Uhlobo lulungelelanise ukuba ibhinqa libele umntwana. Kusebenza kuphela ukuba yonke into ayisoloko ihamba "ngokwecebo". Kwaye ke kuyimfuneko ukutyelela kwinkqubo yecandelo le-shedding. Nangona kunjalo, ngexesha lethu, ukuhanjiswa ngoncedo lwe-cearean kunokwenzeka nangona kucela koomama ngomntwana ngemali. Kutheni abafazi behamba oku? Ingaba yile ndlela engcono kakhulu yokuphuma nayo yonke? Icandelo le-Caesarea: i-pros and cons ye-nkqubo yintloko yintetho yanamhlanje.
Kule minyaka engama-30 edlulileyo, inani labantwana abazalwe ngononophelo lwe-cearean lenyuke ngo-20%. NgoNovemba 2009, iZiko lezeMpilo kunye nokuLawula iRussia Federation libike ukuba inqanaba lesigaba sokugcina eli lizwe lirekhodi elingama-29.1%, eliphantse liyingxenye yesine yenani labazali. Oku kuthetha ukuba aba-1 kwabasetyhini be-4 bazala ngokucetywa kwinqanaba le-caesarean.
Njengoko naluphi na ukungenelela, kukho iingozi. Icandelo le-Caesarea ayilona nto. Kubalulekile ukuba uqaphele yonke into eyenzekayo kunye nexhala le ntsebenzo, fumana ukubonisana nodokotela ngexesha kwaye ulungele iingxaki kunye nobunzima emva kokusebenza. Ukuba uthatha isigqibo sokuzala ngesigaba sokutya ngokuzithandela - kufuneka ukwazi ezinye iinkcukacha malunga nale nkqubo.
Okokuqala, qwa lasela. Enyanisweni, nguye yedwa - ukungabikho kwintlungu kunye noxinzelelo. Oko kubizwa ngokuthi "ulele-uvuke, kwaye umntwana sele sele esondele." Nangona kunjalo, abafazi abaqwalasela into yokuba intlungu emva kokuba i-laareans iza kuhlala isomelele, ihlala ixesha elide, kunye nemimiselo ethintekayo (awukwazi ukuhamba, uthathe umntwana ezandleni zakho, ngokubanzi ngandlela-thile uxinzelele kwiinyanga eziliqela). Ukongezelela, uya kuba nomfutho emzimbeni wakho, oya kubangela ezininzi izinto eziphazamisayo, ingakumbi kwiinyanga ezintandathu zokuqala okanye ngonyaka emva kokusebenza. Yintoni enye, ngaphandle kwentlungu kunye noyiko, ngaba izibonelelo zecesarean section? Hayi, ewe! Unokukhetha umhla wokuzalwa komntwana wakho. Ewe, kunjalo, akunjalo nayiphi na, kodwa ngokufutshane nexesha elipheleleyo lokukhulelwa. I-Caesarea inokwenziwa kwimizuzu emibini ngaphambi komhla - ayiyi kuchaphazela impilo yomntwana. Apha, eqinisweni, kunye nawo onke ama-pluses. Emva koko, makhe sixoxe ngokungahambi kakuhle.
Ingozi kunye neengxaki kumama:
Cinga ngolu hlobo lwezinto ezilandelayo ezibangelwa naluphi na ukungenelela
- Usuleleko: usulelo luya kwenzeka ngamagqabi okugonywa kwi-uterine cavity kunye nezinye izitho zeplasvic ezincinane, ezinjenge-bladder.
- Ukuhlamba okanye ukulahleka kwegazi : ukuphuma kwegazi ngexesha lokuzalwa kunye necesarean section liphezulu kuneenkonzo eziqhelekileyo. Oku kunokukhokelela ekufuneni ukudluliselwa kwegazi ngokumalunga ne-anemia (abafazi abangama-6 kwabangama-100 badinga ukunyelwa igazi).
- Ukulimala kwimizimba: umonakalo kwizitho, ezifana ne-bladder, inokwenzeka.
- I-Spikes: kunye neengxaki emva kwecandelo le-caesarean, ukubunjwa kwe-adhesive kwi-pelvis encinci inokwenzeka. Oku kuya kuthintela ukuqaliswa kokukhulelwa okulandelayo okanye kubangele ubunzima bayo: i-placenta previa okanye ukuphazamiseka kwamaplaza.
- Kudala uhlala esibhedlele: emva kokuzalwa kunye necesarean section, isihlala esibhedlele sihlala iintsuku ezingama-5-7 ukuba akukho zixazululo emva kokubeletha.
- Ixesha elide lokuphucula: ixesha elifunekayo lokubuyiswa kwiinkonzo ezinokubakho zingapheli kwiiveki eziliqela ukuya kwiinyanga eziliqela, ezichaphazela ulwalamano lwakho nomntwana (kwiimeko ezili-14 ngaphandle kweentombi ezilikhulu zihlupheke kwiinyanga ezintandathu okanye ngaphezulu emva kokusebenza).
- Impendulo kwi-anesthesia: unokuba neempendulo ezingalunganga kwi-anesthesia, enikwa ngexesha lesigxina okanye indlela yokuphendula ngayo intlungu, izidalwa, ezibonelelwa emva kokusebenza.
- Umngcipheko wemisebenzi eyongezelelweyo: umzekelo, njengokuba i-hysterectomy, ukubuyiselwa kwesilwanyana okanye esinye isahluko sokugcina.
- Ukufa komama: inqanaba lokufa kwabantwana ngexesha leKesareya likhulu kunokuba bazalwa ngokuqhelekileyo.
- Ukuphendula ngomzwelo: abafazi abazalela ngosizo lweKhesareya, bathi banemibuzo engathandekiyo yokuzalwa komntwana. Kukho iingxaki ekujonganeni nomntwana wakho.
Ingozi kunye neengxaki kumntwana:
- Ukuzalwa kwangaphambi kokuqala: ukuba ubudala beminyaka yobubele abubalalwanga ngokufanelekileyo, umntwana ozelwe ne-cearean angaba yiminyaka emfutshane kwaye abe nesisindo esiphantsi.
- Iingxaki zokuphefumula: xa umntwana ezalwe ngoncedo lwaloo mntu, unokufumana iingxaki zokuphefumla. Ezinye izifundo zibonisa ukuba kukho imfuno yokunyamekela ngokukhawuleza kwangoko umntwana emva kwecandelo le-calarans, elingafunwa ngokuzalwa ngokuqhelekileyo.
- Ukuvavanywa okuphantsi kwinqanaba le-Apgar: Ephantsi I-Apgar iziphumo zibangelwa yi-anesthesia, uxinzelelo kumntwana ngaphambi kokuzalwa, kunye nokungahambi kwintsebenzo ngexesha lokubambisana (ukuhanjiswa kwezilwanyana kunika ukuvuselelwa komntwana kwinqanaba lokuzalwa). Iintsana ezizalwe nge-cearean zinethuba elingama-50% lama-apgar amanqaku angaphantsi kunezo ezizalwe kwimodi evamile.
- Ukulimala kumntwana: inqabile kakhulu ukusebenza kungonakalisa umntwana, ukulimaza, njengemingqumbo ngexesha lokusika. (2 kuzo zonke iintsana ezingama-100 ziyakunatywa ngexesha lotyando).
Ukuba ugqirha unikeza ukuzala, kodwa awukho kwimeko engxamisekileyo, zinike ixesha lokuxoxa ngezinto ozikhethayo ukuze uphunyezwe ngempumelelo.
- Buza ugqirha ukuba akuchazele ukuba kutheni icandelo leesetyana licetyiswa.
- Buza ukuba zeziphi iindlela ezithe ngqo kwiimeko zakho ngokuthe ngqo.
- Buza ugqirha ukuba akuthelekise zonke iingozi kunye neengxaki ngexesha lobasebenzi ngendlela engokwemvelo kunye nakwicandelo elithintekayo.
- Xoxa ngononophelo lwengqondo emva kokubeleka kunye necesarean section (umzekelo, xa ubona umntwana wakho, kungekudala emva kokubeletha uya kuba nokunyamekela, xa uthabatha unyango, njl.
Khumbula ukuba icandelo le-caesarean ye-pluses kunye ne-minuses linenani elingalinganiyo, kunye nokuxhaswa kwemigodi. Ngaphezu koko, kweli nqaku babhalwe kuphela kuphela. Kwaye kukho ezi zilandelayo: ukungabi nobisi emva kokusasaza, ukungakwazi ukuzalwa kwemvelo, ukudandatheka kunye nentlungu, ukungenakwenzeka kokuphila ngokwesondo ngaphambi kweenyanga ezintathu emva kokuhlinzwa, njl njl. Ngaba ufuna ukuzala ngokusasaza? Bese ulungele konke.