Unyango losuleleko lwasemva kwesibeleko: kwenzeka njani oku?

Umxholo

• Izinto ezinobungozi kusulelo lweC-candelo losulelo
• Iimpawu zosulelo lwenxeba lwasemva kokubeleka okanye ubunzima
• Lufunyanwa njani usulelo lwenxeba?
• Iindidi kunye nokubonakala kosulelo emva kwecandelo le-C
• Iseli
• Inxeba (esiswini) ithumba
• Ukuthintela
• Umchamo kunye nosulelo lwesinyi
• Kufuneka lunyangwe njani usulelo lwenxeba?
• Ungaluthintela njani usulelo lwenxeba kwicandelo le-C
• Iingxaki zale meko
• Imbonakalo yosulelo lwenxeba lwasemva kokubeleka

Usulelo lwasemva kwenxeba (C-icandelo) losulelo lwenxeba

Usulelo lwesifo se-post-cearean sisifo esenzeka emva kwecandelo le-C, elibizwa ngokuba sisisu okanye ukuhanjiswa kwe-cearean. Ngokuqhelekileyo kubangelwa usulelo lwebhaktheriya kwindawo yokucoca.

Iimpawu eziqhelekileyo zibandakanya umkhuhlane (100.5ºF ukuya ku-103ºF, okanye u-38ºC ukuya ku-39.4ºC), ubuntununtunu benxeba, ukuba bomvu nokudumba kwesi siza, kunye neentlungu ezisezantsi esiswini. Kubalulekile ukuba unyangwe ngokukhawuleza ukukhusela iingxaki kusulelo.

Izinto ezinobungozi kusulelo lweC-candelo losulelo

Abanye abantu basetyhini kunokwenzeka ngakumbi kunabanye ukufumana usulelo lwenxeba lwasemva kokubeleka. Imiba yomngcipheko inokubandakanya:

• ukutyeba kakhulu
• isifo seswekile okanye isifo sokuphazamiseka emzimbeni (njenge-HIV)
• chorioamnionitis (usulelo lwe-amniotic fluid kunye ne-fetal membrane) ngexesha lomsebenzi
• ukuthatha i-steroids yexesha elide (ngomlomo okanye nge-intravenously)
• ukhathalelo olungaphambi kokubeleka (ezimbalwa ukutyelela ugqirha)
• ukuhanjiswa okwexeshana kwangaphambili
• ukunqongophala kwamayeza okubulala iintsholongwane okanye ukunakekelwa kwangaphambi kokubeleka
• Umsebenzi omde okanye utyando
• ukopha kakhulu ngexesha lokubeleka, ukubeleka okanye uqhaqho

Ngokophando olwenziwe ngo-2012 olupapashiweyo, abasetyhini abafumana i-nylon sutures emva kokunikezelwa kwe-cesarean banamathuba okuphuhlisa usulelo. I-stutle stutle nayo inokuba yingxaki. Iimpawu ezenziwe nge-polyglycolide (i-PGA) zikhethwa kuba zombini zinokufakwa kwaye zinokuboliswa ziintsholongwane.

Iimpawu zosulelo lwenxeba lwasemva kokubeleka okanye ubunzima

Ukuba ukhe wanikezela nge-cearean, kubalulekile ukuba ujonge ukubonakala kwenxeba lakho kwaye ulandele imiyalelo yogqirha emva kokusebenza ngokusondeleyo. Ukuba awukwazi ukulibona inxeba, yiba nomntu omthandayo akhangele inxeba yonke imihla ukujonga imiqondiso yesilonda. Ukuhanjiswa okwexeshana kunokukubeka emngciphekweni wezinye iingxaki ezinje ngegazi.

Biza ugqirha wakho ufumane ingcebiso okanye ufune unyango ukuba unayo nayiphi na le mpawu emva kokuphuma kwakho esibhedlele:

• iintlungu ezinzima zesisu
• ubomvu kwindawo yokusika
• ukudumba kwesiza sokusika
• Ukukhutshwa kobofu kwindawo yokucheba
• intlungu kwisiza sokuqhawula esingahambiyo okanye esiba mandundu
• umkhuhlane ongaphezulu kwe-100.4ºF (38ºC)
• ukuchama kabuhlungu
• incindi yelungu lobufazi enuka kakubi
• Ukopha okufaka iphedi yabasetyhini kwisithuba seyure
• ukopha okuqukethe amahlwili amakhulu
• iintlungu zomlenze okanye ukudumba

Lufunyanwa njani usulelo lwenxeba?

Olunye usulelo lwenxeba lwasemva kokubeleka luthathelwa ingqalelo ngaphambi kokuba isigulana siphume esibhedlele. Nangona kunjalo, uninzi losulelo alubonakali de kube semva kokuphuma kwesibhedlele. Ngapha koko, uninzi losulelo lwenxeba lwasemva kokubeleka luhlala luvela kwiiveki zokuqala emva kokubeleka. Ngesi sizathu, uninzi lwezi zifo luchaphazeleka kutyelelo olulandelayo.

Usulelo lwenxeba lufunyanwa ngu:

• ukubonakala kwenxeba
• inkqubela phambili yokuphilisa
• ubukho beempawu eziqhelekileyo zosulelo
• ubukho bentsholongwane ethile

Ugqirha wakho kungafuneka avule inxeba ukuze enze uxilongo kwaye akunike unyango olululo. Ukuba ubovu buphuma kwi-incision, ugqirha unokusebenzisa inaliti ukususa ubofu enxebeni. Umkhuhlane ungathunyelwa kwilebhu ukufumanisa naziphi na iintsholongwane ezikhoyo.

Iindidi kunye nokubonakala kosulelo emva kwecandelo le-C

Usulelo lwenxeba lwasemva kokubeleka luhlelwe njengelonda leselulitis okanye inxeba (esiswini) ithumba. Olu suleleko lwenxeba lusenokusasazeka kwaye lubangele iingxaki kumalungu, ulusu, igazi kunye nezicubu zalapha.

Iseli

I-Cellulitis yenxeba sisiphumo sesibhaktiriya se-staphylococcal okanye i-streptococcal bacteria. Ezi ntlobo ziyinxalenye yebhaktiriya eqhelekileyo efumaneka kulusu.

Nge-cellulitis, izicwili ezosulelekileyo phantsi kolusu ziyavuvukala. Ubomvu kunye nokudumba kusasazeka ngokukhawuleza ukusuka kuqhaqho olungaphandle kwesikhumba esikufutshane. Ulusu olosulelekileyo luhlala lufudumele kwaye luthambile ekuphathweni. Ngokubanzi, ubofu abukho kwisiqwengana uqobo.

Inxeba (esiswini) ithumba

Inxeba (esiswini) ithumba libangelwa ziintsholongwane ezifanayo nenxeba leselulitis nezinye iintsholongwane. Usuleleko kwindawo yokusikwa kotyando kukhokelela kubomvu, ukuthamba, kunye nokudumba ecaleni kwemiphetho yokusikwa. I-Pus iqokelela kwisisu esenziwe sisifo se-bacterial. Amathumba amaninzi enxeba nawo akhupha ubomvu kusikwe.

Amathumba angenziwa kwisicucu sesibeleko, izicwili ezibomvu, amaqanda, kunye nezinye izicwili okanye amalungu akufutshane xa usulelo lukhona emva kotyando.

Ezinye iintsholongwane ezibangela ithumba lesilonda kunokubangela i-endometritis. Olu lucaphukiso lwasemva kwexesha lokuya kwesibeleko esinokubangela:

• intlungu
• ukopha ngokungaqhelekanga
• ukukhupha
• ukudumba
• ifiva
• ukugula

Olunye usulelo oluqhelekileyo emva kwecandelo le-C alisoloko likhona kwabasetyhini abanosulelo kusiza kwindawo. Oku kubandakanya usulelo lwe-thrush kunye nomchamo okanye usulelo lwesinyi:

Ukuthintela

I-Thrush ibangelwa ngundo UCandida, ehlala ikhona emzimbeni womntu. Le fungus inokubangela usulelo kubantu abathatha ii-steroids okanye ii-antibiotics nakubantu abanamajoni omzimba abuthathaka. Le fungus inokubangela usuleleko lwegwele lobufazi okanye izilonda ezibuthathaka ezibomvu nezimhlophe emlonyeni. Amayeza awahlali efuneka, kodwa ichiza lokubola okanye umlomo uhlamba unokukunceda ulwe nosulelo. Yitya iyogathi kunye nezinye iiprobiotiki ukunqanda ukwanda kakhulu kwemvubelo, ngakumbi ukuba ubusele kwii-antibiotics.

Umchamo kunye nosulelo lwesinyi

IiCatheters ezisetyenziswa xa uhlala esibhedlele zinokubangela usulelo lomchamo kunye nosulelo lwesinyi. Ezi zifo zihlala zibangelwa E. coli ibacteria kwaye iyanyangeka ngeyeza lokubulala iintsholongwane. Banokubangela imvakalelo evuthayo ngexesha lokuchama, isidingo sokuchama rhoqo, kunye nomkhuhlane.

Kufuneka lunyangwe njani usulelo lwenxeba?

Ukuba unesilonda se-cellulitis, ii-antibiotics kufuneka zisuse usulelo. I-antibiotics ijolise ngokukodwa kwi-staphylococcal kunye ne-streptococcal bacteria. Esibhedlele, usulelo lwenxeba luhlala lunyangwa ngamayeza okubulala iintsholongwane. Ukuba uphathwa njengomguli ongalaliswayo, uyakunikwa okanye unikwe amayeza okubulala iintsholongwane ukuze uthathe ekhaya.

Amathumba enxeba ayanyangwa ngamayeza okubulala iintsholongwane kwaye afuna ukhathalelo olulodwa. Ugqirha wakho uya kuvula ukusikwa kwindawo enesifo, emva koko ucofe ubofu. Emva kokuba indawo ihlanjwe ngocoselelo, ugqirha wakho uya kuthintela ukuqokelelwa kobofu ngokubeka i-antiseptic ene-gauze kuyo. Inxeba liza kufuneka lihlolwe rhoqo ukuqinisekisa ukuphiliswa okufanelekileyo.

Emva kweentsuku ezininzi zonyango lonyango kunye nokunkcenkceshela, ugqirha wakho uya kujonga ukusikwa kwakhona. Okwangoku, inxeba lisenokuvalwa kwakhona okanye livunyelwe ukuba lizinyange lodwa.

Ungaluthintela njani usulelo lwenxeba kwicandelo le-C

Olunye usulelo lwendawo yotyando alukho kulawulo lwakho. Ukuba unecandelo le-C, nangona kunjalo, ungathatha amanyathelo athile ukunciphisa amathuba okufumana usulelo. Ukuba ucinga malunga necandelo le-C elikhethiweyo, ungathatha amanyathelo okuthintela iingxaki.

Ukuba sele unalo olu hlobo lotyando, nanga amanyathelo onokuwathatha:

• Landela imiyalelo yokhathalelo lwenxeba kunye nemiyalelo yonyango lwasemva kokusebenza olunikezwe ngugqirha okanye ngumongikazi. Ukuba unemibuzo, unganqikazi ukubiza ugqirha wakho.
• Ukuba unikwe i-antibiotics ukunyanga okanye ukuthintela usulelo, musa ukutsiba idosi okanye uyeke ukuzisebenzisa de ugqibe ikhosi yonke yonyango.
• Coca inxeba lakho kwaye utshintshe amanxeba akho rhoqo.
• Musa ukunxiba impahla eqinileyo okanye uthambise amanxeba emzimbeni enxebeni.
• Cela ingcebiso malunga nokubamba nokondla umntwana ukuthintela uxinzelelo olungonwabisiyo enxebeni lakho, ngakumbi ukuba uceba ukuncancisa.
• Zama ukunqanda ukuvumela ulusu ukuba lusongele kwaye lubambe indawo yokusikwa.
• Thatha ubushushu bakho nge-thermometer yomlomo xa uziva unefiva. Funa ukhathalelo lonyango okanye ubize ugqirha wakho ukuba unefiva engaphezu kwe-100ºF (37.7ºC).
• Funa ukhathalelo lonyango kwiindawo ezinomhlwa, zidumbe, zibe buhlungu ngakumbi, okanye zibonise ububomvu kulusu olusasazeka kwindawo yokusikwa.

Abasetyhini abanokubeleka kwilungu lobufazi mancinci amathuba okuba bafumane usulelo lwasemva kokubeleka. Kwezinye iimeko, nangona kunjalo, ukuzalwa kwesisu emva kweC-section (VBAC) kuyingozi ngenxa yeminye ingozi kumama nomntwana. Xoxa nengozi yakho kunye nogqirha wakho.

Ukuba awunalo icandelo le-C, nanga amanye amanyathelo onokuwathatha:

• Gcina ubunzima obusempilweni. Ukuba awukakhulelwa, zivocavoca kwaye ulandele ukutya okusempilweni ukunqanda ukukhulelwa ngesalathiso sobunzima bomzimba obutyebileyo (BMI).
• Khetha ubufazi, ukusebenza ngokukhawuleza kunye nokuhanjiswa ukuba kunokwenzeka. Abasetyhini abanokubeleka kwilungu lobufazi mancinci amathuba okuba bafumane usulelo lwasemva kokubeleka. (Yiyo imeko nakwabasetyhini abaye baba necandelo le-C, kodwa i-VBAC iyingozi kwezinye iimeko. Kuya kufuneka kuxoxwe nogqirha.)
• Phatha iimeko esele zikhona ezibangela ukuba amajoni akho omzimba abe sengozini. Ukuba unesifo okanye isifo, zama ukunyangwa ngaphambi kokukhulelwa okanye ngaphambi komhla omiselweyo ukuba kukhuselekile kuwe nakumntwana ukwenza njalo.

Kuya kufuneka ukhethe eyona ndlela ikhuselekileyo yokuvalwa kwenxeba. Ukuba ugqirha wakho uceba ukusebenzisa ukutya, buza ukuba ikhona enye indlela (enjengee-PGA sutures). Cela i-antibiotics yangaphambi kokusikwa kunye nemiyalelo yokunyamekela amanxeba kwabo bakunyangayo esibhedlele. Kwakhona, cela ukuba ukhangelwe iimpawu zosulelo ngaphambi kokuba ugoduke uye esibhedlele.

Iingxaki zale meko

Ngamanye amaxesha, ukosuleleka kwenxeba kunokubangela iingxaki ezinzulu. Imizekelo ibandakanya:

• necrotizing fasciitis, esisifo esosulelayo esibulala izicwili ezisempilweni
• i-fascia eqhekekileyo okanye ukunganyangeki kwenxeba, nokuvulwa kolusu kunye neethishu zetyhefu ezazithungelwe emva kotyando
• ukukhutshwa, okuvulwa kwesilonda kunye nesisu esiza kuqhutywa

Ukuba uphuhlisa nayiphi na kwezi ngxaki, baya kufuna ukulungiswa kotyando. Oku kunokubangela ixesha elide lokufumana kwakhona. Kwiimeko ezinqabileyo, iingxaki zinokubulala.

Imbonakalo yosulelo lwenxeba lwasemva kokubeleka

Ukuba uphathwa kwangoko, ungachacha kusulelo lwasemva kokubeleka kunye neziphumo zexesha elide. Ngokwe-Mayo Clinic, ukunyanga okuqhelekileyo kuthathwa iiveki ezine ukuya kwezintandathu. Nangona kunjalo, ukuba usuleleko lwenxeba lufunyenwe ngaphambi kokuba ukhululwe esibhedlele, ukuhlala kwakho esibhedlele kunokuba ziintsuku ezimbalwa ubude. (Oku kuyakwonyusa neendleko zakho zokulaliswa esibhedlele.)

Ukuba sele uthunyelwe ekhaya ngexesha losulelo lwenxeba lwasemva kokubeleka, kuya kufuneka uphinde ubuyiselwe ukufumana iziyobisi ezifakwe ngaphakathi okanye uqhaqho oluthe kratya. Ezinye zezi zifo zinokunyangwa ngaphandle kwesigulana ngokundwendwela ugqirha kunye neyeza lokubulala iintsholongwane.