Isigaba se-C

Isigaba se-C ukulethwa kwengane ngokwenza imbobo engxenyeni engezansi yesisu sikamama. Kubizwa nangokuthi ukulethwa ngokuhlinzwa.

Ukulethwa kwe-C-section kwenziwa lapho kungenakwenzeka noma kuphephile ukuthi umama abelethe ingane ngesitho sangasese.

Inqubo ivame ukwenziwa ngenkathi owesifazane ephapheme. Umzimba ubindikiwe kusuka esifubeni kuya ezinyaweni usebenzisa i-epidural noma i-anesthesia yomgogodla.

1. Udokotela ohlinzayo usika esiswini ngenhla kwendawo yasesithombeni.

2. Isibeletho (isibeletho) nesaka lama-amniotic kuyavulwa.

3. Ingane izalwa ngalokhu kuvulwa.

Ithimba lokunakekelwa kwezempilo likhipha uketshezi emlonyeni nasekhaleni lengane. Inkaba iyanqunywa. Umhlinzeki wezokunakekelwa kwempilo uzoqinisekisa ukuthi ukuphefumula kwengane kuyinto ejwayelekile kanti ezinye izimpawu ezibalulekile zizinzile.

Umama uphapheme ngesikhathi senqubo ukuze akwazi ukuzwa nokubona ingane yakhe. Ezimweni eziningi, owesifazane uyakwazi ukuba nomuntu osekelayo naye ngesikhathi sokubeletha.

Ukuhlinzwa kuthatha cishe ihora elilodwa.

Kunezizathu eziningi zokuthi kungani owesifazane engadinga ukuthola isigaba se-C esikhundleni sokubeletha kowesifazane.Isinqumo sizoncika kudokotela wakho, lapho uthola khona ingane, ukulethwa kwakho kwangaphambilini, nomlando wakho wezokwelapha.

Izinkinga ngengane zingabandakanya:

• Ukushaya kwenhliziyo okungavamile
• Isimo esingajwayelekile esibelethweni, esifana ne-crosswise (transverse) noma izinyawo zokuqala (i-breech)
• Izinkinga zentuthuko, njenge-hydrocephalus noma i-spina bifida
• Ukukhulelwa okuningi (amawele amathathu noma amawele)

Izinkinga zempilo kumama zingafaka:

• Ukutheleleka kwe-herpes ezitho zobulili ezisebenzayo
• Ama-fibroids amakhulu wesibeletho eduze komlomo wesibeletho
• Ukutheleleka nge-HIV kumama
• Isigaba se-C esedlule
• Ukuhlinzwa kwangaphambilini esibelethweni
• Ukugula okukhulu, njengesifo senhliziyo, i-preeclampsia noma i-eclampsia

Izinkinga ngesikhathi sokubeletha noma sokulethwa zingabandakanya:

• Ikhanda lomntwana likhulu kakhulu ukudlula emgodini wokuzalwa
• Umsebenzi othatha isikhathi eside kakhulu noma ume
• Ingane enkulu kakhulu
• Ukutheleleka noma umkhuhlane ngesikhathi sokubeletha

Izinkinga nge-placenta noma intambo yenkaba ingafaka:

• I-Placenta ihlanganisa konke noma ingxenye yokuvulwa komsele wokuzalwa (i-placenta previa)
• I-Placenta ihlukana nodonga lwesibeletho (i-placenta abruptio)
• Intambo yombilical iza ngokuvulwa komsele wokuzalwa ngaphambi kwengane (umbilical cord prolapse)

Isigaba se-C inqubo ephephile. Izinga lezinkinga ezinkulu liphansi kakhulu. Kodwa-ke, izingozi ezithile ziphakeme ngemuva kwesigaba se-C kunangemva kokubeletha kwesitho sangasese sowesifazane. Lokhu kufaka phakathi:

• Ukutheleleka kwesinye noma kwesibeletho
• Ukulimala kwepheshana lomchamo
• Ukulahleka kwegazi okuphakathi kakhulu

Isikhathi esiningi, ukumpontshelwa igazi akudingeki, kepha ingozi iphezulu.

Isigaba se-C singadala nezinkinga ekukhulelweni okuzayo. Lokhu kufaka ingozi enkulu yokuthi:

• I-Placenta previa
• I-Placenta ekhula ibe yimisipha yesibeletho futhi inenkinga yokuhlukanisa ngemuva kokuzalwa kwengane (i-placenta accreta)
• Ukuqhekeka kwesibeletho

Lezi zimo zingadala ukopha kakhulu (ukopha), okungadinga ukumpontshelwa igazi noma ukususwa kwesibeletho (i-hysterectomy).

Iningi labesifazane lizohlala esibhedlela izinsuku ezimbili kuya kwezi-3 ngemuva kwengxenye ka-C. Sebenzisa isikhathi sokubopha ingane yakho, uthole ukuphumula, futhi uthole usizo ngokuncelisa nokunakekela ingane yakho.

Ukubuyiselwa esimeni kuthatha isikhathi eside kunalokho obekuzovela ekuzalweni kwesitho sangasese sowesifazane. Kufanele ujikeleze ngemuva kwesigaba se-C ukusheshisa ukutakula. Imithi yezinhlungu ethathwe ngomlomo ingasiza ekunciphiseni ukungakhululeki.

Ukubuyiselwa emuva kwesigaba se-C ekhaya kuhamba kancane kunangemva kokubeletha kwesitho sangasese sowesifazane. Ungahle uphume igazi esithweni sakho sangasese kuze kube amasonto ayisithupha. Uzodinga ukufunda ukunakekela isilonda sakho.

Iningi lomama nezinsana lenza kahle ngemuva kwesigaba se-C.

Abesifazane abanesigaba se-C bangathola ukulethwa kwesitho sangasese sowesifazane uma kwenzeka ukukhulelwa okunye, kuya ngo:

• Uhlobo lwesigaba se-C esenziwe
• Kungani isigaba se-C senziwe

Ukuzalwa kwesitho sangasese sowesifazane ngemuva kokulethwa kwe-cearean (VBAC) kuvame ukuphumelela kakhulu. Akuzona zonke izibhedlela noma abahlinzeki abanikeza inketho ye-VBAC. Kukhona ingozi encane yokuqhekeka kwesibeletho, engalimaza umama nengane. Xoxa ngezinzuzo nezingozi ze-VBAC nomhlinzeki wakho.

Ukulethwa kwesisu; Ukuzalwa kwesisu; Ukuzalwa ngokuhlinzwa; Ukukhulelwa - ukubeletha

• Isigaba se-Cesarean
• Isigaba se-C - uchungechunge
• Isigaba se-Cesarean

UBerghella V, iMackeen AD, uJauniaux ERM. Ukulethwa ngokuhlinzwa Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 19.

I-Hull AD, i-Resnik R, i-Silver RM. I-Placenta previa ne-accreta, i-vasa previa, i-subchorionic hemorrhage, ne-abruptio placentae. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 46.