Ngaba wakha wabeleka umntwana nge-C-section ngaphambili? Masifunde nge-VBAC (Ukuzalwa Kwangasese Emva Kokuhlinzwa)!

Ngaba wakha waba nomntwana ngaphambili ngotyando? Ngelo xesha, xa sele uza kuphinda ufumane umntwana, kufuneka ukuba unombuzo omkhulu engqondweni yakho, "Ngaba ndiza kuzala ngendlela eqhelekileyo na ngeli xesha, oko kukuthi, ngokusebenzisa isini (ukuzala ngesini)?" Lo ngumbuzo obuzwa ngoomama abaninzi. Ngoko ke namhlanje, masithethe ngokuzala ngendlela eqhelekileyo emva kotyando, oko kukuthi, i-VBAC (Ukuzalwa Kwangasese Emva Kotyando).

Yintoni i-VBAC (Ukuzalwa Kwangasese Emva Kokuhlinzwa)? Ngamafutshane...

Ngamafutshane, i-VBAC iyenzeka xa sele ubelethe olunye okanye ngaphezulu ngaphambili (C-sections) uze emva koko ubelethe umntwana wakho olandelayo ngendlela eqhelekileyo, leyo yindlela eqhelekileyo. Uyazi, i-C-section iyenzeka xa ugqirha esenza utyando esiswini sakho nasesibelekweni ukuze asuse umntwana.

Injongo ephambili ye-VBAC kukunika umntu oye wenza utyando lwe-C ngaphambili ithuba lokuzala ngendlela eqhelekileyo ekukhulelweni kwakhe okulandelayo. Nangona kunjalo, ngamanye amaxesha, ukuba ukhe wenza utyando lwe-C ngaphambili olunye okanye ngaphezulu, ukuzala ngendlela eqhelekileyo kunokuba yingozi kancinci .

Kukho izinto ezininzi ekufuneka uziqwalasele xa usenza isigqibo sokuba uza kuyizama na i-VBAC okanye awuyi kuyizama. Umzekelo:

• Uhlobo lotyando olusetyenzisiweyo ngexesha lotyando lwakho lwangaphambili lotyando kunye nenani le-C-sections oye wayenza.
• Imbali yakho yempilo .
• Ngaba unazo naziphi na ezinye iingxaki zempilo okwangoku?
• Indawo yomntwana kunye nokuba umntwana unazo naziphi na iingxaki zempilo .

Ugqirha wakho uza kuhlola konke oku aze akuxelele ukuba kukhuselekile na kuwe ukuzama i-VBAC. Uza kukuchazela izinto ezilungileyo nezingalunganga. Emva koko, ngokusekelwe kuloo ngxoxo, ungathatha isigqibo sokuba uzame i-VBAC okanye wenze olunye utyando lwe-C-section.

Izifundo zibonise ukuba malunga nama-75% abasetyhini abaye benza utyando lwe-C-section olunye babeletha ngempumelelo kwilungu lobufazi ekukhulelweni kwabo okulandelayo. Nangona kunjalo, ukuba ukhe wenza utyando lwe-C-section kabini okanye ngaphezulu ngaphambili, amathuba akho okuphumelela kwi-VBAC anokwehla aye kuma-50% .

Ngamanye amaxesha oogqirha babiza i-VBAC ngokuthi yi-TOLAC (Uvavanyo Lokubeleka Emva Kotyando) . I-TOLAC lilinge lokuzala emva kotyando. Ukuba eli linge (TOLAC) liphumelele, isiphumo iba yi-VBAC. Ukuba aliphumelelanga, kuya kufuneka olunye utyando lwe-C-section.

Kutheni abantu abaninzi kangaka benethemba lokufumana i-VBAC emva kotyando lwe-C-section?

Oku kudla ngokuba yinto yokuzikhethela . Abanye abantu bangathanda ukuzala nge-vaginal, kodwa ngesizathu esithile, abakwazi ukwenza njalo. Okanye banokukhetha ukuzala nge-vaginal kuba kuthatha ixesha elide ukuba baphile emva kotyando lwe-C-section.

Nokuba ukhetha ukuzala ngendlela yendalo, ugqirha wakho usenokucebisa ukuba wenze utyando lwe-C-section ngenxa yezinye zeengozi ze-VBAC. Okanye, banokuthi kulungile ukuzama i-VBAC.

Ziziphi iingenelo zeVBAC?

Kukho iingenelo ezininzi kwi-VBAC xa kuthelekiswa ne-C-section. Jonga oku:

• Ukuchacha ngokukhawuleza kunye nokuhlala esibhedlele okunciphileyo: Emva kotyando lwe-C-section, kukho ixesha elininzi lokuphumla ebhedini kunye nexesha lokuba i-incision iphole. Ezi azixhaphakanga kakhulu kwi-VBAC.
• Ukungatyandwa esiswini: Eyona nto inkulu ekufuneka uyiphephe lutyando olukhulu.
• Ukuphepha okanye ukunciphisa iingozi zotyando lwe-C-section (ezifana nokopha kakhulu, usulelo).
• Iingenelo zomntwana: Ngexesha lokubeleka okuqhelekileyo, ulwelo lwe-amniotic olukwimiphunga yomntwana luyasuswa njengoko umntwana edlula kumjelo wokuzalwa. Oku kulungiselela umntwana ioksijini emva kokuzalwa. Kwakhona, inkqubo yomzimba yokuzikhusela yomntwana iyavuselelwa njengoko edlula kumjelo wokuzalwa.
• Umngcipheko weengxaki (ezifana nokwakheka kwezicubu ezixineneyo - ukunamathela, ukonakala kwamalungu angaphakathi) ezinokwenzeka ngenxa yotyando oluphindaphindwayo uphantsi.
• Ukhetho lomntu: Abanye abantu banomnqweno omkhulu wokufumana ukuzalwa okuqhelekileyo.

Cinga ngale nto, ukuba uceba ukuba nabantwana abaninzi, kungcono kakhulu ukuba ne-VBAC ephumelelayo kunokuqhubeka nokwenza utyando lwe-C-section. Kuba lonke utyando lwe-C-section luza nomngcipheko othile.

Zithini iingozi zokuzama i-VBAC?

Utyando lwe-C-section lushiya isilonda esibelekweni. Ngoko ke, uxinzelelo oluvela ekubelekeni lunokubangela ukuba isibeleko sikrazuke ecaleni kwenxeba le-C-section (ukugqabhuka kwesibeleko) . Le yeyona ngozi iphambili ye-VBAC. Nangona kunjalo, uphando lwakutshanje lubonise ukuba kwiimeko ezininzi, i-VBAC inokwenziwa ngokukhuselekileyo emva kotyando lwe-C-section.

Ukuqhekeka kwesibeleko yingxaki engaqhelekanga kodwa enzima enokuba yingozi ebomini . Ukuba usemngciphekweni omkhulu wokuqhekeka kwesibeleko, ugqirha wakho akasoloko ezama ukwenza i-VBAC.

Ezinye iingozi ezinokuvela xa uzama i-VBAC ziquka:

• Ukulahleka kwegazi
• Usulelo
• Utyando lwe-C oluNgxamisekileyo: Olu tyando luyingozi ngaphezu kotyando lwe-C olucwangcisiweyo.

Iyintoni ingozi yokuqhekeka kwesibeleko?

Umngcipheko wokuqhekeka kwesibeleko kumntu oye wahlinzwa i-C- section ngaphambili, apho kwenziwe khona ukusika okuphantsi okunqamlezileyo , umalunga ne-0.9%, okungaphantsi komnye kwi-100. Ngoko ke, nangona oku kuyingozi encinci kakhulu, kubalulekile ukukwazi.

Ngaba ukusikwa okwenziwe nge-C-section yangaphambili kuyayichaphazela i-VBAC?

Ewe, ngokuqinisekileyo kunjalo. Kukho iintlobo ezahlukeneyo zokusika okwenziweyo ngexesha lotyando lwe-C-section:

• Ukusikwa okunqamlezileyo okuphantsi: Oku kunomngcipheko omncinci wokuqhekeka kwesibeleko. Olu sikeko lwenziwa kwicandelo elisezantsi nelincinci lesibeleko.
• Ukusikwa okusezantsi okuthe nkqo: Oku kunomngcipheko ophezulu kancinci wokuqhekeka kwesibeleko kunokusika okunqamlezileyo. Oku kwenziwa ngobude kwicandelo elisezantsi, elincinci lesibeleko.
• Ukusika okude kwinxalenye ephezulu yesibeleko ("Classical"): Le yeyona ndlela inobungozi yokukrazula isibeleko. Oogqirha botyando banokufuna ukwenza olu hlobo lokusika xa umntwana engekafiki ixesha okanye xa umntwana ekwimeko enzima yokuzala.

Ingongoma ebalulekileyo apha kukuba indawo kunye necala lesilonda esibonakala ngaphandle kwesisu sakho aziyi kufana nendawo kunye necala lesilonda esenziwe ngaphakathi kwesibeleko sakho. Umzekelo, nangona isilonda sakho sesisu sinqamlezile, isilonda esisesibelekweni sakho sinokuba seside.

Iirekhodi zakho zonyango kufuneka zibandakanye iinkcukacha malunga nendawo kunye necala lokusika esibelekweni sakho. Xa uthetha nogqirha wakho malunga nokhuseleko lwe-VBAC, qiniseka ukuba uhlola iirekhodi zakho zonyango kunye nazo naziphi na ii-C-sections zangaphambili.

Ngubani onokuba nethuba elingcono lokuba ne-VBAC ephumelelayo?

Thetha nogqirha wakho ngembali yakho yempilo, ukukhulelwa kwakho kwangoku, kunye nazo naziphi na izinto ezikhokelele ekubelekweni kwe-C-section ngaphambili.

Usenokuba nethuba elingcono lokuphumelela kwi-VBAC ukuba:

• Ukuba ukhe wahlinzwa i-C-section enye okanye ezimbini ngaphambili, nazo ezo zenziwe ngokusika okuncinci okunqamlezileyo kwinxalenye esezantsi yesibeleko .
• Ukuba ukhe wabeleka ngaphambili.
• Ukuba awuzange wenze olunye utyando lwesibeleko (umz. i-myomectomy ).
• Ukuba awunayo imbali yokuqhekeka kwesibeleko ngaphambili.
• Awunazo naziphi na iingxaki zempilo ezinokubangela ukuba ukuzala okuqhelekileyo kube yingozi (umz., ii-fibroids zesibeleko, iingxaki zendawo ye-placenta).
• Ukuba uqala ukuzala ngokungacwangciswanga, ngaphambi komhla wakho wokuzalwa.

Ukuba ukhe wayenza i-VBAC ngempumelelo ngaphambili – ngaphandle kweengxaki ezifana nokuqhekeka kwesibeleko – unamathuba amaninzi okuba uzale ngempumelelo kwisini kwixesha elizayo.

Kuphantsi kweziphi iimeko apho amathuba okuba i-VBAC iphumelele ancitshiswa khona?

Ngamanye amaxesha, amathuba okuba i-VBAC iphumelele anokuncitshiswa ngezizathu ezifana nezi:

• Utyando lwe-C-bection lwangaphambili lwenziwe kuba ukuzala bekungaqhubeki.Oko kukuthi, ukuba umlomo wesibeleko sakho awuvulekanga (ungavuleki) okanye awuzange ucime kakuhle ngexesha lokuzala okuqhelekileyo.
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba utyebile kakhulu okanye utyebile kakhulu.
• Ukuba ulindele umntwana omkhulu okanye ulindele ukuzala abantwana abaninzi.
• Ukuba umhla wakho wokugqibela udlulile.
• Ukuba ukhulelwa kwakhona kungekapheli neenyanga ezili-18 emva kokuzala umntwana wakho wangaphambili (ixesha elifutshane phakathi kokukhulelwa) .
• Ukuba une -preeclampsia (xa oogqirha benamathuba amaninzi okwenza utyando lwe-C-section).

Zithini iingozi zokwenziwa i-C-section ngokuphindaphindiweyo?

Akukho nani limiselweyo lotyando lwe-C-sections onokulwenza. Nangona kunjalo, ezinye izifundo zibonisa ukuba abantu abane-C-sections ezininzi baneengozi eziphezulu, ezinje:

• Ukopha kakhulu.
• Ukulimala kwesinyi kunye namathumbu.
• Usulelo.
• Iimeko ze-placenta kwixesha elizayo lokukhulelwa, umzekelo, ukunamathela okungaqhelekanga kwe-placenta kwisibeleko ( i-placenta previa okanye i-placenta accreta ).
• Ukuqhambuka kwesibeleko.
• Ukuncamathela (ukuncamathelana kwezicubu zesilonda).

Ezi ngozi zingahluka kumntu nomntu. Kuxhomekeke kakhulu kwimbali yakho yempilo, kunye neemeko ezithile zokukhulelwa kunye nokubeleka. Ngoko ke, ugqirha wakho ngumntu ofanelekileyo ukuthetha naye malunga neenzuzo kunye neengxaki zokwenza olunye utyando lwe-C okanye ukuzama i-VBAC.

Yeyiphi imibuzo omele uyibuze ugqirha wakho malunga ne-VBAC kunye notyando lwe-C-section oluphindaphindwayo?

Njenge-VBAC, utyando lwe-C-section luneengenelo kunye neengozi. Ngoko ke, kubalulekile ukuba uqonde zombini iindlela zokubeleka kunye nendlela ezikuchaphazela ngayo.

Xoxa ngale micimbi nogqirha wakho:

• Malunga nokukhulelwa kwakho kwangaphambili kunye nokuzalwa kwakho .
• Zeziphi izinto ezikubangele ukuba wenze utyando lwe-C-section ?
• Ikhuselekile kangakanani i-VBAC kunye ne-C-section kuwe nakumntwana wakho?
• Zeziphi izizathu ekufuneka uziqwalasele/ungacingi nge-VBAC ?
• Zeziphi izizathu zokuba kufuneka ucinge/ungacingi ngotyando lwe-C-section kwakhona ?
• Isicwangciso sokukhuthaza umsebenzi (nokuba sikhona okanye asikho).
• Ingaba isibhedlele oza kubeleka kuso umntwana wakho sinokukwazi na ukumelana neengxamiseko .
• Malunga nezicwangciso zakho zokuba nabantwana abaninzi .

Ukuba nje ubukhe wahlinzwa nge-C-section ngaphambili akuthethi ukuba awunakuba ne-VBAC kwixesha elizayo. Usenokuba ukhe weva okanye wafunda ukuba amanxeba emva kohlinzwa nge-C-section anokubangela iingxaki ekukhulelweni kwixesha elizayo. Nangona kunjalo, imeko yomntu wonke yahlukile.

Okokugqibela, izinto ekufuneka uzikhumbule

Kwasekuqaleni kokukhulelwa kwakho, thetha nogqirha wakho malunga neminqweno yakho kunye nezinto ezikuxhalabisayo malunga ne-VBAC. Angakuchazela izinto ezilungileyo nezingalunganga aze akuncede uthathe isigqibo sokuba i-VBAC ikhuselekile na kuwe. Njengoko ukukhulelwa kwakho kuqhubeka, kubalulekile ukuqhubeka uthetha nogqirha wakho kwaye uphonononge isicwangciso sakho sokuzalwa. Khumbula, ukukhulelwa ngakunye kwahlukile, ngoko ke sebenzisana nogqirha wakho ukuze wenze isigqibo esikulungeleyo.

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