Uhlobo lwakunqunyelwe ukuthi owesifazane uzobeletha ingane eyedwa. Kusebenza kuphela ukuthi konke akuhambi njalo "ngokwecebo". Futhi-ke kuyadingeka ukuthi usebenzise inqubo yesigaba se-cearean. Kodwa-ke, esikhathini sethu, ukulethwa ngosizo lwama-cearean kungenzeka ngisho nangesicelo sabomama nengane ngenkokhelo. Kungani abesifazane behamba ngalokhu? Ingabe lena indlela engcono kakhulu yokuphuma nokuphuma nhlobo? Isigaba se-Caesarea: izinzuzo nokuqeda le nqubo yisihloko senkulumo yanamuhla.
Eminyakeni engamashumi amathathu edlule, inani lezingane ezizalwa nokunakekelwa kwe-cearean lenyuke ngo-20%. NgoNovemba 2009, Isikhungo Sokunakekelwa KwezeMpilo Nokulawulwa kweRussian Federation sabika ukuthi izinga lesigaba se-cearean kuleli lizwe lirekhodi elingama-29.1%, okuyi-quarterly of the total number of births. Lokhu kusho ukuthi owesifazane kwabangu-1 kwabayisishiyagalombili wazala isigaba sokudla.
Njenganoma yikuphi ukungenelela kokuhlinzwa, kunezingozi ezithile. Isigaba se-Caesarea asiyona into ehlukile. Kubalulekile ukuba uqaphele zonke izinzuzo kanye nokukhubazeka kulo msebenzi, thola ukubonisana nodokotela ngesikhathi futhi ulungele izinkinga nezinkinga ngemuva kokusebenza. Uma unquma ukuzala ngesigaba sokudla ngokuzithandela - udinga ukwazi amanye amaqiniso ngale nqubo.
Okokuqala, cabangela izinzuzo. Empeleni, nguye kuphela - ukungabikho kobuhlungu bomzimba nokucindezeleka. Okubizwa ngokuthi "ulele-uvuke, futhi ingane isivele iseduze." Kodwa-ke, abesifazane abacabangi ukuthi ubuhlungu ngemuva kokuba lezi zinsana zihlale ziqinile, zihlala isikhathi eside, ezinemihibelo eminingi (awukwazi ukuhamba, ukuthatha ingane ezandleni zakho, ngokuyinhloko ngandlela-thile inzima izinyanga ezimbalwa). Ngaphezu kwalokho, uzoba nomzimba emzimbeni wakho, okuzobangela nokuphazamiseka okuningi, ikakhulukazi ezinyangeni eziyisithupha zokuqala noma ngonyaka ngemuva kokusebenza. Yini enye, ngaphandle kobuhlungu nokwesaba, yizinzuzo zesigaba se-caesarean? Ah, yebo! Ungakhetha usuku lokuzalwa kwengane yakho. Yebo-ke, akunjalo neze, kodwa eseduze nesikhathi esigcwele sokukhulelwa. I-Caesarea ingenziwa ngisho namasonto amabili ngaphambi kosuku - ngeke lithinte impilo yengane. Lapha, empeleni, nawo wonke ama-pluses. Okulandelayo, ake sikhulume ngokungalungi.
Izingozi nezinkinga zomama:
Cabanga ngezingozi eziningi ezilandelayo ezihambisana nanoma yikuphi ukungenelela okuhlinzayo
- Ukutheleleka: ukutheleleka kungenziwa ngamagundane okuhlinza emgodini wesibindi kanye nezinye izitho ezincane ze-pelvic, njenge-shingeni.
- Ukweqa noma ukulahleka kwegazi : ukuphuma kwegazi ngesikhathi sokuzalwa nesigaba sokudla kunesidingo kunokuba kube nokulethwa okujwayelekile. Lokhu kungabangela isidingo sokumpontshelwa igazi ngokuphathelene ne-anemia (6 abesifazane kwabangu-100 badinga ukumpontshelwa igazi).
- Ukulimala kwezitho: ukulimala ezithombeni, njenge isisindo, kungenzeka.
- Ama-spikes: ngezinkinga ngemuva kwesigaba sokudla, ukubunjwa kokunamathela emgodleni omncane kungenzeka. Lokhu kuzokuvimbela ukuqala kokukhulelwa okulandelayo noma kubangele izinkinga zayo: i-placenta previa noma ukuphazamiseka okuphazamisayo.
- Ukuhlala isikhathi eside esibhedlela: emva kokubeletha ngesigaba sokudla, ukuhlala esibhedlela okujwayelekile kungukusuku ezingu-5-7 uma kungekho izinkinga emva kokubeletha.
- Isikhathi eside sokuphumula: isikhathi esifanele sokuphulukiswa ekulethwa kwezidakamizwa singadlulela emasontweni ambalwa kuya ezinyangeni eziningana, okuthinta ubuhlobo bakho nengane (kumaphoyisti angu-14 abesifazane abangamakhulu ayisishiyagalolunye baphathwa ubuhlungu izinyanga eziyisithupha noma ngaphezulu emva kokusebenza).
- Impendulo ku-anesthesia: ungase ube nesenzo esingahambi kahle ku-anesthesia, esinikezwa ngesikhathi sesigaba sokudla noma ukubhekana nobuhlungu, ama-sedative, anikezwa ngemuva kokusebenza.
- Ingozi yemisebenzi eyengeziwe: isibonelo, njengokuthi i-hysterectomy, ukubuyiselwa kwesigungu noma esinye isigaba se-cearean.
- Ukushona komama: izinga lokufa komama ngesikhathi seKesariya likhulu kunezokuzalwa ezivamile.
- Ukusabela ngokomzwelo: abesifazane ababeletha ngosizo lwaseKesariya, bathi banemibuzo engathandeki yokuzalwa kwengane. Kungase kube nezinkinga ekusebenzelaneni nengane yakho.
Izingozi nezinkinga zomntwana:
- Ukuzalwa kwangaphambi kokuqala: uma iminyaka yobubeleka ingabalwa kahle, ingane ezalwa ne-cearean ingakapheli futhi ibe nesisindo esincane.
- Izinkinga zokuphefumula: uma ingane izalwa ngosizo lwama-cearean, angathola izinkinga zokuphefumula. Ucwaningo olunye lubonisa ukuthi kunesidingo sokunakekelwa ngokushesha ingane ngemuva kwesigaba se-cearean, esingadingeki ukuba kuzalwa ngokujwayelekile.
- Ukuhlolwa okuphansi engxenyeni ye-Apgar: Ephansi I-Apgar imiphumela ingabangelwa i-anesthesia, ukucindezeleka ebusweni ngaphambi kokubeletha, nokuntuleka kokugqugquzela ngesikhathi sokubeletha (ukubelethwa kwesisu kuhlinzeka ukuvuselelwa kwemvelo kwengane emgodini wokuzalwa). Izingane ezizalwa nge-cearean zinamathuba ama-50% ezansi ze-Apgar izikolo kunezo ezizalwa ngendlela evamile.
- Ukulimala komntwana: okungavamile ukuhlinzwa kungalimaza ingane, ukulimaza, njengesikhala ngesikhathi sokusika. (2 kwabangu-100 abantwana banganconywa ngesikhathi sokuhlinzwa).
Uma udokotela ebeletha nge-cearean, kodwa awukho esimweni esiphuthumayo, zinike isikhathi sokuxoxa ngezinketho zakho ukuze uqalise ngokwengeziwe.
- Buza udokotela ukuthi akuchazele ukuthi kungani kuphakanyiswa isigaba sokudla.
- Buza ukuthi yiziphi ezinye izindlela eziqondene nawe ngqo.
- Buza udokotela ukukunikeza ukuqhathaniswa kwazo zonke izingozi kanye nezinkinga ezingenzeka ngesikhathi sokubambisana ngendlela engokwemvelo kanye nesigaba sokugcina.
- Xoxa ngokunakekelwa kokunakekelwa kokuhamba kwesikhathi ngemuva kwesigaba sokudla (isibonelo, uma ubona ingane yakho, ngokushesha ngemuva kokubeletha uzokwazi ukuncelisa isifuba, uma uthatha imithi, njll).
Khumbula ukuthi isigaba se-caesarean se-pluses kanye ne-minuses sinenani elingalingani, elinokungapheli kwamaminithi. Ngaphezu kwalokho, kulesi sihloko babhalwe ohlwini oluyisisekelo kuphela. Futhi kukhona okulandelayo: ukuntuleka kobisi emva kokususwa, ukwehluleka kokuzalwa kwemvelo, ukucindezeleka nobuhlungu, ukungakwazi ukuphila ngokobulili ngaphambi kwezinyanga ezintathu emva kokuhlinzwa, njll. Ingabe usafuna ukubeletha ngokusebenzisa i-cearean? Bese ulungele konke.