Kana mimba inoguma nechitsauko cheKesariya, vakadzi vane mibvunzo yakawanda. Ndingaita rini kuronga mwana? Mucheche inotevera ichaitika sei? Zvinokwanisika here kubereka nenzira yechisikigo? Ko pachava nezvinetso here?
Chikamu cheCesarea: migumisiro kune amai
Chikamu cheKesariya inzira yekuendesa, umo mwana achangobviswa kubviswa kubva muchibereko kuburikidza nenzira yekutsvaira kana kutora nguva refu mudumbu rezasi. Haisi kungoita mudumbu chete, asiwo nhengo iyo michero inotanhwa mukati memwedzi mipfumbamwe, chibereko. Nokudaro, iyo migumisiro mikuru mushure mekunge chikamu chekudzivirira chiripo kuvapo kwechivara pairi. Uye kana chirwere chiri mudumbu chiri pasi chinoporesa mwedzi miviri kusvika mitatu mushure mokuberekwa, chirwere chekuta uchatora zvinopfuura gore. Nguva iyo yakatove yakakwanisika kuronga pamuviri mushure mekusiya chikamu, inofanira kuva makore maviri. Mukuwedzera, mutumbi unotora nguva yekuwanazve mauto akashandiswa mushure mekushanda.
Kuronga pamuviri wechipiri mushure mekunyora kesariya
Kana mukadzi achisarudza kuva nemwana wechipiri, saka kutanga kune zvose anofanira kushanyira gynecologist uye kumuudza nezvechinangwa chake. Mukuwedzera kune inowanzoitwa mukugadzirira miedzo, mukadzi achapiwa kuti aongorore ruvara pachibereko. Nokuda kweizvi, ultrasound, hysterography kana hysteroscopy yakaitwa. Munzira yekutanga, uterine pamusoro inobvunzwa uchishandiswa kwechitinha chechikadzi. Hysterography inoitwa muimba ye X-ray. Mushure mokupinda mukati mechiberekedzo chezvinyorwa zvakasiyana, mifananidzo inotorwa muchirongwa chakarurama uye chepamusoro. Ne hysteroscopy, chidzidzo chekuvhara shure chinoshandisika chinokwanisika nekuda kwekupedzisira - inonzwa inowanikwa muuterine cavity. Pamusana pekugara kwakakwana kwomwana, zvakanakisisa kusarudzwa ndicho chigumisiro, kana ruvara rusingambooneki. Izvo zvakakoshawo kuti uzive kuti rudzi rwechigadzirwa chikwata chiri kupfuura. Zvinotarisirwa kuti, ruvara rune mavara emusumbu. Chikonzero chekubatanidza mavara ndicho chisarudzo chakaipisisa.
Pakutanga kwekuita pamuviri mushure mekudzivirira kwevakadzi mukutaurirana kwevakadzi, vakadzi vanopiwa kuwedzerwa kutarisirwa: vanoita kuti chibereko chibereke, vanoongororwa munzvimbo ye ultrasound. Izvi zvakakosha kuitira kuti vaone kusiyana kweganda munguva uye kutora matanho. Mumazuva anotevera vanaamai vakatova nevanorega, mikana yekutyisidzira kubvisa pamuviri, hypertension, hypoxia yakawanda kakawanda.
Kubudiswa kwechipiri mushure mekusiya chikamu
Chisarudzo chekuendeswa kwezvakaberekwa chinotorwa mushure mekupedzisira kwehuwandu hwema ultrasound pa 28-35 vhiki yekubata, kana ichitsvakurudzwa kana ganda racho risingaparadzanisi. Mukuwedzera, inofungidzirwa kana mukadzi ane zvikonzero izvo zvinoratidza kushanda (mharidzo isina kururama ye fetus, zvinetso zve retinal, nezvimwewo). Chisarudzo chechiremba pamusoro pekusununguka kwezvisikwa chinokonzerwa nezvinhu zvakadai sokukwirira kwepa placenta, zvichida pamusvingo worushure, chikamu chemuchinjikwa pachibereko, nzvimbo yakakodzera ye fetus. Kana pasina kusawirirana, mukadzi achabvumirwa kubereka ari oga,
Chero zvazvingava, amai vemazuva ano vanofanira kufambidzana nemugumisiro wakaoma uye vanoedza kuzvizvara ivo pachavo. Mushure mezvose, pane zvinozivikanwa zvinokonzerwa nechikamu chekushaya chirwere chemwana, zvakadai sokusava nemafungiro asina kunaka kune zvakatipoteredza, mukana wekudya kwekudya, kushaya ropa uye kuporesa kwepumusoro.
Zvisinei, kana paiva nekuzvitakura kwepakutanga mushure mechikamu chekusiya, chirwere chinodzokorora hachigoni kudziviswa. Inoitwa panguva, uye, pane imwe nguva yapfuura kupfuura zuva rakakodzera, nekuda kwezvinomanikidzirwa zvekuberekwa kunokurumidza, kune ngozi yekubuda kwechibereko. Uye izvi zvinotakura hupenyu kuhupenyu hwemwana uye amai vanouya.