Ngalinye isikhathi isigaba sesibili sokugodla?

Ngokuvamile, ngenxa yezizathu ezihlukahlukene, owesifazane akakwazi ukubeletha ngokwemvelo. Bese basebenzisa isigaba sokudla. Uma kwenzeka lokhu sekukhulelwa okwesibili ngemuva kokuba sekuvele kutholakale ukuthi umuntu olahlwe yilapho esesitholile, khona-ke kuningi lamacala, ukuhanjiswa kwenziwa kanye. Ngakho-ke, kuyinto evamile kwabesifazane abaye baqala ukusebenza okufanayo ukuthi babuze mayelana nosuku lapho ingxenye yesibili yeKhesari yenziwa khona nokuthi isikhathi sithatha ukuziphatha ngaso sincike.

Yisiphi isikhathi se-cearean yesibili?

Ngaphambi kokuqaphela isikhathi esingakanani sokuqhuba isigaba sesibili sokugcina, odokotela kudingeka bathuthukise amaqhinga okwenza lokho kusebenza. Ukwenza lokhu udinga:

1. Ukuze kuhlolwe ubude odongeni lwesibeletho, esasala ngemuva kokubeletha kokuqala. Kulezo zimo lapho ukukhulelwa kwenzeka eminyakeni engaphezu kwengu-3 emva kokuzalwa komntwana wokuqala, ukungenelela okuhlinzekwa ngokuhlinzeka ngokuphindaphindiwe kuyadingeka.
2. Ukuze kucaciswe nomama wesikhathi esizayo, kungakhathaliseki ukuthi kwakukhona isikhathi phakathi kokukhulelwa kokuqala nokukhulelwa okuphindaphindiwe kokukhipha isisu noma ukungenelela okuhlinzekwa emgodini wesibindi. Isibonelo, ukwenza okwenziwa nge-endometrium kubucayi kakhulu isimo se-scar uterine.
3. Ukunquma inani lezithelo ekukhulelwe okuningi, kanye nendawo yabo esibelethweni kanye nohlobo lwesethulo. Njengoba kuyaziwa, uma kwenzeka ukukhulelwa okuphindaphindiwe, ukwanda kwamadonga okubeletha kwenzeka, okubuye kube nomthelela omubi esimweni sobunzima.
4. Futhi, kulawo maqembu lapho i-placenta ifakwe esibelethweni esifundeni sokungeniswa kwangaphambilini, ukungenelela kokuhlinzwa kuyindlela kuphela yokuletha, ingozi yokukhulelwa kwesibeletho iphezulu.
5. Kulezo zimo, lapho ukuzalwa kokuqala kwenziwa isigaba somthetho, ukubeletha kwesibili kufanele futhi kwenziwe ngesigaba sokudla.

Ukucabangela zonke izici ezibalwe ngenhla, odokotela banquma ngesikhathi sokusinda. Uma sikhuluma ukuthi isikhathi esilandelayo sesibili sokwenza ama-ceareans okhethiwe siphila isikhathi esingakanani, ngakho-ke, njengoba umthetho, lo msebenzi uqokwa amasonto amabili ngaphambi kwesikhathi sokuqala. Ezimweni eziningi, lokhu kungamaviki angu-38 okukhulelwa. Kuze kube manje emzimbeni wengane iqala ukwenza isakhi se-surfactant, esenza kube lula ukusabalalisa amaphaphu ekuphefumulweni kokuqala.

Yiziphi izingozi ezihlobene nesigaba sokuphinda siphendu?

Lapho eqhuba ukuphindaphindiwe okunjalo, odokotela kumele bacabangele iqiniso lokuthi ezimweni eziningi, emva kokuqala kwe-cearean, inqubo yokuthungatha iyenzeka emzimbeni wesifazane . Lesi simo sinzima nakakhulu inkambo yokusebenza, futhi sandisa ubude bayo, ngoba Ukufinyelela kwesibeletho kungavalwa ama-spas akhiwe phakathi kwezitho zomzimba.

Ukwengeza, ngezinye izikhathi, uma sekuqediwe ukhetho lwesibili olukhethiwe, kukhona ukuthuthukiswa kokuphuma kwegazi esibelethweni, okuyinto enzima ukumisa. Ezimweni lapho ukulahlekelwa igazi kuphakeme, odokotela banquma ukususa isitho sobulili, ukusindisa impilo yomfazi.

Akufanele kukhohliwe ukuthi ekufezeni i-cearean, i-fetus ivuleleke engozini enkulu. Imithi esetshenziselwa i-anesthesia ngandlela-thile inomthelela kumntwana, ikakhulukazi uma ngesizathu esithile ukuhlinzwa kubambezelekile (isethulo esingalungile, ikhanda lingaphandle kwesikhumba esincane, njll).

Ngakho-ke, kungashiwo ukuthi incazelo yokuthi owesifazane uzobe ethatha isikhathi eside kangakanani ukwelashwa yi-secondare ye-elearean ehleliwe ixhomeke kwizinto ezibalulwe ngenhla. Kulesi simo, njengomthetho, owesifazane ufunda kusengaphambili mayelana nosuku lo msebenzi, tk. Ukuze ulungiselele, futhi, kuthatha isikhathi.