Ukuzalwa emva kwesigaba se-cearean kubangela imibuzo eminingi yabesifazane abahlela ukukhulelwa kwesibili. Odokotela ngesikhathi esifanayo bakhomba izinkinga zomsebenzi. Cabanga ngalesi simo ngokuningiliziwe, thola lapho kungenzeka khona ukubeletha ngemuva kwesigaba se-cearean nokuthi inqubo isenziwa kanjani.
Kungenzeka yini ukubeletha emva kwe-cearean?
Ngokusho komkhuba wesibindi, ukuzalwa kwesibili ngemuva kwesigaba se-cearean kufanele kwenziwe ngendlela efanayo. Isizathu salokhu kuba khona kwesibalo esibelethweni . Le ndawo yesikhumba inezinga eliphansi, okwandisa amathuba okuhlukana kwesitho socansi. Ngenxa yalokho, inkinga iqala - ukuphuma kwegazi kwenzeka. Isimo sidinga ukungenelela okuphuthumayo, ukuhlinzwa, kuyingozi ekufeni komama ekubelethweni.
Ngesikhathi esifanayo, izifundo zanamuhla zezikhungo ze-neonatal zasentshonalanga zifakazela ukuthi ukusebenza ngemuva kwesigaba se-cearean kungenzeka nge-classical method - ngokusebenzisa umsele wokuzalwa. Ngakho odokotela baseBrithani balinganisela ukuthi: abesifazane abangama-75% ababeletha ngokwemvelo, babengenayo inkinga emsebenzini. Ngokuqondene nemiphumela yesisu (hypoxia, izinkinga zezinzwa), zihlelwe ku-1% wamacala okubeletha kwemvelo . Njengoba kunikezwe lolu lwazi, ababelethisi embuzweni wesifazane mayelana nokuthi angazibeletha yini emva kwesigaba sokugcina esinikeza impendulo enhle.
Ngaki kangakanani okungenzeka ukuthi ubelethe ngemva kwe-cearean?
Abesifazane abaye babhekana nokuhlinzwa ngokuvamile babhekene nombuzo wokuthi kungakanani okusemandleni ukubeletha ngemuva kwesigaba se-cearean. Odokotela kulokhu bangabizi isikhathi esingajwayelekile, okufanele sidlule ngaphambi kokuhlela ukukhulelwa okulandelayo. Konke kuxhomeke ekujubeni kokuvuselelwa kwamathambo omzimba kanye nokwakhiwa kwesibazi phezu kwalo. Ukuhlolwa kokuqala kusiza ukunquma leli qiniso.
Izithandabuzi ngokwayo zizama ukunamathela ekubuseni, okusho ukuthi ukuzalwa emva kwesigaba sokuphela kwesikhashana kwenzeke kungakapheli iminyaka emibili. Ngenxa yalokhu, ukungahambisani kwalesi sibalo - kwandisa amathuba okuthuthukisa ukonakala kwesisu . Ukwengeza, ukukhulelwa ekukhulelweni okuzayo kubuye kugcizelele izicubu ze-uterine, ezithinta kabi ukubuyiswa kwesitho socansi. Kungakhathaliseki ukuthi kungenzeka yini ukubeletha ngemuva kwesigaba se-cereal esithathwe ngokuqondile wesifazane - udokotela uthola.
Ngingakwazi yini ukubeletha emva kokuphelelwa yisikhathi ngonyaka?
Esikhathini ngasinye, uma kungenzeka ukuthi ubelethe ngemva kokupheka, udokotela uyaqunta. Ngenxa yalokhu, kuhlolwe ukuhlolwa okuphelele kwesibeletho, okubandakanya ukuhlolwa kwe-ultrasound esihlalweni somzimba. Ukuqapha okukhethekile kubhalwa esimweni se-postoperative scar. Le ndawo yesisindo ine-extensibility encane, eyandisa ingozi yokuphuka kwesisu kule sayithi. Emva kokuhlolwa, lo wesifazane uthola izincomo ngokuhlela ukukhulelwa okulandelayo.
Ingabe ukubeletha kwemvelo kungenzeka ngemva kokulethwa kwezidakamizwa?
Abahleli bokukhulelwa okwesibili kwabesifazane bavame ukuthakazelisa ngombuzo wokuthi kungenzeka yini ukubeletha. Odokotela abaphiki lokhu kungenzeka. Ngokwenza kanjalo, babonisa izici ezithinta ukuhluka kwezidingo ezinikeziwe. Phakathi kwabo:
- isimo sobunzima;
- inani leziguli ezilahlayo kule-anamnesis;
- ukungabi khona kwezifo ezihambisanayo zesistimu yokuzala.
Ukungahambisani nokuhlinzekwa kwemvelo emva kwe-cearean
Kufanele kuqaphele ukuthi ezimweni ezinjalo, akubona bonke abesifazane abavunyelwe ukulethwa kwemvelo. Lokhu kungenxa yokuthi kungenzeka ukuthuthukisa izinkinga - ngemuva kwesigaba sokugcina lesi sibeletho sithola ezinye izici. Ukungahambisani nemikhakha yezidingo zangasese yilokhu:
- ubude be-longitudinal esibelethweni;
- i-placenta previa endaweni ye-rumen;
- Ukulungiswa okufriziwe kwe-fetus;
- isithelo esikhulu;
- ukukhulelwa okuningi ;
- i-pelvis encane kakhulu;
- inqubo yemvelo.
Ukulungele ukubeletha emva kwe-cearean
Ukuzalwa okuzimele ngemuva kwesigaba sokuqeda isidingo kudinga isiteji sokulungiselela. Iqala ngokuhlola isimo sesitho sobulili. Ukuze wenze lokhu, owesifazane unikeza odokotela isikhwama esibhedlela, esinolwazi olulandelayo:
- izizathu zalokho okushiwo ngaphambili;
- ubude be-anhydrous period, ukuzalwa;
- indlela yokwenza i-suturing, izinto ezisetshenziswayo;
- umthamo wegazi elahlekile;
- uhlu lwemithi esetshenzisiwe.
Ngokusekelwe kolwazi olutholiwe, odokotela bathola iziphetho futhi bafeze ukuhlolwa okudingekile. Ihlanganisa:
- I-ultrasound ye-pelvis encane;
- izivivinyo zama-laboratory: igazi, umchamo, ama-hormone;
- Ukukhishwa kwesifo esingapheli sokuvuvukala.
Ukuzalwa kwemvelo kulandela kanjani lokhu?
Ukuzalwa ngokwemvelo emva kwesigaba se-caesarean kuhlelwe njalo. Zibanjwe amasonto angama-39-40. Inqubo iqala nge-amniotomy - ukuvula amniotic fluid edala inqubo yokuzalwa. Ukulethwa ngokwayo kwenziwa ngendlela efanayo njalo. Ukuqaphela ikakhulukazi kukhokhwa esimweni sobunzima. Ekuphambeni kokuqala, ukuvela kwegazi, baqala ukuphuthumayo kwe-laarean.
Bangaki izikhathi engingakwazi ukuzala emva kwalevenan?
Embuzweni wokuthi kungenzeka kangakanani ukubeletha isigaba se-cearean, izidakamizwa ziye zaphendula ukuthi esikhathini esiphila impilo owesifazane angakwazi ukubekezelela kuphela 2 laarean. Ukuthuthukiswa kwamanje kwezokwelapha kanye nezidakamizwa kuvumela ukukhishwa okuncane emva kokusebenza okufanayo. Izinqumo zalolu hlobo zenziwa iqembu lezokwelapha elihlola imiphumela yocwaningo olutholakalayo, isimo segciwane lesitho zangasese, ukukhishwa kwesikhumba kuso.
Sekuyisikhathi eside, izidakamizwa zaseNtshonalanga zisebenzisa ukubeletha ngemuva kwesigaba sokugcina izidakamizwa. Ngesikhathi esifanayo, kubalwa amaphesenti aphansi ezinkinga. Lokhu kufinyelelwa ngokucwaninga ngokucophelela ngenqubo yokulethwa kwezidingo, ukuqapha okuqhubekayo kwesimo somntwana ophuthumayo ekusebenzeni komntwana. Kunezimo lapho owesifazane emva kokusebenza okufanayo ebeletha izingane ezingu-2 ngokulethwa kwemvelo. Kulesi simo, abancane abanayo abanalo pathologies.
Ukulethwa kwemvelo emva kwezigaba ezimbili ze-cearean
Njengoba sekushiwo ngenhla, isinqumo sokuthi kungenzeka yini ukubeletha ngemuva kwesigaba sokudla ngokwemvelo kuthathwe udokotela. Izithandani zasemakhaya zihambisana nesimiso sokuthi lezi zinsuku ezimbili ezedlule ziyisibonakaliso sesithathu. Ngaphambilini, owesifazane wayenqatshelwe ukubeletha kuleli cala, ngemuva kokugaya (ukufakwa kwezigubhu ze-fallopian) ngemuva kokusebenza kwesibili.
Ngingayenza kangaki izikhathi zokudiliva?
Ucwaningo lwanamuhla lubonisa ukuthi kungenzeka ukuzalwa kwezingane ezingu-3. Kodwa kumele kube yi-cearean. Kodwa-ke, umbuzo wesifazane ngokuqondene nokuthi zingaki izingane ezinganikezwa ngokubeletha emva kwalezi zinsuku, odokotela abanikeli impendulo engavamile. Konke kuncike ku:
- iminyaka yesiguli;
- izimo zesistimu yokuzala;
- ukutholakala kwezinqubo ezivuthayo zokuvuvukala.
Ngaphambi kokwenza isinqumo ngokuhlela ukukhulelwa okuvamile, owesifazane uzovakashela isikhungo sezokwelapha. Ukubonisana kwangaphambili nodokotela kusetha izici ze-anamnesis yowesifazane onjalo. Udokotela wezifo zezinzwa uqhuba ukubuyekezwa okuyinhloko esihlalweni somzimba, ukuhlola isimo se-uterine, umlomo wesibeletho. Ukuxilongwa ngokuningiliziwe kwesistimu yokuzala kubandakanya i-ultrasound yezitho zomzimba. Isiphetho senziwa ngesisekelo solwazi olutholiwe, kunika iseluleko kowesifazane, ukuphatha uma kudingeka.