Uma ukukhulelwa kuphelela esigabeni saseKhesari, abesifazane banemibuzo eminingi. Ngingahlela nini kabusha ingane? Ukukhulelwa okulandelayo kuzokwenzeka kanjani? Kungenzeka yini ukubeletha ngendlela yemvelo? Ingabe kuzoba nezinkinga?
Isigaba se-Caesarea: imiphumela kumama
I-Caesarean section yindlela yokudiliva, lapho umntwana osusana esuswa khona esibelethweni nge-incision transverse noma longitudinal esiswini esingaphansi. Akukhona nje ukuthi isisu sinqunywe, kodwa futhi isitho lapho izithelo zivuna zingakapheli izinyanga eziyisishiyagalolunye, isisu. Ngakho-ke, umphumela oyinhloko emva kwesigaba se-cearean kuba khona kwesikhala kuso. Futhi uma isilonda esiswini esingaphansi sigula ezinyangeni ezimbili kuya kwezintathu ngemuva kokubeletha, isiqephu se-uterine sithatha okungaphezu konyaka. Isikhathi lapho sesivele sikwazi ukuhlela ukukhulelwa emva kwesigaba se-cearean, kufanele kube okungenani iminyaka emibili. Ngaphezu kwalokho, umzimba uthatha isikhathi ukubuyisela amabutho asetshenzisiwe ngemuva kokusebenza.
Ukuhlela ukukhulelwa okwesibili ngemuva kwesigaba se-caesarean
Uma owesifazane ethatha isinqumo sokuba nengane yesibili, ke okokuqala kufanele avakashele umjozi wezinkinga zomzimba futhi amtshele ngenhloso yakhe. Ngaphandle kokujwayelekile ekuhlelweni kokuhlolwa, owesifazane uzonikezwa ukuhlola isibazi esibelethweni. Kulokhu, i-ultrasound, i-hysterography noma i-hysteroscopy yenziwe. Ngendlela yokuqala, indawo ye-uterine ihlolwe ngokusebenzisa inzwa yesisindo. I-Hysterography yenziwa ekamelweni le-X-ray. Ngemuva kokungena esibelethweni sokwaziswa okuphambene, izithombe zithathwa ekuqalisweni okuqondile nokulandelana. Nge-hysteroscopy, ukucwaninga kwe-scar postoperative kungabonga ngenxa ye-endoscope - inzwa efakwe emgodini we-uterine. Ukuze kube nokubeletha okuvamile kwengane, ukhetho olungcono kakhulu luwumphumela, uma ukonakala kungatholakali. Kubaluleke kakhulu ukuthi ukwazi ukuthi hlobo luni lwesigqoko se-seam siphezulu. Okungcono, lolobu luhlanganisa izicubu zomzimba. Isisekelo samathambo axhumeneyo yisona esibi kakhulu.
Ekuqaleni kokukhulelwa emva kwesigaba sokuqeda ukuxoxisana kwabesifazane, abesifazane banikezwa ukunakekelwa okukhulu: benza ukwenziwa kwesibeletho, bahlolwa egumbini le-ultrasound. Lokhu kubalulekile ukuze kutholakale ukuhlukana kwesikhwama ngesikhathi futhi uthathe isenzo. Kulaba besifazane abazobe besenalo kakade, amathuba okukhishwa isisu, umfutho wegazi ophakeme, i-hypoxia kaningi kakhulu.
Ukulethwa kwesibili ngemva kwesigaba se-cearean
Isinqumo mayelana nokulethwa kwemvelo sithathwa ngemuva kwemiphumela ye-ultrasound emasontweni angu-28-35 okukhulelwa, uma kucutshungulwa ukuthi ngabe umcibisholo awuhambisani. Ngaphezu kwalokho, kucatshangelwa ukuthi owesifazane unezizathu ezikhombisa ukuthi uyasebenza (isethulo esingalungile se-fetus, ukuphazamiseka kwe-retinal, njll). Isinqumo sodokotela mayelana nokulethwa kwemvelo sithonywa yizinto ezinjengendawo ephakeme ye-placenta, mhlawumbe odongeni lwangemuva, isigaba esinqunyiwe esibelethweni, indawo efanele ye-fetus. Uma kungabikho ukwephula umthetho, owesifazane uzovunyelwa ukuba abelethe yena,
Kunoma yikuphi, umama ozayo kufanele aphumelele emiphumeleni ephumelelayo futhi azame ukuzibeletha. Emva kwakho konke, kukhona imiphumela eyaziwayo yesigaba sokudla kwengane, njengokungalungile ukujwayela imvelo, ukutholakala kwemithi yokudla, ukuphazamiseka kwemvelo nokuphefumula.
Kodwa-ke, uma kwakunokukhulelwa kokuqala ngemuva kwesigaba se-cearean, umsebenzi wokuphinda awukwazi ukugwema. Kuqhutshwa ngezikhathi ezithile, futhi, ngezinye izikhathi ngaphambi kwosuku olufanele, ngenxa yomshoshaphansi we-fetus ekhula ngokushesha, kukhona ingozi yokukhulelwa kwesibeletho. Futhi lokhu kubeka ingozi empilweni yomntwana kanye nomama ozayo.