Cesarean chikamu

Zvemukati

• Mhedziso

Mhedziso

Chikamu chekusiyiwa inzira yekuendesa mwana nekucheka kuburikidza neganda redumbu raamai. Kunyangwe cesarean (C-zvikamu) iri nzira dzekuvhiya dzakachengeteka, dzinofanirwa kungoitwa mumamiriro ezvinhu akakodzera ekurapa.

Zvimwe zvezvikonzero zvakajairika zvekuregedza ndezvi:

• Kana mwana ari mutsoka kutanga (breech) chinzvimbo.
• Kana mwana ari mubendekete pekutanga (transverse) chinzvimbo.
• Kana musoro wemwana wakanyanya kukura kuti usakwanise kuburikidza negwara rekuzvarwa.
• Kana kubereka kukareba uye chibereko chaamai hachikure kusvika pamasendimita gumi.
• Kana amai vane placenta previa, uko iyo placenta iri kuvharira nzira yekuberekwa.
• Kana paine zviratidzo zvekushushikana kwechibereko inova iyo iyo fetus inenge iri munjodzi nekuda kwekudzikira kweokisijeni kuyerera kune iyo fetus.

Zvimwe zvinowanzoitika zvinokonzera kushungurudzika kwe fetus ndeizvi:

• Kumanikidza kwetambo wembilical.
• Kumanikidzwa kwemidzi mikuru yeropa mudumbu raamai nekuda kwenzvimbo yake yekubereka.
• Kurwara kwaamai nekuda kwehypertension, kupererwa neropa, kana chirwere chemwoyo.

Kufanana nemaitiro mazhinji ekuvhiya, zvikamu zvekusiya zvinoda anesthesia. Kazhinji, amai vanopihwa chirwere kana musana. Dzese idzi dzinozoita chiveve muviri wezasi, asi amai vacharamba vakamuka. Kana mwana achifanira kusununguka nekukasira, senge mune emergency, amai vanogona kupihwa anesthetic, iyo ichaita kuti arare. Munguva yekuvhiyiwa, kucheka kunoitwa mudumbu rezasi kuchiteverwa nekwakamurwa kunoitwa muchibereko. Iko hakuna kurwadziwa kunosanganisirwa necimwe cheichi cheki nekuda kweanesthesia

Chiremba anovhura chibereko uye amniotic sac. Ipapo mucheche anonyatso kurerutswa kuburikidza neiyo yekucheka uye kunze kwenyika. Maitiro acho anowanzo kutora maminetsi makumi maviri.

Mushure meizvozvo, chiremba anonunura iyo placenta uye anokwenya kumusoro kwechibereko uye mudumbu mudumbu. Kazhinji, amai vanobvumidzwa kubuda muchipatara mukati memazuva mashoma, zvichidzivirira kunetseka senge kutapukira kwemaronda. Kumwe kunetsekana uko vakadzi vazhinji vanako ndekwekuti vachazokwanisa here kuburitsa zvakajairika mushure mekuitwa cesarean. Mhinduro yacho inoenderana nezvakange zviri zvikonzero zvekuve neiyo c-chikamu pakutanga. Dai zvaive nekuda kwedambudziko renguva imwechete, senge umbilical tambo kumanikidza kana breech chinzvimbo, saka amai vanogona kukwanisa kuve neakajairika kuberekwa.

Naizvozvo, sekureba sekunge amai vanga vaine imwechete kana maviri epamberi pekusarea aine yakaderera-transverse uterine incision, uye hapana zvimwe zvinoratidza zvesaarean, iye mukwikwidzi wekuberekwa kwemukadzi mushure mekusiyiwa, anonziwo VBAC.

Zvikamu zveCesarean zvakachengeteka, uye zvinogona kutoponesa hupenyu hwese amai nemwana panguva yekukurumidza kuburitswa. Vanotarisira vanaamai vanofanira kunge vakagadzirira mukana wekuve nemumwe. Ramba uchifunga, mukubereka, haisi nzira chete yekuendesa iyo inokosha, asi mhedzisiro yekupedzisira: amai vane hutano nemucheche.

• Cesarean Chikamu