Uma ulindele umntwana, noma uma othile emndenini wakho elungiselela ukwamukela impilo entsha, kungenzeka ukuthi uke wezwa 'ngokuhlinzwa ngokuhlinzwa' (ukuhlinzwa ngokuhlinzwa). Nakuba abanye bethola lo mbono wesabisa, kuyindlela ebalulekile, esindisa impilo eqinisekisa impilo nokuphepha komama nomntwana. KwaNirogi Lanka, sifuna ukukuqondisa ngokuthi ukuhlinzwa ngokuhlinzwa kuyini, kungani kwenziwa, ukuthi kwenzeka kanjani, nokuthi yini ongayilindela ngemva kwalokho, ngamagama alula, aqondakala kalula.
Kuyini ukuhlinzwa ngokuhlinzwa?
Kalula nje, ukuhlinzwa kwe-C-section kuyindlela yokuhlinzwa lapho ingane yakho ibelethwa ngokusikwa okwenziwe esiswini sakho nasesibelethweni. Odokotela bakhetha le ndlela lapho ukubeletha kwesitho sangasese sowesifazane kungaba nzima noma lapho kukhona ingozi engaba khona kumama noma enganeni. Ezimweni eziningi, kuyindlela yokungenelela esindisa impilo.
Lokhu kuhlinzwa kwenziwa ngodokotela bezifo zabesifazane abaqeqeshwe kahle, noma esibhedlela, ngochwepheshe bezokwelapha abaphezulu ngaphansi kokuqondisa kochwepheshe.
Kungani ungadinga ukuhlinzwa ngokuhlinzwa kwe-C?
Kunezizathu eziningana zokuhlinzwa ngokuhlinzwa. Ezinye zihlelwa kusenesikhathi, kanti ezinye zenziwa njengezinqubo eziphuthumayo. Ake sibheke zombili.
Izigaba ze-C ezihleliwe
Ngezinye izikhathi, udokotela wakho angase anqume kusengaphambili ukuthi ukubeletha ngesitho sangasese sowesifazane kuyingozi. Ezimweni ezinjalo, kuhlelwe ukuhlinzwa ngokuhlinzwa. Izizathu ezivamile zifaka:
- Indawo Yomntwana: Uma umntwana esesimweni sokuvula isifuba (izinyawo noma izinqe kuqala) noma esesimweni sokuvula isifuba (eceleni). Ngezinye izikhathi, odokotela bangase bazame ukumphendula umntwana, kodwa ukuhlinzwa ngokuhlinzwa kwebele ngokuvamile kuyindlela ephephile.
- Ukukhubazeka Kokuzalwa: Uma ingane inezinkinga zempilo ezibalulekile njenge-hydrocephalus (ukunqwabelana koketshezi ebuchosheni).
- Izinkinga Ze-Placental: Izinkinga ezifana ne-Placenta Previa, lapho i-placenta ibekwe phansi esibelethweni futhi imboze umlomo wesibeletho .
- Izimo Zempilo Yomama: Uma unezimo ezithile zezokwelapha (isib. igciwane eliningi le -HIV noma i-Genital Herpes esebenzayo) lapho ukubeletha ngesitho sangasese sowesifazane kungabeka wena noma ingane engozini.
- Ukukhulelwa Okuningi: Ezimweni zamawele noma ukuzalwa kwabantu abaphezulu.
- Ukuhlinzwa Kwangaphambilini: Uma uke wahlinzwa isibeletho ngaphambilini noma wahlinzwa ngokuhlinzwa kwangaphambilini. Kodwa-ke, abesifazane abaningi basengakwazi ukubeletha ngesitho sangasese sowesifazane ngemuva kokuhlinzwa ngokuhlinzwa kwangaphambilini, okwaziwa ngokuthi i-VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa).
Izigaba Eziphuthumayo ze-C
Ngezinye izikhathi, ukuhlinzwa ngokuhlinzwa kwe-C kuba yinto edingekayo ngokuzumayo ngesikhathi sokukhulelwa noma sokubeletha uma kuvela inkinga engalindelekile. Lokhu kufaka phakathi:
- Ukubeletha Okumisiwe Noma Okuhamba Kancane: Uma ukubeletha kubuthakathaka, yeka, noma uqhubeke kancane kakhulu naphezu kokungenelela kwezokwelapha.
- Ukuqhekeka Kwe-Placental: Lapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kwesikhathi.
- Izinkinga Zentambo Yesibeletho: Njengentambo ecindezelwe evimbela umoya-mpilo noma i- Umbilical Cord Prolapse , lapho intambo ingena khona emgudwini wokubeletha ngaphambi komntwana.
- Ukucindezeleka Kwengane Esanda Kuzalwa: Uma izinguquko ekushayeni kwenhliziyo yengane zibonisa ukuthi ayitholi umoya-mpilo owanele.
- Usayizi Womntwana: Uma umntwana emkhulu kakhulu ukuba angadlula ngokuphepha emgudwini wokuzalwa.
Uma udokotela wakho encoma ukuhlinzwa ngokuhlinzwa kwe-C futhi kungesona isimo esiphuthumayo, wamukelekile njalo ukufuna umbono wesibili. Nokho, ekugcineni, ukwethemba ulwazi lwethimba lakho lezokwelapha kuyindlela ephephile yokuqhubekela phambili.
Kwenziwa kanjani ukuhlinzwa kwe-C-section?
Nakhu okwenzekayo ngokuvamile ngesikhathi sokuhlinzwa okuhleliwe.
Umuntu okusekelayo (umlingani wakho noma ilungu lomndeni) angase akwazi ukujoyina nawe egumbini lokuhlinza ngenkathi egqoke izikhuhla zokuhlinzwa. Ngaphambi kokuqala, udokotela wakho wezinhlungu uzoxoxa ngezinketho zakho zokulawula ubuhlungu. I-anesthesia yesifunda ivame ukusetshenziswa, eqeda kuphela ingxenye engezansi yomzimba wakho, okukuvumela ukuthi uhlale uphapheme.
Njengoba ulungele ukuhlinzwa, ithimba lezokwelapha lizokwenza okulandelayo:
- Namathisela ama-monitha ukuze alandelele izinga lokushaya kwenhliziyo yakho, ukuphefumula , kanye nomfutho wegazi .
- Nikeza umoya-mpilo ngemaski noma ngepayipi elincane lempumulo uma kudingeka.
- Faka i-catheter ukuze ukhiphe amanzi esinyeni sakho; ungase uzizwe ungakhululekile, kodwa akufanele kube buhlungu.
- Misa umugqa we-IV ukuze ulethe uketshezi kanye nemithi.
- Hlanza isisu sakho bese ususa izinwele eduze kwendawo yokusikwa.
- Beka indwangu yokugqoka ukuze ugcine indawo engcolile.
Ngemva kokunikezwa i-anesthesia, udokotela wakho ohlinzayo uzokwenza i-incision - ngokuvamile evundlile ngaphezu komugqa wezinwele ze-pubic, evame ukubizwa ngokuthi "i-bikini cut."
Udokotela ohlinzayo uzosusa kancane imisipha yesisu sakho ukuze afinyelele esibelethweni. Kwenziwa ukusika kwesibili esibelethweni. Nakuba lokhu kungaba okuqondile noma okuvundlile, odokotela abaningi bakhetha ukusika kwesibeletho okuvundlile ngoba kuvame ukushiya inketho ye-VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa) ekukhulelweni kwesikhathi esizayo.
Uma isilonda sesiqediwe, umntwana uyaphakanyiswa ngokucophelela. Udokotela uzomunca ikhala nomlomo wengane, abambe intambo, bese eyisika. Njengokubeletha kwesitho sangasese sowesifazane, ungambona umntwana wakho ngokushesha. Umhlengikazi noma udokotela uzobe esehlola usana lwakho olusanda kuzalwa kafushane.
Ekugcineni, udokotela wakho wokubeletha ususa i-placenta bese evala isibeletho ngezithungo ezincibilikayo. Ukusika kwesisu sakho kuzovalwa ngezithungo noma izinti zokuhlinzwa, ezivame ukususwa ngaphandle kobuhlungu ngemva kwezinsuku ezimbalwa.
Uma wena nobabili nizinzile, ningabamba futhi nincelise usana lwakho olusanda kuzalwa egumbini lokululama. Uma uvinjelwe ukulala embhedeni wakho, ilungu labasebenzi abahlengikazi lizokujabulela ukukusiza.
Ingabe uzozwa ubuhlungu ngesikhathi sokuhlinzwa?
Ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa ngokuhlinzwa. Ungase uzwe imizwa yokudonsa noma ingcindezi, kodwa lokhu kuvamile. Ngenxa yokuthi kusetshenziswa i-anesthesia yesifunda (njenge-epidural noma i-spinal block), uzobe uphapheme ngesikhathi senqubo.
Lokhu kukuvumela ukuthi uzwe ukukhala kokuqala kwengane yakho futhi uyamukele emhlabeni ngokushesha. Ngisho noma kukhona indwangu yokugqoka ehlinzwayo, ithimba lakho lezokwelapha lizokusiza ukuthi ubone ingane yakho ngokushesha nje lapho ifika.
Kwezinye izimo, ungadinga i-anesthesia ejwayelekile yokuhlinzwa okuphuthumayo. Lokhu kusho ukuthi uzobe ulele ngesikhathi sokubeletha, ngakho ngeke uzwe ubuhlungu noma ukhumbule inqubo.
Ziyini izingozi zokuhlinzwa kokubeletha?
Namuhla, ukuhlinzwa kokubeletha ngokuvamile kuphephile kakhulu kumama kanye nengane. Kodwa-ke, njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezingokwemvelo. Ezinye izingozi ezingaba khona ezihlobene nokuhlinzwa kokubeletha zihlanganisa:
- Ukopha kakhulu (okungadinga ukumpontshelwa igazi kaningi)
- Ukutheleleka kwendawo yokusikwa (ama-antibiotic ngokuvamile anikezwa ukuvimbela lokhu)
- Ukulimala kwesinye noma emathunjini
- Ukusabela okubi ku-anesthesia noma imithi
- Amahlule egazi
- Ukufa (nakuba lokhu kungavamile kakhulu)
- Ukulimala okungenzeka enganeni
Nakuba kokubili i-anesthesia yesifunda kanye ne-anesthesia evamile kubhekwa njengokuphephile enganeni, ngezinye izikhathi ingabangela izinkinga kumama, njengesicanucanu noma ukwehla komfutho wegazi.
Izingane ezizalwa ngokuhlinzwa kwe-C ngezinye izikhathi zingase zibe nobunzima bokuphefumula okwesikhashana (i-tachypnea yesikhashana yosana olusanda kuzalwa) ngoba inqubo yokuzalwa ayizange isuse uketshezi ngokuphelele emaphashini azo. Lokhu kuvame ukuxazululeka ngokwako phakathi nosuku noma ezimbili.
Ukuhlinzwa ngokuhlinzwa kungathinta noma kungakuthinti ukukhulelwa noma ukubeletha esikhathini esizayo. Omama abaningi baphumelela futhi babelethe ngendlela ephephile ngemuva kokuhlinzwa (VBAC) kamuva. Kodwa-ke, kwezinye izimo, ukubeletha esikhathini esizayo kungadinga nokuhlinzwa ngokuhlinzwa, ikakhulukazi uma ukusikwa kwesibeletho bekuqondile kunokuba kuqonde. Ukuhlinzwa ngokuhlinzwa kwangaphambilini kungandisa kancane ingozi yezinkinga ezihlobene ne-placenta ekukhulelweni kwesikhathi esizayo.
Esimweni esiphuthumayo sokuhlinzwa ngokuhlinzwa ngokuhlinzwa, izinzuzo zidlula kakhulu izingozi. Ukuhlinzwa ngokuhlinzwa ngokuhlinzwa ngokuhlinzwa ngokuhlinzwa kungaba inqubo esindisa impilo.
Sinjani isikhathi sokululama ngemva kokuhlinzwa kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, uzozwa ubuhlungu nokungakhululeki ngemva kokuhlinzwa ngokuhlinzwa, futhi isikhathi sokululama ngokuvamile siba side kunesokubeletha ngesitho sangasese sowesifazane. Ngokuvamile uzohlala esibhedlela izinsuku ezintathu kuya kwezine.
Ngemva nje kwenqubo, ungase uzizwe uluma, unesicanucanu, noma ubuhlungu—lezi yizindlela ezivamile zokusabela ekuhlinzweni nasekubulaweni. Uma wenze i-anesthesia ejwayelekile ephuthumayo, ungase uzizwe uthukuthele, udidekile, ubanda, ukhathazekile, noma ngisho ngokomzwelo. Ithimba lakho lezokwelapha lizokunikeza imithi yokuphatha noma yibuphi ubuhlungu noma ukungakhululeki.
Ezinsukwini zokuqala ezimbalwa ngisho namasonto, ungase uzwe:
- Ukukhathala.
- Ubuhlungu obuseduze nomgodi (udokotela wakho uzokunikeza umuthi wokuqeda ubuhlungu noma asikisele izinketho eziphephile ezitholakala ngaphandle kwemithi kadokotela uma uncelisa).
- Ukuqunjelwa kanye nokuqunjelwa.
- Ubunzima bokuhambahamba noma ukuphakamisa umntwana.
Kungasiza ukusekela ukusikwa kwakho ngesandla sakho uma uthimula, ukhwehlela, noma uhleka, njengoba ukunyakaza okungazelelwe kungaba buhlungu. Ukuze ugweme ukucindezela okungadingekile ekusikweni kwakho, kufanele ugweme ukushayela nokuphakamisa izinto ezisindayo isikhathi esithile.
Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi evamile (ngokuvamile phakathi kwamasonto ayi-6 kuya kwayi-8, uma isibeletho sesipholile). Njengokubeletha ngesitho sangasese sowesifazane, ungaqhubeki nokwenza ucansi kuze kube yilapho udokotela wakho ekuhlambulula, ngokuvamile ekuhlolweni kwakho kwangemva kokubeletha kwamasonto ayi-6.
Ukuhambahamba kancane futhi kaningi kuzosiza ekunciphiseni ubuhlungu ngemva kokuhlinzwa, kuvimbele ukuqhekeka kwegazi, futhi kugcine amathumbu akho esebenza kahle. Kodwa-ke, ungazikhandleli ngokweqile. Phumula ngokwanele, futhi ube nomuntu ozokusiza ngemisebenzi yasekhaya, ikakhulukazi lapho uhamba ngezitebhisi. Uma unezinye izingane, yamukela usizo kubangani, emndenini, nakomakhelwane ngokudla kanye nemisebenzi yasekhaya isikhashana.
Nakuba ukuncelisa kungase kungakhululeki ekuqaleni, ukusebenzisa izindlela ezifana 'ne-clutch' noma 'i-football hold' kungasiza ekunciphiseni ingcindezi esiswini sakho. Hlala unamanzi amaningi ukuze usekele ukukhiqizwa kobisi futhi uvimbele ukuqunjelwa.
Izibazi zokuhlinzwa kwesisu ziyanyamalala ngokuhamba kwesikhathi. Phakathi nezinyanga ezimbalwa, zivame ukuba zincane futhi zifane nombala wesikhumba sakho. Ngaphezu kwalokho, njengoba ukuhlikihla kuvame ukwenziwa endaweni 'yomugqa webhayisikili', isibazi sivame ukufihlwa kahle.
Kuthiwani uma ungazizwa ungcono ngokushesha?
Uma ubona noma yiziphi izimpawu ezilandelayo, xhumana nodokotela wakho ngokushesha:
- Imfiva.
- Izimpawu zokutheleleka eduze kwesilonda (ukuvuvukala, ukubomvu, ukufudumala, noma ubomvu).
- Ubuhlungu obungazelelwe noma obuqhubekayo eduze kwesilonda noma isisu.
- Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
- Ubuhlungu noma ukushisa ngesikhathi sokuchama.
- Ubunzima bokuhamba kwamathumbu.
- Ukopha kakhulu kwesitho sangasese sowesifazane.
- Ubuhlungu, ukuvuvukala, noma ukubomvu emilenzeni yakho.
- Ukuphelelwa umoya noma ubuhlungu besifuba.
- Ubuhlungu kwelinye noma kuwo womabili amabele.
- Imizwa yokucindezeleka okukhulu.
- Imicabango yokuzilimaza wena noma ingane yakho.
Ngokwemizwa, uma ubunethemba lokubeletha ngesitho sangasese sowesifazane noma uke wabeletha ngaphambi kokudinga ukuhlinzwa okuphuthumayo, ungase uzizwe udumele. Sicela ukhumbule ukuthi ukuhlinzwa okuphuthumayo akwenzi ukuzalwa komntwana wakho kube okungakhethekile kangako, futhi akunciphisi umzamo wakho njengomama. Kungakhathaliseki ukuthi ingane yakho yafika kanjani, wahlinzwa kakhulu ukuze alethe ingane yakho emhlabeni!
Umlayezo Wokuya Nawe Ekhaya
Ukuhlinzwa ngokuhlinzwa kwebele kuyindlela ebalulekile yezokwelapha eyenziwa ukuqinisekisa impilo nokuphepha komama nomntwana. Ngezinye izikhathi kuhleliwe, kanti ngezinye izikhathi kwenziwa njengesimo esiphuthumayo.
Ngeke uzizwe ubuhlungu ngesikhathi senqubo, futhi ezimweni eziningi, ungambona umntwana wakho ngesikhathi ezalwa.
Ukululama kuthatha isikhathi, ngakho-ke kubalulekile ukuphumula nokulandela imiyalelo kadokotela wakho. Uma ubona noma yikuphi ukungakhululeki noma izimpawu eziyisixwayiso, xhumana nomhlinzeki wakho wezempilo ngokushesha.
Ekugcineni, kungakhathaliseki ukuthi ngokuhlinzwa ngokuhlinzwa noma ngokubeletha ngesitho sangasese sowesifazane, ukuba ngumama kuwuhambo oluyisimangaliso. Siyakuhalalisela ngalesi sahluko esisha noNirogi Lanka!
