Uma ulindele umntwana, omunye wemibuzo emikhulu engqondweni yakho uthi 'Ingane izozalwa kanjani?' Mhlawumbe udokotela wakho ukutshelile ngokuhlinzwa ngokuhlinzwa (C-Section). Noma mhlawumbe ucabanga ngakho ngoba umngane wakho ekwenzile, ufuna ukuba nomntwana ukuze uthole inhlanhla, noma wesaba izinhlungu zokubeletha. Namuhla, inani elikhulu lezingane ezweni lethu lizalwa ngokuhlinzwa ngokuhlinzwa. Ngakho kungani kuvame kangaka? Yiziphi izinzuzo nezingozi zalokhu? Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa? Sizoxoxa ngakho konke lokhu namuhla.
Kuyini ngempela ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha)?
Kalula nje, ukuhlinzwa ngokuhlinzwa (C-section) kuyindlela yokuhlinzwa. Esikhundleni sokubeletha umntwana ngesitho sangasese sowesifazane, okuwukubeletha okuvamile, sinquma isisu sikamama kanye nesibeletho ukuze sikhiphe umntwana.
Kunezizathu ezimbili eziyinhloko zokwenza lokhu kuhlinzwa. Esinye siyadingeka ngokwezokwelapha . Okusho ukuthi, uma ukubeletha okuvamile kungaba yingozi empilweni kamama noma ingane, udokotela uzoncoma ukuhlinzwa ngokuhlinzwa kwe-C. Esinye siwukuhlinzwa kokuzikhethela . Okusho ukuthi, uma ukuhlinzwa kwenziwa ngaphandle kwesizathu sezokwelapha futhi ngesicelo sikamama.
Yiziphi izinzuzo kanye nokungalungi kokuhlinzwa ngokuhlinzwa ngokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa ngokuhlinzwa kwe-C kunezinzuzo kanye nokungalungi. Kufanele ucabangele kokubili ngokucophelela ngaphambi kokwenza isinqumo.
Abantu abaningi bayakhohlwa ukuthi ukuhlinzwa ngokuhlinzwa ngenxa yokuhlinzwa kwesisu kuyinto abayenza njalo. Kodwa kudingeka sikhumbule ukuthi lokhu akuvamile, ukuhlinzwa okukhulu kwesisu .
Ukuze kube lula, ake sibheke lezi zinzuzo kanye nokungalungi etafuleni.
| Ochwepheshe | Ububi Nezingozi |
|---|---|
| Ukulula kokuhlela: Ukwazi usuku nesikhathi sokufika komntwana kusenesikhathi kwenza kube lula ukuhlela imisebenzi, njengomsebenzi namaholide. Ungalungiselela nokufika kwezihlobo ezikude. | Ukuba ukuhlinzwa okukhulu:Lolu ukuhlinzwa okukhulu okuhilela ukusika isikhumba, imisipha yesisu, kanye nesibeletho. Ngakho-ke, zonke izingozi ezihambisana nokuhlinzwa zikhona. |
| Ukugwema ubuhlungu bokubeletha: Akudingeki uzwe ubuhlungu bokubeletha obesaba omama abaningi. | Ukulimala kwezitho ezizungezile: Kukhona ingozi encane yokulimala kwesinye noma emathunjini, aseduze kwesibeletho, ngesikhathi sokuhlinzwa. |
| Usekelo lochwepheshe: Uma ingane inezinkinga ngenxa yokuhlinzwa okuhleliwe, ukwesekwa kochwepheshe abafana nodokotela bezingane ezisanda kuzalwa kungatholakala ngokushesha. | Ukopha ngokweqile kanye nokutheleleka: Kukhona ingozi yokopha ngokweqile kanye nokutheleleka kwenxeba ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Ukugwema ezinye izingozi zezokwelapha: Kwezinye izimo (isib., ukubeletha okuphuma esiswini), izinkinga ezingase zenzeke ngesikhathi sokubeletha okuvamile zingagwenywa. | Ingozi yokuhlinzwa okuphindaphindwayo kwe-C: Omama asebehlinzwe kathathu noma ngaphezulu kwe-C basengozini enkulu. Izibazi ezivela ekuhlinzweni kwangaphambilini zingabangela ukuthi i-placenta inamathele kakhulu esibelethweni. Kungabangela ukuba kususwe ukopha okukhulu, okudinga ukumpontshelwa igazi noma ngisho nokususwa kwesibeletho ukuze kusindiswe impilo kamama. |
Kungani ukuhlinzwa kwe-C-Section kuvame kangaka manje?
Kunezizathu eziningana zalokhu.
- Ukusetshenziswa kwezinsimbi okuncishisiwe: Ukusetshenziswa kwezinsimbi ezifana ne-"forceps" noma "vacuum" ezisetshenziselwa ukusiza ekubelethweni kanye nokuqeqeshwa kuzo manje sekunciphile. Ngakho-ke, ngokushesha nje lapho kuba nenkinga encane, odokotela basebenzisa i-C-section njengendlela elula nephephile.
- Ukuhlinzwa Kokubeletha Okuphindaphindwayo: Omama abaningi abazi ngomqondo wokubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa kokubeletha (VBAC) ngemva kokubeletha umntwana wokuqala. Ezinye izibhedlela azivumeli ukuhlinzwa kokubeletha kwengane. Ngakho-ke, owesifazane oke wahlinzwa kokubeletha kwengane kanye kuzodingeka ahlinze izingane zakhe ezilandelayo ngendlela efanayo.
- Ukugwema ingozi: Ukwesaba izinkinga zomthetho uma kunenkinga encane ngesikhathi sokubeletha, kanye nokuphepha komntwanaNgisho noma becabanga kakhulu ngakho, abanye odokotela basebenzisa ukuhlinzwa ngokuhlinzwa ngokushesha kakhulu.
- Izicelo zomama: Kunezikhathi lapho abanye omama becela khona ukuhlinzwa ngokuhlinzwa ngoba besaba ubuhlungu bokubeletha, noma ngoba befuna ukuba nomntwana ngosuku abalufunayo, ngokulawula.
- Ubudala: Njengoba abesifazane bephuza ukubeletha, kuba yinto evamile ngabesifazane ukukhulelwa cishe eminyakeni engama-40. Njengoba bekhula, banamathuba amaningi okuba nezinkinga ngesikhathi sokukhulelwa, ngakho-ke banamathuba amaningi okuhlinzwa ngokuhlinzwa.
Sinjani isikhathi sokululama ngemva kokuhlinzwa kokubeletha?
Ukululama ngemva kokuhlinzwa ngokuhlinzwa akulula. Kudinga isikhathi kanye nesineke.
Ngokuvamile kufanele uhlale esibhedlela cishe izinsuku ezine. Ekubelethweni okuvamile, ungaya ekhaya cishe ezinsukwini ezimbili. Ngemva kokuhlinzwa, uzofakwa i-catheter. I-anesthesia izokukwenza uzizwe ungakhululekile amahora ambalwa, ngakho ngeke uzizwe lutho ngaphansi kwesinqe. Uzoqhubeka nokunikezwa imithi yobuhlungu ngenxa yobuhlungu.
Ngosuku olulandelayo, ngemva kokususwa kwe-catheter futhi ubuye uzizwe emilenzeni yakho, abahlengikazi bazozama ukukukhipha embhedeni bahambe kancane. Nakuba kubuhlungu kakhulu, kubalulekile ukuvimbela ukwakheka kwamahlule egazi emzimbeni wakho.
Izinto okufanele uzinake ngemva kokubuyela ekhaya
Inselele yangempela iqala ngemva kokufika ekhaya uvela esibhedlela.
| Umsebenzi | Okumele ukwenze/Okungamele ukwenze |
|---|---|
| Phakamisa izinsimbe ezisindayo | Emasontweni amabili okuqala, ungaphakamisi lutho olusindayo kunomntwana wakho. Ungazami ngisho nokufinyelela izinto ezifana namabhakede amanzi noma amasilinda egesi. |
| Ukushayela | Ungashayeli okungenani amasonto amabili. |
| Ukuzivocavoca umzimba | Gwema ukuzivocavoca okunzima amasonto angu-4-6. Imisebenzi elula njengokuhamba ingaqalwa ngokuthola iseluleko sikadokotela. |
| Ucansi | Akukhuthazwa ukuya ocansini amasonto ayisithupha. Xhumana nodokotela wakho ngaphambi kwalokho ukuze uthole iseluleko. |
Ngemva kokuhlinzwa ngokuhlinzwa, uzozizwa ukhathele kakhulu futhi ukhathele . Ngaphezu kwalokho, kuzodingeka futhi unakekele umntwana osanda kuzalwa. Lokhu kubeka ingcindezi enkulu emzimbeni wakho. Ungalindeli impumuzo enkulu emasontweni okuqala angu-3-4. Kungathatha izinyanga ezifika kwezingu-3 ukuzizwa ungcono ngokuphelele futhi ubuyele esimweni esijwayelekile.
Into ebaluleke kakhulu ukuthi kokubili ukubeletha okuvamile kanye nokubeletha ngokuhlinzwa (C-Section) kuphephile. Kodwa-ke, khumbula ukuthi ukubeletha okuvamile okungahambi kahle ngaphandle kwezinkinga kuhlale kuphephile kunokubeletha ngokuhlinzwa okungahambi kahle ngaphandle kwezinkinga.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa ngokuhlinzwa akuyona inqubo elula, kuwukuhlinzwa okukhulu kwesisu. Ngakho-ke qaphela izingozi zako.
- Khuluma nodokotela wakho ngokukhululekile ngezinzuzo kanye nokungalungi kokuhlinzwa ngokuhlinzwa. Buza ukuthi yini engcono kakhulu kuwe ngokusekelwe esimweni sakho sempilo.
- Ukululama ngemva kokuhlinzwa kuthatha isikhathi. Lalela umzimba wakho, ube nesineke, futhi uthole usizo oludingayo.
- Uma uke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini, buza udokotela wakho mayelana nokwenzeka kokubeletha ngesitho sangasese sowesifazane (i-VBAC) ekubelethweni kwakho okulandelayo.
- Yenza isinqumo sokugcina, hhayi ngokusekelwe emibonweni yabanye, kodwa ngemva kwengxoxo nodokotela wakho mayelana nokuthi iyiphi indlela ephephile kuwe nakumntwana wakho.
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