Uma ungumama ozoba nomntwana, kumelwe ukuthi uke wezwa igama elithi 'cesarean' kaningi. Mhlawumbe udokotela wakho ukutshelile ukuthi kuzodingeka wenze ukuhlinzwa. Kuvamile ukuzizwa wesaba futhi ukhathazekile uma lokho kwenzeka. Imibuzo efana nokuthi "Akuyona yini ukuhlinzwa okukhulu?", "Ingabe kuzongilimaza?", "Ingabe kuzoba kubi enganeni?" mhlawumbe ifika engqondweni. Kodwa ungakhathazeki. Namuhla, sizothola izimpendulo zayo yonke imibuzo onayo mayelana nalesi sigaba sokuhlinzwa , okungukuthi, ukuhlinzwa ngokuhlinzwa.
Kalula nje, kuyini ukuhlinzwa kokubeletha?
Ukuhlinzwa kwesisu kuyindlela yokuhlinzwa lapho umntwana ezalwa khona ngokusikwa okuncane esiswini nasesibelethweni, kunokuba abelethwe ngesitho sangasese sowesifazane sikamama. Inani lokuhlinzwa kwesisu okwenziwa namuhla liphakeme kancane kunangesikhathi esidlule. Nakuba abanye abantu bengase babe nephutha ngalokhu, into ebaluleke kakhulu okudingeka siyiqonde ukuthi zingaki izimpilo ezisindisiwe ngale ndlela namuhla.
Lokho akusho ukuthi wonke umuntu kufanele abelethwe ngokuhlinzwa. Kunezingozi ezithile ngokuhlinzwa uma kuqhathaniswa nokubeletha ngesitho sangasese sowesifazane. Yingakho odokotela behlala bethi kufanele abelethwe ngokuhlinzwa kuphela uma kunesizathu esiphuthumayo sezokwelapha.
| Izinkinga Ezingaba Khona Zokubelethwa Kwesibeletho | |
|---|---|
| Izifo | Ukutheleleka kungavela, ikakhulukazi esibelethweni, ezithweni ezihlobene, noma emanxebeni okuhlinzwa. |
| Ukopha okukhulu | Kunethuba lokopha igazi eliningi kunokujwayelekile ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa. |
| Izinkinga ezibangelwa ukubulala izinzwa | Abanye abantu bangase babe nezinkinga ngemithi esetshenziselwa ukubulala izinzwa. |
| Amahlule egazi | Ngenxa yokunyakaza okulinganiselwe ngemva kokuhlinzwa, amahlule egazi angakheka emilenzeni. |
| Ukulimala kwezitho zangaphakathi | Akuvamile kakhulu ukuthi izitho zomzimba ezifana namathumbu noma esinyeni zingalimala. |
Kodwa khumbula, ngobuchwepheshe bezokwelapha obuthuthukisiwe banamuhla, lezi zingozi zincane kakhulu. Udokotela wakho kanye nabasebenzi basesibhedlela bazokunakekela kahle kakhulu.
Kungani udokotela enquma ukwenza ukuhlinzwa kwesisu?
Kunezinhlobo ezimbili zokuhlinzwa. Enye iwukuhlinzwa okuhleliwe . Enye iwukuhlinzwa okuphuthumayo . Izizathu zazo zombili zihlukile.
Izizathu zokuhlinzwa okuhleliwe
Ngezinye izikhathi, ngisho nangaphambi kokuba umntwana azalwe, udokotela wakho unquma ukuthi ukuhlinzwa kokubeletha kuyindlela engcono kakhulu kuwe. Kungaba nezizathu eziningana zalokhu.
| Isizathu | Kalula nje... |
|---|---|
| Usayizi womntwana uyakhula. | Uma unomuzwa wokuthi umntwana unenkinga yokuphuma ngesinqe sikanina ngoba sisinda kakhulu. |
| Indawo yomntwana (Ibhulukwe/I-Transverse) | Uma umntwana esesimweni sokuhamba komoya, kungabi yikhanda phansi, kodwa yi-breech noma ngaphesheya. |
| I-Placenta Previa | Uma i-placenta itholakala ngaphansi kwesibeletho, imboze umlomo wesibeletho. |
| Ukutheleleka kumama | Uma umama enesifo esithathelwanayo, njenge-herpes yobulili, mvimbele ekusidluliseleni enganeni. |
| Njengoba ngike ngasikwa ngokuhlinzwa ngaphambilini | Uma umntwana wangaphambilini ebelethwe ngokuhlinzwa, kwezinye izimo kunconywa nokuhlinzwa komntwana olandelayo. |
Kungani kufanele usebenzise ukuhlinzwa okuphuthumayo?
Ngezinye izikhathi, noma ngabe ukubeletha okuvamile kulindeleke, izinkinga ngesikhathi sokubeletha zidinga ukuhlinza ngokuhlinzwa okuphuthumayo.
- Ukushaya kwenhliziyo okungajwayelekile ngesikhathi sokubeletha. Lokhu kusho ukuthi umntwana ubhekene nokucindezeleka okuthile.
- Inkinga ngentambo yesisu inciphisa inani legazi nomoya -mpilo umntwana akutholayo.
- Ukuphazamiseka kwe-placenta .
- Ukukhula komlomo wesibeletho kuyayeka noma umntwana uyeke ukwehla ngesizathu esithile.
Kwenzeka kanjani ukuhlinzwa kokubeletha okuhleliwe?
Uma une-cesarean section ehleliwe, nakhu ongakulindela.
1. Ukulungiselela: Uzoqala unikezwe umuthi wokomisa uketshezi emlonyeni wakho nasemigudwini yomoya. Unganikwa nomuthi wokunciphisa i-asidi esiswini . Ngemuva kwalokho isisu sakho esingezansi sizohlanzwa futhi, uma kudingeka, izinwele zizosuswa.
2. I-Catheter kanye ne-IV Line: Kufakwa ithubhu elincane (i-catheter) ukuze kugcinwe isinye singenalutho. Inaliti encane (i-IV line) ifakwa emthanjeni osengalweni ukuze kunikezwe usawoti kanye nemithi.
3. I-Anesthesia: Ngokuvamile, i-anesthesia inikezwa umgogodla wakho. Lokhu kwenziwa kusetshenziswa i-epidural noma i-spinal anesthesia. Lokhu kuqeda amandla emhlane wakho ongezansi, kodwa usazizwa kahle. I-anesthesia evamile inikezwa kuphela ezimweni eziphuthumayo.
4. Ukuhlinzwa kuyaqala: Isisu sakho sizohlanzwa ngesisombululo sokubulala amagciwane, bese kubekwa indwangu phezu kwendawo ozohlinzwa kuyo. Kuzobekwa isikrini ukuze ungakwazi ukubona ukuhlinzwa.
5. Ukusikwa: Uma i-anesthesia isiqalile ukusebenza, udokotela uzokwenza ukusikwa esikhumbeni sesisu sakho bese edlula esibelethweni sakho. Lokhu kuvame ukuba ukusikwa kwe-bikini, ngaphansi nje komugqa we-bikini yakho. Ngeke uzwe ubuhlungu, kodwa ungase uzwe umuzwa omncane wokuncinza.
6. Ukukhipha umntwana:Udokotela uzobe esekhipha umntwana ngokucophelela. Ngezinye izikhathi, kungadingeka usebenzise i-forceps noma i-vacuum extractor. Uzozwa umuzwa omncane wokudonsa kulesi sigaba.
7. Umzuzu wokuqala: Lapho nje umntwana esekhishiwe, ikhala nomlomo wakhe kuyahlanzwa ngokumunca. Intambo yesisu iyasikwa bese kususwa i-placenta. Ngemuva kwalokho umntwana unikezwa umhlengikazi. Wenza ukuhlolwa kwe-Apgar, okukala impilo yengane.
8. Izithungo: Udokotela uzothunga isibeletho sakho kanye nesisu. Izithungo ezisesibelethweni ziyancibilika emzimbeni wakho. Izithungo zesikhumba zingaba uhlobo oluzosuswa ngemva kwezinsuku ezimbalwa, noma zingaba izithungo ezincibilikayo ezibekwa ngaphansi kwesikhumba.
9. Ukululama: Ngemva kokuhlinzwa, uzoyiswa "eGumbini Lokululama." Lapho, umfutho wegazi lakho kanye nokushaya kwenhliziyo kuzoqashwa. Njengoba umuthi wokubulala izinzwa uphela, uzonikezwa izinhlungu zobuhlungu ukuze ulawule ubuhlungu.
Yini ongayilindela ngemva kokuhlinzwa?
Izinsuku ngemuva kokuhlinzwa nazo zibaluleke kakhulu.
- Ukuphuma embhedeni: Ngemva kwamahora angu-6-8 ngemuva kokuhlinzwa, i-catheter izosuswa bese ucelwa ukuthi uphume embhedeni uhambehamba. Lokhu kungaba nzima kancane, kodwa kuzokusiza ukuthi ululame ngokushesha.
- Ukuncelisa: Uma uhlela ukuncelisa ingane yakho, abahlengikazi bazokukhombisa ukuthi ungayibamba kanjani ingane yakho ngendlela engayicindezeli inxeba. Ungancelisa ngenkathi ubambe umcamelo phezu kwenxeba noma uhleli phansi.
- Ukudla Nokuphuza: Uzonikezwa usawoti usuku olulodwa noma ezimbili. Ngemva kwalokho, ungaqala kancane kancane ukudla uketshezi nokudla okuvamile.
- Ukuphuma esibhedlela: Ngokuvamile ungaya ekhaya usuka esibhedlela zingakapheli izinsuku ezingu-3-5. Kuzothatha cishe amasonto angu-4-6 ukuqala kabusha imisebenzi evamile.
Ingabe uzizwa udangele ngokuhlinzwa kokubeletha?
Omama abaningi banethemba lokubeletha ngendlela evamile. Uma betshelwa ngokuzumayo ukuthi kufanele benze ukuhlinzwa, kuyinto evamile ukuzizwa bedabukile futhi bedumele. Imicabango efana nokuthi, "Angizamanga yini ngokwanele?", "Ingabe ngisehluleki njengomama?" ingase ifike engqondweni.
Sicela uqonde ukuthi ukuba nomntwana ngokuhlinzwa akunciphisi ubumama bakho nganoma iyiphi indlela. Into ebaluleke kakhulu ukuthi wena nomntwana wakho niphilile futhi niphephile. Uma ukuhlinzwa kuyindlela engcono kakhulu yokwenza lokho, khona-ke lokho kuyinto efanele ukuyenza.
Ngezinye izikhathi, uma ushintsha indlela ocabanga ngayo, lo muzwa uyanyamalala. Ungacabanga, "Yeka ukuthi kungaba kuhle kanjani ukubona ingane yami iza kuleli zwe ngaphandle kokuzwa ubuhlungu nokuthula."
Kodwa uma uqhubeka nokuba nalolu sizi, khuluma ngakho nomyeni wakho, ilungu lomndeni, noma udokotela wakho. Lokho kuzokunikeza impumuzo enkulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokuhlinzwa kuyindlela yokuhlinzwa ephephile kakhulu kulezi zinsuku. Ungakwesabi ngokungadingekile.
- Lokhu kuhlinzwa kwenziwa kuphela uma kunesizathu sezokwelapha esibalulekile ekuphepheni kukamama nomntwana.
- Indlela obeletha ngayo ingane yakho (ejwayelekile noma eyokuhlinzwa) akuyona indlela yokulinganisa ubumama bakho. Okubaluleke kakhulu ingane enempilo kanye nomama onempilo.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngokuhlinzwa, xoxa ngakho ngokukhululekile nodokotela wakho.
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