Lesi simo sivamile, hhayi lapha kuphela, kodwa nakwamanye amazwe. Kunzima ukuchazela isazi esivumelwaneni sakhe esisekelwe esimweni esihle, kungani umama "esithatha ekhanda" ukuze abelethe ngokuzumayo, ikakhulu lapho enethuba elilindelekile lokugwema ubunzima bokubeletha. Futhi uma owesifazane ene-anamnesis, hhayi eyodwa, kodwa eminye imisebenzi engaphansi kwe-cearean, ubheka "njengenkosikazi encane", "okuyizinto zonke ezingenangqondo eziza engqondweni." Kuchwepheshe, ukucwaninga nokucabangela ukuphendula impendulo yombuzo othi kungani owesifazane efuna ukuzala emva kokusebenza ngokwakhe, esimweni ngasinye kuzomsiza ukuba aqonde iklayenti lakhe njengomuntu. Futhi ngokucaciswa komama esikhathini esizayo kanye nokuchazwa kwabanye abantu ngezinhloso zabo kuyoba ukuvivinya okuhle "kokuhlanzeka" kwezinhloso, lapho izinkolelo zezingane zizokhulelwa, zinikeze izinqumo ezivuthiwe nezilinganiselayo.Ukuzalwa okulandelayo emva kwesigaba se-cearean yisihloko salesi sihloko.
Nasi uhlu olungaphelele lwemibuzo ezokusiza ukuba uqonde izisusa eziqondisa owesifazane.
♦ Yiziphi izilingo ezivela ekuzalweni kokuqala (ngaphambi kokusebenza kwesigaba se-cearean)?
♦ Ngisiphi isizathu (ukwelashwa, inhlangano, kwengqondo) yenziwa?
♦ Ukubuyiselwa komama nangokwengqondo kwaba kanjani emva kokuhlinzwa?
♦ Wazizwa kanjani (i-Apgar score, izici zezempilo nezentuthuko)?
♦ Umntwana wakhula kanjani, ubuhlobo bakho bukhula kanjani?
♦ Kungani kungaba khona ukungabaza ngokufaneleka kokukhethwa kwamaqhinga okuzalwa kokuqala?
♦ Yini ekuhehayo ukuthi kungenzeka ukubeletha kwemvelo (wena kanye nemvuthu)?
Ukuzindla ngale mibuzo, kungabonakala ukuthi ezithandathu zokuqala zihlobene nokuhlangenwe nakho komuntu wesifazane, futhi umbuzo wokugcina ungaphandle kwenkambu yokuhlangenwe nakho kwakhe. Uma isifiso sokubeletha kwemvelo singathembeli ekuhlaziyweni okubucayi okubucayi kokuhlangenwe nakho kwakho, kunengozi yokuwa ngaphansi kwengcindezi yombono womunye umuntu. Ezincwadini ezithandwayo naku-intanethi kunolwazi oluningi mayelana nokwenzeka kokudiliva ngemuva kokusebenza, izinzuzo zalolu khetho kumama nengane zichazwe ngokuningiliziwe, kodwa cishe akukho lwazi oluvela kubachwepheshe abamukela ukuzalwa okunjalo. Ake sizame ukudweba isithombe esiphelele ngokwengeziwe, sigxile ezintweni ezinhle kanye nokuziqhamuka kokuzalwa okuzimele ngemuva kokususa.
Izinzuzo ...
Ngokusho kochwepheshe, abesifazane abangama-60 kuya ku-85% abanesigaba se-cearean bangakwazi ukuzala ngokuzimela. Kusho; ukuthi kukhona imitholampilo kanye nochwepheshe abangakwazi ukuhlangabezana nesifiso somama esizayo futhi bamsize ukuba abelethe ngemva kweKesariya. Kunezikhungo zokulungiselela ukubeletha, lapho ziqhuba umsebenzi onenjongo (ukuxilonga, ukuvimbela nokuqeqesha) nabesifazane abanomlando wesigaba sokudla. Ukubeletha kwemvelo kuvumela ukuthi umama abone yonke inqubo yokubukeka komntwana kusukela ekuqaleni kuze kube sekupheleni. Ukuqaphela indima yabo ekubelethweni nasekuqondeni okwenzekayo ngalesi sikhathi nomntwana, kunomthelela ekuthuthukiseni isikhundla sabazali abanomthwalo wemfanelo. Kodwa ngaphandle kokuqaphela nokuqonda, ukubeletha kwemvelo yedwa akusona isiqinisekiso sokuthuthukisa izimfanelo ezibalulekile kubazali! Ngakolunye uhlangothi, ukubeletha kwemvelo kugwema isikhathi sokubuyiselwa isikhathi eside futhi esibuhlungu ngemva kokuhlinzwa kwesigaba. Ngakolunye uhlangothi, abanye besifazane ababeletha ngokusebenzisa umthamo wokuzala ongokwemvelo abaqinisekisiwe ngokumelene nesidingo sokuphumula ekubelethweni, njengoba kunezifo zokutheleleka emisebenzini, ukulahleka kwegazi okukhulu, i-sutures eyinkimbinkimbi, ukuhlukumezeka emgodini wokuzalwa. Ngezinye izikhathi ingozi yokuhlinzwa okuphindaphindiwe iphakeme kunokuba kungenzeka ukubeletha kwemvelo, ngokwesibonelo, esimweni sezifo ezinzima eziqhubekayo zomama (njengombuso, kusobala kowesifazane yena nodokotela wakhe). Esinye sezizathu ezicindezelayo abesifazane abaphikisana nesifiso sabo sokubeletha sithonya le "indlela engavamile" yokuzalwa ekubunjweni komlingiswa wengane.Ngokwezinye izizathu kukholelwa ukuthi "abantwana bakaKesari" banamahloni, bathambekele ekuthembekeni isikhathi eside kubazali, ekucindezelekeni futhi kunzima ukubhekana nezinkinga zokuphila.
Kuningi lokubonwa kwemibono yezengqondo ezisebenzayo, eziqinisekisa leli phuzu. Ngakolunye uhlangothi, kunezibonelo ze "Caesarea" ezingapheli ngaphansi kwesimo esinjalo, okusho ukuthi akuyona into enkulu ngokwayo njengendlela yokukhulisa kanye nesimo sakho sengqondo ngokuqondene nengane. Ngakho-ke, kunezindlela zokulungisa imiphumela yalendlela yokubukeka kwengane kuya ekukhanyeni, futhi kungamandla omzali bakho.Ukuhlela ukuzalwa kwemvelo esimweni esinzima kangaka kudinga owesifazane onesibindi esikhulu. Kudingeka aphikisane nokukhetha kwakhe, aphikelele ekufuneni ochwepheshe, azwele umzimba wakhe y, ukuze bakwazi ukulondoloza isimo sengqondo esihle ubugqili, naphezu zonke izinhlobo "horror izindaba", siyozimisela nezinye izimfanelo ezibalulekile. Enkonzweni yokulungiselela ukubeletha, kudingeka ufunde ukuphumula kahle emotweni bese uzidonsa kahle. Ekuzalweni, ngaphezu kwamakhono amakhono adingekayo owesifazane osemsebenzini, owesifazane obeletha ngemuva kwesigaba seKhesariya udinga amakhono okuzibonela njalo, ukuxhumana okuhle nochwepheshe, ikhono lokufaka ngokushesha zonke izinsiza zakhe ezingokwengqondo nezomzimba ukuze anqobe izikhathi ezinzima. Yiqiniso, ukuthola okuhlangenwe nakho okunjalo ngokuzenzakalelayo kuthatha isigaba "hero", okwenza iminyaka eminingi amandla ephawulekayo ukuba umama omuhle.
... Futhi u-cons
Kusukela ku-15 kuya ku-40% kwabesifazane abahlinzwa ngokuhlinzwa kwe-Caesarea abakwazi ukubeletha ngokusebenzisa izizinda zokubeletha zemvelo, ngoba banokuphikisana okuphelele ekuzalweni kwesifazane. Ngokusho kochwepheshe abaningi abahola ukuzalwa okunjalo, umtholampilo kufanele ube ne-anesthesiologist yayo yokuqhuba ukubeletha kwemvelo kwabesifazane abanekhanda esibelethweni. Akuwona wonke amadolobha namakhaya okubeletha anethuba elinjalo. Ngayo yonke imibono evamile yokuzalwa kwesifazane, ukusebenza ngemuva kokusebenza kufanele kuhambe ngaphandle kwemithi. Okusho ukuthi kufanele kube ngokuzalwa ngokwemvelo, kungenjalo ukuphikisana nokuqedwa kwabo kungenzeka ukuthi kwenzeke phakathi nenkambo yabo. Ukuvela kwama-contraindications angakapheli ngesikhathi sokubeletha kungamangaza owesifazane oye walungiselela ukubeletha kwemvelo isikhathi eside, kodwa usuphinde wathola ukungenelela okuhlinzekwayo. Ngezinye izikhathi kubangelwa izimo eziningana ezingezansi ezingokomzwelo ezingokomzwelo eziphazamisa umama isikhathi esithile ngemuva kokuzalwa kwengane ukufeza ngokwanele imisebenzi yakhe yomama. Esikhathini sokulethwa ngokwaso, owesifazane ngezinye izikhathi akakulungele ukuqapha njalo, ukuhlolwa kwangaphakathi kokutholakala kobunzima kanye nokunye ukuphathwa kwezempilo okungalindelekile. Izici zezwe kanye nomuzi, futhi, shiya umshicilelo esimweni sengqondo kulokhu okuhlukile kokuzalwa. Ngeshwa, ezweni lakithi lokhu kusengumsebenzi onobungozi obungenangqondo emehlweni eningi. Nasi plan esivumelanayo evumela ukuthi ulungiselele ngokwanele ukuhluka okunjalo kokuzalwa:
1. Qonda isizathu sokusebenza kwangaphambilini: kwakungenzeka yini ukwenza okuthile ukuzala ngokuzimela: ingozi enkulu yokuzalwa okuzimele: yini eyayisemandleni akho ukushintsha isimo.
Thola ikhaya lokubeletha kanye / noma ochwepheshe abahlobene kahle nokuzalwa okunjalo.
3. Thola ochwepheshe abangaphathwa ngokuphepha ngokuthola ukonakala kwesibeletho, indawo ye-placenta kanye nezinga lokunciphisa isikhumba. Uma ukuxilongwa kungabaza, hlola omunye ochwepheshe ozimele. Khetha izinkomba zakho kanye nokuchasiswa kwakho.
4. Thola umsizi ekubelethweni ophethe (noma okwazi ukukwenza) amasu okungahambisani nezidakamizwa kanye ne-anesthesia. Lungiselela ukubeletha ndawonye.
5. Yenza uhlelo lokubeletha, ukuxoxisana nomsizi, udokotela nombelethisi. Uma kunesidingo, lungisa.
6. Xoxa nodokotela ukuthi kungenzeka ukugwema umsebenzi, ukugqugquzela, ukuhlinzekwa kwezinzwa nokuqapha okuqhubekayo, okungenza kube nzima ukwenza umsebenzi futhi ukwandise isidingo sokuhlinzwa.
7. Kuyinto efiselekayo kakhulu ukusebenzisana nesazi sengqondo. Kubalulekile ukwakha isimo sokucabanga esicacile, esicabanga ngokuphathelene nazo zonke izimo zokukhulelwa kwangaphambili nokubeletha kanye nesimo samanje. Futhi okubaluleke nakakhulu ngumsebenzi onemiqondo engafanele nokuhlangenwe nakho okuvela kulolu phiko oludlule nolwamanje. Imizwa yecala, intukuthelo encane, intukuthelo nokufutheka, isifiso sokufakazela okuthile komunye umuntu - hhayi abangane abangcono kakhulu besifazane okhulelwe ekulungiseleleni kwakhe ukubeletha.
8. Ukuze ulungiselele ngokugcwele, kubalulekile ukuthi ushiye izinhlelo zakho indawo yokumangala. Ukufundisa ingane ukuthanda impilo kungenzeka nganoma iyiphi indlela yokubukeka kwayo. Ukulungela ukungalindelekile kuzosusa ukulawula ngokweqile, kusize ukuthembela esimweni futhi ungazizwa udangele nezinguquko esimweni sayo.
Sebenzisa kumbugs
Ngezinye izikhathi, hhayi ukuphikisana kwangempela, kodwa isimo sengqondo somphakathi siholela abesifazane ukuba bakwazi ukubeletha ngokuzimela. Futhi njengoba izithiyo ezithinta izinkolelo zamasiko ngezinye izikhathi zivele zingenakunqotshwa ("Ngakho-ke ayamukeleki!"), Kubalulekile ukuthi abazali baqonde ukuthi imiphumela engenzeka engqondweni yengxenye yokugaya ingane ingavinjelwa futhi ilungiswe.Ezikhungo eziningi zokulungiselela ukubeletha, ochwepheshe abasebenza ngokululekwa komndeni esikhathini esilandelayo, futhi abaningi babo banezindlela ezidingekayo.
Ukusiza abazali kanye nezingane ngemuva kokusinda:
♦ ngesikhathi esifanele ekwazisa ngokukhethekile kwezingane "zaseKhesariya";
♦ ukuxilongwa kwamaphuphu ngabanye;
♦ ukukhethwa kwezindlela zokuvuselela nokuthuthukiswa kwengane kanye nemfundo yabazali;
♦ Izinguquko zengqondo ezingenayo ukuveza isimo sengqondo somzali kwengane.
Lapho abazali behlakulela isimo sengqondo esibucayi nesibophezelo kwengane, bafuna intuitively noma ngokuqinisekile ukuthola indlela efanele. Futhi ngisho nesazi sezobuchwepheshe ngeke sithole imiphumela "yokungajwayelekile" ukuzalwa kwengane. Ngokuvamile, impilo ngokwayo ihlangabezana kahle nemisebenzi yezemfundo, umuntu kufanele aqaphele lezi zifundo.Noma ngabe yikuphi, umzamo (ngisho ohlulekile) wokuzalwa ngokwemvelo ngemva kokusebenza kwesigaba seKesariya kuyahlonishwa, njengoba kubonisa isimo sakho sengqondo sokuziphendulela ngendima yomama. Lokhu kukuhlukanisa kusukela ohlangothini oluhle kunazo zonke, futhi noma ngabe into ekubelethweni ihamba kabi kodwa nokho kufanele usebenze ekuhlinzekeni, uzobe usumama omuhle Mine!
Izincomo zabazali "eKhesariya":
• Yakha isimo esingokomqondo esingcono kwengqondo ezungeze umntwana ukudala ithemba lakhe emhlabeni (ukubeka ngendlela enengqondo umbuso, ukuncelisa, ukuhambisana okwanele nengane).
• Ukucabangela amathuba ambalwa, ukwandisa umbandela wokumelana neziqu zokucindezeleka ngosizo lokuzikhandla ngokomzimba (ukubhukuda, ukubhusa, ukuqina).
• Yakha izimo zomntwana okhulayo, lapho angafunda ukunqoba izithiyo ngokwakhe (ukukhwabanisa, ikhono lokuhlanganyela ekwindla, ukuthuthukiswa kwamakhono okuhamba ngaphandle kokusebenzisa umkhawulo).
• Ngokucophelela futhi ngesikhathi esifanayo ushintshe ubuhlobo phakathi kwakho nomntwana oneminyaka yobudala, ngaphandle kokunamathela esigabeni sokulalela, lapho ekhule ngokwanele.
• Phatha kahle izinkinga zeminyaka. Yiba nezingane ngokuyinhloko ngalesi sikhathi.