Njengomama, uhlala uphupha ngokuzala umntwana wakho ngendlela eqhelekileyo, oko kukuthi, ngokubeleka kwilungu lobufazi. Kodwa ngamanye amaxesha, ayizizo zonke izinto ezihamba ngendlela esicinga ngayo. Ukuze wena nomntwana wakho nikhuseleke, oogqirha banokugqiba ekubeni benze utyando lwe-cesarean, okanye njengoko sonke sisazi, utyando lwe-C-section. Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa usiva oku. Kodwa xa unolwazi olufanelekileyo ngako, ungaloyisa olo loyiko. Namhlanje, masithethe ngayo yonke into malunga nolu tyando lwe-C-section.
Ngamafutshane, yintoni i-C-section?
Utyando lotyando (C-section) lutyando olubandakanya ukwenza amanxeba amaninzi esiswini sakho nasesibelekweni ukuze kubelekwe umntwana wakho. Oku kwenziwa kuphela xa ukuzala okuqhelekileyo kungenzeki okanye ukuba ugqirha wakho ugqiba kwelokuba kuya kuba yingozi kuwe okanye kumntwana wakho. Esi sisigqibo esibaluleke kakhulu kwezonyango sokusindisa ubomi bomama nomntwana.
Kunini apho kufuneka khona utyando lwe-C-section?
Izizathu zokwenza utyando lwe-C-section zinokwahlulwahlulwa zibe ziindidi ezimbini eziphambili. Olunye lutyando olwaziwayo nolucwangcisiweyo kwangaphambili. Olunye lutyando olungacwangciswanga ngenxa yengxaki eyenzeka ngequbuliso ngexesha lokubeleka.
Izizathu zokucwangcisa kwangaphambili nokwenza utyando lwe-C-section
Ngamanye amaxesha, kwasekuqaleni kokukhulelwa kwakho, ugqirha wakho uya kugqiba kwelokuba utyando lwe-C-section lolona khetho lufanelekileyo nolukhuselekileyo kuwe. Nazi ezinye zezizathu zokuba kutheni.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukungalingani kweCephalopelvic (CPD) | Oku kuthetha ukuba intloko okanye umzimba womntwana mkhulu kakhulu ukuba ungadlula ngokukhuselekileyo kwi-pelvis kanina, okanye i-pelvis kanina incinci kakhulu ukuba nomntwana oqhelekileyo angadlula kuyo. |
| Ukuba bendikhe ndabelekwa utyando lwe-C ngaphambili | Kukho amaxesha apho kunokwenzeka ukuba ube nokuzala ngesisu (VBAC) nomntwana wakho olandelayo, nokuba sele ukhe wabeleka ngaphambili. Nangona kunjalo, oku akunjalo kuwo wonke umntu. Esi sigqibo sixhomekeke kwizinto ezifana nohlobo lotyando olwenziwe kwisibeleko ngexesha lotyando lwangaphambili. |
| Amawele okanye ngaphezulu | Nangona amawele ngamanye amaxesha anokuzalwa ngokuqhelekileyo, utyando lwe-C-section lunokufuneka ukuba kukho ngaphezulu kwamabini okanye kuxhomekeke kwindawo abantwana abakuyo. |
| I-Placenta Previa | Kule meko, i-placenta isezantsi kakhulu kwisibeleko, igubungela umlomo wesibeleko. Oku kuvala indlela yomntwana yokuphuma. |
| Ubuxoki obuguqukayo | Ukuba umntwana ubekwe ngendlela enqamlezileyo endaweni yobude ngaphakathi kwesibeleko, akunakwenzeka ukuba azalwe ngendlela eqhelekileyo. |
| Inkcazo-ntetho kaBreech | Ukuba imilenze okanye iimpundu zomntwana zijonge ezantsi endaweni yentloko yakhe, abanye oogqirha baya kuzama ukumjika umntwana. Kodwa ukuba oko akusebenzi, kuya kwenziwa utyando lwe-C-section. |
| Ezinye iingxaki zempilo zomama | Ukuba umama unesifo sentliziyo esinzima, usenokungakwazi ukunyamezela ubunzima bokuzala okuqhelekileyo. Kwakhona, ukuba kukho usulelo olusebenzayo olufana ne-genital herpes ngexesha lokuzala, kunokwenziwa utyando lwe-C-section ukuthintela ukosuleleka kosana. |
Izizathu zokuba ne-C-section engacwangciswanga
Ngamanye amaxesha, xa yonke into ihamba kakuhle kwaye ulindele ukuzalwa okuqhelekileyo, kuvela ingxaki ngequbuliso kwaye kufuneka wenze utyando lwe-C-section.
- Ukuzala Okude: Ukuba umlomo wesibeleko uyeka ukuvuleka phakathi, okanye ukuba umntwana uyeka ukuhla.
- Ukucinezelwa kweNtambo yoMbilical: Ukuba intambo yoMbilical ijikeleza intamo okanye umzimba womntwana, okanye ivaleleke phakathi kwentloko yomntwana kunye ne-pelvis kamama.
- Ukuqhawuka kweNtambo yoMbili: Le yingxakeko enkulu kakhulu. Ukuba intambo yoMbili iphuma kwilungu lobufazi ngaphambi kokuba umntwana azalwe, umntwana usenokungafumani ioksijini.
- Ukuqhekeka kwePlacental: Ukuba i-placenta yahlukana nodonga lwesibeleko ngaphambi kokuba umntwana azalwe, oko kuyingozi enkulu kumama nakumntwana.
- Uxinzelelo Losana Olusandul’ Ukuzalwa: Ukuba izinga lokubetha kwentliziyo yosana litshintsha ngendlela engaqhelekanga ngexesha lokubeleka, oko kuthetha ukuba umntwana akanakukwazi ukumelana nobunzima bokuzala. Ngelo xesha, kunokufuneka utyando lwe-C-section ukuze umntwana abeleke ngokukhawuleza.
Eyona nto ibalulekileyo kukuba, nokuba utyando lwe-C-section lucwangcisiwe okanye lwenziwa ngequbuliso, isigqibo senziwe kucingelwa ukuba wena nomntwana wakho nikhuselekile .
Kwenzeka ntoni ngaphambi kotyando?
Ukuba ucwangciselwe ukwenza utyando lwe-C-section, ezi zinto ziya kwenzeka ngaphambi kotyando.
- Ukusayina iifomu zemvume: Kuya kufuneka uqinisekise ngokubhaliweyo ukuba uyavuma utyando.
- Ukuthetha nge-anesthesia: Ingcali ye-anesthesia iza kuthetha nawe malunga nendlela oza kunikwa ngayo i-anesthesia. Ngokuqhelekileyo, iya kuba yi- epidural okanye i-spinal block . Oku kuya kukwenza ungabi nangqondo ukususela esifubeni sakho ukuya ezantsi, kodwa uya kuba uphaphile engqondweni.
- Ukulungiselela: Iinwele ziyasuswa kwindawo yotyando (ezantsi kwesisu). Kufakwa i-catheter. Izixhobo zincamathiselwe ukulinganisa izinto ezifana nesantya sentliziyo kunye noxinzelelo lwegazi.
- Ukufakwa kwetyuwa: I-cannula ifakwa emthanjeni osengalweni okanye esandleni, apho kufakwa khona amayeza afunekayo kunye nolwelo (ityuwa).
Kwi-C-section engxamisekileyo, akukho xesha lininzi lale nto. Yonke into yenzeka ngokukhawuleza ukuze kusindiswe ubomi bakho nobomntwana wakho. Kwimeko enjalo, unganikwa i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo, kuba ikhawuleza kune-spinal injection.
Kwenzeka ntoni ngokwenene ngexesha lotyando?
Emva kokuba ufumene i-anesthesia, isisu sakho siya kucocwa ngesisombululo se-antiseptic. Emva koko kuya kubekwa ikhethini phakathi kwakho nogqirha.
Okulandelayo, ugqirha uza kwenza utyando ngolusu lwakho nodonga lwesisu. Olu tyando lunokuba lunqamleze (utyando lwe-bikini) okanye luze luhle. Emva koko, kwenziwa utyando oluyi-intshi ezi-3-4 esibelekweni, kwaye umntwana ukhutshwa ngononophelo ngolu tyando.
Emva kokuba umntwana ezelwe, intambo yesisu iyanqunyulwa, i-placenta isuswe, kwaye amanxeba esibelekweni nasesiswini avalwe ngezitishi.
Ukuba uphilile engqondweni (ukuba unikwe i-epidural), uya kuba nethuba lokubona nokumbamba umntwana wakho kwangoko emva kokuba ezelwe.
Ngoko ke olu tyando luvakala njani ngokwenene?
Awuyi kuva ntlungu kuba uphantsi kwe-anesthesia. Nangona kunjalo, oomama abaninzi bathi baziva betsalwa okanye betyhalwa kancinci xa umntwana ekhutshwa esibelekweni. Oku kuqhelekile.
Kwenzeka ntoni emva kotyando lwe-C-section? Kuthatha ixesha elingakanani ukuchacha?
Kuya kufuneka uhlale esibhedlele malunga neentsuku ezi-2-3 emva kotyando. Njengoko i-anesthesia iphela, uya kuqala ukuziva iintlungu ezivela kwisilonda. Kwiintsuku ezimbalwa zokuqala, unokufuna uncedo lokuvuka ebhedini.
Kungathatha iiveki ezi-4 ukuya kwezi-6 ukuze uphile ngokupheleleyo. Kufuneka ulumke kakhulu ngeli xesha.
- Phumla: Phumla kangangoko unako. Musa ukuthandabuza ukucela uncedo kusapho nakubahlobo ngomsebenzi wasekhaya, ukulima igadi, kunye nokupheka.
- Kuphephe ukuphakamisa izinto ezisindayo: Musa ukuphakamisa nantoni na enzima ngaphezu kobunzima bomntwana.
- Iipilisi zokunciphisa iintlungu: Sela amayeza okunciphisa iintlungu achazwe ngugqirha wakho ngexesha.
- Lungisa inxeba: Gcina inxeba licocekile kwaye lomile. Landela imiyalelo kagqirha.
- Ukuqhuba: Kuphephe ukuqhuba ude ukwazi ukujika umzimba wakho kunye nebhuleki ngaphandle kobunzima.
- Ukulalana ngesondo: Kuphephe ukulalana ngesondo kangangeeveki ezi-6 okanye ude ugqirha wakho akunike imvume.
Kuqhelekile ukuba nokopha igazi kwilungu lobufazi (i-lochia) kangangeeveki ezimbalwa emva kotyando. Kuya kuba bomvu ekuqaleni, emva koko kube tyheli kuze kuphele kancinci kancinci. Sebenzisa ii-sanitary pads koku, hayi ii-tampons.
Zithini iingozi kunye neenzuzo?
Njengalo naluphi na utyando, utyando lwe-C-section lunezinye iingozi. Kodwa khumbula, ugqirha wenza esi sigqibo kuphela emva kokuqonda ukuba iingozi zokungatyandwa zingaphezulu kwezi ngozi.
| Iinzuzo | Iingozi |
|---|---|
| Kwimeko apho ukuzala okuqhelekileyo kusemngciphekweni, utyando lwe-C-section lunokusindisa ubomi bomama nosana . | Usulelo lwenxeba. |
| Kwimeko engxamisekileyo (efana nokukhathazeka komntwana ongekazalwa), ungamsusa umntwana ngokukhawuleza kwaye uthintele nayiphi na ingozi kumntwana. | Ukopha igazi ngaphezu kwesiqhelo (ukuvuza igazi). |
| Ukuba umntwana ukwindawo efana nokukhwehlela okanye ukujija imilenze, eyona ndlela ikhuselekileyo kukwenziwa utyando lwe-C-section. | Ukwakheka kwamahlwili egazi. |
| Ngenxa yokuba kucwangciswe kwangaphambili, akukho kungabaza malunga nomhla nexesha lokuhanjiswa. | Kukho ithuba elincinci kakhulu lokonakala kwamathumbu okanye isinyi. |
| Iingozi ezinxulumene ne-anesthesia. |
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba ufumana naziphi na ezi mpawu ngexesha lokuchacha kwakho, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko . Ezi zinokuba ziimpawu zosulelo.
- Ukuba indawo eqatywe kuyo ibomvu kwaye idumbile.
- Ukuba ubomvu okanye olunye ulwelo luphuma kwindawo enqunyulweyo.
- Ukuba unomkhuhlane .
- Ukuba intlungu evela kwisingxobo iyanda imihla ngemihla endaweni yokuncipha.
- Ukuba kukho ukopha kakhulu kwilungu lobufazi okanye ivumba elibi.
Ngaba kunokwenzeka ukuba umntwana aphinde abe nomntwana ngokwesiqhelo emva kotyando lwe-C-section?
Ewe, kwiimeko ezininzi unako. Emva kotyando lwe-C-section, ukuzala umntwana wakho olandelayo ngesisu kubizwa ngokuba yiVaginal Birth After Cesarean (VBAC) . Kodwa ugqirha wakho uya kugqiba ukuba oku kunokwenzeka okanye akunjalo. Baza kuqwalasela izinto ezininzi, kuquka uhlobo lokusika okwenziwe kutyando lwangaphambili kunye nobukhulu be-pelvis yakho. Thetha nogqirha wakho ngale nto ngexesha lokukhulelwa kwakho okulandelayo.
Umyalezo Wokuya Ekhaya
- Utyando lotyando (C-section) alunanto yakwenza noloyiko. Lutyando olubaluleke kakhulu olwenziwayo ukusindisa ubomi bomama nomntwana.
- Nokuba utyando lucwangcisiwe okanye lwenziwa ngequbuliso, isigqibo senziwa kucingelwa ukuba nobabini nikhuselekile.
- Ukuphumla kubalulekile ngexesha lokuchacha emva kotyando. Kuphephe ukusebenza nzima okanye ukuzibhokoxa. Fumana uncedo kusapho.
- Ukuba kukho iimpawu zosulelo kwindawo eqhotyoshiweyo (ububomvu, ukudumba, ubomvu, umkhuhlane), yazisa ugqirha ngoko nangoko.
- Musa ukuziva ubuhlungu ngokungabeleki ngendlela eqhelekileyo njengoko ubulindele. Eyona nto ibalulekileyo kukuba wena nomntwana wakho nisempilweni kwaye nikhuselekile.
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