Kwiimeko zithini ibhinqa elinecandelo le-care?

Ngokuqhelekileyo, oogqirha banquma ukwenza isigaba se-caesarean ngqo kwikhaya labahlengikazi, ukuba ubomi bomntwana okanye umama ozayo uyasongelwa. Nazi izibonakaliso ezisemgangathweni zokuhlinzwa ngokukhawuleza: i-detachment ye-placenta eqhelekileyo, i-hypoxia enomntwana obunzima, kuvulwa okwaneleyo komlomo wesibeleko. Ngoncedo lwe-cardiotocography (izilwanyana ezinamathele kwisisu sakho zibamba intliziyo yesana) oogqirha baya kubeka iliso inhlalakahle yomntwana ngexesha lokuzalwa. Kwaye ukuba kukho into engalunganga, baya kungenelela ngokukhawuleza. Musa ukuxhalabisa: oogqirha, njengawe, banomdla wokuzalwa umntwana ozalwa ngokwemvelo.

Ngoko ke, isigqibo malunga nokusebenza sithathwa kuphela xa kungekho ndlela yokuphuma. Kwiimeko zithini ibhinqa elinesigqeba sokugcina kunye nendlela eyenziwa ngayo?

Umsebenzi ohleliweyo

Ugqirha unokunika ingxelo yesidingo sesigaba se-caesarean ekuqaleni kwe-trimester yesithathu. Ngexesha elifanayo, uya kuthatha ingqalelo ixesha lokukhulelwa aze acwangcise ngokuchanekileyo umhla wokusebenza. Ukuthunyelwa komsebenzi kuyadingeka ukuba umntwana usesidumbu sakho kwisithuba esinqumlayo, ukuba i-placenta ivala ukuphuma kwi-uterus. Isisombululo sokurhoxiswa okucwangcisiweyo senziwa ngamathambo ahlukeneyo kwindlela yokuzala okanye isalathisi esingavumelaniyo eludongeni lwe-uterine oluye lwahlala kwimisebenzi yangaphambili. I-pelvis encinci kunye nomntwana omkhulu kakhulu, iingxaki zesistim se-cardiovascular in mother, izifo ezingapheliyo eziphazamisa ukugeleza okwaneleyo kwabasebenzi - kukho izibonakaliso ezininzi zokusebenza. Nangona kunjalo, nganye imeko yedwa, kwaye ugqirha kufuneka ahlalutye ulwazi oluninzi ukuze enze isigqibo. Ngendlela, iqondo le-myopia alisoloko lisihlandlo secesarean section. Oogqirha bayesaba i-retina ngexesha lexesha elihle kwaye ke bancome ukuhlinzwa. Kodwa imeko ye-retina ayinqunywanga yizakhono zeso lesithili, kodwa ingcali yecandelo le-ophthalmological ngoncedo lwezixhobo ezizodwa. Ngaba unamahlwempu? Kufuneka ukuba udlule uviwo emva kweveki ye-32 yokukhulelwa. Inkqubo iya kubonisa ukuba unako ukuzala ngokwemvelo. Ingxaki eyahlukileyo yintetho ye-pelvic. Iingqikithi, ukuzalwa okuzimeleyo kuyamkeleka ukuba akukho zikhokelo ezingekho ngqo malunga necandelo lesahla. Ngokwenza oko, kufuneka ufumane ugqirha onamava athile ekuthatheni ukuhanjiswa ngeentetho ze-pelvic.

Cwangciso so ku sebenza

Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele okanye yangaphakathi-anesthesia ye-epidural. Ngokomyinge, iphela imizuzu engama-40-45. Udokotela ogqirha ugqitha isalathisi sodonga lwesisu ngesalathisi kwaye udonga lwesibindi. Umntwana uthathiwe kwiminithi yesi-2-4 yokuhlinzwa. Unokuxoxa nogqirha malunga nesimo sexesha lokugqibela. Kubalulekile ukuba i-crumb ngokukhawuleza ayithathwanga kwisebe leintsana, kwaye iqhotyoshelwe kwisifuba. I-epestural anesthesia ayiyithintelo kubo bonke! Kwaye amaconsi e-colostrum, ayeza kufumana umntwana, ayilona xabiso elingenakunqwenelekayo: aqukethe iintsholongwane zomzimba ezikhusela umntwana kwiintsholongwane. I-neonatologist iya kuhlola i-crumb, kwaye intsha iya kufikelela kwisebe labantwana, apho oogqirha baya kujonga ngokuthe ngqo imeko yakhe. Ewe, uya kubuya emva kwe-anesthesia.

Intlanganiso ekulindelwe ixesha elide

Icandelo le-Caesarea alinakuphazamisa isicatshulwa. Emva komhla, i-anesthesia jikelele isuswe ngokupheleleyo emzimbeni, kwaye wena kunye nosana uya kudluliselwa kwindawo yokuhlala. Ngethuba umntwana esondeza isifuba sakhe, ukuxubha izandla, imilenze, ingqalelo ekhethekileyo yanikwa amahlombe nentloko. Ukunyakaza kwakho okunyanisekileyo kungekuqinisekisi nje kuphela, kodwa uxelise "uhambo" ngokusebenzisa umsele wokuzalwa. Zama ukuba khona kuyo yonke ixesha. Ugqoke izandla zakho, ubange, uxoke, uthethe, umomotheka. Kubalulekile ukuba yonke imizuzu yobomi bakhe uvakalelwa kukuba uyakhathazeka.

Sifumana!

Musa ukucinga ukuba kuya kufuneka ulale embhedeni ixesha elide. Oogqirha bancomela ukunyuka emva kweeyure eziyi-12. Iveki iya kudlula kwaye wena kunye nosana uya kubuyela ekhaya. Vumela izihlobo zikuncede ngemihla yokuqala. Ngoku kufuneka uzikhusele: musa ukuphakamisa ubunzima, musa ukwenza ukunyakaza okubukhali. Ngokuqhelekileyo, umzimba uphinde ubuyiselwe emva kwecandelo lesahara kwinyanga kunye nesiqingatha. Imenyu ecinga, ukuhlawula ngokudibanisa nokuphumla kunye nentlalo-ntle iya kuba yinto ephezulu. Ukuba unomkhuhlane, ukucola kuphazamisekile, intlungu kwisisu esezantsi kunye nommandla wokhuba uhlala uphazamisa, ukukhutshwa kwamanzi okugqatso kuye kwavela - biza udokotela ngokukhawuleza. Faka phakathi kweemveliso zakho zokutya eziza kunceda ukuqinisa umthunzi nokukhusela i-anemia. Yidla amaqanda, isibindi (i-zinc), i-pepper e-sweet (vitamin C), isipinashi, ulwimi kunye ne-buckwheat porridge (insimbi kunye ne-vitamin E). Kwiiveki ezimbalwa emva kokuzalwa, yenza imisebenzi elula yokulula. I-Gymnastics yokuqinisa isisu esisemva kweenyanga ezintathu. Ngaphambi kokuba uqale iiklasi eziqhelekileyo, qhagamshelana neengcali. I-epidural anesthesia iye yaziwa kakhulu. Emva kokugqithisa emgodleni, umzimba wakho ophantsi ulahlekelwa ngumzwelo, kodwa uhlala ugcwele ingqondo ngexesha lokusebenza. Uyabona ngamehlo akho ukubonakala komntwana ekukhanyeni. I-Anesthetic ye-epestural anesthesia ayiyithintelo yokutya. Ngoko ke, i-crumb isetyenziswe kwisifuba sakho emva kokusebenza. Ixesha lokubuyiselwa lidlula ngokukhawuleza kunokuba kusetyenziswe i-aneshesia. I-Anesthetic ifakwe kwi-canal yomgudu. Kwaye le nkqubo ifuna imfundo enkulu ye-anesthesiologist. Ukuba ugqirha wenza iphutha, unokufumana ubunzima. Kubalulekile ukuba uqhelane neengcali ngaphambi kokuba usebenze, ufunde ngamava akhe, ukuqokelela ingxelo. Isenzo se-epestural anesthesia saphela ngokukhawuleza. Nangona kunjalo, ezinyangeni ezimbalwa emva kokuzalwa, unokuba nentlungu emhlane nasemqaleni.