Njengomama, uvame ukuphupha ngokubeletha ingane yakho ngendlela evamile, okungukuthi, ngokubeletha ngesitho sangasese sowesifazane. Kodwa ngezinye izikhathi, akuzona zonke izinto ezihamba njengoba sicabanga. Ukuze wena nomntwana wakho niphephe, odokotela kungadingeka banqume ukwenza ukuhlinzwa, noma njengoba sonke sazi, ukuhlinzwa ngokuhlinzwa. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa lokhu. Kodwa uma unolwazi olufanele ngakho, ungakunqoba lokho kwesaba. Namuhla, ake sixoxe ngakho konke mayelana nalokhu kuhlinzwa ngo ...
Kalula nje, kuyini ukuhlinzwa ngokuhlinzwa?
Ukuhlinzwa kwesisu (i-C-section) inqubo yokuhlinzwa ehilela ukwenza izicucu eziningana esiswini sakho nasesibelethweni ukuze kubelethwe umntwana wakho. Lokhu kwenziwa kuphela uma ukubeletha okuvamile kungenzeki noma uma udokotela wakho enquma ukuthi kungaba yingozi kuwe noma enganeni yakho. Lesi yisinqumo sezokwelapha esibaluleke kakhulu sokusindisa izimpilo zomama nengane.
Kunini lapho kudingeka khona ukuhlinzwa ngokuhlinzwa kwebele?
Izizathu zokwenza ukuhlinzwa kwe-C-section zingahlukaniswa ngezigaba ezimbili eziyinhloko. Esinye ukuhlinzwa okwaziwayo nokuhlelwe kusengaphambili. Esinye ukuhlinzwa okungahleliwe ngenxa yenkinga evele ngokuzumayo ngesikhathi sokubeletha.
Izizathu zokuhlela kusenesikhathi nokwenza ukuhlinzwa kokubeletha
Ngezinye izikhathi, ekuqaleni kokukhulelwa kwakho, udokotela wakho uzonquma ukuthi ukuhlinzwa ngokuhlinzwa kokubeletha kuyindlela engcono kakhulu nephephile kuwe. Nazi ezinye zezizathu zokuthi kungani.
| Isizathu | Incazelo elula |
|---|---|
| Ukungalingani kwe-cephalopelvic (CPD) | Lokhu kusho ukuthi ikhanda noma umzimba womntwana mkhulu kakhulu ukuba ungadlula ngokuphepha ethangeni likamama, noma ithangeni likamama lincane kakhulu ukuthi ngisho nomntwana onobukhulu obujwayelekile angadlula kulo. |
| Njengoba ngike ngahlinzwa ngokuhlinzwa kwe-C ngaphambili | Kunezikhathi lapho kungenzeka khona ukubeletha ngesitho sangasese sowesifazane (i-VBAC) nomntwana wakho olandelayo, noma ngabe uke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini. Kodwa-ke, lokhu akunjalo kuwo wonke umuntu. Lesi sinqumo sincike ezicini ezifana nohlobo lokusika okwenziwe esibelethweni ngesikhathi sokuhlinzwa kwangaphambilini. |
| Amawele noma ngaphezulu | Nakuba amawele ngezinye izikhathi angabelethwa ngendlela evamile, ukuhlinzwa ngokuhlinzwa kwe-C kungadingeka uma kunabangaphezu kwababili noma kuye ngokuthi izingane zimi kanjani. |
| I-Placenta Previa | Kulesi simo, i-placenta itholakala phansi kakhulu esibelethweni, imboze umlomo wesibeletho. Lokhu kuvala indlela yomntwana yokuphuma. |
| Amanga Aguqukile | Uma umntwana ebekwe ngendlela evundlile kunokuba abekwe ngobude ngaphakathi kwesibeletho, ukubeletha okuvamile akunakwenzeka. |
| Isethulo se-Breech | Uma imilenze noma izinqe zengane zibheke phansi esikhundleni sekhanda layo, abanye odokotela bazozama ukujika ingane. Kodwa uma lokho kungasebenzi, kuzokwenziwa ukuhlinzwa kwe-C-section. |
| Ezinye izinkinga zempilo zikamama | Uma umama enesifo esinjengesifo senhliziyo esibi kakhulu, angase angakwazi ukuthwala ubunzima bokubeletha okuvamile. Futhi, uma kukhona ukutheleleka okusebenzayo njenge-herpes yobulili ngesikhathi sokubeletha, kungenziwa ukuhlinzwa kwe-C-section ukuze kuvinjelwe ukudluliselwa enganeni. |
Izizathu zokuba nokuhlinzwa kwe-C-section okungahleliwe
Ngezinye izikhathi, uma konke kuhamba kahle futhi ulindele ukubeletha okuvamile, kuvela inkinga engazelelwe bese kudingeka wenze ukuhlinzwa kokubeletha.
- Ukubeletha Okude: Uma umlomo wesibeletho uyeka ukuvuleka phakathi, noma uma umntwana eyeka ukwehla.
- Ukucindezelwa Kwentambo Yesibeletho: Uma intambo yesibeletho izungeza intamo noma umzimba womntwana, noma ivaleleka phakathi kwekhanda lomntwana kanye ne-pelvis kamama.
- Ukuncipha Kwentambo Yesibeletho: Lesi yisimo esiphuthumayo esibucayi kakhulu. Uma intambo yesibeletho iphuma esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe, ingane ingase ilahlekelwe umoya-mpilo.
- Ukuqhekeka Kwe-Placental: Uma i-placenta ihlukana nodonga lwesibeletho ngaphambi kokuba umntwana azalwe, lokhu kubeka ingozi enkulu kumama nakumntwana.
- Ukucindezeleka Kwengane Esanda Kuzalwa: Uma izinga lokushaya kwenhliziyo yengane lishintsha ngendlela engavamile ngesikhathi sokubeletha, kusho ukuthi ingane ayikwazi ukubhekana nokucindezeleka kokubeletha. Ngaleso sikhathi, kungadingeka ukuhlinzwa ngokuhlinzwa ukuze kubelethwe umntwana ngokushesha.
Into ebaluleke kakhulu ukuthi, kungakhathaliseki ukuthi ukuhlinzwa ngokuhlinzwa kwe-C kuhlelwe noma kwenziwa ngokuzumayo, isinqumo senziwa kucatshangelwa ukuphepha okukhulu kuwe nakumntwana wakho .
Kwenzekani ngaphambi kokuhlinzwa?
Uma uhlela ukuhlinzwa ngokuhlinzwa kwe-C, lezi zinto zizokwenzeka ngaphambi kokuhlinzwa.
- Amafomu okuvuma ukusayina: Kuzodingeka uqinisekise ngokubhala ukuthi uyavuma ukuhlinzwa.
- Ukukhuluma nge-anesthesia: Udokotela wezinzwa uzokhuluma nawe ngokuthi uzonikezwa kanjani i-anesthesia. Ngokuvamile, kuzoba yi- epidural noma i-spinal block . Lokhu kuzokuthuntubeza kusukela esifubeni sakho kuya phansi, kodwa uzobe uqaphile.
- Ukulungiselela: Izinwele ziyasuswa endaweni yokuhlinzwa (esiswini esingezansi). Kufakwa i-catheter. Kufakwe amadivayisi ukuze kulinganiswe izinto ezifana nokushaya kwenhliziyo kanye nomfutho wegazi.
- Ukufakwa kwe-saline: I-cannula ifakwa emthanjeni engalweni noma esandleni, lapho kunikezwa khona imithi edingekayo kanye noketshezi (saline).
Esimweni esiphuthumayo sokuhlinzwa ngokuhlinzwa, asikho isikhathi esiningi salezi zinto. Konke kwenzeka ngokushesha okukhulu ukuze kusindiswe impilo yakho neyengane yakho. Esimweni esinjalo, ungase unikezwe i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele, ngoba ishesha kakhulu kunomjovo womgogodla.
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Ngemva kokunikezwa i-anesthesia, isisu sakho sizohlanzwa ngesisombululo se-antiseptic. Ngemuva kwalokho kuzobekwa ikhethini phakathi kwakho nodokotela.
Okulandelayo, udokotela uzokwenza i-incision esikhumbeni sakho kanye nodonga lwesisu. Lokhu kusikwa kungaba ngaphesheya (ukusikwa kwe-bikini) noma phansi. Ngemuva kwalokho, kwenziwa i-incision engamasentimitha angu-3-4 esibelethweni, bese umntwana ekhishwa ngokucophelela ngalesi siko.
Ngemva kokubeletha umntwana, intambo yesisu iyasikwa, i-placenta isuswe, bese imivimbo esibelethweni nasesiswini ivalwa ngokuthunga.
Uma uphapheme (uma unikezwe i-epidural), uzothola ithuba lokubona nokumbamba umntwana wakho ngokushesha nje lapho ezalwa.
Ngakho-ke lokhu kuhlinzwa kuzwakala kanjani ngempela?
Ngeke uzwe ubuhlungu ngoba ungaphansi kwe-anesthesia. Kodwa-ke, omama abaningi bathi bazizwa bedonswa noma besunduzwa kancane lapho umntwana ekhishwa esibelethweni. Lokhu kuvamile.
Kwenzekani ngemva kokuhlinzwa kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Kuzodingeka uhlale esibhedlela cishe izinsuku ezi-2-3 ngemva kokuhlinzwa. Njengoba i-anesthesia iphela, uzoqala ukuzwa ubuhlungu obuvela ekusikweni. Ezinsukwini ezimbalwa zokuqala, ungase udinge usizo lokuvuka embhedeni.
Kungathatha amasonto amane kuya kwayisithupha ukuze ululame ngokuphelele. Udinga ukuqaphela kakhulu phakathi nalesi sikhathi.
- Phumula: Phumula ngangokunokwenzeka. Unganqikazi ukucela usizo emndenini nakubangani ngomsebenzi wasekhaya, engadini, kanye nokupheka.
- Gwema ukuphakamisa izinto ezisindayo: Ungaphakamisi lutho olusinda ngaphezu kwesisindo somntwana.
- Ama-Painkiller: Phuza ama-painkiller owanikezwe udokotela wakho ngesikhathi.
- Nakekela ukusikwa: Gcina ukusikwa kuhlanzekile futhi komile. Landela imiyalelo kadokotela.
- Ukushayela: Gwema ukushayela uze ukwazi ukujika umzimba wakho bese ubhuleka ngaphandle kobunzima.
- Ucansi: Gwema ucansi amasonto ayisithupha noma kuze kube yilapho udokotela wakho ekunike imvume.
Kujwayelekile ukuba nokopha kwesitho sangasese sowesifazane (i-lochia) amasonto ambalwa ngemva kokuhlinzwa. Kuzoba bomvu ekuqaleni, bese kuba phuzi bese kunyamalala kancane kancane. Sebenzisa ama-sanitary pad kulokhu, hhayi ama-tampons.
Ziyini izingozi nezinzuzo?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa ngokuhlinzwa kwe-C kunezingozi ezithile. Kodwa khumbula, udokotela wenza lesi sinqumo kuphela ngemva kokuqaphela ukuthi izingozi zokungahlinzwa zidlula lezi zingozi.
| Izinzuzo | Izingozi |
|---|---|
| Ezimweni lapho ukubeletha okuvamile kusengozini, ukuhlinzwa ngokuhlinzwa kungasindisa impilo kamama nengane . | Ukutheleleka kwesilonda. |
| Esimweni esiphuthumayo (njengokucindezeleka kombungu), ungayisusa ingane ngokushesha okukhulu futhi uvimbele noma yikuphi ukulimala enganeni. | Ukopha kakhulu kunokujwayelekile (ukopha kwegazi). |
| Uma umntwana esesimweni esifana nokubeletha noma ukugoba isifuba, indlela ephephile kakhulu ukuhlinzwa ngokuhlinzwa kokubeletha. | Ukwakheka kwamahlule egazi. |
| Ngenxa yokuthi kuhlelwe kusengaphambili, akukho ukungaqiniseki ngosuku nesikhathi sokulethwa. | Kunethuba elincane kakhulu lokulimala kwamathumbu noma esinyeni. |
| Izingozi ezihambisana nokubulala izinzwa. |
Kufanele ngimshayele nini udokotela?
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngesikhathi sokululama kwakho, kufanele uxhumane nodokotela wakho ngokushesha . Lezi kungaba izimpawu zokutheleleka.
- Uma indawo yokusikwa ibomvu futhi ivuvukele.
- Uma ubomvu noma olunye uketshezi luphuma esigaxeni.
- Uma unomkhuhlane .
- Uma ubuhlungu obuvela ekusikeni bukhula usuku nosuku esikhundleni sokuncipha.
- Uma kukhona ukopha okukhulu kwesitho sangasese sowesifazane noma iphunga elibi.
Kungenzeka yini ukuthi uphinde ube nomntwana ngendlela evamile ngemva kokuhlinzwa kokubeletha?
Yebo, ezimweni eziningi ungakwazi. Ngemva kokuhlinzwa ngokuhlinzwa, ukubeletha ingane yakho elandelayo ngesitho sangasese sowesifazane kubizwa ngokuthi i-Vaginal Birth After Cerean (VBAC) . Kodwa udokotela wakho uzonquma ukuthi lokhu kungenzeka noma cha. Bazocabangela izici eziningana, okuhlanganisa uhlobo lokusikwa okwenziwe ekuhlinzweni kwangaphambilini kanye nosayizi we-pelvis yakho. Khuluma nodokotela wakho ngalokhu ngesikhathi sokukhulelwa kwakho okulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa ngokuhlinzwa (C-section) akumelwe kwesatshwe. Kuwukuhlinzwa okubaluleke kakhulu okwenziwa ukusindisa izimpilo zomama nomntwana.
- Kungakhathaliseki ukuthi ukuhlinzwa kuhleliwe noma kwenziwa ngokuzumayo, isinqumo senziwa kucatshangelwa ukuphepha okukhulu kini nobabili.
- Ukuphumula kubalulekile ngesikhathi sokululama ngemva kokuhlinzwa. Gwema umsebenzi onzima noma ukuzikhandla. Thola usizo emndenini.
- Uma kunezimpawu zokutheleleka endaweni yokusikwa (ububomvu, ukuvuvukala, ubomvu, umkhuhlane), yazisa udokotela ngokushesha.
- Ungazizwa kabi ngokungabelethi ngendlela evamile njengoba ubulindele. Into ebaluleke kakhulu ukuthi wena nomntwana wakho niphilile futhi niphephile.
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