Xa ulindele umntwana, uzaliswa luvuyo noloyiko, akunjalo? Kodwa ukuba ugqirha uthi, "Kuza kufuneka wenze utyando lwe-C-section," olo loyiko lunokwanda kuphela. Oomama abaninzi bayoyika ngokungeyomfuneko kuba abazi nto ingako ngalo. Ngoko ke namhlanje, masithethe ngotyando lwe-cesarean, okanye utyando lwe-C-section, ukusuka ku-A ukuya ku-Z. Eli nqaku liza kuphendula yonke imibuzo yakho.
Okokuqala, masibone, yintoni i-cesarean bection (C-Section)?
Ngamafutshane, utyando lokubeletha umntwana lutyando lokuzala umntwana xa kungenakwenzeka ukuba umntwana azalwe ngendlela eqhelekileyo okanye ngendlela yangasese. Apha, ugqirha wenza incision esiswini sakho nasesibelekweni aze akhuphe umntwana ngayo. Oku kwenziwa kuphela xa kufumaniseke ukuba ukuzala okuqhelekileyo kuyingozi kubomi bomama nomntwana .
Kuphantsi kweziphi iimeko apho kufuneka khona utyando lwe-C-section?
Kukho iintlobo ezimbini zotyando lotyando. Olunye lutyando olucwangcisiweyo olwenziwa ngosuku olunye. Olunye lutyando olwenziwa kulindelwe ukuba umntwana azalwe ngendlela eqhelekileyo kodwa oluqhutywa ngenxa yengxamiseko eyenzeka ngelo xesha.
Icandelo le-C elicwangcisiweyo
Ngamanye amaxesha, ngexesha lokukhulelwa, ugqirha wakho unokugqiba kwelokuba utyando lwe-C-section lulungele wena. Itheyibhile engezantsi idwelisa ezinye zezizathu ezinokubangela oku.
| Isizathu | Icacisiwe ngokulula |
|---|---|
| Ubungakanani bomntwana (Cephalopelvic Disproportion - CPD) | Intloko okanye umzimba womntwana mkhulu kakhulu ukuba ungangena ngaphakathi kwe-pelvis kanina. Okanye i-pelvis kanina incinci kakhulu. |
| Ukuba bendikhe ndabelekwa utyando lwe-C ngaphambili | Akuyena wonke umntu okhe wabeleka ngotyando ngaphambili onokuphinda abeleke. Ugqirha uza kwenza isigqibo ngokusekelwe kwizinto ezifana nohlobo lotyando olwenziwe kwisibeleko ngexesha lotyando lwangaphambili. |
| Amawele okanye ngaphezulu | Kwanamawele ngamanye amaxesha anokuzalwa ngendlela eqhelekileyo. Nangona kunjalo, ukuba kukho abantwana abangaphezu kwesibini okanye kuxhomekeke kwindawo amawele ami kuyo, kunokufuneka ukuba kwenziwe utyando lwe-C-section. |
| I-Placenta Previa | I-placenta ikwizantsi lesibeleko, igquma umngxuma (isibeleko) apho umntwana aphuma khona. Le yimeko eyingozi. |
| Indawo yomntwana (Intetho) | Usana lukwindawo yokugquma okanye yokujika esibelekweni, alukho phantsi ngentloko. |
| Iimeko zempilo kamama | Ukuba umama akakwazi ukunyamezela ubunzima bokuzala okuqhelekileyo ngenxa yeemeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo sentliziyo. Kwakhona, ukuba kukho izifo ezifana ne-genital herpes ezisebenza ngexesha lokuzala. |
Icandelo le-C elingacwangciswanga/elingxamisekileyo
Ngamanye amaxesha, xa ulungele ukubeletha okuqhelekileyo, ucinga ukuba yonke into iza kuhamba kakuhle, ingxaki ingavela ngequbuliso. Emva koko, ukuze kusindiswe umama nomntwana, oogqirha bagqiba ekubeni benze utyando olungxamisekileyo.
Musa ukoyika kule meko. Khumbula, iqela lezonyango lenza esi sigqibo ngenxa yokhuseleko oluphezulu kuwe nakumntwana wakho.
| Imeko engxamisekileyo | Icacisiwe ngokulula |
|---|---|
| Umsebenzi Ohlala Ixesha Elide | Ukuvulwa komlomo wesibeleko kuyayeka okanye umntwana uyeke ukuhla. |
| Iingxaki zentambo yomqolo | Intambo yesisu ejikeleza intamo yomntwana (Cord Compression) okanye intambo yesisu ephuma kwilungu lobufazi ngaphambi kokuba umntwana azalwe (Cord Prolapse). |
| Ukuqhekeka kwePlacental | I-placenta isuka eludongeni lwesibeleko ngaphambi kokuba umntwana azalwe. Oku kunokubangela ukopha okukhulu. |
| Uxinzelelo losana olungekazalwa | Ukubetha kwentliziyo okungaqhelekanga ngenxa yokungakhululeki komntwana ngexesha lokubeleka. Oku kunokuhlolwa ngeteyiphu ye-CTG. |
Kwenzeka ntoni ngaphambi kotyando?
Ukuba ucwangciselwe ukwenza utyando lwe-C-section, ezi zinto ziya kwenzeka ngaphambi kotyando:
- Kuya kufuneka usayine iifomu zemvume ezinxulumene notyando.
- Ingcali yokubulala iintlungu iza kuthetha nawe nge-anesthesia. Amaxesha amaninzi, iza kukunika i-spinal block okanye i-epidural . Uza kuziva urhawuzelelwa ukusuka esifubeni ukuya ezantsi, kodwa uza kuba sengqondweni.
- Iinwele ziyasuswa kwindawo yotyando (ezantsi kwesisu).
- Kufakwa i-catheter ukuze kukhutshwe umchamo.
- Kukho iimonitha ezidityanisiweyo ezilinganisa izinto ezifana nesantya sentliziyo yakho kunye noxinzelelo lwegazi.
- I-cannula (umgca we-IV) ifakwa engalweni ukuze kunikwe i-saline kunye namayeza afunekayo.
- Ugqirha wakho wezifo zabesifazane uza kukuchazela kwakhona ngotyando.
Kwi-C-section engxamisekileyo, akukho xesha lininzi lezi zinto. Usenokunikwa ne-anesthesia eqhelekileyo , ekwenza ulale ngokupheleleyo, kuba isebenza ngokukhawuleza.
Linjani ixesha lokuchacha emva kotyando?
Utyando lwe-C-section lutyando olukhulu, ngoko ke kuthatha ixesha ukuba umntu aphile.
- Ukuhlala esibhedlele: Ngokwesiqhelo, kuya kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu.
- Intlungu: Njengoko i-anesthesia iphela, uza kuqala ukuva iintlungu kwindawo yokusika. Sela amayeza okudambisa iintlungu achazwe ngugqirha ngexesha.
- Emva kokuba ufikile ekhaya: Kuya kuthatha malunga neeveki ezi-4 ukuya kwezi-6 ukuze uphile ngokupheleleyo. Uza kufuna inkxaso eninzi ngeli xesha.
- Musa ukuphakamisa izinto ezisindayo. Musa ukuphakamisa nantoni na ngaphandle kokuthwala umntwana.
- Musa ukunyuka nokuhla kwezinyuko. Hlala kwindawo enye kangangoko unako kwaye uphumle.
- Musa ukuzilolonga.Musa ukuzilolonga ngaphandle kokuhamba kancinci de ugqirha wakho akunike imvume.
- Musa ukuqhuba. Musa ukuqhuba ude ukwazi ukujika umzimba wakho kwaye uqhoboshe iibhuleki ngokulula.
- Kuphephe ukulala ngesondo ubuncinane iiveki ezi-6, okanye ude ugqirha wakho akunike imvume.
- Ukopha: Unokufumana ukopha kwilungu lobufazi kangangeeveki ezimbalwa emva kotyando. Oku kubizwa ngokuba yi-'Lochia'. Oku kuqhelekile. Nangona kunjalo, ukuba ukopha kukhulu okanye kunevumba elibi, yazisa ugqirha wakho ngoko nangoko.
Ufanele uye nini kugqirha ngoko nangoko?
Xa ufika ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi, kufuneka ufowunele ugqirha wakho ngoko nangoko.
- Ukuba indawo eqatywe kuyo ibomvu kwaye idumbile .
- Ukuba ubomvu okanye olunye ulwelo luphuma kwindawo enqunyulweyo.
- Ukuba umkhuhlane okanye iintlungu ziya zisiba mandundu .
- Ukuba unesifo sokopha kakhulu kwilungu lobufazi (umanzisa ngaphezu kwephedi enye ngeyure).
- Ukuba unentlungu eqatha kwindawo ye-pelvic.
- Ukudumba okanye intlungu emilenzeni (oku kungaba luphawu lokuqhekeka kwegazi).
Ngaba kunokwenzeka ukuba ubeleke kwakhona emva kotyando lwe-C-section? (VBAC)
Ewe! Lo ngumbuzo obuzwa ngoomama abaninzi. Ukuba nje wenze utyando lwe-C-section akuthethi ukuba kufuneka ube nomntwana wakho olandelayo ngotyando lwe-C-section. Abantu abaninzi banokubeleka kwi-vaginal ekukhulelweni kwabo okulandelayo. Oku kubizwa ngokuba yi -VBAC (Vaginal Birth After Cesarean) .
Kodwa oku akunakwenzeka kuwo wonke umntu. Ugqirha wakho uza kujonga iinkcukacha zakho zotyando lwangaphambili kunye nesimo sakho sempilo ukuze abone ukuba ungaba ne-VBAC na. Ngoko ke ukuba unethemba lokuba nayo, qiniseka ukuba uthetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-cesarean (C-Section) lutyando olubaluleke kakhulu olwenziwayo ukuze kukhuseleke umama nomntwana. Musa ukuyoyika ngokungeyomfuneko.
- Utyando lunokucwangciswa kwangaphambili okanye lwenziwe xa kukho imeko engxamisekileyo. Iqela lezonyango lihlala lisenza isigqibo ngokwezinto eziza kunceda omabini amaqela.
- Kuthatha ixesha ukuchacha emva kotyando. Ngeli xesha, kubaluleke kakhulu ukuphumla ngokwaneleyo, ukufuna inkxaso kwabanye, kwaye ulandele imiyalelo kagqirha wakho.
- Ukuba kukho iimpawu zosulelo kwindawo yokusikwa (ububomvu, ukudumba, ubomvu), umkhuhlane, okanye ukopha kakhulu, funa ingcebiso kagqirha ngokukhawuleza.
- Kusenokubakho ithuba lokuba ungaba nomntwana ozalelwe kwisini (VBAC) emva kotyando lwe-C-section. Thetha nogqirha wakho ngale nto.
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