Njengoba izilinganiso zesigaba se- cereal zikhuphuka futhi inani lokubeletha kwamasipha emva kwama-ceareans (i-VBACs) ewa, kunabesifazane abaningi abanama-ceareans amaningi. Isayensi ngemuva kokuphepha kwama-multiples ama-cesareans athi ukuhlinzeka ngokuhlinzwa okukhulu kakhulu, ukuhlinzeka ngokuhlinzekwa ngukudla okuqondene nawe nomntwana. Ingozi ngokwanele yokuthi iNational Institute of Health (NIH) ithi akufanele ukhethe i-cearean uma ufuna izingane ezingaphezu kwezingu-2 noma ezintathu.
Yiziphi Izingozi ZaseCesareya Eziningi?
Phakathi kwezinto ezibeka ingozi ezinhlobonhlobo ze- ceareans eziningi kuhlanganisa ingozi ye- placenta previa, i-placenta accreta, ne-hysterectomy . Lezi zingozi zokukhulelwa zikhuphuka ne-cearean ngayinye futhi zinezinkinga zempilo empilweni yomama nengane.
"Ngicabanga ukuthi akuzange kuchazwe kahle kimi," kusho u-Amanda, ngemuva kwezintatheli ezintathu. "Ngangazi ukuthi nginomntwana emva kokuba isigaba se-c sinciphise izingozi, kodwa angizange ngiqaphele ukuthi yenyuka ngemuva kokuhlinzwa."
Kukhona nezinkinga zomama ezihlobene ngokuqondile nokuhlinzwa okusemthethweni, njengokulimala kwamathumbu, ukuhanjiswa kwe-ICU, ukusebenzisa i-post-operative ventilator, i-cystotomy nokuningi. Lezi zikhuphuka njengoba inani le-ceareans landa. Ukuhlinzekwa nakho kunzima ngokwengeziwe ukukwenza ngezicubu ezibomvu, okusho ukuthi ukuhlinzwa kuthatha isikhathi eside ukukwenza.
Ukukhulelwa kwangaphambili
Lokhu kwanda engozini kunomthelela empilweni yomama, impilo yengane, amanani okukhulelwa esikhathini esizayo kanye nempilo yokukhulelwa esikhathini esizayo.
Uma ingozi ikhuphuka ngokukhulelwa komunye ukuthi kuyoba nokunye ukucindezeleka, khona-ke impilo yomntwana nonina ingase ibe engozini. Lokhu akusho ukuthi ngeke uphathwe uma ukhulelwe ngemuva kwezintambo ezintathu, kodwa kusho ukuthi ungakhulelwa kakhulu futhi ungadinga ukunakekelwa okukhethekile.
Isinqumo se-primary or first cearean sigaba akufanele sithathwe kalula noma ngaphandle kwesizathu sezokwelapha, ngokwe-American College of OB / GYNs. Abanye abacwaningi baye basikisela ukuthi kunconywa umthamo wesifo sofuba omama abaye baba nama-ceareans angaphezu kwabathathu ukuwakhuthaza ukuba bagweme lezi zingozi ezingeziwe.
U-Amanda uyakhumbula lokhu: "Udokotela wami wokugcina uzame ukungenza ngithole i-hysterectomy ngemuva kokuba nginomntwana wami wokugcina." Uthi kwakumane kuyingozi kakhulu ukukhulelwa futhi. Ngathola umbono wesibili kudokotela obungozi kakhulu. uthe ngiphulukiswe kahle, ngangingakaze ngithole isifo, futhi ngangingumfundi omele ukhetho olulodwa, ngisho nezingozi ezikhulayo. "
Imithombo:
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Ukuhlukumeza okuningi kwesigaba sokudoba. Makoha FW, Felimban HM, Fathuddien MA, Roomi F, Ghabra T. Int J Gynaecol Isivinini. 2004 Dec; 87 (3): 227-32.
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Ukuvikelwa okuphephile kokulethwa kwezidingo eziyinhloko. Ukuzibophezela kokunakekelwa kokuphepha okungekho emthethweni No. 1. I-American College of Obstetricians and Gynecologists. I-Obstet Gynecol 2014; 123: 693-711.