Nokubeletha caesarean noma yemvelo? Elikhulu izithelo - izinkomba sesigaba cesarean?

esingcwele salowo nalowo muntu wesifazane - ukuba abe umama. Ngokuhamba kwesikhathi ke isixazululekile iningi labesifazane yokuzala. Futhi, kokuba kakade cishe yonke inkathi yokukhulelwa, owesifazane iqala ukucabanga mayelana nokubeletha: ngokushesha kangakanani bayoba, kuze kufike-ke ngeke ubuhlungu ngesikhathi izimpi futhi konke kuzoba kulungile. Lokhu kunjalo ikakhulukazi izintokazi kweqiniso abahamba abelethe okokuqala. Kulesi sihloko, ngifuna uthinte kuya kulesitfupha ngesihloko: "Yini kungcono:? Ukubeletha caesarean noma lwesitho sangasese sowesifazane, nokuthi ukukhetha abesifazane bethu".

Isimo emhlabeni

Uma kancane siqonde umlando, singasho ukuthi ukuzalwa ngu ukuhlinzwa khona isikhathi esithile eside futhi ngempela wayekwenza ngempumelelo. Ikakhulukazi okwandile bona got emva kokusungulwa futhi yasetshenziswa ngempumelelo izinzwa lapho ukusebenza ngokujwayelekile kobuhlungu akangayiletha ungowesifazana ngobuhlungu obukhulu. Kuthiwa iminyaka engaphezu kweyishumi edlule, ngo-2003, abantu baseMelika abantu abaye benza isinqumo ukuthi abesifazane babe nenkululeko yokuzikhethela lokho evumelana nabo nakakhulu: ukulethwa caesarean noma lwesitho sangasese sowesifazane. okungukuthi lady ekhetha indlela kokuzalwa kwengane yakho, okuyinto yena uthanda ngaphezulu. Futhi iphesenti labesifazane ababebe nesibindi sokuba abelethe kokuhlinzwa liyakhula ngokushesha njalo ngonyaka. Lesi sibalo nanesandla izihloko kanye gynecologists American. Ngokwesibonelo, Dr. Research Center e-University of Louisville wathi ayizinkulungwane 10 ukudiliva ezenziwe kokungenela kuhlinzwa, kwakukhona yezinkinga 17% uma kuqhathaniswa nangonyaka abesifazane abaye anquma ukuba babelethe ngokwemvelo.

Isimo ezweni lethu

Ngeshwa, ngokukhetha ukulethwa caesarean noma lwesitho sangasese sowesifazane ezweni lethu kowesifazane ngokwakhe bengayi. Kuye ayikavunyelwa ngumthetho. Ukusebenza angabelwa ukuba owesifazane okhulelwe ngezizathu zezokwelapha kuphela, hhayi ngenye indlela. Lesi sinqumo senziwa emkhandlwini lodokotela, okwakuhilela ochwepheshe ezintathu kuya kweziyisihlanu. Nakuba kufanele kusho ukuthi namuhla isibalo sabesifazane abakhulelwe abafuna ukuqeda ubuhlungu ejwayelekile ngokuzalwa ingane by Ukubeletha, kwandisa.

Ukuqhathanisa: Izinzuzo nokubeletha yemvelo

1. Uma owesifazane enezinwele, ngoba noma ngabe yisiphi isizathu, kungenzeka ukuba ukhethe indlela ukuba azale wakhe, kufanele inake izici eziningi ezahlukene. Ngakho, into yokuqala ukuthi kufanele ukhumbule ukuthi konke unikezwa ngokwemvelo, umuntu angasenza, kungakhathaliseki kungase kube nzima kangakanani. Lapho ukuthi igama kufanele kakade ukuphakamisa le ntokazi, nendlela yokuthatha isinyathelo, ngoba ukuzalwa "kungokwemvelo". Zonke ezenziwa imvelo ukuze kuqinisekiswe ukuthi ingane izalwe ngokusebenzisa emgudwini wokuzala.
2. Ukusebenza - ke akusho neze ubuhlungu. Nokho, akumelwe sikhohlwe ukuthi kukhona post-op isikhathi ekululameni. Ngakho, kwesibeletho udonga besisu inqanyulwa at Ukubeletha, inqamuka ubuqotho zemvelo. I ngenyanga ezayo ngemuva kokuhlinzwa kuzokhawulelwa kowesifazane ngokomzimba, futhi lo mbhangqwana wokuqala amasonto ngokuvamile kudingeka usizo olwengeziwe. Futhi ngesikhathi esithile ngeke ubuhlungu esiswini. Ngemuva kokwethulwa yemvelo (uma konke kuhambe kahle) owesifazane ngosuku lwesibili izimele ngokuphelele.
3. Abesifazane kungenzeka besaba amakhefu ngesikhathi sokubeletha zemvelo. Yiqiniso, kabi ngempela kubuhlungu, kodwa inqubo ukuphulukiswa kwabantu okwenziwa namuhla ngokushesha okuningi kunalokho emva kwesigaba cesarean.
4. Uma owesifazane ufuna ukukhetha: lokuzalwa cesarean noma lwesitho sangasese sowesifazane, kufanele ucabange ngobuhle bayo. Phela, isibanda ekusebenzeni izohlala emzimbeni unaphakade. Ngaphezu kwalokho, ngemva khipha cesarean kancane elengayo kwesisu kuyinto nzima kakhulu kunokuba emva kokubeletha lwesitho sangasese sowesifazane. Futhi kamuva ungaqala ukwenza ezihlukahlukene izivivinyo futhi nginikeze isidumbu sakho umthwalo.
5. Uma owesifazane baqokwa ukulethwa lokuqala ukusebenza, kungenzeka ukuba zonke izikhathi okwalandela abelethe by Ukubeletha. Kukhona kakade ukukhetha kwakhe ngeke.
6. Ngisho ungcono zemvelo cesarean nokuzalwa kwabantwana? Lapha uzoqala play futhi isakhi ngokwengqondo: ochwepheshe bathi izingane abangafuni idlule emgudwini wokuzala, kukhona abazalwa ngaphezulu othambile futhi kancane penetrative kunalawo ezizalelwa. Ngemva kokuzalwa kuka - lena emnandi kakhulu, okuyinto umane idinga ingane.

Ukuqhathanisa: elithola cesarean

1. Kumele ukuthi kwesigaba cesarean kunezinzuzo zako. Ngakho kuqala kukho konke kuba sokungabi nhlobo ubuhlungu bokubeletha. Lo wesifazane ingane ubona, futhi buhlungu wazizwa. Futhi njalo nice.
2. Setha idethi okwesikhathi caesarean kuhlelwe unga kusengaphambili. Ngakho, owesifazane ungaba isikhathi ukuqoqa isikhwama, ukuba eze esibhedlela, ngokwengqondo ukulungiselela. nokubeletha Yemvelo okusheshayo lapho izintokazi bangabi nasikhathi sokuba afike esibhedlela futhi ubelethe ekhaya noma emotweni.

nokubeletha yemvelo

Kuthiwa lokuzalwa ngokwemvelo zidinga ezinye abesifazane ukuqeqeshwa. The main umthetho: isikhathi ibhaliswe ku emtholampilo futhi wonke ukuhlolwa lohleliwe ongoti. Nanti iphuzu lokuqala, owesifazane kufanele uzilungiselele ukushiya. Yini enye kungenziwa Kucatshangwa? Into esemqoka - kuba nesimo sengqondo esifanele, okungukuthi, Ukuzimisela wakhuthazelela konke ukuphathwa kabi njengoba sisezinhlungwini abesifazane kokuzalwa kwengane yabo. Ukuze lokhu kumelwe silungiselele kusengaphambili, silungisa uqobo kuphela umphumela omuhle. Uma kukhona imibuzo ethize, ungakwazi manje uthole izimpendulo indlela yabo ehlukene, ngisho ukumba uzicabange izincwadi ethile. Ilungiselela sokubelethisa yemvelo futhi kungathatha izifundo ezikhethekile, okuyinto manje ethandwa kangaka. Lokhu kuyindlela enhle kakhulu ukufunda ngalokho kungase kudingeke nalapho esesikwa, udinga ukwazi ukuthi futhi bakwazi. Kukhona zifundiswe indlela okumelwe ziziphathe ngesikhathi sokubeletha: kanjani ukusiza ngokwabo okudambisa ubuhlungu, abanye amasu ukuphefumula ukusebenzisa, yini ukukhetha zibhekise, njll Futhi, lezi zifundo ziwusizo, uma owesifazane ufuna ukuba azale kanye nendoda yakhe. Lokhu ngenhlanhla enye inzuzo enkulu kakhulu bokubeletha zemvelo. Umyeni angakusiza ngempela umkayo ngesikhathi sokubeletha, ngaphezu kwalokho, ukanye ingane ngesikhathi sokuzalwa kwakhe, ngaleyondlela eba eduze ingane. Njengoba isikhathi, ukuthi indoda emva ayekubona Kungenzeka sizenqabe owesifazane ukuze ubone ukuthi ingane izalwe: kuyinganekwane, kukalutshwana kakhulu futhi cishe eziningi, kungakhathaliseki ukuthi umyeni wabona ekuzalweni komntanakhe. Ngaphezu kwalokho, ezweni lethu, indoda ayibukeki ngesikhathi sokuzalwa kowesifazane kule ukuxhuma ngekhamera, kodwa nje imele ngasekhanda embhedeni wakhe, ukugcina engqondweni. Futhi ekugcineni, njengoba owesifazane esingazilungisa sokubelethisa yemvelo: udinga ukuqoqa wonke ukuthi kungase kudingeke esibhedlela. Kuyinto izinto ezithile bona kanye nengane, kanye iphakethe kwemithi (uma owesifazane ayinakho umshuwalense wezempilo). Ngeshwa, lokho asizange okwamanje wayekwenza ngoba emkhakheni wezokwelapha cha qinisekisa ngokugcwele nguMgcinimafa State zonke nemithi edingekayo.

Mayelana ngokuhlinzwa

Uma owesifazane ufuna ukukhetha: kwesigaba cesarean noma lapho ebeletha ngoba engalutholanga zemvelo, kufanele wazi ukuthi ukusebenza ngokwalo zezinhlobo ezimbili. Eyokuqala - kuhlelwe njengoba unina ikusasa lesi sixwayiso esesesiswini, futhi ulungiselela ukusebenza kusengaphambili. Labetibambile ke cishe 38-39 Emasontweni onke okukhulelwa, ngaphambi owesifazane angase aqale izimpi ngokwemvelo. Eyesibili uhlobo - esiphuthumayo section caesarean. Ingasatshenziswa ngokuhamba yezabasebenzi lapho owesifazane okhulelweyo ihlele abelethe ngendlela evamile, kodwa kukhona nezinkinga ezithile kanye nesineke wathunyelwa zokuhlinza kubhizinisi.

Izinkomba ezivela unina

Kuthiwa kukhona izinkomba sesigaba cesarean ngumama nokusuka ezingenzeka embungwini, ngezinye izikhathi ingaba umthombo ngokuphelele futhi isihlobo. Ngakho lapho operation owesifazane "kwesigaba cesarean" angabelwa ngokunembile?

1. ukhalo Esincane, uma degree 3rd noma 4th of ukuvaleka.
2. Qedela placenta previa, lapho kusuka kube nzima kakhulu umane nje ukudlulise ingane ngokusebenzisa emgudwini wokuzala.
3. Ukudabuka kwesibeletho, lapho ukuhlinzwa eziphuthumayo umiswa.
4. Ukopha kusukela ipheshana zangasese.
5. Isimo nge placenta: kuba previa akuphelele, abruption, lapho placenta kancane noma ngokuphelele ihlanganisa ekhishwa ingane - konke lokhu kuba inkomba sesigaba cesarean.
6. yezinkinga ezihlukahlukene ngesikhathi sokukhulelwa.
7. Izinkinga empilweni kamama: varicose emithanjeni, abone izinto eziseduze ezinzima, izifo kohlelo eziphathelene nenhliziyo.

Kukhona futhi izimo lapho owesifazane kungenziwa cesarean Kunconywa kwezokwelapha. Nokho, kulesi simo, owesifazane kungathatha ithuba futhi ubelethe ngokwemvelo.

1. ukhalo emtholampilo emincane.
2. Engaqinile zabasebenzi abesifazane kungenzeka yezinkinga lapho ezihlukahlukene.
3. Malposition.
4. lokuzalwa Okokuqala e sabesifazane abangakaze iminyaka engaphezu kwengu-30.
5. Long ukungazali ekwelapheni.
6. hypoxia kwengane, lapho ingane, okuyinto ayifuna ngabomvu entula umoya-mpilo.
7. sokukhulelwa isikhathi eside.
8. Izizukulwane ezidlule ngidlule Ukubeletha.

Izinkomba ezivela umbungu

Operation "ukulethwa cesarean" ingase yabelwe ngokuvumelana ingane kanye nezinkomba. Kanjeyana they (izibalo) nakho kungaba isihlobo kanye ngokuphelele.

isihlobo:

1. Breech imvuthu, okuyinto ukala ngamakhilogremu angaphezu kuka emithathu nengxenye.
2. nokukhulelwa izingane eziningi ngasikhathi.
3. izithelo ezinkulu: izinkomba sesigaba cesarean.

Ingabe Ohulumeni Banalo Lonke izibalo:

1. Acute hypoxia fetus, akunakwenzeka ukuzalwa ngokushesha ingane ngokwemvelo.
2. isikhundla Lateral umbungu emva amanzi waphula.
3. isikhundla ekungeyona ikhanda womntwana (kumelwe sicindezelwe ngokuqinile kwesilevu esifubeni, isikhundla ayilungile ikhanda lapho ingane iya ebunzini noma ubuso).
4. Ukufa kukamama lapho ingane esibelethweni uyaphila.

Izinkomba ezivame kakhulu isihlobo

Kuthiwani uma owesifazane enezinwele izithelo ezinkulu? Izinkomba sesigaba cesarean kungaba indlela yokuphuma, kodwa lokhu akusho ngaso sonke isikhathi kwenzeke. Uma konke kuhamba kahle ku nemingcele eziyisisekelo, ngaphandle ukhalo evamile, hhayi ewumngcingo, cishe owesifazane izozama abelethe wedwa. Kuyefana nasendleleni ukukhulelwa ezinkulu. Uma owesifazane, isibonelo, amawele, ukulethwa cesarean noma lwesitho sangasese sowesifazane libe nendawo yalo. Nalapha futhi, konke eyoxazululwa udokotela, bhalisiwe ubani okufanele abakhulelwe. Esimweni esinjalo kubhekwa eziyinkimbinkimbi yezizathu, hhayi kuphela ukuthi owesifazane nokukhulelwa izingane eziningi ngasikhathi. Ezimweni eziningi, ukubeletha enjalo ijwayelekile ngokuphelele futhi ngaphandle izinkinga.

imiphumela

Uma owesifazane ecabanga ukuthi inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa engashiyi trace, njengoba kunjalo nokuzala zemvelo, kuba iphutha ngokujulile. Uma ihlelelwe cesarean, nemiphumela - yilokho okudingayo ukucabange. Ngakho, into yokuqala: ephulukisa isikhathi ezivuzayo. Uthatha impela isikhathi eside, abesifazane kule minyaka emibili emva kokuhlinzwa is hhayi Kunconywa ukuba uthole abakhulelwe noma izisu - kuyoba nomthelela nezibazi besisu ijwabu lesizalo udonga. Futhi, inkinga ingase ibe ezihlukahlukene ukuvuvukala, ukutheleleka kwesibeletho kanye nezinye izitho eliseduze. Kubalulekile futhi ukuqonda ukuthi isikhathi esithile bazosebenza ngemiraro wamathumbu. Futhi-ke, ubuhlobo kamama nengane womuntu ozalelwe ngokusebenza komoya kuhluke ngokuphelele, buthaka, kuka labangakhoni sizalwa ebekwe nemvelo.

izizukulwane

Abesifazane kungenzeka futhi sibe nesithakazelo kokuphetha ngokuthi ukuzalwa sowesifazane sangasese emva cesarean kungenzeka. Izibuyekezo ebeletha kuhluke, ngoba abesifazane abaningi emva kokuhlinzwa lokuqala kufanele siqhubeke uzale izingane ngendlela efanayo - ngokusebenzisa Ukubeletha. Nokho, abanye abesifazane bathi wabeletha futhi ngokuzimela. Ngakho lapho kuyiqiniso? Kungase kube eziningana, ngoba kudingeka ucabangele zonke izici. Ngakho, ngokuyisisekelo odokotela ukuthathelwa umshuwalense unina ikusasa izikhala kungenzeka futhi iphakamise izikhathi ozolandela abelethe aphinde caesarean. Nokho, uma lokuzalwa lokuqala isanda esindayo, futhi ukusebenza yaqokwa esiphuthumayo, begodu nezinye iindlela, ezifana izifo ezithize kusukela owesifazane okhulelwe noma i-fetus akuyona, futhi isikhathi esanele isidlulile emva sokukhulelwa lokuqala, ezivuzayo kwi kwesibeletho ibizwa ilulame ngokuphelele futhi zinokwethenjelwa, owesifazane zingafundiswa ithuba uzozala ngokwakho. Ngokuvamile ukubeletha enjalo ijwayelekile, kodwa ezimweni eziningi bonke odokotela efanayo ukuncoma kabusha ukwenza ukusebenza "kwesigaba cesarean", ukuze uphephe, kanye nokuvikela abantu besifazane kusukela izinkinga ezihlukahlukene kanye nezinkinga.