Ukubeletha yisixazululo eside sokulindela ukukhulelwa, ngenxa yalokho owesifazane eba ngumama futhi ekugcineni uhlangane nomntanakhe. Ukuzalwa ngokweqile ukuqedwa komzimba kokukhulelwa futhi kuyinkqubo yemvelo. Kodwa futhi kwenzeka ukuthi ukubeletha ngokwemvelo akunakwenzeka ngenxa yezimo ezithile, bese kuthi owesifazane unikezwe ngokusebenza kwesigaba se-cearean.
Njengoba isigaba se-caesarean yindlela enhle kakhulu ekuvuleni kwesisu nangesibeletho, izizathu zokuziphatha kwayo kufanele zibe zikhulu. Phakathi kwezibonakaliso zesigaba saseKhesariya kukhona okulinganiselwe futhi okuphelele.
Yiziphi izinkomba zokulethwa kwezidakamizwa?
Izibonakaliso ezingenakuqhathaniswa zesigaba sokugcina lezi zinsuku yizimo lapho ukubeletha kwemvelo kungenakwenzeka khona noma kungaholela ekufeni komama nengane. Lokhu kufaka:
- i-pelvis encane yomzimba wesifazane ekubelethweni (lapho kungenakwenzeka ukuthuthukisa ingane ngokusebenzisa umsele wokuzalwa);
- ukuvimbela imishini (izicubu ze-ovari, i-myomas ye-uterine, kanye nokukhubazeka kwamathambo enhliziyo emkhakheni we-canal yokuzalwa, i-placenta previa, njll);
- ukusongela kwesibeletho (isibonelo, esimweni suture esingavumelani ngemuva kwesigaba esedlule sangasese);
- ukuchithwa kwe-placental ngaphambi kwesikhathi;
- isikhundla esinqamulayo se-fetus.
Izinkomba ezihlobene nendawo yokuzigcina zihlanganisa izimo lapho kuzalwa khona, kodwa kungabangela ukuhlukunyezwa komama nengane, futhi kusongele ukuphila kwabo. Phakathi kwabo kukhona:
- isikhumba esincane somzimba wesifazane (ukungafani phakathi kobukhulu bekhanda le-fetal nobukhulu be-pelvis encane yowesifazane obeletha);
- Isimo se-breech ye-fetus (isethulo se-pelvic);
- Ukuba khona kwesibindi esibelethweni;
- izifo zomama, ezingaba zibi kakhulu ngenxa yokuzalwa okuzimele (izifo zomzimba, izifo zesibalo, izinga eliphezulu le-myopia, njll);
- izithelo ezinkulu kakhulu (ngaphezu kuka 4 kg);
- isikhathi eside esingancibilika (uma amahora angaphezu kuka-12 eseqedile kusukela ku-amniotic fluid);
- umsebenzi obuthakathaka wesikhathi eside wobasebenzi, lapho kungekho khona amandla okuhlanza komlomo wesibeletho;
- hypoxia we-fetus (njengoba kuboniswa ukushaya kwenhliziyo okuncane kwengane).
Ngabe kwenzeka kanjani lokhu?
Izinkomba zesigaba sokudla kwezifo ziyisisongo empilweni nasempilo yowesifazane kanye nengane, lapho inzuzo ekulindeleke ekusebenzeni ikhulu kakhulu kunezinkinga ezivela kulo, njengokugqama kwodonga lwe-uterine, ukutheleleka, i-endometriosis, ukunamathela, ukucindezeleka okubangelwa yizidakamizwa kwezingane ezisanda kuzalwa njll. Yingakho isigaba se-caesarean senziwa kuphela ngokusho kwezinkomba. Azikho ezinye izimo okufanele zibe imbangela yalo msebenzi.
Ingabe bayakwenza ngokuthanda?
Kukhona amacala lapho abesifazane ngokwabo becela udokotela ukuba bacele isigaba sokugcina. Ngakho-ke, owesifazane okhulelwe ucabanga ukuxazulula inkinga yokubeletha, ngoba umsebenzi ohleliwe wenziwa
Mangingaki izikhathi engingayenza?
Ngokuvamile abesifazane abaye babeletha ngokusebenzisa ukuhlinzekwa kwesigaba sezinyosi besaba ukuthi ukuba nesibalo esibelethweni kuzobavimbela endleleni eya ephusheni labo lokuba umama omkhulu. Bakhathazekile ngombuzo, zingaki izigaba zama-cearean ezingenziwa phakathi nokuphila? Njengoba umsebenzi ngamunye esibelethweni uholela ekunciphiseni kwezindonga zawo, khona-ke isikhathi ngasinye isibazi esibelethweni siyoba ngcono kakhulu. Ngakho-ke, ukugwema izinkinga nezingozi ngesikhathi sokukhulelwa okulandelayo, odokotela bancoma ukuba kube yimanje ukukhawulela emisebenzini emithathu.