Uma ulindele umntwana, ugcwala injabulo nokwesaba, akunjalo? Kodwa uma udokotela ethi, "Kuzodingeka wenze ukuhlinzwa kwe-C-section," lokho kwesaba kunganda kuphela. Omama abaningi bayesaba ngokungadingekile ngoba abazi okuningi ngakho. Ngakho-ke namuhla, ake sixoxe ngokuhlinzwa kwesisu, noma ukuhlinzwa kwe-C-section, kusukela ku-A kuya ku-Z. Lesi sihloko sizophendula yonke imibuzo yakho.
Okokuqala, ake sibone, kuyini ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha)?
Kalula nje, ukuhlinzwa kokubeletha kuyindlela yokuhlinzwa yokubeletha umntwana lapho kungenakwenzeka ukubeletha umntwana ngendlela evamile noma ngesitho sangasese sowesifazane. Lapha, udokotela wenza i-incision esiswini sakho nasesibelethweni bese ekhipha umntwana ngayo. Lokhu kwenziwa kuphela uma kutholakala ukuthi ukubeletha okuvamile kuyingozi empilweni kamama nengane .
Kukuziphi izimo lapho kudingeka khona ukuhlinzwa ngokuhlinzwa kwebele?
Kunezinhlobo ezimbili zokuhlinzwa kokubeletha. Olunye ukuhlinzwa okuhleliwe okwenziwa ngosuku olufanayo. Olunye ukuhlinzwa okwenziwa kulindelwe ukubeletha okuvamile kodwa okwenziwa ngenxa yesimo esiphuthumayo esenzeka ngaleso sikhathi.
Isigaba Esihleliwe Se-C
Ngezinye izikhathi, ngesikhathi sokukhulelwa, udokotela wakho angase anqume ukuthi ukuhlinzwa ngokuhlinzwa kwebele kungcono kakhulu kuwe. Ithebula elingezansi libala ezinye zezizathu ezingaba khona zalokhu.
| Isizathu | Kuchazwe kalula |
|---|---|
| Usayizi womntwana (Ukungalingani kweCephalopelvic - CPD) | Ikhanda noma umzimba womntwana mkhulu kakhulu ukuba ungene ethangeni likamama. Noma ithangeni likamama lincane kakhulu. |
| Njengoba ngike ngahlinzwa ngokuhlinzwa kwe-C ngaphambili | Akuwona wonke umuntu oke wabeletha ngokuhlinzwa ngaphambilini ongaphinde abelethe. Udokotela uzothatha isinqumo ngokusekelwe ezicini ezifana nohlobo lokusika okwenziwe esibelethweni ngesikhathi sokuhlinzwa kwangaphambilini. |
| Amawele noma ngaphezulu | Ngisho namawele ngezinye izikhathi angabelethwa ngendlela evamile. Kodwa-ke, uma kunezingane ezingaphezu kwezimbili noma kuye ngokuthi amawele akuphi, kungadingeka ukuhlinzwa ngokuhlinzwa. |
| I-Placenta Previa | I-placenta itholakala phansi kwesibeletho, imboze imbobo (isibeletho) lapho umntwana ephuma khona. Lesi yisimo esiyingozi. |
| Isikhundla somntwana (Isethulo) | Ingane isesimweni sokuvula isifuba noma sokujika esibelethweni, hhayi ikhanda phansi. |
| Izimo zempilo zikamama | Uma umama engakwazi ukubekezelela ubunzima bokubeletha okuvamile ngenxa yezimo ezifana nomfutho wegazi ophakeme noma isifo senhliziyo. Futhi, uma izifo ezifana ne-genital herpes zisebenza ngesikhathi sokubeletha. |
Ukuhlinzwa Okungahleliwe/Okuphuthumayo
Ngezinye izikhathi, uma usukulungele ukubeletha okuvamile, ucabanga ukuthi konke kuzohamba kahle, kungase kuvele inkinga ngokuzumayo. Bese kuthi, ukuze kusindiswe umama nomntwana, odokotela banqume ukwenza ukuhlinzwa okuphuthumayo kokubeletha.
Ungesabi kulesi simo. Khumbula, ithimba lezokwelapha lenza lesi sinqumo ukuze wena nomntwana wakho niphephe kakhulu.
| Isimo esiphuthumayo | Kuchazwe kalula |
|---|---|
| Ukubeletha Okude | Ukukhula komlomo wesibeletho kuyayeka noma umntwana uyayeka ukwehla. |
| Izinkinga zentambo yomgogodla | Intambo yesisu ezungeza intamo yomntwana (Cord Compression) noma intambo yesisu ephuma esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe (Cord Prolapse). |
| Ukuqhekeka kwe-Placental | I-placenta iyasuka odongeni lwesibeletho ngaphambi kokuba umntwana azalwe. Lokhu kungabangela ukopha okukhulu. |
| Ukucindezeleka kwengane | Ukushaya kwenhliziyo okungajwayelekile ngenxa yokungakhululeki okuthile enganeni ngesikhathi sokubeletha. Lokhu kungaqashwa ngetheyiphu ye-CTG. |
Kwenzekani ngaphambi kokuhlinzwa?
Uma uhlela ukuhlinzwa ngokuhlinzwa kwe-C, lezi zinto zizokwenzeka ngaphambi kokuhlinzwa:
- Kufanele usayine amafomu okuvuma ahlobene nokuhlinzwa.
- Udokotela wezinzwa uzokhuluma nawe nge-anesthesia. Ngokuvamile, bazokunika i-spinal block noma i-epidural . Uzozwa umuzwa wokuthuthumela kusuka esifubeni sakho kuya phansi, kodwa uzophaphama.
- Izinwele zisuswa endaweni yokuhlinzwa (esiswini esingezansi).
- Kufakwa i-catheter ukuze kukhishwe umchamo.
- Kuxhunywe ama-monitha alinganisa izinto ezifana nokushaya kwenhliziyo yakho kanye nomfutho wegazi.
- I-cannula (umugqa we-IV) ifakwa engalweni ukuze kunikezwe usawoti kanye nemithi edingekayo.
- Udokotela wakho wezifo zabesifazane uzophinde akuchazele ngokuhlinzwa.
Esimweni esiphuthumayo sokuhlinzwa ngokuhlinzwa, asikho isikhathi esiningi salezi zinto. Ungase unikezwe ngisho nokuhlinzwa okujwayelekile , okukwenza ulale ngokuphelele, ngoba kusebenza ngokushesha.
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Ukuhlinzwa ngokuhlinzwa kwe-C kuyindlela enkulu yokuhlinzwa, ngakho-ke kuthatha isikhathi ukululama.
- Ukuhlala esibhedlela: Ngokuvamile, kuzodingeka uhlale esibhedlela izinsuku ezimbili noma ezintathu.
- Ubuhlungu: Njengoba i-anesthesia iphela, uzoqala ukuzwa ubuhlungu endaweni yokusikwa. Thatha imithi yobuhlungu oyinikezwe udokotela ngesikhathi.
- Ngemva kokufika ekhaya: Kuzothatha cishe amasonto amane kuya kwayisithupha ukululama ngokuphelele. Uzodinga ukwesekwa okukhulu phakathi nalesi sikhathi.
- Ungaphakamisi izinsimbi. Ungaphakamisi lutho ngaphandle kokuthwala umntwana.
- Ungakhuphuki futhi wehle izitebhisi. Hlala endaweni eyodwa ngangokunokwenzeka bese uphumula.
- Ungazivocavoci.Ungazivivinyi ngaphandle kokuhamba kancane kuze kube yilapho udokotela wakho ekunike imvume.
- Ungashayeli. Ungashayeli uze ukwazi ukujika umzimba wakho bese ubhuleka kalula.
- Gwema ukuya ocansini okungenani amasonto ayisithupha, noma kuze kube yilapho udokotela wakho ekunike imvume.
- Ukopha: Ungase uzwe ukopha kwesitho sangasese sowesifazane amasonto ambalwa ngemva kokuhlinzwa. Lokhu kubizwa ngokuthi 'iLochia'. Lokhu kuvamile. Kodwa-ke, uma ukopha kukhulu noma kunephunga elibi, yazisa udokotela wakho ngokushesha.
Kufanele ubonane nodokotela ngokushesha nini?
Uma ufika ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu. Uma unanoma yiziphi zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha.
- Uma indawo yokusikwa ibomvu futhi ivuvukele .
- Uma ubomvu noma olunye uketshezi luphuma esigaxeni.
- Uma umkhuhlane noma ubuhlungu buqhubeka buba bubi kakhulu .
- Uma unesifo sofuba esinzima (umanzisa ngaphezu kwephedi elilodwa ngehora).
- Uma unezinhlungu ezinzima endaweni ye-pelvic.
- Ukuvuvukala noma ubuhlungu emilenzeni (lokhu kungaba uphawu lokuqhekeka kwegazi).
Kungenzeka yini ukuthi ubelethe ngendlela evamile futhi ngemva kokuhlinzwa ngokuhlinzwa? (VBAC)
Yebo! Lona umbuzo obuzwa omama abaningi. Ukuthi nje uhlinzwe ngokuhlinzwa akusho ukuthi kufanele uthole ingane yakho elandelayo ngokuhlinzwa ngokuhlinzwa. Abantu abaningi bangabeletha ngesitho sangasese sowesifazane ekukhulelweni kwabo okulandelayo. Lokhu kubizwa ngokuthi i-VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa) .
Kodwa lokhu akunakwenzeka kuwo wonke umuntu. Udokotela wakho uzobuyekeza imininingwane yakho yokuhlinzwa kwangaphambilini kanye nesimo sakho sempilo ukuze anqume ukuthi ungaba ne-VBAC. Ngakho-ke uma unethemba lokuba nayo, qiniseka ukuthi ukhuluma nodokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa ngokuhlinzwa (C-Section) inqubo ebaluleke kakhulu yokuhlinzwa eyenziwayo ukuze kuphephe umama nomntwana. Ungakwesabi ngokungadingekile.
- Ukuhlinzwa kungahlelwa kusenesikhathi noma kwenziwe esimweni esiphuthumayo. Ithimba lezokwelapha lihlala lenza isinqumo ngokwenzuzo yabo bobabili abathintekayo.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukuthola ukuphumula okwanele, ukufuna ukwesekwa kwabanye, nokulandela imiyalelo kadokotela wakho.
- Uma kunezimpawu zokutheleleka lapho kuqotshwa khona (ububomvu, ukuvuvukala, ubomvu), umkhuhlane, noma ukopha okukhulu, funa iseluleko sikadokotela ngokushesha.
- Kungase kube nethuba lokuthi ungabeletha ngesitho sangasese sowesifazane (i-VBAC) nomntwana wakho olandelayo ngemva kokuhlinzwa kokubeletha. Khuluma nodokotela wakho ngalokhu.
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