Uza kuba nemibuzo malunga neecandelo zeC-c ngaphambi nangemva kwecandelo lakho lokuyeka , ingakumbi ukuba kwakungenakucwangciswa. Ukuzibandakanya kwakho yinto efuna unyango kunye nokunyamekela. Uya kufumana imiyalelo malunga nendlela yokunyamekela ngayo njengoko uphilisa. Inkqubo yokuphulukisa isigaba. Funda malunga nokulindela nokunyamezela unonophelo onokuyenza ukukhusela ukucaphuka.
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Luhlobo Luni Lokunyuka Kwemigudu Kuya Kusetyenziswa?Unokubuza ugqirha wakho uhlobo oluthile lwesilwanyana esisetyenzisiweyo, oluya kugqiba uhlobo olusayi kuba nalo. Uhlobo olusisigxina okanye u-bikini (u-Pfannenstiel incision) luhlobo oluqhelekileyo olusetyenziswayo. Kuphezulu kweenwele ze-pubic okanye nje ngaphezu kweenwele zeenwele. Oku kunika ubuqhekeza obuninzi obukhenkce xa bephilile.
Ukubonwa okubonakalayo kunqabile kakhulu, kodwa kwakungowokuqala kohlobo olusetyenziswayo kwaye ngoko ngezinye izikhathi kuthiwa yi-classic incisions. NgokweMveli, olu hlobo lwesicatshulwa luyaziwa njenge-midline. Kusetyenziswa kuphela kwiimeko ezimbi.
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Uhlobo Luni Lokunyanzelisa Uterine Lusetyenziswa?Ngaphakathi, ubuqhekeza kwisibeletho sakho bubukeka bufana nesiqhekeza esiswini sakho. Iyakwazi ukunyuka iphantsi (i-classical) okanye i-horizontal (ibini). Kuza kugqiba ukuba ngaba ungumviwa omhle wokuzalwa kwesisu ekuzalweni okulandelayo, owaziwa ngokuba ngumama wesisu emva kwe-laarean (VBAC) .
Ukugqithiswa kwe-uterine eqhelekileyo yinto ehambelana nendawo engaphantsi kwesibeleko (ukuchithwa okuphantsi kwe-flap transverse incision). Ukuba nomntwana wokuqala , umntwana osesimweni esingaqhelekanga, okanye unxamnye noxinzelelo lwezonyango unokufuna uhlobo oluthile lokuchithwa. Ukuzalwa kwezilwanyana ekukhulelweni okulandelayo kungabakho mngcipheko ngezinye izinto, njengokuba kwenzeka ukuba ukunyuswa kwakho kwandiswe.
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Ziziphi Izinto Eziza Kusetyenziselwa Ukuvala Ukunyuswa Kwam?Izinto ezisetyenziselwa ukuvala ukutshintsha kwakho zinokuxhomekeke kwimibandela emininzi, kubandakanya uhlobo lomzimba wakho kunye nokukhetha kwakho ugqirha. Ugqirha wakho unokusebenzisa:
- Isitapu
- I-Sutures (i-stitches)
- Imiqulu yeSteri (iteksi ekhethekileyo)
- Glue
- Umxube
Ezinye izinto zokuvalwa, ezifana neziqu, zisetyenziswe okwesikhashana kwaye ziya kususwa emva kwexesha elithile. Oku kuya kuxhomekeka kukukhethwa kwicandelo lakho kunye nendlela ophilisa ngayo.
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Yintoni endiyenzayo xa ndiba nobuhlungu kwi-Incision?Ubuhlungu buqhelekile kwiintsuku zakuqala emva kokuhlinzwa kwakho. Ugqirha wakho uya kunika iyeza zentlungu xa kufanelekile. Kukho iimpawu zokulumkisa ezibonisa ukuba unenkxalabo kunye nokukhangela kwakho. Ukuba unobomvu, ukuvuvukala, ubuhlungu obukhulu, okanye intlungu ebuhlungu, kufuneka uqhagamshelane nogqirha wakho. Kufuneka ufune umnxeba ngokukhawuleza ukuba unento ekhuphayo kwi-incision. Ezi zinokuba yimpawu zentsholongwane, ezifuna ukunyamekela. Shayela ugosa lakho, kungakhathaliseki ukuba lixesha lini.
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Ngaba Kuqhelekileyo kwiC-C section section Scar to Itch?Kuyinto eqhelekileyo ukuvala ngexesha lokuphulukisa. Qaphela ngokutshiza ngenxa yokuba ufuna ukukhusela intsholongwane. Ukuba unogqabha kwaye unobunzima, kuya kwenzeka ukuba uzilimaze ungakhangeli. Abanye oomama bafumanisa ukuba ukubamba into eqinile phezu kobunzima babo kunokuncedisa ukunciphisa ukuva.
Ukubetheka kungabangelwa ziboya ze-pubic ezikhulayo emva kokuba zihlanjwe ngaphambi kokuhlinzwa. Ukuba usenomtsalane emva kokuba iinwele zakho ze-pubic zikhulile, mhlawumbi zivela ekuphiliseni.
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Yintoni endiyenzayo xa i-Scarry My Scar Irritated?Qinisekisa ukugcina indawo yakho yeC-incision site isicocekile kwaye iyomile. Ukuba unenkathazo yokugcina ummandla owomileyo ngenxa yeshefu yesikhumba, ngamanye amaxesha unganamathela kwisicatshulwa, buza ugqirha wakho malunga nokusebenzisa into enjenge-cornstarch xa isayithi iphiliswe ngokupheleleyo. Ungasebenzisa kwakhona i-gauze okanye ikotoni. Qiniseka ukuba womelele ulusu emva kokuhlamba.
Zama ukuphepha izambatho ezihleli ngqo kwiC c-section scar. Cinga ukwenza oku kwiinyanga ezimbalwa. Njengoko izicubu ziphilisa, unokuzama ukuzisa ikhabethe lakho elidala kwaye ungenakho ingxaki nayo.
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Ngaba Kuqhelekile Ukuba neNew Caesare Scar?Ubungqina obujikeleze isixhobo asiyiyo inkxalabo kodwa kunokuxhalabisa. Abanye abafazi baxela ukuba abaziva bayijikeleze okanye nje phezulu kwecandelo labo leC-scar. Kwabanye ukusilela kwexeshana kwesikhashana, kwabanye kubunaphakade. Thetha oku kumgqirha wakho ukuba unemibuzo malunga nayo okanye ukuba kukukhathazayo.
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Buya Kukhangeleka Njani?Ukuphiliswa, icandelo leC-c ububanzi buyi-intshi ezi-4 ukuya kuma-6 ubude, nangona ubu bubungakanani buyahluka ngenxa yokubekwa kwe-incision kunye nobude obufunekayo ukuze kuzalwe umntwana wakho. Ubomvu buya kuncipha nangaphezulu kwexesha.
Ezinye izikram zithe cwaka xa abanye bephakanyiswa. Oku kuxhomekeke kwindlela umzimba wakho uphilisa ngayo. Ngamanye amaxesha, ngexesha lokuphulukisa, umzimba wakho uphendule kwindlela yokuhlinzwa ngokukhaba kwi-overdrive. Oku kunokuthetha ukuba unomqolo obandayo, owaziwa ngokuba ngumqhekeza we-hypertrophic. Olu hlobo lwenqabana luhlala kwindawo echanekileyo ugqirha wakho ugqirha, ngokungafani nesikhenkco se-keloid, esingaba sikhulu kwaye siphume ngaphaya kwe-original incision.
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Kuthatha ixesha elingakanani ukunyanga ukuphulukisa?Uya kuphawula ukuba indawo yecandelo le-C litshintshile ngokukhawuleza, ngokukhawuleza ukuba unganakuboni umehluko kwansuku zonke. Unokuthatha imifanekiso ukubona indlela inkqubo yokuphulukisa ibheka ngayo ixesha. Ekuqaleni, inkqubo yokuphulukisa ihamba ngokukhawuleza kwaye iinguqulelo zemihla ngemihla ziyakubonwa, kodwa emva koko, awufumani utshintsho olufihlakeleyo olubonakalayo.
Ixesha elithathayo ukuba icandelo leC-cure lokuphulukisa lihluke ukusuka kumfazi ukuya kumfazi. Ngamanye amaxesha kukho iziganeko eziza kuncipha okanye ziphazamise ukuphulukiswa kwakho, njengokutya okunesondlo, ukusuleleka, njl. Ukuhlala uphilile nokutya kakuhle kuya kunceda umzimba wakho wenze umsebenzi.
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Ngaba zikhona iziHlomelo ezithobekileyo?Wonke umntu onesisombululo uya kuba nohlobo olunzima. Indlela ekujonga ngayo ukuhlinzwa kuya kuxhomekeka kwizinto ezininzi, kuquka:
- Kudala kangakanani na ube necandelo lakho leC
- Udidi lwesicatshulwa esenziwe
- Zingaphi izinto eziye zenziwa kwiindawo ezifanayo
- Uhlobo lokulungisa ugqirha wakho
- Izinto ezisetyenziswayo (i-steri-strips, i-sutures, iglue, okanye i-staples)
- Indlela umzimba wakho uphilisiwe ngayo
- Ubungqina bakho besikhumba
- Umzimba wakho umkhwa wokukhanda
Xa isiqhekeza sakho siphilile, kwaye ngokuqhelekileyo, xa usenziwa ukongeza kwintsapho yakho, unokujonga kwiisombululo zexesha elide. Oku kungabandakanya uhambo oluya kwi-operesenti yeplastiki okanye i-dermatologist ye-odokotela okanye ukhetho lwezokwelapha.
Ungaphinda uzame ukunciphisa ukugqithiswa kwesiqabunga ngokusebenzisa ezinye iimveliso ezingaphezulu kwee-counter ezifana ne-silicone strips okanye ezinye iimveliso ezicetyiswa ngugqirha wakho. Kufuneka ukhuphe ukukhutshwa kwelanga ubuncinane ubuncinane kunyaka ukunciphisa umonakalo kwisisundu esibomvu. Abanye abaphandi bayancoma ukuba i-massages i-massage therapists eqeqeshiwe ngokukhethekileyo.
Emva kokuba ixesha lokuphilisa lokuqala liphelile, ukuba awuyivuyi ngokwenene ulwanga lwakho, kukho ezinye iindlela zokunciphisa ukujonga kwayo. Oku kungabandakanya imishanguzo njengama-injini ye-steroid kunye nakwiimeko ezinzima, unokukwazi ukuhlaziywa okwenziwe ukuzama ukususa isisindo esingaphezulu kwesibalo, nangona oku akuqhelekanga.
Ukuhlaziywa kwesiqhwa kaninzi kuthathwa ubuncinane kwiinyanga ezimbalwa emva kokuhlinzwa kwakho kokuqala. Yinkqubo yokucwangcisa enokuthi ingabhekiswa yi-inshurensi, kodwa iquka ukusika i-tissue tissue away kunye nokudala ulutsha olutsha oluthemba ukuba lunomdla olungakumbi.
Iiliti ze-Steroid ezijikeleze isiqabana zingenziwa ngokukhawuleza emva kokuba utyando lithembele ekuncedeni ukuthintela ukukhwabanisa kwe-hypertrophic or keloid. Inokuthi ihlawulwe yi-inshurensi, kodwa oko kuya kuxhomekeka kwi-coverage yakho. Iilenki zingadinga ukuba zinikezwe inyanga zonke ukuya kwiinyanga ezintandathu, kuxhomekeke kwisiqabana sakho.
Unyango oluthile lunye, kodwa alusususiswanga ngokupheleleyo. Le ntlawulo ye-out-of-pocket ithatha iseshoni ezininzi kunye neziphumo kwisiqabana esincinci kwaye sinemibala engaphantsi. Olu unyango luya kuqalwa kungekudala emva kokuphulukiswa kokuqala.
Inketho enkulu kunokuba isilungiso sesisu, esibizwa ngokuba ngumzimba. Oku kunqumla isahluko seC-c, kodwa kwandisa ulusu olongezelelweyo kunye namafutha kwindawo. Ingqumbo ebangelwa yimizimba ingaba mkhulu, ngoko qiniseka ukuba uyaziswa kakuhle phambi kokufumana inkqubo.
Igama elivela kwi-Verywell
Ukuba unenkxalabo okanye unemibuzo, kufuneka uwazise kumgqirha wakho. Ufanele umfonele umnxeba ngokukhawuleza ukuba ibomvu lakho libomvu okanye likhupha, okanye ukuba uqhuba umkhuhlane. Sebenza kunye nodokotela wakho ukuze uthole iziphumo zokuphulukisa ozifunayo.
> Imithombo:
> Gabbe SG. I-Obstetrics eqhelekileyo kunye neengxaki zokuTyala . Philadelphia, PA: Elsevier; 2017.
> Huppelschoten AG, van Ginderen JC, van den Broek KC, Bouwma AE, Oosterbaan HP. Izindlela ezahlukeneyo zeTisue eziNcinci kunye nokuvalwa koKhuseleko kwiCandelo leCesarean: Uvavanyo lweNzululwazi oluLungisiweyo kwiPhulo eliPhambi kwexesha elide. I-Acta Obstet Gynecol Scand . Ngo-Agasti wama-2013; 92 (8): 916-24. i-doi: 10.1111 / aogs.12142. Epub 2013 Apr 22.
> Ledon JA, Savas J, Franca K, et al. I-Intralesional Treatment ye-Keloids ne-Hypertrophic Scars: Ukuhlaziywa. UDermatol Surg 2013; 39: 1745.
> Mackeen AD, Berghella V, uLarsen ML. Amacandelo kunye nezinto eziphathekayo zokuvalwa kwesikhumba kwiCaareare Section. Cochrane Database Syst Rev. Ngo-2012 uNgo-14; 11: CD003577. i-doi: 10.1002 / 14651858.CD003577.pub3.