Ukulinda umntwana kuyisikhathi esimnandi futhi esithakazelisayo, ikakhulukazi uma kwakudingeka ukubeletha okokuqala ngosizo lokusebenza. Isifiso sokukhiqiza ingane yesibili yedwa sibhekene nabesifazane abaningi abazobe besomama futhi. Ingabe ingozi ibalulekile?
Ekuqaleni kokukhulelwa okuphindiwe ngemuva kokubeletha, umama ozayo uzokwazi ukubhalisa ngokubonisana komama futhi ngokushesha utshele udokotela ngemizwa yakhe ngokuningiliziwe. Omama abaningi abaye bahlinzwa iphupho lokukhiqiza ingane yesibili ngezindlela zemvelo.
- i-placenta previa (indawo ye-placenta ezingxenyeni eziphansi zesibindi, okuvame ukuholela ekusenikeni);
- ingrowth ye-placenta emzimbeni wesibeletho esifundeni se-cicatrix;
- ukuqeda okuzenzekelayo kokukhulelwa.
Ngakho-ke, kudingeka uqaphele ngokukhethekile ngempilo yakho, zilalele futhi ngezibonakaliso ezincane ezisolisayo xhumana nodokotela wakho. Khumbula ukuthi isiqinisekiso sokukhulelwa okuphumelelayo nokudilizwa okuphephile ubuhlobo obuthembayo nodokotela wakho wezifo-gynecologist. Kubalulekile ukubuka udokotela onolwazi ovumela ukuzalwa kwemvelo futhi uzokusekela ngesifiso sakho sokuzala umntwana ngokwakho. Ngendlela, odokotela abanjalo baqhubeka beqhubeka. Uma nje eminyakeni engama-20 eyedlule phakathi kwabesifazane bezinkinga zokubeletha kwakusakazeke: "Uma isigaba se-cearean ngaso sonke isikhathi siyisigaba sokugcina", manje odokotela abaningi ababheki isibeletho ukuphikisana nokubeletha kwemvelo.
Ukulethwa kwemvelo emva kokuhlinzwa kuyingozi yokuzalwa. Ingozi ikhona lapho kungenzeka khona ukuhlukana kwe-suture esibelethweni, lapho kwenzeka ukwehluleka ukunikeza usizo olufanele ngesikhathi esifanele kungaholela emiphumeleni enhle kakhulu. Ngenxa yalesi sizathu, ngokuzikhandla, abesifazane abanesifo esibelethweni odokotela abaningi isikhathi eside babengavunyelwe ukuzala kuphela. Manje kwezinye izindawo zokubeletha ukuzalwa kwemvelo kwenziwa ngokuphumelelayo. Imishini yesimanje kanye nezindlela zokuxilonga kwenza kube lula ukubhekana nomphumela omuhle, unike umama ithuba lokuzwa injabulo yokuzalwa kwengane ngendlela engokwemvelo ehambisana nemvelo ngokwayo. Ngesikhathi esifanayo namuhla abanye odokotela babheka ukuzalwa kwemvelo emva kokupheka nokuphepha kunomsebenzi wesibili. Ngemuva kokusebenza, izitshalo zangaphakathi zomzimba ziphazamiseka.
Esikhathini sokudla kwesisu, isisu esihamba phambili (esinqunyiwe) esinqunyiwe senziwa kaningi. Kule nkinga, ubuchopho buvame ukuvuthiwe kunokuba kusetshenziswe umshini wokulinganisa. Ukuze uthole ukuphulukiswa okuphelele kwe-suture esibelethweni, ukubuyiswa komsebenzi walo wokuzala futhi kungenzeka ukuthi ukubeletha kwemvelo kuyadingeka okungenani iminyaka emibili emva kokusebenza. Kodwa-ke, ukukhulelwa okuphindaphindiwe akufanelekile, futhi kuzohlehliswa isikhathi eside: eminyakeni emihlanu kuya kweyisithupha emva kwesigaba se-cearean, isibazi "siyokhuni" futhi silahlekelwe ukuqina. Isimo se-suture esibelethweni sincike enhlotsheni yamathambo avela kuyo:
i-tissu ye-muscle ehlangene iphikisana nemithwalo ephakeme, futhi izicubu ezixhumene endaweni engasenalo ikhono lokwelula, zingase zivele kalula - ekukhulelweni kwekwephuzile, ekubambeni noma emsebenzini. Leli gama elithi "ukuhlukanisa okuyingxenye yesikhumba" libhekisela esimweni lapho ingxenye yomcengezi iqala ukungena khona. Uma kunjalo, ukuqhutshwa kwezidingo zemvelo akunakwenzeka, ukulethwa kwezimo eziphuthumayo kuyadingeka ngokusebenza ngokuphindaphindiwe .Uma ukuhlukaniswa kwemikhumbi kwenzeka, udokotela onolwazi wenza ngokushesha umsebenzi wokusebenza, okusiza ukuba abelethe ingane futhi hhayi ukunqanda owesifazane ithuba lokukhulelwa futhi esikhathini esizayo.