Konke ofuna ukukwazi nge-Cesarean Section!

Uma ungumama okhulelwe, noma uma othile emndenini wakho esezoba nomntwana, kungenzeka ukuthi uke wezwa 'ngokuhlinzwa kwesisu' noma '(ukuhlinzwa kwesisu)'. Nakuba abanye abantu bekwesaba kancane, empeleni kuyinto ewusizo kakhulu futhi ngezinye izikhathi engabalulekanga ukuvikela impilo kamama nomntwana. Ngakho-ke namuhla sizoxoxa ngokuthi lokhu kuhlinzwa kwesisu kuyini, kungani kwenziwa, ukuthi kwenziwa kanjani, nokuthi kwenzekani ngemva kwako, ngendlela elula ongayiqonda.

Kuyini ukuhlinzwa kwesisu (ukuhlinzwa kwesisu)?

Kalula nje, ukuhlinzwa kokubeletha kuyindlela yokuhlinzwa yokubeletha umntwana ngokusika okuncane esiswini sakho nasesibelethweni. Odokotela bavame ukunquma ukubeletha umntwana ngale ndlela uma kunzima ukubeletha ngendlela evamile, noma uma kukhona ingozi kumama noma enganeni. Khumbula, ngezinye izikhathi lokhu kungaba inqubo esindisa impilo. Lokhu kuhlinzwa kwenziwa ngodokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane - noma, uma kwenzeka esibhedlela sikahulumeni, ngodokotela abaphezulu kulowo mkhakha (ngaphansi kokuqondisa kodokotela bezifo zabesifazane kanye nodokotela bezifo zabesifazane).

Kungani ukuhlinzwa kwesisu ngezinye izikhathi kudingeka?

Kunezizathu eziningi zokuthi kungani ukuhlinzwa kokubeletha kungenziwa. Ezinye zihlelwa kusenesikhathi, kanti ezinye zenziwa esimweni esiphuthumayo. Ake sibheke zombili.

Izigaba ze-C ezihleliwe

Ngezinye izikhathi udokotela wazi kusengaphambili ukuthi kunobungozi bokubeletha okuvamile. Ezimweni ezinjalo, ukuhlinzwa kwebele kuhlelwa usuku kusengaphambili. Nazi ezinye zezimo ezinjalo:

• Indawo yomntwana: Umntwana usesimweni sokuvula isifuba, sokuvula isifuba, noma sokujika. Kodwa-ke, ngezinye izikhathi umntwana angaphendulwa ngaphambi kokubeletha, noma kusetshenziswe amasu akhethekile ukusiza umntwana ukuba abelethwe ngendlela evamile.
• Izinkinga zokuzalwa enganeni: Uma ingane inezinkinga ezinkulu zokuzalwa njenge-"Hydrocephalus" (amanzi agcwalisa ikhanda).
• Izinkinga ze-placenta: Uma umama enezinkinga nge-placenta yakhe. Isibonelo, isimo esibizwa ngokuthi ``Placenta Previa``, okusho ukuthi i-placenta iphansi kakhulu esibelethweni, imboze umlomo wesibeletho .
• Izimo zempilo zikamama: Uma ukubeletha okuvamile kuyingozi kumama noma enganeni ngenxa yesimo sempilo kumama (isibonelo, amazinga aphezulu egciwane lesandulela ngculaza emzimbeni, noma i-herpes yobulili esebenzayo).
• Ukukhulelwa okuningi: Kwezinye izimo zokukhulelwa okuningi, njengokuzalwa kwamawele.
• Ukuhlinzwa kwangaphambilini:Uma umama eke wahlinzwa isibeletho ngaphambilini, noma uma eke wahlinzwa ngokuhlinzwa. Kodwa-ke, kufanele kuqashelwe lapha ukuthi omama abaningi bangabeletha umntwana wabo olandelayo ngendlela evamile, noma ngabe bake bahlinzwa ngokuhlinzwa. Lokhu sikubiza ngokuthi `VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa)`.

Izigaba Eziphuthumayo ze-C

Ezinye izibeletho zokuhlinzwa zenziwa ngokuzumayo nangokungalindelekile. Lokhu kungenzeka ngesikhathi sokukhulelwa, ngesikhathi sokubeletha, noma uma kunenkinga ngomama noma ingane. Nazi ezinye izibonelo:

• Izinhlungu zokubeletha ziyama noma zehle: Uma izinhlungu zokubeletha zingafiki kahle, zibonakala sengathi ziyekile, noma zihamba kancane, futhi imithi enikezwayo ayisizi.
• Ukuqhekeka kwe-placenta: Uma i-placenta ihlukana nodonga lwesibeletho ngaphambi kwesikhathi, lokhu kubizwa ngokuthi "Ukuqhekeka kwe-Placental".
• Izinkinga ze-umbilical cord: Uma i-umbilical cord icindezelwe (lokhu kungathinta ukutholakala komoya-mpilo komntwana) noma uma i-umbilical cord ingena esithweni sangasese sowesifazane ngaphambi kokuba umntwana azalwe ( i-umbilical cord prolapse ).
• Ukucindezeleka kwengane: Izinguquko ekushayeni kwenhliziyo yengane zibonisa ukuthi ingane ayitholi umoya-mpilo owanele.
• Usayizi womntwana: Uma ikhanda lomntwana noma umzimba wakhe wonke mkhulu kakhulu ukuba ungaphuma emgudwini wokuzalwa.

Uma udokotela wakho ethi udinga ukuhlinzwa, ungathola umbono wesibili komunye udokotela, ngaphandle uma kuyisimo esiphuthumayo. Kodwa ekugcineni, kungcono ukwethemba isinqumo sikadokotela.

Kwenziwa kanjani ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha)?

Ake sibheke ezinye zezinto ezivame ukwenzeka ngesikhathi sokuhlinzwa okuhleliwe. Umuntu okusekelayo (umyeni, ilungu lomndeni) angahlala nawe egqoke ingubo yokuhlinzwa. (Kodwa-ke, lokhu kungenzeka kungenzeki esigabeni sokuhlinzwa esiphuthumayo.) Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokhuluma nawe ngalokho okuzokwenziwa ukuze ungezwa ubuhlungu. Ngokuvamile, basebenzisa lokho okubizwa ngokuthi "i-Regional Anesthesia". Lokhu kusho ukuthi indawo ethile yomzimba kuphela ephelelwa amandla. Lokhu kusetshenziselwa ukunciphisa ubuhlungu ngesikhathi sokubeletha kwesitho sangasese sowesifazane kanye nesigaba sokuhlinzwa. Nazi ezinye izinto abazozenza ukuze bakulungiselele ukuhlinzwa:

• Kufakwe amadivayisi ahlukahlukene (ama-Monitors) ukuze aqaphe izinto ezifana nokushaya kwenhliziyo yakho, ukuphefumula , kanye nomfutho wegazi .
• Imaski yomoya-mpilo noma ipayipi elincane elifakwe emakhaleni akho lizosetshenziswa ukukunika umoya-mpilo.
• Kuzofakwa ipayipi elincane (i-catheter) e-urethra yakho ukuze kukhishwe umchamo (lokhu kungase kuzwakale kungakhululekile, kodwa akubuhlungu).
• Umugqa womjovo (IV) uzofakwa engalweni yakho noma umthambo engalweni yakho ukuze unikeze usawoti.
• Indawo yesisu sakho izogezwa kahle futhi izinwele ezisenkabeni yakho kanye nendawo engezansi kwesisu zizosuswa.
• Kuzobekwa ikhethini ukuze limboze indawo yesisu sakho.

Ngemva kokuba uhlinzwe i-anesthesia, udokotela wakho uzokwenza i-incision esiswini sakho - ngokuvamile i-incision evundlile (1-2 amayintshi ngaphezu komugqa wezinwele zakho ze-pubic, ngezinye izikhathi okubizwa ngokuthi "ukusikwa kwe-bikini"). Udokotela wakho uzobe esedonsa kancane imisipha yakho yesisu ayihlukanise bese eyisondeza esibelethweni sakho. Kuzokwenziwa okunye ukusikwa esibelethweni sakho. Lokhu kusikwa kungaba okuqondile noma okuvundlile. Odokotela bavame ukusebenzisa i-incision evundlile ngoba kungenzeka kakhulu ukuthi kuholele ekuzalweni kwesitho sangasese sowesifazane (VBAC), noma ekuhlinzweni. Ngemva kokusikwa, ingane yakho izosuswa ngobumnene. Udokotela wakho uzomunca futhi ahlanze umlomo nekhala lengane yakho, abambe intambo yesisu, bese eyisika. Uzokwazi ukubona ingane yakho ngokushesha, njengasesikhathini sokubeletha okuvamile. Ngemuva kwalokho, ingane yakho izonakekelwa umhlengikazi noma udokotela imizuzu embalwa. Okulandelayo, udokotela wezifo zokubeletha uzosusa i-placenta esibelethweni sakho futhi avale isibeletho ngezithungo ezincibilikayo. Ukusikwa esiswini sakho kuzovalwa ngezithungo noma ngezithungo zokuhlinzwa. Lezi zithungo zivame ukususwa ngaphandle kobuhlungu ngemva kwezinsuku ezimbalwa. Uma ingane yakho iphilile, uzokwazi ukubamba nokuncelisa ingane yakho egumbini lokululama. Uma kufanele uhlale embhedeni, ungase udinge othile ozokusiza ukuncelisa ingane yakho.

Ingabe kukhona ozokuzwa ngesikhathi sokuhlinzwa?

Ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa. Kodwa-ke, ungase uzwe umuzwa wokudonsa noma wokucindezela. Omama abaningi baphapheme ngesikhathi sokuhlinzwa ngoba bane-anesthesia yesifunda (i-epidural kanye/noma i-spinal block) eqeda kuphela indawo engaphansi kwesinqe. Ngale ndlela, bangabona futhi bezwe ingane yabo izalwa. Isikrini sizobekwa phezu kwesisu sakho ngesikhathi senqubo, kodwa uzokwazi ukubheka phezulu ubone ingane ikhishwa esibelethweni sakho. Ngezinye izikhathi, umama ohlinzwa ngokuhlinzwa okuphuthumayo angadinga ukunikezwa i-anesthesia ejwayelekile. Lokhu kusho ukuthi ingane ayizwa lutho (noma "ilele") ngesikhathi sokubeletha futhi ngeke ikhumbule noma izwe ubuhlungu.

Ziyini izingozi zokuhlinzwa kokubeletha?

Ukuhlinzwa kokubeletha okwenziwa namuhla ngokuvamile kuphephile kumama nomntwana. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Ezinye zezingozi ezingaba khona zokuhlinzwa kokubeletha zifaka:

• Ukopha ngokweqile (akuvamile kakhulu, ukumpontshelwa igazi kungadingeka)
• Ukutheleleka kwesilonda ( Ama-antibiotic avame ukunikezwa ukuvimbela lokhu)
• Ukulimala kwesinye noma emathunjini
• Ukusabela okubi emithini
• Amahlule egazi
• Ukufa (okungavamile kakhulu)
• Ukulimala okungenzeka enganeni

Kokubili i-anesthesia yesifunda kanye nejwayelekile esetshenziswa ngesikhathi sokuhlinzwa kubhekwa njengokuphephile enganeni, kodwa ingabangela izinkinga kumama, njengesicanucanu kanye nomfutho wegazi ophansi. Izingane ezizalwa ngokuhlinzwa ngezinye izikhathi zingaba nobunzima bokuphefumula (i-tachypnea yesikhashana yosana olusanda kuzalwa). Lokhu kungenxa yokuthi uketshezi oluvela emaphashini alususwa kahle ngesikhathi sokubeletha. Lokhu kuvame ukuxazululeka ngokwalo phakathi nosuku olulodwa noma ezimbili. Ukuba nokuhlinzwa kungathinta noma kungathinte ukukhulelwa nokubeletha esikhathini esizayo. Omama abaningi bangaba nokubeletha okuphumelelayo nokuphephile kwesitho sangasese sowesifazane (VBAC) ngemva kokuhlinzwa. Kodwa-ke, kwezinye izimo, ukuhlinzwa kungadinga ukuphindaphindiwe esikhathini esizayo, ikakhulukazi uma ukusikwa esibelethweni kwenziwe ngokuvundlile kunokuba kwenziwe ngokuvundlile. Ukuhlinzwa kungandisa nengozi yezinkinga ze-placenta ekukhulelweni kwesikhathi esizayo.

Uma kwenzeka ukuhlinzwa kokubeletha okuphuthumayo, izinzuzo zidlula kakhulu izingozi. Ukuhlinzwa kokubeletha kungasindisa impilo.

Sinjani isikhathi sokululama ngemva kokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kuba nobuhlungu nokungakhululeki ngemva kokuhlinzwa. Isikhathi sokululama sibuye sibe side kancane kunesemva kokubeletha okuvamile. Omama abahlinzwa ngokuhlinzwa bavame ukuhlala esibhedlela cishe izinsuku ezi-3 kuya kwezi-4. Ngemva nje kokuhlinzwa, ungase uzizwe ubuhlungu, unesicanucanu, noma ubuhlungu - konke lokhu kuyimpendulo evamile ekuhlinzweni kanye nokuhlinzwa. Uma kwadingeka ukuthi uhlinzwe ngokuhlinzwa okuvamile ngesikhathi sokuhlinzwa esiphuthumayo, ungase uzizwe ulele, udidekile, ubanda, wesaba, ukhathazekile, noma udabukile. Abasebenzi bakho bezokwelapha bazokunikeza imithi yokusiza ekunciphiseni noma yikuphi ukungakhululeki noma ubuhlungu. Ezinsukwini ezimbalwa zokuqala kuze kube amasonto ambalwa, ungase uzwe:

• Ukuzizwa ukhathele.
• Ubuhlungu obuzungeze i-incision (udokotela uzokunikeza imithi yobuhlungu, noma akutshele ngama-painkiller atholakala ngaphandle kwemithi kadokotela aphephile ukuwasebenzisa uma uncelisa).
• Ukuqunjelwa kanye nokuqunjelwa.
• Kunzima ukuhambahamba nokuphakamisa umntwana.

Kungasiza ukubamba imbobo yakho ngesandla sakho uma uthimula, ukhwehlela, noma uhleka. Lokhu kunyakaza okungazelelwe kungaba buhlungu. Ukuze ugweme ukufaka ingcindezi engadingekile ekumbozweni kwakho, kufanele ugweme ukushayela noma ukuphakamisa izinto ezisindayo isikhashana.Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi evamile (ngokuvamile phakathi kwamasonto ayi-6 kuya kwayi-8, uma isibeletho sakho sesipholile). Njengoba kunjalo ngokubeletha ngesitho sangasese sowesifazane, gwema ukuya ocansini kuze kube yilapho udokotela wakho ethi kuphephile ukwenza kanjalo (ngokuvamile cishe amasonto ayi-6 ngemva kokuzalwa kwengane yakho). Ukuhamba ngezinyawo okufushane njalo kungasiza ekunciphiseni ubuhlungu nokungakhululeki ngemva kokuhlinzwa. Kungasiza futhi ekuvimbeleni amahlule egazi nokugcina amathumbu akho ehamba. Kodwa ungazicindezeli kakhulu - phumula, hambahamba, futhi uthole othile akusize, ikakhulukazi lapho ukhuphuka futhi wehla izitebhisi. Uma unezinye izingane, cela abangani, umndeni, noma omakhelwane bakusize ngokudla nemisebenzi yasekhaya isikhashana. Ukuncelisa kungaba buhlungu kancane ekuqaleni, kodwa ukuncelisa ohlangothini lwakho, endaweni yokubamba i-clutch, noma endaweni yokubamba ibhola kungasiza ekunciphiseni ingcindezi esiswini sakho. Phuza amanzi amaningi ukusiza ubisi lwakho lugeleze futhi luvimbele ukuqunjelwa. Izibazi zokuhlinzwa ziyanyamalala ngokuhamba kwesikhathi. Zizoncipha futhi zibe nombala wesikhumba phakathi namasonto noma izinyanga ezimbalwa ngemva kokubeletha. Futhi, ngenxa yokuthi ukuhlikihla kuvame ukwenziwa endaweni "ye-bikini", izibazi azibonakali.

Wenzani uma ungazizwa kahle ngokushesha?

Uma unezinye zalezi zimpawu , shayela udokotela wakho ngokushesha:

• Imfiva.
• Izimpawu zokutheleleka eduze kokusika (ukuvuvukala, ukubomvu, ukufudumala, ubomvu).
• Ubuhlungu obungazelelwe, obukhulayo eduze kwesilonda noma esiswini.
• Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
• Ubuhlungu lapho uchama.
• Ubunzima bokukhipha indle.
• Ukopha kakhulu kwesitho sangasese sowesifazane.
• Ubuhlungu, ukuvuvukala, noma ukubomvu emilenzeni.
• Ubunzima bokuphefumula noma ubuhlungu besifuba.
• Ubuhlungu kwelinye noma kuwo womabili amabele.
• Imizwa efana nokucindezeleka.
• Imicabango yokuzilimaza wena noma ingane.

Ngokwengqondo, uma ubulindele ukubeletha okuvamile, noma uma uke wabeletha wagcina usubelethile ngokuhlinzwa, ungase uzizwe udumele kancane. Khumbula, ukubeletha ngokuhlinzwa akwenzi ukuzalwa komntwana wakho kube okungakhethekile kangako, futhi akwenzi imizamo yakho ingabi namsebenzi. Phela, uke wadlula ohlinzweni olukhulu ukuze ulethe umntwana wakho emhlabeni!

Umlayezo Wokuya Nawe Ekhaya

Ukuhlinzwa kokubeletha kuyindlela enkulu yezokwelapha eyenziwayo ukuze kuvikelwe impilo nokuphepha komama nomntwana. Ngezinye izikhathi kuhlelwe, ngezinye izikhathi kuba yisimo esiphuthumayo.

Ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa, futhi ezimweni eziningi uzokwazi ukubona umntwana ngokushesha nje ngemva kokuzalwa kwakhe.

Kuthatha isikhathi ukululama ngemva kokuhlinzwa, futhi kubaluleke kakhulu ukuthi uphumule kahle futhi ulandele imiyalelo kadokotela wakho phakathi nalesi sikhathi. Uma ubona noma yikuphi ukungakhululeki noma izimpawu zengozi, bona udokotela wakho ngokushesha. Okokugcina, kungakhathaliseki ukuthi ukuhlinzwa noma ukubeletha okuvamile, ukuba ngumama kuyinto emangalisayo. Ngikufisela okuhle ohambweni lwakho!

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