Kuberekwa kwomwana hakusi nguva dzose kunogona kuburikidza nenzira dzepanyama. Kazhinji, vananyamukuta vanoenda kune cesarean. Izvo zvinofanira kuonekwa kuti nzira iyi yekubudisa ine maonero akanaka uye akaipa. Ngationgororei zvakajeka muchikamu chekuvhara, chikamu uye zvinyorwa zvekushanda kwakadaro, tinoreva zviratidzo kusvika pakuziva kwayo.
Ndezvipi zviratidzo zvekuregererwa kwekutora?
Tisati takurukurirana chikamu chekurapa zvakadzama, kutumidza maitiro nehutano, tinocherechedza kuti kurapwa uku kuri kurongwa mberi. Vanachiremba vanodzidzisa vakadzi vane pamuviri, vakagadzirira kuvhiyiwa. Chidikanho chazvo chinogadziriswa nemamiriro ezvinhu, zvose pamuviri uye fetus. Iro tsika yekupa:
- nhamba dzinoratidza - mamiriro ezvinhu apo kuitisa chirwere kunopedza njodzi yezvinetso;
- Zviratidzo zvachose ndiyo mamiriro ekushandiswa kwaanoitwa ndiyo nzira chete yokuti mwana aonekwe.
Saka, pakati pezvinoratidzirwa zvinoratidzirwa zvekuregererwa kwekutaura, vanachiremba vanoziva kuti:
- anatomically pelvis pfini yechirungu chekutanga;
- huremu hwe fetus hunopfuura 4 kg, apo mharidzo inonzi musoro, uye inopfuura 3.6 kg - nechevhiri;
- kubata nguva isati yasvika ;
- akadanidzirwa kuwedzera kwezviputi zvemukadzi nemukomana;
- kusagadzikana kwechibereko;
- basa rekushaya simba;
- Zera rinopfuura makore makumi matatu;
- gestosis ;
- utachiona hwehutano hwekubereka.
Zvinyorwa zvinoreva chikamu chekusiya
Mumamiriro ezvinhu akadaro, basa racho rinova rinokosha - rutivi rwemucheche kuburikidza nekuberekwa kwechirwere kune dambudziko guru rekufa kwake. Pakati pemamiriro ezvinhu ane zvirevo zvakakwana zvekuvhara, kupa:
- anatomical kupenya kwemapanga 3-4 degrees;
- kukanganiswa kwemapfupa emapfupa nemakumbo, tsvina;
- kuvapo kwemaitiro makuru emararamiro (uterine myoma, tumarara yemuvhiri);
- chikwereti chakakwana kana chikamu previa;
- chikwata chisati chasvika chepascenta inowanzogara;
- acute fetal hypoxia;
- kutyisidzira kuputsa kwehutano hwechiberekwa - kupera kwechibereko;
- kuchinja kwechibereko chechibereko pamubereki;
- eclampsia;
- kutenderera nzvimbo ye fetus mubereki.
Emergency cesarean section - zviratidzo
Kutaura nezvechikamu chechiesarea, chekuwedzera uye kushandiswa kwemaminitsi ekushanda, zvakakosha kuziva kuti pane dzimwe nguva chisarudzo chekubata icho chinotorwa nguva shomanana kusati kwatanga kuendeswa kana panguva yekutanga kwebasa. Chikamu cheEmergency cearean chinobatsira kuchengetedza hupenyu hwemwana, kubvisa zvinetso zvekuberekwa. Zviratidzo zvekushandiswa kwayo ndezvi:
- Clinically narrow pelvis. Nokuputsa kwakadaro kwehukuru hwemapapiro hahufanani nehukuru hwemucheche. Nemhaka yeizvi, haakwanisi kuzvimiririra mberi kuburikidza nezera rekuzvarwa.
- Kuparadzaniswa kwepakutanga kweamniotic fluid , umo kusisirwa kwebasa nemishonga hakuiti zvibereko.
- Detachment of the placenta. Nokuputsa kwakadaro, mwana anorega kugamuchira oxygen, achiri muchibereko. Kukurudzira hypoxia , iyo inogona kutungamirira kurufu.
- Uterine kubuda ropa. Kurwisana, kunokanganisa kubatana kwenzvimbo yemwana nehutanda hwomukati, izvo zvinotungamirira mukuputsa kwekutendeka kwemidziyo.
- Kubuda kwechibereko.
- Oblique kana nzvimbo inopinduka yemwana muuterine cavity.
- Kurasikirwa kwemubilical cord loops kana kuswedera pedyo neutterine throat. Mumamiriro ezvinhu akadaro, kuberekwa kwezvisikwa kwakazara nechokuti iyo fetus, inofamba pamugwagwa wekuberekwa, inogona kugadzikana.
Chikamu cheKesariya pasina uchapupu
Vanaamai vakawanda munguva yemberi, vachifunga nezvekuderedza kushungurudzika uye kurwadziwa kunoenderana nekuberekwa, bvunza vanachiremba pamusoro pekuregererwa pasina uchapupu. Zvakakosha kuziva kuti chiitiko ichi hachiwanzoshandiswa nemishonga. Vadzidzisi vezvipfeko vanoyeuchidza vanaamai munguva yemberi: chikamu chekuchengetedza chirongwa chinopindira chinobatanidza miitiro yakawanda (inopesana neanesthesia, njodzi yakakura yehutachiona hweronda rinotevera). Kana achitya kutambura nekurwadziwa zvichienderana nekutaridzika kwemucheche, mwana wepenestine anesthesia anopiwa seimwe nzira.
Contraindications kune cesarea chikamu
Kutanga, inofanira kurehwa kuti hapana maonero akasiyana-siyana ekuvhiya kwakadaro. Asi panguva imwecheteyo, vanachiremba vanoyeuchidza vanaamai kuti njodzi yekudzivirira chikamu ingozi yakakura yehutachiona, kukura kwezvinetso zve purulent-septic. Mune zvimwe zviitiko, akapiwa chokwadi ichi, izvi hazvirevi kuti:
- intrauterine fetal death;
- kutengesa kwepakadzika;
- kukanganisa kwe fetus;
- nguva refu, yakasimba hypoxia yemucheche;
- zvirwere zvinotapukira muhutano hwekubereka;
- kuberekwa kwenguva refu - maawa anopfuura 12;
- kuvepo kwekacheka pachibereko chinoputika mafudzi emusumbu mushure mekushandiswa kwekare.
Chikamu cheCesarea - migumisiro
Kukanganisa kwechikamu chekushaya chirwere kunowanikwa mukukanganisa kwakaipa pamuviri wezvinodhaka zvinodhaka. Kuvhiya kunoitwa pasi peanesthesia. Mukadzi haanzwi kana zvachose. Nemhaka yeizvi, panguva yekuguma kwechiito chacho, amai vanogona kusangana nezvinhu zvakadai sokuti:
- chizoro;
- nausea;
- kurutsa;
- headache.
Ndeupi anesthesia zviri nani kune chikamu chesaaresa?
Anesthesia ine chikamu chechiesarea inosarudzwa ichifunga nezvemamiriro emadzimai ane pamuviri, kushayikwa kwevamwe mapoka emishonga. Kana iri rudzi rweaneshesia, vanachiremba vanosarudza huwandu, endotracheal. Nemhando iyi yeanesthesia:
- iyo inobata tsvina inopinda zvishoma nezvishoma kuburikidza ne-placenta, iyo inoderedza kuwedzerwa kwaro kuitika pamucheche;
- kunoderedza ngozi yezvinetso zvinokonzerwa nokuvhiringidzika kwemhepo yekufema: chigadziro chinobvisa carbon dioxide kubva mumuviri wevarwere ndokuchipa ichocho nemhepo;
- Izvozvo zvinoshandiswa zvakanyanyisa, kana zvichidikanwa, kukosha kwayo kunowedzera nyore;
- chiyero chekuzadza muviri nemweya inotariswa.
Chikamu cheCesarea, maitiro uye maonero evarapi
Kuti unzwisise kuti nei vanachiremba vari kurwisana nechikamu chekushaya chirwere, zvakakosha kuongorora zvimwe zviitiko zveizvi. Chinhu chikuru ndechekuti mwana anooneka nokukurumidza, apo gadziriro yekugadzirira yemuviri mutsva, kufambira mberi kwayo kuburikidza nekuberekwa kwechirwere, sekunge kuberekwa kwepanyama, hakusipo. Somugumisiro wekugadzirisa kugadziriswa kwezvinhu zvitsva zvakatipoteredza hazviumbwa. Izvi zvinoshamisa, maererano nenyanzvi, zvinowanzova tsanangudzo yekuderera kwehutachiona mune idzi vana, zvirwere zvinowanzoitika.
Tichifunga nezvekushanda kwakadaro sechikamu chekudzivirira, kuwedzera pamwe nekuderedza, pakati pezvakanaka, vanachiremba vanosiyanisa:
- kunyatsogadzirisa kwekuita;
- kusavapo kwekukuvara kwekuzvarwa;
- kusabatwa kwekutambudzwa kwekanaya yekuzvarwa ( ruptures ye perineum, vagina).
Chikamu cheCesarea - zvinotsigira uye zvinononorera mwana
Kesariya chikamu chinokuvadza mwana kumuberekwa nokukurumidza. Maitiro ekufema uye kupararira kwemucheche haana nguva yekufananidza nemamiriro matsva. Saka paunofamba uchibva mumvura inobereka kubva mumapapu, ayo amniotic fluid iyo mwana anokanganisa yakawirwa. Pane chikamu chechiesarea chechiitiko ichocho hazvizivikanwi, icho chakakanganiswa nekugadziriswa kwekushaya asphyxia kana kuputika.
Kana zviri zvezvibereko zvecheche Kesariya, zvinotevera:
- kuderedza ngozi yehutachiona;
- kubviswa kwekukuvara kwekuberekwa.
Chikamu cheCesarea - zvinokurudzira uye zvinotora amai
Tichifunga nezvechikamu chekushaya chirwere, uye nekupikisana nekushanda uku, zvakakosha kutaura kuti kumudzimai wakadaro kutakura kune zvakawanda zvakanaka. Mucheche haanzwi kurwadziwa zvachose. Zvose izvi zvinotungamirirwa navanachiremba. Ngozi yezvinetso zvinoderedza panguva yekuzvarwa. Kana zviri zvezvinhu zvisina kunaka, pakati pezvinhu zvikuru:
- ngozi yekutapukirwa;
- kurasikirwa kukuru kweropa;
- kuderera kwebasa rekuita (kubvisa, flatulence, kuvimbiswa);
- kwenguva refu yekudzikinura;
- kurwadziwa kunorwadza mumazuva anotevera - mazuva mashomanana zvakaoma kufamba, kupfugama, pakupedzisira marwadzo anopfuura mumwedzi.