Ukulinda umntwana kuyisimo esimnandi nesinomdla, ngakumbi ukuba kwakunzima ukuzala okokuqala ngoncedo lomsebenzi. Umnqweno wokuvelisa umntwana wesibili ngokwawo ufumene ngabasetyhini abaninzi abaya kuphinda babe ngumama kwakhona. Ngaba ingozi ibalulekile?
Ekuqaleni kokukhulelwa okuphindaphindiweyo emva kwe-caesarean, umama ozayo, ngokukhawuleza kunokwenzeka, ubhalise ngokubonisana nomfazi kwaye uxelele ugqirha ngeemvakalelo zakhe ngokubanzi. Oomama abaninzi abaye bafumana umsebenzi wokuphupha ukuvelisa umntwana wesibili ngeendlela zendalo.
- i-placenta previa (indawo yeplacenta kwiindawo ezingezantsi zesisu, esivame ukukhokelela ekuphumeni kwegazi);
- ingrowth ye-placenta emzimbeni wesibeleko kummandla we-cicatrix;
- ukupheliswa ngokukhawuleza kokukhulelwa.
Ngoko ke, kufuneka uqaphele ngokukhethekileyo ngempilo yakho, ziphulaphule kwaye kunye nemiqondiso engathandabuzekiyo yokuqhagamshelana nogqirha wakho. Khumbula ukuba isiqinisekiso sokukhulelwa ngokuphumelelayo kunye nokukhusela ngokukhuselekileyo kukunyaniseka kunye nomthinteli-gynecologist wakho. Kubalulekile ukukhangela ugqirha onamava ovuma ukuzalwa kwemvelo kwaye uya kukuxhasa ngenkanuko yakho yokuzala umntwana ngokwakho. Ngendlela, oogqirha abanjalo baya kuba ngakumbi. Ukuba kuphela iminyaka engama-20 edluleyo phakathi kwabafazi be-gynecologist i-postulate yayisasazeke: "Xa elinye iqela liye lisoloko lugqityiweyo", ngoku oogqirha abaninzi abawuboni isiqhekeza kwisibeleko ngokuchasene nokubeletha kwemvelo.
Ukunikezelwa kwemvelo emva kokuhlinzwa kuyingozi yokuzalwa. Ingozi ikhona kwimeko yokungafani kwe-suture kwisibeleko, apho imeko yokungaphumeleli ukubonelela ngoncedo olufanelekileyo ngokufanelekileyo, kunokukhokelela kwiziphumo ezimbi kakhulu. Ngenxa yalesi sizathu, kwindlela yokuqhaqhaqhaqhayisa, abafazi abanekhanda kwisibeleko kubagqirha bexesha elide babengavunyelwe ukuzala kuphela. Ngoku kwimizi ethile yokubeleka ukuzalwa kwemvelo kuqhutywa ngempumelelo. Izixhobo zanamhlanje kunye neendlela zokuxilonga kwenza ukuba kunokwenzeka ukuba ubalekele kwisiphumo esihle, unike umama ithuba lokuva uvuyo lokuzalwa komntwana ngendlela engokwemvelo ehambelana nendalo ngokwayo. Ngelo xesha namhlanje abanye oogqirha bajonga ukuzalwa kwemvelo emva kokuba i-cearean ikhusele ngakumbi kunokuba isebenze okwesibini. Emva kokusebenza, izityalo zangaphakathi zomzimba ziphazamiseka.
Kwinqanaba le-caesarean i-cut transverse (horizontal) ye-uterus yenziwa rhoqo. Kule meko, inqabana ingaphantsi kancinci kunokuba yimeko ye-corporal (vertical). Ukuphulukiswa okupheleleyo kwe-suture kwisibeleko, ukubuyiselwa komsebenzi walo wokuzala kunye nokuba kungenzeka ukuba kubelethe ukuzalwa kwemvelo kuyadingeka ubuncinane iminyaka emibini emva kokusebenza. Nangona kunjalo, ukukhulelwa okuphindaphindiweyo akufanelekanga, kwaye kuya kuhlehliswa ixesha elide: kwiminyaka emihlanu ukuya kwimithandathu emva kwecandelo lesigxina, inqabile iya "nzima" kwaye ilahlekelwe ngumxubeko. Isimo se-suture kwisibeleko sincike kuhlobo lweethambo ezibandakanya kuyo:
izicubu ze-muscle zixhomekeke kwimithwalo ephakamileyo, kunye nezicubu ezinxibelelwano kwindawo yecala ayinalo ukukwazi ukunweba; Ixesha elithi "ukuhlukana kwesikhewu esincinane" kubhekisela kwimeko apho inxalenye yombono uqala ukungena khona. Kwiimeko ezinjalo, ukuqhubekeka kokunikezelwa kwemvelo akunakwenzeka, ukuhanjiswa kwexesha eliphuthumayo kuyimfuneko ngokuphindaphindiweyo kokusebenza .Ukuba ukugqithiswa kwemigodi kwenzeka, ugqirha onolwazi wenza ngokukhawuleza umsebenzi osebenzayo, unceda ukuba abelethe umntwana kwaye ungamthinteli umfazi wesithuba sokukhulelwa kwakhona kwikamva.