Kungenzeka ube nemibuzo mayelana nezibazi zesigaba se-C ngaphambi nangemva kwesigaba sakho se- cearean , ikakhulukazi uma kungakahlelwa. Ukuqubuka kwakho kuyinto edinga ukwelashwa nokunakekelwa. Uzothola imiyalelo yokuthi ungayinakekela kanjani njengoba uphulukisa. Inqubo yokuphulukisa isesigaba. Funda ngalokho ongakulindela nokududuza ukunakekelwa ongakwenza ukuze uvimbele ukucasuka.
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Iyiphi Inhlobo Yokuqothulwa Kwesisu Esizosetshenziswa?Ungabuza udokotela wakho ukuthi yiluhlobo luni lokuhlunga kwesisu oluzosetshenziselwa, oluzocacisa uhlobo lobunzima ozoba nalo. Ukuhlanganiswa okugxilwe noma okuyi-bikini (ukuhlungwa kwe-Pfannenstiel) kuyindlela ejwayelekile kakhulu esetshenzisiwe. Iphezu kwezinwele ze-pubic noma ngaphezulu kwezinwele. Lokhu kunikeza isikebhe esivumayo kakhulu esikhumbululeni lapho siphululiwe.
Ukubheka okuqondile akuvamile, kepha kwakuyihlobo lokuqala lokushiswa okusetshenzisiwe futhi ngaleyo ndlela ngezinye izikhathi kuthiwa yizicucu zakudala. Ngokwemvelo, lolu hlobo lokushiswa luyaziwa njenge-midline eqondile. Isetshenziswa kuphela ezimweni ezimbi kakhulu.
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Iyiphi Inhlobo Yokuqothulwa Kwe-Uterine Eyasetshenziswa?Ngaphakathi, isibazi esibelethweni sakho singase sibonakale sifana nesibalo esiswini sakho. Ingakwazi ukukhuphuka phezulu (i-classical) noma i-horizontal (ibhayisikili). Kuzonquma futhi ukuthi ungumuntu omele ukhetho lokubeletha kwamasifazane ekuzalweni okulandelayo, owaziwa ngokuthi ukubeletha kwamasitini ngemuva kwe-cearean (VBAC) .
Ukucubungula kwe-uterine okuvame kakhulu ukucubungula okuyingqayizivele engxenyeni engezansi yesibeletho (ukuhlunga okuphansi okuphambene nokuphambana). Ukuba nesandulela ngculaza , ingane esesimweni esingavamile, noma isimo esiphuthumayo sezokwelapha singase sidinge uhlobo oluthile lokuzibopha. Ukuzalwa kwesisu ngokukhulelwa okulandelayo kungaba yingozi kakhulu ngokunye okubhekwayo, njengokungathi kwenzeka ukuthi ukukhulelwa kwakho kwandiswe.
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Yiziphi Izinto Ezizosetshenziselwa Ukuvala Ukunyuka Kwami?Izinto ezisetshenziselwa ukuvala ukuchotshozwa kwakho zingancika ezintweni eziningana, kufaka phakathi uhlobo lomzimba wakho nokuthandana nodokotela wakho. Udokotela wakho angasebenzisa:
- Okuyisisekelo
- I-Sutures (iziqu)
- Ama-ster strips (i-tape ekhethekile)
- Glue
- Inhlanganisela
Ezinye izinto zokuvala, njengezinhlamvu eziyisisekelo, zisetshenziswa okwesikhashana futhi zizosuswa ngemuva kwesikhathi esithile. Lokhu kuphinde kuxhomeke ekuthandweni komsebenzi wakho nokuthi uyaphulukisa kanjani.
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Ngenzenjani Uma Ngibuhlungu Ekukhunjweni Kwami?Ubuhlungu bubuye buvame ezinsukwini zokuqala ngemuva kokuhlinzwa kwakho. Udokotela wakho uzokunikeza imishanguzo ebuhlungu uma kufanelekile. Kunezibonakaliso ezithile zokuxwayisa ezibonisa ukuthi unenkinga ngokuchofoza kwakho. Uma unobomvu, ukuvuvukala, ubuhlungu obunzima, noma ubuhlungu obunzima, kufanele uxhumane nodokotela wakho. Kumele futhi ushayele ngokushesha uma kukhona noma yini ephuma ngaphandle kwe-incision. Lokhu kungaba izibonakaliso zokutheleleka, okudinga ukunakekelwa ngokushesha. Shayela udokotela wakho, kungakhathaliseki ukuthi isikhathi sini.
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Ingabe Kuyinto Engokwemvelo Ngokwesigaba S-I-C Scar Ukuthi Ihlabe?Kuyinto evamile ukuzwa itching ngesikhathi inqubo yokuphulukisa. Qaphela ngokukhipha ngoba ufuna ukugwema ukutheleleka. Uma unesisindo futhi unzima, kungenzeka ukuba uzilimaze ekukheni. Omunye omama bathola ukuthi ukubamba okuthile ngokuqinile phezu kocingo lwabo kungasiza ukunciphisa ukuzwa kwesisindo.
Ukubheka kungabuye kubangelwe izinwele zokushukela ezikhulayo uma ziphunga ngaphambi nje kokuhlinzwa. Uma usenayo itching ngemva kokuba izinwele zakho ze-pubic zikhulile, kungenzeka ukuthi zivele ekuphulukisweni.
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Ngenzenjani Uma I-Casar My Scar Icasulwa?Qinisekisa ukugcina isayithi lakho le-C-incision incision lihlanzekile futhi limile. Uma unenkinga yokugcina indawo eyomile ngenxa yesheluli lesikhumba okungase ngezinye izikhathi lixhomeke ku-incision, cela udokotela wakho mayelana nokusebenzisa into efana ne-cornstarch uma isayithi siphulukiswa ngokuphelele. Ungasebenzisa futhi i-gauze noma ikotini. Qinisekisa ukuthi umile kahle isikhumba ngemuva kokugeza.
Zama ukugwema izingubo ezihlezi ngokuqondile kwesicingo sakho se-C. Cabanga ukwenza lokhu izinyanga ezimbalwa. Njengoba izicubu ziphilisa, ungazama ukufaka ikhabethe lakho elidala futhi ungenalo inkinga nayo.
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Ingabe Kungokwemvelo Ukuba Nesikhwama Sesesareya Esisisimweni Esincane?Ubungqingili obuseduze nokuhlaselwa akuyona inkinga kodwa kungabangela ukukhathazeka. Amanye omama abika ukuthi abazizwa bengazungeze noma nje phezulu kwesicingo sabo se-C. Kwabanye kungukuntuleka kwesikhashana kokuzwa, ngoba abanye kungunaphakade. Yisho lokhu kudokotela wakho uma unemibuzo ngakho noma uma ikukhathazayo.
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Yini Eyobukeka Ngayo I-Scar My?Ukuphulukiswa, isibazi se-C samasentimitha angu-4 kuya ku-6 ubude, nakuba ubude buyahlukahluka ngenxa yokubekwa kwe-incision nobude obudingekayo ekuzaleni ingane yakho. Ubomvu buzokwehliswa ngokuhamba kwesikhathi.
Ezinye izibazi ziyizicabha ngenkathi abanye bephakanyiswa kakhulu. Lokhu kuncike ekutheni umzimba wakho uphulukisa kanjani. Ngesinye isikhathi, ngesikhathi senqubo yokuphulukisa, umzimba wakho uphendukela ekuhlinzekeni ngokukhahlela kwi-overdrive. Lokhu kungase kusho ukuthi unesicingo esisheshayo, esibizwa ngokuthi isiqhwa se-hypertrophic. Lolu hlobo lwesibalo luhlala endaweni eqondile udokotela wakho ohlinzayo ekuqaleni, ngokungafani nobunzima be-keloid, okungaba bukhulu futhi buyonge ngaphezu kwe-incision yokuqala.
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Kuthatha Isikhathi Sini Ukuze Ukuphulukisa Ukuphulukisa?Uzobona ukuthi indawo yesigaba se-C ishintsha kancane kancane, kancane kancane ukuze ungaboni umehluko nsuku zonke. Ungathatha izithombe ukubona ukuthi inqubo yokuphulukisa ibukeka kanjani ngesikhathi. Ekuqaleni, inqubo yokuphulukisa ishintsha ngokushesha futhi nsuku zonke ingabonakala, kodwa emva kwalokho, ungase ungatholi izinguquko ezicashile njengoba zibonakala.
Isikhathi esithatha ukuba isiqephu se-C-section sokuphulukisa sihluke kusuka kwabesifazane kuya kwabesifazane. Ngezinye izikhathi kunezinkinga ezizophuza noma ezivimbela ukuphulukiswa kwakho, njengokudla okungenamsoco, ukutheleleka, njll. Ukuhlala unempilo nokudla kahle kuzosiza umzimba wakho wenze umsebenzi wayo.
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Ingabe Kukhona Izindleko Ezitholakalayo?Wonke umuntu onokuhlambalaza uyoba nohlobo oluthile lokusila. Indlela okubukeka ngayo emva kokuhlinzwa kuyoxhomeka ezintweni eziningi, kufaka phakathi:
- Kuze kube nini usuphethe isigaba sakho se-C
- Uhlobo lokushiswa okwenziwe
- Zingaki izinto eziye zenziwa endaweni efanayo
- Uhlobo lokulungisa udokotela wakho ohlinzayo wenza
- Izinto ezisetshenziselwa (i-steri-strips, i-sutures, i-glue, noma isisekelo)
- Ukuthi umzimba wakho uphulukiswe kanjani
- Ubuqotho bakho besikhumba
- Ukuthambekela komzimba wakho ekudleni
Uma isikhala sakho sesiphululile, futhi ngokuvamile, uma usuqedile ukwengeza emndenini wakho, ungabheka izixazululo zesikhathi eside zokuzithokozisa. Lokhu kungase kuhlanganise nohambo oluya kudokotela ohlinzayo we-plastic noma i-dermatologist yezokwelapha noma izinketho zezokwelapha.
Ungazama futhi ukunciphisa ukuvelela kobude ngokusebenzisa imikhiqizo engaphezu kwe-counter like the strip silicone noma eminye imikhiqizo enconyiwe ngudokotela wakho. Kumele futhi ugweme ukushisa kwelanga okungenani unyaka ukuze unciphise umonakalo emathunjini omzimba. Abanye odokotela bancoma futhi ukusikwa ngama-massages ngokuqeqeshwa abaqeqeshiwe ngokukhethekile.
Ngemuva kwesikhathi sokuphulukiswa sekuphelile, uma ungajabuli ngempela ngesikhala sakho, kunezinketho ezithile zokunciphisa ukubukeka kwayo. Lokhu kungabandakanya imithi efana nokujola kwe-steroid futhi ezimweni ezimbi, ungaba nokubuyekezwa okwenziwe ukuzama ukususa izicubu ezinqamule, nakuba lokhu kungavamile.
Ukubukezwa kwesicingo ngokuvamile kwenziwa okungenani izinyanga ezimbalwa emva kokuhlinzwa kwakho kokuqala. Kuyindlela yokuhlinzeka engakwazi noma engeke ihlanganiswe yomshuwalense, kodwa ihilela ukusika izicubu ezibomvu futhi udale ukonakala omusha okulindeleke ukuthi ujabule kakhulu.
Imisipha ye-steroid emayelana nesibazi ingaqaliswa ngokushesha ngemuva kokuhlinzwa ukuthi ngethemba ukusiza ukuvimbela ukukhishwa kwe-hypertrophic noma kwe-keloid scarring. Kungenzeka ifakwe ngumshuwalense, kodwa lokho kuzoxhomeka ekuhloleni kwakho. Izijovo zingadinga ukunikezwa inyanga zonke izinyanga eziyisithupha, kuye ngokuthi kunesifo sakho.
I-Laser therapy iyinye indlela, kodwa ayisususi ngokuphelele. Lezi zindleko ezingaphandle kwezimpahla zithatha amaseshini amaningi kanye nemiphumela ebucayi obunzima futhi enemibala engaphansi. Le ukwelashwa kungaqaliswa ngokushesha ngemva kokuphulukiswa kokuqala.
Inketho enkulu kunazo zonke kungaba ukulungiswa kwesisu, ngokuvamile eyaziwa ngokuthi i-tummy tuck. Lokhu kunciphisa isikhala se-C, kodwa futhi kunesikhumba esengeziwe namafutha endaweni. Isibazi esivela emthonjeni singaba sikhulu, ngakho qiniseka ukuthi unolwazi oluhle ngaphambi kokuthi kwenziwe inqubo.
Izwi elivela ku-Verywell
Uma ukhathazekile noma unemibuzo, kufanele uwayise kudokotela wakho. Kumele umbize ngokushesha uma isibazi sakho sibomvu noma siphelile, noma uma uqhuba umkhuhlane. Sebenza kanye nodokotela wakho ukuze uthole imiphumela yokuphulukisa oyifunayo.
> Imithombo:
> Gabbe SG. Izimo zokubeletha ezijwayelekile ze-Obstetrics and Problem . Philadelphia, PA: Elsevier; 2017.
> Huppelschoten AG, van Ginderen JC, van den Broek KC, Bouwma AE, Oosterbaan HP. Izindlela ezehlukene zezicubu ezingaphansi kwesisu kanye nokuvalwa kwesikhumba eSahlukweni seCesarean: Isivivinyo esingenakulinganiswa soMtholampilo esiPhuthumayo Sesikhathi eside. I-Acta Obstet Gynecol Scand . 2013 Aug; 92 (8): 916-24. i-doi: 10.1111 / ama-aogs.12142. I-Epub 2013 Apr 22.
> Ledon JA, Savas J, Franca K, et al. Ukwelashwa kwe-intralesional yama-Keloids ne-Hypertrophic Scars: Ukubuyekezwa. I-Dermatol Surg 2013; 39: 1745.
> Mackeen AD, Berghella V, uLarsen ML. Izindlela Nempahla Yokuvalwa Kwesikhumba Esigabeni SeKesariya. I-Cochrane Database Syst Rev. 2012 uNksz 14; 11: CD003577. i-doi: 10.1002 / 14651858.CD003577.pub3.