Ukuzalwa emva kwecandelo le-shedare kubangela imibuzo emininzi kubafazi abacwangcisa ukukhulelwa kwesibini. Oogqirha ngelo xesha baveza iingxaki ezinokwenzeka zenkqubo. Cinga ngolu hlobo ngokubanzi, khangela ukuba kunokwenzeka yini ukuzala emva kwecandelo le-calary kunye nendlela inkqubo eyenziwa ngayo.
Ngaba kunokwenzeka ukubeletha emva kokuvala?
Ngokutsho komsebenzi wesithintelo, ukuzalwa okwesibini emva kwecandelo le-shedare kufuneka kwenziwe ngendlela efanayo. Isizathu salokhu kubakho kwesola kwisibeleko . Le ndawo yinyama ine-elasticity ephantsi, eyandisa amathuba okuphuka kwesitho somzimba. Ngenxa yoko, inkathazo iyaqhubeka - ukuphuma kwegazi kubakho. Le meko idinga ukukhawuleza, ukungenelela kwingozi, kuyingozi ekufeni komama ekuzalweni.
Ngexesha elifanayo, uphando lwangoku lwamaxesha angaphandle olusentshona lwezonyango lubonisa ukuba abasebenzi emva kwecandelo lasemagqabini linokwenzeka ngeendlela zakudala-ngokusebenzisa umsele wokuzalwa. Ngoko oogqirha baseBrithani baqikelela ukuba: i-75% yabasetyhini ababeletha ngokwemvelo, babengenayo ingxaki kwizabasebenzi. Ngokuphathelele imiphumo yengane (i-hypoxia, iingxaki zeengxaki zegazi), zizinze kwi-1% yamatyala okubeleka kwemvelo . Ukunikezelwa ngolu lwazi, ababelethisi kumbuzo wesifazane malunga nokuba unokuzibeletha emva kwecandelo le-calier give a answer positive.
Ngangaphi na okunokwenzeka ukubeletha emva kokusasaza?
Abasetyhini abaye bafumana unyango bahlala bexhalabisayo ngombuzo wokuba kunokwenzeka kangakanani ukuzala emva kwesigaba sekota. Oogqirha abakulesi sizathu ababizi ixesha elingaqhelekanga, elimele lidlule ngaphambi kokucwangcisa ukukhulelwa okulandelayo. Konke kuxhomekeke kwisantya sokuhlaziywa kwezicubu ze-uterine kunye nokwakhiwa kwesiqhekeza kuso. Ukuhlolwa kokuqala kukunceda ukucacisa le nyaniso.
Abagqithisi ngokwabo bazama ukuhambelana nomgaqo, othi ukuzalwa emva kwecandelo lekota lenzeke ngaphaya kweminyaka engama-2. Ngenxa yeli qiniso, ukungahambelani kwesiqhwala - kwandisa amathuba okuphuhliswa kwesisu . Ukongezelela, ukukhulelwa ekukhulelweni okuzayo kuya kunciphisa izicubu ze-uterine, ezichaphazela kakubi ukubuyiswa kwelungu lomzimba. Kungakhathaliseki ukuba kunokwenzeka ukuba uzalise emva kokuba icandelo lalo lugqwesileyo lithathwe ngumfazi-ugqirha ugqiba.
Ngaba ndingakwazi ukuzala emva kwexesha lokutya kwonyaka?
Kwimeko nganye, xa kunokwenzeka ukuzala emva kolu suku, ugqirha ugqiba. Ngenxa yale njongo, uviwo olubanzi lwe-uterus luqeshwe, olubandakanya ukuhlolwa kwe-ultrasound kwisihlalo somzimba. Ingqwalasela ngokukodwa ihlawulwa kwimeko yesikhenkco esemva kokusebenza. Isayithi le-tissue linomlinganiselo ophantsi, okwandisa umngcipheko wokukhulelwa komzimba kule ndawo. Emva koviwo, lo mfazi ufumana iingcebiso ngokucwangcisa ukukhulelwa okulandelayo.
Ngaba ukuzalwa kwemvelo kunokwenzeka emva kokuhanjiswa kweevenkile?
Abacwangcisi bokukhulelwa okwesibini kwabasetyhini bahlala benomdla kumbuzo wokuba kunokwenzeka yini ukuba abelethe. Oogqirha abachasayo oku kwenzeka. Ngokwenza njalo, babonisa izinto ezichonga ukuhluka kweenkonzo ezinikezelweyo. Phakathi kwazo:
- imeko yomlo;
- inani lamagulane e-awaarean kwi-anamnesis;
- ukungabikho kwezifo ezithintekayo zesistim sokuzala.
Ukutshatyalaliswa kokunikezelwa kwemvelo emva kokuyeka
Kufuneka ukuba uqaphele ukuba kwiimeko ezinjalo, akubona bonke abafazi abavunyelwe ukuhanjiswa kwemvelo. Oku kubangelwe ukuba kunokwenzeka ukuba kuphuhliswe iingxaki - emva kwecandelo lesajaji i-uterus ithola ezinye iimpawu. Ukungqinelana kokunikezelwa kwamanzi ngamanzi:
- ubude bexesha elide kwisibeleko;
- i-placenta previa kwindawo yerumen;
- Ilungiselelo elinyanisiweyo lomntwana;
- isiqhamo esikhulu;
- ukukhulelwa okubanzi ;
- i-pelvis encinci;
- inkqubo ye
Ukulungiselela ukubeleka emva kokuvala
Ukuzalwa okuzimeleyo emva kwecandelo le-shedare lifuna isigaba sokulungiselela. Iqala ngokuvavanywa kwimeko yesigu sokulala. Ukwenza oku, ibhinqa linika oogqirha isicatshulwa esibhedlele, esineenkcukacha ezilandelayo:
- izizathu zokudlulela kwangaphambili;
- ubude bexesha elingenamntu, ukuzalwa;
- indlela yokwenza i-suturing, izinto ezisetyenziswayo;
- umthamo wegazi elilahlekileyo;
- uluhlu lwezilwanyana ezisetyenziswayo.
Ngokusekelwe kwingcaciso efunyenweyo, oogqirha bafikelela kwizigqibo kwaye baqhuba iimviwo eziyimfuneko. Iquka:
- I-Ultrasound ye-pelvis encinci;
- iimvavanyo zelabhoratri: igazi, umchamo, ama-hormone;
- Ukukhutshwa kwesifo esingapheliyo sokuvuvukala.
Ukuzalwa kwemvelo emva kokupheka kancinci?
Ukuzalwa ngokwemvelo emva kwecandelo le-caesarean lihleli lihleliwe. Zibanjwe iiveki ezingama-39 ukuya kuma-40. Inkqubo iqala nge-amniotomy - ukuvulwa kwe-amniotic fluid eyenza inkqubo yokuzalwa. Ukuhanjiswa ngokwayo kuqhutywa ngendlela efanayo. Ingqwalasela ngokukodwa ihlawulwa kwimeko yesikhumba. Ekungqineni kokuqala, ukubonakala kwegazi, baqala ukuxakeka kwimeko engxamisekileyo.
Zingaphi ndihlandlo ndiza kubeleka emva kokuvala?
Kwimibuzo yexesha elinokuthi likwazi ukuzala isigaba se-cearean, abagqithisi baye baphendule ukuba ngaphambili impilo ibhinqa liyakwazi ukunyamezela i-2 kuphela. Uphuhliso lwangoku lwamayeza kunye nezimbandezelo luvumela ukuba kubekho iintlobo ezininzi zokukhutshwa emva kokusebenza okufanayo. Izigqibo zolu hlobo zenziwe yilethimba lezonyango elivavanya iziphumo zophando ezikhoyo, imeko yesigxina somzimba, inqabileyo ebunjwa kuyo.
Kwixesha elide, abagqithisi beNtshona basebenzisa ukubeleka emva kwecandelo lekhefu ngeendlela zesini. Ngelo xesha, ipesenteji ephantsi zeengxaki zirekhodwa. Oku kufezekiswe ngokuqwalasela ngokucokisekileyo inkqubo yolo hlobo, ukubeka iliso ngokuqhubekayo kwimeko yomntwana ophucukileyo kwinkqubo yokubonakala komntwana. Kukho iimeko xa ibhinqa emva kokusebenza okufanayo kuzalisa abantwana aba-2 ngokunikezelwa kwemvelo. Kule meko, abancinci abanalo pathologies.
Ukuhanjiswa kwezemvelo emva kwamacandelo amabini ashiya
Njengoko sele kukhankanywe ngasentla, isigqibo malunga nokuba kunokwenzeka yini ukuzala emva kwecandelo lesondlo kwindlela yendalo ithathwa ngugqirha. Abagqithisi basekhaya basebenzisana nomgaqo wokuba abo babini abakuqala bangabonakalisa kwisithathu. Ngaphambili, umfazi wayenqatshelwe ukuba azalwe kule ngxaki, emva kokuzalisa inzalo (ligation of tublopian tubes) emva kokusebenza kwesibili.
Zingaphi kangangexesha ndiyakwenza ngayo ukuhambisa?
Uphando lwangoku lubonisa ukuba kungenzeka ukuzalwa kwabantwana abathathu. Kodwa kufuneka kube yinto yokuyeka. Nangona kunjalo, umbuzo wowesifazane malunga nokuba bangaphi abantwana abanikezelwa ngokuzalwa emva kolu suku, oogqirha abanikeli impendulo engabonakaliyo. Konke kuxhomekeke kwi:
- ubudala somguli;
- imiqathango yenkqubo yokuzala;
- ubukho beenkqubo ezingapheliyo zokuvuvukala.
Ngaphambi kokwenza isigqibo malunga nokucwangcisa ukukhulelwa rhoqo, umfazi uya kutyelela kwiziko lezonyango. Ukubonisana kwangaphambili nogqirha kumisa iimpawu ze-anamnesis yowesifazane. I-gynecologist iqhuba ukuhlaziywa okuphambili kwisihlalo somzimba, ukuvavanya imeko yomlomo wesisu, umlomo wesibeleko. Ukuxilongwa ngokubanzi kwenkqubo yokuzala kubandakanya i-ultrasound yeenxalenye ze-pelvic. Isiphetho senziwa ngesiseko solwazi olufunyenweyo, unike iingcebiso kumfazi, ukuqhuba unyango xa kuyimfuneko.