Kwesigaba sesibili cesarean: Kuyini kubalulekile ukwazi? Omama kwesigaba: izinkomba, isikhathi, yokutakula

Wonke umuntu wesifazane okhulelwe kuthatha fresh, hhayi njengalena odlule. Zokubeletha, ngokulandelana, futhi ehlukile. Uma ingane yokuqala ezalwa ngosizo odokotela abahlinzayo nababulala gynecologists, akusho ukuthi manje konke kuzokwenzeka ngokuvumelana nesimo esifanayo. Kuthiwani uma wesibili uzoba kwesigaba cesarean? Kuyini kubalulekile ukwazi kowesifazane ngokwakhe? Ngingaba ugweme ukuhlinzwa? On zale mibuzo kanye neminye uzokuphendula sihloko lanamuhla. Uzofunda indlela yokwenza lokho ihlandla lesibili kuhlelwe esigabeni cesarean njengoba umzimba uyalulama emva inqubo, ukuthi kungenzeka ukuhlela sokukhulelwa lwesithathu futhi ukuthi ngempela ngempela ukuba azale uqobo.

ukulethwa Ezingokwemvelo Kanye Nezenzo cesarean

Ake sibone indlela ukuthi kwenziwe, futhi yibuphi ubufakazi has yesibili kwesigaba cesarean. Kuyini kubalulekile ukwazi? Livela engokwemvelo wengane - inqubo indlela imvelo ohlosiwe. Nalapho esesikwa, ingane sidlula izindlela abafanele, bacindezelekile futhi uzilungiselele khona ezweni elisha.

Ukubeletha kuhilela ukubukeka yokufakelwa ingane. Odokotela Abahlinzayo ungavula imbobo esiswini futhi wesizalo sowesifazane lapho futhi athathe ingane. Pipsqueak livela ngokuphazima kweso kungalindele muntu, akanaso isikhathi ukujwayela. Kufanele kuqashelwe ukuthi ukuthuthukiswa izingane ezinjalo uya nzima futhi nzima kokuvela ukuzalwa zemvelo.

Phakathi nenkathi yokukhulelwa, omama abaningi abalindele scares inqubo cesarean. Phela, inzuzo lalihlale inikezwe nokubeletha zemvelo. Kuze eminyaka ambalwa adlule, lona wesifazane ngemva cesarean babengenalo amathuba okusinda. Ngesikhathi ngaphambili manipulations abazenzi kuphela ezigulini eziye zafa kakade. Manje imithi wenze intuthuko enkulu. Ukubeletha kwaba kokungenela ephephile hhayi kuphela, kodwa kwezinye izimo, ukuze kusindiswe ukuphila kwengane kanye nonina. Manje, ukusebenza kuthatha imizuzu embalwa kuphela futhi kungenzeka izinzwa kuvumela isiguli siyasizakala ukuba sihlale siphapheme.

Okwesibili kwesigaba cesarean: Kuyini kubalulekile ukwazi mayelana ubufakazi?

Yini udonsa amehlo udokotela, ukukhetha indlela kwezidingo? Yiziphi izinkomba ukungenelelwa yesibili enqubeni yemvelo? Konke ilula. Izinkomba yesibili kwesigaba cesarean ziyefana for ukusebenza kuqala. Izikhundla kungenziwa kuhlelwe futhi eziphuthumayo. Ukwabela kobuholi Ukubeletha, odokotela ancike izinkomba ezilandelayo:

• awaboni kahle kwabesifazane;
• varicose emithanjeni wemikhawulo aphansi;
• ukuhluleka kwenhliziyo;
• isifo esingelapheki;
• sikashukela;
• isifuba somoya kanye nomfutho wegazi ophezulu;
• Oncology;
• Kwenhlekelele okulimala ebuchosheni;
• ukhalo emincane futhi isithelo esikhulu.

Konke lokhu izimo isizathu kokungenela kuqala. Uma emva kokuzalwa (ngowokuqala) lesi sifo ungazange sekususiwe, ukusebenza oyokwenziwa futhi lapho sokukhulelwa yesibili. Abanye odokotela sithambekele kulokhu kubuka: engxenyeni yokuqala cesarean ayikuvumeli ukuba owesifazane abelethe kakhulu. Lesi sitatimende unephutha.

Kungenzeka yini ukuba azale ngokwakho?

Ngakho wena batusa kwesigaba sesibili cesarean. Kuyini kubalulekile ukwazi ngakho? Yiziphi izinkomba langempela ukuhlinzwa, uma impilo yabesifazane kulungile? Phinda Keying Kunconywa kulezi zimo ezilandelayo:

• ingane has breech isethulo ;
• ngemva kwesigaba sokuqala cesarean ayizange iphumelele eminye iminyaka emibili;
• omhlophe kwesibeletho ezimalini;
• ngesikhathi operation wokuqala okwenziwe isigaba longitudinal;
• isisu phakathi ukukhulelwa;
• e ebukhoneni ezicutshini wesibazi;
• indawo umzanyana ku rumen;
• zokugula yokukhulelwa (polyhydramnios, oligohydramnios).

ukuhlinzwa ephuthumayo asenza lapho i kwehlukana ezingalindelekile yesibazi, umsebenzi ababuthakathaka zabasebenzi, esindayo isimo abesifazane nokunye.

Kungenzeka ukuba abelethe, futhi kakhulu, uma ezinconywe yesibili kwesigaba cesarean. Kuyini kubalulekile ukwazi? imithi yesimanje kungaqali kuphela sivumele ukuba owesifazane inqubo yemvelo lokuzalwa, kodwa uyemukela ke. Kubalulekile ukuthi umama okhulelwe iye ahlolisisa. Imibandela ukuzalwa engokwemvelo ngemva kwesigaba cesarean kuyinto okulandelayo:

• emva kokuhlinzwa engaphezu kweminyaka emithathu;
• isibanda kuyinto ocebile (ubuswa kwemisipha izicubu, endaweni enwetshiwe encishisiwe);
• ukujiya endaweni umphetho ezingaphezu kuka-2 mm;
• ukungabikho yezinkinga ngesikhathi sokukhulelwa;
• abesifazane sifisa ukuba bebodwa.

Uma ufuna ingane yesibili kwaba indlela yemvelo, kuyafaneleka ukuthatha ayinakekele. Thola esibhedlela womama, okuyinto ngokukhethekile le nkinga. Xoxa kusengaphambili nodokotela wakho futhi zidlule esimweni saso luhlolo. Njalo wavakashela uya khona iseluleko bese ulandela izincomo udokotela wezifo zabesifazane.

ukunakekelwa okufanele kwangaphambi kokubeletha

Uma ukulethwa sokuqala senzeka ngo Ukubeletha ke zonke kungaba esihle ngandlela ehlukile kakhulu okwesibili. Ukuze omama abakhulelwe, ngemva ezifana nenqubo kumele kube indlela ngamunye. Uma usufundile isikhundla sakho esisha, kudingeka ubone udokotela wezifo zabesifazane. Perk okukhulelwa kukhona ucwaningo olwengeziwe. Ngokwesibonelo, e-US ezimweni ezinjalo ungalilahli kathathu phakathi naso sonke isikhathi, nokuningi. Imiphumela yaloku kuhlola okungenhla njalo ngaphambi kokuzalwa. Udokotela wakho kufanele ukuqapha yakho lesizalo sesibazi. Phela, le nkomba incike umphumela lonke ukukhulelwa.

Qiniseka ukuvakashela nezinye Ochwepheshe ngaphambi kokubeletha. Udinga ukubhekana kuya owelapha, kudokotela wamehlo okunethiwethi, wenhliziyo, udokotela wezinzwa. Qiniseka ukuthi azikho enqabelo sokubelethisa zemvelo.

Multiple futhi evamile sokukhulelwa: yesibili cesarean

Ngakho, wena namanje liqoke kwesigaba sesibili cesarean. Ukwakhela phezu kwasiphi eside ukwenza ukuhlinzwa ezinjalo nokuba sithole ukuthi kungenzeka ukuba azale ngokwaso kaningana?

Ake sithi ukulethwa odlule wawenziwa surgically, bese Lowo wesifazane wakhulelwa amawele. Yiziphi izibikezelo? Ezimweni eziningi umphumela sesibili Ukubeletha. On lokho elithi musa ke - utshele udokotela wakho. Esimweni ngasinye, acabangele izici ngamunye isiguli. Izikhundla uqokelwa isikhathi eside ka 34 kuya 37 ngesonto. Lapho kaningana ungalindi eside, ngoba ungaqala okusheshayo nokubeletha zemvelo.

Ngakho, uziphatha ingane, futhi imise yesibili kwesigaba cesarean. Lapho ukwenza ukusebenza? Ngo kwencazelo eside udlala indima manipulation kuqala. Phinda kokungenela umiselwa ukuba amasonto 1-2 ngaphambili. Uma isikhathi cesarean lokuqala olwenziwa emasontweni 39, kodwa manje kuzokwenzekani esikhathini 37-38.

umphetho

Usuvele uyakwazi lokho eside ukwenza lohleliwe kwesigaba sesibili cesarean. Omama wenziwa ngokuphindaphindiwe phezu kwaso, maqondana lekuhlanganeni efanayo okokuqala. Omama abaningi abalindele sikhatsateke kakhulu ngemibiko umbuzo yobuhle. Bakhathazeka ngokuthi yonke esiswini enezinto izibazi. Ungakhathazeki, azenzeki. Uma zokukhwabanisa kuhlelwe, udokotela uzokwenza Imi lapho aphethwe okokuqala. Isibalo izibazi zangaphandle ungenalo ukwandisa.

Isimo siba esihlukile nge cut umthondo. Lapha njalo uzohlinzwa okwesibili ukuze ukhethe indawo entsha sesibazi. Ngakho-ke, odokotela musa batusa le ndlela ukuba azale izikhathi ezingaphezu kwezintathu. Odokotela abaningi angayinikeza iziguli inzalo uma yesibili kuhlelelwe Ukubeletha. Lapho wafaka gynecologists esibhedlela ukucacisa lolu daba. Ngokukhethekile, isiguli senziwa Ligation esibeletho. Ungakhathazeki, ngaphandle kwemvume yakho, odokotela musa ukuqhuba zokukhwabanisa enjalo.

Ngemva izinyathelo: inqubo ekunciphiseni

Usuvele uyakwazi ukuthi uma sibonisa kwesigaba sesibili cesarean, ukwenza lokho eside. Izibuyekezo abesifazane ukubika ukuthi inkathi yokutakula akahlukile okwakusemzini ngemuva kokuhlinzwa kuqala. Yima wedwa owesifazane ikani cishe usuku. Ukuncelisa ingane esanda ezenziwe kanyoko avunyelwe cishe ngokushesha (nangabe alisetshenziswa kwezidakamizwa ezingekho emthethweni).

Uketshezi ngemuva kokuhlinzwa yesibili kuyafana kule nokubeletha zemvelo. Phakathi nenyanga eyodwa noma ezimbili siyenzeka ukudedelwa lochia. Uma kwadingeka section cesarean, kubalulekile ukuze kuqashwe impilo yabo. Uxhumane nodokotela uma osenyameni engavamile, izinga lokushisa ophakamayo, Ukuwohloka isimo jikelele. Esibhedlela ngemuva yesibili Ukubeletha amahora mayelana 5-10, kanye okokuqala.

yezinkinga kungenzeka

Ngezinye reoperation ingozi yezinkinga Yiqiniso, anda. Kodwa lokhu akusho ukuthi nje kwenzeke. Uma ubelethe emva kwesigaba cesarean wedwa, kukhona kungenzeka kwehlukana sesibazi. Ngisho noma umphetho abacebile, odokotela abakwazi ngokuphelele siqambe kungenzeka. Yingakho ezishukumisayo yokufakelwa kanye amaphilisi ezinhlungu kalikaze esetshenziswa ezimweni ezinjalo. Lokhu kubalulekile ukukwazi.

Ukuze yesibili cesarean udokotela nobunzima ukuvela. Ukusebenza lokuqala njalo kunemiphumela ngesimo ukuvuvukala. ifilimu Izacile phakathi iziphathimandla kuthiye umsebenzi udokotela ohlinzayo. Inqubo ngokwaso ithatha isikhathi eside. Kungaba kubabangele ingane. Phela, kuleli qophelo umzimba wayo zingene izidakamizwa ezinamandla esetshenziselwa izinto zokubulala izinzwa.

Izinkinga zokwenza cesarean okuphindaphindiwe kungenzeka wonke efanayo okokuqala: abampofu lesizalo Kufinyeta, Ukuphakama kwephimbo lakhe, ukuvuvukala njalo njalo.

ngaphezu kwalokho

Abanye abantu besifazane anentshisekelo, uma wenza kwesigaba sesibili cesarean, lapho kungenzeka ukuba babelethe okwesithathu? Ochwepheshe Awukwazi ukuphendula lo mbuzo nangokunembile. It kuncike isimo rumen (kuleli cala ezimbili). Uma esifundeni umphetho is thinned ayigcwalisa ezicutshini, ukukhulelwa is contraindicated ngokuphelele. Lapho izibazi abacebile kungenzeka ukuba babelethe futhi. Kodwa cishe, kuyoba eyesithathu kwesigaba cesarean. Amandla ukulethwa zemvelo incipha nge operation ngamunye ngokulandelana.

Abanye besifazane abangamaRom babesizakala uphathe ukuba azale izingane eziyisihlanu Ukubeletha futhi uzizwe ungumqemane. Lapha kuxhomeke kakhulu ngabanye kanye likadokotela ohlinzayo amasu nemisebenzi. Ngo odokotela longitudinal Sectional Sisikisela ungethele izikhathi ezingaphezu kuka ezimbili.

Ekuphetheni

Ukubeletha ngesikhathi sokukhulelwa lokuqala - asikho isizathu sokuba inqubo retransmission. Uma ufuna futhi kungaba abelethe ngokwakho, kuyinto nje plus. Khumbula ukuthi lapho ebeletha ngoba engalutholanga yemvelo kuhlale kube into eza kuqala. Khuluma wezifo zabesifazane ngale ndaba futhi ufunde wonke umehluko wemisindo nemiqondo yamagama. Have usuku nice!