Indlela engcono kakhulu yokuba umntwana avele ukuzalwa ngokwemvelo. Odokotela odumile kakhulu, ngakho-ke "njengaleyo" noma ngesicelo sakho akekho ozokwenza lokhu. Kodwa-ke, kunezimo lapho kufanele ukhethe phakathi kokuzalwa komzimba nokuphepha kwemvuthu nomama. Kusobala ukuthi ingozi ayikho endaweni lapha.
Ngaphandle kwezinketho
Izinkomba zokubeletha kwemvelo kanye nesigaba sokudla kwezidakamizwa zinemihlobo emibili: ngokuphelele futhi isihlobo. Esimweni sokuqala, ukuhlinzwa kudingekile: kuzosindisa impilo yomama nengane. Ngenhlanhla, izibonakaliso eziphelele ze-cearean azizona eziningi, zingama-5% kuphela abesifazane abakhulelwe.
Ukuqedwa kwe-pelvis III-IV degree
Lapho uqala ukubonisana nabesifazane, udokotela uzosebenzisa i-compass ekhethekile ukukala ubukhulu be-pelvis yakho encane, indandatho yethambo elizungezile umsele wokuzalwa. Ngalo mgodi ikhanda lomntwana lizodlula. Ngesilinganiso esingaqakathekile futhi esilinganisweni sokwehluka kwemvelo yemvelo kuxazululwe. Kodwa-ke, phakathi nenqubo udokotela anganquma isinqumo sokuthi i-cearean ingabe ikhanda lezinhlanzi likhulu kakhulu. Ungakhathazeki, lokhu kwenzeka kakhulu kangako, ngoba imvelo ikhathalela ukwenza umzimba wakho uphelele ingane yakho. Kodwa ngezinga eliphakeme lokunciphisa, i-cearean iboniswa ngokucacile. I-pelvis encane kakhulu emzimbeni ngokuvamile ayiyona into ebonakalayo yowesifazane, kodwa ngenxa yokulimala noma izifo zethambo.
I-Placenta previa
Ngokuvamile, i-placenta ifakwe ngaphansi kwesibindi noma ezindongeni zayo. Okufanayo post-
Yebo, ungaphazanyani ne-crumb. Nokho, uma i-placenta ivala i-orifice yokuzalwa, i-caesarean ayikwazi ukugwema. Ngezinye izikhathi ukuthuthukiswa kwengane ngokusebenzisa umsele wokuzalwa kunzima kakhulu yi-placenta kuphela. Khona-ke isinqumo mayelana nokusebenza sithathwa kahle ngesikhathi sokuzalwa kwemvelo kanye nesigaba se-cearean.
Ngezinye izikhathi kunenkinga enjenge-gestosis - toxicosis yengxenye yesibili yokukhulelwa. Kubonakala ngokubonakala kwamaprotheni emcinini, ama-spikes, i-edema. Uma usolwa nge-gestosis, uzothunyelwa esibhedlela "sokulondolozwa", uzoqhuba ukwelashwa okudingekayo futhi uqale ukulungiselela ukubeletha kwemvelo kanye nesigaba saseKesariya. Nakhu kungcono ukuthi ungabungozi: ngesikhathi sokubeletha kwabesifazane abakhulelwe abane-gestosis, ukucindezeleka okungazelelwe okusongela uhlelo lwezinhliziyo lungenzeka.
Sizobeletha?
Izinkomba ezihlobene nesigaba sokulahla zivame kakhulu kunazo zonke. Futhi-ke udinga ukucabanga kanye nodokotela, ukubheka ukuthuthukiswa kwemicimbi kuze kube sekuzalweni kanye. Okuvame kakhulu kulezi zindlela ezenzelwe ukuvezwa kwe-pelvic ye-fetus, okungukuthi, ingane ihlelwe esibelethweni engekho phezulu, njengoba kulindeleke, kodwa phezulu. Eqinisweni, ngokuhlangenwe nakho kokuqhuba ukubeletha okunjalo kwisibhedlela, ungabeletha futhi uqobo lwakho. Kodwa uma udokotela ethola ukuthi unezinye izinkomba ezingaqondile zokusebenza, isibonelo, i-pelvis encane kancane, khona-ke i-caesarean inokwenzeka. Ngaphambi kokukhuluma ngokungathí sina ngokuhlinzwa, udokotela uzokunikeza umzimba ukuze ingane ithathe isikhundla esifanele. Isibonelo, ungakwazi ukuma kuwo wonke ama-4 amahora angu-10 ngosuku. Ukuphumelela nokukhuluma ne-crumb: mcele nje ukuthi aphendule! Uzobona, uzolalela uMama! Akukona nje kuphela i-pelvic, kodwa futhi iphrezentheshini eguqukayo noma oblique. Kulolu cala, isigaba se-cearean yindlela ephephile yokudiliva.
Isikhundla sokugcina somntwana kuthatha amasonto angama-38 okukhulelwa. Phenduka! Esinye isici esithandwayo esithandwayo se-cearean yisisindo esibelethweni ngemuva kokusebenza kwangaphambilini. Uke waba ne-cearean esikhathini esidlule? Akukhona ukuthi awukwazi ukuzala ngokwakho. Ngosizo lwe-ultrasound, udokotela kufanele ahlolisise ukuthi uhlamvu lwakho lungakwazi yini ukumelana nomthwalo wokubeletha. Ngokwezibalo, cishe amaphesenti angama-75% abesifazane abakhulelwe abasebenza ngesibindi esikhathini esidlule bayakwazi ukubeletha ngendlela engokwemvelo. Ukukhulelwa ngalunye kuyingqayizivele, ngakho isinqumo sokugcina endleleni yokulethwa kwezidakamizwa senza ngabanye. Futhi akuyona yonke into engacatshangelwa! Akukwenywanga ukuthi isinqumo mayelana ne-cearean sizothathwa ngesikhathi esiphuthumayo ngesikhathi sokubeletha: ngobuthakathaka bemisebenzi yomsebenzi, uma ubukhulu bomntwana abuhambisani nesifuba sakho. Kodwa ngaphambi kokubeletha, ungacabangi ngisho naso! Beka ingqondo yakho kahle futhi uphumule ngangokunokwenzeka. Imvelo izoyithatha.
Ngolwazi olugcwele
Wena nodokotela wakho weza esiphethweni mayelana nokusebenza? Ngakho-ke, kunezizathu ezinhle zalokhu. Kunoma yikuphi, ungazitshisi futhi ungacabangi ukuthi i-cearean iyoyithinta kabi ingane. Into esemqoka ukuthi uzozalwa enempilo! Kodwa-ke, kuyoba usizo ukwenza inqubo ibe yemvelo ngangokunokwenzeka. Manje kunethuba lokuvuma nodokotela ukuthi lo msebenzi ngeke wenziwe ngokuhambisana nenqubo ehleliwe (usuku oluvunywe ngaphambilini), kodwa emva kokuqala kokulwa. Cabanga ngalesi sikhathi. Kodwa-ke, kwezinye izimo, udokotela angancoma futhi angalindi ukuqala komsebenzi. Isibonelo, nge-pathologies yesimiso senhliziyo noma nge-overdose enkulu yokukhulelwa. Ngesicelo sakho, futhi nangaphandle kokushicilelwa kwe-contraindications, i-cearean ingenziwa ngaphansi kwe-anesthesia ye-epidural. Uyonikezwa umjovo emgodleni - kanti ingxenye yakho engezansi izolahlekelwa ukuzwela. Ngeke uzizwe ubuhlungu. Kodwa uzoba nokuqonda futhi ngamehlo akho uzobona ukubukeka kwemvuthuluka ekukhanyeni! Umthamo we-anesthesia ubala ngokucophelela ngesikhathi. Ngakho-ke, ngemuva kwezinsana zokubeletha zizofaka isifuba esifubeni, uzophuza i-colostrum. Futhi lokhu kuzothuthukisa i-lactation enhle! Isikhathi sokuphumula emva kokuhlinzwa ngaphansi kwe-anesthesia ye-epidural kulula kune-anesthesia jikelele. Ngakho-ke uthembele imithi yesimanje. Odokotela bazokunakekelwa nganezingane ezingeni eliphezulu kakhulu.
I-Myopia ayiyona isithiyo!
Ingabe bakutshela ukuthi ngenxa yemibono embi, kuzodingeka ulungiselele isigaba sokudla? Akusi njalo njalo. Akunjalo, izinga lombono lidlala indima, kodwa ingozi yokuthungatha i-retina ngesikhathi sokudlula. I-retina kufanele ihlolwe ngabachwepheshe.
Amama omuso ane-myopia anconywa ukuba ahlolwe ngokuningiliziwe esikhungweni esikhethekile se-ophthalmology. Kodwa-ke, emva kweviki le-32 lokukhulelwa, lapho izidakamizwa ozongena kuzo ukuhlola i-fundus, kuqinisekisiwe ukuba ungalimazi ingane. Ucwaningo luzobonisa ukuthi i-retina yakho iyakwazi yini ukubhekana nomzamo omkhulu.
Ngokuvamile, umphumela wesheke esinjalo umbiko wezokwelapha: "Akukho okuphikisanayo kwezidingo zemvelo ngu-ophthalmologist". Ngeliphepha ungaya esibhedlela. Ezimweni ezimbi kakhulu, i-ophthalmologist izotusa ukuhlinzwa okuncane - i-laser coagulation ye-retina, noma i- "welding". Le nqubo ithatha imizuzu embalwa futhi ayidingi i-anesthesia. Isigwebo sokugcina sendlela yokulethwa yenziwa yi-ophthalmologist ngesonto emva kwe-"welding".