Isigaba se-Caesarea - inzuzo nokuqeda umama nengane

Ukuzalwa kwengane akunakwenzeka ngaso sonke isikhathi ngezindlela zemvelo. Ngokuvamile, ababelethisi baya ku-cearean. Kumele kuqashelwe ukuthi le ndlela yokulethwa inezici ezinhle futhi ezimbi. Ake sicabangele ngokuningiliziwe ingxenye yesigaba, ama-pluses kanye namaminithi wokusebenza okunjalo, sisho izinkomba ekuqalisweni kwalo.

Yiziphi izinkomba zokulethwa kwezidakamizwa?

Ngaphambi kokuxoxa ngesigaba sokudla ngokuningiliziwe, ukubiza izinzuzo nezindleko, siyaqaphela ukuthi lokhu kuhlinzekwa kuhlelwe kusengaphambili. Odokotela baqeqesha owesifazane okhulelwe, bamise ukuhlinzwa. Isidingo salokho sifakwe isimo, kokubili abakhulelwe kanye nesisu. Kuyinto evamile ukwabela:

izilinganiso ezihambisanayo - izimo lapho ukwenza inqubo yokuhlinzwa kunciphisa ingozi yezinkinga;
Izinkomba ezingafani yizona izimo lapho ukusebenza kube yindlela kuphela yokuba umntwana avele.

Ngakho-ke, phakathi kwezibonakaliso ezihambelana nokulethwa kwezidakamizwa, izimbangi zikhomba:

i-pelvis encane encane yezinga elingu-1;
isisindo se-fetus singaphezu kuka-4 kg, uma isethulo siyinhloko, futhi singaphezu kuka-3.6 kg - sinesihluthulelo;
ukukhulelwa ngaphambi kwesikhathi ;
Ukwandiswa kwemifino ye-vagina ne-vulva;
ukulimazeka kwesibeletho;
umsebenzi obuthakathaka womsebenzi;
iminyaka ingaphezu kweminyaka engama-35;
i-gestosis ;
ukutheleleka kohlelo lokuzala.

Izinkomba ezingenakuqhathaniswa nesigaba se-cearean

Ezimweni ezinjalo, ukusebenza kubalulekile - ukuhamba kwengane ngokusebenzisa umsele wokuzalwa kunengozi enkulu yokufa kwakhe. Phakathi kwemibandela enezinkomba eziphelele zokuqeda, yenza lokhu:

Ukunciphisa ama-anatomical we-pelvis 3-4 ama-degree;
ukuguqulwa kwamathambo okugcoba ngamathumba, i-traumas;
ukutholakala kwezimpawu ezinkulu zesisu (i-uoma, i-ovarian tumor);
i-placenta previa ephelele noma eyingxenye;
inqola ngaphambi kwesikhathi se-placenta ejwayelekile;
hypoxia e-fetal ekhululekile;
ukusongela ubuqotho besitho sobulili - ukuhlukana kwesibeletho;
izinguquko zesicucucu esibelethweni;
i-eclampsia;
indawo eguquguqukayo ye-fetus esibelethweni.

Isigaba esiphuthumayo sokwehluleka - izinkomba

Ukutshela mayelana nesigaba se-caesarean, pluses kanye nemigomo yokusebenza, kubalulekile ukuqaphela ukuthi ngezinye izikhathi isinqumo sokubamba sithathwa ngokushesha ngaphambi kokuqala kokulethwa noma ngesikhathi sokuqala komsebenzi. Isigaba esiphuthumayo sokusinda sisiza ukulondoloza impilo yomntwana, ukuqeda izinkinga zenqubo yokuzalwa. Izinkomba zokuqaliswa kwayo ziyi:

I-pelvis encane emitholampilo. Ukuphulwa okunjalo ngobukhulu be-pelvis akufani nosayizi wengane. Ngenxa yalokhu, akakwazi ukuhamba ngokuzenzekelayo ngokusebenzisa umsele wokuzalwa.
Ukuhlukaniswa kusengaphambili kwe-amniotic fluid , lapho ukuvuselelwa kwemisebenzi ngezidakamizwa akuletha imiphumela.
I-Detachment ye-placenta. Ngokuphulwa okunjalo, ingane iyeka ukuthola i-oksijeni, isesesibelethweni. Ukuthuthukisa i- hypoxia , engabangela ukufa.
Ukuphuma kwamagciwane. Ukuphulwa, okuphazamisa ukuxhumeka kwendawo yengane nodonga lwe-uterine, okuholela ekuphuleni ubuqotho bezimpahla.
Ukuphuma kwesibeletho.
I-Oblique noma indawo eguquguqukayo yengane emgodini we-uterine.
Ukulahlekelwa kwezintambo zomsila noma ukusondela kwabo emgodleni we-uterine. Esimweni esinjalo, ukubeletha kwemvelo kugcwele iqiniso lokuthi umntfwana, ohamba phambili emgodini wokuzalwa, angagudluzwa.

Isigaba saseKhesariya ngaphandle kobufakazi

Omama abaningi abasazoba khona esikhathini esizayo, becabanga ukuthi banganciphisa kanjani ukuhlupheka kanye nobuhlungu obuhambisana nokuzalwa, cela odokotela mayelana ne-cearean ngaphandle kokufakaza. Kufanele kuqaphele ukuthi lo mkhuba awuvame ukusetshenziselwa imithi. Abaziqhamuka izimbungulu bakhumbuza omama besikhathi esizayo: isigaba se-cearean singenelele ekusebenzeni okubandakanya imiphumela eminingi (ukungezwani komzimba we-anesthesia, ingozi enkulu yokutheleleka kwesilonda esilandelayo). Uma ukwesaba ukuhlupheka nobuhlungu obuhambisana nenqubo yokubukeka komntwana, i-anesthesia yomgogodla inikezwa njengenye indlela.

Ukuqhathaniswa kwesigaba se-caesarean

Okokuqala, kufanele kushiwo ukuthi ayikho inqunquthela eqondile yenqubo enjalo yokuhlinzwa. Kodwa ngesikhathi esifanayo, odokotela bakhumbuza omama ukuthi ingozi yesikhumba esinqunyiwe ingengozi enkulu yokutheleleka, ukuthuthukiswa kwezinkinga ezihlukumezekile. Kwezinye izimo, kunikezwe leli qiniso, i-cearean ayinqunyiwe:

ukufa kwe-intrauterine fetal;
ukuguqulwa kwezinga elijulile;
ukukhubazeka komntwana;
i-hypoxia ende ende, eyinkimbinkimbi yengane;
izinqubo ezithathelwanayo ohlelweni lokuzala;
ukubeletha isikhathi eside - amahora angaba ngu-12;
ukutholakala kwesibindi esibelethweni ngaphesheya kwemicu ye-muscle ngemuva kokusebenza kwangaphambilini.

Isigaba se-Caesarea - imiphumela

Umonakalo wesigaba sokudla kulesi sifo unomthelela omubi emzimbeni wezidakamizwa zokubulala umzimba. Ukusebenza kwenziwa ngaphansi kwe-anesthesia. Owesifazane akazwa lutho. Ngenxa yalokhu, ngesikhathi sokuphela kwesenzo sayo, umama angase ahlangabezane nalezi zenzakalo:

isiyezi;
isicasuli;
ukuhlanza;
ikhanda.

Yimuphi u-anesthesia ongcono kwesigaba se-caesarean?

I-anesthesia ene-caesarean section ikhethwe ngokucabangela isimo sowesifazane okhulelwe, ukungabi nokungezwani kwamanye amaqembu ezidakamizwa. Ngokuqondene nohlobo lwe-anesthesia, odokotela bakhetha ukujwayelekile, okugcina isikhathi eside. Ngalolu hlobo lwe-anesthesia:

ukuzama ukubulala umzimba kungena kancane kancane ngokusebenzisa i-placenta, okunciphisa izinga lomphumela walo emntwaneni;
kunciphisa ingozi yezinkinga ezihlobene nokuphazamiseka kwesimiso sokuphefumula: idivayisi isusa i-carbon dioxide emzimbeni wesiguli futhi iyinikeze nge-oxygen;
I-anesthetic ikhululeke kakhulu, uma kunesidingo, ukukhushulwa kwayo kukhula kalula;
izinga lokugcwalisa umzimba ngomoya oksijini lihlolwa.

Isigaba se-Caesarea, izinzuzo kanye nokuzibonela kochwepheshe

Ukuze uqonde ukuthi kungani odokotela bephikisana nesigaba socansi, kubalulekile ukucabangela ezinye izici zalolu hlelo. Into eyinhloko ukuthi ingane ibonakala ngokushesha, kanti isiteji esilungiswayo semvelo encane, intuthuko yayo ngokusebenzisa umsele wokuzala, njengokubeletha kwemvelo, engekho. Ngenxa yokuphendula okuguquguqukayo ezimweni ezintsha zemvelo azakhiwanga. Lezi zindaba, ngokusho kochwepheshe, ngokuvamile ziba incazelo yokunciphisa ukuzivikela kulezi zifo, izifo ezivamile.

Uma sicabangela ukusebenza okunjalo njengengxenye ye-cearean, i-pluses kanye ne-minuses, phakathi kwamaphuzu amahle, odokotela bahlukanisa:

ukulawula okuphelele kwenqubo;
ukungabikho kokulimala kokuzalwa;
ukukhishwa kokuhlukunyezwa komsele wokuzala ( rupture we- perineum, isisindo).

Isigaba se-Caesarea - inzuzo kanye nokukhathazeka kwengane

Ukulimala okwesilisa kweKhesari kwengane ukuzalwa okusheshayo. Izinqubo zokuphefumula nezokujikeleza kwezinsana asinaso isikhathi sokuzivumelanisa nezimo ezintsha. Ngakho-ke lapho uhamba ngomkhumbi wokuzalwa emaphashini, lawo amniotic fluid ukuthi ingane igweme ngengozi iqedwa. Esikhathini sokwehlukana kwezimo ezinjalo akuphawulwanga, lokho kuqukethe ukuthuthukiswa kwe-asphyxia noma ukuvuvukala.

Ngokuqondene nezinzuzo zomntwana waseKesariya, ziyizi:

ukunciphisa ingozi yokutheleleka;
ukukhishwa kokulimala kokuzalwa.