Uma kukhulunywa ngokuba nomntwana, umbuzo omkhulu engqondweni yabo bonke omama uthi 'Ingane izozalwa kanjani?', 'Ingabe kuyinto evamile? Noma kuzomele ngenze ukuhlinzwa kwe-C-section?' Lokhu kuyinto eletha ukwesaba, ilukuluku, nethemba elikhulu. Eqinisweni, ukubeletha akuyona into eyenzeka ngendlela eyodwa kuphela. Kunezindlela eziningana zokwenza lokhu. Futhi le ndlela inganqunywa ngokusekelwe esimweni sakho sempilo, isimo somntwana, kanye nezifiso zakho. Ake sixoxe ngakho konke kalula nangokucacile namuhla.
Kuyini ukubeletha ngesitho sangasese sowesifazane?
Kalula nje, lena yindlela yemvelo nevame kakhulu yokubeletha. Yilapho umntwana efika khona emhlabeni ngesitho sangasese somama. Futhi iyindlela ephephile kakhulu kwabesifazane abaningi kanye nezinsana.
Abanye omama basebenzisa imithi yokunciphisa ubuhlungu. Abanye bakhetha ukubeletha ngokwemvelo ngokuphelele, ngaphandle kwemithi yokubulala izinhlungu. Yilokhu esikubiza ngokuthi "Ukubeletha Kwemvelo".
Yiziphi izinzuzo zokubeletha okuvamile?
- Ungalulama ngokushesha ngoba akudingeki ukuthi uhlinzwe.
- Ingozi yokutheleleka ngenxa yokuhlinzwa iphansi.
- Ingane ithola ithuba lokufaka amagciwane amahle ewadingayo emzimbeni wayo.
- Zimbalwa izinkinga ezingase zivele ekukhulelweni komunye umntwana esikhathini esizayo.
Kodwa khumbula, ngezinye izikhathi le ndlela ingabangela umonakalo emisipheni ezungeze isitho sangasese sowesifazane. Kodwa eziningi zalezi zinto zingaphulukiswa ngokuhamba kwesikhathi noma ngokwelashwa okuncane. Ungesabi ukukhuluma nodokotela wakho ngalokhu.
Kuyini Ukubeletha Okusizwayo Kwesitho Sangasese Sowesifazane?
Ngezinye izikhathi, kudingeka usizo oluncane ukuze kukhishwe umntwana. Uma umama ekhathele ngemva kwesikhathi eside sokubeletha, noma uma umntwana enokungakhululeki, odokotela basebenzisa amadivayisi noma amasu athile ukusiza umntwana ukuba aphume ngokucophelela. Lokhu yilokho esikubiza ngokuthi ukubeletha okusizwayo.
Kunezindlela eziningana eziyinhloko ezisetshenziswa kulokhu:
- Ukulethwa kwe-forceps : Lena idivayisi efana nezipuni ezimbili ezinkulu. Udokotela uyisebenzisela ukubamba ikhanda lomntwana ngokucophelela futhi alisize liphume ngesitho sangasese sowesifazane.
- Ukukhipha i-Vacuum: Lokhu kuhilela ukubeka inkomishi encane yepulasitiki phezu kwekhanda lomntwana bese ufaka kancane ukumunca ukuze kusize ekudonseni umntwana.
- I-episiotomy:Lokhu ukunqunywa okuncane kwezicubu phakathi kwesitho sangasese sowesifazane kanye ne-anus (i-perineum). Esikhathini esidlule, lokhu kwakwenziwa njalo ukuvimbela ukopha okukhulu. Kodwa manje kwenziwa kuphela ezimweni eziphuthumayo lapho umntwana edinga ukubeletha ngokushesha.
- Ukukhipha isisu esiswini: Lokhu sikubiza ngokuthi “ ukuphula isikhwama samanzi .” Udokotela usebenzisa ithuluzi elincane lepulasitiki elifana nehhuku ukubhoboza isikhwama se-amniotic esizungeze umntwana.
- Ukubeletha Okubangelwa: Lena inqubo yokubeletha ngokwenziwa ngemithi ngaphambi kokuba kuqale ngokwemvelo. Odokotela bangase batuse le ndlela uma kukhona ingozi empilweni kamama noma yengane.
Kukuziphi izimo lapho kwenziwa khona ukuhlinzwa kokubeletha (C-Section)?
Ngezinye izikhathi ukubeletha okuvamile akunakwenzeka. Ukuze kuphephe umama nomntwana, kudingeka ukuhlinzwa ukuze kukhishwe umntwana. Lokhu kubizwa ngokuthi ukuhlinzwa, noma ukuhlinzwa kwe-C. Lokhu kungahlelwa noma kwenziwe esimweni esiphuthumayo.
Ithebula elingezansi libala ezinye zezizathu ezivamile zokwenza ukuhlinzwa kwe-C-section .
| Isizathu | Incazelo elula |
|---|---|
| Isikhundla Somntwana | Uma umntwana esesimweni sokuhamba ngesinqe noma esiphambeneyo, kunokuba abheke phansi ngekhanda. |
| Izinkinga zempilo zikamama | Uma unezimo okunzima ukuzilawula, njengomfutho wegazi ophakeme noma isifo sikashukela. |
| Usayizi wengane | Uma umntwana emkhulu kakhulu ukuba angadlula ethangeni likanina. |
| Ukucindezeleka kwengane | Uma ukushaya kwenhliziyo kwengane kushintsha ngendlela engavamile. |
| Izinkinga ze-placenta | Uma i-placenta itholakala phansi kwesibeletho, imboze umlomo wesibeletho (i-Placenta Previa) noma uma ihlukana ngaphambi kokubeletha (i-Placental Abruption). |
| Ukwehluleka Ukuthuthuka | Uma umlomo wesibeletho ungavuli ngisho nangemva kwesikhathi eside. |
| Ukukhulelwa okuningi (Izingane Eziningi) | Ezimweni zamawele noma amawele amathathu. |
| Izinkinga zentambo yomgogodla | Uma intambo yesisu ingena esithweni sangasese sowesifazane ngaphambi kokuzalwa komntwana. |
| Njengoba ngike ngahlinzwa ngokuhlinzwa kwe-C ngaphambili | Uma uke wahlinzwa ngokuhlinzwa ngaphambilini, ngezinye izikhathi kunconywa ukuhlinzwa okuphindaphindiwe. |
Kungenzeka yini ukubeletha ngendlela evamile ngemva kokuhlinzwa kokubeletha nge-C-section? (VBAC)
Lona umbuzo ovame ukubuzwa omama abaningi. Impendulo ithi, yebo, ungakwazi! Omama abaningi abake bahlinzwa ngokuhlinzwa kwe-C bangabeletha umntwana wabo olandelayo ngesitho sangasese sowesifazane. Igama lezokwelapha lalokhu yi -VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa kwe-C) .
Kodwa akuwona wonke umuntu ongakwenza lokhu. Kunezici eziningana ezithinta lokhu.
- Uma ukusikwa kwesibeletho ngesikhathi sokuhlinzwa kwangaphambilini bekuqondile futhi kuphansi , amathuba okuba ne-VBAC aphezulu.
- Uma i-pelvis yakho inesikhala esanele sokuphuma kwengane enobukhulu obujwayelekile.
- Kulokhu kukhona umntwana oyedwa kuphela.
- Uma isizathu sokuhlinzwa kwe-C kwangaphambilini bekungesizathu esingahlobene nalokhu kukhulelwa, njengokuthi umntwana ukhulelwe.
Into ebaluleke kakhulu ukuthi, uma uzama i-VBAC, kufanele yenziwe esibhedlela esinazo zonke izinsiza ezidingekayo., kufanele kwenziwe ngaphansi kokuqondisa okuqinile kodokotela, ngoba, nakuba kungavamile kakhulu, kunengozi yokuqhekeka kwesibeletho endaweni yokusika kwangaphambilini.
Iyiphi indawo engcono kakhulu yokukhetha ukuthola umntwana?
ESri Lanka, ngaphezu kwamaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye okubeletha kwenzeka ezibhedlela. Yindawo ephephile kakhulu kuwe nakumntwana wakho . Ikakhulukazi uma ukukhulelwa kwakho kuyingozi enkulu noma uzama i-VBAC, isibhedlela ukuphela kwendlela ongakhetha kuyo.
Ukuzalwa Esibhedlela
Ngokungafani nangaphambili, izibhedlela manje zinezikhungo eziningi. Zidale indawo lapho umama engakwazi ukubhekana nokubeletha kalula nangokuzola.
- Izinzuzo: Ukufinyelela ngokushesha ubuchwepheshe bezokwelapha, odokotela abangochwepheshe, kanye namaYunithi Okwelapha Eziphuthumayo (ama-ETU) kunoma yisiphi isimo esiphuthumayo. Ama-painkiller ayatholakala uma kudingeka.
- Izinsiza: Izibhedlela eziningi manje zinamakamelo azimele, ithuba lokuba umyeni noma ilungu lomndeni libe seduze, ngisho nezinto ezifana namabhola okubeletha ukusiza ngokubeletha.
Izikhungo Zokuzalwa Nokuzalwa Ekhaya
Emazweni aseNtshonalanga, abanye abantu bayalingeka ukuba babelethe ngaphandle kwezibhedlela, ezikhungweni zokubeletha ezinikeza indawo efana neyasekhaya, noma emakhaya abo.
Kodwa kudingeka siqaphele kakhulu ngalokhu.
- Ingozi: Ngokusho kwezinhlangano zomhlaba ezisiza ekubelethweni nasekubelethweni kwabesifazane, ingozi enganeni ngesikhathi sokubeletha ekhaya iphakeme ngokuphindwe kabili kuya kathathu kunasesibhedlela.
- Ubani ongafaneleki?: Ukubelethela ekhaya akukhuthazwa omama abanezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, omama abanamawele, kanye nomama abazama i-VBAC.
Ohlelweni lwezempilo lwaseSri Lanka, isibhedlela siyindawo engcono kakhulu nephephile yokuqinisekisa ukuphepha okuphezulu kukamama nomntwana. Kunoma yisiphi isimo esiphuthumayo, ungathola usizo oludingayo ngemizuzwana esibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha kuyinto ethinta umuntu ngamunye, futhi kubalulekile ukuqaphela izinketho ezahlukene ezitholakalayo.
- Ukubeletha ngesitho sangasese sowesifazane kuyindlela evame kakhulu nephephile yokubeletha, kodwa uma kudingeka, ukuhlinzwa (ukuhlinzwa kwesisu) kuyindlela yezokwelapha ebaluleke kakhulu engasindisa izimpilo.
- Khuluma ngokukhululekile ngezinto ezikukhathazayo, okwesabayo, kanye namathemba akho nodokotela ozobe ekunakekela phakathi nokukhulelwa kwakho. Uzoba umuntu ongcono kakhulu wokukweluleka ngendlela engcono kakhulu kuwe.
- Isibhedlela siyindawo ephephile nenconywa kakhulu yokubeletha eSri Lanka. Isibhedlela sihlonyiswe kangcono ukubhekana nanoma yisiphi isimo esiphuthumayo.
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