Ukuba ubukhe wabeleka i-C-section ngaphambili, usenokuba nombuzo omkhulu engqondweni yakho ngoku ekubeni ukhulelwe kwakhona. "Ngaba ndiza kukwazi ukuzala ngendlela eqhelekileyo ngeli xesha?" "Ngaba kuza kubakho naziphi na iingxaki ezivela kwi-C-section?" Kunye nemibuzo efana nale, mhlawumbi ukhe weva igama elithi " ukuqhekeka kwesibeleko." Kuqhelekile ukuba uzive usoyika xa usiva loo nto. Kodwa ungakhathazeki. Siza kuthetha ngayo yonke le nto namhlanje, ngokulula nangendlela onokuyiqonda.
Yintoni kanye kanye into yokuqhekeka kwesibeleko?
Ngamafutshane, isibeleko sisitho esomeleleyo, esifana nengxowa esikhula ngaphakathi kwesibeleko somntwana wakho. Iindonga zaso zenziwe ngeengqimba ezintathu zemisipha. Njengoko umntwana wakho ekhula, isibeleko siyakhula njengebhaluni. Emva kokuba umntwana ezelwe, kancinci kancinci sibuyela kubukhulu baso bokuqala.
Kodwa xa utyando lwebele, ugqirha usika ezi zihlunu zesibeleko ukuze akhuphe umntwana. Emva koko bathunga inxeba. Kodwa nokuba balithunga njani, isilonda esenziwayo asinamandla njenge-100% njengesinye isibeleko. Liyindawo ebuthathaka kancinci.
Xa ukhulelwa kwakhona, isibeleko sakho siqala ukufinyela ngakumbi njengoko ukuzala kuqhubeka. Ngelo xesha, indawo ebuthathaka eludongeni lwesibeleko sakho evela kwisilonda sangaphambili sotyando ingakrazuka okanye iqhume. Oku sikubiza ngokuba kukuqhekeka kwesibeleko. Oku kwenzeka rhoqo ngexesha lokubeletha.
Le yimeko engxamisekileyo kakhulu. Kodwa khumbula, le yinto engaqhelekanga kakhulu . Kwaye ngoncedo lwezonyango olukhawulezileyo, ubomi bomama nomntwana bunokuba luncedo kakhulu ekusindiseni abantwana.
Yintoni esona sizathu siphambili soku?
Eyona nto ibalulekileyo neyona ibangela oku kukuba sele ubelethe ngotyando ngaphambili . Le ngozi iphezulu kakhulu xa uzama ukuzala kwisini emva kotyando (siyibiza ngokuba yi-TOLAC - Trial of Labor After Cesarean). Okukhona ubelethe ngotyando oluninzi, kokukhona umngcipheko uphezulu.
Kodwa akuphelelanga apho. Ezinye izizathu ezininzi zinokuchaphazela oku.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukuqhekeka kwesibeleko kwangaphambili | Ukuba le meko ikhe yenzeka ngaphambili, umngcipheko wokuphinda ubuye uphezulu. |
| Amayeza eentlungu zokubeleka | Amanye amayeza eentlungu (umz., i-Oxytocin) anokubangela ukuba isibeleko sinciphe kakhulu, nto leyo eyandisa le ngozi. |
| Ukwenzakala esiswini | Ukubethwa kakhulu esiswini, njengokuba kwenzeke kwingozi yemoto. |
| Inani okanye ubungakanani babantwana | Umngcipheko uphezulu ukuba unamawele, usana olukhulu (olungaphezulu kwe-4kg), okanye inani elikhulu lolwelo lwe-amniotic esibelekweni, njengoko isibeleko sinwebeka kakhulu. |
| Isithuba phakathi kokukhulelwa | Ukukhulelwa kwakhona kungekapheli neenyanga ezili-18 emva kotyando lwangaphambili. |
| Uhlobo lwe-cesarean section | Umngcipheko wokusika okuqhelekileyo, okwenziwe phezulu esibelekweni, uphezulu kunokusika okuphantsi okunqamlezileyo, okwenziwe ezantsi. |
Indlela ukusika okuchaphazeleka ngayo ngexesha lotyando
Le ngozi iyahluka ngokuxhomekeke ekubeni inxeba lisikiwe njani kwisibeleko sakho ngexesha lotyando lwakho.
- I-Low Transverse: Le yeyona ndlela ixhaphakileyo yokusikwa kwesibeleko namhlanje, eyaziwa ngokuba yi-"bikini cut," kwaye yenziwa ngokuthe tye kwinxalenye esezantsi yesibeleko. Oku kunengozi encinci yokuqhekeka kwesibeleko.
- I-Low Tye: I-incision eyenziwe ngokuthe nkqo kwinxalenye esezantsi yesibeleko. Oku kuyingozi ngakumbi kuno-incision othe tye.
- I-High Vertical (Classical): Olu luqalo oluthe nkqo olwenziwa kwinxalenye ephezulu yesibeleko. Ukuba olu hlobo loqalo lwenziwe, oogqirha bacebisa ukuba ukuzala okulandelayo kube kukuhlinzwa okucwangcisiweyo.
Zithini iimpawu zoku? Uzibona njani?
Kubalulekile ukuzazi iimpawu kuba le yimeko engxamisekileyo. Nangona kunjalo, ngamanye amaxesha ingenzeka ngaphandle kweempawu.
| Iimpawu eziphambili ezinokwenzeka ngexesha lokuqhekeka kwesibeleko | |
|---|---|
| Ukubetha kwentliziyo yomntwana | Isantya sentliziyo esikhawulezileyo nesicothayo kakhulu (bradycardia) lolona phawu lokuqala luqhelekileyo. |
| Intlungu yesisu | Intlungu yesisu ebukhali, enganyamezelekiyo, ngequbuliso. Ngamanye amaxesha le ntlungu inokuhlala ihleli naphakathi kokuqaqanjelwa kokuzala. |
| Utshintsho kwintlungu yokubeleka | Intlungu eyayilapho ixesha elide yaphela ngequbuliso. |
| Ukopha kwangasese | Ukopha okungaqhelekanga. |
| Ukopha ngaphakathi | Uxinzelelo lwegazi lukaMama luyehla, isantya sentliziyo yakhe siyanda, kwaye uziva enesiyezi. |
| Utshintsho kwindawo yomntwana | Ukuziva ngathi umntwana uphuma emjelweni wokuzala aze aphinde aphume. |
Eyona nto ibalulekileyo kukuya esibhedlele ngokukhawuleza ukuba ufumana naziphi na iimpawu ezingaqhelekanga ezifana nezi.Kusenokuba ziintlungu eziqhelekileyo zokubeleka, kodwa akulunganga ukuthatha nayiphi na ingozi. Yiyo loo nto kubalulekile ukwazisa ugqirha wakho okanye abasebenzi besibhedlele.
Zithini iingozi zoku?
Le yimeko engxamisekileyo enokuba yingozi kumama nakumntwana.
Iingozi kumama:
- Ukopha kakhulu : Ukopha kakhulu ngenxa yokuqhekeka kwesibeleko kunokuba yingozi ebomini.
- Ukususwa kwesisu: Ngamanye amaxesha, ukuba ukopha akukwazi ukuyekiswa, isibeleko kunokufuneka sisuswe ngokupheleleyo ukuze kusindiswe ubomi bomama.
- Ukonakala kwezinye izitho: Izitho ezikufutshane, njengesinyi, zinokonakala. Oku kusenokufuna utyando.
- Utofelo-gazi: Ukuze kubuyiselwe inani legazi elilahlekileyo, igazi kufuneka linikwe ngaphandle.
Iingozi ezinokubakho kumntwana:
- I-Hypoxia: Xa isibeleko sigqabhuka, igazi eliya kwi-placenta liyanqanyulwa, nto leyo enciphisa ubuninzi beoksijini efunyanwa ngumntwana. Oku kunokubangela umonakalo engqondweni okanye nokufa.
- Ukuzalwa ngaphambi kwexesha: Ngenxa yokuba umntwana kufuneka azalwe ngequbuliso, umntwana usenokuzalwa ngaphambi kwexesha.
- Ukulahlekelwa bubomi: Okubuhlungu kukuba, ubomi bomntwana busemngciphekweni omkhulu ukuba unyango alufumaneki ngokukhawuleza.
Kodwa khumbula, uninzi lwale mingcipheko lunokunciphisa ukuba ufika esibhedlele ngokukhawuleza kwaye ufumane unyango olungxamisekileyo .
Iphathwa njani?
Into ekuphela kwayo ekufuneka yenziwe xa kukho ukurhanelwa kokuqhekeka kwesibeleko kukwenza utyando olungxamisekileyo lwe-C-section uze ubeleke umntwana. Akukho mzuzwana unokuchithwa apha.
1. Utyando olungxamisekileyo: Ugqirha uza kwenza utyando ngokukhawuleza esiswini sakho (i-laparotomy) aze akhuphe umntwana. Oku kuya kuvumela umntwana ukuba afumane unyango olusindisa ubomi aludingayo.
2. Ukulungisa isibeleko: Emva kokuba umntwana ezelwe, ugqirha uza kuzama ukulungisa ukukrazuka kwesibeleko.
3. Unyango olongezelelweyo: Ukuba kukho ukopha okugqithisileyo, kuya kunikwa amayeza okuthintela oko, kwaye kuya kunikwa igazi ukuba kuyimfuneko.
4. Ukususwa kwesibeleko: Kunqabile kakhulu, ukuba isibeleko asinakulungiswa okanye ukopha akukwazi ukumiswa, ukususwa kwesibeleko kunokufuneka ukuze kusindiswe ubomi bomama.
Ngaba ikho indlela yokuthintela oku?
Akunakwenzeka ukuyithintela le nto nge-100%, kuba asinakukwazi ukuqikelela ukuba iza kwenzeka nini kanye kanye. Kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko.
- Thetha nogqirha wakho:Le yeyona nto ibalulekileyo. Thetha naye ngokukhululekileyo malunga notyando lwakho lwangaphambili, uhlobo lotyando, kunye nemeko yakho yempilo, kwaye wenze isigqibo esifanelekileyo malunga nesicwangciso sokubeletha ngeli xesha.
- Vumela ixesha elaneleyo phakathi kokukhulelwa: Ukulinda ubuncinane iinyanga ezili-18-24 emva kotyando lotyando ngaphambi kokuba ukhulelwe kwakhona kunika inxeba ixesha lokuphola.
- Khetha isibhedlele esinezibonelelo ezilungileyo: Qinisekisa ukuba isibhedlele osikhethele ukubelekisa umntwana wakho sinezibonelelo zotyando olungxamisekileyo olusebenza iiyure ezingama-24 .
- Utyando lokubeleka olucwangcisiweyo: Ukuba unezinto ezinobungozi obukhulu (umz., utyando oluninzi lwangaphambili lokubeleka, ukusikwa ngokuthe nkqo), ugqirha wakho unokucebisa ukuba kwenziwe utyando lwe-C-section ngosuku ngaphambi kokuba kuqale ukuzala.
Ukuzala kwesibeleko emva kotyando (VBAC) akunakwenzeka. Oomama abaninzi abafanelekileyo bakwenzile ngempumelelo oko. Kodwa kufuneka wenze esi sigqibo emva kokuxoxa ngeengozi kunye neenzuzo nogqirha wakho kwaye nivumelane ngeendlela onokukhetha kuzo.
Umyalezo Wokuya Ekhaya
- Ukuqhambuka kwesibeleko yimeko embi kakhulu, kodwa engaqhelekanga , ngoko ke musa ukuyoyika ngokungeyomfuneko.
- Eyona nto iphambili ebangela oku kukuba ube ne-cesarean bection ngaphambili.
- Lumka ngeempawu ngexesha lokubeleka, ezifana nentlungu yesisu eqatha nekhawulezileyo kunye nokwehla kwesantya sentliziyo yomntwana .
- Xoxa nogqirha wakho ngazo zonke izigqibo malunga nokuzala kwakho . Ungaze wenze izigqibo wedwa.
- Ukuze ubelekise umntwana wakho, kubaluleke kakhulu ukukhetha isibhedlele esinazo zonke izibonelelo ezifunekayo xa kukho imeko engxamisekileyo.
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