Ezikhathini eziningi kumbelethisi noma ehhovisi lababelethisi, omama besikhathi esizayo basibuza ngezinzuzo zokulethwa kunesigaba sokuhlinzwa. Sihlala sisho okufanayo: ukulethwa kungcono, Isigaba seKesariya kufanele sisetshenziswe kuphela lapho kubalulekile.
Kodwa-ke, kunenkolelo yokuthi bobabili umama nengane "bayahlupheka" ngesikhathi sokubeletha, ngenkathi besesizalweni sayo yonke into ihleliwe futhi kungcono kubo bobabili, ingabi nengcindezi enkulu nokuthi akekho kubo ohluphekayo.
Ukubeletha
Kuvamile ukucabanga ukuthi, ngaphezu kwalokho, ukulethwa kwesitho sangasese sowesifazane akunakwenzeka ngemuva kokuhlinzwa, kepha akunjalo.
Ngesikhathi sokukhulelwa, umzimba kamama uba nezinguquko eziningi, konke kuhloswe ngakho kokubili ukukwazi ukubamba ingane esibelethweni nokuyivumela ukuthi yakheke futhi ikhule kahle, kanye nomsele wokuzalwa ukuze uzilungiselele ukuvumela ingane ukuthi iphume .
Ukubeletha kungumcimbi womzimba womzimba wowesifazaneNgakho-ke, ukululama ngemuva kokulethwa kwesitho sangasese sowesifazane kushesha kakhulu kunangemva kwesigaba sokuhlinzwa.
Lapho ukulethwa kwesitho sangasese sowesifazane kuphela, kubekwa izindlela ezidingekayo ukuze izinkontileka zesibeletho nokopha kuncane ngangokunokwenzeka.
Iziphazamiso, ukunwebeka, nokudlula kwengane kulowo mzila wokuzalwa kubangela izindlela ezidingekayo zokushintsha kwehomoni namahomoni okukhulelwa enza ukuba kube khona lawo ancelisayo, ukuze "ukukhuphuka obisini" kwenzeke ngaphambili, ngokwesibonelo ...
Uma sicabanga ngomntwana, ukudlula emseleni wokuzalwa kuyisimo esinenzuzo enkulu futhi. Ngesikhathi sokuhlanza ingane ilungiselela ukuwela umsele wokuzalwa nalesosinyathelo Kwenza ingane ivumelane kangcono kakhulu noshintsho oluza ngokuzalwa.
Kukho konke lokhu, kuhlala kuzanywa ukuthi omama babelethise esithweni sangasese, ukushiya isigaba se-cearean njengokungenelela okuphuthumayo noma ngamacala lapho ukulethwa kwesitho sangasese kungenakwenzeka.
Futhi, ukuba ne-cearean ekulethweni kokuqala imibandela ngendlela esibhekana ngayo nokulandelayo futhi kunganciphisa amathuba ethu okuba nezingane eziningi noma ezimbalwa.
Siyini isigaba se-cesarean?
Ingxenye ye-cearean inqubo yokuhlinzwa. Ngakho-ke, akusona isimo somzimba.
Udinga i-anesthesia, igumbi lokusebenza kanye neqembu lochwepheshe ngokungathi noma yikuphi okunye ukungenelela kokuhlinzwa okuhilelekile.
Imvamisa kuyadingeka sebenzisa amahora ambalwa kamuva egumbini lokutakula, igumbi lapho kunokubhekwa okuqinile komama, lapho ngokuvamile, izingane azikwazi ukuba, Ngakho-ke lawo mahora okuqala okuthintana nesikhumba nesikhumba eyisisekelo enganeni, kumele azidlulise kunina.
Esigabeni sokubeletha kukhona ingozi eyengeziwe yokopha noma ukutheleleka kanye nezinkinga okujwayelekile kwanoma yikuphi ukungenelela kokuhlinzwa. Futhi-ke, ubude bokuhlala esibhedlela nesikhathi sokululama ngemuva kwesigaba sokubeletha kungaphezu kokubeletha.
Ukuba nesigaba se-C kufaka ukuvulwa kwesibeletho ukuvumela ingane ukuthi iphume ngokusikeka esiswini sikanina, ishiye isibazi. Leso sibazi indawo yobuthakathaka kodonga lwesibeletho.
Ukukhulelwa ngemuva kwesigaba sokuhlinzwa
Ngokuvamile, bonke ochwepheshe bazokuncoma linda isikhathi esikahle ngemuva kwesigaba sokuhlinzwa uze ukhulelwe futhi. Ochwepheshe abaningi bakhuluma okungenani unyaka owodwa.
Ngoba? Ukuze ukwelashwa kwesilonda, kokubili udonga lwesisu kanye nesibeletho agcwaliswa ngangokunokwenzeka. Ukuphola kwesilonda sesibeletho yilokho isikhathi esiningi sidinga ukuhlanganiswa futhi.
Uma sikhulelwa ngokushesha okukhulu, inqubo yokwelashwa kungenzeka ingapheleli. Ukuze lapho isibeletho siphazanyiswe futhi isibazi sokuhlinzwa singaqhekeka.
Lapho nje leso sikhathi esifanele sesidlulile, kubalulekile ukubonisana nodokotela, ozoqinisekisa ukuthi singafuna ukukhulelwa okusha.
Kujwayelekile ukuthi njengoba isibeletho sikhula singaba nakho ukungakhululeki okuthile endaweni yesibazi. Lapho nje ingane iqala ukukhuluphala, ingakhula. Xhumana nodokotela ababelethayo ngale nkinga, lapho wenza ama-ultrasound bangabona isibazi futhi bahlole isimo saso.
Akufanele zibe yisiphazamiso esinamandla kakhulu. Uma ubona ubuhlungu obukhulu, thayipha "ukugwaza" esiswini esiswini kanye nokungahambi kahle okujwayelekile, okwandayo, kubalulekile iya emnyangweni ophuthumayo womama okhethiwe, ukuze babone ukuthi kungenzeka ukuthi isibazi sephuliwe.
Ukulethwa kwesitho sangasese sowesifazane ngemuva kwesigaba sokuhlinzwa (VBAC)
Iqiniso lokuthi ukulethwa kokuqala bekufanele kuphele esigabeni sokuhlinzwa akusho ukuthi ukulethwa okulandelayo kuzofanele kulandele umzila ofanayo. Yize inquma indlela yokubhekana nokulethwa okulandelayo kancane.
Yonke imiphakathi yesayensi ukweluleka ukuzama ukulethwa kwesitho sangasese sowesifazane ekukhulelweni okulandelayo. Ukulethwa kwesitho sangasese sowesifazane kunengozi encane yokuba ne-hysterectomy, imfiva, ukutheleleka, izinkinga, noma i-thromboembolism.
Iningi lababhali bezifundo ezahlukahlukene maqondana nalokhu baphetha ngokuthi ukuzama ukulethwa kwesitho sangasese sowesifazane ngemuva kwesigaba sokuhlinzwa kuphephile futhi kufanele kunconywe Ezimweni eziningi.
Izobukeka kanjani i-VBAC yami?
Isibeletho sinesibazi odongeni lwaso, okungukuthi, lolo donga aluqinile, kukhona indawo yobuthakathaka. Yingakho kufanele umnakekele kahle ngesikhathi sokubeletha, ukuze ingozi yokuqhekeka incane.
Lokhu kucabanga ukuthi ukulethwa kufanele kube okungokwemvelo kakhulu futhi nokungenelela okuncane okungenzeka ngabasebenzi bezempilo. Ukusuka ekugwemeni ukungeniswa kuya ekugwemeni ukusebenzisa i-oxytocin drips ngesikhathi sokubeletha noma ukwenza noma iyiphi inqubo noma indlela ekhulisa ukuqina noma imvamisa yokuphambana.
Kubaluleke kakhulu futhi ukubuka okuningi njengokucindezelwa, ukushaya kwenhliziyo kwengane nokuvela kwanoma yiziphi izimpawu zokuxwayisa lokho kungasitshela ukuthi isibazi esivela esigabeni esedlule sokuhlinzwa siyaphuka.
Zingaki izigaba zokubeletha eziphephile?
Impendulo ilula; okuncane okungenzeka. En lesi sixhumanisi Ngikushiyela ukuqhathanisa phakathi kokubeletha noma isigaba sokuhlinzwa.
Yize kukhona ukugxekwa ngalokhu, ngokusho kweSpain Society of Gynecology and Obstetrics (SEGO) akunconywa ukwenza izingxenye ezingaphezu kwezintathu zokuhlinzwa. Ngemuva kwesigaba sokuqala sokuhlinzwa, kunconywa ukuzama ukulethwa kwesitho sangasese sowesifazane, kepha uma usuvele unezingxenye ezimbili zokuhlinzwa, isincomo ukwenza okukodwa isigaba sesithathu sokuhlinzwa futhi kungasekho ukukhulelwa.
Nokho, kunamazwi athile abucayi nalesi silinganiso. Ezinye izifundo ziqinisekisa ukuthi ubungozi bokuqhekeka kwesibeletho uma kwenzeka izingxenye ezimbili noma ngaphezulu zokubeletha ayiphezulu kakhulu kunasezimeni zengxenye eyodwa yokubeletha, kepha ukwenza izingxenye ezihleliwe zokuhlinzwa kubeka engcupheni enkulu kumama nasenganeni.
Ngubani onquma ukuthi ngizoba nengxenye yokuhlinzwa noma cha?
Kulokhu isinqumo kufanele sivumelane.
Ekupheleni kokukhulelwa, uma izimo zilungile, Udokotela obelethayo uzokuchazela ngobuhle nobubi bawo womabili amathuba.
Uma uthatha isinqumo sokuzama ukulethwa kwesitho sangasese sowesifazane, uzocelwa ukuthi usayine incwadi yemvume enolwazi futhi uma uthatha isinqumo sokungazami, bazokuhlelela usuku lwesigaba sokuhlinzwa.