Icandelo le-Caesarea ngumsebenzi owenziwa ngabasetyhini ababelethayo ukuba kukho izizathu ezithile zokuba kutheni umfazi engakwazi ukuzala yena. Emva kwecandelo le-laarean, i-cicatrix yenziwa kwi-uterus kwaye, phantsi komqathango wokunikezelwa ngokuphindaphindiweyo, u-incision isenziwa nge-rumen. Ukuba ibhinqa icwangcisa ukukhulelwa emva kwecandelo le-shedare, kufuneka licetywe ngaphaya kweminyaka engama-3. Ngokucwangcisa kwangaphambili emva kwecandelo le-calar, isiqhekeza asikwazi ukuba sisome ngokwaneleyo kwaye sikhokelela kwingxaki enzulu engaphelisa ukufa komama kunye nomntwana.
Ucwangciso lokukhulelwa emva kokuhanjiswa kwexesha
Ukukhulelwa okuphindaphindiweyo emva kwecesarean section kufuneka kucetywe. Ukulungiselela ukukhulelwa kowesifazane emva kwecandelo le-quarantine kufuneka lenziwe ngumgqirha wesigqirha esaziwayo. Umfazi onjalo unconywa ukuba abe ne-hysteroscopy ukuqinisekisa ukuba unokukhulelwa ngokuphindaphindiweyo emva kwecandelo le-cantare kunye nokuqikelela ikhosi yayo.
Ibhinqa elikhulelweyo emva kwecandelo lesajaji kufuneka ibhaliswe ngokukhawuleza kwangoko kwaye ngexesha lokufumana zonke iimviwo eziyimfuneko. Ngethuba lokuhlolwa kwe-ultrasound, ugqirha kufuneka ukuba ahlolisise imeko yecala lokuhamba emva. Ngokutsho kwimiqathango emitsha ye-obstetric-gynecological protocols ka-2011, abafazi abanomqolo wesibeleko banganikela ngokuzalwa kwemvelo emva kwecandelo le-calasan . Nangona kunjalo, ityala ngalinye kufuneka libhekiswe kumntu ngamnye, ngokucokisekileyo ukuhlola iimpawu zokusebenza kwangaphambili ngexesha lokubeletha. Ngoko ke, ukuba izibonakaliso zokuhanjiswa kweenkonzo zibude bude, ukungaphumeleli kwentuthuko ye-pelvic, okanye ubuthathaka bentsebenzo, ngoko-ke loo mfazi akufanele anikezelwe ukuba azalise yodwa.
Ukuba ukukhulelwa okwesibini emva kokugqithiswa kwe-cereus kuphelile kunye nokusebenza, ngoko ke umfazi onjalo unikezwa ukuba atshabalalise izigubhu ze-fallopian. Ukukhulelwa okwesithathu emva kwesigaba sesibini seKesariya kuphelele kwi-100% kunye nokuhlinzwa. Umgqirha onjalo ofanelekileyo akayi kuzinikela ngokuzimela ngokuzimela, kuba umngcipheko wokuzalwa okunjalo uphezulu kakhulu kunokuba usebenze kwicandelo lesithathu le-caesarean .
Ukukhulelwa kwamawele emva kwecandelo le-caesarean kulindeleke ukuba lithathwe ngqalelo ekhethekileyo, apho ubele lukhula ngakumbi ngakumbi, kuba lukhula ngokukhawuleza u-fetus 2 kunye nomngcipheko wokunciphisa i-rumen. Ukukhulelwa emva kwamacandelo amabini asemacaleni kufuneka azaliswe ngokukhawuleza kwiiveki ezingama-37-38.
Ukuphazamiseka kokukhulelwa emva kwecandelo lesahla
Ukukhulelwa emva kwecandelo le-quarantine, elenzeke ngaphaya kweminyaka emibili emva kokuhlinzwa, linconywa ukuba lunqunywe. Emva kokuqala kokukhulelwa emva kweenyanga ezintandathu emva kokuphuma kwecandelo, umfazi unikwa isisu okanye isisu sokukhipha isisu. Ukupheliswa kweMithi yokukhulelwa emva kwecandelo le-calarans lwenziwa kwithuba elifikelela kwiintsuku ezingama-49. Kwiimpawu zokukhupha isisu, sinokubangela ukwanda kwithuba lokuphuma kwegazi
Ngaloo ndlela, sihlolisise iimpawu zokulungiselela umfazi ngokucwangcisa kokukhulelwa emva kwecandelo le-shedding, ukukhethwa kwezibonelelo, kunye nokuzikhethela kokukhipha isisu kwabesetyhini abafumana ukunikezelwa kokusebenza.