Icaesarean section yinkqubo yotyando eyenziwa kwisisu somfazi kunye nesibeleko ukuze akwazi ukukhupha usana xa ilixesha lokubeleka. Ukusetyenziswa kwayo kusekelwe ngokwenyani xa kukho iingxaki ekuzalweni kwendalo kwaye kuyimfuneko ukusindisa ubomi bomama kunye nosana.
I-WHO icebisa ukuba isetyenziswe ezibhedlele ukulungiselela le njongo kwaye ngaphandle kokuba ayidluli kwi-15% yokuhanjiswa okwenziwa ngotyando hayi ngokwengingqi. Kukho abasetyhini abaninzi abakhulelweyo abasele belungiselelwe uqhaqho iingxaki ezibangelwa ngexesha lokukhulelwa kwaye ngoko kulungele ukwenza olu hlobo longenelelo lotyando. Kodwa kwenzeka ntoni xa umama efuna ukuyicela?
Xa umama okhulelweyo efuna utyando
Sinokuthetha ngabasetyhini abafumene ukuzalwa okubuhlungu kwilungu lobufazi okanye abanye 'abadumileyo' aboyika ukuzala kwemvelo. Ezi ziimeko apho i "icandelo lotyando ngokwemfuno" okanye "icandelo lotyando i-la carte", apho wenziwa ngokwesicelo somfazi omithiyo.
Kuyabonakala ukuba umfazi unelungelo lokucela indlela yakhe yokuzala; kodwa izicelo zabo abazigqibi ngokwendlela yokuziphatha. Umama oyikayo ukuhanjiswa kwesondo kwaye wenqaba ukwenza ngokwemvelo, ngoko ke kuvulwa ingxoxo enkulu yezonyango.
Asingabo bonke oogqirha abanokusivuma esi sicelo, Kufuneka ihlolwe liqela lezonyango kwaye ithathele ingqalelo imeko nganye. Owasetyhini ocela utyando kufuneka aziswe kakuhle ngeengozi zokwenyani, okanye ngamanye amazwi, izinto eziluncedo kunye nezingeloncedo kweli tyala. Ukukwazi ukwenza icandelo lotyando olucwangcisiweyo kufuneka kwenziwe ngeveki yama-39 ukukhulelwa ukunciphisa umngcipheko wesifo sokuphefumla komntwana.
Yeyiphi imingcipheko enokuthi yenzeke xa uqhaqho?
Asikwazi ukukhupha ukuba icandelo le-caesarean lingenelelo lotyando kunye iqhuba imingcipheko efanayo njengawo nawuphi na umsebenzi ofanayo. Imingcipheko enokuthi ithwale i-hemorrhages enokwenzeka okanye iinyembezi kwindonga ye-uterine, okanye ukulimala kwi-bladder okanye emathunjini.
Unyango lwasemva kokuhlinzwa lunokuba nzima ekubeni usulelo lunokwenzeka kwinxeba lotyando ngokwalo, ngaphandle kokulibala ukuba ukuphiliswa kwalo kude kakhulu kwaye kuntsonkothe ngakumbi kunoko kubeleka kwendalo.
Olunye uthintelo olunokuthi luhlalutywe kukuba umntwana ongekazalwa unokuba sengozini enkulu yoku iingxaki zokuphefumla komntwana osanda kuzalwa, nangona umngcipheko wokulimala komntwana ungaphantsi. Ngakolunye uhlangothi, ukukhulelwa kwexesha elizayo kunokuba yingozi. uphethwe yi-placenta previa.
Iimeko apho kuchotshelwa utyando
Xa umntwana esenokuba uyabandezeleka ngaphakathi esibelekweni Esi sesinye sezizathu eziphambili zokuqhutywa kolu ngenelelo. I-ultrasound ingabonisa ngaphantsi amniotic fluid okanye ukuba iintshukumo ziye zancipha, ngoko ke kuyimfuneko ukungenelela.
ukubakho i-arterial hypertension kunye ne-preeclampsia; icandelo lotyando linokucwangciswa linikwe ixesha elinzima elinikezelwe kumayeza kunye nokuphumla. Xa kukho isifo seswekile oko kunokwenza kube nzima ukuzalwa komntwana ngokwemvelo okanye xa kukho i-placenta previa.
Ezinye zezona ziganeko ziqhelekileyo kuxa ngexesha lokuziswa umntwana ubekwe kwi-transverse, ufike ehleli okanye iinyawo kuqala. Ngamanye amaxesha iza ne inkaba ijikelezwe entanyeni yakhe nto leyo enokwenza kube nzima ukuphuma.
Izifo ezingapheliyo okanye ezibukhali ukuba umama angabandezeleka unokubakho ukuze atyale kwaye angonakalisi usana. Ezinye iintlobo zeemeko ezimbi kakhulu ezinokuthi zenzeke kukopha ngomzuzu wokugqibela, ukugqabhuka kwesibeleko okanye i-placenta abruption iya kuba zezinye izizathu zokuyiqhelisela, ngaphandle kwezinye izizathu ezininzi ezinokuchazwa nzulu.
Sibuyela ukuphonononga ukuba ukuba umama ucela utyando olungeyomfuneko kufuneka ihlolwe ngocoselelo imingcipheko kunye neziphumo oko kunokukhokelela kungenelelo olunokwenzakalisa umama nosana. Oogqirha baya kuvavanya ukubaluleka koqhaqho ngokuchasene nokubeleka kwelungu lobufazi, kuba ayilonyango okanye naluphi na uhlobo lwesibini, kodwa kufuneka lwenziwe kwimeko imfuno engxamisekileyo.