Uyazi yini ngokuqhekeka kwesibeletho? Ake sixoxe ngakho ngaphandle kokwesaba!

Uma ulungiselela ukubeletha, noma uma othile emndenini wakho ekhulelwe, kuyinto evamile ukuzizwa wesaba ngezinye izikhathi ngenxa yezinto ozizwayo. Namuhla sizokhuluma ngesimo esibizwa ngokuthi ukuqhekeka kwesibeletho , esingaba sibi kakhulu, kodwa esingavamile kakhulu . Ungesabi uma uzwa lokhu, masikuqonde kalula nangokucacile.

Kuyini ukuqhekeka kwesibeletho?

Kalula nje, ukuqhekeka kwesibeletho kuwukudabuka noma ukuqhekeka odongeni lwesibeletho sakho. Lokhu kuvame ukubonakala kwabesifazane abake babelethwa ngokuhlinzwa (C-section) ngaphambilini futhi abazama ukubeletha umntwana wabo olandelayo ngesitho sangasese sowesifazane (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa - VBAC).

Cabanga ngakho, isibeletho sakho siyisitho esihle kakhulu esenziwe ngemisipha esingakhula njengoba ingane yakho ikhula. Sakhiwe ngezingqimba eziningana zezicubu. Lapho kuvela ukuqhekeka kwesibeletho, lezi zingqimba ziyadabuka. Ngokuvamile, lokhu kudabuka kwenzeka endaweni yokuhlinzwa kwe-C kwangaphambilini. Ngesikhathi sokuhlinzwa kwe-C, udokotela wakho usika isibeletho sakho ukuze asuse ingane yakho, bese kuba nesibazi lapho. Ngokuvamile, lesi sibabazi kufanele siphole kahle futhi simelane nengcindezi yokukhulelwa nokubeletha okulandelayo. Kodwa-ke, lapho kuvela ukuqhekeka kwesibeletho, lesi sibabazi siyadabuka.

Kunezindlela ezimbili eziyinhloko lapho isibeletho singaqhuma khona:

• Ukuqhuma okuphelele kwesibeletho: Yilapho zonke izingqimba ezintathu zodonga lwesibeletho ziqhekeka khona. Lesi yisimo esibi kakhulu futhi sidinga ukwelashwa ngokushesha.
• Ukuqhekeka kwesibeletho okungaphelele: Kulokhu, zonke izingqimba ezintathu zodonga lwesibeletho azidabukile.

Ukuqhekeka kwesibeletho okuningi kwenzeka ngesikhathi sokubeletha, kodwa ngezinye izikhathi kungenzeka ngesikhathi sokukhulelwa. Akuvamile kakhulu, kungenzeka futhi nangesikhathi sokukhulelwa.

Kwenzekani uma isibeletho siqhuma?

Ukuqhekeka kwesibeletho kubhekwa njengesimo esiphuthumayo sezokwelapha . Lokhu kungenxa yokuthi kungaba yingozi empilweni yakho kanye nengane yakho. Cabanga ngembobo esibelethweni sakho exhumanisa nomgodi wesisu sakho. Lokhu kuyingozi kakhulu futhi kungabangela ukuphuma kwegazi okuningi. Lapho isibeletho siqhekeka, ingane ilahlekelwa yisivikelo esisithola esibelethweni. Kungabangela futhi ukuthi ukushaya kwenhliziyo kwengane kwehle futhi ingane ingase ilahlekelwe umoya-mpilo. Uma ingane ilahlekelwe umoya-mpilo, kungabangela ukulimala kobuchopho noma ngisho nokuminyana. Ngakho-ke, odokotela kudingeka bathathe isinyathelo ngokushesha ukuze basuse ingane futhi balungise isibeletho sakho.

Kuvame kangakanani ukuqhekeka kwesibeletho?

Empeleni, ukuqhekeka kwesibeletho kuyinto engavamile kakhulu.. Kwabesifazane asebebelethe ngokuhlinzwa okukodwa, lokhu kwenzeka cishe koyedwa kwabangu-300. Kodwa-ke, kwabesifazane asebebelethe ngokuhlinzwa okungaphezu koyedwa, ingozi yokuqhekeka kwesibeletho iphakeme kancane. Lokho kusho ukuthi kungenzeka ekubeletheni okungaba ngu-9 kwabangu-300. Yingakho kubalulekile ukukhuluma ngokukhululekile nodokotela wakho mayelana nokubeletha kwakho kwangaphambilini.

Ubani osengozini enkulu?

Ngokuvamile, ukuqhekeka kwesibeletho kwenzeka lapho owesifazane eke wahlinzwa ngokuhlinzwa kwangaphambilini futhi ezama ukubeletha umntwana wakhe olandelayo ngesitho sangasese sowesifazane (VBAC), lapho kwakukhona khona isilonda sokuhlinzwa kwangaphambilini. Uma une-C-sections eningi, kulapho ingozi yakho yokuqhekeka kwesibeletho iphakama khona.

Kunezinye izinto eziyingozi:

• Uma uke wahlinzwa isibeletho ngaphambilini (isib. ukususwa kwama-fibroids).
• Uma uke waqhuma isibeletho ngaphambilini.
• Uma kube khona ingozi noma ukulimala esibelethweni.
• Uma une-uterus enesici sokuzalwa (njenge- septate uterus noma i-bicornuate uterus ).
• Uma isibeletho sakho sivulekile kakhulu. Okusho ukuthi, uma unezingane eziningi, njengamawele, noma uma kunoketshezi oluningi kakhulu lwe-amniotic .
• Uma ingane yakho isesimweni sokuvula isisu futhi uke wazama ukuyiphendula ngesandla (inguqulo yangaphandle ye-cephalic - ECV) ngaphambi kokubeletha.
• Uma ukubeletha kuthatha isikhathi eside.

Ungakhathazeki ngalezi zinto. Lezi yizinto eziyingozi nje. Akuwona wonke umuntu onalezi zinto ozoqhuma isibeletho. Into ebaluleke kakhulu ukuxoxa ngazo zonke lezi zinto nodokotela wakho bese uqhamuka nohlelo lokubeletha olusebenza kahle kuwe.

Ziyini izimpawu zokuqhekeka kwesibeletho?

Ngezinye izikhathi, ungase ungaziboni izimpawu. Udokotela wakho wokubelethisa kanye nombelethisi bazohlala behlola izimpawu zezinkinga ngesikhathi sokubeletha. Uma becabanga ukuthi kukhona okungahambi kahle, bazothatha isinyathelo ngokushesha.

Izimpawu zokuqhekeka kwesibeletho zingafaka:

• Ukuphazamiseka kwenhliziyo yengane esibelethweni (ukucindezeleka kwengane) .
• Ukushaya kwenhliziyo okusheshayo noma umfutho wegazi ophansi kumama okhulelwe.
• Ubuhlungu besisu obungazelelwe, obukhulu.
• Ukopha kwangasese.
• Ukufinyela okuqhubekayo noma okungathuli.
• Ukubeletha kuyayeka noma kuyehla.

Uma udokotela wakho azi ukuthi usengozini yokuqhekeka kwesibeletho, angathatha izinyathelo zokuphepha ezidingekayo ngaphambi kokubeletha. Yingakho kubaluleke kakhulu ukwabelana nodokotela wakho ngomlando wakho wezokwelapha ophelele.

Yiziphi izimbangela zokuqhekeka kwesibeletho?

Ngokuvamile, ukuqhekeka kwesibeletho kwenzeka lapho owesifazane ebeletha umntwana wakhe olandelayo ngokwemvelo, endaweni lapho kwakukhona khona isibazi sokuhlinzwa kwesisu sangaphambilini. Lokhu kungenxa yokuthi ingcindezi nokucindezeleka kokubeletha kungenza buthaka izicubu zesibazi futhi kubangele ukuthi zidabuke. Uma isibeletho sesiqhekekile, umntwana angangena esiswini engenandawo yokuya.

Uma uke wahlinzwa ngokuhlinzwa kwe-C, ingozi yakho yokuqhekeka kwesibeletho iyanda. Kodwa-ke, uma udokotela wakho ohlinzayo ehlinza isibeletho ngendlela ephansi, ingozi iphansi kancane kunokuba uhlinzekwe ngendlela eqondile. Kodwa-ke, okunye ukuhlinzwa kwesibeletho, njengalokho okulungisa iphutha lesibeletho, nakho kungandisa ingozi yakho. Uma udokotela wakho ecabanga ukuthi usengozini enkulu yokuqhekeka kwesibeletho, angase akuncome ngokuhlinzwa kwe-C ukuvimbela izinkinga.

Kodwa khumbula lokhu: Ukuthi nje uke wahlinzwa ngokuhlinzwa akusho ukuthi awusoze wakwazi ukubeletha ngesitho sangasese sowesifazane. Kubalulekile ukukhuluma nodokotela wakho ngokubeletha kwakho kwangaphambilini bese uhlola ukuthi ufanelekile yini nge-VBAC. Kwezinye izimo, i-VBAC iyingozi kakhulu, ngakho udokotela wakho angancoma i-C-section ukuvimbela ukuqhekeka kwesibeletho.

Kuzwakala kanjani ukuqhekeka kwesibeletho?

Akuwona wonke umuntu ozwa ukuqhuma kwesibeletho. Kodwa-ke, uma wenza kanjalo, ungase uzizwe ukucindezeleka okukhulu noma uzizwe ucindezelekile esiswini sakho. Ungase futhi ube nezimpawu zokucindezeleka kwegazi okuphansi noma ukushaya kwenhliziyo okusheshayo, njengokuzungeza noma ukuphelelwa umoya.

Ingabe ukuqhekeka kwesibeletho kungadala ukufa?

Yebo, kunethuba elincane kakhulu lokufa ngenxa yokuqhuma kwesibeletho. Izinga lokufa kumama lingaphansi kuka-1%. Lokho kusho ukuthi kungaphansi koyedwa kwabayi-100.

Umntwana osanda kuzalwa usengozini enkulu yokufa kunonina (cishe u-6%). Yingakho odokotela bethi kubalulekile ukuthatha isinyathelo ngokushesha ukuze kusindiswe umntwana futhi kuhlinzekwe ukwelashwa okuzosindisa impilo.

Ukuthola kanjani ukuqhekeka kwesibeletho?

Lokhu kuvame ukutholakala ngesikhathi sokubeletha. Udokotela wakho angase aqaphele okulandelayo:

• Ikhanda lengane yakho selingene kahle ethangeni futhi awukwazi ukulizwa ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane.
• Uma ukushaya kwenhliziyo kwengane yakho kwehlile futhi unesibeletho esinamandla.

Odokotela baqinisekisa ukuqhekeka kwesibeletho ngokwenza i-incision esiswini sakho bese behlola ukuthi isibeletho sakho sidabukile yini. Uma beqinisekisa ukuqhekeka kwesibeletho, bazokwenza ukuhlinzwa ukuze kususwe umntwana ngokushesha nangokuphepha ngangokunokwenzeka.

Kulashwa kanjani ukuqhekeka kwesibeletho?

Uma isibeletho sakho siqhuma, udokotela wakho uzobeletha umntwana ngokushesha . Ngemuva kwalokho, bazokwenza ukuhlinzwa ukuze kulungiswe isibeletho sakho. Ngezinye izikhathi, uma wopha kakhulu, kungadingeka ukuthi isibeletho sakho sisuswe ngokuphelele (i-hysterectomy). Abahlinzeki bezempilo kufanele balungele ukukhipha umntwana esiswini sakho ngokushesha futhi banikeze ukunakekelwa okuphuthumayo kokubili wena nomntwana wakho.

Kuthatha isikhathi esingakanani ukuthi ukuqhekeka kwesibeletho kuphole?

Udinga okungenani amasonto amane kuya kwayisithupha ukuze ululame ekuqhekekeni kwesibeletho.Kubalulekile ukuphumula ngokwanele phakathi nalesi sikhathi nokugwema imisebenzi udokotela wakho akutshela ukuthi ungayiyenzi uze uphile kahle. Udokotela wakho angase akutshele ukuthi ugweme izinto ezinjengalezi ngesikhathi usalulama:

• Ukuphakamisa amakhilogremu angaphezu kwambalwa.
• Ukufaka noma yini esithweni sangasese sowesifazane. Lokhu kuhlanganisa ukusebenzisa ama-tampon nokwenza ucansi.
• Ukuzivocavoca umzimba, ukukhwela izitebhisi, nokwenza ukunyakaza okunzima.
• Ukugeza emanzini noma ukuhlala emanzini.

Yiziphi izinkinga zokuqhekeka kwesibeletho?

Ukuqhekeka kwesibeletho kungabangela izinkinga ezisongela ukuphila. Kodwa-ke, uma kwelashwa ngokushesha, ingozi yezinkinga ezinkulu iphansi.

Izinkinga ezingaba khona kumntwana:

• Ukuphelelwa umoya.
• Ukulimala kobuchopho ngenxa yokuntuleka komoya-mpilo.

Izinkinga ongase ubhekane nazo:

• Ukopha kakhulu (ukopha kakhulu) .
• Ukulahlekelwa ukuzala ngenxa yokususwa kwesibeletho.
• Ukuzalwa komntwana eseshonile kwenzeka.

Unganciphisa kanjani ingozi yokuqhekeka kwesibeletho?

Unganciphisa le ngozi ngokwabelana nodokotela wakho ngomlando wakho wezokwelapha ophelele bese uxoxa ngezinto ezingabangela ukuqhekeka kwesibeletho. Ukwazi ukuthi usengozini yokuqhekeka kwesibeletho kuzosiza udokotela wakho ukuthi enze amalungiselelo adingekayo okukuvimbela.

Uma usengozini enkulu yokuqhekeka kwesibeletho ngoba uke wahlinzwa ngokuhlinzwa, udokotela wakho angase anqume ukuthi kuphephile ukuhlela ukuhlinzwa ngokuhlinzwa. Lokhu kuzokuvimbela ukuba ube nezinhlungu zokubeletha nokufaka ingcindezi eyengeziwe esibelethweni sakho.

Kungenzeka yini ukuthi ube nomntwana futhi ngemva kokuqhuma kwesibeletho?

Yebo, abantu abaningi bangaphinde bakhulelwe ngempumelelo futhi babelethe ngemva kokuqhuma kwesibeletho. Kodwa-ke, uma uke waqhuma isibeletho ngaphambilini, ingane yakho elandelayo ivame ukubeletha ngokuhlinzwa kokuhlinzwa.

Uyini umehluko phakathi kokuqhekeka kwesibeletho kanye nokuqhekeka kwe-placenta?

Ukuphazamiseka kwe-placenta kwenzeka lapho i-placenta ihlukana nesibeletho ngaphambi kokuba umntwana azalwe. Ekuqhekekeni kwe-placenta, udonga lwakho lwesibeletho aludabuki noma luqhekeke. Kodwa-ke, njengokuqhekeka kwesibeletho, kungabangela izinkinga ezinkulu kuwe nakumntwana wakho. Ezinye izinto eziyingozi, njengokuqhekeka kwesibeletho kanye nokukhulelwa amawele, zivamile kuzo zombili lezi zimo. Futhi, ezinye izimpawu, njengobuhlungu besisu kanye nokopha kwegazi esithweni sangasese sowesifazane, zingabonakala kuzo zombili.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqhekeka kwesibeletho kuyinkinga engavamile kodwa engaba yingozi. Kuvame kakhulu kwabesifazane abake bahlinzwa ngokuhlinzwa kwe-C noma olunye ukuhlinzwa kwesibeletho futhi abazama ukubeletha ngesitho sangasese sowesifazane.

Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho wokubeletha ngomlando wakho wezokwelapha ukuze bakwazi ukwenza isinqumo esingcono kakhulu mayelana nokuthi uzoqhubeka kanjani nokubeletha kwakho.

Ngisho noma uke wabeletha ngokuhlinzwa ngaphambilini, uma uhlangabezana nezindinganiso ezithile, ungabeletha ngesitho sangasese sowesifazane (VBAC). Khuluma nodokotela wakho mayelana nezinketho zakho zokubeletha nokuthi ngabe usengozini yokuqhekeka kwesibeletho. Lungela ukuletha ingane yakho emhlabeni ngokuphephile, ngaphandle kokwesaba, nangolwazi!

Ukuqhekeka kwesibeletho , ukuhlinzwa, ukuhlinzwa kwebele, i-VBAC, ukubeletha, ukukhulelwa, impilo yabesifazane