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Chii chinonzi iterative cesarean?
Kunonzi cesarean ndizvo iterative kana ichiitwa mumukadzi asununguka nokuberekwa kare, mushure memimba yapfuura. Izwi rokuti "iterative"Chaizvoizvo zvinoreva"iyo inodzokororwa kakawanda".
Zvinowanzofungidzirwa kuti mukadzi asununguka neKesariya rudzi rwe“akatongerwa”Kusununguka zvakare necaesarean section panguva yenhumbu itsva. Izvi ndizvo zvakaitika kusvika nguva pfupi yapfuura, nekuda kwekunetseka kwekuzvara ne chibereko chine vanga. Asi nekuvandudzwa kwehunyanzvi hwekuita cesarean, iterative cesarean chikamu chiri kuita kushomeka, uye mukadzi akavhiya anogona kazhinji kazhinji kuzvara achihura pashure, panguva itsva pamuviri.
Rangarira kuti cesarean rate inotenderera 20% yekutakura muFrance, panzvimbo yeinokurudzirwa 10% neWorld Health Organisation (WHO). Sezvo chikamu chekuvhiya chinoramba chiri kuvhiyiwa, nenjodzi uye matambudziko anowanikwa neizvi, uye zvinofungidzirwa kukanganisa kwehutano hwemucheche, obstetrician gynecologists vanozogara vachifunga nezvekuzvara kwemukadzi mushure mechikamu chekutanga chekubara. Zvinofungidzirwa kuti 50 kusvika 60% yevakadzi "caesarized" vachazvara mumukadzi mushure mekuita pamuviri patsva.
Kuvhiya kunoitwazve riini?
Kare, pamwe chete naambuya vedu, vanachiremba vezvirwere zvechikadzi vaingoerekana vatendeukira kuchikamu checesarean iterative apo chikamu chekutanga chekubereka chakanga chamboitwa. Parizvino, Sarudzo yekuti iite iterative cesarean section inowanzo sarudzwa pane nyaya-ne-kesi hwaro, zvichienderana nehunhu hwepamuviri uye kusarudzwa kwaamai vemangwana.
"Chibereko chine mavanga pachacho hachisi chiratidzo chechikamu chakarongwa chekuzvara.. Mishumo yekupindira kwekare pachibereko uye kushanda kunogona kuitika kunotungamira kuchikamu checesarean kunobatsira pakusarudza nzira yekusununguka.”, Details the High Authority of Health (HAS). "Muchiitiko chechikamu chekare checaesarean, tichifunga nezvenjodzi dzaamai uye dzekubereka, zvine musoro kuti tipe zano rekuyedza [kusununguka kwemukadzi], kunze kwekunge pane vanga repamuviri", ndiko kuti vanga rinofukidza muviri. yechibereko.
Zvisinei, HAS inofunga kuti kana zvichiitikanhoroondo yezvikamu zvitatu kana kupfuura zveKesariya, zvinokurudzirwa kupa chirongwa chakarongwa cesarean.
Muchidimbu, mubvunzo wekuti kana kuita cesarean iterative uchatorwa pane imwe nyaya-ne-kesi, zvichienderana nekutichengetedza maitiro ekuzvitakura:pamuviri pakawanda kana kuti kwete, kuvapo kwe placenta accreta kana placenta previa, kuratidzwa kwemwana nebhurugwa kana munzvimbo yakaoma, chibereko chine mavanga, uremu uye morphology yemwana, zvido zvemurwere ...
Zvakadaro, mukadzi anenge atosununguka necesarean section acharairwa zvakasimba kuti adarosunungurira muwadhi yevanosunungukira (zvichida nyora 2 kana 3) pane kumba kana kunzvimbo yekuberekera., kuitira kuti chimbichimbi iterative cesarean inogona kuitwa muchiitiko chekutadza kubereka kwemukadzi (njodzi yekutsemuka kwechibereko yakanyanya, kushushikana kwe fetal, nezvimwewo).
Ko cesarean inodzokororwa inoitwa sei?
Le nzira yekudzokorora cesarean kwakafanana neicho che "classic" Kesariya, kunze kwekuti kudzokorora Kesariya kunowanzova kwakarongwa Kesariya. Iyo incision inowanzoitwa pavanga rekare reKesariya, iyo inogona kubvumira chiremba wegynecological kuti avandudze kuonekwa kwevanga, kana zvishoma zvisingatarisirwi kana kuti zvisina kupora.
Ziva kuti kana yakarongwa, iyo iterative cesarean chikamu chinogona kuita kuti zvikwanise kuzvironga pamba uye panguva yekuzvarwa: kurera mwana, kuenda pakuzvarwa kwewawakaroorana naye, kuita ganda-ganda nemwana, nezvimwe.
Iterative cesarean: pane njodzi dzekunetsekana here?
Nekuda kwecaesarean yapfuura uye vanga rayo, iyo iterative caesarean inogona kukonzera kurebesa uye/kana kuzvara mwana kwakaoma. Vanga rapfuura rinogona kunge rakabereka adhesions pakati penhengo dzakasiyana, sepakati pedundira nechibereko, pamwero wemadziro edumbu ...
Kana zvakaoma kusvika kuchibereko, chiremba anovhiya angasarudza cheka buri nechigero pane minwekunyanya kana pane emergency yehutano hwemwana (fetal distress). Uku kuchekwa kunogona kukonzera kurasikirwa kweropa rakawanda uye kurwadziwa kukuru. Muchimbichimbi, chiremba anovhiya anoisa njodzi, kazhinji, kukuvadza dundira kana kukuvadza mwana. Ndosaka vanachiremba vachida ronga kuvhiyazve pane kuzviita nekuchimbidza kana kuedza pakuberekwa kwemukadzi kwakundikana. Saka kukosha kwekukurukura zvizere nezvese zvingangoitika zvine chekuita neiyo iterative cesarean chikamu kumusoro kwerwizi, uye kunyatsoongorora kubatsirwa / njodzi chiyero vasati vaenda kana kusaenda kuchibereko chemukadzi mushure mekuvhiyiwa.