Ukukhulelwa kwezinyanga eziyisithupha emva kwesigaba sokudla

Wonke owesifazane obelethwe yiCaesarean uyazi ukuthi isikhathi eside kakhulu emva kwalolu hlelo, ukukhulelwa okulandelayo akukwazi ukuhlelwa. Odokotela abaningi bathi emva kwalokhu kufanele kuthathe okungenani iminyaka emibili - kungadingeka kakhulu ukuba kutholakale ngokuphelele umzimba kanye nokubunjwa kwesibindi esibelethweni. Kodwa-ke, ukuthi ungaba kanjani, uma ukukhulelwa ngemuva kwesigaba sokuqeda sekufike ezinyangeni ezingu-6, ingabe kukhona ithuba lokuthwala nokubeletha umntwana onempilo? Ake sizame ukuqonda lesi simo.

Yiziphi izingozi zokukhulelwa ezinyangeni eziyisithupha emva kokuphela kwe-cearean?

Ngokusho kwezindinganiso zezokwelapha, owesifazane ngaphambi kokuhlelwa kokubili kokukhulelwa ngemuva kokuthi i-cearean kufanele ihlolwe (i-hysterography, i-hysteroscopy), evumela ukuhlola isimo sobunzima ebusweni besisu. Indlela engcono kakhulu uma ingabonakali, ekhombisa ukubuyiselwa okuphelele komzimba.

Uma ukukhulelwa kwenzeka ngemva kwezinyanga ezingu-6 emva kwalokhu, owesifazane anganikezwa isisu. Kodwa-ke, inqubo ngokwayo ihlotshaniswa neqiniso lokuthi kuyoba khona ukonakala, ngakho ukukhulelwa okulandelayo kuzokwenziwa kuphela yi-cearean.

Ngokuqondene nezinkinga ezenzeka ngokushesha ngesikhathi sokubeletha ezinyangeni eziyisithupha, zihlobene nokwenzeka kokukhulelwa kwesibeletho ngesikhathi sokubeletha. Ngenxa yalokho, ukuthuthukiswa kwegazi lomzimba, okungabangela ukufa komuntu wesifazane.

Kuthiwani uma ukukhulelwa kwenzeka cishe masinyane emva kwe-cearean?

Ezimweni ezinjalo, yonke imithwalo yemfanelo iwela emahlombe omama ozayo. Nguye othakazelayo: ukukhipha isisu noma ukuzala umntwana. Njengamanje, amacala amaningi ayaziwa, lapho ngenxa yalesi simo, abesifazane babeletha ingane yesibili ngaphandle kwemiphumela yomzimba wabo. Into ebaluleke kakhulu kule nkinga yisimo sobunzima esibelethweni, odokotela abalandela kakhulu, ikakhulukazi ku-3 trimester.

Kulezo zimo, lapho isigaba sokuqala sokuqeda isenzo senziwa nge-classical method (incision longitudinal), umsebenzi ophindaphindiwe wenziwa ngendlela efanayo. Uma lesi sibalo siphenduka, futhi azikho izinkomba ze-cearean yesibili, ukuzalwa kungenziwa ngokwemvelo.