Izinkomba zesigaba sokudla kwezidakamizwa zichazwe emiphakathini ekhethekile, egcinwe ngokucophelela yizidakamizwa-izifo zokwelapha futhi zivumela ukugwema ukuzimela kwezokwelapha. Banganqunywa ngisho nangesikhathi sokukhulelwa yi-gynecologist yokubonisana komuntu wesifazane, owesifazane ulungiselela ukuhlinzwa okuhleliwe, uyakhanjelwa esibhedlela kusengaphambili, ahlolwe esibhedlela sokubeletha, kanye nodokotela banquma usuku lokusebenza futhi balinde ukubukeka kwengane emhlabeni. Kodwa futhi kunezibonakaliso ekubelethweni, lapho inkinga yokulethwa kokusebenza inqunywa esibhedlela sokubeletha, futhi ngokuvamile kulelo gumbi lokulethwa.
Izinkomba zokulethwa okuhleliwe okuhleliwe yizi:
- Previa ephelele;
- isethulo esingaphelele se-placenta ngokuphaphama okumakwe;
- inqola ngaphambi kwesikhathi esisezingeni elijwayelekile elisendaweni ephazamisekile ephazamisekile noma ephazamisekile yokubeletha komntwana;
- ukungahambisani kobuhlungu esibelethweni ngemuva kwesigaba sokudla noma ezinye izenzo ezibelethweni;
- ngaphezulu kwezibazi ezimbili esibelethweni;
- isikhundla esiphambene nesisu;
- isethulo sangasese se-fetus ngokubambisana nekhanda elingenalutho, nesisindo somntwana ongaphezu kuka-3600 g nangaphansi kuka-1500 g noma ngezinguquko zesimo sekhanda;
- amawele ahlangene;
- isethulo se-pelvic noma isikhundla esiphambene nesisu sokuqala ekukhulelweni okuningi;
- Amabele amaningi (izithelo ezingaphezu kwezingubili);
- i-hypoxia engapheli yesisu, i-hypotrophy ye-fetal, ukwelapha izidakamizwa ezingenakulungiswa;
- i-pelvic encane ye-II-III degree of constriction, i-tumor noma ukukhubazeka kwamathambo e-pelvic, isimo ngemuva kwe-hip nokusebenza kwe-pelvic;
- ukungalungi kwesibeletho nesiswini;
- Izicubu zomlomo wesibeletho, ama-ovari kanye nezinye izitho zomgodla we-pelvic, evimbela umsele wokuzala;
Umdlavuza we-extragenital, ama-fibroid amaningi amaningi wesayizi;
- ukunciphisa umlomo wesibeletho kanye nesiswini somzimba, i-cicatrix ku-perineum ngemuva kokuqeda ukuhlukana kwezinga lesithathu ngokuzalwa kwangaphambili;
- I-varicose imilenze ebizwa nge-vaginic and vagva;
- ukukhushulwa kwe-herpesvirus ukutheleleka kwegciwane lesisu;
- in vitro fertilization nomlando obunzima-obstetric-gynecological;
- Isikhathi se-primipara sineminyaka engaphezu kwengu-30 ubudala ngokubambisana ne-obstetric and extragenital pathology;
- ukungapheli isikhathi eside emlandweni kuhlangene nezinye izici ezikhulayo;
- izifo ze-hemolytic ze-fetus lapho zingabonakali zokubeletha ezingakalungi;
- ukudluliselwa noma ukuthwala ukukhulelwa ngokungabi khona komphumela kusuka ku-rodostimuljatsii;
- izifo ezinzima zesifo senhliziyo, isisindo;
- izinga eliphezulu le-myopia;
- izinhlobo ezinkulu ze-pre-eclampsia ngokungabikho komphumela wezokwelapha kanye nama-birthmarks angakalungi (lesi sibonakaliso singabhekiswa ekubonisweni kokubeletha - konke kuxhomeke ekupheleni kwesikhathi sokubeletha lapho owesifazane okhulelwe etholakala khona nalokhu).
Izinkomba zokulethwa kwezidakamizwa emsebenzini (ngokuvamile ukuhlinzwa okuphuthumayo):
- Isikhumba esincane emitholampilo;
- ukukhishwa kusenesikhathi kwe-amniotic fluid nokuntuleka kokuvuselela isigqi;
- ukungavamile kwemisebenzi yomsebenzi engasebenzi kahle kwezokwelapha;
hypoxia e-fetal ekhululekile;
- Idokodo le-placenta ejwayelekile noma ephansi;
- ukusongela noma ukuqedwa kwesibeletho;
- isethulo kanye nokwehluleka kwezintambo zomtholo wezintambo ngezimpawu zokuzalwa ezingakalungi;
- Ukungena okungalungile kanye nesethulo senhloko ye-fetal (yangaphambili, ukubuka kwangaphambili kobukeka, ukubuka kwangemuva kokuma okuphezulu kwe-suture emise imicibisholo);
- isimo sokudabuka noma ukufa okungazelelwe komama ekusebenzeni nge-fetus ephilayo.
Ngaphezu kwemibono yokuhlinzwa, kunezimo ezirekhodiwe zokufeza isigaba sokugcina: i-fetus ephilayo (kwezinye izimo, lapho kudingeke ukulethwa okuphuthumayo, ukubambezeleka okuyinto kusongela impilo yowesifazane ngokwayo, le nkinga ayigcinwa), imvume yowesifazane ukuhlinzwa (uma owesifazane eyazi) izinkinga ze-purulent-septic.
Akusho ngaphandle kokuthi umama nengane, ukuzalwa kwemvelo, ukubeletha ngokomzimba kungcono kakhulu. Isigaba se-Caesarea, okokuqala, njenganoma iyiphi i-laparotomy, njenganoma iyiphi i-anesthesia, ingozi enkulu yengane. Okwesibili, lokhu kuyisikhathi eside esilandelayo, okubandakanya ukwelashwa okunamandla kakhulu, ukudla, izinkinga ngamathumbu, suture e-postoperative. Futhi, mhlawumbe, inzuzo kuphela phezu kwezidingo ukuhlukumeza kwenqubo ngokwayo, ngenxa yokusekela okunomsoco okwanele. Kodwa ... kumele ngikubonge amadoda ahlakaniphile asendulo, abambe isigaba seKhesariya, ngaleli thuba lokubeletha impilo enempilo nokubaluleke kakhulu - ingane ephilayo futhi ngesikhathi esisodwa ukugcina impilo yomuntu siqu. Futhi ngenxa yezidakamizwa zesimanje-izazi zezinkinga zomzimba ezenqaba ukwelashwa kwe-cavitary ngenhloso yokulethwa kokusebenza, okuyinto eyanciphisa kakhulu inani lokulimala kokuzalwa kwabantwana abasha.
Ngakho-ke, njengesiqubulo esivelele saseSoviet esithi "U-Motherland uthe - kuyadingeka, uKomsomol waphendula -", "uma unamacala okuhlinzekwa kwezingane, kufanele uvumelane futhi uzame ukuzola futhi ukholelwe ukuthi konke kuzodlula ngaphandle kwezinkinga.
Ukulethwa okuphumelelayo !!!