Ndedzipi zviitiko zvinorongwa cesarean section?

Yakarongwa chikamu cheKesariya: mamiriro akasiyana

Chikamu checesarean chinowanzorongwa mukati mevhiki yemakumi matatu nemapfumbamwe yeamenorrhea, kana mwedzi misere nehafu yenhumbu.

Muchiitiko chechikamu chakarongerwa cesarean, iwe uri muchipatara zuva risati raitwa oparesheni. Manheru, anesthetist anoita pfungwa yekupedzisira newe uye anotsanangura muchidimbu maitiro ekuvhiya. Unodya zvishoma. Mangwana acho, pasina kudya kwemangwanani, unoenda kukamuri rokuvhiyira iwe pachako. Catheter yeweti inoiswa panzvimbo namukoti. Ipapo murapi anokuisa uye anomisa musana weanesthesia, mushure mekunge atoita chiveve munharaunda yekuruma. Wabva warara paoperating table. Zvikonzero zvakawanda zvinogona kutsanangura sarudzo yekuronga cesarean: nhumbu yakawandisa, chinzvimbo chemwana, kuzvarwa nguva isati yakwana, nezvimwe.

Yakarongwa cesarean chikamu: yemimba yakawanda

Kana pasina vana vaviri asi vatatu (kana kutopfuura), kusarudzwa kwechikamu checesarean kunowanzodiwa uye inobvumira boka rose rekuzvara kuti rivepo kuti rigamuchire vacheche. Inogona kuitirwa vacheche vese kana mumwe chete wavo. Pane rimwe divi, kana zvasvika pamapatya, kuzvara kwemukadzi kunobvira. Kazhinji, ndiyo nzvimbo yekutanga, yakasimbiswa ne ultrasound, inosarudza nzira yekuendesa. Mimba dzakawanda dzinonzi imimba ine ngozi huru. Ndicho chikonzero nei ivo vari musoro we a kusimbiswa kwezvekurapa. Kuti vaone kusanzwisisika kunobvira uye kuichengeta nekukurumidza sezvinobvira, vanaamai vane pamuviri vane mamwe maultrasound. Vakadzi vane pamuviri vanowanzorayirwa kuti varege kushanda kumativi emwedzi wechitanhatu kuderedza dambudziko rekuberekwa nguva isati yakwana.

Kurongeka kwakarongwa cesarean chikamu nekuda kwekurwara panguva yekuzvitakura

Zvikonzero zvekufunga kuita chikamu cheKesariya chingave a chirwere chaamai. Iyi ndiyo nyaya apo amai vane pamuviri vanotambura nechirwere cheshuga uye huremu hunogona kuitika hwemwana weramangwana hunofungidzirwa kupfuura 4 g (kana 250 g). Izvo zvinoitikawo kana amai vanozova vane matambudziko makuru emwoyo. uye kuti kuedza kudzinga kunorambidzwa. Saizvozvo, kana kutanga kubuda kwegenital herpes kunoitika mwedzi usati wazvara nekuti kuberekwa kwemukadzi kunogona kusvibisa mwana.

Dzimwe nguva tinotya njodzi yekubuda ropa sekuti kana placenta yakaiswa yakaderera zvakanyanya uye inovhara muromo wechibereko (placenta previa). Gynecologist achaita pakarepo a Kesariya kunyange kana kuberekwa kunofanira kunge kusati kwasvika. Izvi zvinogona kunyanya kuva zvakadaro kana amai vachange vaine chirwere chepre-eclampsia (arterial hypertension nekuvapo kweprotein muweti) iyo inopesana nekurapa uye inowedzera, kana kana hutachiona hukaitika mushure mekuputika nguva isati yakwana (masvondo makumi matatu nemana asati asvika) yehomwe yemvura. Last case: kana amai vakatapukirwa nemamwe mavhairasi, kunyanya HIV, zviri nani kuti vasununguke pachishandiswa cesarean section, kuitira kudzivirira kusvibiswa kwemwana panguva yekufamba nemudumbu.

Kuvhiya kunorongwa zvakare kana chiuno chaamai chiri chidiki zvakanyanya kana kuti chirema. Kuti tiyere chiuno, tinoita redhiyo, inonzi pelvimétrie. Inoitwa pakupera kwepamuviri, kunyanya kana mwana achiuya nebeche, kana amai vemangwana vari vaduku, kana kuti vakatoberekwa nechikamu checesarean. The Kuvhiya kwakarongwa kunokurudzirwa kana uremu hwemwana huri 5 kg kana kupfuura. Asi sezvo uremu uhwu hwakaoma kuongorora, zvinofungidzirwa kuti chikamu checesarean chinofanira kusarudzwa, nyaya nenyaya, kana mwana achirema pakati pe4,5g ne5kg. Kuumbwa kwemuviri waamai

Yakarongwa Caesarean: Impact yeOld Caesareans

Kana amai vakatova nezvikamu zviviri zvekuvhiya, boka rezvokurapa rinokurumidza kukurudzira kuita chikamu chechitatu chekuvhiya.. Chibereko chake chinopera simba uye njodzi yekuputika kwevanga, kunyange kana isingawanzoitiki, iripo muchiitiko chekusununguka kwepanyama. Mhosva imwe chete yapfuura cesarean ichakurukurwa naamai zvichienderana nechikonzero chekupindira uye mamiriro ekudzivirira aripo.

Ziva kuti tinodaidza kuti iterative cesarean section inoitwa mushure mekuzvara kekutanga nekuvhiya.

Nzvimbo yemwana inogona kutungamirira kune yakarongwa cesarean chikamu

Dzimwe nguva, ndiyo nzvimbo ye "fetus" iyo inoisa chikamu checesarean. Kana 95% yevana vakazvarwa vakatsikitsira, vamwe vanosarudza zvinzvimbo zvisina kujairika izvo zvisingaite kuti zvive nyore kuna vanachiremba. Semuenzaniso, kana akayambuka kana musoro wake pachinzvimbo chekuchinjika pachipfuva wakarasika zvachose. Saizvozvowo, zvakaoma kutiza kuvhiyiwa kana mwana akadzikama mudumbu. Nyaya yekukomba (3 kusvika 5% yekutakura) anosarudza pane imwe nyaya-ne-nyaya.

Kazhinji, tinogona kutanga tayedza kunyengerera mwana nekudzidzira vhezheni nekunze maneuvers (VME). Asi nzira iyi haishande nguva dzose. Zvisinei, cesarean yakarongwa haina kurongeka.

The High Authority for Health ichangobva kutsanangura zvakare zviratidzo zvechikamu chakarongwa cheKesariya, kana mwana achiratidza nebeche: kusawirirana kusingafadzi pakati pepelvimetry uye kufungidzira kwezviyero zve fetus kana kuramba kutsauka kwemusoro. Akayeuka zvakare kuti zvakakosha kutarisa kuenderera kwekuratidzwa ne ultrasound, nguva pfupi isati yapinda mukamuri yekuvhiya kuita chikamu checesarean. Zvisinei, vamwe vanachiremba vanozvara vachiri kuda kudzivirira njodzi shoma uye vosarudza kuvhiya.

Cesarean section yakarongerwa kurarama nekuzvara nguva isati yakwana

Mukuzvarwa nguva isati yakwana, a Kesariya inodzivirira mwana kubva kuneta zvakanyanya uye inobvumira kuti atarisirwe nokukurumidza. Izvo zvinodikanwawo kana mwana akagumburwa uye kana pane zvakanyanya kushungurudza fetus. Nhasi, muFrance, 8% yevana vanozvarwa vasati vasvika masvondo makumi matatu nemanomwe enhumbu. Zvikonzero zvekushanda nguva isati yakwana zvakawanda uye zvakasiyana mumasikirwo. The zvirwere zvaamai ndizvo zvinonyanya kukonzera.  Kukwira kweBP yaAmai nechirwere cheshuga zvimwewo zvine ngozi. Kuberekwa nguva isati yakwana inogonawo kuitika kana amai vane uterine abnormality. Kana chibereko chikavhurika zviri nyore kana chibereko chisina kumira zvakanaka (bicornuate or septate uterus). Amai vanenge vachitarisira vana vakawanda vanewo mukana mumwe chete pavaviri wokukurumidza kusununguka. Dzimwe nguva kuwanda kweamniotic fluid kana nzvimbo ye placenta inogona kuva chikonzero chekuzvarwa nguva isati yakwana.

Chikamu checesarean chinobatsira

Kuvhiya pachinenge kuchidiwa kunoenderana nekuzvara kunodiwa nemukadzi ane pamuviri pasina zviratidzo zvekurapa kana zvekuzvara. Zviri pamutemo, muFrance, vanachiremba vanoramba Kesariya pasina zviratidzo zvekurapa. Zvisinei, vanaamai vane pamuviri vakati wandei vari kusundidzira kusununguka vachishandisa nzira iyi. Zvikonzero zvinowanzoshanda (kuchengeta vana kuronga, kuvapo kwababa, sarudzo yezuva ...), asi dzimwe nguva zvinobva papfungwa dzenhema dzakadai sekuderedzwa kutambura, kuchengetedzwa kwakanyanya kumwana kana kuchengetedzwa kuri nani kweperineum. Chikamu cheCesarean chinowanzoitwa muzvinyorwa zvekudzivirira, zvakanyatsorodha uye zvakachengeteka, asi zvinoramba zviri kupindira kwekuvhiya kwakabatana nekuwedzera kwengozi yehutano hwaamai kana ichienzaniswa nekubereka nenzira yechisikigo. Iko kune kunyanya njodzi yephlebitis (kuumbwa kwevhavha mumudziyo weropa). Chikamu checesarean chinogonawo kuva chikonzero chezvipingamupinyi mune ramangwana pamuviri (kusina kumira kwe placenta).

The Haute Autorité de santé inokurudzira kuti vanachiremba tsvaga zvikonzero chaizvo zvechikumbiro ichi, kurukurai uye mutaure nezvawo mufaira rezvokurapa. Kana mukadzi achida cesarean nekutya kuberekwa kwemukadzi, zvinokurudzirwa kupa rubatsiro rwake rwemunhu. Ruzivo rwekutarisira kurwadziwa runogona kubatsira vanaamai-ku-kukunda kutya kwavo. Kazhinji, nheyo yechikamu checesarean, pamwe chete nenjodzi dzinobva pairi, inofanira kutsanangurwa kumukadzi. Iyi nhaurirano inofanira kuitika nokukurumidza sezvinobvira. Kana chiremba akaramba kuita cesarean chikamu pakukumbira, anofanira kubva aendesa amai vanozova kune mumwe wevaanoshanda navo.