Uma uke wabeletha ngokuhlinzwa (C-section) ngaphambili, ingabe uzobeletha ngendlela evamile kulokhu? Ake sixoxe nge-VBAC!

Uma ingane yakho yokuqala ibelethwe ngokuhlinzwa (C-section), ungase uzibuze, "Ingabe ngizozala ngendlela evamile, ngesitho sangasese sowesifazane kulokhu?" Lona umbuzo omama abaningi abanamathemba amakhulu ngawo, kodwa ngezinye izikhathi ufika nokwesaba okuncane. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokucacile nangendlela ongayiqonda.

Ngaleso sikhathi namanje: Ingabe indlela ocabanga ngayo ngokubeletha isishintshile ngemva kokuhlinzwa?

Ungase ukhumbule, emuva osukwini lukamama wakho, abantu abaningi babecabanga ukuthi uma uhlinzwa ngokuhlinzwa kwe-C kanye, kuzodingeka wenze olunye uhlinzwa ngokuhlinzwa kwe-C kumntwana ngamunye ngemva kwalokho. Ngisho nodokotela ngaleso sikhathi babevame ukubhekisela kulokho. Kwakukhona izizathu zalokho.

Kodwa kulezi zinsuku, isayensi yezokwelapha isithuthuke kakhulu . Ngocwaningo olusha nolwazi olusha, izinto eziningi zishintshile. Manje, odokotela ngokwabo bathi omama abaningi abafanelekayo, noma ngabe bake babelethwa ngokuhlinzwa, bangabeletha ngesitho sangasese sowesifazane (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa - i-VBAC) . Eqinisweni, lokhu manje kubhekwa njengendlela ephephile komama abaningi kanye nezingane zabo.

Cabanga nje, ungaya ekhaya ngokushesha ngemva kokuthola umntwana ojwayelekile. Akukho ukungakhululeki okuningi futhi ungalulama ngokushesha. Lezi ezinye zezinzuzo ezinkulu ze-VBAC.

Ngakho-ke, ngingakwenza yini (VBAC)? Yini enquma lokho?

Lona umbuzo obaluleke kakhulu. Akuwona wonke umuntu ofanayo. Kunezici eziningana ezinquma ukuthi ungaba ne-VBAC noma cha. Ake sibheke ngayinye ngayinye.

1. Kwakuyini isizathu sokubeletha kwakho kokuqala (ukuhlinzwa ngokuhlinzwa)?

Ngezinye izikhathi ukuhlinzwa kokuqala kungenziwa ngenxa yesimo esiphuthumayo nomntwana, noma ngenxa yenkinga efana nomfutho wegazi kamama. Kunezizathu ezithile, uma leso sizathu kungenzeka sibaluleke kulokhu kukhulelwa, kungaba yingozi ukuba ne-VBAC. Kodwa kunezizathu ezithile, uma kuyinto ethinte leso sikhathi kuphela. Isibonelo, uma ube nokuhlinzwa ngenxa yesimo esifana nokuma kwesisu, uma ingane isesimweni esifanele kulokhu, ungase uzame i-VBAC. Udokotela wakho noma umbelethisi wakho uzochaza lokhu ngokuningiliziwe.

2. Uhlobo Lokusika Kwesibeletho - Lena yinto ebaluleke kakhulu!

Nakhu okufanele uqaphele kakhulu. Ukuma kwesilonda esibelethweni sakho ngesikhathi sokubeletha kokuqala ngokuhlinzwa kubalulekile kwi-VBAC. Lokhu akusikho ukusikwa okubonakalayo esikhumbeni sakho, kodwa ukusikwa okungaphakathi kwesibeletho sakho.

Sikhuluma kakhulu ngezinhlobo ezimbili zokusikwa:

• Ukusikwa okuphambeneyo:

Kalula nje, lolu uhlobo oluvame kakhulu lokusikwa olwenziwayo, futhi olufanele kakhulu i-VBAC.. Lo msiko wenziwa engxenyeni engezansi, encane yesibeletho, ngokuphambene. Cabanga ngakho njengomugqa we-bikini (hhayi ukusikwa kwesikhumba, kodwa ukusikwa esibelethweni). Lo msiko yilapho isibeletho singacindezelwa khona kakhulu lapho umntwana ezalwa (lapho sincipha ukuze sikhiphe umntwana). Ngakho-ke, umama onalolu hlobo lokusikwa unethuba elikhulu kakhulu lokuba ne-VBAC ephumelelayo. Elinye igama lalo msiko lithi (i-Low-transverse incision) .

• Ukusikwa okuqondile:

Kulokhu, ukusikwa kwenziwa kusukela phezulu kwesibeletho kuya phansi, ngobude. Ngenxa yokuthi lokhu kusikwa kudlula emisipheni yesibeletho, kunengozi enkulu yokuthi isibeletho sidabuke (ukuqhekeka kwesibeletho) ngokusikwa lapho isibeletho sincipha kakhulu ngesikhathi sokubeletha. Lokhu kungaba yisimo esiyingozi kakhulu kumama kanye nomntwana. Ngakho-ke, odokotela ngokuvamile abacebisi nge-VBAC uma kukhona ukusikwa okuqondile (ikakhulukazi ukusikwa okuvamile okwenziwe engxenyeni engenhla yesibeletho).

Okubalulekile: Ngisho noma ukusikwa kwesikhumba sakho kuqondile, ngezinye izikhathi ukusikwa ngaphakathi kwesibeletho sakho kungaba phezulu. Ngakho-ke, kubalulekile ukubukeza amanothi akho okuhlinzwa kusukela ekusikweni kwakho kokuqala kokuhlinzwa ukuze uthole ukuthi ukusikwa kunjani ngempela. Khuluma nodokotela wakho ngalokhu.

3. Zingaki izisu zokuhlinzwa oke wazenza ngaphambili?

Nakuba i-VBAC ivame ukucatshangelwa ngemva kokuhlinzwa okukodwa, uma uke waba nokuhlinzwa kabili noma ngaphezulu, ukuba ne-VBAC kungaba yingozi kakhulu. Ingozi yokuqhekeka kwesibeletho ingaba phezulu kakhulu ngenxa yokwanda kwezicubu zesilonda esibelethweni. Kodwa-ke, kwezinye izimo ezikhethekile, ngisho nalabo abaye baba nokuhlinzwa kabili ngaphambilini bangavunyelwa ukuzama i-VBAC, ngokucophelela okukhulu, endaweni efanele. Lokhu kuncike ngokuphelele emlandweni wakho wezokwelapha, uhlobo lokusika kwesibeletho, kanye nesinqumo sikadokotela okunakekelayo.

4. Isimo sakho samanje sokukhulelwa kanye nezinye izinkinga zempilo

Uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, inkinga yokukhula kwengane yakho, noma ingane ebonakala inkulu kakhulu (i-macrosomia) phakathi nalokhu kukhulelwa, udokotela wakho angase acabange kabili ngokuya ku-VBAC. Futhi, uma unezinkinga ngesimo sesibeletho sakho (isib. i-fibroids), lokho kungathinta nesinqumo sokuba ne-VBAC.

Akukho yini ingozi ku-(VBAC)?

Nakuba i-VBAC iyindlela ephephile komama abaningi, ayinazo izingozi . Ingozi enkulu ukuqhekeka kwesibeletho . Lokhu kwenzeka lapho udonga lwesibeletho luqhekeka endaweni yokuhlinzwa kwangaphambilini. Lokhu kuyinto engavamile kakhulu (ngaphansi kuka-1% ngokwezibalo zaseSri Lanka, ikakhulukazi kulabo abaye basikwa ngokuvundlile), kodwa uma kwenzeka, kungaba yisimo esiphuthumayo esisongela impilo kumama nomntwana. Yingakho uma uzama i-VBAC,Bathi kufanele kwenziwe esibhedlela esinazo zonke izinsiza zokwenza ukuhlinzwa okuphuthumayo.

Ngakolunye uhlangothi, uma uzama i-VBAC futhi ingasebenzi, ungase udingeke ukuthi ube nokuhlinzwa okuphuthumayo. Lokhu kuhlinzwa okuphuthumayo okungahleliwe kungase kube namathuba amancane okubangela izinkinga ezincane kune-cesarean ehleliwe.

Ungesabi! Lezi zingozi zenzelwe ukukufundisa, hhayi ukukwethusa. Iningi lomama liphumelela ekubhekaneni ne-VBAC ngaphandle kwezinkinga. Into ebaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokuthi ngabe ilungele yini isimo sakho, ukuthi yiziphi izingozi, nokuthi yiziphi izinzuzo.

Uma ngingathanda (i-VBAC), yini okufanele ngiyenze?

Uma ucabangela i-VBAC, landela lezi zinyathelo:

1. Khuluma nodokotela wakho: Lena yinto yokuqala nebaluleke kakhulu. Xoxa ngazo zonke izibeletho zakho zangaphambilini zokuhlinzwa (ikakhulukazi uhlobo lokususwa kwesibeletho), impilo yakho yamanje, kanye nezinkinga zakho zempilo ezithile nodokotela wakho. Babuze ngezinzuzo nezingozi ze-VBAC, nokuthi yiziphi izingozi ezithile ongase ube nazo. Udokotela wakho uzokuhlola, abukeze amarekhodi akho, futhi anqume ukuthi i-VBAC ikulungele yini.

2. Buza esibhedlela okhetha ukubelethela kuso ingane yakho: Akuzona zonke izibhedlela ezinezikhungo noma izinqubomgomo ezifanayo ze-VBAC. Ezinye izibhedlela ziyayisekela i-VBAC, njengoba amakamelo ezimo eziphuthumayo namagumbi okuhlinzwa etholakala amahora angu-24 ngosuku, izinsuku eziyisikhombisa ngesonto. Kodwa-ke, ezinye izibhedlela, ikakhulukazi ezincane, zingase zingavumeli i-VBAC ngoba zinezinsiza ezilinganiselwe zokusingatha izimo eziphuthumayo. Ngakho-ke, kubalulekile ukuthola kusenesikhathi ukuthi iyini inqubomgomo ye-VBAC esibhedlela ohlela ukubelethela kuso ingane yakho.

3. Lungela, kodwa uguquguquke: Ngisho noma ulungele i-VBAC, ngezinye izikhathi izinto azihambi njengoba kuhleliwe. Uma kunezinkinga ngesikhathi sokubeletha, udokotela wakho angase anqume ukwenza ukuhlinzwa okuphuthumayo. Khumbula, umgomo wokugcina umama onempilo kanye nomntwana onempilo. Ngakho-ke, lungela ukulandela imiyalelo kadokotela wakho.

Cabanga, uma isibhedlela osikhethile singavumeli i-VBAC, kodwa uyifuna ngempela futhi udokotela wakho evuma, ungase ukwazi ukudlulisela kwesinye isibhedlela esivumayo. Khuluma nodokotela wakho ngalokhu futhi.

Ingabe kufanele sikhumbule kafushane lokho esikukhulumile? (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Ngisho noma uke wabeletha ngokuhlinzwa (C-section) ngaphambilini, omama abaningi bayakwazi ukubeletha ngesitho sangasese sowesifazane (VBAC) . Lena manje inketho ephephile.
• Isici esiyinhloko ekunqumeni ukuthi ungenza i-VBAC noma cha uhlobo lokusikwa kwesibeletho okwenziwa ngesikhathi sokuhlinzwa kwakho kokuqala . Ukusikwa okuphambene cishe kuyindlela engcono kakhulu.
• Lokhu kuthinteka yizici ezifana nesizathu sokuhlinzwa kwakho kokuqala, inani lokuhlinzwa kwangaphambilini, kanye nesimo sakho sempilo samanje.
• Kungase kube nezingozi ezithile ezihilelekile ku-VBAC, kodwa lezi zingozi zingancishiswa ngokuhlela okuhle kanye nethimba lezokwelapha elinekhono.
• Into ebaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nodokotela wakho. Nguye ozokweluleka ngokuthi yini engcono kakhulu ngesimo sakho.
• Futhi, qaphela inqubomgomo ye-VBAC yesibhedlela lapho uzobelethela khona umntwana wakho.

Khumbula, ukukhulelwa ngakunye nokubeletha ngakunye kuhlukile. Ngikufisela amandla okukhetha okuphephile nokunempilo kakhulu kuwe nakumntwana wakho!

` I-VBAC, Ukuhlinzwa, Ukubeletha Okuvamile, Ukususwa Kwesisu, Ukubeletha, Impilo Yomama, Iseluleko Sezokwelapha