Ingxenye yesesare iyindlela eyenziwa abesifazane ababeletha uma kunezizathu ezithile zokuthi kungani owesifazane engakwazi ukubeletha eyedwa. Ngemuva kwesigaba se-cearean, i-cicatrix isakhiwe esibelethweni futhi, ngaphansi kwesimo sokudiliva okuphindaphindiwe, ukukhwabaniswa kwenziwa nge-rumen. Uma owesifazane ehlela ukukhulelwa ngemuva kwesigaba sokuyeka, kufanele ahlelwe ngaphambi kweminyaka engama-3. Ngokuhlelwa kokuqala ngemuva kwesigaba se-cearean, isibazi singase singabi namandla ngokwanele futhi siholele ekucindezeleni okungathí sina okungaqeda ukubulawa komama nomntwana.
Ukuhlela ukukhulelwa emva kokulethwa kwezidingo
Ukukhulelwa okuphindaphindiwe ngemuva kwesigaba se-caesarean kufanele kuhlelwe ngempela. Ukulungiselela ukukhulelwa kowesifazane emva kwesigaba se-cearean kufanele kwenziwe ngumjozi wezifo zesazi zesifo sezifo. Owesifazane onjalo unconywa ukuba athole i-hysteroscopy ukuze aqiniseke ukuthi kungenzeka ukukhulelwa okuphindaphindiwe ngemuva kwesigaba sokulahla nokubikezela inkambo yayo.
Owesifazane okhulelwe ngemuva kwesigaba sokulahla kufanele abhaliswe ngokushesha ngangokunokwenzeka futhi ngesikhathi sokuthola zonke izivivinyo ezidingekayo. Ngesikhathi sokuhlolwa kwe-ultrasound ehleliwe, udokotela kumele ahlolisise isimo se-scaroper post. Ngokusho kwezinqubo ezintsha ze-obstetric-gynecological 2011, abesifazane abanochoko esibelethweni banganikeza ukuzalwa kwemvelo emva kwesigaba sokuvala . Kodwa-ke, icala ngalinye kumele lithathwe ngabanye, ngokuhlola ngokucophelela izinkomba zokusebenza kwangaphambilini ngesikhathi sokubeletha. Ngakho-ke, uma izinkomba zokulethwa kokusebenza zibukeka kancane, ukukhubazeka kokuthuthukiswa kwamagundane, noma ubuthakathaka bokusebenza, owesifazane onjalo akufanele anikezwe ukuzala kuphela.
Uma ukukhulelwa okwesibili ngemuva kokuqedwa kwe-cearean kuphelile nangokusebenza, khona-ke owesifazane onjalo unikezwa ukuba abilayo amathole wezintambo. Ukukhulelwa okwesithathu ngemuva kwesigaba sesibili seKhesariya sekuphelele ngo-100% nokuhlinzwa. Lo wesazi wezifo oqeqeshiwe ngeke akwazi ukunikela ngokuzimela ozimele, ngoba ingozi evela ekuzalweni okunjalo iphezulu kakhulu kunokusebenza kwesigaba sesithathu sokubeletha .
Ukukhulelwa kwamawele ngemuva kwesigaba se-caesarean kufanelwe ukunakekelwa okhethekile, lapho lesi sibeletho sikhula khona kakhulu, ngoba ngesikhathi esifanayo sikhula amantombazane amabili futhi ingozi yokunciphisa i-rumen iphezulu. Ukukhulelwa emva kwezigaba ezimbili ze-cearean kufanele kugcwaliswe ngokushesha emavikini angu 37-38.
Ukuphazanyiswa kokukhulelwa ngemuva kwesigaba se-cearean
Ukukhulelwa emva kwesigaba se-cearean, esenzeke ngaphambi kweminyaka emibili emva kokuhlinzwa, sinconywa ukuthi sinqatshelwe. Ngemuva kokuqala kokukhulelwa izinyanga eziyisithupha emva kwesigaba sokuqeda, owesifazane unikezwa isisu noma isisu. Ukuqeda ukwelashwa kokukhulelwa ngemuva kwesigaba se-cearean kwenziwa esikhathini sokufinyelela ezinsukwini ezingama-49. Kulezi zici zalokhu kukhishwa isisu, singakwazi ukubona ukwanda esikhathini sokuphuma kwegazi
Ngakho-ke, sihlolisise izici zokulungiselela owesifazane ekuhleleni kokukhulelwa emva kwesigaba sokulahla, ukukhethwa kwezidingo, kanye nokukhethekile kokukhipha isisu kwabesifazane abahlinzeka ukulethwa kokusebenza.