Mukati
Kesariya chikamu kuvhiyiwa: chii chaunoda kuziva? Vhidhiyo
Kusununguka hakuwanzoitiki kwoga, uye kazhinji kacho mwana anobviswa pamuviri waamai nokuvhiyiwa. Pane rondedzero yezvikonzero zvechikamu cheKesariya. Kana zvichidikanwa, kuvhiyiwa hakugone kuitwa, uye chete nyanzvi inokwanisa munharaunda yechipatara ine kodzero yekuzviita.
Kuvhiya kwechikamu cheKesariya
Zvikamu zveKesariya zvinoitwa apo kuberekwa kwepanyama kunotyisidzira hupenyu hwaamai kana mwana.
Kuverenga kwakakwana kunosanganisira:
- zvimiro zvemuviri umo "fetus" haigone kupfuura nemugero rekuzvara iri yega
- uterine fibroids
- genital tumors
- kuremara kwemapfupa epelvic
- Ukobvu hwechibereko husingasviki 3 mm
- kutyisidzira kwekuputika kwechibereko pamwe chete nevanga
- yakakwana placenta previa kana kuputika
Zviratidzo zvehukama hazvikoshi zvakadaro. Vanoreva kuti kusununguka kwemukadzi hakupikiswe, asi kunotakura njodzi huru.
Mubvunzo wekushandisa kuvhiyiwa munyaya iyi inosarudzwa mumwe nomumwe, tichifunga nezvese zvinopesana uye kunyatsodzidza nhoroondo yemurwere.
Pakati pavo pane:
- chirema chemoyo waamai
- kushaya itsvo pamukadzi ari kurwadziwa
- kuvapo kwepamusoro myopia
- hypertension kana hypoxia
- kenza chero ipi zvayo nzvimbo
- Gestosis
- nzvimbo yakachinjika kana kuratidzwa kwebeche re "fetus".
- kushaya simba kwebasa
Chikamu chekurumidzira checesarean chinotarwa kana, panguva yekuzvarwa kwechisikigo, matambudziko akamuka anotyisidzira hupenyu hwaamai nemwana, kutyisidzirwa kwekuputika kwechibereko pamwe nevanga, kusakwanisa kubvisa mwana pasina kukuvara, kamwe kamwe placenta kuputika uye zvimwe. zvinhu.
Kugadzirira chikamu cheKesariya
Kuberekwa nerubatsiro rwekuvhiya kunoitwa, sekutonga, maererano nehurongwa, asi kunewo zviitiko zvekukurumidzira, zvino zvose zvinoitika pasina kugadzirira kwekutanga kwemukadzi ane pamuviri. Chiremba anovhiya anofanira kutanga awana mvumo yakanyorwa kubva kumukadzi ari kurwadziwa kuti avhiyiwe. Mugwaro rimwechete, rudzi rweanesthesia uye zvinogona kuitika zvinorayirwa. Zvadaro kugadzirira kusununguka kunotanga munzvimbo yechipatara.
Zuva risati ravhiyiwa, iwe unofanirwa kudzikisira kudyiwa kwemakhahydrates nemafuta, zvakakwana kudya nemuto uye kudya nyama yakaonda yekudya kwemanheru.
Pa18 o'clock inobvumirwa kunwa kefir kana tei.
Usati waenda kunorara, unoda kutora mvura yehutsanana. Kurara zvakanaka usiku kwakakosha, ndicho chikonzero vanachiremba vanowanzopa mushonga wekunyaradza. Enema yekuchenesa inoitwa maawa maviri isati yaitwa. Kuitira kudzivirira deep vein thrombosis, post nyamukuta anosunga makumbo emukadzi nebhandeji relastic oenda naye kuimba yekuvhiya pagurney.
Izvo zvinodikanwa kutenga nguva isati yasvika mvura yekunwa ine vhoriyamu isingapfuuri 1 litre uye 2 elastic mabhandeji ane kureba angangoita 2,5 m imwe neimwe. Zvinonyanya kushanda kurongedza zvinhu zvemwana mubhegi hombe rinobatika worisaina
Kuvhiya kwechikamu cheKesariya
Pazuva rekupindira, mukadzi ane vhudzi rake re pubic uye rezasi redumbu rakaveurwa. Vanamukoti vekumutsiridza vanoisa IV system uye IV mutsara. Catheter inopinzwa muvurethra kuita kuti dundira riite diki uye riite shoma. Iyo cuff ye blood pressure monitor inowanzoiswa paruoko.
Kana murwere akasarudza epidural, catheter inoiswa pamusana wake. Inzira isingarwadzi inoitika pasina kana mhedzisiro. Muchiitiko apo general anesthesia inosarudzwa, mask inoshandiswa kune chiso uye inomirira kuti mushonga ushande. Pane zvinopesana kune imwe neimwe yerudzi rweanesthesia, iyo inotsanangurwa zvakadzama neanesthesiologist isati yaitwa.
Usatya kuvhiyiwa. Kuberekwazve mushure mechikamu cheKesariya kazhinji kunowanzoitika
Chidzitiro chidiki chinoiswa pamwero wechipfuva kuitira kuti mukadzi asaone maitiro. Obstetrician-gynecologist anobatsirwa nevabatsiri, uye nyanzvi kubva kudhipatimendi revana vari pedyo kuti vagamuchire mwana chero nguva. Mune mamwe masangano, hama yepedyo inogona kunge iripo pakuvhiya, asi izvi zvinofanirwa kubvumirana pachine nguva nevatungamiriri.
Zvinokurudzirwa kuti hama dzemukadzi ari kusununguka dzipe ropa panzvimbo yekuisira ropa kana paine matambudziko panguva yekuvhiyiwa.
Kana mwana akazvarwa aine hutano, anobva aiswa pazamu raamai vozoendeswa kuwadhi yevana. Panguva ino, mukadzi anoudzwa mashoko ake: uremu, kureba uye utano mamiriro pachiyero Apgar. Mukuvhiya kwechimbichimbi, izvi zvinoshumwa gare gare, apo mukadzi ari kurwadziwa anosiya kubva kune general anesthesia muchikamu chevanorwara zvakanyanya. Nechekare pazuva rokutanga, mukadzi anokurudzirwa kuedza kubuda pamubhedha uye kumukoka kuti atore matanho mashomanana. Inorayirwa nemigumisiro yakabudirira yekuberekwa kwezuva re9-10.
Nzira yekuderedza uremu mushure mechikamu checesarean
Mumazuva ekutanga mushure mekuvhiyiwa, zvakakosha kudzorera bowel basa, saka, chikafu chekudya chinobvumirwa. Iwe haugone kudya mafuta, zvinotapira, makhahydrates. Inobvumirwa kunwa mvura muhuwandu hunosvika 2,5 litres pazuva. Pazuva rechitatu, vanopa nyama shoma yehuku kana veal muto ne croutons, mbatatisi yakakanyiwa mumvura, tii inotapira isina mukaka.
Mukati mevhiki, unogona kudya nyama yehuku chena, hove yakabikwa, oatmeal uye buckwheat porridge. Izvo zvakakosha kusasanganisa chingwa chichena, soda, kofi, nyama yenguruve uye bhotela, uye mupunga kubva kumenyu. Ichi chikafu chinofanira kuteverwa mune ramangwana kuitira kudzoreredza huremu hunodiwa uye kuwana slim chimiro.
Kuvhiya kwechikamu cheKesariya
Kudzidzira muviri kunogona kuitwa chete nemvumo yechiremba uye kwete mberi kwemwedzi miviri mushure mechikamu cheKesariya. Kutamba kunoshingaira, fitball kurovedza muviri, kurovedza muviri kunobvumirwa.
Mwedzi mitanhatu chete mushure mekusununguka, unogona kuita mitambo yakadai sekushambira, aerobics, kumhanya, pamwe nekuchovha bhasikoro, ice skating uye abs.
Zvakare zvinonakidza kuverenga: manyoka mumwana mudiki.