Kuberekwa mushure mekusiya chikamu chinokonzera mibvunzo yakawanda yevakadzi vari kuronga pamuviri wechipiri. Vanachiremba panguva imwechete vanotaura zvinetso zvingangodaro zvekuita. Funga nezvemamiriro ezvinhu zvakadzama, tsvaga kana zvichibvira kubereka mushure mechikamu chekusiya uye nzira iyo inoitwa.
Zvinokwanisika here kuberekwa mushure mekusiya?
Maererano nemitemo yakaoma, kuberekwa kwechipiri mushure mekunge chikamu chekusiya chichifanira kuitwa nenzira imwecheteyo. Chikonzero cheizvi ndiko kuvepo kwechivara pachibereko . Iyi nharaunda inenge yakaderera, iyo inowedzera mikana yekuparara kwechirwere chepabonde. Somugumisiro, dambudziko rinowedzera - uterine kubuda ropa kunoitika. Mamiriro ezvinhu anoda kukurumidzira, kupindira kwekuvhiya, kune ngozi kune inogona rufu rweamai pakuzvarwa.
Panguva imwecheteyo, zvidzidzo zvemazuva ano zvekumadokero neonatalatal zviratidzo zvinoratidza kuti kushanda mushure mekunge chikamu chekuvhara chinokwanisika neklassical method - kuburikidza nekuberekwa kwechirwere. Saka vanachiremba vokuBritain vakafungidzira kuti 75% yevakadzi vakaberekerwa zvakasununguka, vakanga vasina matambudziko mumabasa. Kana zviri zvemigumisiro yemucheche (hypoxia, zvinetso zvehutano), dzakagadzirirwa mu1% yematambudziko ekuberekwa kwepanyama . Zvichipa ruzivo urwu, vananyamukuta kumubvunzo wemukadzi pamusoro pekuti angave nokuzvara iye pachake mushure mekunge chikamu chekudzivirira chipa mhinduro yakanaka.
Nekuwanda kwei zvinokwanisika kubereka mushure mokusiya carean?
Vakadzi vakave vachivhiyiwa vanowanzotarisirwa nemubvunzo wekuti zvinokwanisika sei kubereka mushure mekunge chikamu chekusiya. Vanachiremba munyaya iyi havaiti nguva isinganzwisisiki, iyo inofanirwa kupfuura vasati varonga pamuviri unotevera. Izvo zvose zvinoenderana nekukurumidza kwekuvandudzwa kwehutachiona hwehuputi uye nekugadzirwa kwechivara pairi. Kuongorora kwepakutanga kunobatsira kuziva chikonzero ichi.
Vadzidzisi vezvirwere ivo pachavo vari kuedza kutevedzera kutonga, izvo zvinoreva kuti kuberekwa mushure mekunge chikamu chekusiya chisati chaitika pasina makore maviri. Nokuda kweizvi, kusagadzikana kwechivara-kunowedzera mikana yekuvandudza kuputika kwechibereko . Mukuwedzera, kugadziriswa pamuviri unouya kunobvisawo hutachiona hwehutachiona, hunovhiringidza hutano hwekudzorerwa kwechirwere chemuviri. Zvingave zvichibvira kuzvitora mushure mekunge chikamu chekudzivirira chiri kunyatsotorwa mukadzi - chiremba anogadza.
Ndingazvara here mushure mekureesa mugore?
Munyaya imwe neimwe, kana zvichikwanisika kubereka mushure mekuregera, chiremba anosarudza. Nechinangwa ichi, kuongorora kwakakwana kwechibereko chinosarudzwa, izvo zvinosanganisira ultrasound kuongororwa muchigaro chegynecological. Kunyanya kukoshesa kunobhadharwa kumamiriro ekurapa kwemashure. Iyi nzvimbo yepaiti ine uwandu hushoma, iyo inowedzera dambudziko rekuparara kwehutano panzvimbo ino. Mushure memubvunzurudzo, mukadzi wacho anogamuchira mazano ekugadzirira pamuviri unotevera.
Ko kuberekwa kwechisikigo kunokwanisika mushure mekusununguka kwekusiya?
Vagadziri vehutumbi hwechipiri hwevakadzi vanowanzoda kufarira mubvunzo wekuti kana zvichibvira here kubereka munhu anozvidzivirira pachake. Vanachiremba havasi kuramba izvi. Mukuita kudaro, vanoratidza zvinhu zvinogadzirisa kusiyana kwekupiwa kunoitwa. Pakati pavo:
- mamiriro ehutu;
- nhamba yevarwere vanodzivirira muam anamnesis;
- kusabatwa kwezvirwere zvinogadzirisa zvekuberekwa.
Contraindications yekusununguka kwezvisikwa mushure mekusiya
Zvakakosha kuziva kuti mumamiriro ezvinhu akadaro, havasi vakadzi vose vanobvumirwa kusununguka kwekuzvarwa. Izvi zvinokonzerwa nekukwanisa kuve nematambudziko - mushure mechikamu chekudzivirira chibereko chinowana zvimwe zvikamu. Kupindirana kwekudzivirira kwevakadzi kune:
- chirwere cherefu refu pachibereko;
- placenta previa munharaunda ye rumen;
- Frozen urongwa hwe fetus;
- chibereko chikuru;
- multiple pregnancies ;
- anatomically narrow pelvis;
- incological process.
Kugadzirira kubereka mwana mushure mekusiya
Kuberekwa kwakasununguka mushure mekunge chikamu chekusiya chikamu chinoda gadziriro yekugadzirira. Inotanga nekuongororwa kwenyika yenhengo yebonde. Kuita izvi, mukadzi anopa vanachiremba zvinyorwa kubva kuchipatara, izvo zvine mashoko anotevera:
- zvikonzero zvekare zvakasara;
- nguva yenguva yakaoma, kuberekwa;
- nzira yekugadzirisa, iyo yakashandiswa;
- kurema kweropa rakarasika;
- urongwa hwekushandisa zvinodhaka.
Kubva pane ruzivo rwakagamuchirwa, vanachiremba vanotora mhedziso uye vanoita kuongorora kwakakodzera. Inosanganisira:
- Ultrasound yediki pelvis;
- laboratory tests: ropa, urini, mahomoni ehomoni;
- Kunze kwechirwere chisingaperi chekuputika.
Ndezvipi zvakasununguka kuberekwa mushure mokunge vasiya?
Kuberekwa kwezvakaberekwa mushure mechikamu chechiesarean chiri kurongwa nguva dzose. Inobatwa kwemavhiki makumi matatu nemakumi matatu nemakumi mana. Iyo nzira inotanga neamniotomy - mukova we amniotic fluid inotanga kuberekwa. Kutaurirana pachako kunoitwa nenzira imwecheteyo sekugara. Kunyanya kukoshesa kunobhadharwa kumamiriro ehutu. Pakutanga kukanganisa, kuonekwa kweropa, vanotanga kukurumidza kuvhara.
Kangani ini ndinogona kubereka mushure mokunge ichinyorwa?
Pamubvunzo wekuti inguva yakawanda sei inokwanisika kubereka chikamu chekudzivirira, vana vezvipatara vakambotaura kuti kwoupenyu hwose mukadzi anogona kubvumira chete 2 carearea. Mazuva ano kushandiswa kwemishonga uye kuvhiringidzika kunobvumira kuwanda kwekugovera mushure mekushanda kwakafanana. Zvisarudzo zvemhando iyi zvakagadzirwa neboka rezvechiremba rinoongorora zviwanikwa zvitsva zvinotsvakurudza, mamiriro emuviri wechipfuva, ruvara rwakaumbwa pairi.
Kwenguva yakareba, vanachiremba vekuMadokero vanoshandisa kuberekwa mushure mechikamu chekudzivirira nevakadzi. Panguva imwecheteyo, pasi shoma yezvinetso zvakanyorwa. Izvi zvinogadziriswa kuburikidza nekuongorora zvakanyatsogadziriswa nezvekugadzirisa kwekutaura kwakadaro, kuenderera mberi kwekutarisa kwehutano hwemwana wechidiki mumamiriro ekuonekwa kwomwana. Pane zviitiko apo mukadzi mushure mekuvhiya kwakafanana anobereka vana 2 kuburikidza nekuberekwa kwemhuka. Munyaya iyi, vana vaduku havana pathologies.
Kutaura kwemazuva mashure mushure mezvikamu zviviri zvekusiya
Sezvatotaurwa pamusoro apa, chisarudzo chekuti kana zvichikwanisa kubereka mushure mekunge chirongwa chekudya chinokonzerwa nechikafu chinotorwa nachiremba. Vashandi vezvidzimba vemumisha vanoomerera pamutemo wekuti izvi zviviri zvekare izvi zvinoratidza chechitatu. Pamberi pacho, mukadzi akarambidzwa zvachose kubereka munyaya iyi, mushure mekuita sterilization (ligation ya fallopian tubes) mushure mekushanda kwechipiri.
Ndingaita kangani kuti ndirege kubhadharwa?
Kutsvakurudza kwemazuva ano kunoratidza kuvepo kwekuzvarwa kwevana vatatu. Asi inofanira kunge iri kurega. Zvisinei, mubvunzo wemukadzi sekuti vana vangani vanogona kuberekwa mushure mokunge varega, vanachiremba havasi kupa mhinduro isina kufanira. Zvose zvinoenderana ne:
- zera remurwere;
- mamiriro ehutano hwekubereka;
- kuvapo kwechirwere chisingaiti maitiro.
Vasati vaita chisarudzo pamusoro pekugadzirira pamuviri wega, mukadzi achashanyira kuchipatara. Kubvunzurudza kwekutanga nechiremba kunogadzirisa zvinhu zve an anamnesis wemukadzi akadaro. Mukadzi anoita gynecologist anotora chiongorori chekutanga pachigaro chechiremera, kuongorora mamiriro ehutachireti, throvix. Detailed diagnosis yechirwere chekubereka inosanganisira ultrasound yenhengo dzemazamu. Mhedziso inogadziriswa pamusana pemashoko akawanikwa, kupa mazano kumukadzi, kuitisa mushonga kana zvichidiwa.