Icandelo leKesareya

Umxholo

• Ushwankathelo

Ushwankathelo

Icandelo le-cesarean yindlela yokuhambisa umntwana ngokunqumla kulusu lwesisu sikanina. Nangona i-cesarean (C-amacandelo) ziinkqubo zotyando ezikhuselekileyo, kufuneka zenziwe kuphela kwiimeko ezifanelekileyo zonyango.

Ezinye zezona zizathu zixhaphakileyo ze-cearean zezi:

• Ukuba umntwana usezinyaweni (breech) isikhundla.
• Ukuba umntwana usegxalabeni kwindawo yokuqala (enqamlezileyo).
• Ukuba intloko yomntwana inkulu kakhulu ukuba ingalingani ngomsele wokuzalwa.
• Ukuba ukubeleka kuthathe ixesha elide kwaye umlomo wesibeleko sikamama awuyi kutshintsha ube ziisentimitha ezili-10.
• Ukuba umama une-placenta previa, apho i-placenta ibhloka umjelo wokuzalwa.
• Ukuba kukho iimpawu zoxinzelelo lomntwana olungekazalwa olusesichengeni ngenxa yokwehla kokuhamba kweoksijini kumntwana ongekazalwa.

Ezinye zezizathu eziqhelekileyo zoxinzelelo lomntwana zezi:

• Ukunyanzelwa kwentambo.
• Ukucinezelwa kwemithambo yegazi enkulu esiswini sikamama ngenxa yesikhundla sakhe sokubeleka.
• Ukugula komama ngenxa yoxinzelelo lwegazi, i-anemia, okanye isifo sentliziyo.

Njengenkqubo ezininzi zotyando, amacandelo e-cearean afuna i-anesthesia. Ngokwesiqhelo, umama unikwa i-epidural okanye ibhloko yomqolo. Zombini ezi ziya kuba nomzimba ongezantsi, kodwa umama uya kuhlala evukile. Ukuba umntwana kufuneka azalwe ngokukhawuleza, njengakwimo yongxamiseko, umama unokunikwa isibulali-ntlungu ngokubanzi, esiya kumenza alale. Ngexesha lotyando, kusikwa kwenziwa kwisisu esisezantsi kulandelwa kukusikwa okwenziwe esibelekweni. Akukho ntlungu inxulumene nayo nayiphi na kwezi zinto zibanjiweyo ngenxa yeanesthesia.

Ugqirha uza kuvula isibeleko kunye nengxowa ye-amniotic. Emva koko usana luyekiswa ngononophelo ngocoselelo nangaphandle emhlabeni. Inkqubo ihlala ihlala malunga nemizuzu engama-20.

Emva koko, ugqirha uhambisa i-placenta kunye nokuxhoma ukusika kwesibeleko kunye nodonga lwesisu. Ngokwesiqhelo, umama uvunyelwe ukuba aphume esibhedlele kwiintsuku nje ezimbalwa, ethintela iingxaki ezinje ngokusuleleka kwenxeba. Enye inkxalabo enabafazi abaninzi kukuba baya kuba nakho na ukubeleka ngesiqhelo emva kokuba bebelekile. Impendulo ixhomekeke ekubeni zeziphi izizathu zokuba ube nec-c kwindawo yokuqala. Ukuba kungenxa yengxaki yexesha elinye, njengokucinezelwa kwentambo ye-umbilical okanye indawo yokubhabha, umama unokukwazi ukuzala okuqhelekileyo.

Ke ngoko, okoko nje ukuba umama ebenesiqhelo esinye okanye ezibini zangaphambi kokuya koqhaqho ngesibeleko esisezantsi esinqamlezayo, kwaye azikho ezinye izinto ezibonisa ukuba uyekile, ungumgqatswa wokuzalwa kukamama emva kokubeleka, obizwa ngokuba yi-VBAC.

Amacandelo okuhlinzwa akhuselekile, kwaye anokugcina nobomi bomama nosana ngexesha lokuhanjiswa okungxamisekileyo. Oomama abalindeleyo kufuneka bazilungiselele ukubanakho. Gcina ukhumbula, ekuzaleni, ayisiyiyo kuphela indlela yokuhambisa ebalulekileyo, kodwa umphumo wokugqibela: umama nosana olusempilweni.

• Icandelo leCesarean