Ubuhlungu bekhanda Ngemuva kwesigaba se-C

-Delile

• Ukubuka konke
• Lapho izinzwa zibangela ikhanda
• Ezinye izimbangela zokuphathwa ikhanda ngemuva kwezingxenye ze-C
• Izimpawu nokwelashwa kwekhanda ngemuva kwesigaba se-C
• Umbono

Ukubuka konke

Ukulethwa ngokuhlinzwa, okwaziwa kakhulu njenge-C-section, inqubo yokuhlinza esetshenziselwa ukuletha ingane esiswini sowesifazane okhulelwe. Lokhu kungenye indlela yokulethwa kwesitho sangasese sowesifazane okuvame kakhulu.

Phakathi nale nqubo yehora, owesifazane okhulelwe unikezwa i-anesthesia bese kwenziwa ukuhlinzwa. Udokotela ohlinzayo wenza ukusikeka okuvundlile esiswini, abese enza esinye imbobo ukuvula isibeletho. Udokotela ohlinzayo usebenzisa i-vacuum ukumunca i-amniotic fluid esibelethweni bese ebeletha ngokucophelela umntwana.

Ukuletha ingane ngesigaba se-C kuhlala kudinga uhlobo oluthile lwe-anesthesia. Ukulandela inqubo, ucwaningo lwakudala lubike ukuthi kwabesifazane babhekana nekhanda. Lezi zinhlungu zekhanda ngokuvamile ziwumphumela we-anesthesia kanye nengcindezi ejwayelekile yokubeletha.

Lapho izinzwa zibangela ikhanda

Kunezizathu eziningana zokuthi kungani owesifazane angahle aphathwe yikhanda ngemuva kokubeletha ngokuhlinzwa, kepha kuvame kakhulu ngenxa ye-anesthetic esetshenzisiwe.

Ama-anesthetics amabili asetshenziswa kakhulu yilena:

• umgogodla
• umgogodla

Imiphumela emibi ye-anesthesia yomgogodla ingafaka ikhanda elibuhlungu kakhulu. Lezi zinhlungu zekhanda zibangelwa lapho uketshezi lomgogodla luvuza kulwelwesi oluzungeze intambo yomgogodla futhi kunciphisa ukucindezela ebuchosheni.

Lezi zinhlungu zekhanda zivame ukuvela emahoreni angama-48 ngemuva kwesigaba se-C. Ngaphandle kokwelashwa, imbobo yolwelwesi lomgogodla iyozilungisa ngokwayo ngokuhamba kwamasonto ambalwa.

I-Anesthesia ibalulekile ekulethweni kwesimanje kokuhlinzwa, kepha ukuzisebenzisa kungadala uhlu lwemiphumela emibi (kepha ejwayelekile). Lokhu kufaka phakathi:

• ikhanda
• isicanucanu nokuhlanza
• umfutho wegazi ophansi
• umuzwa wokushosholoza
• ukuhlungu obusemhlane

Ezinye izimbangela zokuphathwa ikhanda ngemuva kwezingxenye ze-C

Ngaphezu kwekhanda elivela ku-anesthesia, ezinye izimbangela zekhanda ngemuva kwesigaba se-C zifaka:

• ukushintshashintsha komfutho wegazi
• ukuntuleka kwensimbi
• ukungezwani kwemisipha
• ukungalali kahle
• ukungalingani kwehomoni

Isimo esingajwayelekile esingadala ikhanda ngemuva kokulethwa kwe-cearean yi-postpartum preeclampsia. Kwenzeka lapho unengcindezi ephezulu yegazi kanye namaprotheni amaningi ngokweqile emchameni wakho ngemuva kokubeletha.

Lesi simo singadala:

• ikhanda elibuhlungu
• izinguquko embonweni
• ubuhlungu besisu
• isidingo esinciphile sokuchama

Uma uhlangabezana nenye yalezi zimpawu ngokushesha nje emva kokubeletha, bonana nodokotela ngokushesha. Ukwelashwa ngokushesha kuyadingeka ukugwema izinkinga.

Izimpawu nokwelashwa kwekhanda ngemuva kwesigaba se-C

Ukuphathwa yikhanda kungaba yinkinga engathandeki futhi ekhubazekayo yokulethwa kwe-cearean. Abantu babika ukuzwa ubuhlungu obukhulu ngemuva kwekhanda nangemuva kwamehlo abo, kanye nezinhlungu zokudubula entanyeni nasemahlombe.

Ukuphathwa yikhanda kungaphathwa nge:

• imishanguzo yezinhlungu ezincane, njengeTylenol noma i-Advil
• uketshezi
• i-caffeine
• ukuphumula kombhede

Uma uthola i-spinal epidural futhi ikhanda lakho alithuthuki ngokwelashwa, udokotela wakho angenza i-epidural blood patch ukuze adambise ubuhlungu.

Isiqephu segazi singaphilisa ikhanda lomgogodla ngokugcwalisa imbobo yokubhoboza eshiywe emgogodleni wakho kusuka ku-epidural nokubuyisela umfutho we-fluid fluid. Kuze kube ngamaphesenti angama-70 abantu abathola ikhanda lomgogodla ngemuva kwesigaba se-C bazolashwa nge-patch yegazi.

Umbono

Ukuphathwa yikhanda ngemuva kokuhlinzwa noma kokubeletha kuvame kakhulu. Uma uhlangabezana nekhanda ngemuva kwesigaba se-C, ngokuvamile kungenxa ye-anesthesia noma ukusabela ekucindezelekeni kokubeletha.

Ngokuphumula, amanzi, ukudambisa izinhlungu okuncane, nesikhathi, izinhlungu zekhanda kufanele zizixazulule. Kodwa-ke, uma ikhanda lakho libuhlungu kakhulu futhi lingaphenduli ekwelashweni okujwayelekile, kufanele uhlale ufuna ukunakekelwa khona manjalo.