Lapho Udinga Ukuhlinzwa Ngesikhathi Ukhulelwe
Isinqumo sokuhlinzwa lapho ukhulelwe singaba nzima. Kuneziguli ezimbili okufanele zicabangele (noma ngaphezulu uma owesifazane ekhulelwe ngamaphilisi) kuneyodwa, kanti izingozi zenqubo - ngokujwayelekile-zinkulu kunokuba lapho isiguli singakhulelwe.
Izinqubo zokukhetha, ezifana nokuhlinzwa kwepulasitiki, azikwenziwa ngesikhathi sokukhulelwa.
Eziningi izibhedlela zenza ukuhlolwa kokukhulelwa kuzo zonke abesifazane besifo sokubeletha ngokushesha ngaphambi kokuhlinzwa ukuvimbela isiguli esingazi ukuthi sikhulelwe ukuhlinzwa.
Ezimweni eziningi, ukuhlinzeka ngesikhathi sokukhulelwa kugwenywa noma kunini lapho kunokwenzeka khona, ukunciphisa izinkinga zomntwana kanye nomama. Ezimweni eziningi, uma kukhona isinqumo sokwenza ukuhlinzeka owesifazane okhulelwe kungenxa yokuthi impilo kamama isengozini ngaphandle kokuhlinzwa. Isibonelo, uma umama eqala ukwengeza ukuhlinzwa kuyokwenziwa njengoba izingozi ze-appendix ephukile zingaphezu kwezingozi ze-appendectomy. I-rhinoplasty (umsebenzi wempumu) ngeke isenziwe.
I-fetus yomuntu isengozini enkulu yokulimala okubangelwa ukutholakala kwemithi ngesikhathi sokuqala kwe-trimester, ikakhulukazi emasontweni ayisishiyagalombili okuqala kokukhulelwa. Ukwelashwa kugwenywa noma kunini lapho kunokwenzeka khona phakathi nalesi sakhiwo, futhi kungase kuhlehliswe kuze kube yilapho i-trimester yesibili ifanelekile.
Kungani Ukwelashwa Kugwema Ngesikhathi Ukukhulelwa?
Kunezizathu eziningi zokuthi kungani ukuhlinzwa kugwenywa ngesikhathi sokukhulelwa. Owesifazane okhulelwe unama-hypercoagulable, okusho ukuthi igazi lakhe likwazi ukugqoka ngaphezu kokujwayelekile ngaphandle kokukhulelwa. Lolu shintsho ekugudleni lusiza ukuvimbela owesifazane ukuthi angeneli kakhulu ngesikhathi sokubeletha, kodwa ahlasele ingozi yokuthola i-clot yegazi ngesikhathi noma emva kokuhlinzwa.
Kulabo besifazane abanamaviki angama-20 noma ngaphezulu ekukhulelweni kwabo, inkinga ebizwa ngokuthi i-aortocaval kanye ne-veocaval compress ingaba yinkinga. Lokhu kwenzeka uma owesifazane ehlezi elele ngemuva kwakhe futhi isisindo se-fetus sigwema ukugeleza kwegazi emithanjeni emikhulu yegazi. Ukuze ugweme lokhu, izikhundla ezihlukile ezigcina isiguli ukuba sibe nesibindi ngemuva kwakhe zisetshenziswa uma kungenzeka.
Ngaphezu kwalokho, uma kunesifo esiphuthumayo esinikezwa owesifazane okhulelwe, lo mntwana uthola i-anesthesia. Ngenxa yalesi sizathu, uma kufanelekile, i-anesthesia yesifunda noma yendawo isetshenziselwa esikhundleni se-anesthesia jikelele.
Kuthiwani Ngezigaba Ze-C?
I- C-isigaba ( isigaba seKesariya) senziwa ngokujwayelekile kwabesifazane abakhulelwe, futhi kubhekwa sengathi kuphephile kokubili umama nesisu; Kodwa-ke, ukuhlinza ngaphandle kwe C-Isigaba ngokuvamile kuhlelwe amasonto ayi-6-8 emva kokubeletha. Okunye okungafani nalesi simiso yinqubo ye-tubal ligation, engase ihlanganiswe nokulethwa kwe-C-Section.
Okuningi Ongacabanga Ngaphambi Kokuhlinzwa
Ngaphambi kokuhlinzwa lapho ukhulelwe, kunezinto eziningi okufanele uzicabangele, kuhlanganise okulandelayo:
- Ingabe ukuhlinzwa kuyadingeka ngempela?
- Ziyini izingozi zokungahlinzeki?
- Ingabe umama uzosinda ngaphandle kokuhlinzwa?
- Ingabe umntwana uzosinda ngaphandle kokuhlinzwa?
- Ingabe umntwana uzosinda kule nqubo?
- Ingabe izingozi zezinqubo zingaphambene nemivuzo yenqubo?
- Ingabe ukuhlinzwa kungase kubambeke kuze kube ngemva kokubeletha ngaphandle kokulimaza umama noma ingane?
- Ingabe izingozi ze-anesthesia zingancipha ngokuba ne-anesthesia yesifunda esikhundleni se-anesthesia ejwayelekile?
- Ingabe imithi ngaphambi, ngesikhathi nangemva kwenqubo inganciphisa ukunciphisa ingozi?
- Ingabe ukuhlinzeka kungase kubambezeleke kuze kube yilapho isibili sesibili siqala ukunciphisa ingozi kumntwana?
Ukuvimbela Ukuhlinzwa Ngesikhathi Ukhulelwe
Kuhlale kunengozi ukuthi owesifazane oneminyaka yobudala angakhulelwa lapho ehlinzwa.
Uma uhlinzwa futhi usebenza ngokocansi, kubalulekile ukuthi ube nokuhlolwa kokukhulelwa ngaphambi kokuhlinzwa. Ezindaweni eziningi, ukuhlolwa kokukhulelwa kuyingxenye yokuhlolwa okujwayelekile ngaphambi kwenqubo; Noma kunjalo, ungacela ukuhlolwa kokukhulelwa kwenziwe uma kungeyona ingxenye ejwayelekile yokunakekelwa kwesiguli.
Izwi elivela kakhulu kakhulu:
Nakuba ukuhlinzeka ngesikhathi sokukhulelwa akusona isimo esihle, njengoba kusho ukuthi umama olindelekile unenkinga enkulu yezempilo. Lokho kusho ukuthi kungenzeka ukuthi kube nokuhlinzwa okuphumelelayo okuholela emiphumeleni enhle yokuhlinzeka kanye nomama onempilo kanye nomntwana onempilo. Kuhlale kululeka ukugwema ukuhlinzeka ngesikhathi sokukhulelwa uma kungenzeka, kodwa iningi lezinqubo ezenziwa abesifazane abakhulelwe baphumelela.
> Umthombo:
> Ukuhlinzekwa kwesifo sofuzo ngenxa yokuhlinzwa okungeyona eyinkimbinkimbi ngesikhathi sokukhulelwa. Ukuqhubeka Nemfundo E-Anesthesia, Ukunakekelwa Okubalulekile Nokubuhlungu. Kufinyelelwe kuMeyi 2013. http://ceaccp.oxfordjournals.org/content/6/2/83.full