Ngokuvamile ngesikhathi sokubonisana nombelethisi noma nodokotela wokubelethisa, omama abakhulelwe basibuza ngezinzuzo zokubeletha ngesitho sangasese sowesifazane kunokuhlinzwa, kanye nokuthi kwenzekani ku... ukukhulelwa kanye nokuzalwa okulandelayo lapho sekuvele kukhona ukuhlinzwa kwangaphambilini. Sihlala sisho into efanayo: Ukubeletha ngesitho sangasese sowesifazane kungcono, Ukuhlinzwa kokubeletha kufanele kusetshenziswe kuphela uma kudingeka ngempela ngokombono wezokwelapha.
Nokho, kukhona inkolelo yokuthi umama nomntwana bobabili "Bahlupheka" kakhulu ngesikhathi sokubeletha ngesitho sangasese sowesifazaneNakuba ukubeletha ngokwemvelo kuhlelwe futhi kungcono kumama nomntwana, akucindezeli kakhulu futhi akekho kubo ohluphekayo. Ngaphezu kwalokho, abesifazane abaningi asebevele benziwe ngokuhlinzwa besaba ukuthi lokhu ukuqhekeka kwesibeletho, ukuba nezinkinga noma ukubhekana nokubeletha isikhathi eside okuphetha ngokuhlinzwa futhi, ngakho-ke bacabangela ngqo ukuhlinzwa okuhleliwe ekukhulelweni okulandelayo.
Ubufakazi besayensi kanye nezincomo ezivela emiphakathini ehamba phambili yezokwelapha izifo zabesifazane kanye nezokubelethisa ziyavumelana ngokuthi, uma izimo zivuma, kuyalulekwa ukuthi kunikezwe kuqala ukulethwa kwesitho sangasese sowesifazanengisho nangemva kokubeletha ngokuhlinzwa kwangaphambilini. Kuyo yonke le ndatshana, sizochaza ngokuningiliziwe umehluko phakathi kokubeletha ngesitho sangasese sowesifazane kanye nokubeletha ngokuhlinzwa, ukuthi kusho ukuthini ukukhulelwa ngemva kokuhlinzwa, ukuthi kuphephile nini ukuzama, ukuthi ukubeletha ngesitho sangasese sowesifazane ngemva kokuhlinzwa kunjani, nokuthi yimiphi imingcele enconywayo mayelana nenani lokubeletha ngokuhlinzwa.
Ukubeletha
Kuvamile ukucabanga ukuthi, ngaphezu kwalokho, ukulethwa kwesitho sangasese sowesifazane akunakwenzeka ngemuva kokuhlinzwa, kepha akunjalo. Ukuba nokuhlinzwa kokubeletha akuphoqelekile ukuthi konke ukubeletha okulandelayo kuzokwenziwa ngokuhlinzwa. Ezimweni eziningi, ukubeletha kwesitho sangasese sowesifazane ngemva kokuhlinzwa (VBAC) kungahlolwa futhi kufezwe ngokuphephile.
Ngesikhathi sokukhulelwa, umzimba kamama ubhekana nezinguquko eziningi, konke kuhloswe ngakho kokubili ukuvumela isibeletho ukuthi sihlale nomntwana futhi simvumele akheke futhi akhule ngendlela efanele, kanye nokuqinisekisa ukuthi lungisa umsele wokuzalwa ukuvumela umntwana ukuba adlule. Imisipha iba nezimo eziguquguqukayo, umlomo wesibeletho uyathamba futhi ufinyele, kanti i-pelvis iyakwazi ukuhamba kalula ukuze kube lula ukudlula komntwana.
Ukubeletha kungumcimbi womzimba womzimba wowesifazaneAkusona isifo. Yingakho ukululama ngemva kokubeletha kuvame ukuba... ngokushesha okukhulu ukuthi ngemva kokuhlinzwa, lapho ngaphezu komzamo wokukhulelwa umuntu kumelwe alulame ngemva kokuhlinzwa okukhulu esiswini nasesibelethweni.
Lapho ukulethwa kwesitho sangasese sowesifazane kuphela, kubekwa izindlela ezidingekayo ukuze isibeletho siyafinyela futhi ukopha kuncane ngangokunokwenzekaLe nqubo iqhutshwa ukuxhumana kwesikhumba nomntwana kanye nokuqala kokuncelisa, okukhuthaza ukukhiqizwa kwe-oxytocin, i-hormone ebangela ukufinyela kwesibeletho.
Iziphazamiso, ukunwebeka, nokudlula kwengane kulowo mzila wokuzalwa qalisa ushintsho lwe-hormone ezivumela ama-hormone okukhulelwa ukuthi anikeze indawo ama-hormone okuncelisa. Ngale ndlela, isibonelo, "Ukukhula kobisi" kuvame ukwenzeka kusenesikhathi futhi kuphumelela kakhulu ngemva kokubeletha okuzenzakalelayo kunangemva kokuhlinzwa lapho umzimba ungazange udlule kuyo yonke inqubo yokubeletha.
Uma sicabanga ngomntwana, indlela yokungena emgudwini wokuzalwa iyona isimo esinenzuzo kakhulu Futhi. Ngesikhathi sokukhula, umntwana uyajwayela kancane kancane, ecindezela isifuba sakhe kancane kancane futhi ekhipha uketshezi lwamaphaphu, okwenza kube lula ukugcwaliswa kwamaphaphu akhe ngomoya lapho ezalwa. Leso sinyathelo Kusiza ingane ukuba ivumelane kangcono noshintsho oluhambisana nokuzalwa.ukunciphisa ingozi yobunzima bokuphefumula kanye nokukhuthaza ukuqala kangcono empilweni yangaphandle kwesibeletho.
Ngaphezu kwalokho, ukudlula ngesitho sangasese sowesifazane kuveza umntwana i-microbiota yesitho sangasese sowesifazane kanye ne-perineal kamamaLokhu kusiza ukuqoqa amathumbu ngamagciwane awusizo axhumene nokuthuthukiswa okungcono kwamasosha omzimba. Le nqubo ayenzeki ngendlela efanayo ngesikhathi sokuhlinzwa okuhleliwe ngaphandle kokubeletha.
Kukho konke lokhu, kuhlala kuzanywa ukuthi omama babelethise esithweni sangasese, okushiya ukuhlinzwa njengokungenelela okuphuthumayo noma ezimweni lapho ukubeletha ngesitho sangasese sowesifazane kungenzeki noma kubeka engcupheni enkulu impilo kamama noma yengane.
Futhi, ukuba ne-cearean ekulethweni kokuqala imibandela ngendlela esibhekana ngayo nokulandelayo Futhi kunganciphisa amathuba ethu okuba nezingane eziningi noma ezimbalwa. Ukuhlinzwa ngakunye okulandelayo kwandisa ingozi yezinkinga ekukhulelweni kwesikhathi esizayo, njengezinkinga ze-placenta noma ubunzima obukhulu bokuhlinzwa.
Siyini isigaba se-cesarean?
Ukuhlinzwa kwesisu kuyi- ukungenelela okukhulu kokuhlinzwaNgakho-ke akusona isimo somzimba njengokubeletha kwesitho sangasese sowesifazane.
Udinga i-anesthesia, igumbi lokusebenza kanye neqembu lochwepheshe ngokungathi kwanoma yikuphi okunye ukungenelela kokuhlinzwaLokhu kufaka phakathi udokotela wezifo zabesifazane, udokotela wezinzwa, abasebenzi bokunakekela izingane, futhi, ezimweni eziningi, udokotela wezingane noma udokotela wezinsana onakekela ingane lapho izalwa.
Imvamisa kuyadingeka uchithe amahora ambalwa ngemva kwalokho egumbini lokululamaigumbi lapho umama eqashwe khona ngokuqinile. Ezikhungweni eziningi, Ngokuvamile izingane azikwazi ukuba khona. kulelo gumbi lokululama, ngakho-ke lawo mahora okuqala okuxhumana kwesikhumba nesikhumba, eyisisekelo enganeniKumelwe azichithe kude nonina ngaphandle kokuthi inqubo yesikhungo ivumela ezinye izindlela ezithile.
Esigabeni sokuhlinzwa kukhona ingozi eyengeziwe yokopha noma ukutheleleka kanye nezinkinga Lokhu kuhlobene nanoma iyiphi inqubo yokuhlinzwa: ukulimala kwezitho eziseduze, izinkinga zokubulala izinzwa, i-thromboembolism, njll. Futhi-ke, kukhona ubude bokuhlala esibhedlela kanye nesikhathi sokululama. Isisindo ngemva kokuhlinzwa siphezulu kakhulu kunangemva kokubeletha ngesitho sangasese sowesifazane.ikakhulukazi ezinsukwini zokuqala kanye namasonto ambalwa.
Ukuba nesigaba se-C kufaka ukuvulwa kwesibeletho ukuvumela ingane ukuthi iphume ngokusikeka esiswini sikanina, ishiye isibazi. Leso sibazi indawo yobuthakathaka odongeni lwesibeletho, into ezobaluleka kakhulu ekukhulelweni okulandelayo kanye nohlobo lokubeletha olunganconywa.
Ngaphezu kwalokho, ukuhlinzwa ngakunye kwandisa izingozi ezithile ekukhulelweni kwesikhathi esizayo, njengokuthi i-placenta yangaphambilini (i-placenta ibekwa phezu komlomo wesibeletho) noma ukwakheka kwe-placenta kanye nezinhlobo zayo (i-placenta inamathela ngendlela engavamile futhi ijule odongeni lwesibeletho). Lezi zinkinga zingaholela ekuphumeni kwegazi okukhulu, futhi ngezinye izikhathi, isidingo sokususwa kwesibeletho.
Ukukhulelwa ngemuva kwesigaba sokuhlinzwa
Ngemva kokuhlinzwa, isibazi sihlala esibelethweni, okwenza kube buthaka kancaneLelo phuzu elilula kakhulu yilona okuzodinga ukuqashelwa nokuhlonishwa ekukhulelweni nasekubelethweni kwesikhathi esizayo.
Ngokuvamile, bonke ochwepheshe bazokuncoma linda isikhathi esikahle ngemuva kwesigaba sokuhlinzwa uze ukhulelwe futhi. Ochwepheshe abaningi bathi okungenani unyaka, futhi abaningi batusa ukuthi phakathi kwezinyanga eziyi-12 nezingama-24 ukuze umzimba ukwazi ukululama kahle.
Kungani? Ukusiza ekwelapheni inxeba, kokubili udonga lwesisu kanye nesibeletho. kuqedele kahle ngangokunokwenzekaUkuphulukiswa kwesilonda sesibeletho yilokho Kudinga isikhathi esengeziwe ukuze kuphinde kuhlanganiswe.Yingakho isikhathi sokukhulelwa, esibizwa ngokuthi isikhathi sokukhulelwa phakathi kokukhulelwa, sibaluleke kangaka.
Ucwaningo lubonisa ukuthi lapho isikhathi esiphakathi kokubeletha ngokuhlinzwa kanye nokukhulelwa okusha sikhona mfushane kakhulu (ngaphansi kwezinyanga ezingu-18), kwandisa ingozi yezinkinga, ikakhulukazi ukuphuka kwesibeletho ngesikhathi sokubeletha okulandelayo. Uma isikhathi sokulinda sifushane, kulapho isilonda sangaphakathi singaba buthakathaka khona.
Uma sikhulelwa ngokushesha okukhulu, inqubo yokwelashwa kungenzeka ingapheleli. Ukuze lapho isibeletho siphazanyiswe futhi Isibazi sokuhlinzwa singavuleka kancane noma ngokupheleleokumelela isimo esiphuthumayo esibucayi sokubeletha kumama nomntwana.
Ngakho-ke, nakuba ngokuvamile kunconywa ukulinda isikhathi esingaphezu konyaka, wonke umuntu wesifazane uhlukileUkwakheka komzimba kwangaphambilini, indlela inxeba eliphola ngayo, indlela ukuhlinzwa okwenziwe ngayo, noma ukuthi ngabe kukhona yini izifo ezithathelwanayo ngemva kokuhlinzwa kungenza uchwepheshe wakho ancome ukulinda isikhathi eside noma ukwenza izivivinyo zezithombe ukuze ahlole kangcono indawo yesibazi ngaphambi kokuzama ukukhulelwa okunye.
Ngesikhathi sokukhulelwa ngemva kokuhlinzwa, udokotela wezifo zabesifazane kufanele qapha udonga lwesibeletho usebenzisa i-ultrasoundkanye nokuqapha ukujiya kanye nokubonakala kwesibazi phakathi nokukhulelwa. Kwezinye izimo, kuyalulekwa futhi ukuthi isibazi sihlolwe ngqo ngaphambi kokuzama okunye ukukhulelwa, ikakhulukazi uma uzama futhi maduze.
Namuhla, ucwaningo oluthile lusikisela ukuthi ezimweni ezithile Ukuzala kungathinteka kancane Ngemva kokuhlinzwa, isibonelo, uma kuvela ukunamathelana kwangaphakathi noma uma isilonda sesibeletho siziphatha njengesikhala esincane lapho uketshezi luqongelela khona (isthmocele), lokhu kungaphazamisa noma kulibazise ukufakelwa kombungu kwezinye izimo ezithile.
Ukuphulukiswa kwesibeletho akuxhomekile ekubonakaleni kwesibazi sesikhumba noma ukuma kwesisu ezinyangeni ezimbalwa ngemva kokubeletha. Ukunakekelwa ngemva kokuhlinzwa kubalulekile ukuze kutholakale ukululama okufanele, kokubili esiswini kanye nomzimba wonke, kodwa Isibazi sangaphandle "esihle" asisho njalo ukuthi isibazi sangaphakathi siphelele.
Uma leso sikhathi esifanele sesidlulile, kubalulekile ukubonisana nochwepheshe, ozoqinisekisa ukuthi singazama ukukhulelwa okusha futhi, uma kudingeka, sizohlola nge-ultrasound ukuthi indawo yesigaba esidala sokuhlinzwa isebenza kanjani.
Kujwayelekile ukuthi njengoba isibeletho sikhula singaba nakho ukungakhululeki endaweni yesilondaNjengoba ingane iqala ukukhuluphala, izibazi zinganda ngenxa yokucindezela odongeni lwesibeletho kanye nesisu. Xoxa ngalokhu nodokotela wakho wezifo zokubelethisa; bazokwazi ukubona isibazi futhi bahlole isimo saso ngesikhathi sokuhlolwa kwe-ultrasound.
Akufanele zibe yisiphazamiso esinamandla kakhuluUma ubona ubuhlungu obukhulu, "obuhlabayo" esiswini esingezansi kanye nobuthakathaka obujwayelekile, isiyezi, ukopha, noma ubuhlungu obandayo, kubalulekile iya emnyangweni ophuthumayo yokukhulelwa okukhethiwe, ukuze bakwazi ukuhlola ukuthi kungenzeka yini ukuthi isilonda siphukile noma sizophuka.
Ngezinye izikhathi, naphezu kwezincomo, ukukhulelwa kwenzeka ngaphambi kwesikhathi esilindelwe, ngisho nangesikhathi sokubeletha ngemva kokuhlinzwa. Nakuba lesi kungesona isimo esifanelekile, Asikho isidingo sokwethuka ngokushesha.Ezimweni eziningi, isibeletho sizobe sipholile kahle futhi ukukhulelwa kungaqhubeka ngaphandle kwezinkinga. Into ebalulekile ukwenza i-aphoyintimenti nodokotela wakho wokubeletha ngokushesha ngangokunokwenzeka ukuze bakwazi ukuhlola ingozi futhi bakunikeze ukunakekelwa okufanele kakhulu kokulandelela.
Ngaphandle kwesikhathi esinqunyiwe, ezinye izici nazo zithonya ukuhlolwa kokukhulelwa okusha ngemva kokuhlinzwa: isimo sezempilo jikeleleIzici ezifana nezinkinga ezivela ekuhlinzweni kokuqala, ubudala bomama, kanye nezimo ezikhona kakade njengomfutho wegazi ophakeme, isifo sikashukela, noma izinkinga zokujiya kwegazi konke kuyacatshangelwa lapho kunconywa isikhathi esingcono kakhulu sokuzama enye ingane.
Kwabanye besifazane, ngemva kokubeletha (kungaba ngesitho sangasese sowesifazane noma ngokuhlinzwa) kuvela ubunzima bokukhulelwa futhiLokhu kwaziwa ngokuthi ukungazali kwesibili. Kungabangelwa izinguquko zamahomoni, izinkinga zokukhishwa kwamaqanda, noma izinkinga ngesibeletho ngemva kokuhlinzwa, njengokunamathela, izibazi zangaphakathi, izifo, noma i-isthmocele. Uma ubulokhu uzama ukukhulelwa isikhathi esingaphezu konyaka (noma izinyanga ezingaphezu kweziyisithupha uma uneminyaka engaphezu kuka-35) kodwa ungaphumeleli, kungcono ukubonisana nethimba lokuzala ukuze lihlole isimo sakho.
Ukuzalwa kwesitho sangasese sowesifazane ngemuva kokuhlinzwa (VBAC)
Iqiniso lokuthi ukulethwa kokuqala bekufanele kuphele esigabeni sokuhlinzwa Lokhu akusho ukuthi ukulethwa okulandelayo kufanele kulandele indlela efanayo.Nakuba kuthonya kakhulu indlela okusondela ngayo ukukhulelwa nokubeletha okulandelayo, kokubili ngenxa yezici zezokwelapha kanye nemizwa nokwesaba okungase kuphakame.
Yonke imiphakathi yesayensi iyavuma ukuthi, uma kungekho okuphambene nalokho, Kunconywa ukuzama ukubeletha ngesitho sangasese sowesifazane ekukhulelweni okulandelayo.Ukubeletha ngesitho sangasese sowesifazane kunengozi encane yokususwa kwesibeletho, umkhuhlane, izifo, izinkinga zokuphefumula enganeni, noma i-thromboembolism kumama, uma kuqhathaniswa nokuhlinzwa okuhleliwe okuphindaphindiwe.
Ucwaningo oluningi ngale ndaba luphetha ngokuthi ukuzama ukubeletha ngesitho sangasese sowesifazane ngemuva kokuhlinzwa kuphephile futhi kufanele kunconywe Ezimweni eziningi, uma nje kuhlangatshezwane nezindinganiso ezithile zokuphepha: uhlobo lwesilonda sesibeletho, inani lokuhlinzwa kwangaphambilini, ukungabikho kwezinye izihlinzeko zesibeletho eziyingozi kakhulu, ukuqapha okwanele kokukhulelwa, kanye nokutholakala kokunakekelwa okuphuthumayo uma kudingeka.
Ingozi yokuqhuma kwesibeletho ngemva kokuhlinzwa kwesisu iwukuthi phansi lapho ukubeletha kuqala ngokuzenzakalelayo futhi ukusikwa kwangaphambilini kwakuwukusikwa okuphansi okuphambene engxenyeni engezansi yesibeletho. Izifundo eziningana zibeka le ngozi eduze I-0,2-1% ngaphansi kwalezi zimo, futhi kuphakeme kancane (cishe ngo-2% noma ngaphezulu) lapho kusetshenziswa izindlela zokwelashwa kwemithi noma lapho isikhathi esiphakathi kokukhulelwa sifushane kakhulu.
Ngesikhathi esifanayo, izifundo zibonisa ukuthi ukuzama i-PVDC kuye amanani empumelelo aphezuluLa mazinga angasukela ku-60 kuya ku-80% ezibhedlela futhi afinyelele amaphesenti aphezulu nakakhulu ezindaweni lapho i-physiology yokubeletha iqashwe ngokucophelela futhi ukungenelela kuncishisiwe. Abesifazane abaningi abazama futhi baphumelele babika ukuthi ukwaneliseka okukhulu ngokomzwelonoma ngabe babesaba ekuqaleni.
Izobukeka kanjani i-VBAC yami?
Isibeletho sinesibazi odongeni lwaso, okungukuthi, lolo donga aluqinile, kukhona indawo yobuthakathaka. Yingakho kufanele umnakekele kahle ngesikhathi sokubeletha, ukuze ingozi yokuqhekeka incane futhi ujabulele ukubeletha okuphephile nokunenhlonipho ngangokunokwenzeka.
Lokhu kucabanga ukuthi ukulethwa kufanele kube ngokwemvelo ngangokunokwenzeka futhi kunezindlela ezimbalwa zokungenelela ezingaba khona ngochwepheshe bezempilo. Inhloso ukugwema ukungeniswa kwemithi lapho kungadingeki ngempela, kanye nokusetshenziswa kwama-oxytocin drips noma amasu akhulisa ngokuzumayo ubukhali noma imvamisa yokufinyela ngaphandle kwesizathu esihle. Kusukela ekugwemeni ukungeniswa kuya ekugwemeni ukunikeza ama-oxytocin drips ngesikhathi sokubeletha noma ukwenza noma yiluphi uhlobo noma ukunyakaza okwandisa ubukhali noma imvamisa yokufinyela, zonke lezi zinyathelo ziyingxenye yokunakekelwa kokunciphisa ingozi yokuqhekeka kwesibeletho.
Iningi lezinqubo lisikisela ukuthi kuvunyelwe inkululeko yokuhamba Ngesikhathi sokukhulisa, ithuba lokusebenzisa izikhundla eziqondile, ubumfihlo, indawo ezolile, kanye nokuhlanganyela kukamama ekwenzeni izinqumo konke kuyazuzisa. Konke okuye kwabonakala kuzuzisa ekubelethweni okuvamile kuba okubaluleke nakakhulu ku-VBAC (Ukuzalwa Kwangasese Ngemva Kokubeletha).
Kubaluleke kakhulu futhi ukubuka okuningi ukuthi ukuminyana kunjani, ukushaya kwenhliziyo kwengane, kanye nokubonakala kwanoma yiziphi izimpawu eziyisixwayiso. Lokhu kungase kubonise ukuqhekeka noma usongo lokuqhekeka kwesibazi sokuhlinzwa sangaphambilini. Ukuqapha umbungu kanye nesibeletho kusetshenziswa ngale njongo, kanye nokuhlolwa okuqhubekayo kwemitholampilo yithimba lokubeletha.
Ukuhlela kwe-PVDC kuhlaziya futhi umongo wokukhulelwa kwamanjeIzici ezithinta umphumela zifaka phakathi ukuthi ukubeletha kuqala ngokuzenzakalelayo, iminyaka yokukhulelwa, usayizi womntwana olinganiselwe, indawo yombungu, ukuqhubeka kokukhula komlomo wesibeletho, kanye nohlobo lokusikwa kwesibeletho kwangaphambilini. Isibonelo, ukuhlinzwa kokubeletha kungcono uma ukubeletha kwangaphambilini kwakungenxa yokwethulwa kwebhulukwe futhi umntwana manje usesesimweni sokuwa phansi, noma uma ukubeletha okuthuthukile kutholakale ekubelethweni kwangaphambilini ngaphambi kokuba kuboniswe ukuhlinzwa kokubeletha.
Ngokuphathelene nobudala obuphezulu bomama noma ukuthi ukukhulelwa kwamanje kutholakale ngokusebenzisa amasu okusiza ekuzaleni, iziqondiso zibonisa ukuthi Lokhu akuzona iziphazamiso ukuzama i-VBAC ngokwabo. Kulezi zimo, kuhlaziywa ezinye izifo ezihlobene nazo ezingase zivumele ukufakelwa noma ukuhlinzwa okusha, kodwa iqiniso lokuthi usebenzise i-IVF noma ukuthi ukhulile alikuvimbeli ukucabangela ukubeletha ngesitho sangasese sowesifazane.
Ngakho-ke, isincomo esijwayelekile sivame ukuba ukuthi, uma nje umlando wezokwelapha ukuvumela futhi isikhungo sinezinsiza zokuthatha isinyathelo ngokushesha uma kuvela inkinga, Kuhle ukucabangela ukubeletha ngesitho sangasese sowesifazane ngemuva kokuhlinzwaNgisho noma ekugcineni kuphumela kokunye ukuhlinzwa kokubeletha, abesifazane abaningi bayabona ukuthi le nqubo inika amandla kakhulu ngokukwazi ukuzama nokuhlanganyela ngenkuthalo esinqumweni.
Zingaki izisu zokuhlinzwa eziphephile?
Impendulo ilula; okuncane okungenzeka. En lesi sixhumanisi Ungabona ukuqhathanisa okuningiliziwe phakathi kokubeletha kwesitho sangasese sowesifazane kanye nokuhlinzwa.
Nakuba kukhona ukugxekwa ngale ndaba, ngokusho kwe-Spanish Society of Gynecology and Obstetrics (SEGO) Akukhuthazwa ukwenza i-cesarean sections engaphezu kwezintathuNgemva kokubeletha kokuqala ngokuhlinzwa, kuvame ukunconywa ukubeletha ngesitho sangasese sowesifazane, kodwa uma usuvele ubelethe kabili ngokuhlinzwa, isincomo esivame kakhulu ukubeletha ngesitho sangasese sowesifazane. ukuhlinzwa kwesithathu futhi ugweme ukukhulelwa okusha, ngenxa yokwanda okuqhubekayo kwengozi yokuhlinzwa kanye neyokubeletha.
Nokho, Kukhona amazwi agxekayo Ngalesi silinganiso. Ezinye izifundo ziphakamisa ukuthi ingozi yokuqhekeka kwesibeletho ezimweni zokubeletha okubili noma ngaphezulu ayiphezulu kakhulu kunasezimeni zengxenye eyodwa yokubeletha uma izimo zokubeletha zinakekelwa kahle, kodwa baveza ukuthi ukwenza i-cesarean sections ngendlela ehlelekile kudala izingozi ezinkulu kakhulu kumama kanye nengane.
Njengoba inani lokubeletha ngokuhlinzwa likhula, amathuba okuba i-placenta previa, i-placenta accreta nezinye izinhlobokanye nengozi yokunamathela kwangaphakathi okuqinile okwenza kube nzima ukuhlinzwa okulandelayo, kwandisa isikhathi senqubo kanye nengozi yokopha, ukulimala kwesinye noma kwamathumbu kanye nesidingo sokususwa kwesibeletho.
Ezinye izifundo zakamuva zihlaziye imiphumela yokuzama ukubeletha ngesitho sangasese sowesifazane ngemva kokubeletha kabili ngokuhlinzwa futhi ziphawule ukuthi, yize ingozi yokuqhekeka kwesibeletho iphakeme kancane, ukugula jikelele akuhlukile kakhulu Amathuba okuba ne-VBAC ngemva kokuhlinzwa okukodwa kwangaphambilini aphakeme, kuyilapho ukuhlela ukuhlinzwa kwesithathu ngokuhlelekile kuveza ukwanda okucacile kwezinkinga zokuhlinzwa nezokubeletha. Ngakho-ke, ezimweni ezithile kanye nokukhetha ngokucophelela amacala, amanye amaqembu akubona kunengqondo ukunikeza inketho ye-VBAC ngemva kokuhlinzwa kwesibili.
Kunoma ikuphi, isinqumo sokuthi kungakanani ukuhlinzwa kokubeletha okuhlakaniphile okufanele kwenziwe kufanele senziwe ngesikhathi komuntu ngamunye, kucatshangelwa isimo sempilo kamama, ikhwalithi yezibazi zesibeletho, izifiso zokuzala zombhangqwana, kanye nokuhlangenwe nakho kwesikhungo kulezi zimo.
Ngubani onquma ukuthi ngizoba nengxenye yokuhlinzwa noma cha?
Kulokhu, isinqumo kumele senziwe ngokuvumelana. phakathi kowesifazane nethimba lezokwelapha elihamba naye.
Ekupheleni kokukhulelwa, uma izimo zilungileUdokotela wakho wokubeletha uzochaza izinzuzo kanye nokungalungi kwalezi zinketho zombili: ukuzama ukubeletha ngesitho sangasese sowesifazane (ngokuhlinzwa noma ngaphandle kokuhlinzwa kwangaphambilini) noma ukuhlela ukuhlinzwa. Bazoxoxa ngezingozi zokuqhuma kwesibeletho, ukutheleleka, ukuphuma kwegazi, izinkinga zokuphefumula enganeni, nokuthi ukhetho ngalunye lungathinta kanjani impilo yakho yokuzala yesikhathi esizayo.
Uma unquma ukuzama ukubeletha ngesitho sangasese sowesifazane, cishe uzocelwa ukuthi usayine ifomu. incwadi yemvume enolwazi lapho izinzuzo nezingozi zichazwe khona, okuhlanganisa nethuba, noma ngabe liphansi kangakanani, lokuqhekeka kwesibeletho futhi ekugcineni kugcine ngokuhlinzwa ngesikhathi senqubo yokubeletha.
Uma unquma ukungazami, noma uma, ngemva kokuhlola umlando wakho wezokwelapha, ithimba libheka ukuthi i-VBAC ayinconywa (isibonelo, uma kwenzeka ukusikwa kwesibeletho okuvamile, ukuqhekeka kwesibeletho kwangaphambilini, noma ukuhlinzwa okuthile emgodini wesibeletho), bazohlela usuku lokuhlinzwa kwakho, futhi bachaze ukuthi yikuphi ukunakekelwa okuzodinga ngemva kwalokho.
Ikhono lowesifazane lokukhetha liwukuthi ebanzi kakhuluNgokuvamile, izinzuzo nezingozi zichazwa ngokucacile, futhi isinqumo sokugcina silele esigulini. Uma inketho ekhethwe ngowesifazane ingahambisani naleyo iqembu eliyibona ingcono kakhulu, kuyinto evamile ukubhala phansi kurekhodi lakhe lezokwelapha ukuthi lesi sinqumo senziwe ngemuva kokumnikeza ulwazi oluphelele noluqondakalayo.
Nakuba ukuhlinzwa kokubeletha sekuyindlela ephephile futhi evame kakhulu, ubufakazi obutholakalayo bubonisa ukuthi, noma nini lapho isimo sivuma, Ukuzama ukubeletha ngesitho sangasese sowesifazane kuyindlela enempilo kakhulu koomama abaningi nezingane, kanye naleyo enikeza amathuba amahle kakhulu okukhulelwa esikhathini esizayo.