Kukho imimiselo emininzi kunye nama-acronyms aphonswa kwinqanaba lezonyango, kwaye ukukhulelwa kunye nokunakekelwa kokubeletha akufani. Xa uhamba ukujonga isatifiketi sakho sokunakekelwa kokubeletha okanye iirekhodi zakho zonyango, ngokukodwa, unokuba uzive ngathi uzama ukufunda ulwimi oluhlukile. Amagama asetshenzisiweyo asetyenziswe ukuba abe nemigangatho ehambelanisiweyo ukwenzela ukuba nawuphi na ugqirha okanye umbelethisi owathatha ishati yakho uya kuqonda ukuba yintoni unyango olwalufumanayo, kwaye yintoni imbali yakho yonyango kunye nempilo.
Oku kunokuba nzima ngakumbi xa unayo umntwana ozelwe ngaphambi kwecandelo le-c.
Emva kokuba usuqhelile ukuhlinzwa ukuba ubelethe umntwana, irekhodi lakho lezonyango liya kufuneka libonise oku ngezizathu ezahlukeneyo. Esi sizathu sokuqala kukuba unesiqhekeza kwisibeletho sakho. Nangona oku akusiyo kuphela isizathu sokuba unobumba kwisibeletho sakho, esinye sezizathu eziqhelekileyo. Imbali yakho yezonyango kufuneka uqaphele isizathu sokuba unecandelo le-c. Ngokomzekelo, ezinye zezizathu zizinto ezicacileyo ekukhulelweni okanye umntwana kwaye akunakwenzeka ukuba ziphinda ziphinde zenzeke, njengengcinezelo yokutshatyalaliswa ngenxa yokungeniswa okanye nokuba ngumntwana okhulayo. Ezinye izizathu zecandelo le-c zinokuthi zenzeke kwakhona. Oku kunokukunceda wena kunye nodokotela wakho okanye umbelethisi ukuba ucwangcise ukukhulelwa kwakho kunye nokuzalwa okulandelayo.
Ininzi yabasetyhini abanamacandelo angaphambi kwe-c baviwa abafanelekileyo ukuba babe nokuzalwa kwesisu ngokukhulelwa okulandelayo .
Oku kwaziwa ngokuba ngumama wesisu emva kwe-laarean okanye i-VBAC. Abanye ootitshala baya kuchitha ixesha elide bathetha ngendlela abasebenzi abaza kuhamba ngayo kulokhu kukhulelwa okutsha, banikezela oko kudla ngokuba kubizwa ngokuba yi-trial of labor after afteran or TOLAC. Oku kubhekisela kumzamo wokuzama ukusebenza ngexesha lokuzalwa kwesisu emva kwe-laarean (VBAC).
Abaxhasayo be-VBAC bathi le sigama sinengqondo embi kwaye ikhuthaza abafazi ukuba bacinge ngamathuba okuphumelela.
I-American College of Obstetricians kunye ne-Gynecologists (ACOG) bakholelwa ukuba i-VBAC iyindlela ekhuselekileyo kubaninzi besifazane, nokuba ngaba babekho ababini bezithuba eziphambili ngaphambi kokuba bafumane uhlobo oluthile lokubakho. Le yilapho iirekhodi zakho zezokwelapha zingena ngokufanelekileyo ukuze zibonise naluphi na ootitshala abatsha abanokuthi bahlobo luni lokubethelwa lusetyenziswe ekuzalweni kwakho kwangaphambili.
Kungakhathaliseki ukuba ubiza ntoni, i-VBAC okanye i-TOLAC, yokuzalwa kwesisu ingaba nenzuzo kumama nosana. Qiniseka ukuba uthethe ugqirha okanye umbelethisi malunga neengozi kunye neenzuzo kwimeko yakho. Unganqikazi ukufumana imbono yesibini, oku kungasigqibo esikhulu kwaye akubona bonke abasebenzi abakholelwa ukuba i-VBAC imele ihanjiswe naphezu kweenzuzo zayo ezibonakalisiweyo kwindlela yokujonga abantu.
Imithombo:
I-Landon MB, i-Hauth JC, i-Leveno KJ, iSpong CY, i-Leindecker S, i-Varner MW, kunye ne-al. Iziphumo zoMama kunye nezizwe ngezizwe ezichaphazelekayo kunye nolwaphulo lwabasebenzi emva kokuhanjiswa kweenkonzo zangaphambili. ISiko leSizwe seMpilo yabantwana kunye noPhuhliso lwaBantu baseMantal-Fetal Medicine Units Network. N Engl J Med 2004; 351: 2581-9.
AmaZiko eZiko lezeMpilo. INgqungquthela yoPhuhliso lwentsebenziswano ye-NIH: Ukuzalwa kwesisu emva kokusuka kwezilwanyana: ulwazi olutsha. Inkcazo yeNgqungquthela yoPhuhliso lwentsebenzo IBethesda (MD): i-NIH; 2010.
Ukuzalwa kwama-vaginal emva kokuhanjiswa kwexesha elidlulileyo. Jonga i-Bulletin Nombolo 115. Ikholeji yaseMerika yase-American and Gynecologists. I-Obstet Gynecol 2010; 116: 450-63.