango kuphela yinkalo yekusasa elizayo.