Indlela efanelekileyo yokuzalwa komntwana kukuzalwa ngokuzalwa. La oogqirha abaziwayo, ngoko "njengaye" okanye kwisicelo sakho akukho mntu uya kwenza learean. Nangona kunjalo, kukho iimeko xa kufuneka ukhethe phakathi kokuzalwa ngokomzimba kunye nokukhuselwa kwamacuku kunye nonina. Kucacile ukuba umngcipheko awukho ndawo apha.
Ngaphandle kokukhetha
Izibonakaliso zokubeletha kwendalo kunye necesarean section zintlobo ezimbini: ngokupheleleyo kunye nezihlobo. Kwimeko yokuqala, ukusebenza kuyimfuneko engafanelekanga: kuya kusindisa impilo yomama nomntwana. Ngethamsanqa, izibonakaliso ezipheleleyo zokunqanda i-cearean azininzi, zi-5% kuphela zabesetyhini abakhulelweyo.
Ukunyanzeliswa kwe-pelvis III-IV degree
Xa uqala ukubonisana nabasetyhini, ugqirha uya kusebenzisa ikhampasi ekhethekileyo ukulinganisa ubungakanani bentambo yakho encinci, intambo yeethambo ejikeleze isalathiso sokuzalwa. Ngalo mgobo intloko yomntwana iya kudlula. Kwinqanaba elingaqhelekanga kunye neqondo eliqhelekileyo lokunciphisa iintlobo zendalo zityunjwe. Nangona kunjalo, ngethuba legqirha unako ukugqiba isigqibo malunga ne-carebs if the head of the crumbs is too large. Musa ukukhathazeka, oku kwenzeka kakhulu kunqabile, kuba uluntu lukhathalele ukwenza umzimba wakho uphelele umntwana wakho. Kodwa ngezinga eliphezulu lokunciphisa, i-cearean iboniswa ngokucacileyo. I-pelvis encinci ye-pathologically ayikho into ebonakalayo yowesifazane, kodwa ngenxa yokulimala okanye izifo zethambo.
Placenta previa
Ngokuqhelekileyo, i-placenta iqhotyoshelwe phantsi kwe-uterus okanye kwiindonga zayo. Efana ne post-
Ewe, musa ukuphazamisana ne-crumb. Nangona kunjalo, ukuba i-placenta ivala i-orifice yokuzalwa, i-caesarean ayikwazi ukunqandwa. Ngamanye amaxesha ukuqhubela phambili komntwana nge-canal yokuzalwa kunzima ngepentecenta kuphela. Emva koko isigqibo malunga nokusebenza sithathwa ngokufanelekileyo ngexesha lokuzalwa kwemvelo kunye necandelo lesigxina.
Ngamanye amaxesha kukho ingxaki efana ne-gestosis-toxicosis yesiqingatha sesibini sokukhulelwa. Ibonakala ngokubonakala kweprotheni emcini, iipikisi zengcinezelo, i-edema. Ukuba ukrokrelwa ngu-gestosis, uya kuthunyelwa esibhedlele ukuze "ugcinwe", uya kuqhuba unyango olufunekayo kwaye uqale ukulungiselela ukuzala kokuzalwa kunye neCesarean section. Apha kungcono ukuba ungabikho mngcipheko: ngexesha lokubambisa kwabasetyhini abakhulelwe nge-gestosis, ukunyuka kwexinzelelo engxamisekileyo eyenza isistim se-cardiovascular system sisongele.
Siza kuzala?
Izibonakaliso ezihambelanayo nezicwangciso zecandelo le-quarantine zixhaphake kakhulu. Emva koko kufuneka ucinge kunye nogqirha, ukujonga ukuphuhliswa kweziganeko de ukuza kuzalwa. Into eqhelekileyo yale yintetho ye-pelvic ye-fetus, oko kukuthi, umntwana usekwe kwisibeleko kungekho ngaphantsi, njengoko kulindelwe, kodwa phezulu. Ewe, kunye namava okuqhuba ukuzalwa okunjalo kwisigqirha, ungakwazi ukuzala kunye nawe. Kodwa ukuba ugqirha ufumana uneminye inkcazo engacacanga kwintsebenzo, umzekelo, i-pelvis encinci, kwaye i-caesarean inokwenzeka. Ngaphambi kokuthetha ngokugqithiseleyo malunga nokuhlinzwa, ugqirha uya kunika ithuba lokuzivocavoca ukuze umntwana athathe indawo efanelekileyo. Umzekelo, unako ukuma kuzo zonke ezine ukuze ube ngumzuzu wama-5-10 ngosuku. Ukuphumelela nokuthetha ngongqungquthela: mcele nje ukuba aphendule! Uya kubona, uya kuphulaphula umama! Ayenzeki nje kuphela i-pelvic, kodwa i-transverse okanye iblique presentation. Kule meko, icandelo le-carea yindlela ekhuselekileyo yokunikezelwa.
Isikhundla sokugqibela somntwana kuthatha malunga neiveki ezingama-38 zokukhulelwa. Khuthaza! Esinye isalathisi esithandwayo esithandwayo sokusasaza yinto ebomvu kwisibeleko emva kokusebenza kwangaphambili. Ngaba unayo i-cearean esikhathini esidlulileyo? Akunjalo ukuba awukwazi ukuzala ngokwakho. Ngoncedo lwe-ultrasound, ugqirha kufuneka ahlole ukuba unobumba lwakho lunokumelana nomthwalo wokubeleka. Ngokwezibalo, malunga ne-75% yabasetyhini abakhulelweyo abaneemisebenzi kwi-uterus esikhathini esidlulileyo banako ukuzala ngendlela engokwemvelo. Ukukhulelwa ngalunye kuyingqayizivele, ngoko isigqibo sokugqibela malunga nendlela yokunikezelwa kwesigqirha esenziwa ngabanye. Akunjalo yonke into enokucingelwa! Akunakunyulwa ukuba isigqibo malunga nokuhlaselwa siya kuthathwa ngexesha lokunyameka ngexesha lobasebenzi: ngobuthathaka bomsebenzi wezenzo, ukuba ubungakanani bentsana abuhambisani neeplavis yakho. Kodwa ngaphambi kokuzala, musa ukucinga ngako! Beka ingqondo yakho kwizinto ezilungileyo kwaye uphumule kangangoko kunokwenzeka. Uhlobo luya kuthatha.
Ngokuziqonda ngokupheleleyo
Wena kunye nogqirha wakho ufike kwisigqibo malunga nokusebenza? Ewe, ke kukho izizathu ezilungileyo zokuthi. Kwimeko nayiphi na into, ungazigxeka kwaye ungacingi ukuba i-cearean iya kubachaphazela kakubi umntwana. Into ephambili kukuba uza kuzalelwa enempilo! Nangona kunjalo, kuya kuba luncedo ukwenza inkqubo ibe yendalo ngendlela enokwenzeka. Ngoku kukho ithuba lokuvuma nogqirha ukuba lo msebenzi awuyi kuqhutywa ngokuhambelana nenkqubo ecwangcisiweyo (umhla ovunyelweyo ngaphambili), kodwa emva kokuqala kweemfazwe. Cingisisa ngale mzuzu. Nangona kunjalo, kwezinye iimeko, ugqirha unokucebisa kwaye ungalindelanga ukuqala komsebenzi. Ngokomzekelo, kunye neentsholongwane zesimo senhliziyo okanye ukukhulelwa okukhulu kokukhulelwa. Kwisicelo sakho, nangokungabikho kokuphikiswa, i-cearean ingenziwa phantsi kwe-anesthesia ye-epidural. Uya kunikwa umjovo kwintlambo - kwaye isiqingatha sakho esingaphantsi siya kulahlwa. Awuyi kubuhlungu. Kodwa uya kuba nolwazi kwaye amehlo akho uza kubona ukubonakala kweemvuthu ekukhanyeni! Umlinganiselo we-anesthesia uqikelelwe ngokukhawuleza ngexesha. Ngako oko, emva kokuba iintsana zifakwe kwiifubeni, uya kusela i-colostrum. Kwaye oku kuya kukukhuthaza ulungelelaniso oluhle! Ixesha lokubuyisela emva kokuhlinzwa ngaphantsi kwe-anesthesia ye-epidural ilula kunokuba emva kwe-anesthesia jikelele. Ngoko themba amayeza anamhlanje. Oogqirha baya kukunyamekela ngentsana ephakamileyo.
I-Myopia ayiyithintelo!
Ngaba bakuxelele ukuba ngenxa yemibono engafanelekanga, kuya kufuneka ulungelelanise kwinqanaba le-caesarean? Akunjalo njalo. Akunjalo, umgangatho wombono udlala indima, kodwa umngcipheko wechungechunge lwe-retina ngethuba lexesha. I-retina kufuneka ihlolwe yiingcali.
Iimama ezizayo kunye ne-myopia zicetyiswa ukuba zifumane uviwo oluchanekileyo kwiziko elikhethekileyo le-ophthalmology. Nangona kunjalo, kuphela emva kweveki ye-32 yokukhulelwa, xa iziyobisi oza kuzimba ukuze uhlole i-fundus, kuqinisekiswe ukuba ungalimazi umntwana. Uphononongo luya kubonisa ukuba i-retina yakho iyakwazi ukujongana nomgudu wemizamo.
Ngokuqhelekileyo, umphumo weso sheke ngumbiko wonyango: "Akukho nto ingqinelaniyo yokunikezelwa kwemvelo ngu-ophthalmologist". Ngalolu phepha ungaya esibhedlele. Kwiimeko ezigqithiseleyo, i-ophthalmologist izakuphakamisa intsebenziswana encinci - i-laser coagulation ye-retina, okanye "i-welding". Le nkqubo ithatha imizuzu embalwa kwaye ayifuni i-anesthesia. Isigqibo sokugqibela kwindlela yokuhanjiswa kwenziwe ngumdlali we-ophthalmologist ngeveki emva kwe-"welding".