Ukukhulelwa: yini ukuhlolwa kwesitho sangasese sowesifazane?

Ukuhlolwa kwesitho sangasese sowesifazane sangasese kusebenza kanjani?

Kudala ngaphambi kwegagasi elithi #Metoo kanye ne-#Payetonuuterus, sonke sase sikujwayele ukuhlolwa kwesitho sangasese sowesifazane, okwenziwa njalo ngonyaka lapho uvakashela udokotela wezifo zabesifazane. Kodwa ake sikusho njengoba kunje: ukuthinta isitho sangasese sowesifazane kuyisenzo esihlaselayo, esithinta ingxenye ethile yomzimba. Kanjalo, udokotela, noma ngabe umbelethisi noma udokotela wabesifazane ekuxilongayo kufanele njalo uthole imvume yakho ngaphambi kokwenza ukuhlolwa kwesitho sangasese sowesifazane. Ngesikhathi sokukhulelwa, abanye odokotela bavame ukuhlolwa kwesitho sangasese sowesifazane ukuze bahlole isiguli. Abanye akunjalo, kuze kube yilapho umntwana ezalwa.

Empeleni, ufakwa ulele ngomhlane phezu kwetafula lokuhlola, amathanga akho egobile futhi izinyawo zakho zihlezi phezu kwama-stirrps. Udokotela noma umbelethisi, ngemva kokubeka umbhede weminwe ongazalanga futhi ogcotshiwe, ungenisa iminwe emibili ngaphakathi esithweni sangasese. Kubalulekile ukuphumula, ngoba uma imisipha iqinile, ukuhlolwa kuyinto engathandeki. Udokotela uzokwazi ukuhlola indawo yomlomo wesibeletho, ukuvuleka kwawo, ukuhambisana kwawo, ubude bawo, futhi ahlole izindonga zangasese. Khona-ke, ngenkathi ezwa isisu sakho ngesinye isandla, uzosizwa isibeletho, ahlole umthamo waso futhi ahlole ukuthi ama-ovari ajwayelekile yini.

Ingabe ukuhlolwa kwesitho sangasese sowesifazane kubuhlungu?

Ukuhlolwa kwesitho sangasese sowesifazane (futhi kufanele!) Kuzilolonge ngobumnene. Ayijabulisi ikakhulukazi, kodwa AKUMELE ibe buhlungu. Uma ngesikhathi sokuhlolwa uzwa ubuhlungu, ngezinye izikhathi kuwuphawu lokutheleleka noma inkinga eyodinga ukuhlolwa okwengeziwe. Ngokushesha yazisa umuntu okuhlolayo.

Iyini ukusetshenziswa kokuhlolwa kwesitho sangasese sowesifazane ngesikhathi sokukhulelwa?

Ukuvakasha kokuqala ku-gynecologist kukuvumela ukuthi uhlole ukuthi ukhulelwe. Ngaphandle kokukhulelwa, awukwazi ukuzwa isibeletho ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane. Lapho, udokotela ubona kahle kakhulu: ithambile ngokuvumelana futhi umthamo wayo unyukile. Isikhathi esiningi, ukuhlolwa kwesitho sangasese sowesifazane kwenziwa cishe kukho konke ukuvakasha kokubeletha. Cishe, ngoba uma ukuhlolwa kwesitho sangasese sowesifazane kwakuyisiko ekuqapheni ukukhulelwa, akusanconywa ukuthi ukwenze ngendlela ehlelekile ekuboniseni ngakunye. I-High Authority of Health iyakuncoma ikakhulukazi komama bakusasa abasengozini yokubeletha ngaphambi kwesikhathi. Ngakho-ke udokotela uzobuza owesifazane okhulelwe ukuze athole ukuthi usongo lukhona yini. Ku-palpation, isisu singase sibe nzima, okubonisa ukufinyela kwesibeletho esingakuboni ngempela. Umama ozozala angase abe nezinhlungu eqolo noma abe negciwane elincane. Kungenzeka futhi ukuthi wabeletha ngaphambi kwesikhathi ekukhulelweni okudlule. Zonke lezi zimpawu zidinga ukuhlolwa ngokucophelela kwezinguquko emlonyeni wesibeletho. Imvamisa, inezimbobo ezimbili (zangaphakathi nangaphandle) ezivalwe kahle, nobude obungaba ngu-3,5 cm. Ukufinyezwa kwayo (sikhuluma ngokusula) noma ukuvulwa kwayo kudinga ukuphumula, noma ngisho nokwelashwa, ukuze kugwenywe ukuzalwa ngaphambi kwesikhathi. Njengoba ukuthinta kunganembile kakhulu, kuya ngokuya kuhlotshaniswa nokuhlolwa okuphumelelayo: i-ultrasound yomlomo wesibeletho.

Iyini ukusetshenziswa kokuhlolwa kwesitho sangasese sowesifazane eduze nokubeletha?

Ukuhlolwa kwesitho sangasese sowesifazane kuzobheka izimpawu zokuvuthwa komlomo wesibeletho ezivame ukukhombisa ukuthi ukubeletha kuyalungiselela. Ikuvumela ukuthi uhlole ukuthi isethulo se-fetus (ikhanda noma isihlalo) siphakeme kangakanani maqondana ne-pelvis. Angakwazi nokubona ukuthi kukhona ipulaki yamafinyila. Lo mucus utholakala phakathi kwezimbobo ezimbili zomlomo wesibeletho. Uma ivuleka, i-mucus iyakhishwa. Ukuhlola kokugcina: ukuba khona kwengxenye engezansi. Le ndawo ephakathi komzimba nomlomo wesibeletho ibonakala ekupheleni kokukhulelwa. Uma udokotela ebona ukuthi izacile futhi iqinile ekhanda lomntwana, kuyiphuzu elilodwa lokubeletha okuseduze.

Iyini ukusetshenziswa kokuhlolwa kwesitho sangasese sowesifazane ngesikhathi sokubeletha?

Ngo-D-Day, awusoze wakubalekela, ngoba (cishe) kubalulekile ukuhambisana nokusebenza kahle komsebenzi. Kodwa konke kuncike kubabelethisi kanye nokuthi umsebenzi uqhubeka ngokushesha yini. Ezibhedlela eziningi zokubeletha, ngokwesilinganiso, uzobonwa njalo ngehora. Umbelethisi uzoqaphela ukuqhubeka kokuvuleka komlomo wesibeletho, ukuma kwawo kanye nobude bawo. Uhlobo lwesethulo (ikhanda, isihlalo) kanye nokuma kwengane ku-pelvis kamama nakho kuyodingeka. Lokhu empeleni kubeka umzila wokulethwa, ngoba ezinye izethulo azihambisani nokuzalwa kwemizila yemvelo. Ngakho ungamangali uma ukuhlolwa kukude kancane! Uma isikhwama samanzi sidinga ukubhobozwa, lokhu futhi kwenziwa ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, kusetshenziswa i-forceps encane efakwe ekuvuleni komlomo wesibeletho kuma-amniotic membranes. Kodwa qiniseka ukuthi lesi senzo asibuhlungu. Ngakolunye uhlangothi, kufanele kwenziwe ngokucophelela ukuvimbela uketshezi oluningi ukuthi lungaphumi ngokushesha.

Ingabe kukhona ukuphikisana nokuhlolwa kwesitho sangasese sowesifazane?

Ezinye izimo zifaka ukukhawulela noma ukungasithinti isitho sangasese sowesifazane. Kunjalo uma umama elahlekelwa amanzi ngaphambi kwesikhathi. Ngempela, ukuthinta okuphindaphindiwe kwandisa ingozi yokutheleleka komama nengane. Ngakho-ke kufanele zijwayezwe ngokuqapha. Uma i-placenta ibekwe phansi kakhulu eduze nomlomo wesibeletho (i-placenta previa), kungase kwenzeke ukopha, ukuhlolwa kwesitho sangasese sowesifazane akuvunyelwe njengoba kungase kubhebhethekise ukopha.

Inothi loMhleli: Uma ungakhululekile ngalesi senzo futhi ungafuni ukuhlolwa kwesitho sangasese sowesifazane, khuluma nethimba ngaphambi kokubeletha kwakho. Asikho isenzo okufanele senziwe ngaphandle kwemvume yakho. Kungumthetho.