Izizathu zeCandelo leC: ezonyango, ezobuqu, okanye ezinye

Umxholo

• Liliphi icandelo le-C elicwangcisiweyo?
• Ngaba kufuneka ucwangcise icandelo le-C elikhethiweyo?
• Iinkonzo zecandelo le-C elikhethiweyo
  
• Umthengi wecandelo le-C elikhethiweyo
  
• Zithini izizathu zonyango zecandelo le-C?
• Umsebenzi ixesha elide
• Ukuma ngokungaqhelekanga
• Ukubandezeleka komntwana
• Iziphene zokuzalwa
• Phinda usebenze
• Imeko yezempilo engapheliyo
• Intambo iyanda
• Ukungalingani kweCephalopelvic (CPD)
• Imiba yePlacenta
• Ukuthwala ukuphindaphindwa
• Yise kude
• Q:
• A:

Esinye sezigqibo zokuqala oza kuzenza njengomama oza kuba yindlela yokuhambisa umntwana wakho.

Ngelixa ukuhanjiswa kwelungu lobufazi kuthathwa njengokukhuselekileyo, oogqirha namhlanje benza ukuhanjiswa kwe-cesarean rhoqo.

Ukuhanjiswa kwe-cearean-ekwabizwa ngokuba licandelo le-C-yinto eqhelekileyo kodwa enzima ebeka umngcipheko kwezempilo kumama nosana.

Liliphi icandelo le-C elicwangcisiweyo?

Nangona ukuhanjiswa kwe-cearean kuqhelekile kwaye ngokubanzi kukhuselekile, banomngcipheko ongaphezulu kokuhambisa usana kwilungu lobufazi. Ngesi sizathu, kucetyiswa ukuzalwa kwelungu lobufazi. Kodwa kunokwenzeka ukucwangcisa ukuhanjiswa kwekesaren kwangaphambili ngenxa yezizathu zonyango.

Umzekelo, ukuba umntwana wakho unomoya kwaye akatshintshi isikhundla njengoko umhla wakho wokugqibela usondela, ugqirha wakho unokucwangcisa ukuhanjiswa kwe-cearean. Ukongeza, ukuhanjiswa okwexeshana kuhlala kucwangciselwe izizathu zonyango ezidweliswe ngezantsi.

Kuyenzeka ukuba ucwangcise ukuhanjiswa kwekesarey ngenxa yezizathu ezingezizo ezonyango, kodwa oku akukhuthazwa. Ukuhanjiswa kokuhlinzwa kukuhlinzwa okukhulu kwaye kukho umngcipheko omkhulu weengxaki, kubandakanya:

• ukopha
• ukonakala komzimba
• ukusabela komzimba kwi-anesthesia
• usulelo
• amahlwili egazi

Ngaba kufuneka ucwangcise icandelo le-C elikhethiweyo?

Utyando olucwangcisiweyo lwezizathu ezingezizo ezonyango lubizwa ngokuba kukuhanjiswa okonyukayo, kwaye ugqirha wakho unokuvumela olu khetho. Abanye abantu basetyhini bakhetha ukuzala ngotyando kuba kubanika ulawulo ngakumbi ekuthathweni kwesigqibo sokuba umntwana wabo uzelwe nini. Inokunciphisa uxinzelelo lokulinda ukuba abasebenzi baqale.

Kodwa ngenxa yokuba unikwe ukhetho lokunikezelwa okukhethiweyo akuthethi ukuba kuza ngaphandle kwemingcipheko. Kukho izibonelelo ekuhanjisweni okucwangcisiweyo, kodwa kukwakho neengozi. Ezinye izicwangciso zeinshurensi yezempilo nazo azizukugubungela ukuhanjiswa okukhethiweyo.

Iinkonzo zecandelo le-C elikhethiweyo

• Umngcipheko omncinci wokungasebenzi kakuhle kunye nokungasebenzi kakuhle ngokwesondo emva kokuzalwa komntwana.
• Umngcipheko omncinci wokuba umntwana ahluthwe ioksijini ngexesha lokubeleka.
• Umngcipheko omncinci wokuba umntwana afumane ukonzakala ngelixa edlula kumjelo wokuzalwa.

Umthengi wecandelo le-C elikhethiweyo

• Kusenokwenzeka ukuba ufuna ukuphinda unikezelo lwe-cearean ngokukhulelwa kwangomso.
• Kukho umngcipheko ophezulu weengxaki kunye nokuhanjiswa kwe-cearean.
• Uya kuhlala ixesha elide esibhedlele (ukuya kwiintsuku ezintlanu) kunye nexesha elide lokuchacha.

Zithini izizathu zonyango zecandelo le-C?

Ukuhanjiswa kwe-cearean kunokucwangciswa ngugqirha wakho ngaphambi komhla wokugqibela. Okanye kunokuba yimfuneko ngexesha lomsebenzi ngenxa yongxamiseko.

Apha ngezantsi zezinye zezizathu zonyango eziqhelekileyo zokuyeka ukubeleka.

Umsebenzi ixesha elide

Umsebenzi oqhubekayo - okwabizwa ngokuba "kukusilela kwinkqubela phambili" okanye "umsebenzi onyanzelekileyo" - sisizathu sokuphantse isinye kwisithathu sabantu abaliweyo, ngokuka. Kwenzeka xa umama omtsha esebenza iiyure ezingama-20 okanye ngaphezulu. Okanye iiyure ezili-14 okanye ngaphezulu koomama abaye bazala ngaphambili.

Iintsana ezinkulu kakhulu kumsele wokuzalwa, ukucothisa kancinci komlomo wesibeleko, kunye nokuthwala ukuphindaphinda konke kunokwandisa ixesha lomsebenzi. Kule meko, oogqirha bajonga ukuyeka ukukhusela iingxaki.

Ukuma ngokungaqhelekanga

Ukuze ube nokuzalwa ngempumelelo kwilungu lobufazi, abantwana kufuneka babekwe kwindawo yokuqala kufutshane nomsele wokuzalwa.

Kodwa abantwana ngamanye amaxesha bayayifaka kwisikripthi. Banokubeka iinyawo okanye i-butt yabo kumsele, owaziwa njengokuzalwa ngumoya, okanye babeke igxalaba okanye icala labo kuqala, elaziwa njengokuzalwa okujikelezayo.

Ukuyeka i -arearean kunokuba yeyona ndlela ikhuselekileyo yokuhambisa kwezi meko, ngakumbi kubafazi abaphethe iintsana ezininzi.

Ukubandezeleka komntwana

Ugqirha wakho unokukhetha ukuhambisa ngonyango olungxamisekileyo ukuba umntwana wakho akafumani oksijini yaneleyo.

Iziphene zokuzalwa

Ukunciphisa iingxaki zokuhambisa, oogqirha baya kukhetha ukuhambisa abantwana abafunyenwe benesiphene sokuzalwa, njengokongiwa okungaphezulu kwengqondo okanye izifo zentliziyo yokuzalwa, ngoqhaqho lokunciphisa iingxaki zokuhambisa.

Phinda usebenze

Phantse iipesenti ezingama-90 zabasetyhini abaye banqandwa ngokuza kubhinqa ngokuzalwa kwabo ngokuzayo, ngokwe-American Pregnancy Association. Oku kwaziwa njengokuzalwa kukamama emva kwe-cesarean (VBAC).

Oomama ekumele bathethe nogqirha wabo bathathe isigqibo sokuba ngaba i-VBAC okanye iphinda i-cearean yeyona ndlela ikhuselekileyo nekhuselekileyo.

Imeko yezempilo engapheliyo

Abasetyhini banokuhambisa ngokuhlinzwa ukuba bahlala kunye neemeko ezithile zempilo ezingapheliyo njengesifo sentliziyo, uxinzelelo lwegazi oluphezulu, okanye isifo seswekile sokukhulelwa. Ukuhanjiswa kwelungu lobufazi kunye nenye yezi meko kunokuba yingozi kumama.

Oogqirha baya kuphakamisa ukuba bayeke ukuba umntu oza kuba ne-HIV, i-herpes yesini, okanye naluphi na olunye usulelo olunokudluliselwa emntwaneni ngokuhanjiswa kwelungu lobufazi.

Intambo iyanda

Xa umbilini utyibilika kumlomo wesibeleko ngaphambi kokuba umntwana azalwe, ubizwa ngokuba yi-cord prolapse. Oku kunokunciphisa ukuhamba kwegazi emntwaneni, kubeka impilo yomntwana emngciphekweni.

Ngelixa kunqabile, intambo yokuqhekeka yimeko enzima efuna ukuhanjiswa okungxamisekileyo kokubekwa.

Ukungalingani kweCephalopelvic (CPD)

I-CPD kuxa i-pelvis yomama oza kubakho incinci kakhulu ukuba ihambise umntwana ngobufazi, okanye ukuba intloko yomntwana inkulu kakhulu kumsele wokuzalwa. Kuzo zombini iimeko, umntwana akanakudlula kwilungu lobufazi ngokukhuselekileyo.

Imiba yePlacenta

Oogqirha baya kwenza i-cearean xa i-placenta ephantsi okanye igubungele ngokupheleleyo umlomo wesibeleko (placenta previa). I-cearean iyimfuneko kwakhona xa i-placenta yahlula-hlukene nomngxunya wesibeleko, ibangela ukuba umntwana aphulukane neoksijini (ukuphazamiseka kweplacenta).

Ngokwe-American Pregnancy Association, i-placenta previa yenzeka kwi-1 kuma-200 kwabasetyhini abakhulelweyo. Phantse iipesenti ezi-1 zabasetyhini abakhulelweyo bafumana ukuphazamiseka kweplacenta.

Ukuthwala ukuphindaphindwa

Ukuhamba nokuphindaphinda kunokubangela umngcipheko owahlukileyo ngexesha lokukhulelwa. Ingabangela ukusebenza ixesha elide, okunokubeka umama ekubandezelekeni. Olunye usana okanye nangaphezulu banokuba kwimeko engaqhelekanga. Ngayiphi na indlela, i-cearean yeyona ndlela ikhuselekileyo yokuhambisa.

Yise kude

Kuba ukukhulelwa kunye nokuzalwa akunakulindeleka ngamanye amaxesha, oomama-kufuneka-bekulungele ukulungiselela ukubonelelwa ngoqhaqho kufuneka. Ukuzala kuyinto entle kwaye iyamangalisa, kwaye kungcono ukuba uzilungiselele okungalindelekanga kangangoko kunokwenzeka.

Q:

Kutheni le nto uninzi lwabasetyhini namhlanje lucwangcisa ii-C ezikhethiweyo? Ngaba lo mkhwa uyingozi?

Isigulana esingaziwayo

A:

Umkhwa wokuhanjiswa kwezinto okhethiweyo uyakhula. Olunye uphononongo lubonise ukuba oomama bacele ukuhanjiswa kwe-cearean. Ngelixa uthandwayo, le meko inokuba neengxaki ezinzulu, kubandakanya umngcipheko wokulahleka kwegazi, usulelo, amahlwili egazi, kunye neziphumo ezibi kwi-anesthesia. Kubalulekile ukuba ukhumbule ukuba ukuhanjiswa kwe-cearean lolona tyando lukhulu lwesisu, kwaye ihlala ikwazi ukubuyisa ixesha elide kunokubeleka kwilungu lobufazi. Ukuba ucinga ngokucwangcisa ukuhanjiswa kwe-cearean okukhethiweyo, kuya kufuneka uthethe nogqirha wakho ngakumbi ngomngcipheko kunye nezibonelelo.

UKatie Mena, iimpendulo ze-MDA zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.