Unokulungiselela njani isigaba se-caesarean? Ukucwangciswa kokusebenza. Ukulungiswa kwangaphambili. Isimo sengqondo

Ukukhulelwa yisikhathi somlingo ngamnye wesifazane. Zonke iinyanga ezithoba kwixesha elizayo umama ulindele ukuzalwa komntwana kwaye, ewe, uthemba ukuba ukuzalwa kuya kuba kuhle. Indlela eya kuzalwa ngayo umntwana ichaphazeleka ngamaninzi amanqaku: indlela ukukhulelwa kwenzeka ngayo, ukhetho lwesibhedlele sokubeletha kwaye, ngokuqinisekileyo, ugqirha. Nguye oza kwenza isigqibo malunga nendlela eya kuhanjiswa ngayo.

Iyintoni icandelo lesondlo?

Ngokuqhelekileyo kukho imeko xa ukuzalwa kwemvelo kungasongela ubomi bomama kunye nekamva lakhe lomntwana. Kwimeko enjalo, ugqirha ugqiba ukuqhuba ukuhanjiswa kokusebenza.

Icandelo le-Caesarea yindlela yokuhlinzekwa ngokukhawuleza, apho umntwana ekhutshwe khona kwisisu esisetyhini kunye nokusikwa kwisisu esiswini, kunye nesisu.

Iintlobo zeKesareya

Kukho iintlobo ezimbini zokunikezelwa kwezixhobo:

1. Cetywayo. Isigqibo sokuqhuba umsebenzi ngendlela ecwangcisiweyo sithathwa ngugqirha nangona ngexesha lokukhulelwa komama ekubelekeni. Kunqunywe ukuba kukho uphawu lwezokwelapha.
2. Nga lungiswa. Ukuphuma kwintsebenzo engachangekiyo kunokwenzeka kwinkqubo yokubeleka, xa kukho ubunzima kunye neengozi zobomi bomama nomntwana wakhe.

Isibonakaliso sokusebenza

I-Caesarean section of therapy ibandakanya ubukho bezinto ezithile. Ziyakwazi ukwahlula kwiintlobo ezintathu:

1. Iimeko ezingaqhelekanga, ngokucinga ukuba ukuzalwa kungenakwenzeka.

• I-pelvis edibeneyo - ugqirha oya kwi-bone measure ye-bonevic pelvic eyokuqala uviwo kwi-polyclinic, ngoko ke xa ukwenza ukuxilongwa okunjalo umfazi unokukhawuleza uqale ukulungiselela ukungenelela kokusebenza. Indlela yokulungiselela isigaba saseKhesareya, uya kuchazwa ngugqirha wakhe.
• Ubuninzi bokhuselo lomatshini oluya kuphazamisa ukuhamba kwefesibus (isib. Ukuvuvukala, i-placenta previa).
• Ubunokwenzeka bokukhupha isisu. Imeko enjalo inokuvela phambi kobuhlanga (umzekelo, ukuba ukuzalwa kokuqala kwenziwa ngosizo lomsebenzi).
• Idata le-placenta.

2. Ulwalamano - iimeko ezicinga ukuba umngcipheko wokuvela kweengxaki kunye nosongelo kwimpilo yomama nosana luyingcipheko kwaye ukuveliswa kokuzalwa komzimba kunokwenzeka. Bathi, njengomthetho, abaxhunyiwe kwikhosi yokukhulelwa kwaye kunokubangela iingxaki ngexesha lokubeletha. Ezi, ngokomzekelo, iingxaki ngokujonga amehlo, izintso, intliziyo, umhlaza kunye nabanye.

3. Ukukhawuleza - iimeko ezavela ngexesha lokuhambisa, ezisongela ubomi kunye nempilo yengomama nomntwana (umzekelo, ukuba umsebenzi wezenzo unobuthakathaka okanye unqanyuliwe).

Ukucwangciswa okucwangcisiweyo: ixesha

Usuku lokusebenza lonyulwa ngokuxhomekeke kwimeko yempilo yowesifazane, kwakunye nemeko kunye nophuhliso lomntwana. Ukuba ukukhulelwa kulungile kwaye kungenayo i-pathologies, ke i-caesarean imiselwe umhla olandelayo kwimeko yokubeletha okucetywayo.

Kwiiveki ezimbini phambi komcimbi ocetywayo, ugqirha wamazinyo owawubona ikhosi yokukhulelwa ngokupheleleyo unikela loo mfazi kwisalathiso sokubeletha ekubhedlele esibhedlele kwaye uchaza indlela yokulungiselela isigaba saseKesariya ukwenzela ukuba kube lula ukuba ibhinqa litshintshe inkqubo yengqondo. Ukongeza, umama ozayo unokuya kwiindibano zeengqondo, ezenzeka kwi-polyclinics. Kuya kunceda ukuqonda nokudlulisa inkqubo ezayo.

Ukulungiselela umsebenzi

Ukulungiswa kwangaphambili kwecandelo leqhekeza kuqala ngokufakwa kwangaphambili esibhedlele. Apha umfazi ufumana uviwo oluyimfuneko kwaye uhlala phantsi kolawulo lwudokotela oya kwiintsuku ezimbalwa ngaphambi kokusebenza. Okuphambili kuqaliswa kwinkqubo yokusebenza, kwaye ikwaxelela nendlela yokulungiselela isigaba seKhesareya.

Umfazi uthatha zonke iimvavanyo eziyimfuneko, ufunda malunga nokunyamezela kwe-anesthesia kunye nobukho be-allergies kumachiza, ukwenza uvavanyo lwe-ultrasound ukucacisa ukuzimisela komntwana ngokubeletha.

Usuku olungaphambi kokuhlinzwa, isidlo sakusihlwa kufuneka sibanjwe kungekudala kweeyure ezingama-18. Ngentsasa ngaphambi kokuba kusebenze, kwanokusetyenziswa kwamanzi akuvumelekile. KwiKesareya, umfazi ekubelekeni kufuneka ahambe ngesisu esingenanto. Ukunikezelwa kokusebenza ngokuqhelekileyo kunikwa ngeeyure zokusa.

Utyando lwenziwa njani?

Njengoko idlula, udokotela uchaza lo wesifazane osebenza emini. Ngomhla otyunjweyo, umfazi uya kwiinkqubo zokucoceka. Apha, benza i-enema yokuhlambulula, kwaye bahlambe iindawo ezifunekayo zomzimba. Ixesha elithile linikezelwa ukubeka kwiisitokisi zokunyanzelisa. Emva koko, ukulungiswa kwecandelo lesigxina sekuphelile, kwaye umama uthunyelwa kwigumbi lokusebenza.

Iintlobo ze-anesthesia

Ngaphambi kokusebenza, ibhinqa i-anesthetized. Kukho iintlobo ezimbini ze-anesthesia:

• Epidural anesthesia.
• Jikelele i-anesthesia.

I-epestural anesthesia iquka ukulawulwa kwe-anesthetic kwintambo yomgogodla ngenaliti. Le nkqubo ayibuhlungu, kunokuba ingathandeki. Zonke iimbono zihamba ngokukhawuleza, kwaye uvakalelo luyabonakala phakathi kwemizuzu embalwa.

I-anesthesia jikelele yindlela engasetyenziswanga rhoqo. Isetyenziswe xa kukho isidingo sokuqala inkqubo ngokukhawuleza kunokuba i -anesthesia ye-epidural iqala ukusebenza .

Emva kokulawulwa kwe-anesthetic, inkqubo yokuqalisa iqala. Ugqirha uyabulala isisu, uqhube izihlunu, aze aphekwe kwisibeletho aze avule isilonda sesisu. Emva kokukhutshwa komntwana, inkqubo yokuthunga iqala. Kwi-uterus, i-sutures isetyenziswe ngoncedo lwezintambo, ezizodwa emva kweenyanga ezimbalwa ziya kutshabalalisa. Emva koko ukutshitshiswa kufakwa kwisisu. Ukusebenza konke akuthathi ngaphezu kwemizuzu engamashumi amane. Njengoko uya kuhamba, uyazi ngoku.

Emva kokusebenza: imeko, ukutya

Emva kokungenelela kokusebenza, lona wesifazane uhlala esibhedlele ixesha elingaphantsi kweentsuku ezisixhenxe. Kulo xesha uphantsi kolawulo lwabasebenzi bezonyango, ovelisa zonke iinkqubo eziyimfuneko aze anikezele yena kunye nosana ngononophelo.

Iiyure zokuqala emva kokuba i-cearean yinto ephakamileyo. Isigulane sikwiyunithi yonyango enzulu kwindawo ephakamileyo. Kwase kwithuba elithile wanikwa iipilisi kunye neyeza zokubuyisela. Unokuhlala kuphela ezintandathu okanye emva kweeyure ezisibhozo emva kokusebenza. Ngomso umfazi udluliselwa kwiwadi nganye.

Ukutya emva kokusebenza kunzima, kodwa kuphela okokuqala. Ngomhla wokuqala, kucetyiswa isiselo esivulekile, kwaye akufanele usela amanzi atyholiweyo. Ngomhla wesibini emva kokuvala, ukusetyenziswa kokutya okumanzi (iisobho, iifatata ezifihliweyo kunye neembatho) kuvunyelwe. Ukuba ubuhle bentombi buqhelekile, ngoko ngomhla wesithathu uvumelekile ukuba aqale ukutya okuqhelekileyo okufanelekileyo kubo bonke abasandul 'umama.

Ukunyamekelwa kwekhaya kunye nokuqapha

Emva kokukhutshwa esibhedlele, kuya kufuneka ulandele izicwangciso ezithile. Ngoko, ukususela ekuhlambeni, ukutyelela echibini kunye nokubhukuda kwiindawo zokugcina amanzi kuya kufuneka kushiywe ubuncinane kwiinyanga ezimbalwa, kude kube nokuphiliswa kwamalungu.

Umsebenzi osebenzayo osebenzayo uphinde ulandelelaniswe ubuncinane kwiinyanga ezimbini. Abasetyhini abaye bafumana isigxina se-calarans, abakwazi ukuphakanyiswa okokuqala kwaye banxibe nantoni na inzima kunomntwana.

Ukubuyela kwimpilo yesondo eqhelekileyo kunokwenzeka kuphela kwinyanga kunye neyesigama ezimbini. Ngeli xesha, umzimba uya kuba nexesha lokufumana kwakhona. Ngokufanayo, kubalulekile ukuchonga iindlela ezizayo zokukhusela, ekubeni ukukhulelwa okulandelayo emva kokusebenza kungenakwenzeka ngaphaya kweminyaka emibini kamva.

Uqeqesho lwengqondo

Ungalungiselela njani ingqondo yengqondo kwiKesareya? Nangona ukuba oogqirha banxulumene nolu hlobo lwecandelo le-shedding, namhlanje ukuhanjiswa komsebenzi yinkqubo enokwenzeka nje kuphela phambi kobonakaliso, kodwa nangenxa yokuthanda komama ozayo. Ukulungiselela isigaba se-caesarean kubandakanya ukulinganisa zonke iingxaki kunye nenkunkuma yenkqubo.

Iiprojekthi zeearearean:

• Akukho nzakalo kwinkqubo yokuzala yomfazi.
• Inkqubo ayibuhlungu ngenxa ye-anesthesia.
• Inqubo ayithathi imizuzu engamashumi amane, kanti ukuzalwa ngokuqhelekileyo kunokuthatha iiyure ezininzi.
• Uyakwazi ukubona inkwenkwe emva kokusebenza, kunye nokubeletha kwemvelo.

Umgcini:

• Ixesha elide lokuvuselelwa emva kokusebenza kunye nokufumana phantsi kolawulo logqirha.
• Ukubethelela kwisisu kunye nesisu esiza kuhlala ixesha lokuphila.
• Ezinye iimimmy ziqaphele ukuba iinyanga zokuqala aziveki ngokusondelana kwengqondo kunye nosana, ngokubhekiselele kwinkqubo yokuzalwa kwangokuzalwa.
• Ixesha elide lokuzifumana ngokusemgangathweni (ukuthintela kweenkqubo zamanzi, imisebenzi yomzimba kunye nobudlelwane bezesondo).

Ukuze ulungele ukuziphatha kwenkqubo, kulungile ukufunda uncwadi olufanelekileyo, unokucela ugqirha wakho ukuba akuxelele indlela yokulungiselela isigaba seKesariya, kunye nendlela osebenza ngayo ngokwayo. Ukususela emlonyeni wodokotela oye waba nawe ngeenyanga ezilisithoba, kuya kubonakala kuphephile kwaye kukunceda ukhulule.

Kwinkqubo yokubeletha, indima ephambili idlalwe ngumoya wengqondo, ngoko uzonqabisa, kwaye yonke into iya kwenziwa yendalo kunye nodokotela wakho.