Ukuba ukhe wabeleka ngotyando (C-section) ngaphambili, ngaba uza kubeleka ngendlela eqhelekileyo ngeli xesha? Masithethe ngale nto (VBAC)!

Ukuba umntwana wakho wokuqala ubelekwe ngotyando (C-section), usenokuba uzibuza, "Ngaba ndiza kuzala ngendlela eqhelekileyo, yesini ngeli xesha?" Lo ngumbuzo onamathemba amaninzi koomama abaninzi, kodwa ngamanye amaxesha uza noloyiko oluncinci. Ngoko ke namhlanje, masithethe ngale nto ngokucacileyo nangendlela onokuyiqonda.

Ngelo xesha nangoku: Ngaba indlela ocinga ngayo ngokuzala itshintshile emva kotyando lotyando?

Usenokukhumbula, ngexesha likamama wakho, abantu abaninzi babecinga ukuba ukuba wenze utyando lwe-C-section kube kanye, kuya kufuneka wenze olunye utyando lwe-C-section kumntwana ngamnye emva koko. Kwanoogqirha ngelo xesha babesoloko bebhekisela kuloo nto. Kwakukho izizathu zaloo nto.

Kodwa kule mihla, isayensi yezonyango iphucuke kakhulu . Ngophando olutsha nolwazi olutsha, izinto ezininzi zitshintshile. Ngoku, oogqirha ngokwabo bathi oomama abaninzi abafanelekileyo, nokuba bakhe batyandwa ngotyando, banokuzala ngesini (Ukuzalwa Kwangasese Emva Kotyando - VBAC) . Enyanisweni, oku ngoku kuthathwa njengokhetho olukhuselekileyo koomama abaninzi kunye neentsana zabo.

Khawucinge nje, ungagoduka kwangoko emva kokuba nomntwana oqhelekileyo. Akukho ntlungu ingako kwaye ungaphila ngokukhawuleza. Ezi zezinye zezona nzuzo zinkulu ze-VBAC.

Ngoko ke, ndingenza njalo (VBAC)? Yintoni egqiba loo nto?

Lo ngumbuzo obaluleke kakhulu. Asingomntu wonke ofanayo. Kukho izinto ezininzi ezigqiba ukuba unokuba ne-VBAC okanye hayi. Makhe sijonge nganye nganye ngokwahlukeneyo.

1. Yayiyintoni isizathu sokuba wenze utyando lokuqala (C-section)?

Ngamanye amaxesha utyando lokuqala lunokwenziwa ngenxa yengxamiseko nosana, okanye ngenxa yengxaki efana noxinzelelo lwegazi lukamama. Kukho izizathu ezithile, ukuba eso sizathu sinokusebenza kweli xesha lokukhulelwa, kunokuba yingozi ukuba ne-VBAC. Kodwa kukwakho nezizathu ezithile, ukuba yinto echaphazele elo xesha kuphela. Umzekelo, ukuba ubunotyando lwe-cesarean ngenxa yento efana nokuma kwe-breech, ukuba umntwana ukwindawo eyiyo ngeli xesha, usenokuba nethuba elingcono lokuzama i-VBAC. Ugqirha wakho okanye umbelethisi uza kukuchazela oku ngokweenkcukacha.

2. Uhlobo lokusikwa kwesibeleko - Le yeyona nto ibalulekileyo!

Nantsi into ekufuneka uyilumkele kakhulu. Imo yokusika esibelekweni sakho ngexesha lokubeleka kwakho okokuqala ibalulekile kwi-VBAC. Oku akusiyo i-incision ebonakalayo eluswini lwakho, kodwa yi-incision engaphakathi kwesibeleko sakho.

Sithetha kakhulu ngeentlobo ezimbini zokusikwa:

• Ukusikwa okujijekileyo:

Ngamafutshane, olu lolona hlobo luqhelekileyo lokusikwa okwenziwayo, kwaye lolona lufanelekileyo kwi-VBAC.. Olu qhekeko lwenziwa kwicandelo elisezantsi, elincinci lesibeleko, ngendlela enqamlezileyo. Cinga ngalo njengomgca we-bikini (hayi uqhekeko lolusu, kodwa uqhekeko esibelekweni). Olu qhekeko kulapho isibeleko singacinezelwanga kangako xa umntwana ezalwa (xa sincipha ukuze sityhale umntwana aphume). Ke ngoko, umama onolu hlobo loqhekeko unethuba eliphezulu lokuba ne-VBAC ephumelelayo. Elinye igama lalo qhekeko yi (Low-transverse incision) .

• Ukusikwa okuthe nkqo:

Kule meko, ukusika kwenziwa ukusuka phezulu kwesibeleko ukuya ezantsi, ngobude. Ngenxa yokuba olu kusika ludlula kwimisipha yesibeleko, kukho umngcipheko omkhulu wokuba isibeleko sikrazuke (ukuqhekeka kwesibeleko) ngokusika xa isibeleko sincipha kakhulu ngexesha lokubeleka. Oku kunokuba yimeko eyingozi kakhulu kumama nakumntwana. Ke ngoko, oogqirha ngokubanzi abacebisi nge-VBAC ukuba kukho ukusika okuthe nkqo (ingakumbi ukusika okwenziwe ngokuqhelekileyo kwinxalenye ephezulu yesibeleko).

Kubalulekile: Nokuba ulusu lwakho luthe tyaba, ngamanye amaxesha ulusu olungaphakathi kwesibeleko sakho lunokuba ngokuthe nkqo. Ke ngoko, kubalulekile ukuphonononga amanqaku akho otyando ukususela kwisehlo sokuqala sotyando ukuze ufumane ukuba ulusu lubonakala njani na. Thetha nogqirha wakho ngale nto.

3. Zingaphi iibele zotyando osele uzenze ngaphambili?

Nangona i-VBAC idla ngokuqwalaselwa emva kotyando olunye lokubeleka, ukuba ubeleke kabini okanye ngaphezulu kokubeleka, ukuba ne-VBAC kunokuba yingozi ngakumbi. Umngcipheko wokuqhekeka kwesibeleko unokuba phezulu ngakumbi ngenxa yokwanda kwezicubu zesilonda esibelekweni. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, kwanabo babeleke kabini ngaphambili kokubeleka banokuvunyelwa ukuba bazame i-VBAC, ngononophelo olukhulu, kwindawo efanelekileyo. Oku kuxhomekeke ngokupheleleyo kwimbali yakho yezonyango, uhlobo lokusikwa kwesibeleko, kunye nesigqibo sikagqirha okhathalelayo.

4. Imeko yakho yokukhulelwa ngoku kunye nezinye iingxaki zempilo

Ukuba uneengxaki ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, ingxaki yokukhula komntwana wakho, okanye umntwana obonakala emkhulu kakhulu (i-macrosomia) ngeli xesha lokukhulelwa, ugqirha wakho usenokucinga kabini malunga nokuya kwi-VBAC. Kwakhona, ukuba uneengxaki ngesimo sesibeleko sakho (umz. ii-fibroids), oko kunokuchaphazela isigqibo sokuba ne-VBAC.

Akukho mngcipheko na kwi (VBAC)?

Nangona i-VBAC iyindlela ekhuselekileyo koomama abaninzi, ayisiyongozi . Umngcipheko ophambili kukuqhekeka kwesibeleko . Oku kwenzeka xa udonga lwesibeleko luqhekeka kwindawo yotyando lwangaphambili. Oku kuyinto engaqhelekanga kakhulu (ngaphantsi kwe-1% ngokwezibalo zaseSri Lanka, ingakumbi kwabo baye basika utyando oluthe tye), kodwa ukuba kuyenzeka, kunokuba yingxaki esongela ubomi kumama nomntwana. Yiyo loo nto ukuba uzama i-VBAC,Bathi oku kufanele kwenziwe esibhedlele esinazo zonke izibonelelo zokwenza utyando olungxamisekileyo.

Kwelinye icala, ukuba uzama i-VBAC kwaye ayisebenzi, ungagqibela kufuneka wenze i-cesarean section engxamisekileyo. Olu tyando olungxamisekileyo olungacetywanga lunokuba nokwenzeka kancinci ukubangela iingxaki ezincinci kune-cesarean section ecwangcisiweyo.

Musa ukoyika! Ezi ngozi zenzelwe ukukufundisa, kungekhona ukukoyikisa. Uninzi loomama luphumelela kwi-VBAC ngaphandle kweengxaki. Eyona nto ibalulekileyo kukuthetha nogqirha wakho malunga nokuba ifanelekile na imeko yakho, ziziphi iingozi, kunye neenzuzo.

Ukuba ndifuna i-(VBAC), ndingenza ntoni?

Ukuba ucinga nge-VBAC, landela la manyathelo:

1. Thetha nogqirha wakho: Le yinto yokuqala neyona ibalulekileyo. Xoxa ngazo zonke izinto ozibekelwe zotyando lwangaphambili (ingakumbi uhlobo lotyando lokususwa kwesibeleko), impilo yakho yangoku, kunye neengxaki zakho zempilo nogqirha wakho. Babuze ngezinto ezilungileyo nezingalunganga ze-VBAC, kunye neengozi ezithile onokuba nazo. Ugqirha wakho uza kukuhlola, ahlole iirekhodi zakho, aze agqibe kwelokuba i-VBAC ikulungele na.

2. Buza esibhedlele okhetha ukubelekela kuso umntwana wakho: Ayizizo zonke izibhedlele ezinezibonelelo okanye imigaqo-nkqubo efanayo ye-VBAC. Ezinye izibhedlele ziyayixhasa i-VBAC, kwaye amagumbi ongxamiseko kunye namagumbi otyando afumaneka iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngosuku. Nangona kunjalo, ezinye izibhedlele, ingakumbi ezincinci, zisenokungayivumeli i-VBAC kuba zinezixhobo ezimbalwa zokujongana neengxamiseko. Ke ngoko, kubalulekile ukufumanisa kwangaphambili ukuba yintoni umgaqo-nkqubo we-VBAC esibhedlele oceba ukubelekela kuso umntwana wakho.

3. Lungela, kodwa ube bhetyebhetye: Nokuba ulungele i-VBAC, ngamanye amaxesha izinto azihambi njengoko bekucwangcisiwe. Ukuba kukho iingxaki ngexesha lokubeleka, ugqirha wakho unokugqiba ekubeni enze i-cesarean section engxamisekileyo. Khumbula, injongo ephambili kukuba umama osempilweni nomntwana osempilweni. Ngoko ke, lungela ukulandela imiyalelo kagqirha wakho.

Cinga, ukuba isibhedlele osikhethileyo asivumeli i-VBAC, kodwa uyifuna ngokwenene kwaye ugqirha wakho uyavuma, unokukwazi ukutshintshela kwesinye isibhedlele esivumayo. Thetha nogqirha wakho ngale nto.

Ngaba singakhumbula kancinci into ebesithetha ngayo? (Umyalezo oya ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• Nokuba sele ukhe wabeleka ngotyando (C-section), oomama abaninzi bayakwazi ukuzala nge-vaginal (VBAC) . Olu lukhetho olukhuselekileyo ngoku.
• Eyona nto iphambili ekuqinisekiseni ukuba ungenza i-VBAC okanye cha luhlobo lokusika kwesibeleko olwenziwa ngexesha lotyando lwakho lokuqala . Ukusika okunqamlezileyo kusenokwenzeka ukuba lolona khetho lufanelekileyo.
• Oku kuchaphazela izinto ezifana nesizathu sokuhlinzwa kwakho kokuqala, inani labeleko lwangaphambili, kunye nemeko yakho yempilo yangoku.
• Kunokubakho iingozi ezithile ezibandakanyekayo kwi-VBAC, kodwa ezi ngozi zinokuncitshiswa ngokucwangcisa kakuhle kunye neqela lezonyango elinobuchule.
• Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo ngale nto nogqirha wakho. Nguye oza kukunika ingcebiso malunga nokuba yintoni ekulungeleyo imeko yakho.
• Kwakhona, qaphela umgaqo-nkqubo we-VBAC wesibhedlele apho uza kubeleka khona umntwana wakho.

Khumbula, ukukhulelwa ngakunye nokuzalwa ngakunye kuhlukile. Ndikunqwenelela amandla okukhetha eyona ikhuselekileyo nesempilweni kuwe nakumntwana wakho!

` I-VBAC, Utyando, Ukuzalwa okuqhelekileyo, Ukususwa kwesisu, Ukubeleka, Impilo yoMama, Iingcebiso zonyango