Ngasiphi isikhathi isigaba sokugcina? Ukwaziswa okuvamile kanye nokuphuthumayo

I-Caesarea isigaba sokungenelela lapho i-fetus ne-pelvis zisuswe esibelethweni nge-incision encane kwodonga lwesisu nangesibeletho ngokwaso. Ngasiphi isikhathi isigaba sokudla, udokotela unquma, kodwa ngokuvamile kuvame ukuthi lokhu kuvunyelwe kungekuqaleni kweviki lama-37 lokukhulelwa. Kunezibonakaliso eziningi zalokhu kusebenza, zingahlobene nempilo kamama ngokwawo noma isimo se-fetus, kanye nokuhlelwa okungalungile kwe-fetus noma ezinye izinkinga ezivele zivele ngesikhathi sokuzalwa.

Ngasiphi isikhathi isigaba sokugcina?

I-cearean ehleliwe inqunywe udokotela ngesikhathi sokukhulelwa, kanti owesifazane usabonwa ngokubonisana kwabesifazane. Izinkomba zokusebenza okuhleliwe kungenzeka ukuthi akunakwenzeka ukubeletha ngokwemvelo noma ingozi esongela ukuphila komntwana noma umama. Ngaleso sikhathi isigaba sokugcina esilungiselelwe sihlelwe, kuncike ekuhloleni okwenziwe hhayi kuphela ngumjozi wezifo zokwelapha, kepha futhi ngabachwepheshe bezinye izinto ezikhethekile - i-endocrinologist, ochwepheshe, oculist futhi, uma kunesidingo, udokotela ohlinzayo, odokotela bamazinyo kanye neurologist. Laba odokotela banikeza izincomo zabo futhi benze isiphetho mayelana nendlela yokuhambisa, kodwa isinqumo sokugcina sokuthi ingane izozalwa kanjani ngqo kuzokwenziwa esibhedlela sokubeletha. Ekugcineni, usuku lokusebenza luzofakwa esibhedlela sokubeletha. Esibhedlela ngasinye sokubeletha kukhona izici ezithile zokusebenza (izindlela zokwenza i-anesthesia, isikhathi se-postoperative kanye nemigomo yokukhishwa), ngakho-ke kunconywa ukuba ukhethe isigceme sokubeletha kusengaphambili bese uthintana nodokotela oyokuhola, uthole kuye yonke imibuzo ephathelene nawe.

Isigaba se-cearean senzelwe kanjani?

Lokhu kubizwa kuthiwa kuhlelwe, ngoba kuhlelwe kusengaphambili, kanti udokotela, obhekene nalo wesifazane emtholampilo wokubeletha, uyithumela esibhedlela sokubeletha okungenani ngesonto elilodwa ngaphambi kosuku olulindelekile lokuletha. Uma zonke izivivinyo zijwayelekile futhi azikho izinkinga, usuku lokusebenza lukhethwa eduze ngangokunokwenzeka kuze kube usuku lokudiliva. Ngaphambi kokuba ungene esibhedlela, udinga ukuhlolwa kwe-ultrasound ye- fetus, cardiotocography kanye ne-dopplerometry yesistimu yesisulu phakathi komama, i-placenta ne-fetus. Ekhaya lokubeletha, owesifazane kumele asayine imvume yakhe ekusebenzeni kanye nendlela yokuhlinzekwa kwe-anesthesia. Ngesikhathi esiphila kuso isigaba sezinyathelo ezihleliwe, futhi futhi indlela yokwelapha i-anesthesia ingakhethi nje kuphela udokotela, ngokuvamile lapha isacatshangwa nezifiso zowesifazane ngokwayo. Kuphela emva kokuvuma nawo wonke amaphepha adingekayo asayinwe.

Laba baphathwa kanjani?

Indlela ephephile kunazo zonke ye-anesthesia yomntwana kanye nomama ingumgogodla (epidural) anesthesia. Ngakho-ke, usuku lomsebenzi luqokwa, ngaluphi isikhathi isigaba se-cearean esilungiselelwe, sinqunywa, futhi kufike umzuzu othakazelisayo. Kulolu suku, awukwazi ukudla noma ukuphuza noma yini, amahora amabili ngaphambi kokuqala ukusebenza Owesifazane wenziwa nge-enema yokuhlanza futhi masinyane ngaphambi kokuba umsebenzi ufake i-catheter ye-urinary. Izosuswa ngemva kokusebenza emva kwamahora angu-6. Lokhu kumele kwenziwe ukugwema imiphumela emibi kusuka ezinso. Ngaphandle kwesifuba, ngemuva kokwelashwa nge-antiseptics ekhethekile, i-incision longitudinal yodonga lwesisu, imisipha iyanwetshwa futhi ukukhwabaniswa kwenziwa ngesibindi ngokwayo, khona-ke isambatho sesisu siyasulwa. Ingane isusiwe emgodini wesibindi futhi idluliselwe ukwelashwa okunye kumbelethisi. Isibeletho sihanjiswa ngezintambo ezikhethekile. Lezi zihlalo azidingeki zisuswe, zihlakazeka ngemva kwezinyanga ezimbalwa. Udonga lwesisu lubuye lugwetshwe futhi kusetshenziswe ibhande lokubopha. Inqubo ngokwayo idlula isilinganiso semaminithi angu-30. Usuku lokukhishwa kuncike ekutheni isikhathi sokuvuselela siqhubeka kanjani. Ngokujwayelekile kwenzeka ngaphambi kwelanga lesikhombisa. Ngemuva kokuhlinzwa, ubuthakathaka noma ubuhlungu endaweni yombono kungaqhubeka isikhathi esithile, kodwa lokhu kuzokwedlula maduzane. Ukukhulelwa okulandelayo kungcono ukuhlela hhayi ngaphambili, kuneminyaka emibili.