Uma wake wahlinzwa ngokuhlinzwa kwebele ngaphambili, ungase ube nombuzo omkhulu engqondweni yakho manje njengoba usukhulelwe futhi. "Ingabe ngizokwazi ukubeletha ngendlela evamile kulokhu?" "Ingabe kuzoba nezinkinga ezivela ngokuhlinzwa kwebele?" Kanye nemibuzo efana nale, kungenzeka ukuthi uke wezwa igama elithi " ukuqhekeka kwesibeletho." Kuvamile ukuzizwa wesaba uma uzwa lokho. Kodwa ungakhathazeki. Sizoxoxa ngakho konke namuhla, kalula nangendlela ongayiqonda.
Kuyini ngempela ukuqhekeka kwesibeletho?
Kalula nje, isibeletho siyisitho esiqinile, esifana nesikhwama esikhula ngaphakathi kwesibeletho somntwana wakho. Izindonga zaso zakhiwe ngezingqimba ezintathu zemisipha. Njengoba umntwana wakho ekhula, isibeletho sikhula njengebhaluni. Ngemva kokuzalwa komntwana, kancane kancane sincipha sibuyele kusayizi waso wokuqala.
Kodwa uma uhlinzwa ngokuhlinzwa, udokotela usika lezi zingqimba zemisipha yesibeletho ukuze akhiphe umntwana. Bese bethunga i-incision. Kodwa kungakhathaliseki ukuthi bayithunga kanjani, isilonda esakhekayo asinamandla ayi-100% njengesinye isibeletho. Siyindawo ebuthakathaka kancane.
Uma ukhulelwa futhi, isibeletho sakho siqala ukufinyela kanzima njengoba ukubeletha kuqhubeka. Ngaleso sikhathi, indawo ebuthakathaka odongeni lwesibeletho sakho kusukela ekulimaleni kokubeletha kwangaphambilini ingadabuka noma iqhume. Lokhu yilokho esikubiza ngokuthi ukuqhekeka kwesibeletho. Lokhu kuvame ukwenzeka ngesikhathi sokubeletha.
Lesi yisimo esibucayi kakhulu nesiphuthumayo. Kodwa khumbula, lesi yisenzakalo esingavamile kakhulu . Futhi ngokunakekelwa kwezokwelapha okusheshayo, izimpilo zomama nomntwana zingaba negalelo elikhulu ekusindiseni izingane.
Iyini imbangela eyinhloko yalokhu?
Ingozi enkulu nebaluleke kakhulu yalokhu ukuthi wake wabeletha ngokuhlinzwa ngaphambilini . Le ngozi iphezulu kakhulu uma uzama ukubeletha ngesitho sangasese sowesifazane ngemuva kokuhlinzwa (lokhu sikubiza ngokuthi i-TOLAC - Trial of Labor After Cesarean). Uma usubelethe ngokuhlinzwa okuningi, ingozi iba nkulu.
Kodwa akupheleli lapho. Ezinye izizathu eziningana zingase zithinte lokhu.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukuqhekeka kwesibeletho kwangaphambilini | Uma lesi simo sesike senzeka ngaphambili, ingozi yokuphinda sibuye iphezulu. |
| Imithi yobuhlungu bokubeletha | Eminye imithi yobuhlungu (isib. i-Oxytocin) ingabangela ukuthi isibeletho sinciphe kakhulu, okwandisa le ngozi. |
| Ukulimala esiswini | Ukushaywa okukhulu esiswini, njengokulimala kwemoto. |
| Inani noma inani lezingane | Ingozi iphezulu uma unezingane ezingamawele, ingane enkulu (engaphezu kuka-4kg), noma inani elikhulu loketshezi lwe-amniotic esibelethweni, njengoba isibeletho sinwebeka kakhulu. |
| Isikhala phakathi kokukhulelwa | Ukukhulelwa futhi kungakapheli izinyanga ezingu-18 ngemuva kokuhlinzwa kwangaphambilini. |
| Uhlobo lokuhlinzwa kwesisu | Ingozi yokusika okujwayelekile, okwenziwe phezulu esibelethweni, iphakeme kunesika esiphansi esiphambeneyo, esenziwe phansi. |
Indlela ukusika okuthinteka ngayo ngesikhathi sokuhlinzwa
Le ngozi iyahlukahluka kuye ngokuthi ukusika kwenziwa kanjani esibelethweni sakho ngesikhathi sokubeletha ngokuhlinzwa.
- I-Low Transverse: Lokhu ukusikwa okuvame kakhulu namuhla, okwaziwa nangokuthi "ukusikwa kwe-bikini," futhi kwenziwa ngokuvundlile engxenyeni engezansi yesibeletho. Lokhu kunengozi ephansi kakhulu yokuqhekeka kwesibeletho.
- Okuqondile Okuphansi: Ukusikwa okwenziwe ngokuvundlile engxenyeni engezansi yesibeletho. Lokhu kuyingozi kakhulu kunokusikwa okuvundlile.
- Okuphezulu Okuqondile (Okujwayelekile): Lokhu ukusikwa okuqondile okwenziwe engxenyeni engenhla yesibeletho. Uma lolu hlobo lokusikwa lwenziwa, odokotela batusa ukuthi ukubeletha okulandelayo kube ukuhlinzwa okuhleliwe.
Ziyini izimpawu zalokhu? Ukubona kanjani?
Kubalulekile ukuqaphela izimpawu ngoba lokhu kuyisimo esiphuthumayo. Kodwa-ke, ngezinye izikhathi kungenzeka ngaphandle kwezimpawu.
| Izimpawu eziyinhloko ezingase zivele ngesikhathi sokuqhekeka kwesibeletho | |
|---|---|
| Ukushaya kwenhliziyo kwengane | Ukushaya kwenhliziyo okusheshayo nokusheshayo (bradycardia) kuyisibonakaliso sokuqala esivame kakhulu. |
| Ubuhlungu besisu | Ubuhlungu besisu obungazelelwe, obungabekezeleleki, obubukhali. Ngezinye izikhathi lobu buhlungu bungaqhubeka ngisho naphakathi kokusikwa kokubeletha. |
| Ushintsho ebuhlungwini bokubeletha | Ubuhlungu obabukhona isikhathi eside baphela ngokuzumayo. |
| Ukopha kwangasese | Ukopha okungavamile. |
| Ukopha kwangaphakathi | Umfutho wegazi kamama uyehla, ukushaya kwenhliziyo yakhe kuyakhuphuka, futhi uzizwa enesiyezi. |
| Ushintsho esimweni somntwana | Umuzwa womntwana ehla ngomsele wokubeletha bese ephinda evuka. |
Into ebaluleke kakhulu ukuya esibhedlela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ezifana nalezi.Kungaba izinhlungu zokubeletha ezivamile, kodwa akuwona umqondo omuhle ukuthatha noma yiziphi izingozi. Yingakho kubalulekile ukwazisa udokotela wakho noma abasebenzi besibhedlela.
Ziyini izingozi zalokhu?
Lesi yisimo esiphuthumayo esingaba yingozi empilweni kamama nengane.
Izingozi kumama:
- Ukopha : Ukopha ngokweqile okuvela ekuqhekekeni kwesibeletho kungaba yingozi empilweni.
- Ukususwa kwesisu: Ngezinye izikhathi, uma ukuphuma kwegazi kungenakuvinjelwa, isibeletho kungadingeka sisuswe ngokuphelele ukuze kusindiswe impilo kamama.
- Ukulimala kwezinye izitho zomzimba: Izitho eziseduze, njengesinyi, zingase zonakale. Lokhu kungadinga nokuhlinzwa.
- Ukumpontshelwa igazi: Ukuze kubuyiselwe inani legazi elilahlekile, igazi kumele linikezwe ngaphandle.
Izingozi ezingaba khona enganeni:
- I-Hypoxia: Lapho isibeletho siqhuma, igazi eliya ku-placenta liyanqamuka, okunciphisa inani lomoya-mpilo umntwana alitholayo. Lokhu kungabangela ukulimala kobuchopho noma ngisho nokufa.
- Ukuzalwa ngaphambi kwesikhathi: Ngenxa yokuthi umntwana kufanele abelethwe ngokuzumayo, umntwana angase abelethwe ngaphambi kwesikhathi.
- Ukulahlekelwa yimpilo: Ngokudabukisayo, kunengozi enkulu empilweni yengane uma ingatholi ukwelashwa okusheshayo.
Kodwa khumbula, eziningi zalezi zingozi zingancishiswa uma ufika esibhedlela ngokushesha futhi uthola ukwelashwa okuphuthumayo .
Iphathwa kanjani?
Okuwukuphela kwento okufanele uyenze uma kukhona ukusolakala kokuqhuma kwesibeletho ukwenza ukuhlinzwa kwe-C okuphuthumayo bese ubeletha umntwana. Akukho ngisho nomzuzwana owodwa ongachithwa lapha.
1. Ukuhlinzwa Okuphuthumayo: Udokotela uzokwenza ngokushesha isilonda esiswini sakho (i-laparotomy) bese ekhipha umntwana. Lokhu kuzovumela umntwana ukuthi athole ukwelashwa okumsindisa impilo akudingayo.
2. Ukulungisa isibeletho: Ngemva kokubeletha umntwana, udokotela uzozama ukulungisa ukudabuka kwesibeletho.
3. Ukwelashwa okwengeziwe: Uma kukhona ukopha ngokweqile, kuzonikezwa imithi yokukuvimba, futhi kuzonikezwa igazi uma kudingeka.
4. Ukususwa kwesibeletho: Akuvamile kakhulu, uma isibeletho singenakulungiseka noma ukuphuma kwegazi kungenakuvinjelwa, ukususwa kwesibeletho kungadingeka ukuze kusindiswe impilo kamama.
Ingabe ikhona indlela yokuvimbela lokhu?
Akunakwenzeka ukuvimbela lokhu ngokuphelele, ngoba asikwazi ukubikezela ukuthi kuzokwenzeka nini. Kodwa kunezinto esingazenza ukuze sinciphise ingozi.
- Khuluma nodokotela wakho:Lena into ebaluleke kakhulu. Khuluma naye ngokukhululekile ngokuhlinzwa kwakho kwangaphambilini, uhlobo lokusikwa, kanye nesimo sakho sempilo, bese wenza isinqumo esihle mayelana nohlelo lokubeletha kulokhu.
- Vumela isikhathi esanele phakathi kokukhulelwa: Ukulinda okungenani izinyanga ezingu-18-24 ngemva kokuhlinzwa ngaphambi kokukhulelwa futhi kunikeza isilonda isikhathi sokuphola.
- Khetha isibhedlela esinezindawo ezinhle: Qiniseka ukuthi isibhedlela osikhethela ukubeletha ingane yakho sinezindawo eziphuthumayo zokubeletha ngokuhlinzwa amahora angama-24 .
- Ukuhlinzwa kokubeletha okuhleliwe: Uma unezici eziyingozi kakhulu (isib., ukuhlinzwa kokubeletha okuningi kwangaphambilini, ukusikwa okuqondile), udokotela wakho angase ancome ukuhlinzwa kokubeletha okuhleliwe ngosuku ngaphambi kokuqala kokubeletha.
Ukubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa (VBAC) akuyona into engenakwenzeka. Omama abaningi abafanelekile bakwenzile ngempumelelo lokho. Kodwa kufanele wenze lesi sinqumo ngemva kokuxoxa ngezingozi nezinzuzo nodokotela wakho nokuvumelana ngezinketho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqhekeka kwesibeletho kuyisimo esibi kakhulu, kodwa esingavamile kakhulu, ngakho-ke ungesabi ngokungadingekile.
- Ingozi enkulu yalokhu ukuthi wake wabelethwa ngokuhlinzwa ngaphambilini.
- Qaphela izimpawu ngesikhathi sokubeletha, njengobuhlungu besisu obungazelelwe nobunzima kanye nokwehla kwesilinganiso senhliziyo yengane .
- Xoxa nodokotela wakho ngazo zonke izinqumo mayelana nokubeletha kwakho . Ungalokothi wenze izinqumo wedwa.
- Ukuze ubelethe umntwana wakho, kubaluleke kakhulu ukukhetha isibhedlela esinazo zonke izinsiza ezidingekayo uma kwenzeka isimo esiphuthumayo.
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