Iimeko ezili-9 apho kucetyiswa icandelo le-cesarean

Umxholo

• 1. Placenta previa okanye iqela le-placenta
• 2. Iintsana ezineesyndromes okanye izifo
• 3. Xa umama ene-STIs
• 4. Xa inkaba iphuma kuqala
• 5. Isikhundla esingalunganga somntwana
• 6. Kwimeko yamawele
• 7. Ukutyeba kakhulu umntwana
• 8. Ezinye izifo zikamama
• 9. Ukubandezeleka komntwana

Icandelo le-Cesarean likhonjisiwe kwiimeko apho ukuhanjiswa okuqhelekileyo kuya kubakho umngcipheko omkhulu kowasetyhini nakusana olusandul 'ukuzalwa, njengakwimeko yokuma okungalunganga kosana, umfazi okhulelweyo oneengxaki zentliziyo kunye nosana olutyebe kakhulu.

Nangona kunjalo, icandelo le-caesarean lisengotyando olunengxaki ezithile ezinxulumene noko, njengomngcipheko wosulelo apho ukusikwa kwenziwe khona okanye ukopha kwaye ke kufanele ukuba kwenziwe kuphela xa kukho izikhombisi zonyango.

Isigqibo secandelo le-cearean senziwa ngugqirha wokubelekisa kodwa kubalulekile ukuba uthathele ingqalelo umnqweno womfazi okhulelweyo wokuhambisa okanye hayi. Nangona ukuzalwa kwesiqhelo yeyona ndlela ilungileyo yokuba umntwana azalwe, ngamanye amaxesha kuyaphikiswa, kuyadingeka ukwenza icandelo lokuyeka kwaye kuya kugqirha ukuba enze isigqibo sokugqibela emva kokujonga imeko yezempilo kamama nosana.

Ezinye izizathu zokuba ne-cearean zezi:

1. Placenta previa okanye iqela le-placenta

I-placenta previa yenzeka xa ilungiswe kwindawo ethintela usana ukuba lungadluli kumjelo wokuzalwa, kwaye kunokwenzeka ukuba iplacenta iphume ngaphambi komntwana. Ukukhutshwa kwe-placenta kwenzeka kwaye xa isuka kwisibeleko ngaphambi kokuba umntwana azalwe.

Isibonakaliso sokungabikho kwezi meko kungenxa yokuba i-placenta inoxanduva lokufika kweoksijini kunye nezakhamzimba zomntwana kwaye xa iphazamisekile, umntwana ukhubazekile kukuswela ioksijini, enokuthi ikhokelele ekonakaleni kwengqondo.

2. Iintsana ezineesyndromes okanye izifo

Iintsana eziye zafunyaniswa ukuba zinohlobo oluthile lwesifo okanye isifo, ezinje ngehydrocephalus okanye i-omphalocele, kulapho isibindi somntwana okanye amathumbu angaphandle komzimba, kufuneka azalwe rhoqo ngecandelo le-cearean. Kungenxa yokuba inkqubo yokuhanjiswa kwesiqhelo inokonakalisa amalungu kwimeko ye-omphalocele, kwaye ukucaphuka kwesibeleko kungonakalisa ingqondo kwimeko yehydrocephalus.

3. Xa umama ene-STIs

Xa umama enesifo esosulela ngokwabelana ngesondo (i-STI) esinjenge-HPV okanye i-Genital Herpes, ehleli kude kube sekupheleni kokukhulelwa, umntwana angangcoliseka yiyo loo nto ke kubhetele ukusebenzisa ukubeleka okwexeshana.

Nangona kunjalo, ukuba owasetyhini uyalufumana unyango lwezifo ezingumvuka wokwabelana ngesondo, uyachaza ukuba unayo, kwaye usuleleko luphantsi kolawulo, unokuzama ukusiwa kwesiqhelo.

Kwabasetyhini abane-HIV, kuyacetyiswa ukuba unyango luqaliswe ngaphambi kokuqala kokukhulelwa, kuba ukuthintela ukuba umntwana angangcoliseki ngexesha lokubeleka, umama kufuneka asebenzise amayeza acetyiswayo ngalo lonke ixesha lokumitha kwaye, ugqirha unokukhetha icandelo lokuyeka. Ukuncancisa kuyangqinelana kwaye umntwana kufuneka ondiswe ngebhotile kunye nobisi olungelulo. Jonga ukuba ungenza ntoni ukuze ungangcolisi umntwana wakho ngentsholongwane kaGawulayo.

4. Xa inkaba iphuma kuqala

Ngexesha lokubeleka, intambo yesibeleko ingaphuma kuqala kunosana, kule meko umntwana usengozini yokuphelelwa yioksijini, kuba ukungangxengwanga okungagqitywanga kuya kubambisa ukuhamba kweoksijini kwintambo engaphandle kosana. Umzimba, kule nto Icandelo le-cesarean lolona khetho lukhuselekileyo. Nangona kunjalo, ukuba owasetyhini une-dilation epheleleyo, ukuhanjiswa okuqhelekileyo kunokulindelwa.

5. Isikhundla esingalunganga somntwana

Ukuba usana luhlala nakwesiphi na isikhundla, ngaphandle kokujongisa ezantsi, njengokulala ngecala okanye ngentloko, kwaye lingajiki kude kube ngaphambi kokubeleka, kufanelekile ukuba unqunyelwe kuba kukho umngcipheko omkhulu kowasetyhini kunye nosana, kuba ukusikwa akunamandla ngokwaneleyo, okwenza ukuzalwa okuqhelekileyo kube nzima.

Icandelo leKesareya linokuboniswa xa umntwana ejonge ezantsi kodwa ibekwe ngentloko ejonge ngasemva kancinci esilevini ngaphezulu, esi sikhundla sonyusa ubungakanani bentloko yosana, kusenza kubenzima ukudlula emathanjeni esinqe sana. umama.

6. Kwimeko yamawele

Ekukhulelweni kwamawele, xa ezi ntsana zimbini zijikwe ngokufanelekileyo, ukuhanjiswa kunokuba yinto eqhelekileyo, nangona kunjalo, xa elinye lazo lingaguqukanga de kube lixesha lokuhanjiswa, kunokucetyiswa ngakumbi ukuba necandelo lokuyeka. Xa ziphindwe kathathu okanye zine, nokuba zithe gongqo phantsi, kuyacetyiswa ngakumbi ukuba ube necandelo lokuyeka.

7. Ukutyeba kakhulu umntwana

Xa umntwana engaphezulu kwe-4.5 kg kunokuba nzima kakhulu ukudlula kumjelo welungu lobufazi, kuba intloko yosana iya kuba nkulu kunendawo ethanjeni lukamama, kwaye ngenxa yesi sizathu, kule meko kufanelekile ukubhenela icandelo lokuyeka. Nangona kunjalo, ukuba umama akanasifo seswekile okanye sokukhulelwa kwaye akanayo enye imeko ebuhlungu, ugqirha usengabonisa ukuhanjiswa okuqhelekileyo.

8. Ezinye izifo zikamama

Xa umama enezigulo ezinje ngengxaki yentliziyo okanye yemiphunga, imfusa okanye umhlaza, ugqirha kufuneka avavanye ubungozi bokuzala kwaye ukuba buphantsi, unokulindela ukubeleka okuqhelekileyo. Kodwa xa ugqirha efika kwisigqibo sokuba oku kungabubeka esichengeni ubomi bomfazi okanye usana, angabonisa indawo yokuhlinzwa.

9. Ukubandezeleka komntwana

Xa ukubetha kwentliziyo yosana kubuthathaka kunokuba kucetyisiwe, kukho imiqondiso yokubandezeleka kosana olungekazalwa kwaye kule meko icandelo lokuyeka lisenokufuneka, kuba xa izinga lokubetha kwentliziyo libuthathaka kunokuba liyimfuneko, umntwana usenokungabinayo ioksijini kwingqondo, ekhokelela ekonakaleni kwengqondo njengokukhubazeka kwemoto, umzekelo.