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.
- Uma i-cearean eyedlule yayiyi-corporal (yenziwe ngokuchotshozwa okuqondile kusukela esibelethweni kuya kwinkaba, futhi ingenasigxathu engxenyeni engezansi yesibeletho), ngakho-ke lokhu akuyona into ephawulekayo - isibonakaliso se-cearean. Isigaba esinjalo sisetshenziselwa izimo ezimbi kakhulu: uma ingane isesibhedlela ngokuvundlile, noma uma ingavamile kakhulu, noma nganoma yisiphi esinye isizathu sokulethwa kwezimo eziphuthumayo (isb., I-prolapse ye-umbilical cord, i-hypoxia e-fetal ekhululekile).
- Isimo sobunzima esibelethweni (ngokusho kwe-ultrasound). Ukwesaba kufanele kube ikakhulukazi kwesakhiwo esihambisanayo, ngaphandle kwe "niches", ukungena kanye nokukhubazeka. Ubukhulu besibalo emavikini angu-38-39 - hhayi ngaphansi kwama-4 mm.
- Indawo engalungile yengane esibelethweni. Esikhundleni esiphambene naso, ukulethwa kwesisu kungenakwenzeka, ngesethulo se-pelvic - akuvunyelwe, uma kukhona i-cearean ku-annesnesis.
- Ukungatholakali komsele wokuzalwa. Ngokuvamile, ukuvuthwa komlomo wesibeletho akukwenzeka ngenxa yokungavumelani kwesibindi esibelethweni.
- Ukuqhathaniswa kokubeletha kwemvelo ngemuva kwe-cearean kuyisisu esikhulu: isisindo somntwana nge-ultrasound akumele sidlule u-3800.0 g.
- I-cesarean emibili noma ngaphezulu. Uma izibhamu zisanda kubelethwa, kuphakama ingozi yezinkinga. Ngokuyinhloko, ukuhlukaniswa kwe-placenta kungaba nzima, uma "ikhula" ibe yicala, kunengozi yokuhlukana komcibisholo ohlelweni lokulwa.
- Indawo ephansi noma isethulo se-placenta. Kulesi simo, njengomthetho, kunconywa ukusebenza, njengokuzalwa okuvamile i-placenta enjalo ingakwazi ukukhipha amandla, okuzoholela ekulaleni komzimba we-oxygen. Uma ungenalo uphawu lwezokwelapha lwe-cearean yesibili, unqume ukuthi uzama ukubeletha ngokwemvelo.
- Kunesizathu sokuthi kungani usebenze ngesikhathi sokugcina. Isibonelo, une-detinal detectment, futhi ukucindezela kwamehlo okwandayo emizamweni kungase kubize amehlo akho.
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
- Uyothola ngokushesha ukuma. Kuzokuba lula kuwe ukuthi unakekele ingane futhi uzikhonze.
- Ukuzalwa ngokwemvelo kusiza ingane ukuba isebenze izinqubo zokuphila ezisebenzayo, isibonelo, ukuphefumula.
- Ekuzalweni kwesifazane, ingozi yokutheleleka iphansi kakhulu.
- Uzokwazi ukubuyela ekhaya ngesonto ngaphambili, futhi ngeke kudingeke ubheke isibazi endaweni ye-bikini.
- Uma kwenzeka ukuthi lesi sigaba se-cearean senziwa ngaphansi kwe-anesthesia ejwayelekile, awukwazi ukubona ngokushesha ingane, usethe uxhumano nayo futhi uyinamathisele esifubeni, okuwusizo empilweni yezinhlanzi kanye nesisu sakho ukuba sijwayelekile esikhathini sokuhamba kwesikhathi.
- Ukwehla ngokweqile kwesibeletho kwandisa izinga lokubeka ingozi ezinganeni ezalandela futhi kunciphisa amathuba okuba kungenzeka ukuthi uzalwe ngokubeletha.
- Njalo kunzima ukuchitha ngaphandle kokuyingozi empilweni. Kukhona abesifazane ababeletha izingane ezintathu noma ngaphezulu nge-caesarean, kodwa lokhu ngezinye izikhathi kuholela ekusenikeni kanye nesidingo sokudlulisa igazi, nokususwa kwesibeletho kungadingeka.
- Noma yikuphi ukusebenza kwe-cavitary kuholele enkambeni yokuhamba. Lokhu kusho ukuthi izicubu zezingaphakathi zangaphakathi zihlanganiswe ndawonye, ezivimbela ukuhamba kwazo futhi zingabangela ubuhlungu obukhulu. Ezimweni ezingavamile, ama-spikes angase avele emathangeni amathanga, angabangela izinkinga zokukhulelwa. Akunandaba ukuthi kufanele uphinde ubaleke noma uzobeletha ngokwemvelo - ingane kufanele ivele ekukhanyeni njengoba kuyoba iphephile kuye nangempilo yakho.
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 .