Yonke into ayikrakra njengoko ingathi ibonakala kuqala. Ukuba umsebenzi uphumelele kwaye ngaphandle kobunzima, oogqirha bancomela ukulinda unyaka nesiqingatha ngaphambi kokuzama ukukhulelwa kwakhona. Eli lixesha lexesha "ngomgama." Ngokuqhelekileyo i-incision isicatshulwa ezintandathu kwiinyanga, kwaye kwiinyanga ezintandathu ububele bubuyela kwindawo evamile. Ukuqapha kuqhagamshelaniswa nelokuba ixesha elide lidlulileyo ukususela ekusebenzeni, kuninzi amathuba okuphepha iingxaki ezinjengeendawo eziphantsi kweendawo ezinobuncwane ngenxa yobunzima kwisibeleko, ukuphazamiseka kwendawo ekhuselekileyo ekukhulelweni emva koko okanye ingxaki yomthunzi kwinkqubo yokuhanjiswa kwamanzi kunye nomntwana olandelayo. Kwiimeko ezininzi, ukuba ukhulelwe unyaka omnye emva kwecandelo lesigxina okanye kamva, ukukhulelwa kwakho nokubeletha akuyi kufana nokuqhelekileyo. Ukuphindaphinda kwakhona kunye nobuthathaka bentsebenzo ngumxholo wokupapashwa.
Ukukhulelwa kwesibini
Ukuba ukuphulukiswa kwesiqhekeza kwakuqhelekileyo, ngoko ukukhulelwa kwakho akusengozini. Nangona kunjalo ukuba kwinkqubo yokuthwala umntwana isisu sikhula ngokukhulu, akukho mngcipheko wokuba umswakama uza kubhidlika. Nangona kunjalo, kukho ubunzima beengxaki ezithile zohlobo oluthile. Akufanele bathuke. Ukukhulelwa kwakho kudinga ingqalelo ekhethekileyo kumgqirha, olungiselela ukuzala kwaye uyawamkela. Ingxaki enobungozi kakhulu yintlungu ye-uterus kwi-rumen. Oku akunakwenzeka kuphela emva kwecandelo lesarean, kodwa nangemva kwe-myomectomy yolondolozo (ukususwa kokusebenza kwe-uterine fibroids), emva kokususwa kwe-ectopic pregnancy (indlela yokuchonga i-uterine angle), emva kokukhupha izisu ezininzi.
Ukuphazamiseka kwePlacental
Oku kwenzeka nakwabo abangenayo icandelo lokumvalela kwimbali, kodwa ingozi yale nkcenkcesha isanda. Kule meko, oogqirha baya kufuneka benze uncedo oluphuthumayo ukuze balondoloze umntwana.
Ukongezwa kwepentecenta
Ukuchonga ukuba kwenzeke ngaphambi kokuzalwa, akunakwenzeka. Ingundoqo yolu hlobo kukuba ngexesha lokugqibela lokuzalwa, iinxalenye zepenteka ayikwazi ukwahlukana nalezo zicuksi apho kubonakala khona ulwaphulo. Ngenxa yoko, kwixesha lokugqibela, ukuphuma kwamanzi kungavulwa, kwaye oogqirha baya kufuneka benze izicelo zongxamiseko.
Indawo ephantsi ye-placenta
Isizathu saso sinokuba yinto ebomvu kwisibeleko.
Ixesha eliqhelekileyo leareanan
Ukuba ufuna ukuzala ngokwemvelo emva kwecandelo le-carear, qhagamshelana nogqirha. Kwiimeko ezininzi, akukho nto inqanda ukuzalwa kwesisu. Nangona kukho iimeko xa i-cearean ibhetele ukuphinda kwiindawo zonyango. Ugqirha uya kugxininisa kwi-casarean yesibini kwiimeko ezithile.
- Ukuba ukugqithiswa kwangaphambili kwakungumntu (kuyenziwe ngokuchaneka ngokucacileyo ukusuka kwisibeleko ukuya kwintonga, kwaye akusiyo ingqamaniso kwisigaba esezantsi sesisu), oko kungenakuqhelaniswa - isalathiso sokumisa. Icandelo elinjalo litshintshelwe kwiimeko ezinzima: ukuba umntwana unesibindi esisinyanzelo, okanye ukuba kungabonakali kakhulu, okanye nayiphi na isizathu esithile sokunikezelwa kwezantya-mpu nzelelo (umzekelo, i-prolapse ye-strings umbilical, i-hypoxia e-fetal fetal).
- Isimo sobomvu kwisibeleko (ngokwe-ultrasound). Ubomvu kufuneka bube lukhulu lwesakhiwo esifanayo, ngaphandle kwe "niches", ukungena kunye nokuguqulwa. Ubunzima beqabunga kwiiveki ezingama-38-39 - kungekhona ngaphantsi kwama-4 mm.
- Indawo engalunganga yintsana esiswini. Esikhundleni esiphambeneyo, ukuhanjiswa kwamanzi kungenakwenzeka, kunye neprovicvic - ayinqatshelwe, ukuba kukho i-laarean kwi-anamnesis.
- Ukungafumaneki komsele wokuzalwa. Ngokuqhelekileyo, ukuvuthwa komlomo wesibeleko akunzeki ngenxa yokungahambelani kwesiqhekeza esibelethweni.
- Ukutshatyalaliswa kokuzalwa komntwana emva kokuphela kwe-cearean ngumntwana omkhulu: ubunzima bomntwana nge-ultrasound abufanele kudlule kuma-3800.0 g.
- Ezimbini okanye ngaphezulu. Ingakumbi izikhwama kwi-uterus, ziphakamileyo umngcipheko weengxaki. Ngokukodwa, ukwahlukana kwepentecenta kunokuba nzima, ukuba "ikhula" ibe yinkqalazo, kukho umngcipheko wokungafani kwendlela yokulwa.
- Indawo ephantsi okanye umboniso we-placenta. Kule meko, njengomthetho, ukucetyiswa komsebenzi, kunjengokuzalwa okuqhelekileyo okufana ne-placenta inokukhupha, okuya kukhokelela ekulaleni kwendlala yomsana. Ukuba awunayo inkcazo yezokwelapha kwi-carea yesibili, sinqume ukuba uzama ukuzala ngokwemvelo.
- Kukho isizathu sokuba usebenze okokugqibela. Ngokomzekelo, unesitoreji sokubuyisela, kwaye ukwandisa ixinzelelo lwamehlo kwimizamo kunokusongela ngakumbi amehlo akho.
Ukuhanjiswa kwezilwanyana emva kokuvalwa
Ukwahlula okubalulekileyo phakathi kokuzalwa okuqhelekileyo emva kokuzalwa kwe-laarean kukuba ukuzalwa okunjalo akukhuthazi: kufuneka baqhume ngokwabo, ngaphandle kweenjini ze-oxytocin okanye i-enzaprost, ekubeni nayiphi na indlela yokuvuselela abasebenzi. Kwakhona, ukuzalwa okunjalo kuzama ukungazinzi ukuba zihlambuluke ukuze zingabonakali umfanekiso weklinikhi wokuphuka kombele. Ukubeka nje, nge-aneshesia, unina akayi kukwazi ukukhalaza ngeempawu ezingathandekiyo, kwaye oogqirha abanako ukuza kumnceda. Indlela yokuhanjiswa kwezesini emva kokuba i-cearean ifana neyesiqhelo. Awuyi kukhawulelwa ekuziphatheni kwamahhala ngexesha lokulwa: ungathatha indawo epholileyo, wenze i-gymnastics yokuphefumula, ubambe ixesha lokubhukuda kwindawo yokuhlamba okanye kwindawo ekhethekileyo ukuze unciphise intlungu. Nangona kunjalo, kuya kuba kunengqiqo kumagqirha ukugcina intliziyo yengane ngoncedo lwendlela yokubeka iliso, njengoko kwenziwa kwimeko ezininzi, xa kukho imfuneko yokubeka iliso kwiimeko zomntwana.
Iingenelelo zokuzalwa kwesisu ngaphambi kokuba i-secondarean isibini
- Uza kufakwa ngokukhawuleza. Kuya kuba lula ukuba unakekele umntwana kwaye uzincede.
- Ukuzalwa ngokwemvelo kunceda umntwana ukuba asebenze iinkqubo zobomi ezisebenzayo, umzekelo, ukuphefumla.
- Ekuzalweni kwebhinqa, umngcipheko wosulelo luphantsi.
- Uyakwazi ukubuyela ekhaya ngeveki ngaphambili, kwaye akuyi kuba nako ukujongana nobunzima kwindawo yebhasi.
- Kwimeko apho isigxina sokuqhekeza senziwa phantsi kwe-anesthesia jikelele, awukwazi ukukhawuleza ukubona umntwana, uqhagamshelane nayo kwaye uyifake kwisifuba, esiluncedo kwimpilo yeemvumba kunye nesisu sakho ukuba siqhele kwisithuba sokugqibela.
- Ubunzima obuninzi kwisibeleko banda inqanaba lomngcipheko weintsana ezalandelayo kwaye kunciphisa amathuba okuba kuza kwenzeka ukuzaliswa kwesisu.
- Yonke into yokugcina iyanqanda kunzima ukuyichitha ngaphandle kwengozi kwimpilo. Kukho amabhinqa abeletha abantwana abathathu okanye ngaphezulu nge-caesarean, kodwa ngezinye izihlandlo kukhokelela ekuphumeni kwegazi kunye nesidingo sokutshintsha igazi, kwaye kufuneka kususwe isisu.
- Naliphi na imisebenzi yokuqhubela i-cavitary ekhokelela kwinkqubo yohambo. Oku kuthetha ukuba izicubu zamalungu angaphakathi zihlangene kunye, eziyekelela ukuhamba kwazo kwaye zingabangela intlungu ebuhlungu. Kwiimeko ezinqabileyo, iipikikhi ziyakwenzeka kwiibhulo zomzimba, ezingakhokelela kwiingxaki zokukhulelwa. Akunandaba nokuba kufuneka uphinde uzalwe okanye uza kuzalwa ngokwemvelo - umntwana kufuneka avele ekukhanyeni njengoko kuya kukhuseleka kuye nakwimpilo yakho.
Nika ingqalelo
Ukungahambi kakuhle kwezibonelelo zobunini kubandakanya iingxaki kunye ne-perineum, engeyena wonke umntu onokukuphepha, kungakhathaliseki ukuba kukho i-cearean okanye ayikho. Kukhona inokwenzeka yokuba i-episiotomy, ubuthathaka be-ureth kwixesha lokugqibela, ukulula okanye ukunciphisa iindonga zesisu kunye nentlungu emva kokuzalwa. Bekela ingqalelo, kwalawo mazwe apho, ngokubanzi, bahle ngokuzalwa kokuzalwa kwesisu emva kokuzalwa kwekhaya kunye nokuzalwa ekhaya, musa ukuncoma ukuzala abo baneli ganeko kwisiko-gulane. Nangona iingozi zokuba zingekho, oogqirha banokubheka ukuba kuyimfuneko ukugcina imeko yengane kule meko ngokucophelela, ukuze uthathe onke amanyathelo afanelekileyo ukuba kukho ingozi ebomini okanye kwimpilo yakho.
INkqubo yeZenzo
Ngoko ke, ukuba sele unesigqeba sokulahla, kufuneka ukhumbule amanye amanqaku. Ukuba umsebenzi wangaphambili ungaphantsi kwesigamu sonyaka odlulileyo, qhagamshelana neengcali ukuba ubukele ukukhulelwa kwakho ngokucokisekileyo. Emva kweveki ye-30 yokukhulelwa, xubusha nodokotela amaqhinga kunye nesicwangciso solawulo lwabasebenzi. Ukuba ugqirha ugxininisa kumgcini wesibini, xubusha naye ubungqina, thola ukuba kutheni kungenakwenzeka ukuzaliswa kwesisu. Ukuqala ukususela kwiiveki ezingama-36, kucetyiswa ukuba uvelele ugqirha ngeveki, ukuba kunokwenzeka, ukuqhuba ii-2-3 iimviwo ze-ultrasound ezongezelelweyo zobume bebhendi kwisibeleko, umzekelo, kwiiveki ezingama-38 neye-39 zokukhulelwa, ukuchonga ukuhambelana kwazo. Ukuba usebenze kwangaphambili kunyaka okanye ngaphezulu edlule, phatha ukukhulelwa kwakho njengesiqhelo, kodwa kucebise ukujonga imeko yesikhumba ebusweni ngexesha lokucwangciswa kwe-ultrasound. Ukuba ugqirha ucebisa ukuba uzame ukuzalwa ngendlela engokwemvelo, ungaziphakamisi ngokucacileyo: "Kulungile nje ukuba ngaba kungekho eKhesareya!" Khumbula ukuba nayiphi na intombazana inokufuna ukuhlinzwa - uya kukunceda wena kunye nosana kwiingxaki ezahlukeneyo kunye neengxaki .