Ingabe ikhona ingxenye ye-cearean yokwethulwa kwe-pelvic?

Lapho ukhulelwa kamuva, omama abalindele ngokuvamile bacabanga ngokuzalwa okuzayo. Kodwa abanye babo odokotela ngezizathu ezihlukahlukene batusa isigaba se-caesarean. Isibonelo, kuvame ukusetshenziswa uma kucatshangwa ukuthi ngesikhathi sokubeletha kwemvelo kuzoba nezinkinga. Isibonelo, owesifazane akanalo i-pelvis eyanele, kanti isithelo sikhulu.

Esinye isizathu sokubeka umsebenzi singase sibe ukungenelela kwangaphambili kokuhlinzeka, uma kunikezwa ukungakwazi ukusebenza kwe-suture, okungukuthi, isongo sokukhulelwa kwesibeletho. Isethulo se-placental singase sibe yisizathu sokuba odokotela babambelele ngesidingo sokudiliva ngokusebenzisa isigaba se-cearean.

Enkulumweni ye- pelvic , izinketho zingenzeka, kepha maduzane nje, ukungenelela kokuhlinzwa kujwayelekile, ikakhulukazi uma ingane iyindoda.

Inkinga yukuthi uma udlula umkhuhlane wokuzalwa ingozi yokulimala kwamathemikhali inhle, okungahle kuthinte kabi izinga le-testosterone. Okunye ukulimala kungenzeka, kuhlanganise nokufa. Kodwa ngokushesha akudingekile ukuba ukwesabeke - lezi zimo ziyinqaba kakhulu.

Kwenzeka kanjani ukuthi ingane isitholakale kahle esibelethweni? Yiqiniso, ngesikhathi sokukhulelwa ingane ishintsha isikhundla sayo izikhathi eziningana, kodwa njengoba ikhula, ithambekela ekutheni inkulumo ivezwe, ngoba isikhungo sokuvuthwa komzimba siyasuswa. Ngezinye izikhathi lokhu akukwenzeki. Njengomthetho, zikhona izizathu ezibalulekile zalokhu: ukungena komgudu womgogodla, ukuphazamiseka kwesibeletho sesisu, i-hypochlorism noma i-polyhydramnios, i-hypertonus, i-pathologies yokuthuthukiswa komntwana, njll.

Kunezikhundla eziningana ezihlukene, futhi akuwona wonke umuntu onesizathu sokuqhuba isigaba se-cache. Enkulumweni yomlenze wegundane, lapho ingane isala emlonyeni wesibeletho, ayixoxwanga ngisho. Cishe kuze kube sekupheleni kweviki le-32, amathuba okuguqulwa akuzona amancane kakhulu, ngoba ingane isenayo indawo eyanele yokuguqula, kepha kamuva ngeke kwenzeke ukuthi lokhu kuzokwenzeka. Ngaphambi kwalesi sikhathi esibucayi, umama wesikhathi esizayo angenza ukuqeqeshwa okukhethekile, okungukuthi, njengabaganga bezinkinga zegazi, basiza ingane ukuthi ikwazi ukuthatha isikhundla esifanele.

Kunezinhlobo ezimbili zezikhundla eziningi - ziqhakazile futhi zixubene. Isigaba saseKhesariya ngokusakaza kwezinhlayiyana zalezi zinhlobo akuboniswa ngaso sonke isikhathi, kodwa uma odokotela bebonisa ukuhlinzwa, kungcono ukuvumelana. Futhi kunezizathu ezimbili zalokhu: okokuqala, kaningi ezimweni ezinjalo, intambo yomzimba ingabanjwa phakathi kwekhanda lomntwana kanye ne-canal yokuzalwa, engabangela i-hypoxia. Ngaphezu kwalokho, uma ingane inenhloko ephonswe emuva, ngesikhathi sokubeletha ingathola ukulimala komgogodla.

Yingakho isigaba se-caesarean nesethulo se-pelvic kuyindlela engcono kakhulu yokuphuma. Akudingekile ukwesaba lokhu - ukuhlinzwa kungasheshi, futhi, njengomthetho, owesifazane osebenzayo uyazi. I-anesthesia ejwayelekile enesifo sokudla isetshenziswa kakhulu, okungajwayelekile, i-epidural and anesthesia yomgogodla, noma inhlanganisela yayo, ivame ukuphathwa.

Yiqiniso, abanye besifazane bahlezi kahle ngokuthi ukuzalwa ngeke kube yindalo, kodwa ngosizo lwadokotela, kodwa kungcono ukucabanga ngempilo yakho kanye nombuso wengane. Umsebenzi ohleliwe uhlale ungcono kunomunye ophuthumayo. Odokotela banethuba lokuxoxisana yonke into izikhathi ezimbalwa futhi benze isinqumo esinzima mayelana nesigaba sokuqeda izidingo. Kuhlelwe ngamuphi usuku? Ngokuvamile lokhu kuyisonto lama-37-38, njengoba kungcono ukungaboni ekuqaleni kokuqhuma, ukuze umsebenzi ungabi ophuthumayo.

Manje umuthi usufike ezingeni elinjalo cishe cishe noma yiliphi owesifazane ongaba umama. Futhi noma ngabe kunezinkinga ezinkulu ngesikhathi sokukhulelwa, ezimweni eziningi, odokotela bangasiza ekubelethweni umntwana onempilo.