Wake waba nomntwana ngokuhlinzwa kokubeletha ngaphambi? Ake sifunde nge-VBAC (Ukuzalwa Kwesitho Sangasese Ngemva Kokuhlinzwa)!

Ingabe wake waba nomntwana ngaphambilini ngokuhlinzwa? Ngaleso sikhathi, lapho usuzophinde ube nomntwana, kumelwe ukuthi unombuzo omkhulu engqondweni yakho, "Ingabe ngizobeletha ngendlela evamile namanje, okungukuthi, ngesitho sangasese sowesifazane (ukubeletha kwesitho sangasese sowesifazane)?" Lona umbuzo omama abaningi abanawo. Ngakho-ke namuhla, ake sixoxe ngokubeletha ngendlela evamile ngemva kokuhlinzwa, okungukuthi, i-VBAC (Ukuzalwa Kwesitho Sangasese Sowesifazane Ngemva Kokuhlinzwa).

Kuyini i-VBAC (Ukuzalwa Kwangasese Ngemva Kokuhlinzwa)? Kalula nje...

Kalula nje, i-VBAC yilapho uke waba nokuhlinzwa okukodwa noma ngaphezulu (ukuhlinzwa kwe-C) bese ubeletha umntwana wakho olandelayo ngesitho sangasese sowesifazane, okuyindlela evamile. Uyazi, ukuhlinzwa kwe-C kwenzeka lapho udokotela enza ukuhlinzwa esiswini sakho nasesibelethweni ukuze akhiphe umntwana.

Umgomo oyinhloko we-VBAC ukunikeza umuntu oke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini ithuba lokubeletha ngendlela evamile ekukhulelweni kwakhe okulandelayo. Kodwa-ke, ngezinye izikhathi, uma uke wahlinzwa ngokuhlinzwa kwe-C ngaphambilini okukodwa noma ngaphezulu, ukubeletha ngendlela evamile kungaba yingozi kancane .

Kunezinto eziningana okufanele uzicabangele lapho unquma ukuthi uzozama yini i-VBAC noma cha. Isibonelo:

• Uhlobo lokusikwa udokotela ohlinzayo akusebenzisa ngesikhathi sokuhlinzwa kwakho kwe-C kwangaphambilini kanye nenani lokuhlinzwa kwakho kwe-C okungaki.
• Umlando wakho wezempilo .
• Ingabe unazo ezinye izimo zezokwelapha njengamanje?
• Indawo yengane nokuthi ingane inazo yini izinkinga zempilo .

Udokotela wakho uzobuyekeza konke lokhu futhi akutshele ukuthi kuphephile yini ngawe ukuzama i-VBAC. Uzokuchazela izinzuzo nezingozi. Ngemuva kwalokho, ngokusekelwe kuleyo ngxoxo, unganquma ukuthi uzame i-VBAC noma wenze esinye isethulo se-C.

Ucwaningo lubonise ukuthi cishe abesifazane abangu-75% abaye benza ukuhlinzwa kwe-C-section kanye babeletha ngempumelelo esithweni sabo sangasese sowesifazane ekukhulelweni kwabo okulandelayo. Kodwa-ke, uma uke wenza ukuhlinzwa kwe-C-section kabili noma ngaphezulu ngaphambilini, amathuba akho okuphumelela kwe-VBAC angase ehle abe cishe ngu-50% .

Odokotela ngezinye izikhathi babiza i-VBAC ngokuthi i-TOLAC (Ukuhlolwa Kokubeletha Ngemva Kokuhlinzwa) . I-TOLAC iwumzamo wokubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa. Uma lo mzamo (i-TOLAC) uphumelela, umphumela uba yi-VBAC. Uma ungaphumeleli, kuzodingeka olunye ukuhlinzwa kwe-C.

Kungani abantu abaningi kangaka benethemba lokuthola i-VBAC ngemva kokuhlinzwa ngokuhlinzwa?

Lokhu kuvame ukuba yinto ethandwa ngumuntu ngamunye . Abanye abantu bangathanda ukubeletha ngesitho sangasese sowesifazane, kodwa ngesizathu esithile, abakwazi ukwenza kanjalo. Noma bangase bakhethe ukubeletha ngesitho sangasese sowesifazane ngoba kuthatha isikhathi eside ukululama ngemva kokuhlinzwa ngokuhlinzwa.

Ngisho noma ukhetha ukubeletha ngokwemvelo, udokotela wakho angase ancome ukuhlinzwa ngokuhlinzwa ngenxa yezinye zezingozi ze-VBAC. Noma, bangase bathi kulungile ukuzama i-VBAC.

Yiziphi izinzuzo ze-VBAC?

Kunezinzuzo eziningana ze-VBAC uma kuqhathaniswa nokuhlinzwa ngokuhlinzwa ngokuhlinzwa. Bheka:

• Ukululama okusheshayo nokuhlala esibhedlela okuncishisiwe: Ngemva kokuhlinzwa ngokuhlinzwa, kuba nokuphumula okuningi embhedeni kanye nesikhathi sokuba ukusikwa kuphole. Lokhu akuvamile kakhulu nge-VBAC.
• Ukungahlinzwa isisu: Okuwukuphela kwento enkulu okufanele uyigweme ukuhlinzwa okukhulu.
• Ukugwema noma ukunciphisa izingozi zokuhlinzwa ngokuhlinzwa (njengokopha ngokweqile, ukutheleleka).
• Izinzuzo zengane: Ngesikhathi sokubeletha okuvamile, uketshezi lwe-amniotic emaphashini engane luyasuswa njengoba ingane idlula emgudwini wokuzalwa. Lokhu kulungiselela ingane umoya-mpilo ngemva kokuzalwa. Futhi, amasosha omzimba engane ayavuselelwa njengoba idlula emgudwini wokuzalwa.
• Ingozi yezinkinga (njengokwakheka kwezicubu ezibomvu - ukunamathela, ukulimala kwezitho zangaphakathi) okungenzeka ngenxa yokuhlinzwa okuphindaphindiwe iphansi.
• Okuthandayo: Abanye abantu banesifiso esinamandla sokubeletha ngendlela evamile.

Cabanga ngakho, uma uhlela ukuba nezingane eziningi, kungcono kakhulu ukuba ne-VBAC ephumelelayo kunokuqhubeka nokuhlinzwa ngokuhlinzwa. Ngoba ukuhlinzwa ngokuhlinzwa ngakunye kuza nengozi ethile.

Yiziphi izingozi zokuzama i-VBAC?

Ukuhlinzwa kwe-C-section kushiya isilonda esibelethweni. Ngakho-ke, ingcindezi evela ekubelethweni ingabangela ukuthi isibeletho sidabuke eduze kwesilonda se-C-section (ukuqhekeka kwesibeletho) . Lena ingozi enkulu ye-VBAC. Kodwa-ke, izifundo zakamuva zibonise ukuthi ezimweni eziningi, ukuhlinzwa kwe-VBAC kungenziwa ngokuphephile ngemva kokuhlinzwa kwe-C-section.

Ukuqhekeka kwesibeletho kuyinkinga engavamile kodwa engathi sína engaba yingozi empilweni . Uma usengozini enkulu yokuqhekeka kwesibeletho, udokotela wakho ngokuvamile ngeke azame ukwenza i-VBAC.

Ezinye izingozi ezingase zivele lapho uzama i-VBAC zifaka:

• Ukulahlekelwa yigazi
• Ukutheleleka
• Ukuhlinzwa kwe-C okuphuthumayo: Lokhu kuyingozi kakhulu kunokuhlinzwa kwe-C okuhleliwe.

Iyini ingozi yokuqhekeka kwesibeletho?

Ingozi yokuqhekeka kwesibeletho kumuntu oke wahlinzwa ngokuhlinzwa kwe-C ngaphambili, lapho kwanqunywa khona ukusika okuphansi okuphambeneyo , cishe ingu-0.9%, okungaphansi koyedwa kwabayi-100. Ngakho-ke, nakuba lokhu kuyingozi ephansi kakhulu, kubalulekile ukukuqaphela.

Ingabe ukusikwa okwenziwe ngokuhlinzwa kwe-C kwangaphambilini kuyayithinta i-VBAC?

Yebo, kunjalo impela. Kunezinhlobo eziningana zokusikwa okwenziwa ngesikhathi sokuhlinzwa kwe-C-section:

• Ukusikwa okuphansi okuphambeneyo: Lokhu kunengozi encane yokuqhekeka kwesibeletho. Lokhu kusikwa kwenziwa engxenyeni engezansi, encane yesibeletho.
• Ukusikwa okuphansi okuqonde phezulu: Lokhu kunengozi enkulu kancane yokuqhekeka kwesibeletho kunokusika okuphambene. Lokhu kwenziwa ngobude engxenyeni engezansi, encane yesibeletho.
• Ukusikwa okude engxenyeni engenhla yesibeletho ("Classical"): Lena yindlela eyingozi kakhulu yokusikwa kwesibeletho. Odokotela abahlinzayo kungadingeka benze lolu hlobo lokusikwa lapho umntwana engakafiki isikhathi noma lapho umntwana esesimweni esinzima sokubeletha.

Iphuzu elibaluleke kakhulu lapha ukuthi indawo kanye nesiqondiso sesibazi esibonakala ngaphandle kwesisu sakho ngeke kufane nendawo kanye nesiqondiso sesibazi esenziwe ngaphakathi kwesibeletho sakho. Isibonelo, noma ngabe isibazi sakho sesisu siphambene, ukusikwa kwesibeletho sakho kungase kube isikhathi eside.

Amarekhodi akho ezokwelapha kufanele afake imininingwane mayelana nendawo kanye nendlela okusikwe ngayo esibelethweni sakho. Uma ukhuluma nodokotela wakho ngokuphepha kwe-VBAC, qiniseka ukuthi ubuyekeza amarekhodi akho ezokwelapha kanye nanoma yikuphi ukuhlinzwa kwe-C kwangaphambilini.

Ubani onamathuba amaningi okuba ne-VBAC ephumelelayo?

Khuluma nodokotela wakho ngomlando wakho wezempilo, ukukhulelwa kwamanje, nanoma yiziphi izici eziholele ekuhlinzweni kwe-C-section ngaphambilini.

Ungase ube nethuba elingcono lokuphumelela kwi-VBAC uma:

• Uma uke wahlinzwa ngokuhlinzwa kwe-C okukodwa noma okubili ngaphambilini, ngisho nalokho kwenziwa ngokuhlinzwa okuphansi okuphambene engxenyeni engezansi yesibeletho .
• Uma uke wabeletha ngaphambilini.
• Uma ungakaze wenze olunye ukuhlinzwa kwesibeletho (isb. i-myomectomy ).
• Uma ungenawo umlando wokuqhekeka kwesibeletho ngaphambilini.
• Awunazo izimo zezokwelapha ezingenza ukubeletha okuvamile kube yingozi (isib., ama-fibroids esibeletho, izinkinga ngendawo ye-placenta).
• Uma uqala ukubeletha ngokungazelelwe, ngaphambi kosuku lwakho lokuzalwa.

Uma uke waba ne-VBAC ephumelelayo ngaphambili - ngaphandle kwezinkinga ezifana nokuqhekeka kwesibeletho - kungenzeka kakhulu ukuthi ube nokubeletha okuphumelelayo kwesitho sangasese sowesifazane esikhathini esizayo.

Kukuziphi izimo lapho amathuba okuba i-VBAC iphumelele encishiswa khona?

Ngezinye izikhathi, amathuba okuba i-VBAC iphumelele angancishiswa ngezizathu ezifana nalezi:

• Ukuhlinzwa kokubeletha kwangaphambilini kwenziwe ngoba ukubeletha kwakungaqhubeki.Okusho ukuthi, uma umlomo wakho wesibeletho ungavulekanga (ungavuleki) noma ungaphumanga kahle ngesikhathi sokubeletha okuvamile.
• Uma uneminyaka engaphezu kwengu-35 ubudala.
• Uma ukhuluphele noma ukhuluphele ngokweqile.
• Uma ukhulelwe umbungu omkhulu noma ukhulelwe amabele amaningi.
• Uma usuku lwakho lokugcina seludlulile.
• Uma ukhulelwa futhi kungakapheli izinyanga ezingu-18 ngemuva kokubeletha ingane yakho yangaphambilini (isikhathi esifushane phakathi kokukhulelwa) .
• Uma une -preeclampsia (lapho odokotela benamathuba amaningi okwenza ukuhlinzwa kwe-C-section).

Ziyini izingozi zokuhlinzwa ngokuhlinzwa ngokuphindaphindiwe?

Ayikho inani elibekiwe lokuhlinzwa ngokuhlinzwa ngokuhlinzwa. Kodwa-ke, ezinye izifundo zibonisa ukuthi abantu abane-C-sections eziningi banezingozi eziphezulu, njengalezi:

• Ukopha okukhulu.
• Ukulimala kwesinye kanye namathumbu.
• Ukutheleleka.
• Izimo ze-placenta ekukhulelweni kwesikhathi esizayo, isibonelo, ukunamathela okungavamile kwe-placenta esibelethweni ( i-placenta previa noma i-placenta accreta ).
• Ukuqhekeka kwesibeletho.
• Ukunamathelana (ukunamathelana kwezicubu zesilonda).

Lezi zingozi zingahluka kumuntu nomuntu. Kuncike kakhulu emlandweni wakho wezempilo, kanye nezimo ezithile zokukhulelwa kanye nokubeletha ngakunye. Ngakho-ke, udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngezinzuzo kanye nokubi kokwenza olunye ukuhlinzwa kwe-C noma ukuzama i-VBAC.

Yimiphi imibuzo okufanele uyibuze udokotela wakho mayelana ne-VBAC kanye nokuhlinzwa ngokuhlinzwa kwe-C okuphindaphindiwe?

Njenge-VBAC, ukuhlinzwa kwe-C-section kunezinzuzo kanye nezingozi. Ngakho-ke, kubalulekile ukuthi uqonde izindlela zokubeletha nokuthi zikuthinta kanjani.

Xoxa ngalezi zinkinga nodokotela wakho:

• Mayelana nokukhulelwa kwakho kwangaphambilini kanye nokubeletha .
• Yiziphi izinto ezakwenza waze wahlinzwa ngokuhlinzwa kwebele ?
• Kuphephe kangakanani ukwenza i-VBAC kanye nokuhlinzwa kwe-C-section kuwe nakumntwana wakho?
• Yiziphi izizathu okufanele uzicabangele/ungacabangi nge-VBAC ?
• Yiziphi izizathu okufanele uzicabangele/ungacabangi ngokuhlinzwa ngokuhlinzwa kwebele futhi ?
• Uhlelo lokukhuthaza ukubeletha (kungakhathaliseki ukuthi lukhona noma cha).
• Ukuthi isibhedlela lapho uzobelethela khona ingane yakho singabhekana nezimo eziphuthumayo .
• Mayelana nezinhlelo zakho zokuba nezingane ezengeziwe .

Ukuthi nje uke wahlinzwa ngokuhlinzwa kwe-C akusho ukuthi awukwazi ukwenza i-VBAC esikhathini esizayo. Kungenzeka ukuthi uke wezwa noma wafunda ukuthi ukuba nezibazi ngemva kokuhlinzwa kwe-C kungabangela izinkinga ekukhulelweni kwesikhathi esizayo. Kodwa-ke, isimo sabo bonke sihlukile.

Okokugcina, izinto okufanele uzikhumbule

Ekuqaleni kokukhulelwa kwakho, khuluma nodokotela wakho ngezifiso zakho kanye nokukhathazeka kwakho mayelana ne-VBAC. Angakuchazela izinzuzo kanye nokubi futhi akusize unqume ukuthi i-VBAC iphephile yini kuwe. Njengoba ukukhulelwa kwakho kuqhubeka, kubalulekile ukuqhubeka ukhuluma nodokotela wakho futhi ubuyekeze uhlelo lwakho lokuzalwa. Khumbula, ukukhulelwa ngakunye kuhlukile, ngakho-ke sebenzisana nodokotela wakho ukuze wenze isinqumo esikulungele wena.

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