Namuhla, abesifazane abaningi ngokwengeziwe ngemuva kokuhlinzwa noma ukuyeka lesi sibeletho basuke benesibalo. Lapho udonga lwesifazane wesisu selulwa, ukuphulukiswa akufiki ngokushesha. Lesi senzakalo senziwa kancane kancane, ngakho-ke kubalulekile ukuvakashela udokotela njalo ukuze aqaphe isimo sesibalo.
Ukukhulelwa kulesi simo kungenzeka, kodwa uma owesifazane enesibindi esibelethweni sakhe ngesikhathi sokukhulelwa, kuyadingeka ukuba anakekele impilo yakhe ngokucophelela futhi azame ukwenza umonakalo isikhathi eside ngangokunokwenzeka. Kulaba besifazane abakhulelwe inqubo evamile isibalo esibelethweni esingu 3.5 mm ubukhulu ngesikhathi samasonto angama-32-33, kanti ngo-37-38 u-scar ovamile kufanele ube okungenani u-2 mm. Uma, noma kunjalo, ukukhulelwa kubonakala kungahambisani nesibindi esibelethweni, okungukuthi, akuqiniseki ngendlela efanele, khona-ke kungenzeka ukuthi isisu sisuke sihlukunyezwa, okubangelwa ukubeletha nezinkinga. Ngokuvamile, ezimweni eziningi, ukungahambisani kwesibeletho kufana nesibonakaliso sokuqala sokukhipha isisu, okuholela ezinkingeni eziningana.
Yini ethinta izinga lokuphulukiswa kwesibalo esibelethweni?
Imvelo yokuphulukiswa kwodonga olufakwe esibhedlela lunezici ezilandelayo:
- i-microflora ye-canal yokuzalwa;
- ubude begeyimu e-anhydrous;
- ukutholakala kwezinkinga ngesikhathi sokubeletha;
- ukusika esibelethweni;
- uhlobo lokusika;
- impahla yomswakama esibelethweni;
- isikhathi sokusebenza;
- inani legazi elahlekile;
- isikhathi emva kokuhlinzwa.
Kodwa ngaphezu kwazo zonke ezibalwe ngenhla, kukhona ukwephulwa, ngenxa yalokho ukulimala esibelethweni kuba mnandi. Uma owesifazane ehlushwa isikhathi eside ngesikhathi sokuhlinzwa, ngemuva kokuhlinzwa isikhathi eside isibazi siyobe singenakulinganiswa. Ingozi encane kunazo zonke zokungabikho kokuqothulwa kwesikhala yisikhathi seminyaka emibili emva kokusebenza, kodwa lesi sikhathi akufanele sidlule iminyaka emine.
Ngokuvamile kakhulu esibelethweni sakha uhlamvu olungavumelaniyo, uma isigaba se-caesarean se-cut is transverse. Yiqiniso, kulokhu, ubuhlungu esibelethweni buyaqhubeka buhlungu, kodwa ukukhulelwa okusha akuthinti kabi ukuhambisana kobuchopho.
I-Endometriosis ingumphumela wesigaba se-caesarean
Ngemuva kwesigaba se-cearean, ngemva kwesikhashana, i- endometriosis ingaba phezu kwesibeletho ngenxa yesikhumba esilweni. Lo mkhuba ukwanda kwezicubu, isakhiwo esifana nezicubu zomzimba wesibindi. Kodwa ngokungafani nezicubu zomuthi zesisu, ezitholakala ngaphakathi, i-endometriosis ivela ngaphandle kwe-endometrium.
Lezi zinkinga ziholela ekukhuleni kwamathambo ezinhlobonhlobo ezizungezile, futhi ukuhluma emathisini omzimba, izibilini, isikhumba, i-fiber ngisho namathambo. I-Endometriosis ingathola izakhiwo ezimbi, okubangelwa umdlavuza, i-sarcoma noma i-carcinocarcinoma yesibeletho. Ukuthuthukiswa kwe-etiopathogenetic yesifo kuthinteka yizici ze-hormone, ikakhulukazi ukungabi ne-progesterone noma ukudlula i-estrogen.
Ukungenelela kwamakhemikhali emgodini wesifo sofuba ngokuvamile kuholela ekutheni i-endometriosis ibe ngamacala angu-33.7 wamacala.
Ukwelashwa kwesibalo esingavumelani esibelethweni kuqala ngokuhlolwa kokuqala kanye nokulethwa kwazo zonke izivivinyo ezidingekayo. Futhi, kutholakala ukuxilongwa okuphelele, ngemva kwalokho udokotela ukhethe ukwelashwa okwanele kwesiguli esithile. Ngezinye izikhathi owesifazane udinga ukuvuselelwa kabusha-ukuvuselela ukusebenza.