Ukuhanjiswa emva kwecandelo lesahara

Ngokuqhelekileyo ekuboniswaneni kwabasetyhini, abafazi abakhulelweyo ngokuphindaphindiweyo kwaye ababelethe ngethuba lokuqala ngoxa uncediswa kwinqanaba le-laarean lithetha ukuba emva koko, ukuzalwa kungenakwenzeka. Nangona kunjalo, kutshanje, iingcali zezokwelapha ziye zaqala ukuxela ukuba akuyimfuneko ukuba kuzalwe ngokuphindaphindiweyo ukuba icandelo lesondlo lingafuneka. Abasetyhini abanamacandelo e-laarean, kumaxesha amaninzi, banquma ukuba babuyiselwe kwakhona, kodwa inxalenye enkulu yabo inakho ukubeletha ngokuqhelekileyo, kwaye oku kusebenza ngakumbi.

Kucacile ukuba kwiimeko ezininzi kunokwenzeka ukuba kuzalwe okwesibini kunye nokusebenza kwecandelo le-care. Njengomgaqo, ezi ziimeko xa kukho ukuchasana okufanayo nokuzalwa okuqhelekileyo kubakho ngexesha lokuqala, oko kukuthi, xa lidibaniswa neempawu zomntu zomzimba.

Ingaba lunjalo ngumbonakalo njengento yokuguqula amathambo kwi-pelvis, encinci isitya kunye nezinye izifo. Kananjalo neziqhelekileyo zizifo zesifo se-somatic, oko kukuthi, ukujonga ngokukhawuleza, ukuxilwa kwe-retinal, ukunyamezela kwe-craniocerebral. Ukuba kukho enye yezi zifo, icandelo le-secarean eliqhelekileyo linokuthi libekwe. Ukuba ukukhulelwa kuninzi, ukuzalwa ngendlela engokwemvelo kunokuba nzima okanye kungenakwenzeka ngaphandle kwengozi kubantwana.

Kwakhona, icandelo le-secarean yesibini linokumiselwa iingxaki ezinjenge-diabetes mellitus okanye uxinzelelo lwegazi oluphezulu. Izibonakaliso kuye ziya kuba yimeko xa okokuqala ngqamana isigaba se-quarry siphumelelanga, sishiye isiqhekeza esingavumelaniyo kwisibeleko okanye kukho ezinye iingxaki. Nangona kunjalo, ukuba khona kwesiqhekeza esibelethini akusikho inkcazo yokutyunjwa kwecandelo lesondlo.

Elinye iqela le-caesarean linokucetyiswa xa ukukhulelwa kwakhona kubonakala ngaphantsi kwe-3-4 kwiminyaka emva kokusebenza kokuqala kwecandelo lesarean, okanye xa kukhishwa isisu phakathi kwecala lokuqala lokukhulelwa kunye nokukhulelwa okutsha, kuba ukutsalwa kwesibindi kungenza ukuba isiqhwala singaphelelanga.

Nangona isigaba sesibini saseKesariya sasicinga ukuba yindlela yokuphela yokubeletha, ngokuqinisekileyo, enye inxalenye yesigqeba yinkqubo eyinkimbinkimbi kunokuba iqhube isigaba sokuqala sokugcina. Okokuqala, emva kokusebenza kweyesibini kwecandelo le-caesarean, ngaphezu kwesigamu sabasetyhini balahlekelwa ithuba lokukhulelwa, njengokuba umsebenzi wokuya esikhathini uyaphazamiseka. Kucacile ukuba ukuba ibhinqa elinesigqeba esilasayo liyazala umntwana wesibini ekuzalweni kwemvelo, ngoko ke ukuhlala unako ukuhlala ukhulelwe kuye kuphezulu.

Kwakhona, ukuqhuba ukuphindaphinda kwinqanaba elingaphantsi kwimeko ezininzi kubangela ukubonakala kweengxaki ezifana nokulimala kwe-ureters, bladder, emathunjini. Ezi ngxaki zibangelwa utshintsho kubudlelwane be-anatomical yezitho, ezidibaniswa nenkqubo yokubambelela eyenzeka kwingingqi ye-rumen.

Ubunokwenzeka bokuvela kwezi zinto ezinjenge-endometritis, i-anemia, thrombophlebitis yemithanjeni ye-pelvic yanda kakhulu. Kwakhona, isigaba sesibini se-caesarean sikwandisa kakhulu umngcipheko wokuphuma kwamanzi, apho amaninzi amaninzi akwazi ukunqunyulwa ngoncedo lweendlela ezilondolozayo, ezikhokelela kwisidingo sokususwa kwesibeleko, okwangoku, ngelishwa, isiphumo esisisigxina sesigaba sesibini.

Ngoko ke, njengesiqendu sokuqala, kunye nokuphindaphindiweyo, sinokuthi senziwe kuphela xa kuqeshwe ingcali yonyango kunye nezizathu zonyango kuphela, kwaye akukhethi kukhethwe ngumama entolongweni.

Izibonakaliso zecandelo lesibini le-caesarean, elingaqwalaselwa ngokupheleleyo, ngaphandle kwezo zibonakaliso eziyimfuneko yecandelo lokuqala lokuyeka, oogqirha babhekisela kwisiqholo sithuba esibelethweni, i-predominance yezixhobo ezixhumeneyo kwaye zingekho izicubu zomzimba kwiindawo zesifo se-uterine, i-previa kwisiqhwa se-placenta.

Ukongezelela, emva kwamacandelo amabini (okanye ngaphezulu) ama-cearean, ukuzalwa ngokusemthethweni kuyaphikisana. Kwaye ke, ukuba umfazi ngokwakhe ubonisa ukungavumi kokuzala ngokukhawuleza, icandelo le-laarean lenziwa. Nangona, njengoko kuchaziwe ngasentla, icandelo lesibini le-caesarean alinakuyithathwa njengelona khetho olufanelekileyo, kokubili unina nomntwana.