Kurota kwomudzimai wese kunokurumidza, nyore, kubereka kusarwa. Saka, nanhasi vanaamai vazhinji, avo vakamirira mwana wavo wokutanga uye vanotya kuberekwa kwepanyama, vangada kubereka nechikamu cheKesariya. Zvisinei, munyika yedu, mukadzi ane pamuviri haafaniri kodzero yekusarudza nzira yekupa, chisarudzo chekuvhiya chinotorwa navanachiremba vechipatara. Asi ngatitorei zvakanakisisa - chikamu chekudzivirira kana kubereka kwepanyama.
Zviratidzo uye kupesana kwechikamu chechirea
Kushanda kwechikamu chekudya chinokonzerwa (kana ichizivikanwa pamusoro pekusakwanisa kwekuberekwa kwepanyama kunyange panguva yekuzvimba) uye kunetseka (apo zvinetso zvakakomba zvinomuka mukugadzirwa kwekuzvarwa kwepanyama).
Zviratidzo zvechikamu chinorongwa chekudzivirira ndeichi:
- anatomically narrow pelvis kana anomalies muzvigadziro zvemapuranga;
- matumbo uye genitourinary fistulas muvakadzi vane pamuviri;
- akadaro varicose veine mumudzimai;
- Complete placenta previa;
- tsanga pachibereko;
- mharidzo inoshandiswa kana utsi hwepamusoro;
- chibereko chikuru;
- mharidzo yesimbi yombilical;
- yakagadzirirwa fetoplacental insufficiency;
- zvirwere umo kuberekwa kwepanyama kunopesana (chirwere chemwoyo, myopia, chifupa, chirwere cheshuga, nezvimwewo);
- kubata pamuviri nemahara ekuberekwa asina kuzvigadzirira;
- kusagadzikana mukukudziridzwa kwechibereko, zvipuka kana matumire emuviri wechibereko, vagina kana perineum.
Emergency cesarean chikamu chinoitwa munyaya dzinotevera:
- kupera nguva isati yakwana ye amniotic fluid kana fetoplacental kusakwanira mukusabatwa kwemagumisiro ekugadziriswa kwemaawa maviri;
- chikwata chisati chasara chepascenta chaiyo kana yakaderera;
- kutanga kwekuputika kwechibereko kana kutyisidzira;
- acute fetal hypoxia;
- nzvimbo isina kururama kana mharidzo ye fetus;
- eclampsia yevakadzi vane pamuviri kana kukura kwegestosis, iyo isingakwanisi kurapa;
- kusiyanisa pakati pehukuru hwemapapiro emamai uye musoro wemwana panguva yekuberekwa;
- hondo dzisina simba kana dzisina.
Izvo zvinopesana nechekuita kwechikamu chekuchengetedza ndezvekushaya mucheche muchetura, kusingapindirani nemararamiro ehupenyu hwemucheche uye kuvapo kwezvirwere zvakakomba zvinotapukira mumukadzi ane pamuviri.
Migumisiro yechikamu chechiesarea chemai
Kunyange iwe unotya kurwadziwa pakuberekwa, usaedza kunyengetedza chiremba kuti akupe chikamu chekusiya. Mukadzi akafanirwa kubereka mwana muchiedza nenzira yechisikigo, kuburikidza nekuberekwa kwechirwere. Zuva rimwe nerimwe zviuru zvemama zvinopfuura izvi, zvechokwadi, zvakaoma, zvinonakidza uye nenzira yakanakisisa.
Chikamu cheCesarea chakaonekwa senzira yekuponesa mwana ari mudumbu remukadzi anenge afa kana kuti mukadzi akafa. Pasinei nechokwadi chokuti mumazuva ano chikwata chemahara chinenge chapararira, uye kunze kwenyika basa iri rinowanzoshandiswa semamwe nzira yekuberekwa kwepanyama, chero ani zvake anozvidzivirira-gynecologist acharayira kubereka oga (zvirokwazvo, kana pasina zviratidzo zvekurega).
Chikamu cheKesariya chikoro, munguva uye shure iyo zvinetso zvakakomba zvinogona kubuda: kubuda ropa, kukura kwehutachiona kana kubata muchembera . Chikamu cheKesariya chinotyisa here? Muchiitiko ichi, sekushanda kupi zvako, kune nguva dzose njodzi yekukuvadza nhengo dzomukati, uye mumatambudziko mashoma, mwana.
Mushure mokuberekwa kwebasa, mutumbi wemukadzi unodzorerwazve kwenguva refu kupfuura mushure mekuberekwa kwepanyama. Ndeipi iyo inosunungurwa mushure mechikamu chekusiya? Kazhinji izvi zvinoitika musi we6-7. Mumazuva okutanga emangwana mutsva, zvakaoma kutama, zvakaoma kudyisa mwana, kumutora mumaoko ako. Mukuwedzera, basa rinotevera rezvemhuka mushure mekusiya chikamu hachisi nguva dzose inogoneka. Uye kuberekwa kwechisikigo mushure mekudzivirirwa kwechipiri kune ngozi yakawanda, iyo isingaiti vose vanogadzirisa zvipfeko vanobvuma kutora ivo pachavo.
Saka chii chakanaka: kuberekwa kana kuberekwa kwepanyama? Zvechokwadi, iyo yekupedzisira. Kunyange zvakadaro, kana iwe uine zviratidzo zvekuregera, usaisa upenyu hwako pangozi uye utano uye kurapa chirwere.