Ukulethwa kwe-Cesarean: igxathu negxathu futhi lapho kubonisiwe

-Delile

• Isinyathelo ngesinyathelo se-caesarean
• Lapho isigaba se-cearean siboniswa

Isigaba se-Cesarean luhlobo lokulethwa oluqukethe ukusika esifundeni sesisu, ngaphansi kwe-anesthesia esetshenziselwe umgogodla wowesifazane, ukususa ingane. Lolu hlobo lokulethwa lungahlelwa ngudokotela, kanye nowesifazane, noma lungakhonjiswa lapho kunokuphikisana kokulethwa okujwayelekile, futhi kungenziwa ngaphambi noma ngemuva kokuqala kokubeletha.

Okuvame kakhulu ukuthi ukuhlinzekwa kuhlelelwe ngaphambi kokuvela kokuphambana, kukhululeke ngokwengeziwe kowesifazane. Kodwa-ke, kungenziwa futhi ngemuva kokuthi izingqinamba seziqalile futhi ukuphuza kukhombisa izimpawu ezicacile zokuthi usukulungele ukuzalwa.

Isinyathelo ngesinyathelo se-caesarean

Isinyathelo sokuqala ku-caesarean yi-anesthesia enikezwa umgogodla wowesifazane okhulelwe, futhi owesifazane kufanele ahlaliswe ukuphathwa kwe-anesthesia. Ngemuva kwalokho, kufakwa ipayipi esikhaleni se-epidural ukwenza lula ukuphathwa kwemithi bese kufakwa ithubhu lokuqukatha umchamo.

Ngemuva kokuqala komphumela we-anesthesia, udokotela uzosika cishe u-10 kuye ku-12 cm ububanzi esifundeni sesisu, eduze "nomugqa we-bikini", futhi uzosika izingqimba ezingaphezulu kwezingu-6 zendwangu kuze kufike enganeni. Ngemuva kwalokho ingane iyasuswa.

Lapho ingane isuswa esiswini udokotela wezingane we-neonatologist kufanele ahlole ukuthi ngabe ingane iphefumula kahle yini bese umhlengikazi esevele ekhombisa ingane kunina, kanti udokotela naye ususa i-placenta. Ingane izohlanzwa kahle, ikalwe futhi ikalwe futhi ngemuva kwalokho kuphela lapho inganikezwa khona umama ukuze ancelise ibele.

Ingxenye yokugcina yokuhlinzwa ukuvalwa kokusikwa. Kuleli qophelo udokotela uzothunga zonke izingqimba zezicubu ezisikiwe ukulethwa, okungathatha isilinganiso semizuzu engama-30.

Kujwayelekile ukuthi ngemuva kwesigaba sokuhlinzwa senziwe isibazi, kepha ngemuva kokususa umthungo nokunciphisa ukuvuvukala esifundeni, owesifazane angasebenzisa ukubhucungwa nokugcotshwa okufanele kufakwe khona lapho, ngoba lokhu kwenza ukuthi isibanda ngaphezulu umfaniswano. Bona ukuthi ungasinakekela kanjani isibazi sokuhlinzwa.

Lapho isigaba se-cearean siboniswa

Inkomba enkulu yokulethwa kwe-cearean yisifiso sikamama sokukhetha le ndlela yokuzalwa yengane, okufanele ihlelelwe ngemuva kwesonto lama-40, kepha ezinye izimo ezibonisa isidingo sokwenza i-cearean yilezi:

• Isifo sikamama esivimbela ukulethwa okujwayelekile, njenge-HIV ne-herpes ephezulu, esebenzayo, yomdlavuza, isifo senhliziyo noma samaphaphu;
• Izifo ezinganeni ezenza ukulethwa okujwayelekile kungenzeki, njenge-myelomeningocele, i-hydrocephalus, i-macrocephaly, inhliziyo noma isibindi ngaphandle komzimba;
• Endabeni ye-placenta previa noma i-accreta, ukuhlukaniswa kwe-placenta, ingane encane kakhulu yobudala bokukhulelwa, isifo senhliziyo;
• Lapho owesifazane esenezingxenye ezingaphezu kwezingu-2 zokuhlinzwa, ususe ingxenye yesibeletho, edinga ukwakhiwa kwesibeletho okubandakanya yonke i-endometrium, ukuqhekeka kwesibeletho ngesikhathi sangaphambilini;
• Lapho ingane ingaphenduki futhi iwele esiswini sowesifazane;
• Uma kwenzeka ukhulelwe amawele noma izingane eziningi;
• Lapho umsebenzi ojwayelekile umisiwe, ukwandiswa isikhathi eside futhi ngaphandle kokunemba okuphelele.

Kulezi zimo, noma ngabe abazali bafuna ukulethwa okujwayelekile, isigaba se-cearean siyindlela ephephe kunazo zonke, kunconywa odokotela.