Ngaba ulindele omnye umntwana? Ukuba umntwana wakho wokuqala ubelekwe nge- cesarean section ( C-section ), usenokuba uzibuza, "Ngaba ndiza kukwazi ukuzala umntwana wam ngokwendalo ngeli xesha?" Lo ngumbuzo omkhulu koomama abaninzi. Ukuzala ngesini emva kwe-cesarean section kwaziwa ngokwezonyango njenge-VBAC (Vaginal Birth After C-section). Ngoko ke, nangona oku kunokwenzeka koomama abaninzi, kukho izinto ezimbalwa ekufuneka sithethe ngazo ngaphambi kokuba sigqibe ukuba kulungile na kuwe kwaye kukhuselekile.
Eyona nto ibalulekileyo kukhuseleko lwakho nolomntwana wakho. I-VBAC ayilokhetho olukhuselekileyo kuye wonke umntu.
Ngamanye amaxesha, ukuba umntu osengozini enkulu yeengxaki uzama ukuzala ngendlela eqhelekileyo, oko kunokubangela iingxaki ezinkulu, ezisongela ubomi bakho nosana lwakho. Yiyo loo nto kubalulekile ukuxoxa ngemingcipheko nogqirha wakho ngaphambi kokuba wenze isigqibo.
Injani impilo yakho neyomntwana wakho?
Ukuze uthathe isigqibo sokuba ungazama na i-VBAC, kubalulekile ukuqinisekisa ukuba wena nomntwana wakho niphilile. Ukuba uphilile, unokukwazi ukuzama i-VBAC nokuba uzala amawele . Kodwa kuya kufuneka ufumane imvume kagqirha wakho.
Nangona kunjalo, kwezinye iimeko, ugqirha wakho usenokuthi ukuzama i-VBAC kuyingozi kakhulu. Nazi ezinye zezinto ezinokubangela umngcipheko ekuzaleni ngempumelelo kwisini.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukutyeba kakhulu | Ukuba i-Body Mass Index (BMI) yakho ingama-30 okanye ngaphezulu. |
| I-Preeclampsia | Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa. |
| Ubudala | Ngokwesiqhelo umama uneminyaka engaphezu kwama-35 ubudala. |
| Ixesha eliphakathi kotyando lwangaphambili | Ukuba sele kudlule ubuncinane iinyanga ezili-19 ukususela ekubelekweni kwakho kwangaphambili. |
| Ubungakanani bomntwana | Ukuba ubunzima bomntwana osesiswini bukhulu kakhulu kunobukhulu bakhe (isibeleko esikhulu). |
Masifunde ngamanxeba otyando lwe-C-section lwangaphambili .
Enye yezona zinto zibalulekileyo wena nogqirha wakho enifanele nixoxe ngazo kukuba injani inxeba lesibeleko sakho . Oku kubaluleke kakhulu. Abantu abaninzi bacinga ukuba inxeba elingaphandle kwesisu sakho kunye nenxeba elingaphakathi kwesibeleko sakho ziyafana. Nangona kunjalo, ukusikwa kungaba kwiindlela ezahlukeneyo. Kukho iindlela ezimbini eziphambili zokusika isisu sakho kunye nesibeleko ngexesha lotyando:
- Ukusika ngokuthe nkqo: Ukusika okwenziwe ukusuka phezulu ukuya ezantsi.
- Ukusika okunqamlezileyo: Ukusika okwenziwe ukusuka kwelinye icala ukuya kwelinye (ukunqumla).
| Uhlobo lokusikwa kwesibeleko | Impembelelo kwiVBAC |
|---|---|
| Ukusika okuthe nkqo | Awunakuyizama i-VBAC . Kukho umngcipheko omkhulu wokuba eli nxeba liqhume ngexesha lokubeleka. Oku kuyingozi kakhulu kumama nakumntwana. Kuya kufuneka wenze olunye utyando lotyando. |
| Ukusika okuphantsi okunqamlezileyo | Usenokukwazi ukuzama i-VBAC . Olu lolona hlobo luqhelekileyo nolukhuselekileyo lwe-c-section. Ukuba ezinye izinto ezinobungozi ziphantsi, ugqirha wakho unethuba elikhulu lokuvumela i-VBAC. |
Ngoko ke ungabona ukubaluleka kokwazi ukuba loluphi uhlobo lwesilonda esinaso isibeleko sakho.
Isibhedlele osikhethileyo naso sibalulekile!
Oku kukwayinto ekufuneka uyiphande kwangaphambili. Buza ugqirha wakho ukuba isibhedlele oceba ukubelekela kuso umntwana wakho siyakuvumela na ukuba umntwana wakho abe ne-VBAC kwaye ukuba banazo na izibonelelo ezifunekayo. Ayizizo zonke izibhedlele ezikuvumelayo oku.
Isizathu kukuba nangona umngcipheko wokuqhekeka kwesilonda esidala uphantsi xa kusenziwa i-VBAC, ukuba kuyenzeka, yingxamiseko . Isibhedlele kufuneka silungele ukujongana nengxamiseko enjalo. Oku kuthetha ukuba yonke into efunekayo kwi-cesarean section engxamisekileyo, njengamagumbi otyando, ii-anesthesiologists, kunye neendawo zebhanki yegazi, kufuneka zilungele nangaliphi na ixesha. Ezinye izibhedlele zisenokungabi nazo izibonelelo zokujongana nengxamiseko enjalo. Ke ngoko, ukukhetha isibhedlele kubaluleke kakhulu.
Ngaba umngcipheko ophantsi uthetha ukuba akukho mngcipheko?
Hayi. Kukho umngcipheko omncinci kakhulu wokuqhekeka kwesibeleko kuye nawuphi na umama osempilweni onenxeba elingaphantsi elinqamlezileyo ozama i-VBAC. Oogqirha abanakutsho ngokuqinisekileyo ngokupheleleyo ukuba oku kuya kwenzeka kuwe okanye akunjalo.
Nangona ukuqhekeka kwesibeleko kwenzeka ngaphantsi kwe-1% yabasetyhini abazama i-VBAC, kunokuba yingozi kakhulu ukuba kwenzeka, ngoko abanye oomama abazimisele ukuthatha loo mngcipheko mncinci.
Ngoko ke, kungcono ucinge kakuhle malunga neendlela onokukhetha kuzo, uthethe nogqirha wakho , uze wenze isigqibo emva kokuqonda izinto ezilungileyo nezingalunganga.
Zithini iingenelo ze-VBAC ephumeleleyo?
Kulungile, ngoku ekubeni sithethe ngezinto ezingalunganga, makhe sijonge iingenelo ze-VBAC ephumelelayo. Ukuba unako ukuhlawulela i-VBAC kwaye ufuna ukubeleka kwilungu lobufazi, kukho izizathu ezininzi ezilungileyo zokuyizama. Kwaye amathuba okuphumelela aphezulu. Malunga nama-70% oomama abazama i-VBAC baphumelela ekubelekeni usana lwabo kwilungu lobufazi. Kwezinye iimeko, iingxaki ngexesha lokubeleka zifuna ukubeleka kwakhona.
Ukuba une-VBAC ephumeleleyo, uza kufumana ezi zibonelelo:
- Akunyanzelekanga ukuba wenze utyando olukhulu.
- Ukopha kuncinci kakhulu.
- Ungaphila ngokukhawuleza kunasemva kotyando.
- Umngcipheko wokosuleleka uphantsi.
- Kukho amathuba amancinci okwenzakala kwisinyi sakho okanye emathunjini.
- Ukuba ulindele omnye umntwana kwixesha elizayo, iingxaki ezinokubakho ngexesha lokubeleka ziya kuncipha.
Umyalezo Wokuya Ekhaya
- Nangona ukuzala kwisini emva kotyando (VBAC) kunokwenzeka kubantu abaninzi, akulunganga kuye wonke umntu.
- Eyona nto ibalulekileyo ekuqinisekiseni ukuba ungaba ne-VBAC na luhlobo lwesilonda esibelekweni sotyando lwangaphambili (nokuba sithe nkqo okanye sithe tye).
- Ngaphambi kokuba uzame i-VBAC, qiniseka ukuba uxoxa kakuhle kwaye uqonde izinto ezilungileyo, iingxaki kunye nazo zonke iingozi nogqirha wakho.
- Qinisekisa ukuba isibhedlele osikhethileyo xa uza kuzala sinazo zonke izinto ezifunekayo (i-ETU, amagumbi otyando) ukuze kwenziwe utyando olungxamisekileyo.
- Ekugqibeleni, eyona nto ibalulekileyo kukukhetha eyona ndlela ikhuselekileyo kuwe nakumntwana wakho. Ugqirha wakho uza kukunceda wenze eso sigqibo.
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