Indlela Yokukhetha Usuku Lwenkonzo Yakho KaKhesari
Amamama amaningi athi enye yezingxenye ezinhle kakhulu zokuba nesigaba seChesari sokuzalwa kwesigaba -C-esifushane-ukwazi kahle lapho ingane yabo izozalwa khona. Kungakhathaliseki ukuthi usuvele unesigaba esisodwa se-C futhi ukhetha ukungabi ne- VBAC (ukuzalwa kwesifazane ngokokubeletha ngemuva kwezidingo ze-caesarian) noma uma uhlela isigaba C sezempilo noma ngezizathu zomuntu siqu, ungasebenza nawe ehhovisi odokotela ukunquma nini ungathanda usuku lwakho lokuzalwa lwangane.
Ngesikhathi usuku olukhethile luzohlukahluka kuye ngezimo zakho ezithile, kunezinto eziningana ongase ufune ukuzenza uma ukhetha usuku lokuzalwa komntanakho.
Izinto Zomuntu Ekukhethweni Kwakho Usuku Lokuletha
Kunezici eziningi zomuntu ongase ufise ukucabangela uma uhlela isigaba sakho se-C. Kungcono ukugwema izinsuku umndeni wakho ezizihlanganisa nokudabuka, njengezinsuku umuntu azifa noma ezinye izikhathi ezibuhlungu. Ungase ufise nokugwema noma ukugubha ezinye izinsuku ezingakhohlwayo njengezinsuku zokuzalwa namaholide.
Enye iphuzu ongase ucinge ukuyihlola kuyinto yesikole. Thatha isikhashana ucabange lapho ingane yakho izogubha usuku lokuzalwa kwakhe esikoleni. Kungenzeka ukuthi akusikho okwanele ukugwema usuku lokuzalwa, kodwa umehluko ezinsukwini ezimbalwa unganquma uma ingane yakho izoba nosuku lwakhe lokuzalwa ngosuku noma ngaphezulu kweholide likaKhisimusi. Njengoba sikhula, usuku lokuzalwa kwethu luba lukhulu kakhulu, kodwa lokhu kungaba okubaluleke kakhulu kwengane yesikole esikoleni.
Abanye abantu bakhetha usuku olulodwa lwesonto ngaphezu komunye (uma lokho kusebenza ngesimiso sakho sesazi.) Kungakhathaliseki ukuthi yisiphi isizathu ozikhethelayo, uyakhetha, futhi akudingeki ukuba ulungisele kwabanye.
Izizathu Zezigaba Eziqala Zase C
Ngezinye izikhathi izingxenye ze-C kufanele zenziwe ngaphambi kwamasonto angu-39 wokubeletha. Izibonelo zingafaka phakathi:
- I-multiplied order order
- I-Placenta previa inengozi yokuphuma kwegazi
- Ukucindezeleka kwesisu
Izigaba ezingu-C ezihleliwe ngaphambi kwamasonto angu-39 zengozini enkulu yokwenza izinkinga kodwa udokotela wakho angase abe nomuzwa wokuthi izinzuzo zokuhlela isigaba sakho se-C ekuqaleni kwesikhundla sakho zidlula zonke izingozi ezingenzeka. Isibonelo singaba ne-triplets, lapho izinzuzo zokuletha ngokucacile kusengaphambili zivelele izingozi zokulinda kuze kube ngemva kwamasonto angu-39.
Izizathu zokuhlela izigaba ze-C Ngemuva kwamaviki angu-39
Uma ushayele ukuhlela isigaba sakho se-C, ungase umangale uma ufunda udokotela wakho ufuna ukulibazisa inqubo yakho. Nakuba ingane ibhekwa njengesikhathi esigcwele ngemuva kwamasonto angu-37, amahhovisi amaningi odokotela ngeke ahlele isigaba se-C uze ufinyelele amasonto angu-39 ukubeletha.
Kungani abahlengikazi bengayihlezi C-izingxenye ngaphambi kwamasonto angama-39?
Izingane zikhula ngamazinga ahlukene, kanti ezinye azilungele ukuzalwa emakethe angu-37. Kule minyaka eyishumi eyedlule, odokotela baye bafunda ukujula kokuqala kwangaphambi kwesikhathi. Okunye okuthomayo ukutholakala ukuthi ukukhathazeka kwezempilo kokubeletha kokuzalwa kwesikhathi sokuzalwa akupheli kuze kufike amasonto angama-39 ukubeletha. Izingane ezizalwa ngaphambi kwamasonto angu-39 zingase zinezinye zezinkinga zezempilo ezibhekene nezinsana zangaphambi kwesikhathi, kubandakanya:
- Ukucindezeleka ngokuphefumula
- I-Hypoglycemia (ushukela wegazi ophansi)
- Ikhono elibi lokugcina izinga lokushisa noma izinkinga nge- thermoregulation
- I-Jaundice
- Ukuncelisa ubunzima
Izingane zangaphambi kwesikhathi zingase zithole ukulibaziseka kokuthuthukiswa okuqhubekayo kuze kube seminyaka engu-2, ikakhulukazi endaweni yokuthuthukiswa kolwimi.
Uma ukuphazamiseka kokukhulelwa okukhuphukile ukukhipha ukuhlangabezana nomntanakho, qiniseka. Ngokuhlehlisela ukulethwa kwakho kuze kufike amasonto angama-39, unikeza ingane yakho isiqalo esihle kakhulu.
Ngezansi Ngesikhathi Ozobe Uhlela I-C-Isigaba Sakho
Akunakwenzeka njalo ukukhetha usuku lwesigaba sakho se-C, kodwa uma unakho, kunezici eziningana zomuntu ongafisa ukuzicabangela.
Ungase ube nosuku olukhethekile ongakhumbula, noma ngokuphambene, ungase ufise ukugwema izinsuku ezithile, njengokugubha usuku lokufa komuntu othandekayo. Wonke owesifazane uhlukile. Khuluma nodokotela wakho ngalokho akuzwa ukuthi yisikhathi esihle sokudiliva, futhi wabelane ngezifiso zakho siqu.
Esikhathini esiningi, isigaba se-C akufanele sihlelwe kuze kube yilapho usufinyelele amasonto angu-39. Ngenkathi amaviki angu-37 naphezulu sekubhekwa njengegama, sifunda ukuthi abantwana abazalwa phakathi kwamasonto angu-37 no-39 (ukuzalwa kwesikhathi sokubeletha) bangase babe nezinye izinkinga ezibhekene nezinsana zangaphambi kwesikhathi.
Kunezikhathi, noma kunjalo, lapho izinzuzo zokuba nesigaba se-C ngaphambi kwamasonto angu-39 zikhulula noma yiziphi izingozi, ezifana nokudilizwa kwezintathu.
> Imithombo:
> Cheong, J., Doyle, L., Burnett, A. et al. Ukuhlangana Phakathi Kokutholwa Kwangaphambi Kokuqala Nokuzalwa Kwangaphambi Kokuzalwa Nokuthuthukiswa Kwentuthuko Yezenhlalakahle kanye Nokuthuthukiswa Komphakathi-Ngokwemvelo eminyakeni emibili yobudala. I-JAMA Pediatrics . 2017. 171 (4): e164805.
> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.