Ukuhanjiswa kweCesarean: inyathelo ngenyathelo kwaye xa kubonisiwe

Umxholo

• Inyathelo nge-Cesarean ngenyathelo
• Xa kuboniswa icandelo le-cesarean

Icandelo le-Cesarean luhlobo lokuhanjiswa okubandakanya ukusika kwingingqi esiswini, phantsi kwe-anesthesia esetyenziswe kumqolo womfazi, ukususa umntwana. Olu hlobo lokuhanjiswa lunokucwangciswa ngugqirha, kunye nabasetyhini, okanye lunokuboniswa xa kukho nasiphi na isichaso sokuhanjiswa okuqhelekileyo, kwaye sinokwenziwa ngaphambi okanye emva kokuqala komsebenzi.

Eyona nto ixhaphakileyo kukuba i-cearean icwangciselwe ngaphambi kokuba kubonakale i-contractions, ikhululeke ngakumbi kulomfazi. Nangona kunjalo, inokwenziwa nasemva kokuba ukusikwa kuqalile kwaye ukusela kubonisa iimpawu ezicacileyo zokuba ukulungele ukuzalwa.

Inyathelo nge-Cesarean ngenyathelo

Isinyathelo sokuqala kwi-cearean yi-anesthesia enikwa umqolo womfazi okhulelweyo, kwaye umfazi kufuneka ahlale phantsi kulawulo lwe-anesthesia. Emva koko, i-catheter ibekwa kwindawo ye-epidural ukulungiselela ukulawulwa kwamayeza kwaye ityhubhu ibekwe ukuze iqule umchamo.

Emva kokuqala kwempembelelo ye-anesthesia, ugqirha uya kusika malunga ne-10 ukuya kwi-12 cm ububanzi kwingingqi yesisu, kufutshane ne "bikini line", kwaye uya kusika nangaphezulu umaleko we-6 welaphu ade afike emntwaneni. Emva koko umntwana uyasuswa.

Xa umntwana esuswe esiswini ugqirha wezilwanyana we-neonatologist kufuneka ahlole ukuba ingaba umntwana uphefumla ngokuchanekileyo na kwaye ke umongikazi angambonisa umntwana oko kunina, ngelixa ugqirha esusa nomndilili. Usana luya kucocwa ngokufanelekileyo, lilinganiswe kwaye lilinganiswe kwaye kuphela emva koko olunokuthi lunikwe umama ukuba ancancise.

Inxalenye yokugqibela yotyando kukuvalwa kokusikwa. Okwangoku ugqirha uza kuthunga zonke iileyile zezicubu ezisikiweyo xa ziziswa, ezinokuthatha umyinge wemizuzu engama-30.

Kuqhelekile ukuba emva kwecandelo le-cearean kwenziwe isibazi, nangona kunjalo emva kokususa imithungo kunye nokunciphisa ukudumba kommandla, umfazi angabhenela ekuthambiseni nakwiikhrimu ekufuneka zisetyenziswe kuloo ndawo, njengoko oku kwenza ukuba kube lula ukwenza scar ngaphezulu iyunifomu. Jonga indlela yokunyamekela inqabileyo yokuyeka.

Xa kuboniswa icandelo le-cesarean

Owona mqondiso uphambili wokuhanjiswa kwe-cearean ngumnqweno kanina wokukhetha le ndlela yokuzalwa yosana, ekufuneka icwangciswe emva kweveki ye-40, kodwa ezinye iimeko ezibonisa isidingo sokwenza i-cearean zezi:

• Isifo sikamama esithintela ukuhanjiswa okuqhelekileyo, njenge-HIV kunye nokuphakanyiswa okuphezulu, okusebenzayo kwe-herpes yangasese, umhlaza, isifo senhliziyo okanye semiphunga;
• Izifo kusana ezenza ukuba ukuhanjiswa okuqhelekileyo kungenzeki, njenge-myelomeningocele, i-hydrocephalus, i-macrocephaly, intliziyo okanye isibindi ngaphandle komzimba;
• Kwimeko ye-placenta previa okanye i-accreta, iqela le-placenta, umntwana omncinci kakhulu ukuba angakhulelwa, isifo sentliziyo;
• Xa umfazi enamacandelo angaphezu kwe-2 e-cesarean, ususe inxenye yesibeleko, efuna ukulungiswa kwesibeleko kubandakanya yonke i-endometrium, ukuqhekeka kwesibeleko ngexesha langaphambili;
• Xa umntwana engaguquki kwaye aweleke esibelekweni somfazi;
• Kwimeko yokukhulelwa kwamawele okanye abantwana abangaphezulu;
• Xa umsebenzi oqhelekileyo umisiwe, uyolulwa kwaye ngaphandle kokuthoba ngokupheleleyo.

Kwezi meko, nokuba abazali bafuna ukuhanjiswa okuqhelekileyo, icandelo le-cesarean lelona likhuselekileyo, ekucetyisweni ngoogqirha.