Izibonakaliso zecandelo le-caesarean zichazwe kwiiprotokholi ezikhethekileyo, eziqwalaselwe ngokugqithisileyo ngabagqirha-abanezintlu zezilwanyana kunye nokuvumela ukuphepha ukuzenzela umsebenzi. Bayakwazi ukuzimisela nangona ngexesha lokukhulelwa ngu-gynecologist wokubonisana nomfazi, ngoko ke umfazi ulungiselela ukulungiswa komsebenzi, uyabhedlele esibhedlele kwangaphambili, ehlolwe esibhedlele sokubeletha, kunye noogqirha baqaphele umhla wokusebenza baze balinde ukubonakala komntwana kwihlabathi. Kanti kukho izibonakaliso ekuzalweni komntwana, xa umcimbi wokunikezelwa kokusebenza ugqitywa kwisibhedlele sokubeleka, kwaye ngokukhawuleza kwinqanaba lokuhambisa.
Iingcaciso malunga nokuhanjiswa kwezicwangciso ezicwangcisiweyo zi:
- I-placenta epheleleyo;
intetho engaphelelanga yepentecenta enegazi eliphawuliweyo;
ukuxhomekeka kwangaphambi kwexesha eliqhelekileyo lepentecenta enokuphaphazeleka okuphawulwayo okanye ekubandezelekeni kwe-fetal interendine;
- ukungahambelani kwesola kwisibeleko emva kwesigaba se-caesarean okanye enye imisebenzi kwi-uterus;
- ezingaphezulu kweemvumba ezibini kwi-uterus;
- isikhundla esinqumlayo somntwana;
intetho ye-pelvic enobunzima kunye nentloko engapheliyo, inesisindo somntwana ongaphezu kwama-3600 g nangaphantsi kwe-1500 g okanye kunye neenguqu ze-anatomy ze-pelvis;
amawele ahlambulukileyo;
intetho ye-pelvic okanye isikhundla esithintekayo somntwana wokuqala ekukhulelweni ezininzi;
- Iifama ezininzi (izityalo ezingaphezu kwembini);
i-hypoxia ye-fetal engapheliyo, i-fetal hypotrophy;
- i-pelvis encinci ye-II-III yesigxina se-constriction, i-tumor okanye ukubola kwamathambo e-pelvic, imeko emva kwe-hip kunye nemisebenzi ye-pelvic;
ukungasebenzi kwemveliso yesisu kunye nesondo;
- Izibilini zomlomo wesibeleko, ama-ovari kunye nezinye izitho zentambo ye-pelvic, evimbela umsele wokuzala;
Umdlavuza wangaphandle, i-uterine fibroids ezininzi ngobukhulu;
Ukunciphisa umlomo wesibeleko kunye nesiswini somfazi, isicatshulwa kwi-perineum emva kokuqhawula ukuphuka kwesidanga sesithathu kunye nokuzalwa kwangaphambili;
- i-veicic varicose veins in the vagina and vulva;
- ukunyanzeliswa kwe-infection ye-herpesvirus yephepha lomzimba;
- in vitro fertilization ngeenkimbinkimbi ezinobunzima-mlando;
- Ubudala be-primipara buneminyaka engaphezulu kwe-30 ubudala kunye ne-obstetric and extragenital pathology;
ixesha elingapheliyo kwixesha elide kwimbali ngokudibanisa nezinye izinto ezihlaziyileyo;
- isifo se-hemolytic yomntwana xa i-markmark zokuzalwa ezingalungiselelwe;
- idluliselwe okanye ithwele ukukhulelwa ngokungabikho komphumo kwi-rodostimuljatsii;
izifo ezinzima ze-cardiovascular, inkqubo ye-nervous;
- izinga eliphezulu le-myopia;
iintlobo ezinzima ze-pre-eclampsia ngokungabikho kwefuthe leyeza kunye namaziko okuzalwa angakhange alungiselelwe (esi sibonakaliso singabonakaliswa kwisibonakaliso sokubeletha - konke kuxhomekeka kwixesha lokunyameka apho owesifazane okhulelweyo efunyaniswa khona nale nto).
Izibonakaliso zokuhanjiswa kweenkonzo ezisemsebenzini (ngokuqhelekileyo ukuhlinzwa ngongxamiseko):
- I-pelvis encinci;
ukukhulelwa kwangaphambili kwe-amniotic fluid kunye nokungabi namandla okuvuselela isigqi;
- ukungaqhelekanga komsebenzi wezabasebenzi ongeyisebenzisayo ngempilo;
i-hypoxia yobusana obukhulu;
- I-Detached ye-placenta eqhelekileyo okanye ephantsi;
- isongelo okanye ukuqala ukukhulelwa kwesibeleko;
- intetho kunye ne-prolapse ye-strings loops kunye neemeko zokuzalwa ezingalungiselelwanga;
- Ukungeniswa okungalunganga kunye nokunikezwa kwentloko yentloko (phambili, ubuso obuso buso, ukujonga kwangaphambili kwesimo esiphezulu se-suture).
- imeko yesifo okanye ukufa ngokukhawuleza komama obesebenzela umntwana obomvu.
Ukongezelela kwimiqondiso yokuhlinzwa, kukho iimeko ezirekhodiweyo zokufezekisa icandelo lesigxina: i-fetus ephilayo (kwezinye iimeko, xa kunikezelwa ngokukhawuleza, ukulibaziseka okubangela ukuba ubomi bowesifazane sele bungozi, le meko ayigcinwanga), imvume yomfazi ukuhlinzwa (ukuba le ntokazi iyazi) iingxaki ze-purulent-septic.
Akuthi ngaphandle kokuba umama nomntwana, ukuzalwa, ukuzalwa ngokwasemzimbeni kulungile. Icandelo le-Caesarea, okokuqala, linjengeyiphi i-laparotomy, njenganoma yiyiphi i-anesthesia, inomngcipheko omkhulu kumntwana. Okwesibini, le yithuba elide elide emva kokusebenza, kubandakanywa unyango olunzulu, ukutya, iingxaki zamathumbu, isistim e-postoperative suture. Kwaye, mhlawumbi, inzuzo kuphela malunga nokuhanjiswa kungenabuhlungu kwenkqubo ngokwayo, ngenxa yenkxaso efanelekileyo ye-anesthetic. Kodwa ... ndimele ndibulele amadoda ahlakaniphile adlulileyo, athathe inxalenye yeKesareya, ngeli thuba lokuzala impilo enobomi kwaye ibaluleke kakhulu-umntwana ophilayo kunye ngexesha elifanayo ukugcina ubomi bakho. Kwaye ndiyabulela kwizinto ezikhoyo zanomdla-mzimba zanamhlanje onqabile kwi-forcepower ye-cavitary ukulungiselela ukuhanjiswa komsebenzi, okunciphisa kakhulu inani lokulimala kwabantwana abasanda kuzalwa.
Ngoko, njengegama eliqhelekileyo laseSoviet elithi "U-Motherland uthe - kuyimfuneko, i-Komsomol iphendule-yiyo", ukuba unengqinisiso yecandelo le-caesarean, kufuneka uvumelane kwaye uzama ukuhlala uxolo kwaye ukholelwe ukuba yonke into iya kudlula ngaphandle kwengxaki.
Ukunikezelwa ngempumelelo !!!