Kuberekerwa kana kuzvarwa kwepanyama - zviri nani?

Sezvazvinozivikanwa, maitiro ezvigadzirwa anofanira kugara achiyerera kuburikidza nekuzvarwa kwechirwere chekuzvarwa. Zvisinei, mumamiriro ezvinhu apo kune ngozi kune utano hwemucheche kana amai, chikamu chekudya chinogona kurongerwa.

Kazhinji, vakadzi vanotumirwa kunonoka, funga pamusoro pezvakanakisisa: kushanda kwakadaro kana kuberekwa kwepanyama. Kuti urinzwisise, zvakakosha kuenzanisa izvi zviviri maitiro pakati pavo.

Ndezvipi zvinobatsiro zvekuberekwa nenzira yepanyama?

Munyika dzekuMadokero, vanachiremba vari kutowedzera kutanga chikamu chechiedza, senzira yekuendesa iyo inorwadza vakadzi. Nokudaro, mubvunzo pamusoro pezvaunosarudza: chikamu chekuberekwa kana chekudzivirira, - inonyanya kutaura.

Zvisinei, munyika dzeCIS madzimai vanoomerera kune maonero ekuti girasi yekare inobatsira. Chokutanga pane zvose, ndezvekuti:

• mwana wacho zviri nani kutaridzirwa kuupenyu hwe extrauterine;
• kuderera kwehuwandu hwezvinetso mu postpartum period (dambudziko rekubuda ropa uye pashure pekuberekwa kwezvokuvhiringidza zvinopera kudarika chikamu chekushaya;
• kukurumidza kupora kwechikadzi chitunha;
• better lactation;
• Kunze kwezvipingamupinyi zvinosanganisira anesthesia.

Kana tichitaura pamusoro pezvakachengeteka: kuberekwa kana kuberekwa kwepanyama, saka kuberekwa kwechizvarwa chekutanga kunowedzera nyore uye, sekutonga, kune matambudziko mashomanana.

Ndezvipi kukanganisa kukuru uye njodzi dzinobatanidza nekudzivirira kwekusiya?

Chikamu cheKesaria ndicho, chokutanga chezvose, kupindira kwekuvhiya, iyo chero ipi zvayo inosanganiswa nezvimwe ngozi. Nokudaro, rudzi urwu rwekutumira runorongedzerwa mumamiriro ezvinhu chaiwo.

Munguva yekushanda, kune mikana yakawanda yezvinetso, muenzaniso wekuti ingangodaro kukura kwekubuda ropa, kukuvara kune nhengo dziri pedyo. Mukuwedzera, hatifaniri kukanganwa nezve anesthesia load, iyo isiri muviri wevakadzi wese unogona. Zvichida, izvi zvinotsanangura chokwadi chekuti izvi zvinorema kudarika kuberekwa kwepanyama.

Zvisinei, kune mamiriro ezvinhu apo kuburitsa kuburikidza nenzira dzepanyama hazvibviri. Zviratidzo zvechikamu chekushaya chirwere chinotevera:

• central placenta previa;
• multiple pregnancies;
• chirwere chinotapira mumakumbo mumukadzi ane pamuviri;
• acute fetal hypoxia;
• kuvapo kwezvirwere zvinopisa zvezvikamu zvekuberekwa.

Mukuwedzera, izvo zvinonzi "zviratidzo zvero" zvekuita chikamu chekudzivirira zvinoratidzika. Zvinosanganisira zvirwere zvese zvisingabatanidzi zviri muchitambo chekudzikinura, pamwe ne fetoplacental kusakwanira.

Mumuviri unodzoka sei mushure mekuberekwa kwepanyama uye mushure mokunge mushure mokusiya?

Kazhinji vakadzi vanofarira mubvunzo wakadaro, unorwadza zvikuru: kubvisa kana kuberekwa kwekuzvarwa. Asi vanhu vashomanana vanofunga nezvekudzoka kwemuviri mushure mokunge vasiya uye kana mushure mokuzvarwa.

Chikamu cheCesarea chinoitwa pasi peanesthesia yakawanda, saka mukadzi haanzwi kurwadziwa zvachose. Asi pakuita kuendeswa nenzira iyi, sekutonga, nguva yekudzorera yemuviri zvakare ndeyekare.

Saka anenge kwemazuva gumi mukadzi ari muchipatara pasi pekutarisirwa kwechiremba. Munguva ino, hutano hunoongororwa. kune uwandu hwepamusoro hwezvinetso, muenzaniso wekuti ungave uterine kubuda ropa. Mukuwedzera, mukadzi anotarirwa zuva rega rega nekurapwa kwepiriseptic ye suture, yakasara mushure mekushanda.

Nokudaro, kufunga pamusoro pezvasarudze kusununguka kana kuzvisikwa kwepanyama, mukadzi anofanira kuongorora zvose zvinobudirira uye zvakashata. Kana pasina zviitiko zvakananga zvekuita kuendeswa kwekudzivirirwa nekusiya, ipapo mukadzi anofanira kuchinjwa kugadzirwa kwechikoro. Panguva imwecheteyo, inofanira kuyeukwa kuti iyi ndiyo nzira yakanakisisa yechecheche, inovandudza kugadziriswa kwayo kumamiriro matsva.