Uma isikhathi esithintekayo naleso sikhathi esithandekayo sokukhulelwa siphazamiseka ngokungazelelwe ngengozi esingalindelekile empilweni kamama, ngakho-ke, ingane engenamsebenzi kwezinye izindlela zokwelashwa, odokotela bavame ukusebenzisa imisebenzi yokuvimbela. Isinqumo se-obstetrician sokuqeda izinkinga ezivelele senziwa ngesisekelo sokuhlola ngokucophelela isimo somama nesisu.
Ukuhlukaniswa kwemisebenzi yokuvimbela
Ukuphuthuma kokuhlinzekwa kokuhlinzwa kwamalungu wesifazane kuhlukaniswe kube kuhlelwe futhi kuphuthumayo; ngezinga lobunzima - ezinkulu nezincane. Ukusebenza kwesigaba se- caesarean , ukuxoshwa kwezitho, ama-cysts namafindo okumele asuswe kuchazwa njengemisebenzi emikhulu. Okunye kubhekwa njengokuncane.
Ngokuphathelene nokukhulelwa, imisebenzi yokusebenza ngokwemvelo ihlukaniswe ngamaqembu amathathu:
- imisebenzi eyenziwa ngesikhathi sokukhulelwa ngenxa yokulondolozwa kwayo;
- imisebenzi eseyenziwe kakade ngesikhathi sokubeletha;
- imisebenzi eyenziwa esikhathini sokuqala sokuhamba kwesikhathi.
Ukuhlinzekwa okungekho emthethweni ngesikhathi sokukhulelwa
Namuhla izidakamizwa zizama ukugwema ukungenelela okuhlinzekwa "endaweni engcwele" yabesifazane abakhulelwe, kodwa kunezimo ezinamandla ezingavumeli ukubambezeleka. Lokhu kufaka phakathi, isibonelo, ukuqhuma, ukuphuka noma ukwanda kwe-cyst ovarian, i-necrosis ku-node ye-myomatous, edinga ukususwa okuphuthumayo. Isimo esiveziwe sokungaqiniseki kwesisindo somlomo wesibeletho sidinga suturing esiphuthumayo. Izindlela zanamuhla zivumela ukuqeda ezinkingeni eziningi izinkinga zemizimba ngendlela yokugwedla kakhulu, ngokuvamile ngosizo lwe-laparoscopy. Njengesijoka sokubulala umzimba, isifo esiphuthumayo se-epidural anesthesia sisetshenziswa.
Izinkomba zokusebenza okunzima
Uma kutholakala izinkinga ezidinga ukuhlinzwa okuphuthumayo, udokotela kufanele aphenye ngokucophelela zonke izimo ezivumela indlela yokusebenza futhi zilinganise izinzuzo nezingozi. Noma kunjalo, kunezifo nezimo ezisongela isimo somama nesisu futhi zidinga ukungenelela okusheshayo. Lokhu kufaka:
- izinkinga ngenhliziyo nemithambo yegazi yomama nesisu;
- izinkinga ngesistimu yabo yokuphefumula;
- izinkinga nge-placenta;
- isifuba esincane;
- ukungabi khona kwamandla okuxosha.
Owesifazane ngamunye udinga ukwazi ubuthakathaka bakhe futhi, ngaphambi kokukhulelwa, ukunciphisa izimo eziphuthumayo ngempilo, kodwa uma ngabe usakuthola - ungaphelelwa ithemba futhi uthembele ngokuphelele udokotela wesifo sobuchopho, ube umngane wokulwa nezinkinga.