Icandelo le-C

Icandelo le-C kukuhanjiswa kosana ngokwenza ukuvulwa kwindawo esezantsi yomama esiswini. Ikwabizwa ngokuba kukuhanjiswa kwe-cearean.

Ukuhanjiswa kwecandelo le-C kwenziwa xa kungenakwenzeka okanye kukhuselekile ukuba umama ahambise usana kwilungu lobufazi.

Inkqubo ihlala isenziwa ngelixa umfazi evukile. Umzimba ubundindisholo ukusuka esifubeni ukuya ezinyaweni usebenzisa i-epidural okanye i-anesthesia yomqolo.

1. Ugqirha usika esiswini ngaphezulu kwendawo yentsimbi.

2. Isibeleko (isibeleko) kunye nengxowa ye-amniotic iyavulwa.

3. Usana luzelwe ngalo olu vulo.

Iqela lokhathalelo lwempilo lususa ulwelo emlonyeni nasempumlweni yosana. Umqala usikiwe. Umboneleli wezempilo uya kuqinisekisa ukuba ukuphefumla kosana kuyinto eqhelekileyo kwaye ezinye iimpawu ezibalulekileyo zizinzile.

Umama uvukile ngexesha lenkqubo ukuze akwazi ukuva nokumbona umntwana wakhe. Kwiimeko ezininzi, umfazi uyakwazi ukuba nomntu wokuxhasa naye ngexesha lokuhanjiswa.

Utyando luthatha malunga neyure.

Zininzi izizathu zokuba kutheni umntu wasetyhini enokufuna ukuba necandelo le-C endaweni yokuhanjiswa kwelungu lobufazi.Isigqibo siya kuxhomekeka kugqirha wakho, apho uza kuba nomntwana, ukuhanjiswa kwakho kwangaphambili, kunye nembali yakho yezonyango.

Iingxaki ngomntwana zingabandakanya:

• Inqanaba lentliziyo elingaqhelekanga
• Indawo engaqhelekanga esibelekweni, enqamlezayo (enqamlezileyo) okanye yeenyawo yokuqala (ibreech)
• Iingxaki zophuhliso, ezinjengehydrocephalus okanye spina bifida
• Ukukhulelwa okuninzi (kathathu okanye ngamawele)

Iingxaki zempilo kunina zinokubandakanya:

• Usulelo olusebenzayo lwe-herpes
• Ii-fibroids ezinkulu zesibeleko kufutshane nomlomo wesibeleko
• Usulelo lwe-HIV kumama
• Icandelo elidlulileyo leC
• Utyando lwangaphambili kwisibeleko
• Ukugula kakhulu, njengesifo sentliziyo, i-preeclampsia okanye i-eclampsia

Iingxaki ngexesha labasebenzi okanye ukuhanjiswa kunokubandakanya:

• Intloko yomntwana inkulu kakhulu ukuba ingadlula kumjelo wokuzalwa
• Umsebenzi othabatha ixesha elide okanye uyeke
• Usana olukhulu kakhulu
• Usulelo okanye umkhuhlane ngexesha lomsebenzi

Iingxaki nge-placenta okanye i-umbilical cord ingabandakanya:

• I-Placenta igubungela konke okanye inxenye yokuvulwa komjelo wokuzalwa (i-placenta previa)
• I-Placenta iyahlukana nodonga lwe-uterine (placenta abruptio)
• Umtya we-umbilical uza ngokuvulwa komjelo wokuzalwa ngaphambi kokuba umntwana (umbilical cord prolapse)

Icandelo le-C yinkqubo ekhuselekileyo. Izinga leengxaki ezinzulu liphantsi kakhulu. Nangona kunjalo, imingcipheko ethile iphezulu emva kwecandelo le-C kunasemva kokuhanjiswa kwelungu lobufazi. Oku kubandakanya:

• Usulelo lwesinyi okanye isibeleko
• Ukwenzakala kumchamo wokuchama
• Ukulahleka kwegazi okuphakathi

Uninzi lwexesha, utofelo-gazi alufuneki, kodwa umngcipheko uphezulu.

Icandelo le-C linokubangela iingxaki ekukhulelweni okuzayo. Oku kubandakanya umngcipheko ophezulu woku:

• Placenta previa
• I-Placenta ikhula ibe sisihlunu sesibeleko kwaye inengxaki yokwahlula emva kokuzalwa komntwana (i-placenta accreta)
• Ukuqhekeka kwesibeleko

Ezi meko zinokukhokelela ekuphumeni kwegazi kakhulu (ukopha), okunokufuna ukutofelwa igazi okanye ukususwa kwesibeleko (hysterectomy).

Uninzi lwabasetyhini luya kuhlala esibhedlele kangangeentsuku ezi-2 ukuya kwezi-3 emva kwecandelo le-C. Thatha ithuba lokudibana nosana lwakho, phumla, kwaye ufumane uncedo ngokuncancisa nokunyamekela usana lwakho.

Ukuchacha kuthatha ixesha elide kunokuba bekuya kwenzeka ekuzalweni kwelungu lobufazi. Kuya kufuneka ujikeleze emva kwecandelo le-C ukukhawulezisa ukubuyisa. Amayeza eentlungu athathwe ngomlomo anokunceda ekunciphiseni ukungakhululeki.

Ukubuyiselwa kwimeko yesiqhelo emva kwecandelo le-C ekhaya kucotha kunasemva kokubeleka kwangaphantsi. Unokuba nokopha kwilungu lobufazi ukuya kuthi ga kwiiveki ezi-6. Kuya kufuneka ufunde ukukhathalela inxeba lakho.

Uninzi loomama neentsana ziqhuba kakuhle emva kwecandelo le-C.

Abasetyhini abanecandelo le-C banakho ukuhanjiswa kwilungu lobufazi ukuba kukho okunye ukukhulelwa, kuxhomekeke:

• Uhlobo lwecandelo le-C lwenziwe
• Kutheni iC-icandelo lenziwe

Ukuzalwa komfazi emva kokuhanjiswa kwe-cesarean (VBAC) kuhlala kuyimpumelelo. Ayizizo zonke izibhedlele okanye ababoneleli abanika ukhetho lwe-VBAC. Kukho umngcipheko omncinci wokuqhekeka kwesibeleko, onokwenzakalisa umama nosana. Xoxa ngezibonelelo kunye nomngcipheko we-VBAC nomboneleli wakho.

Ukuhanjiswa kwesisu; Ukuzalwa kwesisu; Ukuzalwa kukaKesareya; Ukukhulelwa-okweqanda

• Icandelo leKesareya
• Icandelo le-C-uthotho
• Icandelo leKesareya

IBerghella V, iMackeen AD, iJauniaux ERM. Ukuhanjiswa kweKesare. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 19.

IHull AD, iResnik R, iSilver RM. Placenta previa kunye ne-accreta, i-vasa previa, i-subchorionic hemorrhage, kunye ne-abruptio placentae. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 46.