C-chikamu

Chikamu cheC-kubereka kwemwana nekuita kuvhurika munzvimbo yedumbu yaamai iri pazasi. Izvo zvinodaidzwa zvakare kunzi kurega.

Kuendeswa kwechikamu cheC kunoitwa kana zvisingaite kana kuchengetedzeka kuti amai vaendese mwana kuburikidza nemukadzi.

Maitiro acho anowanzoitwa mukadzi achinge amuka. Muviri unovhundutswa kubva pachipfuva kusvika kutsoka uchishandisa epidural kana musana kutindivadza.

1.Chiremba anovhiya achicheka nepadumbu pamusoro penzvimbo yepabhawa.

2. Chibereko (chibereko) uye amniotic sac zvinovhurwa.

3. Mwana anosununguka kuburikidza nekuvhurwa uku.

Bato rezvehutano rinobvisa zvinwiwa kubva mumuromo nemumhuno zvemwana. Rukuvhute rwakatemwa. Anopa hutano anozoona kuti kufema kwemucheche kwakajairika uye zvimwe zviratidzo zvakakosha zvakagadzikana.

Amai vakamuka panguva yekuitwa saka vachakwanisa kunzwa nekuona mwana wavo. Muzviitiko zvakawanda, mukadzi anokwanisa kuve nemunhu anomutsigira panguva yekusununguka.

Kuvhiya kunotora inenge 1 awa.

Pane zvikonzero zvakawanda nei mukadzi angangoda kuve neC-chikamu panzvimbo yekubereka mukadzi.Sarudzo inoenderana nachiremba wako, kwaunenge uchiita mwana, kwawakambotakura uye nhoroondo yezvechiremba.

Zvinetso nemwana zvinogona kusanganisira:

• Asina kujairika kurova kwemoyo
• Nzvimbo isina kujairika mudumbu, senge yekuyambuka (yakatenderera) kana tsoka-yekutanga (breech)
• Dambudziko rekuvandudza, senge hydrocephalus kana spina bifida
• Multiple nhumbu (katatu kana mapatya)

Zvinetso zvehutano muna amai zvinogona kusanganisira:

• Kushanda kwepamuviri herpes hutachiona
• Huru uterine fibroids padhuze nemuromo wechibereko
• Mukondombera muna amai
• Yapfuura C-chikamu
• Kuvhiyiwa kwekare pachibereko
• Kurwara kwakanyanya, senge chirwere chemoyo, preeclampsia kana eclampsia

Zvinetso panguva yebasa kana kuendesa zvinogona kusanganisira:

• Musoro wemucheche wakanyanya kukura kuti upfuure negwara rekuzvarwa
• Basa rinotora nguva yakareba kana kumira
• Akakura kwazvo mucheche
• Kubatira kana kupisa muviri panguva yebasa

Zvinetso nepascenta kana umbilical tambo inogona kusanganisira:

• Placenta inovhara zvese kana chikamu chekuvhura kune iyo yekuzvarwa canal (placenta previa)
• Placenta inoparadzaniswa kubva mudumbu remukati (placenta abruptio)
• Tambo yembilical inouya kuburikidza nekuvhurwa kwegwanza rekuzvarwa mwana asati (umbilical cord prolapse)

Chikamu cheC-nzira yakachengeteka. Chiyero chematambudziko akakomba chakanyanya kuderera. Zvisinei, dzimwe njodzi dzakakwirira mushure meC-chikamu kupfuura mushure mekuberekwa kwemadzimai. Izvi zvinosanganisira:

• Kutapukirwa kwedundira kana chibereko
• Kukuvadza kune weti turakiti
• Yakakwira avhareji kurasikirwa kweropa

Kazhinji yenguva, kuwedzerwa ropa hakudi, asi njodzi yakakwira.

A C-chikamu chinogona zvakare kukonzera matambudziko mune ramangwana nhumbu. Izvi zvinosanganisira njodzi yakakwira ye:

• Placenta previa
• Placenta inokura mumhasuru yechibereko uye ine dambudziko rekuparadzanisa mushure mekunge mwana azvarwa (placenta accreta)
• Uterine kuputika

Aya mamiriro anogona kutungamira mukubuda ropa kwakanyanya (hemorrhage), izvo zvingangoda kuwedzerwa ropa kana kubviswa kwechibereko (hysterectomy).

Vazhinji vakadzi vanozogara muchipatara kwemazuva maviri kusvika matatu mushure meC-chikamu. Tora mukana wenguva yekubatana nemwana wako, uwane zororo, uye gamuchira rubatsiro nekuyamwisa nekutarisira mwana wako.

Kudzoreredza kunotora nguva yakareba kupfuura zvaizoitika kubva pakuberekwa kwemukadzi. Iwe unofanirwa kufamba-famba uchitevera chikamu cheC-kukurumidza kupora. Mishonga yemarwadzo inotorwa nemuromo inogona kubatsira kudzikamisa kusagadzikana.

Kudzoreredza mushure meC-chikamu pamba kunononoka kupfuura mushure mekusununguka kwemukadzi. Unogona kunge uchibuda ropa kubva mumukadzi kusvika kwemavhiki matanhatu. Iwe unozofanirwa kudzidza kudzidzira ronda rako.

Vanamai vazhinji nevacheche vanoita zvakanaka mushure meC-chikamu.

Vakadzi vane C-chikamu vanogona kuve nemadzimai ekuzvara kana imwe nhumbu ikaitika, zvichienderana ne:

• Rudzi rweC-chikamu chakaitwa
• Nei chikamu cheC chakaitwa

Vaginal kuberekwa mushure mekusiyiwa (VBAC) kuendesa kunowanzo kubudirira. Haasi ese zvipatara kana vanopa vanopa sarudzo yeVBAC. Pane njodzi diki yekubvaruka kwechibereko, iyo inogona kukuvadza amai nemwana. Kurukurai mabhenefiti uye njodzi dzeVBAC nemupi wako.

Kuendesa mudumbu; Kuberekwa kwemimba; Kuberekwa kwaKesariya; Kubata - kurega

• Cesarean chikamu
• C-chikamu - akateedzana
• Cesarean chikamu

Berghella V, Mackeen AD, Jauniaux ERM. Kuendesa Kesarea. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 19.

Hull AD, Resnik R, Sirivha RM. Placenta previa uye accreta, vasa previa, subchorionic hemorrhage, uye abruptio placentae. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits.