Ukuphindaphindiwe kanye nokubuthakathaka komsebenzi

Usuvele unesigaba se-cearean, futhi uqinisekile ukuthi ngeke ukwazi ukugwema ukusebenza okuphinda? Akunjalo. Ezimweni eziningi, ingane yesibili ingavela ngokwemvelo ngezindlela zemvelo. Injabulo yomama, olindele ingane yesibili emva kokuhlinzwa kwe-cearean, iyaqondakala: kukhona isibazi esibelethweni futhi akukho okuqinisekile ukuthi lokhu ngeke kuphazamise ukukhulelwa okulandelayo nokubeletha. Nokho, azikho izizathu zokuhlangenwe nakho okhethekile.

Konke akukona okwethusa njengoba kungase kubonakale ekuqaleni. Uma umsebenzi uphumelele futhi ngaphandle kwezinkinga, odokotela batusa ukulinda unyaka nonyaka ngaphambi kokuzama ukukhulelwa futhi. Lesi yisikhathi sesikhathi "ngesilinganiso." Ngokuvamile ukugcoba kukhishwa ezinyangeni ezintathu, futhi ezinyangeni eziyisithupha isibeletho sibuyela esimweni esijwayelekile. Ukuqapha kuqhathaniswa neqiniso lokuthi isikhathi esiningi siphelile kusukela ekusebenzeni, amathuba amaningi okugwema izinkinga ezinjengezindawo eziphansi endaweni ephansi ngenxa yesikhumba esibelethweni, ukuphazamiseka kwamapayipi ekukhuleleni kamuva noma inkinga yenkambu lapho kusetshenziselwa ukubeletha kwesisu nangomncane olandelayo. Ezikhathini eziningi, uma ukhulelwa ngonyaka owodwa ngemva kwesigaba sokugcina noma kamuva, ukukhulelwa kwakho nokubeletha ngeke kube okufana nokujwayelekile. Ukuphindwa nokuphelelwa komsebenzi okuphindaphindiwe kuyisihloko sokushicilelwa.

Ukukhulelwa kwesibili

Uma ukuphulukiswa kwesibazi kwakuvamile, ukukhulelwa kwakho akusekho engozini. Naphezu kweqiniso lokuthi ngesikhathi sokubeletha umntwana isisu sisanda ngobukhulu, akukho neze engozini yokuthi umswakama uzohlakazeka. Kodwa-ke, kunokwenzeka ukuthi kunezinkinga zomhlobo ohlukile. Akufanele besabe. Ukukhulelwa kwakho kudinga ukunakekelwa okukhethekile kudokotela, ozokulungiselela ukubeletha futhi uyakwamukela. Ingxabano eyingozi kunazo zonke ukuhlukana kwesibeletho ku-rumen. Lokhu kungenzeka hhayi nje kuphela ngemuva kwesigaba se-cearean, kodwa futhi emva kwe-myomectomy engavamile (ukususwa kokusebenza kwe-uterine fibroids), ngemuva kokususwa kokukhulelwa kwe-ectopic (indlela yokuziqhenya kwe-uterine angle), emva kokukhipha izisu eziningi.

Ukuphazamiseka kwamapulazi

Lokhu kwenzeka nakwabo abangenalo ingxenye yokugcina i-cearean emlandweni, kodwa ingozi yale nkinga isanda. Kulolu daba, odokotela kuzodingeka benze isifo esiphuthumayo sokusindisa ingane.

Ukwanda kwe-placenta

Ukunquma ukuthi kwenzeka yini ngaphambi kokuzalwa kokuqala, akunakwenzeka. Okuyinhloko yalesi simo ukuthi esikhathini sokugcina sokuzalwa, izingxenye ze-placenta azikwazi ukuhlukana nalezo zicubu lapho kutholakala khona isibazi. Ngenxa yalokho, esikhathini sokuhamba kwesikhathi, ukuphuma kwegazi kungavula, futhi odokotela kuzodingeka basebenzise izinyathelo eziphuthumayo.

Indawo ephansi ye-placenta

Isizathu saso singase sibe isibazi esibelethweni.

Ngokuvamile laarean

Uma ufuna ukubeletha ngokwemvelo emva kwesigaba se-cearean, buza udokotela. Ezimweni eziningi, akukho okuvimbela ukuzalwa kwesisu. Nakuba kunezimo lapho i-cearean ingcono ukuphinda ngezizathu zezokwelapha. Udokotela uzogxila kwi-cearean yesibili ezimweni ezithile.

Ukulethwa kwama-vaginal emva kwe-cearean

Umehluko obalulekile phakathi kokuzalwa okujwayelekile emva kokuzalwa kwe-cearean ukuthi ukuzalwa okunjalo akukhuthazi: kufanele kuvame ukugeleza ngokwabo, ngaphandle kwezijovo ze-oxytocin noma i-enzaprost, ngoba noma yikuphi ukugqugquzelwa komsebenzi kungabangela ukuqhuma. Kanti futhi, ukubeletha okunjalo kuzama ukungabizi izinambuzane ukuze kungabonakali isithombe somtholampilo sokuphuka kwesisu. Mane nje, nge-anesthesia, umama ngeke akwazi ukukhononda ngezibonakaliso ezingathandeki, futhi odokotela bangase bangabi nesikhathi sokumsiza. Indlela yokulethwa kwezidakamizwa emva kwe-cearean ifana nokujwayelekile. Ngeke uvinjelwe ekuziphatheni kwamahhala ngesikhathi sokulwa: ungathatha indawo ekhululekile, wenze ukuvocavoca okuphefumulayo, ubambe isikhathi sokudoba eshaweni noma echibini elikhethekile ukuze unciphise ubuhlungu. Kodwa-ke, kuzoba kuhle kakhulu odokotela ukugcina inhliziyo yomntwana ngosizo lomqapha, njengoba kwenzeka ezikhathini eziningi, lapho kunesidingo sokuqapha ngokucophelela isimo somntwana.

Izinzuzo zokuzalwa kwangasese ngaphambi kokuba i-cearean yesibili

Nakani

Ukungalungi kwezidingo zangasese kuhlanganisa nezinkinga nge-perineum, okungezona wonke umuntu ongakugwema, kungakhathaliseki ukuthi kukhona i-cearean noma cha. Kukhona amathuba okuthiwa i-episiotomy, ubuthakathaka be-urethra esikhathini sokuhamba kwesikhathi, ukwelula noma ukwehlisa izindonga zangasese kanye nobuhlungu bokubeletha. Qaphela, ngisho nalawo mazwe lapho, kuwo wonke, awakhiphe kokubili kokuzalwa kwesisu emva kokuzalwa nokuzalwa ekhaya, ungancoma ukuthi ubelethe labo abanalo mlando esikhungweni esineziguli. Naphezu kokuthi izingozi zingenasidingo, odokotela noma kunjalo bacabanga ukuthi kuyadingeka ukugcina isimo somntwana kuleso simo ngokucophelela, ukuze uthathe zonke izinyathelo ezidingekayo uma kukhona usongo empilweni yakhe noma empilweni yakho.

Uhlelo Lokusebenza

Ngakho-ke, uma usuvele unesigaba se-cearean, udinga ukukhumbula amanye amaphuzu. Uma umsebenzi wangaphambilini ungaphansi kwesigamu sonyaka odlule, thintana nodokotela ukuze ubukele ukukhulelwa kwakho ngokucophelela. Ngemva kweviki lama-30 lokukhulelwa, cocisana nodokotela amaqhinga kanye nesu lokuphathwa kwabasebenzi. Uma udokotela ephikelela ekuqedeni i-cearean yesibili, xoxani naye ubufakazi, thola ukuthi kungani kungenakwenzeka ukuzaliswa kwesisu. Kusukela ngeviki lama-36, kunconywa ukuvakashela udokotela njalo ngeviki, uma kunokwenzeka, ukuqhuba izivivinyo ezengeziwe ze-ultrasound ezingu-2-3 zesimo esibuhlungu esibelethweni, isibonelo, emavikini angu-38 no-39 okukhulelwa, ukucacisa ukuhambisana kwawo. Uma umsebenzi wangaphambilini wenziwa ngonyaka noma ngaphezulu odlule, phatha ukukhulelwa kwakho ngendlela evamile, kodwa kunconywa ukuba kuqaphe isimo sesibalo esibelethweni ngesikhathi se-ultrasound ehleliwe. Uma udokotela encoma ukuthi uzame ukuzalwa ngendlela engokwemvelo, ungaziphakamisi kahle: "Kuhle njengokungathi awukho uKesariya!" Khumbula ukuthi noma yikuphi owesifazane ongase adinge ukuhlinzwa - uyokusiza ukuvikela wena nengane kusuka ezinkingeni nezinkinga ezihlukahlukene .