Post-Cesarean Ronda Hutachiona: Izvi Zvakaitika Sei?

Zvemukati

• Njodzi zvinhu zveC-chikamu ronda hutachiona
• Zviratidzo zveiyo post-cesarean ronda hutachiona kana kuomarara
• Hosha yehutachiona inoonekwa sei?
• Mhando uye kuoneka kwehutachiona mushure meC-chikamu
• Cellulitis
• Ronda (dumbu) pute
• Thrush
• Urinary turakiti uye chirwere chedundira
• Hosha yeronda inofanirwa kurapwa sei?
• Nzira yekudzivirira hutachiona hweC-chikamu maronda
• Matambudziko eichi chiitiko
• Maonero ehutachiona hwemashure-cesarean

Post-cesarean (C-chikamu) hutachiona hutachiona

Chirwere chepashure-cesarean hutachiona hunowanzoitika mushure meC-chikamu, icho chinonziwo dumbu kana cesarean kuburitsa. Kazhinji zvinokonzerwa nehutachiona hutachiona mune yekuvhiya incision saiti.

Zviratidzo zvakajairika zvinosanganisira kupisa muviri (100.5ºF kusvika 103ºF, kana 38ºC kusvika 39.4ºC), kunzwa kwekukuvara, kutsvuka uye kuzvimba panzvimbo iyi, nekurwadziwa kwepazasi kwemudumbu. Zvakakosha kurapwa nekukurumidza kudzivirira kunetseka kubva kuhutachiona.

Njodzi zvinhu zveC-chikamu ronda hutachiona

Vamwe vakadzi vane mikana yakawanda kupfuura vamwe kuti vawane chirwere chepashure-cesarean chirwere. Njodzi zvinhu zvinogona kusanganisira:

• kufutisa
• chirwere cheshuga kana chirwere chekudzivirira muviri (seHIV)
• chorioamnionitis (hutachiona hweamniotic fluid uye fetal membrane) panguva yebasa
• kutora marefu-marefu steroid (nemuromo kana intravenously)
• kutarisirwa kwakashata kwepamuviri (kushanya kushoma kuna chiremba)
• yapfuura cesarean kununurwa
• kushomeka kwekuchengetera maantibhakitiriya kana pre-incision antimicrobial kuchengetedza
• kushanda kwenguva refu kana kuvhiyiwa
• kurasikirwa neropa kwakanyanya panguva yekusununguka, kuendesa kana kuvhiya

Sekureva kweongororo ya2012 yakaburitswa mu, vakadzi vanogamuchira nylon suture mushure mekusvirwa kwekusiyiwa vanowanzoita hutachiona. Suture sutures inogona zvakare kuve yakaoma. Masuture akagadzirwa kubva ku polyglycolide (PGA) anosarudzika nekuti ese ari maviri anonaya uye anokwanisa kuora.

Zviratidzo zveiyo post-cesarean ronda hutachiona kana kuomarara

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita. Kana iwe usingakwanise kuona ronda, ita kuti mudiwa atarise ronda raro zuva rega rega kuti aone zviratidzo zvekunyevera zvehutachiona hwevanga. Kuva nekutora kwekuregedza kunogona zvakare kukuisa iwe panjodzi yemamwe matambudziko, senge reropa reropa.

Fonera chiremba wako kuti akupe mazano kana tsvaga kurapwa kana uine chero cheizvi zviratidzo mushure mekuburitswa kwako muchipatara:

• kurwadziwa kwakanyanya mudumbu
• kutsvuka pane iyo incision saiti
• kuzvimba kweiyo incision saiti
• pus kubuda kubva kune incision saiti
• kurwadziwa panzvimbo yekutsemurwa isingabvi kana kuwedzera kuipa
• fever yakakura kupfuura 100.4ºF (38ºC)
• kunorwadza weti
• kunhuwa-kunatsa kusangana nekutsi kwemukadzi kubuda
• kubuda ropa kunonyorovesa chikadzi pad mukati meawa
• kubuda ropa uko kune mahombe mahombe
• kurwadziwa kwegumbo kana kuzvimba

Hosha yehutachiona inoonekwa sei?

Zvimwe zvemashure-cesarean maronda maronda anotorwa anotarisirwa pamberi pemurwere kuburitswa muchipatara. Zvisinei, hutachiona hwakawanda hahuoneki kusvikira wabuda muchipatara. Muchokwadi, mazhinji epashure-cesarean maronda hutachiona anowanzoonekwa mukati memavhiki mashoma ekutanga mushure mekusununguka. Nechikonzero ichi, mazhinji eaya hutachiona anoonekwa pakushanya kwekutevera.

Zvironda maronda anoonekwa ne:

• ronda kuoneka
• kupora kufambira mberi
• kuvapo kwezviratidzo zvehutachiona zvakajairika
• kuvapo kwemamwe mabhakitiriya

Chiremba wako anogona kuvhura ronda kuti aongororwe uye akupe kurapwa kwakakodzera. Kana pus ichibuda kubva pane iyo incision, chiremba anogona kushandisa tsono kubvisa pus kubva pachironda. Mvura yacho inogona kutumirwa kubazi kuti ione chero mabhakitiriya aripo.

Mhando uye kuoneka kwehutachiona mushure meC-chikamu

Chirwere chepashure-cesarean chironda chakakamurwa senge ronda cellulitis kana ronda (mudumbu) abscess. Aya maronda ehutachiona anogonawo kupararira nekukonzera matambudziko nenhengo, ganda, ropa, uye nyama yemuno.

Cellulitis

Cellulitis yemaronda inowanzo kuve mugumisiro weiyo staphylococcal kana streptococcal bacteria. Aya maratidziro chikamu chehutachiona hwakajairika hunowanikwa paganda.

Ne cellulitis, hutachiona hutachiona pasi peganda hunopisa. Kutsvuka uye kuzvimba zvakapararira nekukurumidza kubva pakuvhiya kunongedza kunze kune ganda riri padyo. Ganda rine hutachiona kazhinji rinodziya uye nyoro kune iro rinobata. Kazhinji, pus haina kuwanikwa mune iyo incision pachayo.

Ronda (dumbu) pute

Ronda (mudumbu) bundu rinokonzerwa nehutachiona hwakafanana neronda cellulitis nemamwe mabhakitiriya. Utachiona panzvimbo yeiyo incision yekuvhiya inotungamira mukutsvuka, unyoro, uye kuzvimba pamipendero yeiyo incision. Pus inounganidza mune yeturu mhango inokonzerwa nehutachiona hutachiona. Mazhinji maronda anoputika anobuda pus kubva mukucheka.

Kusuruvara kunogona kuumbika mukati mechibereko chechibereko, zvinyama zvinyoro, mazai, nezvimwewo nyama kana nhengo dzepedyo kana chirwere chiripo mushure mekuvhiyiwa.

Mamwe mabhakitiriya anokonzeresa ronda kuputa anogona zvakare kukonzera endometritis. Uku ndiko kutsamwa kwekupedzisira-cesarean kwechibereko chechibereko chinogona kukonzera:

• kurwadziwa
• kubuda ropa zvisina kujairika
• kubuda
• kuzvimba
• kupindwa nechando
• malaise

Zvimwe zvirwere zvinowanzoitika mushure meC-chikamu hazviwanzo kuvapo mune vakadzi vane incision saiti hutachiona. Izvi zvinosanganisira thrush uye urinary turakiti kana dundira hutachiona:

Thrush

Kututira kunokonzerwa nefungus Candida, iyo inowanzovapo mumuviri wemunhu. Iyi fungus inogona kukonzera hutachiona muvanhu vanotora steroid kana maantibayoti uye mune vanhu vasina simba immune immune. Iyo fungus inogona kukonzera kusangana nekutsi kwemukadzi mbiriso hutachiona kana isina kusimba tsvuku uye chena maronda mumuromo. Mishonga haigare ichidikanwa, asi antifungal drug kana muromo wewash ingangokubatsira kurwisa hutachiona. Idya yogati nemamwe mapurobioti ekudzivirira kuwanda kwembiriso, kunyanya kana wanga uri pamishonga inorwisa mabhakitiriya.

Urinary turakiti uye chirwere chedundira

Catheters anoshandiswa panguva yako yekugara muchipatara anogona kukonzera Urinary turakiti uye dundira hutachiona. Izvi hutachiona zvinowanzo kuve mugumisiro we E. coli bacteria uye inorapika nemushonga unorwisa mabhakitiriya. Zvinogona kukonzera kupisa mukati mekuita weti, kazhinji kuda kuita weti, uye fivha.

Hosha yeronda inofanirwa kurapwa sei?

Kana iwe uine ronda cellulitis, mishonga inorwisa mabhakitiriya inofanira kujekesa hutachiona. Mishonga inorwisa mabhakitiriya inonanga mabhakitiriya e staphylococcal uye streptococcal. Muchipatara, hutachiona hwemaronda hunowanzo kurapwa nemishonga inorwisa mabhakitiriya. Kana iwe uchirapwa semunhu anorwara kunze, iwe unozopihwa kana kupihwa mishonga inorwisa mabhakitiriya yekutora kumba.

Maronda mamota anorapwa zvakare nemishonga inorwisa mabhakitiriya uye anoda kutarisirwa chaiko. Chiremba wako anozovhura iyo incision munzvimbo yese ine hutachiona, wobva wadurura pus. Mushure mekunge nzvimbo yacho yanyatsogezwa, chiremba wako anodzivirira kuunganidzwa kwepus nekuisa antiseptic ine gauze pairi. Ronda rinofanira kugara richiongororwa kuti rione kupora kwakakodzera.

Mushure memazuva akati wandei ekurapwa kwemishonga inorwisa mabhakitiriya uye kudiridza, chiremba wako anozotarisa incision zvakare. Panguva ino, ronda rinogona kuvharwa zvakare kana kubvumidzwa kuzvirapa roga.

Nzira yekudzivirira hutachiona hweC-chikamu maronda

Dzimwe nzvimbo dzekuvhiya saiti dziri kunze kwako. Kana iwe uine C-chikamu, zvakadaro, iwe unogona kutora mamwe matanho ekuderedza mikana yekutapukirwa. Kana iwe uri kufunga nezve yakasarudzika C-chikamu, iwe unogona kutora matanho ekudzivirira matambudziko.

Kana iwe watove nemhando iyi yekuvhiya, heano mamwe matanho aunotora:

• Tevedza rairo yekuchengetedza ronda uye yekumashure ekuvhiya mishonga nzira yakapihwa nachiremba wako kana mukoti. Kana uine mibvunzo, usazeza kufonera chiremba wako.
• Kana iwe wakapihwa maantibayoti ekurapa kana kudzivirira hutachiona, usasvetuke madosi kana kurega kuashandisa kusvikira wapedza iyo yose nzira yekurapa.
• Chenesa ronda rako uye chinja maronda maronda nguva dzose.
• Usapfeke zvipfeko zvinonamira kana kuzora mafuta emuviri pamusoro pechironda.
• Kumbira mazano ekubata nekupa mwana mucheche kudzivirira kunetseka kusagadzikana pane ronda rako, kunyanya kana uchironga kuyamwisa.
• Edza kudzivirira kubvumira makanda eganda kuvhara uye kubata iyo incision nzvimbo.
• Tora tembiricha yako neyemuromo thermometer kana iwe uchinzwa kupisa. Tsvaga kurapwa kana kufonera chiremba wako kana iwe ukava nefivha inopfuura 100ºF (37.7ºC).
• Tsvaga kurapwa kweiyo incision saiti ine pus, kuzvimba, kuva zvinorwadza zvakanyanya, kana kuratidza kutsvuka paganda rinopararira kubva kune incision saiti.

Vakadzi vane kusununguka kwemadzimai kashoma kuti vawane hutachiona hwekusununguka. Mune zvimwe zviitiko, zvakadaro, kuberekwa kwemukadzi mushure meC-chikamu (VBAC) kune njodzi nekuda kweimwe njodzi kuna amai nemwana. Kurukura nezvehutano hwako pachako nachiremba wako.

Kana usati wave neC-chikamu, heano mamwe matanho aunotora:

• Chengetedza huremu hune hutano. Kana usati wava nepamuviri, kurovedza muviri uye uteedzere kudya kunovaka muviri kudzivirira nhumbu ine yakafutisa body mass index (BMI).
• Sarudza remukadzi, rinongoerekana raitwa uye kuburitsa kana zvichibvira. Vakadzi vane kusununguka kwemadzimai kashoma kuti vawane hutachiona hwekusununguka. (Iyi ndiyo kesi kunyangwe mumadzimai akambove neC-chikamu, asi VBAC ine njodzi mune dzimwe nguva. Inofanira kukurukurwa nachiremba.)
• Rapa mamiriro ezvinhu asipo anoita kuti immune system yako ikanganisike. Kana iwe uine hutachiona kana chirwere, edza kuti ubatwe usati wabata pamuviri kana zuva rako risati rasvika kana zvakachengeteka iwe nemwana kuzviita.

Iwe unofanirwa zvakare kusarudza nzira yakachengeteka yekuvhara ronda. Kana chiremba wako akaronga kushandisa zvidimbu, bvunza kana imwe nzira iripo (senge PGA sutures). Kumbira pre-incision maantibayoti uye zvakakwana maronda ekurairirwa kubva kune avo vanokurapa kuchipatara. Zvakare, kumbira kuti uongororwe zviratidzo zvehutachiona usati waenda kumba kubva kuchipatara.

Matambudziko eichi chiitiko

Mune zvimwe zviitiko, hutachiona hweronda hunogona kukonzera matambudziko akakomba. Mienzaniso inosanganisira:

• necrotizing fasciitis, inova hutachiona hutachiona hunoparadza hutano hwakanaka
• kuputika fascia kana kushomeka kweronda, kunova kuvhurika kweganda uye zvidimbu zvemukati zvakagadziriswa mushure mekuvhiyiwa
• evisceration, kunova kuvhura kweronda ura huchiuya kuburikidza nekacheka

Kana iwe ukagadzira chero ripi zvaro rematambudziko aya, ivo vachada kugadzirwa kwekuvhiya. Izvi zvinogona zvakare kukonzera yakareba yakareba nguva yekudzoreredza. Mune zvisingawanzoitika zviitiko, matambudziko anogona kuve anouraya.

Maonero ehutachiona hwemashure-cesarean

Kana iwe ukarapwa nekukurumidza, unogona kupora kubva kuhutachiona hwemashure-cesarea uine mashoma mhedzisiro yenguva refu. Sekureva kweMayo Clinic, yakajairika incision kupora kunotora mavhiki mana kusvika matanhatu. Zvisinei, kana hutachiona hweronda hukaonekwa usati waburitswa muchipatara, kugara kwako muchipatara kunogona kuve nemazuva mashoma. (Izvi zvichawedzerawo mari dzekuchipatara.)

Kana iwe watotumirwa kumba nenguva iyo chirwere chako chepashure-cesarean chichiitika, ungangoda kupihwa mvumo yekugamuchira mishonga inopinza kana kumwe kuvhiyiwa. Zvimwe zvezvirwere izvi zvinogona kurapwa pachipatara chekunze pamwe nekushanyirwa kwachiremba uye mishonga inorwisa mabhakitiriya.