Ngakho-ke, isinqumo sokusebenza sithathwa kuphela uma kungabi khona enye indlela yokuphuma. Ngamaphi amacala owesifazane anesigaba se-cearean futhi kanjani ukusebenza kwakhe?
Ukusebenza okuhleliwe
Udokotela angabika isidingo sokuba nesigaba sokudla kwasekuqaleni kokuqala kwesithathu. Ngesikhathi esifanayo, uzocabangela isikhathi sokukhulelwa futhi anqume ngokuqondile usuku lokusebenza. Ukulethwa kokusebenza kuyadingeka uma ingane isesimweni sakho esihamba phambili, uma i-placenta ivala ukuphuma esibelethweni. Isizathu sesilondolozi esihleliwe siphinde senziwe yizifo ezehlukene zesigcawu somzimba noma isibazi esingavumelani nodonga lwe-uterine oluye lwavela emisebenzini yangaphambilini. I-pelvis encane nengane enkulu kakhulu, izinkinga zesimiso senhliziyo emanzini, izifo ezingapheli ezivimbela ukugeleza okwanele kwemisebenzi - kunezinkomba eziningi zokusebenza. Nokho, icala ngalinye lingumuntu ngamunye, futhi udokotela udinga ukuhlaziya ulwazi oluningi ukuze enze isinqumo. Ngendlela, izinga le-myopia akuyona njalo isigaba se-caesarean. Odokotela bayesaba inhlangano ye-retina ngesikhathi esibucayi ngakho-ke batusa ukuhlinzwa. Kodwa isimo se-retina asinqunywanga isazi seso lesifunda, kodwa ngesazi esikhungweni se-ophthalmological ngosizo lwemishini ekhethekile. Ingabe unamehlo ampofu? Kubalulekile ukudlulisa ukuhlolwa emva kweviki lama-32 lokukhulelwa. Inqubo izobonisa uma ungakwazi ukubeletha ngokwemvelo. Inkinga ehlukile isethulo se-pelvic. Ngokwamaqiniso, ukuzalwa okuzimele kuyamukeleka uma kungekho ezinye izinkomba ezingaqondile ezingxenyeni ezithile. Ngokwenza njalo, udinga ukuthola udokotela onokuhlangenwe nakho okucebile kokuthatha ukulethwa ngesethulo se-pelvic.
Uhlelo Lokusebenza
Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele noma yendawo - i-epestural anesthesia. Ngokwesilinganiso, kuthatha imizuzu engu-40-45. Udokotela ohlinzayo usika ungqimba lwesidumbu sangasese ngesendlalelo bese udonga lwesisu. Ingane ithathwe kakade kumzuzu wesi-2-4 wokuhlinzwa. Ungakwazi ukuxoxa nodokotela mayelana nesimo se-postpartum period. Kubalulekile ukuthi lo mswakama ngokushesha awuthathile emnyangweni wezinsana, futhi unamathele esifubeni. I-anesthesia ye-epidural akuyona isithiyo nhlobo! Futhi ama-droplets of colostrum, okuyinto ingane ezoyithola, ayigugu ngempela: aqukethe antibodies omama ezivikela ingane kusuka izifo. I-neonatologist izohlola i-crumb, futhi usana olusanda kuzalwa luzoya emnyangweni wezingane, lapho odokotela bayobe beqapha khona isimo sakhe. Uzophinde ululame ngemuva kwe-anesthesia.
Umhlangano omelwe isikhathi eside
Isigaba se-Caesarea asiphazamisi ukwelashwa. Ngemuva kosuku, i-anesthesia jikelele isuswe ngokuphelele emzimbeni, futhi wena nomntwana uzodluliselwa endaweni yokuhlala. Ngesikhathi umntwana ephuza isifuba sakhe, ehlile izandla, imilenze, ukunakwa okukhethekile kunikezwe emahlombe nasenhloko. Ukunyakaza kwakho okunene ngeke kuqinisekiswe kuphela, kodwa futhi ulingise "uhambo" ngokusebenzisa umsele wokuzalwa. Zama ukuba khona ngaso sonke isikhathi. Gqoka izandla zakho, ubambe, uthinte, ukhulume, umomotheka. Kubalulekile ukuthi wonke umzuzu wokuphila kwakhe uzizwa ukukhathazeka kwakho.
Siphinde sabuyiselwe!
Ungacabangi ukuthi kuzodingeka ulale embhedeni isikhathi eside. Odokotela batusa ukunyuka emva kwamahora angu-12. Iviki lizodlula futhi wena nomntwana uzobuyela ekhaya. Vumela izihlobo zikusize ezinsukwini zokuqala. Manje udinga ukuzivikela: ungaphakamisi okweqile, ungenzi ukunyakaza okubukhali. Ngokujwayelekile, umzimba ubuyiselwa ngemuva kwesigaba sokuphela kwenyanga nonyaka. Imenyu enengqondo, ukushaja ngokuhlanganiswa nokuphumula - nenhlalakahle kuyoba kuhle kakhulu. Uma une-fever, ukuvuthwa kuye kwaphazamiseka, ubuhlungu esiswini esingaphansi nasendaweni yomsindo kuphazamisa njalo, ukuphuma kwegazi okukhanyayo kuye kwavela - shayela udokotela ngokushesha. Faka phakathi kwemikhiqizo yakho yokudla okuzosiza ukuqinisa umsizi nokuvimbela i-anemia. Yidla amaqanda, isibindi (i-zinc), i-sweet pepper (i-vitamin C), isipinashi, ulimi lwamapulangwe kanye ne-buckwheat (insimbi ne-vitamin E). Emasontweni ambalwa emva kokuzalwa, yenza okulula kokusebenzisa umzimba. Ukuvocavoca ukuqinisa isisu kuhlehliselwe izinyanga ezingu-2-3. Ngaphambi kokuba uqale amakilasi avamile, thintana nodokotela. I-anesthesia ye-epidural isithandwa kakhulu. Ngemuva kokugqama emgodleni, umzimba wakho ophansi ulahlekelwa ukuzwela, kodwa uhlala ugcwele ulwazi ngesikhathi sokusebenza. Ungabona ngamehlo akho ukubukeka kwengane ekukhanyeni. Ukuhlinzeka ngezinzwa zokubulala i-epidural anesthesia akusona isithiyo sokulahla. Ngakho-ke, i-crumb isetshenziswa esifubeni sakho ngemva kokusebenza. Isikhathi sokutakula sidlula ngokushesha kunokusetshenziswa kwe-mask jikelele i-anesthesia. Ukufakelwa komzimba kujojowe emgodini ongasemgogodini. Futhi le nqubo idinga i-qualification enkulu ye-anesthesiologist. Uma udokotela enza iphutha, ungase ube nezinkinga. Kubaluleke kakhulu ukuba ujwayelane nomchwepheshe ngaphambi kokusebenza, ukuze ufunde ngokuhlangenwe nakho kwakhe, ukuqoqa impendulo. Isenzo se-anesthesia ye-epidural saphela ngokushesha. Kodwa-ke, ezinyangeni eziningana emva kokuzalwa, ungase ube nobuhlungu ngemuva nangentamo.