Ngaba uyazi ngokuqhekeka kwesibeleko? Masithethe ngako ngaphandle koloyiko!

Ukuba ulungiselela ukuzala, okanye ukuba kukho umntu kusapho lwakho okhulelweyo, kuyinto eqhelekileyo ukuziva usoyika ngamanye amaxesha ngenxa yezinto ozivayo. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi -uterine rupture, enokuba yingozi kancinci, kodwa ingaqhelekanga . Musa ukoyika xa usiva oku, masikuqonde ngokulula nangokucacileyo.

Yintoni ukuQhobosheka kwesibeleko?

Ngamafutshane, ukuqhekeka kwesibeleko kukukrazuka okanye ukuqhekeka eludongeni lwesibeleko sakho. Oku kubonakala kakhulu kubafazi abaye benza utyando ngaphambili (C-section) kwaye bazama ukuba umntwana wabo olandelayo azalwe ngendlela yabasetyhini (Vaginal Birth After Cesarean - VBAC).

Cinga ngayo, isibeleko sakho sisitho esimangalisayo esenziwe ngezihlunu esinokukhula njengoko umntwana wakho ekhula. Senziwe ngamaleya amaninzi ezicubu. Xa isibeleko siqhekeka, la maleya ayakrazuka. Amaxesha amaninzi, oku kukrazuka kwenzeka kwindawo yotyando lwe-C lwangaphambili. Ngexesha lotyando lwe-C, ugqirha wakho usika isibeleko sakho ukuze asuse umntwana wakho, kwaye kuvela isilonda apho. Ngokwesiqhelo, esi silonda kufuneka siphiliswe kakuhle kwaye simelane noxinzelelo lokukhulelwa okulandelayo kunye nokuzala. Nangona kunjalo, xa kuvela isibeleko, esi silonda siyakrazuka.

Zimbini iindlela eziphambili esi sibeleko esinokuqhambuka ngazo:

• Ukuqhekeka okupheleleyo kwesibeleko: Kulapho zonke iileya ezintathu zodonga lwesibeleko zikrazukileyo. Le yimeko embi kakhulu kwaye ifuna unyango olukhawulezileyo.
• Ukuqhekeka kwesibeleko okungaphelelanga: Kule nto, zonke iileya ezintathu zodonga lwesibeleko azikrazulwanga.

Uninzi lokuqhekeka kwesibeleko kwenzeka ngexesha lokuzala, kodwa ngamanye amaxesha kunokwenzeka ngexesha lokukhulelwa. Kunqabile kakhulu, kunokwenzeka nangexesha lokungakhulelwa.

Kwenzeka ntoni ukuba isibeleko siyagqabhuka?

Ukuqhekeka kwesibeleko kuthathwa njengengxamiseko yezonyango . Oku kungenxa yokuba kunokuba yingozi kuwe nakumntwana wakho. Khawuthelekelele umngxuma esibelekweni sakho odibana nomngxuma wesisu sakho. Oku kuyingozi kakhulu kwaye kunokubangela ukopha kakhulu. Xa isibeleko siqhekeka, umntwana ulahlekelwa lukhuseleko alufumanayo kwisibeleko. Kunokubangela nokuba isantya sentliziyo yomntwana sehle kwaye umntwana angalahlekelwa yioksijini. Ukuba umntwana akanayo ioksijini, kunokubangela umonakalo wengqondo okanye ukufuthaniseka. Ke ngoko, oogqirha kufuneka bathathe amanyathelo ngokukhawuleza ukuze basuse umntwana baze balungise isibeleko sakho.

Kuqheleke kangakanani ukuqhambuka kwesibeleko?

Enyanisweni, ukuqhekeka kwesibeleko yinto engaqhelekanga kakhulu.. Kubafazi abaye benza utyando olunye lokubeleka, oku kwenzeka kwisithuba esinye kwezingama-300 zokuzala. Nangona kunjalo, kubafazi abaye benza utyando lwe-C-section ngaphezu kwesinye, umngcipheko wokuqhekeka kwesibeleko uphezulu kancinci. Oko kuthetha ukuba kunokwenzeka kwisithuba esimalunga ne-9 kwezingama-300 zokuzala. Yiyo loo nto kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga nokuzala kwakho kwangaphambili.

Ngubani osengozini enkulu?

Amaxesha amaninzi, ukuqhekeka kwesibeleko kwenzeka xa umfazi ebenotyando lwe-C-section ngaphambili kwaye ezama ukubeleka umntwana wakhe olandelayo ngesisu (VBAC), apho kwakukho khona isilonda sotyando lwangaphambili. Okukhona une-C-section eninzi, kokukhona umngcipheko wakho wokuqhekeka kwesibeleko uphezulu.

Kukho nezinye izinto ezinobungozi:

• Ukuba ukhe watyandwa ngaphambili kwesibeleko (umz. ukususwa kwee-fibroids).
• Ukuba ukhe wadubula isibeleko ngaphambili.
• Ukuba bekukho ingozi okanye ukwenzakala kwisibeleko.
• Ukuba unesibeleko esinesiphene sokuzalwa (njengesibeleko esisecaleni okanye isibeleko esineembombo ezimbini ).
• Ukuba isibeleko sakho sivulekile kakhulu. Oko kukuthi, ukuba uneentsana ezininzi, ezifana namawele, okanye ukuba kukho ulwelo oluninzi lwe-amniotic .
• Ukuba umntwana wakho ukwimo yokurhoxa kwaye ukhe wazama ukumjikisa ngesandla (i-external cephalic version - ECV) ngaphambi kokuba azalwe.
• Ukuba ukuzala kuthatha ixesha elide.

Musa ukukhathazeka ngezi zinto. Ezi zizinto nje eziyingozi. Ayingomntu wonke onayo le nto oza kuqhambuka isibeleko. Eyona nto ibalulekileyo kukuxoxa ngazo zonke ezi zinto nogqirha wakho uze wenze isicwangciso sokuzalwa esilungele wena.

Zithini iimpawu zokuqhekeka kwesibeleko?

Ngamanye amaxesha, usenokungaziboni iimpawu. Ugqirha wakho wokubelekisa kunye nombelekisi baya kuhlala bejonga iimpawu zeengxaki ngexesha lokubeleka. Ukuba bacinga ukuba kukho into engalunganga, baya kuthatha inyathelo ngokukhawuleza.

Iimpawu zokuqhekeka kwesibeleko zingabandakanya:

• Ukungaqheleki kwentliziyo yomntwana esibelekweni (ukuphazamiseka kwesisu) .
• Ukubetha kwentliziyo ngokukhawuleza okanye uxinzelelo lwegazi oluphantsi kumama okhulelweyo.
• Intlungu yesisu eqatha ngequbuliso.
• Ukopha kwamalungu esini.
• Ukurhuqeka okuhlala ixesha elide okanye okungaphumliyo.
• Ukuzala kuyayeka okanye kuyeke ukusebenza.

Ukuba ugqirha wakho uyazi ukuba usemngciphekweni wokuqhekeka kwesibeleko, unokuthatha amanyathelo afanelekileyo okhuseleko ngaphambi kokuba ubeleke. Yiyo loo nto kubaluleke kakhulu ukwabelana ngembali yakho epheleleyo yezonyango nogqirha wakho.

Zithini izizathu zokuqhekeka kwesibeleko?

Amaxesha amaninzi, ukuqhambuka kwesibeleko kwenzeka xa umfazi ebeletha umntwana wakhe olandelayo ngokwendalo, kwindawo apho kwakukho isilonda se-C-section sangaphambili. Oku kungenxa yokuba uxinzelelo kunye nobunzima bokubeletha bunokwenza buthathaka izicubu zesilonda zibangele ukuba zikrazuke. Nje ukuba isibeleko siqhambuke, umntwana angangena esiswini engenandawo yokuya.

Ukuba ukhe wahlinzwa nge-C-section, umngcipheko wakho wokuqhekeka kwesibeleko uyakhula. Nangona kunjalo, ukuba ugqirha wakho wenze i-uterine incision engaphantsi kwe-transverse, umngcipheko uphantsi kancinci kunokuba wenze i-incision ethe nkqo. Nangona kunjalo, ezinye iindlela zotyando zesibeleko, ezifana nezo zokulungisa isiphene sesibeleko, nazo zinokunyusa umngcipheko wakho. Ukuba ugqirha wakho ucinga ukuba usemngciphekweni omkhulu wokuqhekeka kwesibeleko, banokucebisa i-C-section ukuthintela iingxaki.

Kodwa khumbula oku: Ukuba nje ukhe wabeleka nge-C-section akuthethi ukuba awusoze ukwazi ukuzala kwi-vaginal. Kubalulekile ukuthetha nogqirha wakho malunga nokuzalwa kwakho kwangaphambili kwaye uvavanye ukuba ufanelekile na kwi-VBAC. Kwezinye iimeko, i-VBAC iyingozi kakhulu, ngoko ugqirha wakho unokucebisa ukuba wenze i-C-section ukuthintela ukugqabhuka kwesibeleko.

Kuvakala njani ukuqhekeka kwesibeleko?

Ayingabo bonke abantu abaziva ukuqhambuka kwesibeleko. Nangona kunjalo, ukuba uyaziva, ungaziva uxinzelelo olunzima ngequbuliso okanye uzive ngathi isisu sakho sibuhlungu. Usenokubona neempawu zoxinzelelo lwegazi oluphantsi okanye ukubetha kwentliziyo ngokukhawuleza, njengokungathi sisiyezi okanye ukuphefumla kancinci.

Ngaba ukuqhekeka kwesibeleko kunokubangela ukufa?

Ewe, kukho ithuba elincinci kakhulu lokufa ngenxa yokuqhekeka kwesibeleko. Izinga lokufa kumama lingaphantsi kwe-1%. Oko kuthetha ukuba ngaphantsi komnye kwi-100.

Umntwana ongekazalwa usemngciphekweni omkhulu wokufa kunonina (malunga ne-6%). Yiyo loo nto oogqirha besithi kubalulekile ukwenza ngokukhawuleza ukusindisa umntwana nokubonelela ngonyango olusindisa ubomi.

Uyifumanisa njani into yokuba isibeleko siqhekekile?

Oku kudla ngokuchongwa ngexesha lokubeleka. Ugqirha wakho angaphawula oku kulandelayo:

• Intloko yomntwana wakho yehle kakuhle yaya esinqeni kwaye awukwazi ukuyiva xa uhlolwa isini.
• Ukuba isantya sentliziyo yomntwana wakho siyehla kwaye unesithokotho esinamandla sesibeleko.

Oogqirha bayaqinisekisa ukuqhekeka kwesibeleko ngokwenza utyando esiswini sakho baze bajonge ukuba isibeleko sakho sikrazukile na. Ukuba bayaqinisekisa ukuqhekeka kwesibeleko, baya kwenza utyando lokususa umntwana ngokukhawuleza nangokukhuselekileyo kangangoko kunokwenzeka.

Inyangwa njani i-uterine rupture?

Ukuba isibeleko sakho siyaqhawuka, ugqirha wakho uza kuzala umntwana ngoko nangoko . Emva koko, baza kwenza utyando lokulungisa isibeleko sakho. Ngamanye amaxesha, ukuba wopha kakhulu, kunokufuneka ukuba isibeleko sakho sisuswe ngokupheleleyo (hysterectomy). Ababoneleli bezempilo kufuneka bakulungele ukukhupha umntwana esiswini sakho ngokukhawuleza kwaye banike unyango olungxamisekileyo kuwe nakumntwana wakho.

Kuthatha ixesha elingakanani ukuba ukuqhekeka kwesibeleko kuphole?

Udinga ubuncinane iiveki ezine ukuya kwezintandathu ukuze uphile emva kokuqhekeka kwesibeleko.Kubalulekile ukuphumla ngokwaneleyo ngeli xesha kwaye uphephe imisebenzi ugqirha wakho akuxelele ukuba ungayenzi ude uphile. Ugqirha wakho angakuxelela ukuba uziphephe izinto ezifana nezi ngelixa usaphila:

• Ukuphakamisa ngaphezu kweekhilogram ezimbalwa.
• Ukufaka nantoni na kwisini. Oku kuquka ukusebenzisa ii-tampons kunye nokwenza isondo.
• Ukuzilolonga, ukunyuka izinyuko, nokwenza iintshukumo ezinzima.
• Ukuhlamba emanzini okanye ukuhlala emanzini.

Zithini iingxaki zokuqhekeka kwesibeleko?

Ukuqhekeka kwesibeleko kunokubangela iingxaki ezisongela ubomi. Nangona kunjalo, ukuba kunyangwa ngokukhawuleza, umngcipheko weengxaki ezinkulu uphantsi.

Iingxaki ezinokwenzeka kumntwana ongekazalwa:

• Ukuqhawukelwa ngumphefumlo.
• Ukonakala kwengqondo ngenxa yokunqongophala kweoksijini.

Iingxaki onokuthi uzifumane:

• Ukopha kakhulu (ukopha igazi) .
• Ukulahlekelwa kukuzala ngenxa yokususwa kwesibeleko.
• Ukuzalwa komntwana eswelekile kwenzeka.

Ungayinciphisa njani ingozi yokuqhekeka kwesibeleko?

Ungawunciphisa lo mngcipheko ngokwabelana ngembali yakho epheleleyo yezonyango nogqirha wakho kunye nokuxoxa ngezinto ezinokubangela uqhekeko lwesibeleko. Ukwazi ukuba usemngciphekweni woqhekeko lwesibeleko kuya kunceda ugqirha wakho enze amalungiselelo afunekayo okuthintela oku.

Ukuba usemngciphekweni omkhulu wokuqhekeka kwesibeleko ngenxa yokuba ukhe wabelekwa ngotyando, ugqirha wakho unokugqiba kwelokuba kungcono ukucwangcisa utyando lwe-C-section. Oku kuya kukuthintela ekubeni neentlungu zokubeleka nokubeka uxinzelelo olongezelelweyo kwisibeleko sakho.

Ngaba kunokwenzeka ukuba nomntwana kwakhona emva kokuqhekeka kwesibeleko?

Ewe, abantu abaninzi banokuphinda bakhulelwe ngempumelelo baze bazale emva kokuqhekeka kwesibeleko. Nangona kunjalo, ukuba ukhe waqhekeka kwisibeleko ngaphambili, umntwana wakho olandelayo uhlala ezalwa ngotyando lwe-C-section.

Yintoni umahluko phakathi kokuqhekeka kwesibeleko kunye nokuqhekeka kwe-placenta?

Ukuqhekeka kwe-placenta kuxa i-placenta yahlukana nesibeleko ngaphambi kokuba umntwana azalwe. Kwi-placenta yokuqhekeka, udonga lwakho lwesibeleko alukrazuki okanye luqhekeke. Nangona kunjalo, njengokuqhekeka kwesibeleko, kunokubangela iingxaki ezinkulu kuwe nakumntwana wakho. Ezinye izinto ezinobungozi, njengokuqhekeka kwesibeleko kunye nokukhulelwa amawele, ziqhelekile kuzo zombini ezi meko. Kwakhona, ezinye iimpawu, ezifana nentlungu yesisu kunye nokopha kwegazi kwilungu lobufazi, zinokubonakala kuzo zombini.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqhekeka kwesibeleko yingxaki engaqhelekanga kodwa enokuba yingozi. Ixhaphake kakhulu kubafazi abaye benza utyando lwe-C-section ngaphambili okanye olunye utyando lwesibeleko kwaye bazama ukubeleka kwilungu lobufazi.

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho wokuzala malunga nembali yakho yezonyango ukuze bakwazi ukwenza isigqibo esifanelekileyo malunga nendlela yokuqhubeka nokuzala kwakho.

Nokuba sele ukhe wabeleka ngotyando ngaphambili, ukuba uhlangabezana neemfuno ezithile, ungabeleka ngesisu (VBAC). Thetha nogqirha wakho malunga neendlela onokukhetha kuzo zokubeleka nokuba usemngciphekweni wokuqhekeka kwesibeleko na. Lungela ukuzisa umntwana wakho emhlabeni ngokukhuselekileyo, ngaphandle koloyiko, nangolwazi!

Ukuqhekeka kwesibeleko , utyando, utyando lwe-C-section, i-VBAC, ukuzala, ukukhulelwa, impilo yabasetyhini