Isigaba se-Cesarean Isinyathelo Sokuhamba Ngesinyathelo

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Isigaba saseCesarean

Isilinganiso sokuhlinzekwa kwesigaba se-cearean silinganiselwa kwesithathu kwazo zonke ukuzalwa e-United States of America. Nansi indaba echaza isithombe, isinyathelo ngesinyathelo sokuzalwa kwesigaba c.

Isiqunto sokuba ne-cearean singavela ngaphambi komsebenzi, okuvame ukubizwa ngokuthi ukuhlelwa okuhleliwe noma okuhleliwe . Izizathu ezivame ukuhlela ukuthi labo abasebenza ngaphambi kokusebenza bangabandakanyeka isethulo sokubhujiswa, okushiwo ngaphambili lapho ukubeletha kwamakhosikazi emva kwe-cearean (VBAC) kungakatshelwanga noma kuyadingeka, i-placenta previa, njll. Isinqumo singase senzeke nasemisebenzini. Lokhu kungenzeka ngoba kucatshangwa ukuthi ukusebenza sekuthatha isikhathi eside, umama noma umntwana akakubekezeli kahle ukusebenza, noma ezinye izimpikiswano ziphakama njengoba kutholakala ukuthi ingane isengcupheni. Lokhu ngokuvamile kuthiwa yi-cearean engakahlelwa. Ezimweni ezimbalwa, kuyoba yizimo eziphuthumayo ezingokoqobo, njengokwesiphakamiso sokuphazamiseka okuphazamisayo, ukuphaphazeka okukhulu, njll.

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I-Caesarean Section Surgery iyaqala

Ngemva kokuthola i-anesthesia yakho, ngokuvamile i-spinal or epidural nayo yonke into efaka phakathi, uzobe usulungele ukuhlinzwa.I-anesthesia ingathatha kancane ukufeza, ngezinye izikhathi imizuzu engu-20-30. I-numbing enamandla izokwenzeka ngokushesha futhi ngempumelelo. Kulesi sithombe, uzobona ukuthi umama udonswe nge-drapes oyinyumba futhi usegumbini lokusebenza njengoba benza ukuchotshozwa kokuqala esiswini sakhe.

Ngesikhathi uthola i-anesthesia yakho, igumbi lizobe limatasa njengoba abanye abahlengikazi nodokotela belungiselela igumbi ngezinsimbi futhi balungiselela ingane efudumele.

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Izindleko Eziningi Zemihlahlandlela

Kukhona izendlalelo eziningi udokotela wakho odokotela okumelwe ahambe ngazo ngaphambi kokuba afinyelele umntwana. Kuzo zonke kusukela ekuqaleni kokuhlinzwa, kuze kube sekuzalweni kwengane yakho cishe emaminithi angu-5-10.

Udokotela uzosebenzisa inhlanganisela yezinsimbi ezibukhali nokuxuba okungafani njengoba ehamba ngqimba ngalinye. Ungase uzwe nokushaywa komsindo njengoba umshini usetshenziselwa ukucubungula noma ukushisa imithwalo yegazi emincane ukuvimbela ukuphuma kwegazi. Ngezinye izikhathi kukhona iphunga elimangalisa.

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Ukuphumelela Amniotic Fluids

Uma udokotela efika esibelethweni, uzozwa nokuthandwa. Ngemuva kokusika isibeletho, i-amniotic fluid izoxoshwa ngaphandle ukwenza ikamelo elithile esibelethweni ngezandla zomdokotela noma izinsimbi ezifana ne-forceps noma i-extractor yocu.

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Kuzalwa iNhloko Yengane

Umntanakho uvame ukubandakanyeka esikhwameni, ngokuvamile ehla phansi, kodwa mhlawumbe ngemuva kokuqala noma ukuhamba . Kungakhathaliseki ukuthi yiyiphi into engene ngaphakathi kwesikhumba, izodokotela zizophakanyiswa. Ungase uzizwe ucindezelekile kuleli phuzu futhi abanye besifazane babika bazizwa benesizungu phakathi nalesi sikhathi esincane, kodwa esifushane.

Inhloko yomntwana izalwa! Uma ikhanda seliphelile, udokotela wakho uzothatha umlomo womlomo nomlomo wamanzi. Ekuzalweni kwesisu, lezi zixhunywe ngenqubo yomsebenzi. Ekubelethweni okulondoloziwe, ingane ifuna usizo olungaphezulu lokuqeda lezi ziphuzo. Uma i- meconium ikhona kukhona okungase kudingeke ukuba kulandwe okunye.

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Ukuxosha iNhloko Yengane Namahlombe

Udokotela ohlinzayo uzodinga ukuqondisa ingane emuva nangaphandle ukuze abasize bazalwe. Ungase uzizwe lokhu kuguqulwa. Uma ingane yakho isetshenziswe kahle, udokotela uzoqala ukusiza wonke umzimba ukuba uzalwe. Uzohlola ukuthi kukhona umcibisholo womzimba noma ezinye izinkinga njengoba umzimba uzalwa. Ungase ube nomjozi ohlinzayo ohlinzayo engxenyeni engenhla yesisu sakho se-fundus ukuze usize ekuzalweni.

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Umzimba wezingane owazalwa

Isikhathi osilindele - ukuzalwa kwengane yakho! Sekuyimaminithi angu-5-10 kusukela ukuhlinzwa kwakho kuqalile. Ingane yakho izobe igcinwe kabili phezu kwe-drape ukukukhombisa ingane bese isuswa ngumhlengikazi wezingane noma i-neonatologist emfudumeni oseduze kuye ngokuthi kusethwe igumbi lokusebenza. Ngokuhlela okunye, ungacela ukuba isikhumba sikhumba nomntanakho ngokushesha, ngenkathi kuqedela ukuhlinzwa.

Uma ingane yakho iya emfudumeni, ngokuvamile ihlala egumbini elifanayo nokuhlinzwa. Lapha ingane yakho izophinde iphindwe ukuqinisekisa ukuthi inesihluthulelo se-amniotic fluid. Ingane yakho ingase ibe nokunakekelwa okuyisisekelo njengokulinganisa, ukulinganisa, i-vitamin K, njll.

Ukulungiswa kwesibeletho kanye nezendlalelo eziqedwe ngesikhathi sokuhlinzwa kudingeka zigcwaliswe ngaphambi kokuphela kokuhlinzwa. Phakathi nalesi sigaba sokuhlinzwa, i-placenta nayo izosuswa futhi ihlolwe udokotela wakho. Lona yingxenye ende kunazo zonke zesigaba se-cearean, esiphezulu sithatha imizuzu engaba ngu-45-60 ukuqedela. Phakathi nalesi sikhathi ungase ube nomntanakho nawe ukuze ancelise noma abambe. Kungase futhi kwenzeke ukuthi umuntu wakho wokusekela abambe ingane eduze kobuso bakho uma ungakwazi ukubamba ingane yakho.

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Ukunakekelwa Okulimazayo Ngemva kweCesarean

Ngemuva kokuba konke kuqedile ukuhlinzwa, udokotela wakho ohlinzayo uzokwenyuka (ukuthunga) noma ukufaka isikhala sakho sokuvala. Kuzohlanganiswa nge-bandage. Uzobukwa endaweni ye-post-op okungenani ihora ukuze uqinisekise ukuthi izimpawu zakho ezibalulekile zizinzile nokuthi awuphuzi kakhulu, nakuba wonke umuntu eyophuma ngegazi esiswini. Uzobe usuthathwa ekamelweni lakho lokuthunyelwe. Lapho uzochitha isikhathi esisele sokuhlala kwakho, okuvame ukuba nezinsuku ezine.

_Imithombo:

_{I-American College of Obstetricians and Gynecologists (ACOG). Ukuzalwa kwe-Caesarean. (FAQ006) Meyi 2011.}

_{March we-Dimes. C-Isigaba. Juni 2013. http://www.marchofdimes.org/pregnancy/c-section-medical-reasons.aspx.}