Izimo eziyi-9 lapho kunconywa isigaba se-cearean
-Delile
- 1. Placenta previa noma iqembu le-placenta
- 2. Izingane ezine-syndromes noma izifo
- 3. Lapho umama enezifo zocansi
- 4. Lapho inkaba iphuma kuqala
- 5. Isikhundla esingalungile sengane
- 6. Uma kwenzeka amawele
- 7. Ingane ekhuluphele ngokweqile
- 8. Ezinye izifo zikamama
- 9. Ukuhlupheka kwesisu
Isigaba sokubeletha sikhonjiswa ezimeni lapho ukulethwa okujwayelekile kungabeka ubungozi obukhulu kowesifazane nasenganeni, njengasesimweni sokungalungi kwengane, owesifazane okhulelwe onezinkinga zenhliziyo ngisho nengane ekhuluphele ngokweqile.
Kodwa-ke, isigaba se-caesarean kusese kungukuhlinzwa okunezinkinga ezithile ezihambisanayo, njengobungozi bokutheleleka lapho ukusikeka kwenziwa noma ukopha ngakho-ke kufanele kwenziwe kuphela uma kunezinkomba zokwelashwa.
Isinqumo sesigaba sokuhlinzwa senziwa ngudokotela wokubelethisa kepha kubalulekile futhi ukubheka isifiso sowesifazane okhulelwe sokulethwa okujwayelekile noma cha. Yize ukuzalwa okujwayelekile kuyindlela engcono kakhulu yokuzalwa kwengane, kwesinye isikhathi kuyaphikiswa, kuyadingeka ukwenza ingxenye yokuhlinzwa bese kuba kudokotela ukwenza isinqumo sokugcina ngemuva kokubheka isimo sempilo sikamama nengane.
Ezinye izizathu zokuba ne-cearean yilezi:
1. Placenta previa noma iqembu le-placenta
I-placenta previa yenzeka lapho ilungiswa endaweni evimbela ingane ukuthi idlule emgodini wokuzalwa, futhi kungenzeka ukuthi i-placenta iphume ngaphambi kwengane. Ukuhlukaniswa kwe-placenta kwenzeka futhi lapho kuphuma esibelethweni ngaphambi kokuba ingane izalwe.
Inkomba yokuhlinzwa okwenziwe ngalezi zimo kungenxa yokuthi i-placenta inesibopho sokufika komoya-mpilo nezakhamzimba zengane futhi lapho sekonakele, ingane ikhubazekile ngokungabi khona komoya-mpilo, okungaholela ekulimaleni kwengqondo.
2. Izingane ezine-syndromes noma izifo
Izingane ezitholakale zinezinhlobo ezithile zesifo noma ukugula, njenge-hydrocephalus noma i-omphalocele, okuyisikhathi lapho isibindi sengane noma amathumbu engaphandle komzimba, kufanele ngaso sonke isikhathi zizalwe ngokuhlinzwa. Lokhu kungenxa yokuthi inqubo ejwayelekile yokulethwa ingalimaza izitho esimweni se-omphalocele, futhi ukuphambana kwesibeletho kungalimaza ubuchopho endabeni ye-hydrocephalus.
3. Lapho umama enezifo zocansi
Lapho umama eneSifo Esithathelwana Ngocansi (STI) njenge-HPV noma i-Genital Herpes, esihlala kuze kube sekupheleni kokukhulelwa, ingane ingangcoliswa yingakho kungcono ukusebenzisa ukulethwa kwe-cearean.
Kodwa-ke, uma owesifazane ethola ukwelashwa ngezifo zocansi, ucacisa ukuthi unakho, futhi unesifo esilawulwayo, angazama ukulethwa okujwayelekile.
Kwabesifazane abane-HIV, kunconywa ukuthi ukwelashwa kuqale ngaphambi kokuqala kokukhulelwa, ngoba ukuvimbela ingane ukuthi ingangcoliswa ngesikhathi sokubeletha, umama kumele asebenzise imithi enconywayo phakathi nesikhathi sokukhulelwa, kepha udokotela angakhetha isigaba sokuhlinzwa. Ukuncelisa ibele kuyaphikiswa futhi ingane kufanele inikezwe ngebhodlela nobisi lokufakelwa. Bona ukuthi ungenzani ukuze ungangcolisi ingane yakho ngegciwane le-HIV.
4. Lapho inkaba iphuma kuqala
Ngesikhathi sokubeletha, inkaba ingaphuma kuqala kunengane, kulesi simo ingane isengozini yokuphelelwa umoya-mpilo, ngoba ukunwetshwa okungaphelele kuzobamba ukudlula komoya-mpilo uye entanjeni engaphandle kwengane. Umzimba, kulokhu isigaba se-carearean siyindlela ephephe kunazo zonke. Kodwa-ke, uma owesifazane enokukhululeka okuphelele, ukulethwa okujwayelekile kungalindelwa.
5. Isikhundla esingalungile sengane
Uma ingane ihleli kunoma isiphi isikhundla, ngaphandle kokubheka phansi, njengokulala ngohlangothi noma ikhanda ibheke phezulu, futhi ingajiki kuze kube ngaphambi kokubeletha, kufanelekile ukuthi kube nokuhlinzwa ngoba kunengozi enkulu yowesifazane nengane, ngoba ukusikwa akubi namandla ngokwanele, okwenza ukuzalwa okujwayelekile kube nzima kakhulu.
Isigaba seCaesarean singakhonjiswa futhi lapho ingane ibheke phansi kepha ibekwe ngekhanda elibhekiswe emuva kancane nesilevu ngaphezulu, lesi sikhundla sandisa usayizi wekhanda lengane, okwenza kube nzima ukudlula emathanjeni enqunu engane. umama.
6. Uma kwenzeka amawele
Ekukhulelweni kwamawele, lapho izingane ezimbili ziphendulwe kahle zibheke phansi, ukubeletha kungaba yinto ejwayelekile, kepha-ke, lapho enye yazo ingaphendukanga kuze kube ngumzuzu wokubeletha, kungakuhle ukuthi kube nengxenye yokuhlinzwa. Lapho zingamawele amathathu noma amawele amane, noma ngabe zibheke phansi, kungakuhle kakhulu ukuthi kube nesigaba sokuhlinzwa.
7. Ingane ekhuluphele ngokweqile
Lapho ingane isineminyaka engaphezu kuka-4,5 kg kungaba nzima kakhulu ukudlula emgodini wesitho sangasese sowesifazane, ngoba ikhanda lengane lizokuba likhulu kunesikhala esisethangeni lekamama, futhi ngenxa yalesi sizathu, kulokhu kufanelekile ukubuyela ku isigaba sokuhlinzwa. Kodwa-ke, uma umama engahlushwa isifo sikashukela noma isifo sikashukela sokukhulelwa futhi engenazo ezinye izimo ezibhebhethekisayo, udokotela angakhombisa ukulethwa okujwayelekile.
8. Ezinye izifo zikamama
Lapho umama enezifo ezinjengezinkinga zenhliziyo noma zamaphaphu, onsomi noma umdlavuza, udokotela kufanele ahlole ubungozi bokubeletha futhi uma kumnene, ungalindela ukubeletha okujwayelekile. Kodwa lapho udokotela efinyelela esiphethweni sokuthi lokhu kungabeka impilo yowesifazane noma yengane engcupheni, angaveza ingxenye yokuhlinzwa.
9. Ukuhlupheka kwesisu
Lapho isilinganiso senhliziyo yengane sibuthakathaka kunalokho okunconyiwe, kunezinkomba zokucindezeleka kwengane futhi kulokhu kungenzeka kube nesigaba sokuhlinzwa, ngoba uma izinga lokushaya kwenhliziyo libuthaka kunesidingo, ingane ingahle ingenayo i-oxygen ebuchosheni, okuholela ekulimaleni kwengqondo njengokukhubazeka kwezimoto, isibonelo.