Ukuba ungumama okhulelweyo, ithemba lakho elikhulu kukuzisa umntwana osempilweni nochumayo emhlabeni. Usenokuba ucinga ngokubeleka ngendlela eqhelekileyo. Yiloo nto abantu abaninzi abayithembayo. Kodwa ngamanye amaxesha, ngokungalindelekanga, utyando lwe-cesarean (utyando lwe-C) lolona khetho lubalaseleyo nolukhuselekileyo kumama nomntwana. Ingakumbi kwimeko kaxakeka, lunokuba lutyando olusindisa ubomi.
Kutheni kufuneka i-C-section engxamisekileyo?
Ngamafutshane, ukuba oogqirha bagqiba ekubeni bakubeleke ngotyando olungxamisekileyo, kungenxa yokuba iqela lezonyango liyaqonda ukuba ubomi bakho okanye bomntwana wakho busengozini enkulu . Akukho ndawo yokulibazisa. Ke ngoko, ukhetho olulodwa kukukhupha umntwana ngokukhawuleza. Khawucinge nje, oogqirha banokusika isisu kunye nesibeleko baze bakhuphe umntwana kwimizuzu embalwa.
Ngexesha elinje, ukulinda ukuzalwa okuqhelekileyo kuya kubeka ubomi bomama nomntwana emngciphekweni. Yiyo loo nto oogqirha besenza isigqibo esikhawulezileyo baze benze olu tyando.
Nazi ezinye zezizathu eziphambili zokuhlinzwa okungxamisekileyo:
- Ubunzima bosana olusandul’ ukuzalwa okanye usana olusandul’ ukuzalwa: Esi sigqibo senziwa ukuba isantya sentliziyo yosana sehla ngokuyingozi, umntwana akafumani ioksijini eyaneleyo, okanye uxinzelelo lwegazi lukamama lutshintsha ngendlela engalawulekiyo.
- Intambo yesisu ephumayo: Oku kwenzeka xa intambo yesisu idlula emlonyeni wesibeleko ingena kwilungu lobufazi ngaphambi kokuba umntwana azalwe. Oku kunokubangela ukuba intambo iphume entlokweni yomntwana, nto leyo ethintela igazi neoksijini yomntwana. Le yingxamiseko.
- Ukopha kwegazi kumama: Ukuba ngesizathu esithile umama uphuma igazi ngendlela engalawulekiyo.
- Ukuqhawuka kwe-placenta: Ukuba i-placenta iqala ukwahlukana nodonga lwesibeleko ngaphambi kokuba umntwana azalwe, umntwana uya kuswela isondlo kunye neoksijini. Umama unokufumana ukopha okukhulu.
- Ukuqhambuka kwesibeleko: Oku kubonakala kakhulu koomama abaye batyandwa ngotyando. Isibeleko sinokukrazula isilonda emva kotyando. Esi sisifo esiyingozi kakhulu.
Umahluko phakathi kotyando lwe-'Emergency' kunye 'ne-'Unscheduled' lwe-Caesarean
Nangona abantu abaninzi becinga ukuba la magama mabini afana, kukho umahluko omncinci phakathi kwawo omabini. Utyando lwe-C-section 'olungxamisekileyo' lolwenziwa ukusindisa ubomi. Kwelinye icala, utyando lwe-C-section 'olungacwangciswanga' lolo lungacwangciswanga kwangaphambili kodwa lwenziwa ngenxa yeengxaki ngexesha lokubeleka. Kwimeko enjalo, kusenokungabikho ngozi ikhawulezileyo kubomi bomama okanye bomntwana, kodwa kukho imeko apho ukuzala okuqhelekileyo kungenakuqhubeka.
Masiqonde lo mahluko ngetafile.
| Ulwazi | Unyango lwe-C oluNgxamisekileyo | Utyando lwe-C olungacwangciswanga |
|---|---|---|
| Uhlobo lwemeko | Kukho umngcipheko okhawulezileyo nonzima kubomi bomama okanye usana. | Nangona kuyinto engxamisekileyo, ayisongeli ubomi. Nangona kunjalo, akukhuselekanga ukuqhubeka nokuhambisa okuqhelekileyo. |
| Izizathu eziphambili | Ukuqhekeka kwentambo ye-umbilical, ukuqhekeka kwe-placenta, ukuqhekeka kwesibeleko, ukopha kakhulu. | Ukuzala akuqhubeki, ukubhitya okubuthathaka, umntwana ukwimo yokurhoxa okanye yokurhoxa. |
| Ixesha ukusuka kwisigqibo ukuya kutyando | Ngoko nangoko! Kwimizuzu embalwa emva kokuba kwenziwe isigqibo. Umntwana angakhutshwa kungakapheli umzuzu emva kokuba utyando luqalile. | Ngokwesiqhelo kungaphakathi kwemizuzu engama-30-60 emva kokwenza isigqibo. Kukunika ixesha lokulungiselela. |
| I-Anesthesia | Ukuba awukaze wenze i-epidural ngaphambili, kunokufuneka wenze i-anesthesia ukuze wonge ixesha. Oku kuya kukuthintela ukuba ulale. | Amaxesha amaninzi, kunikwa i-spinal anesthetic (okanye i-epidural) ukuze kuthintele inxalenye esezantsi yomzimba wakho. Uza kube uvukile kwaye ukwazi ukubona umntwana wakho kwangoko emva kokuba ezelwe. |
Kwenzeka ntoni ngexesha lotyando kwaye zithini iingozi?
Kwisigaba sotyando olungxamisekileyo, ixesha libaluleke kakhulu. Yonke into yenzeka ngokukhawuleza kakhulu. Injongo yogqirha kunye nabahlengikazi kukukhupha umntwana ngokukhawuleza nangokukhuselekileyo kangangoko kunokwenzeka. Njengoko bekutshiwo ngaphambili, ukuba ubukhe waxilongwa nge-epidural ngaphambili, ingcali ye-anesthesiologist inokuba nexesha lokukunika amayeza angakumbi okukugcina uvukile. Ngaphandle koko, uya kulaliswa (i-anesthesia eqhelekileyo) ngexesha lotyando. Emva koko uya kudibana nomntwana wakho emva kokuba utyando luphelile kwaye uvuke. Ungakhathazeki ngale nto. Oogqirha benza okukhuselekileyo kuwe nakumntwana wakho ngelo xesha.
Isebe lotyando olungxamisekileyo lithwala umngcipheko ophezulu kancinci kunesebe lotyando olucwangcisiweyo, kuba yonke into kufuneka yenziwe ngokukhawuleza kakhulu.
- Amathuba aphezulu okopha kakhulu .
- Iingxaki ezinokuvela xa umntu efumana i-anesthesia ngokukhawuleza kakhulu.
- Kukho ithuba elincinci kakhulu lokuba umama okanye umntwana aza kwenzakala ngempazamo ngexesha lotyando .
Kodwa khumbula oku kakuhle. Nangona ezi ngozi zikhona, iingozi zokungakwenzi utyando olungxamisekileyo zingaphezulu kakhulu. Oogqirha benza esi sigqibo njengesisombululo sokugqibela sokusindisa ubomi.
Ngexesha lokukhulelwa kwakho, ukuba unemibuzo okanye iinkxalabo malunga nezi zinto, thetha nogqirha wakho ngazo. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- Utyando lwe-C-section olungxamisekileyo aluyonto yokoyika, yinkqubo yonyango efunekayo eyenziwayo ukusindisa ubomi bomama nomntwana.
- Oku kwahlukile kunotyando olucwangcisiweyo okanye olungacwangciswanga, apho izigqibo zenziwa ngokukhawuleza kakhulu.
- Iqela lezonyango lenza esi sigqibo ngokusekelwe kwizinto ezinobungozi obukhulu (umz., ukuqhawuka kwe-placenta, ukuqhekeka kwe-umbilical cord).
- Ukuba kufuneka ufakwe i-anesthesia ngokupheleleyo ngexesha lotyando, qonda ukuba oko kukhuselekile kuwe nakumntwana wakho.
- Themba iqela lakho lezonyango. Injongo yabo kuphela kukuba umama osempilweni nomntwana osempilweni.
- Ukuba unamathandabuzo okanye uloyiko ngexesha lokukhulelwa, ungaze ungathandabuzi ukuxoxa ngalo nogqirha wakho.
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