Okuqukethwe
Kuyini ukuhlinzwa?
Ngaphansi kwe-anesthesia, udokotela wokubelethisa uyasika, ngokuvundlile, phakathi kuka-9 no-10 amasentimitha, ukusuka esiswini kuya ezingeni le-pubis. Ube esehlukanisa izingqimba zemisipha ukuze afinyelele esibelethweni futhi akhiphe umntwana. Ngemva kokuba uketshezi lwe-amniotic lushibhile, i-placenta iyakhishwa, bese udokotela ethunga izicubu. Ukuhlinzwa ukuze kukhishwe umntwana kuthatha imizuzu engaphansi kweyi-10, kodwa konke ukuhlinzwa kuthatha amahora amabili, phakathi kokulungiselela nokuvuka..
Kunini lapho ukuhlinzwa kokuhlinzwa kungenziwa ngokushesha?
Kunjalo uma:
• Umlomo wesibeletho awunwebeki ngokwanele.
• Ikhanda lomntwana alehli kahle ku-pelvis.
• Ukuqapha kuveza a ukucindezeleka kwe-fetus nokuthi kufanele sithathe isinyathelo ngokushesha.
• Ukuzalwa kungakabi yisikhathi. Ithimba lezokwelapha lingase linqume ukungakhathali umntwana, ikakhulukazi uma edinga usizo lwezokwelapha ngokushesha. Kuye ngesimo, ubaba angase acelwe ukuba aphume ekamelweni lokubelethela.
Kukuziphi izimo lapho ukuhlinzwa kokuhlinzwa kungahlelwa?
Kunjalo uma:
• Ingane ithathwa njengenkulu kakhulu uma iqhathaniswa nezilinganiso ze-pelvis zikamama.
• Ingane yakho yethula kabi : esikhundleni senhloko yekhanda lakhe, uzibonakalisa ekhanda lakhe elitshekele emuva noma eliphakanyisiwe kancane, ebeka phambili ihlombe lakhe, izinqe noma izinyawo.
• Une-placenta previa. Kulokhu, kungcono ukugwema izingozi zokopha okungase kuhilele ukubeletha okuvamile.
• Unomfutho wegazi ophakeme kakhulu noma i-albumin emchamweni futhi kungcono kakhulu ukugwema ubunzima bokubeletha.
• Uhlaselwa yi-herpes yesitho sangasese esingase sitheleleke enganeni yakho njengoba idlula emseleni wesitho sangasese sowesifazane.
• Ingane yakho ikhubazekile kakhulu futhi ibonakala isezinhlungwini.
• Ulindele izingane ezimbalwa. Ama-triplets avame ukuzalwa ngokuhlinzwa. Kumawele, konke kuncike ekwethulweni kwezingane. Isigaba sokuhlinzwa singenziwa kuzo zonke izingane noma eyodwa kuphela.
• Uyacela ukuhlinzwa ukuze kube lula kuwe ngoba awufuni ukuletha ingane yakho ngokunganaki.
Kuzo zonke izimo, isinqumo siyathathwa ngesivumelwano phakathi kukadokotela nomama ozozala.
Hlobo luni lwe-anesthesia yokuhlinzwa?
U-95% wezingxenye zokuhlinzwa ezihleliwe zenziwa ngaphansi izinzwa zomgogodla. Lokhu kubulala izinzwa kwasendaweni kuyakuvumela uhlale wazi kahle. Umkhiqizo ujovwa ngokuqondile, ngesikhathi esisodwa, emgogodleni. Isebenza emaminithini ambalwa futhi iqede noma yikuphi ukuzwa okubuhlungu.
Uma kwenzeka ukuthi ukuhlinzwa kunqunywe ngesikhathi sokubeletha, i-epidural isetshenziswa kaningi. Ngoba nje isikhathi esiningi, abesifazane sebevele bekwi-epidural. Ngaphezu kwalokho, kuhlale kuncono i-anesthesia jikelele eyingozi kakhulu (ukuminyanisa, ubunzima bokuvuka) kune-epidural. Ukulandelela kwangemva kokuhlinzwa nakho kulula. Udokotela kuqala endaweni yangakini ubeka ingxenye yesifunda sakho esisesinqeni ukuze ilale ngaphambi kokunamathisela ishubhu lepulasitiki elincanyana kakhulu (i-catheter) lapho elisakazwa amahora amane (elivuselelekayo) isibulala-zinzwa phakathi kwama-vertebrae amabili. Umkhiqizo ube ususabalala uzungeze izimvilophu zomgogodla bese usebenza emaminithini ayishumi nanhlanu kuya kwamashumi amabili.
Okokugcina, i-anesthesia jikelele iyadingeka esimweni esiphuthumayo kakhulu : ilawulwa ngomjovo, isebenza ngomzuzu owodwa noma emibili.