Njengoko iinqununu zecandelo lesahara liphezulu kwaye inani lokuzaliswa kwesisu emva kweentare (VBACs) ziyawa, kunabesifazane abaninzi abanamaqela amaninzi. Inzululwazi emva kwokhuseleko lwabaphindaphindiweyo ithi i-operesheni ye-cerebral ye-cereal you havean, i-riskier ye-surgeries yenzelwe wena kunye nosana. Ingozi ngokwaneleyo yokuba iSiko leSizwe lezeMpilo (NIH) litsho ukuba mhlawumbi akufanele ukhethe i-cearean ukuba ufuna abantwana abangaphezu kweebini okanye abathathu.
Ziziphi iingozi Zeesareya ezininzi?
Phakathi kwezinto ezinobungozi kwiindawo ezininzi ezibandakanya umngcipheko kubandakanya umngcipheko we- placenta previa, i-placenta accreta, kunye ne-hysterectomy . Le mngcipheko ekukhulelweni kuya kunyuka kunye nomntu ngamnye kwaye unempilo yempilo ebomini nomntwana.
"Ndiyicinga ukuba akuchazwanga kakuhle kum," watsho uAmanda, emva kokutshatyalaliswa kwamathathu. "Ndayazi ukuba nosana emva kwecandelo le-c liye landisa ingozi, kodwa andizange ndiqonde ukuba yenyuka emva kokuhlinzwa."
Kukho iingxaki zomama ezihambelana ngqo nokuhlinzwa, njengokwenyuka kwesilonda, ukuvunywa kwe-ICU, ukusebenzisa i-ventilator post-operative, i-cystotomy kunye nokunye. Ezi nanjalo zanda njengoko inani labafundi landa. Ukuhlinzwa kwakhona kunzima kunzima ukuyenza kunye neesisundu, oku kuthetha ukuba ukuhlinzwa kuthatha ixesha elide ukwenza.
Ukunyamekela kwangaphambili
Olu konyuka kumngcipheko lunempembelelo kwimpilo kamama, impilo yengane, amazinga okukhulelwa kwangaphambili kunye nempilo yokukhulelwa kwangaphambili.
Ukuba umngcipheko ukhuphuka ngokukhulelwa ngamnye okuya kubakho enye inkathazo, ngoko ubomi bomntwana nonina bunokubeka ingozi. Ngokuqinisekileyo oko akuthethi ukuba awuyi kunyangwa xa ukhulelwe emva kwezinto ezintathu, kodwa oko kuthetha ukuba unokukhulelwa okuphezulu kwaye unokufuna unonophelo olulodwa.
Isigqibo sesigaba sokuqala okanye sokuqala sokungcebeleka akufanele sithathwe ngokulula okanye ngaphandle kwesizathu sonyango, ngokwe-American College ye-OB / GYNs. Abanye abaphandi baphakamise ukuba i-tubal ligation inconywa ngoomama abanamalungu angaphezu kwethathu ukuba bancede bakhuthaze ukuba baphephe le mngcipheko.
U-Amanda uyakhumbula le nto: "Ugqirha wam wokugqibela uzame ukungenza ndibe ne-hysterectomy emva kokuba ndibe nosana lwam wokugqibela." Watsho ukuba kwakuyingozi kakhulu ukukhulelwa kwakhona. Ndathi ndaphiliswa kakuhle, ndingazange ndibe nesifo, kwaye ndandingumfundi ococekileyo omnye umntwana, nangona mngcipheko. "
Imithombo:
I-Gasim T, i-Jama FE, i-Rahman MS, i-Rahman J. Izihlandlo ezininzi zokuphinda ziphindaphinda: ubunzima bokusebenza, iingxaki zomama kunye nesiphumo. J Reprod Med. 2013 Jul-Aug; 58 (7-8): 312-8.
Ukuxhatshazwa kwamacandelo amaninzi. I-Makoha FW, u-Felimban HM, uFathuddien MA, uRoomi F, uGhabra T. Int J Gynaecol I-Obstet. 2004 Dec; 87 (3): 227-32.
Ukuxhatshazwa komama okubandakanyeka nokuphindaphinda okuphindaphindiweyo. I-Silver RM, i-Landon MB, i-Rouse DJ, i-Leveno KJ, i-Spong CY, i-Thom EA, i-Moawad AH, iCaritis SN, i-Harper M, i-Wapner i-RJ, i-Sorokin Y, i-Miodovnik M, u-Carpenter M, u-Peaceman AM, uOsullivan MJ, uSibai B, Langer O, Jp Thorp, Ramin SM, Mercer BM. Gstecol Obstet. 2006 Juni; 107 (6): 1226-32.
Ukukhusela okukhuselekileyo ukuhanjiswa kweprayimari eziphambili. Ukubambisana kweNkcazo yokuThutyana kweNkundla ye-Obstetric No. 1. Ikholeji yase-American College of Abstetricians kunye neGynecologists. I-Obstet Gynecol 2014; 123: 693-711.