Izizathu zeC-Section: Medical, Personal, noma enye

-Delile

• Siyini isigaba se-C esihleliwe?
• Ingabe kufanele uhlele isigaba se-C esikhethiwe?
• Izinzuzo zesigaba se-C esikhethiwe
  
• Umthengi we-C-section ekhethiwe
  
• Yiziphi izizathu zezokwelapha zesigaba se-C?
• Ukusebenza isikhathi eside
• Ukuma okungavamile
• Ukucindezeleka kwe-Fetal
• Izinkinga zokuzalwa
• Phinda u-cearean
• Isimo sezempilo esingelapheki
• Intambo iyaqhubeka
• Ukungalingani kweCephalopelvic (CPD)
• Izinkinga ze-Placenta
• Ukuthwala okuphindaphindwayo
• Ukudla okudlela endlini
• Q:
• A:

Esinye sezinqumo ezinkulu zokuqala ozozenza njengomama ozobeletha ukuthi ungaletha kanjani ingane yakho.

Ngenkathi ukulethwa kwesitho sangasese sowesifazane kubhekwa njengokuvikeleke kakhulu, odokotela namuhla benza ukulethwa kokuhlinzwa kaningi.

Ukulethwa ngokuhlinzwa - okubizwa nangokuthi isigaba se-C - inqubo ejwayelekile kodwa eyinkimbinkimbi ebeka izingozi zezempilo kumama nengane.

Siyini isigaba se-C esihleliwe?

Yize ukulethwa kwe-cearean kuvamile futhi kuvame ukuphepha, banezingozi eziningi kunokuhambisa ingane ngokobulili. Ngalesi sizathu, kunconywa ukuzalwa kwesitho sangasese sowesifazane. Kodwa kungenzeka ukuhlela ukulethwa okuhlinzekiwe kusengaphambili ngezizathu zezokwelapha.

Isibonelo, uma ingane yakho ipholile futhi ingashintshi isikhundla njengoba usuku lwakho olufanele lusondela, udokotela wakho angahlela ukulethwa kokuhlinzwa. Ngokwengeziwe, ukulethwa kwe-cearean kuvame ukuhlelelwa izizathu zezokwelapha ezibalwe ngezansi.

Kungenzeka futhi ukuhlela ukulethwa okuhlinzekiwe ngezizathu ezingezona ezokwelapha, kodwa lokhu akunconyiwe. Ukulethwa kwe-cearean ukuhlinzwa okukhulu futhi kunengozi enkulu yezinkinga, kufaka phakathi:

• ukulahleka kwegazi
• ukulimala komzimba
• ukusabela okweqile ku-anesthesia
• izifo
• amahlule egazi

Ingabe kufanele uhlele isigaba se-C esikhethiwe?

Ukuhlinzwa okuhleliwe ngezizathu ezingekho kwezokwelapha kubizwa ngokuthi ukulethwa okukhethiwe, futhi udokotela wakho angavumela le nketho. Abanye besifazane bakhetha ukubeletha ngokuhlinzwa ngoba kubanikeza ukulawula okwengeziwe ekunqumeni ukuthi ingane yabo izalwa nini. Kunganciphisa nokukhathazeka kokulinda ukuthi abasebenzi baqale.

Kepha ngenxa yokuthi unikezwe inketho yokulethwa okukhethiwe kokuhlinzwa akusho ukuthi kuza ngaphandle kwezingozi. Kukhona izinzuzo ekulethweni okuhleliwe okuhleliwe, kepha kukhona nobubi. Amanye amasu womshuwalense wezempilo nawo ngeke ahlanganise ukulethwa okukhethiwe kokuhlinzwa.

Izinzuzo zesigaba se-C esikhethiwe

• Ubungozi obuncane bokungalawuleki kanye nokungasebenzi kahle kocansi ngemuva kokuzalwa kwengane.
• Ingozi engezansi yokuthi ingane incishwe umoya-mpilo ngesikhathi sokubeletha.
• Ingozi engezansi yengane ebhekene nokuhlukumezeka ngenkathi idlula emgodini wokuzalwa.

Umthengi we-C-section ekhethiwe

• Kungenzeka ukuthi udinge ukulethwa okuphindiwe kokuhlinzwa ngokukhulelwa okuzayo.
• Kukhona ingozi ephezulu yezinkinga ngokudiliva okuhlinzekiwe.
• Uzohlala isikhathi eside esibhedlela (kuze kube yizinsuku ezinhlanu) kanye nesikhathi esinde sokululama.

Yiziphi izizathu zezokwelapha zesigaba se-C?

Ukulethwa kokuhlinzwa kungahle kuhlelwe ngudokotela wakho ngaphambi kosuku lwakho olufanele. Noma kungadingeka ngesikhathi sokubeletha ngenxa yesimo esiphuthumayo.

Ngezansi kunezinye zezizathu ezivame kakhulu zezokwelapha zokuhlinzwa.

Ukusebenza isikhathi eside

Umsebenzi wesikhathi eside - obizwa nangokuthi "ukwehluleka ukuqhubekela phambili" noma "umsebenzi omisiwe" - yisizathu sokucishe kube yingxenye eyodwa kwezintathu zabantu ababulewe, ngokusho kuka. Kwenzeka lapho umama omusha esanda kubeletha amahora angama-20 noma ngaphezulu. Noma amahora angama-14 noma ngaphezulu omama abazele ngaphambilini.

Izingane ezinkulu kakhulu emgodini wokuzalwa, ukunciphisa kancane komlomo wesibeletho, nokuphatha ukuphindaphinda konke kungandisa isikhathi sokubeletha. Kulezi zimo, odokotela bacabanga ukuthi bayekile ukuze bagweme izinkinga.

Ukuma okungavamile

Ukuze kuzalwe kahle isitho sangasese sowesifazane, izingane kufanele zibekwe ekhanda eduze komsele wokuzalwa.

Kepha izingane kwesinye isikhathi ziyawuphenya umbhalo. Bangakwazi ukubeka izinyawo noma izinyawo zabo emseleni, owaziwa ngokuthi ukuzalwa kwe-breech, noma babeke ihlombe noma uhlangothi lwabo kuqala, okwaziwa njengokuzalwa okuguqukayo.

Ukuhlinzwa kungahle kube yindlela ephephe kakhulu yokuletha kulezi zimo, ikakhulukazi kwabesifazane abaphethe izingane eziningi.

Ukucindezeleka kwe-Fetal

Udokotela wakho angakhetha ukuletha nge-emergency cearean uma ingane yakho ingatholi i-oxygen eyanele.

Izinkinga zokuzalwa

Ukunciphisa izinkinga zokulethwa, odokotela bazokhetha ukuletha izingane ezitholakale zinokukhubazeka okuthile kokuzalwa, njengoketshezi oluningi ebuchosheni noma izifo zenhliziyo ezizelwe, ngokusebenzisa okokuhlinzwa ukuze kuncishiswe izinkinga zokulethwa.

Phinda u-cearean

Cishe amaphesenti angama-90 abesifazane abake babeletha bangabeletha ngesitho sangasese sowesifazane ngokuzalwa kwabo okulandelayo, ngokusho kwe-American Pregnancy Association. Lokhu kwaziwa njengokuzalwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa (VBAC).

Omama okufanele bakhulume nodokotela wabo ukuze banqume ukuthi i-VBAC noma ukuphinda i-cearean kuyindlela engcono nephephe kunazo zonke.

Isimo sezempilo esingelapheki

Abesifazane bangadiliva ngokuhlinzwa uma behlala nezimo ezithile zempilo ezingamahlalakhona njengesifo senhliziyo, umfutho wegazi ophakeme noma isifo sikashukela sokukhulelwa. Ukulethwa kwesitho sangasese ngesinye salezi zimo kungaba yingozi kumama.

Odokotela bazophinda baphakamise ukuyeka ukubeletha uma umama ozayo ene-HIV, i-herpes yesitho sangasese, noma yikuphi okunye ukutheleleka okungadluliselwa enganeni ngokulethwa kwesitho sangasese sowesifazane.

Intambo iyaqhubeka

Lapho inkaba ishelela ngomlomo wesibeletho ngaphambi kokuba ingane izalwe, ibizwa ngokuthi yi-cord prolapse. Lokhu kunganciphisa ukugeleza kwegazi kuya enganeni, kubeka impilo yengane engcupheni.

Ngenkathi kuyivelakancane, intambo iyanda yisimo esibi esidinga ukulethwa okuphuthumayo kwe-cearean.

Ukungalingani kweCephalopelvic (CPD)

I-CPD yilapho i-pelvis yomama ozayo incane kakhulu ukuletha ingane ngokobulili, noma uma ikhanda lengane likhulu kakhulu emgodini wokuzalwa. Kunoma ikuphi, ingane ayikwazi ukudlula esithweni sangasese ngokuphepha.

Izinkinga ze-Placenta

Odokotela bazokwenza ukuhlinzekwa lapho i-placenta ephansi ihlanganisa kancane noma ihlanganisa ngokuphelele umlomo wesibeletho (i-placenta previa). Ukubeletha kuyadingeka futhi lapho i-placenta ihlukana nolwelwesi lwesibeletho, okwenza ingane ilahlekelwe yi-oxygen (ukuphazamiseka kweplacenta).

Ngokusho kwe-American Pregnancy Association, i-placenta previa yenzeka koyedwa kwabesifazane abangama-200 abakhulelwe. Cishe iphesenti elilodwa labesifazane abakhulelwe babhekana nokuphazamiseka kweplacenta.

Ukuthwala okuphindaphindwayo

Ukuthwala okuphindaphindwayo kungabeka izingozi ezahlukahlukene ngesikhathi sokukhulelwa. Kungadala ukubeletha isikhathi eside, okungabeka umama osizini. Ingane eyodwa noma ngaphezulu ingahle ibe sesimweni esingajwayelekile. Kunoma ikuphi, ukuhlinzekwa ngokujwayelekile kuyindlela ephephe kakhulu yokulethwa.

Ukudla okudlela endlini

Njengoba ukukhulelwa nokuzalwa kungalindeleka kwesinye isikhathi, omama okufanele balungiselelwe uma kwenzeka ukulethwa kokuhlinzwa kudingekile. Ukubeletha kuyinto enhle futhi eyisimangaliso, futhi kungcono ukuba uzilungiselele okungalindelekile ngangokunokwenzeka.

Q:

Kungani abesifazane abaningi kangaka namuhla behlela izigaba ze-C ezikhethiwe? Ingabe lo mkhuba oyingozi?

A:

Umkhuba wokulethwa okukhethiwe okukhethiwe uyakhula. Olunye ucwaningo lukhombisile ukuthi omama bacele ukulethwa okukhethiwe ngokuhlinzwa. Ngenkathi ithandwa, lo mkhuba ungaba nezinkinga ezinkulu, kufaka phakathi ingozi yokulahleka kwegazi, ukutheleleka, amahlule egazi, kanye nokusabela okungathandeki ku-anesthesia. Kubalulekile ukukhumbula ukuthi ukulethwa ngokuhlinzwa kungukuhlinzwa okukhulu kwesisu, futhi ngokujwayelekile kunokubuyiselwa isikhathi eside kunokulethwa kwesitho sangasese sowesifazane. Uma ucabanga ukuhlela ukulethwa okukhethiwe okukhethiwe, kufanele ukhulume nodokotela wakho kabanzi ngobungozi nezinzuzo.