Zamkatimu
Kodi cesarean yobwerezabwereza ndi chiyani?
Amanenedwa za opaleshoni kuti ndi obwerezabwereza pamene akuchitidwa mwa mayi amene wabereka mwa cesarea kale, pambuyo pa mimba yapitayi. Teremuyo "wobwereza"Kwenikweni amatanthauza"zomwe zimabwerezedwa kangapo".
Nthawi zambiri amaganiziridwa kuti mkazi amene wabereka Kaisareya ndi “woweruzidwa"Kuberekanso mwachisawawa panthawi yomwe ali ndi pakati. Izi zinali choncho mpaka kale kwambiri, chifukwa chovuta kubereka ndi a chiberekero chochepa. Koma ndikusintha kwa njira zopangira opaleshoni, gawo la cesarean likuchulukirachulukira, ndipo mkazi amene wachitidwa opaleshoni nthawi zambiri amatha kubala kumaliseche pambuyo pake, pa nthawi ya mimba yatsopano.
Kumbukirani kuti cesarean rate imayenda mozungulira 20% yobweretsera ku France, m'malo mwa 10% yovomerezeka ndi World Health Organisation (WHO). Monga opaleshoni ya opaleshoni imakhalabe yochitidwa opaleshoni, ndi zoopsa zonse ndi zovuta zomwe izi zimaphatikizapo, komanso zovuta zomwe zimaganiziridwa pa thanzi la mwana, akatswiri odziwa zachipatala nthawi zonse amaganizira za kubereka kwa nyini pambuyo pa gawo loyamba la cesarean. Akuti 50 mpaka 60% ya akazi "kaisara" adzabereka ukazi pambuyo pa mimba yatsopano.
Kodi opaleshoni yobwerezabwereza imachitidwa liti?
M'mbuyomu, ndi agogo athu aakazi, akatswiri azachikazi amangopita ku opaleshoni yobwerezabwereza atangopanga opaleshoni yoyamba. Panopa, kusankha ngati kuchitidwa opaleshoni yobwerezabwereza nthawi zambiri kumaganiziridwa pazochitika ndi zochitika, malingana ndi makhalidwe a mimba ndi kusankha kwa mayi wamtsogolo.
"Chiberekero chokhala ndi zipsera pachokha sichisonyezero cha gawo lopangira opaleshoni.. Malipoti okhudza momwe chiberekero cha chiberekero chimachitikira m'mbuyomo komanso zowawa zomwe zimatsogolera ku gawo la cesarean ndizothandiza posankha njira yoberekera.”, Details the High Authority of Health (HAS). "Pakachitika opaleshoni yam'mbuyomu, chifukwa cha kuopsa kwa amayi ndi kubereka, ndi zomveka kunena kuti ayesedwe [kubereka kwa ukazi], pokhapokha ngati pali chilonda cha thupi", ndiko kunena kuti chilonda chomwe chimakwirira thupi. wa m'mimba.
Komabe, HAS amaona kuti zikachitikambiri ya magawo atatu kapena kuposerapo ochita opaleshoni, tikulimbikitsidwa kupereka cesarean yokonzekera.
Mwachidule, funso lokhudza kuchita opaleshoni yobwerezabwereza kapena ayi lidzatengedwa motsatira ndondomeko, kutengeraonjezerani zizindikiro za mimba:kukhala ndi pakati kapena ayi, kukhalapo kwa plasenta accreta kapena placenta previa, kuwonetsa mwana ndi matako kapena malo ovuta, chiberekero chokhala ndi zipsera, kulemera kwake ndi maonekedwe a mwanayo, zokonda za wodwalayo ...
Komabe, mayi yemwe wabereka kale mwa opaleshoni amalangizidwa mwamphamvukuberekera m'chipinda cha amayi oyembekezera (makamaka mtundu 2 kapena 3) osati kunyumba kapena kumalo obadwirako, kotero kuti kubereka kwadzidzidzi kwadzidzidzi kungathe kuchitidwa ngati walephera kubereka (kuopsa kwa kuphulika kwa chiberekero kukulirakulira, kuvutika kwa mwana wosabadwayo, ndi zina zotero).
Kodi cesarean yobwerezabwereza imachitidwa bwanji?
Le njira ya cesarean yobwerezabwereza n'chimodzimodzi ndi njira ya "classic" cesarean, kupatula kuti kubwereza opaleshoni nthawi zambiri kumakhala njira yopangira opaleshoni. Chochekacho nthawi zambiri chimapangidwa pa chilonda chakale cha cesarean, zomwe zingathe kulola dokotala wa opaleshoni ya amayi kuti aziwoneka bwino pa chilondacho, pamene sichiwoneka bwino kapena sichichira bwino.
Zindikirani kuti ikakonzedwa, gawo la cesarean lobwerezabwereza limatha kupangitsa kuti lizitha kudzikonzekeretsa kunyumba komanso panthawi yobereka: kulera mwana, kupita pakubereka kwa mwamuna kapena mkazi, kuchita khungu ndi khungu ndi mwana, ndi zina zambiri.
Kupanga opaleshoni kobwerezabwereza: kodi pali zoopsa zilizonse zamavuto?
Chifukwa cha opaleshoni yam'mbuyomu komanso chipsera chake, kubereka kobwerezabwereza kumatha kuyambitsa nthawi yayitali komanso / kapena kubereka kovutirapo. Chipsera cham'mbuyocho chikhoza kuti chinabala adhesions pakati pa ziwalo zosiyanasiyana, monga pakati pa chikhodzodzo ndi chiberekero, pamtunda wa khoma la m'mimba ...
Ngati kuli kovuta kufikira chiberekero, dokotala wa opaleshoni angasankhe kudula polowera ndi lumo osati zalamakamaka ngati pali vuto ladzidzidzi la thanzi la mwana (fetal mavuto). Kucheka kumeneku kungayambitse kutaya magazi kwambiri komanso kupweteka kwambiri. Pazidzidzi, dokotalayo amaika pangozi, kawirikawiri, kuwononga chikhodzodzo kapena kuvulaza mwanayo. Ndicho chifukwa chake madokotala amakonda panga opaleshoni yobwerezabwereza m'malo mochita mwachangu pamene kuyesa kubadwa kwa nyini kwalephera. Chifukwa chake kufunikira kokambilana mokwanira za zovuta zonse zokhudzana ndi gawo lachiberekero chobwereza kumtunda, ndikuwunika moyenera phindu / chiopsezo chokhazikika musanabereke kapena osabereka pambuyo popanga opaleshoni.