Ngamaphi amacala enza isigaba se-cearean?

Ukuze uqonde ukuthi yiziphi izimo ezenza isigaba sokugwema, ukuqala kuso kuyadingeka ukuthi usho ukuthi hlobo luni lokusebenza. Ngalokhu kuchazwa, lolu hlobo lokungenelela kokuhlinzwa luqondakala, lapho ukukhishwa kwe-fetus kwenziwa nge-cut cut in the wall yangaphakathi kwesisu. Yenziwa ngokusebenzisa i- anesthesia ejwayelekile noma yomgogodla.

Ubufakazi buhlukaniswe kanjani esigabeni sokudla?

Njenganoma yikuphi ukuhlinzwa okuhlinzekwayo, isigaba se-cearean senziwa ngokuqinile ngokwezinkomba. Bangaba:

• engxenyeni yomama - lapho inqubo yokubeletha iba yingozi empilweni yakhe;
• engxenyeni ye-fetus - lapho inqubo yokulethwa kuyinkimbinkimbi yengane, futhi ingabangela ukuhlukunyezwa kokuzalwa, i-hypoxia.

Ngaphambi kokutshela ukuthi yiziphi izimo ezenzekile, kubalulekile ukuphawula ukuthi kunezibonakaliso ezitholakala ekukhulelweni, kanye nalabo abavela ezinkambeni. Ngakho-ke, bahlukanisa: kuhlelwe (uma umsebenzi uhlelwe ngisho nangesikhathi sokukhulelwa) kanye nokuphuthumayo (izinkomba zivela ngesikhathi sokusebenza).

Ngabe iziphi izingxenye lapho ingxenye ye-cearean ibonisiwe?

Isigaba esivame kakhulu sokuhlelwa kwesifo se-caesarean, ngakho-ke sizoqala ukuthi sinquma ukuthi yiziphi izimo ezenziwa. Okokuqala, kungukuthi:

1. I-Placenta previa. I-placenta (indawo yengane) itholakala engxenyeni engezansi yesibeletho futhi ihlanganisa ipharynx yangaphakathi.
2. Inqola yangaphambi kwesigcawu se-placenta esivamile.
3. Ukungahambisani kwesibalo esibelethweni ngemuva kwesigaba se-cearean noma ezinye izenzo ezibelethweni.
4. Amacembe amabili nokuningi esibelethweni ngemuva kwezigaba ze-cearean.
5. I-pelvic encane ye-II-IV yokunciphisa.
6. Izicubu kanye nokukhubazeka kwamathambo aso.
7. I-fetus enkulu ehlangene nezinye izifo.
8. I-symphysitis ebizwa ngokuthi i-symphysitis. I-Symphysitis, noma i-symphysiopathy - ukuhlukana kwamathambo ashicilelo.
9. I-myoma eminingi yama-uterine ngobukhulu obukhulu.
10. Amafomu ajwayelekile we-preeclampsia nokuntuleka kokwelashwa.
11. Isikhundla esiphambene nesisu.
12. Isethulo se-pelfus of the fetus, ngokuhambisana nesisindo somntwana ongaphezu kuka-3600 g nesingaphansi kwe-1500 g, kanye nokunciphisa isikhumba.
13. I-hypoxia engapheli ye-fetus, i-fetp hypotrophy, ukuphathwa kwezidakamizwa ezingenakulungiswa.

Ngokuhlukile kuyadingeka ukuthi usho ngamacala lapho ama-ceareans enziwe nge-double. Ngokuvamile, lokhu kungukuthi:

1. Inani elikhulu lezinkinga ngesikhathi sokukhulelwa noma kokubeletha.
2. Uma izingane zinezethulo eziphambene noma ze-breech.
3. Ukuba khona kwesigaba se-caesarean emlandweni womama.
4. Isisindo esincane sabantwana.
5. Ukukhulelwa emva kokungabikho.

Uma sikhuluma ngesikhatsi esiphuthumayo senziwa ingxenye ye-cearean, yilokhu:

1. I-pelvis encane emitholampilo, - ukungafani phakathi kwekhanda le-fetus nekhanda lomama.
2. Ukukhishwa kwangaphambi kokushisa kwe-amniotic fluid kanye nokungabi khona komthelela wokungeniswa.
3. I-Anomalies yomsebenzi womsebenzi ongakwazi ukuguqulwa.
4. I-hypoxia enhle ye-fetus.
5. I-Detachment ye-placenta evamile noma ephansi.
6. Ukwehluleka noma ukuqala kokuqedwa kwesibeletho.
7. Ukwethulwa noma ukwehla kwensimbi yomlomo.
8. Ukungeniswa okungalungile kwekhanda le-fetal.