Konke ofuna ukukwazi malunga neCandelo lotyando!

Ukuba ungumama oza kuzala, okanye ukuba kukho umntu kusapho lwakho oza kuzala umntwana, mhlawumbi ukhe weva 'ngotyando lwe-cesarean' okanye `(C-section)`. Nangona abanye abantu beyoyika kancinci, eneneni yinto eluncedo kakhulu kwaye ngamanye amaxesha engabalulekanga ukukhusela ubomi bomama nomntwana. Ngoko ke namhlanje siza kuthetha ngokuba olutyando lwe-cesarean luyintoni, kutheni lwenziwa, indlela lwenziwa ngayo, kunye nokuba kwenzeka ntoni emva kwalo, ngendlela elula onokuyiqonda.

Yintoni i-cesarean section (C-section)?

Ngamafutshane, utyando lotyando lokuzala umntwana ngokusebenzisa imingxunya emincinci esiswini sakho nasesibelekweni. Oogqirha badla ngokuthatha isigqibo sokuzala umntwana ngale ndlela xa kunzima ukuzala ngokwesiqhelo, okanye xa kukho umngcipheko kumama okanye kumntwana. Khumbula, ngamanye amaxesha le inokuba yinkqubo esindisa ubomi. Olu tyando lwenziwa ngoogqirha bokubelekisa kunye noogqirha botyando - okanye, kwimeko yesibhedlele sikarhulumente, ngoogqirha abaphezulu kuloo ntsimi (phantsi kweliso loogqirha botyando kunye noogqirha botyando).

Kutheni utyando lwe-cesarean ngamanye amaxesha luyimfuneko?

Zininzi izizathu zokuba kwenziwe utyando lotyando. Ezinye zicwangciswa kwangaphambili, ngelixa ezinye zenziwa ngexesha likaxakeka. Makhe sijonge zombini.

IiCandelo ze-C ezicwangcisiweyo

Ngamanye amaxesha ugqirha uyazi kwangaphambili ukuba kukho umngcipheko wokuzalwa okuqhelekileyo. Kwiimeko ezinjalo, utyando lotyando lucwangciswa ngosuku olungaphambili. Nazi ezinye zeemeko ezinjalo:

• Indawo yosana: Usana lukwindawo yokugquma, yokugquma, okanye yokujikela. Nangona kunjalo, ngamanye amaxesha umntwana unokujikwa ngaphambi kokuba azalwe, okanye iindlela ezikhethekileyo zingasetyenziswa ukunceda umntwana ukuba azalwe ngendlela eqhelekileyo.
• Iziphene zokuzalwa komntwana: Ukuba umntwana unesiphene esinzima sokuzalwa esifana ne-"Hydrocephalus" (amanzi agcwalisa intloko).
• Iingxaki ze-placenta: Ukuba umama uneengxaki nge-placenta yakhe. Umzekelo, imeko ebizwa ngokuba yi-``Placenta Previa``, oko kuthetha ukuba i-placenta isezantsi kakhulu kwisibeleko, igubungela umlomo wesibeleko .
• Iimeko zempilo kamama: Ukuba ukuzala okuqhelekileyo kuyingozi kumama okanye kusana ngenxa yemeko yempilo kamama (umzekelo, amanqanaba aphezulu entsholongwane kaGawulayo emzimbeni, okanye i-herpes esebenzayo yesini).
• Ukukhulelwa okuninzi: Kwezinye iimeko zokukhulelwa okuninzi, njengokuzalwa kwamawele.
• Utyando lwangaphambili:Ukuba umama ukhe watyandwa isibeleko ngaphambili, okanye ukuba ukhe watyandwa ngotyando. Nangona kunjalo, kufuneka kuqatshelwe apha ukuba oomama abaninzi banokuzala umntwana wabo olandelayo ngokuqhelekileyo, nokuba bakhe batyandwa ngotyando ngaphambili. Oku sikubiza ngokuba yi-'VBAC (Ukuzalwa Kwangasese Emva Kotyando)'.

Icandelo lika-C eliNgxamisekileyo

Amanye amabele otyando lwebele enziwa ngequbuliso nangokungalindelekanga. Oku kunokwenzeka ngexesha lokukhulelwa, ngexesha lokubeleka, okanye xa kukho ingxaki kumama okanye kumntwana. Nazi ezinye zemizekelo:

• Iintlungu zokubeleka ziyayeka okanye ziyacotha: Ukuba iintlungu zokubeleka azifiki kakuhle, zibonakala ngathi ziyekile, okanye zihamba kancinci, kwaye amayeza anikiweyo awancedi.
• Ukuqhawuka kwe-placenta: Ukuba i-placenta yahlukana nodonga lwesibeleko ngaphambi kwexesha, oku kubizwa ngokuba yi-"Placental Abruption".
• Iingxaki ze-umbilical cord: Ukuba i-umbilical cord icinezelwe (oku kunokuchaphazela ukuhanjiswa kwe-oksijini yomntwana) okanye ukuba i-umbilical cord ingena kwi-vaginal ngaphambi kokuba umntwana azalwe ( i-umbilical cord prolapse ).
• Uxinzelelo kwi-Fetal: Utshintsho kwisantya sentliziyo yomntwana lubonisa ukuba umntwana akafumani ioksijini eyaneleyo.
• Ubungakanani bomntwana: Ukuba intloko yomntwana okanye umzimba wakhe wonke mkhulu kakhulu ukuba ungaphuma emjelweni wokuzalwa.

Ukuba ugqirha wakho uthi udinga utyando lotyando, ungafumana uluvo lwesibini komnye ugqirha, ngaphandle kokuba yingxamiseko. Kodwa ekugqibeleni, kungcono ukuthemba isigqibo sikagqirha.

Yenziwa njani i-cesarean section (C-section)?

Makhe sijonge ezinye zezinto ezidla ngokwenzeka ngexesha lotyando olucwangcisiweyo. Umntu okuxhasayo (umyeni, ilungu losapho) angahlala nawe enxibe isambatho sotyando. (Nangona kunjalo, oku kusenokungenzeki xa utyando lungxamisekileyo.) Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iya kuthetha nawe ngento eza kwenziwa ukuze ungabi nantlungu. Amaxesha amaninzi, basebenzisa into ebizwa ngokuba yi-"Regional Anesthesia". Oku kuthetha ukuba yindawo ethile yomzimba kuphela engasebenzi kakuhle. Oku kusetyenziselwa ukunciphisa iintlungu ngexesha lokuzala kwesini kunye notyando. Nazi ezinye zezinto abaya kuzenza ukulungiselela utyando:

• Izixhobo ezahlukeneyo (iiMonitors) zifakelwe ukujonga izinto ezifana nesantya sentliziyo yakho, ukuphefumla , kunye noxinzelelo lwegazi .
• Imaski yeoksijini okanye ityhubhu encinci efakwe emakhaleni akho iya kusetyenziselwa ukukunika ioksijini.
• Kuza kufakwa umbhobho omncinci (i-catheter) kwi-urethra yakho ukuze kukhutshwe umchamo (oku kusenokuvakala kungathandeki kancinci, kodwa akubuhlungu).
• Umgca we-intravenous (IV) uza kufakwa engalweni yakho okanye umthambo engalweni yakho ukuze ufumane ityuwa.
• Indawo yesisu sakho iya kuhlanjwa kakuhle kwaye iinwele ezisenkabeni yakho nakwindawo esezantsi kwesisu ziya kususwa.
• Kuza kubekwa ikhethini ukuze igqume indawo yesisu sakho.

Emva kokuba uhlatywe i-anesthesia, ugqirha wakho uya kwenza utyando esiswini sakho – ngokuqhelekileyo lutyando oluthe tye (1-2 intshi ngaphezulu komgca weenwele zakho ze-pubic, ngamanye amaxesha olubizwa ngokuba yi-"bikini cut"). Ugqirha wakho uya kutsala izihlunu zakho zesisu kancinci aze azisondeze kwisibeleko sakho. Kuza kwenziwa olunye utyando esibelekweni sakho. Olu tyando lunokuba ngokuthe nkqo okanye ngokuthe tye. Oogqirha badla ngokusebenzisa utyando oluthe tye kuba lunokubangela ukuzalwa kwesibeleko (VBAC), okanye utyando lotyando. Emva kokuba utyando lwenziwe, umntwana wakho uya kususwa kancinci. Ugqirha wakho uya kumfunxa aze acoce umlomo nempumlo yomntwana wakho, abambe intambo yesisu, aze ayinqumle. Uya kukwazi ukubona umntwana wakho ngoko nangoko, njengakwixesha lokubeleka eliqhelekileyo. Emva koko, umntwana wakho uya kunyanyekelwa ngumongikazi okanye ugqirha imizuzu embalwa. Okulandelayo, ugqirha wotyando uya kususa i-placenta kwisibeleko sakho aze avale isibeleko ngezititshi ezinokunyibilika. Utyando esiswini sakho luya kuvalwa ngezititshi okanye ngezititshi zotyando. Ezi zititshi zihlala zisuswa ngaphandle kwentlungu emva kweentsuku ezimbalwa. Ukuba umntwana wakho uphilile, uya kukwazi ukumbamba nokumncancisa umntwana wakho kwigumbi lokuchacha. Ukuba kufuneka uhlale ebhedini, unokufuna umntu oza kukunceda uncancise umntwana wakho.

Ngaba kukho into oza kuyiva ngexesha lotyando?

Awuyi kuva ntlungu ngexesha lotyando lwebele. Nangona kunjalo, ungaziva utsalwa okanye ucinezelwe. Oomama abaninzi bavukile ngexesha lotyando lwebele kuba bane-anesthesia yengingqi (i-epidural kunye/okanye i-spinal block) evala kuphela indawo engaphantsi kwesinqe. Ngale ndlela, banokubona kwaye beve umntwana wabo ezalwa. Isikrini siya kubekwa phezu kwesisu sakho ngexesha lenkqubo, kodwa uya kukwazi ukujonga phezulu ubone umntwana ekhutshwa esibelekweni sakho. Ngamanye amaxesha, umama otyando lwebele olungxamisekileyo unokufuna ukunikwa i-anesthesia ngokubanzi. Oku kuthetha ukuba umntwana akazi nto (okanye "ulele") ngexesha lokuzala kwaye akayi kukhumbula okanye azive ntlungu.

Zithini iingozi zotyando lwe-cesarean?

Utyando lwe-cesarean olwenziwayo namhlanje luhlala lukhuselekile kumama nakumntwana. Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezithile. Ezinye zeengozi ezinokubakho zotyando lwe-cesarean ziquka:

• Ukopha kakhulu (kunqabile kakhulu, utofelo-gazi lunokufuneka)
• Usulelo lwenxeba ( Amayeza okubulala iintsholongwane adla ngokunikezelwa ukuthintela oku)
• Ukonakala kwesinyi okanye amathumbu
• Iimpendulo ezingalunganga kumayeza
• Amahlwili egazi
• Ukufa (kunqabile kakhulu)
• Ukulimala okunokwenzeka kumntwana

Zombini iindlela zokuthomalalisa i-anesthesia zengingqi kunye nezo ziqhelekileyo ezisetyenziswa ngexesha lokubeleka ngotyando zithathwa njengezikhuselekileyo kumntwana, kodwa zinokubangela iingxaki kumama, ezifana nokucaphuka kunye noxinzelelo lwegazi oluphantsi. Iintsana ezizelwe ngotyando lotyando ngamanye amaxesha zinokuba nobunzima bokuphefumla (i-tachypnea yesikhashana yosana olusandul' ukuzalwa). Oku kungenxa yokuba ulwelo oluvela emiphungeni alususwa ngokufanelekileyo ngexesha lokubeleka. Oku kudla ngokuziphelela kusuku olunye okanye ezimbini. Ukuba notyando lotyando kunokuchaphazela okanye kungachaphazeli ukukhulelwa kunye nokuzala kwixesha elizayo. Oomama abaninzi banokuba nokuzala okuphumelelayo nokukhuselekileyo kwesibeleko (VBAC) emva kotyando lotyando. Nangona kunjalo, kwezinye iimeko, utyando lotyando kunokufuneka luphindwe kwixesha elizayo, ngakumbi ukuba utyando lwesibeleko lwenziwe ngokuthe nkqo endaweni yokuthe tye. Utyando lotyando lunokwandisa umngcipheko weengxaki ze-placenta ekukhulelweni kwixesha elizayo.

Kwimeko yotyando olungxamisekileyo lokubeleka ngotyando, iingenelo zingaphezulu kakhulu kuneengozi. Utyando olubeleka ngotyando lunokusindisa ubomi.

Linjani ixesha lokuchacha emva kotyando lotyando?

Njengakwezinye iintlobo zotyando, kukho iintlungu kunye nokungakhululeki emva kotyando. Ixesha lokuchacha lihlala ixesha elide kancinci kunasemva kokuzalwa okuqhelekileyo. Oomama abatyando lwe-cesarean bahlala esibhedlele malunga neentsuku ezi-3 ukuya kwezi-4. Emva nje kotyando, ungaziva uqaqamba, unesicaphucaphu, okanye ubuhlungu - zonke ezi ziimpendulo eziqhelekileyo kwi-anesthesia kunye notyando. Ukuba bekufuneka wenze i-anesthesia eqhelekileyo kwi-casarean section engxamisekileyo, ungaziva ulele, udidekile, ubanda, usoyika, uxhalabile, okanye ulusizi. Abasebenzi bakho bezonyango baya kukunika amayeza okunceda ekunciphiseni nakuphi na ukungakhululeki okanye intlungu. Kwiintsuku ezimbalwa zokuqala ukuya kwiiveki ezimbalwa, unokufumana:

• Ndiziva ndidiniwe.
• Intlungu ejikeleze isilonda (ugqirha uza kukunika iintlungu, okanye akuxelele ngeentlungu ezithengiswa ngaphandle kwekhawuntara ezikhuselekileyo ukuzisebenzisa ukuba uncancisa).
• Ukudumba kunye nokuqhina.
• Kunzima ukuhambahamba nokuphakamisa umntwana.

Kunganceda ukubamba isilonda sakho ngesandla sakho xa uthimla, ukhohlela, okanye uhleka. Ezi ntshukumo zequbuliso zinokuba buhlungu. Ukuze uphephe ukubeka uxinzelelo olungeyomfuneko kwisilonda sakho, kufuneka uphephe ukuqhuba okanye ukuphakamisa izinto ezinzima okwethutyana.Buza ugqirha wakho ukuba ungaqhubeka nini nemisebenzi eqhelekileyo (ngesiqhelo phakathi kweeveki ezi-6 nezi-8, xa isibeleko sakho sipholile). Njengakwixesha lokubeleka kwilungu lobufazi, kuphephe ukulala nomntu de ugqirha wakho athi kukhuselekile ukwenza njalo (ngesiqhelo malunga neeveki ezi-6 emva kokuba umntwana wakho ezelwe). Ukuhambahamba rhoqo, okufutshane kunokunceda ukunciphisa ezinye zentlungu kunye nokungonwabi emva kotyando. Kunokunceda ukuthintela amahlwili egazi kunye nokugcina amathumbu akho ehamba. Kodwa ungazinyanzele kakhulu - thatha kancinci, hambahamba, kwaye ufumane umntu onokukunceda, ingakumbi xa unyuka kwaye uhla izitebhisi. Ukuba unabanye abantwana, cela abahlobo, usapho, okanye abamelwane ukuba bakuncede ngokutya kunye nemisebenzi yasekhaya okwethutyana. Ukuncancisa kunokuba buhlungu kancinci ekuqaleni, kodwa ukuncancisa ecaleni kwakho, kwindawo yokubamba i-clutch, okanye kwindawo yokubamba ibhola kunokunceda ukunciphisa uxinzelelo esiswini sakho. Sela amanzi amaninzi ukunceda ubisi lwakho luhambe kwaye uthintele ukuqhina. Amanxeba otyando ayaphela ngokuhamba kwexesha. Aza kuncipha aze abe nombala wesikhumba kwiiveki okanye kwiinyanga ezimbalwa emva kokubeleka. Kwakhona, ngenxa yokuba amanxeba adla ngokwenziwa kwindawo "yebhikini", amanxeba awabonakali.

Wenza ntoni ukuba awuziva kakuhle kungekudala?

Ukuba unayo nayiphi na kwezi mpawu , fowunela ugqirha wakho ngokukhawuleza:

• Ifiva.
• Iimpawu zosulelo ezijikeleze inxeba (ukudumba, ukuba bomvu, ukufudumala, ubomvu).
• Intlungu ekhulayo ngequbuliso ejikeleze inxeba okanye esiswini.
• Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi.
• Intlungu xa uchama.
• Ubunzima bokukhupha indle.
• Ukopha kakhulu kwilungu lobufazi.
• Intlungu, ukudumba, okanye ukuba bomvu emilenzeni.
• Ubunzima bokuphefumla okanye iintlungu esifubeni.
• Intlungu kwelinye okanye omabini amabele.
• Iimvakalelo ezifana nokudakumba.
• Iingcinga zokuzilimaza okanye zokuzilimaza umntwana.

Ngokwengqondo, ukuba ubulindele ukuzala okuqhelekileyo, okanye ukuba udlule ekubelekeni waza wagqibela ngotyando, ungaziva udanile kancinci. Khumbula, ukuba notyando lotyando akukwenzi ukuzalwa komntwana wakho kube yinto engaqhelekanga, kwaye akukwenzi imizamo yakho ingabi naxabiso. Kaloku, udlule kutyando olukhulu ukuze uzise umntwana wakho emhlabeni!

Umyalezo Wokuya Ekhaya

Utyando lotyando lotyando luyindlela ebalulekileyo yonyango eyenziwayo kwimpilo nokhuseleko lomama nomntwana. Ngamanye amaxesha lucwangcisiwe, ngamanye amaxesha luba yingxamiseko.

Awuyi kuva ntlungu ngexesha lotyando, kwaye kwiimeko ezininzi uya kukwazi ukumbona umntwana emva kokuba ezelwe.

Kuthatha ixesha ukuba uphile emva kotyando, kwaye kubaluleke kakhulu ukuba uphumle kakuhle kwaye ulandele imiyalelo kagqirha wakho ngeli xesha. Ukuba ubona naziphi na iingxaki okanye iimpawu eziyingozi, bona ugqirha wakho ngoko nangoko. Okokugqibela, nokuba kukuhlinzwa okanye ukuzala okuqhelekileyo, ukuba ngumama ngamava amangalisayo. Iminqweno emihle kuhambo lwakho!

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