Nzira yekugadzirira sei chikamu chechiesariya? Planned operation. Preoperative kugadzirira. Pfungwa dzepfungwa

Kubata inguva yemashiripiti yemukadzi wese. Mwedzi mipfumbamwe, mummai ari mberi ari kumirira kuberekwa kwomwana wake uye, zvechokwadi, anotarisira kuti kuberekwa kuchava kwakanaka. Nzira iyo nzira yekuberekwa kwechecheche inoitwa nayo inokonzerwa nezvikonzero zvakawanda: sei kuberekwa kwakaitika, kusarudzwa kwechipatara chekuberekwa uye, hongu, chiremba anoenda. Ndiye uyo achaita sarudzo pamusoro pemigwagwa ipi ichagoverwa.

Chii chikamu chechiesariya?

Kazhinji pane zviitiko apo kuberekwa kwepanyama kunogona kutyisidzira hupenyu hwemamai uye mwana wavo weramangwana. Mumamiriro ezvinhu akadaro, chiremba anosarudza kutungamirira kushanda kwekushanda.

Chikamu cheCesarean inzira yekuvhiya, iyo iyo fetus inobviswa kubva mudumbu remukadzi nechekacheka pamudumbu, pamwe nechiberekero.

Aina dzeKesariya

Kune marudzi maviri ekuberekwa kwokuvhiya:

1. Yakarongwa. Chisarudzo chekuita basa racho nenzira yakarongeka inotorwa nachiremba kunyange panguva yekudzivirira kweamai pakuberekwa. Inorayirwa kana kune chiratidzo chekurapa.
2. Hazvina kugadziriswa. Kutakura kwekushanda kusina kugadziriswa kunobvira mukugadzirisa kuberekwa, apo pane matambudziko uye njodzi dzehupenyu hwemai nemwana wavo.

Chiratidzo chekushanda

Kuvhiya kwechikamu cheKesariya kunosanganisira kuvapo kwezvimwe zviratidzo. Inogona kugoverwa mumhando mitatu:

1. Kusagadzikana-mamiriro ezvinhu, achifunga kuti kuberekwa kwakasikwa hakugoneki.

• Narrow pelvis - chiremba anoenda kunotarisa upamhi hwepfupa replavic pakutanga kuongorora mupolyclinic, saka kana paine kuongororwa kwakadaro mukadzi angakurumidza kutanga kugadzirira kushanda kupindira. Nzira yekugadzirira chikamu cheKesariya, ichasanangurwa nechiremba wake.
• Kuvapo kwechigadziro chemagetsi chichapindira nekupfuura kwema fetus (semuenzaniso, kuzvimba, placenta previa).
• Mukana wekuparadza ruzivo. Mamiriro ezvinhu akadaro anogona kuitika mushure mekugara (semuenzaniso, kana kuberekwa kwekutanga kwakaitwa nekubatsirwa kwebasa).
• Detachment of the placenta.

2. Chirevo - mamiriro ezvinhu achifunga kuti njodzi yekuitika kwezvinetso uye kutyisidzira kwehutano hwaamai nechechecheche uye kuberekwa kwekuzvarwa kwepanyama kunogona. Vanowanzosabatanidzwa nekanguva yekamuviri uye kunogona kukonzera matambudziko panguva yekuberekwa. Izvi ndizvo, somuenzaniso, zvinetso nemaziso, itsvo, mwoyo, kenza, nevamwe.

3. Kukurumidzira - mamiriro ezvinhu akabuda panguva yekubereka, achityisidzira hupenyu uye hutano hweamai nevana munguva yemberi (somuenzaniso, kana basa rekushanda risina simba kana kuti rakamira zvachose).

Zvarongwa zvinodzivisa: nguva

Zuva rekushandira rinosarudzwa zvichienderana nehutano hwehutano hwemukadzi, pamwe chete nemamiriro uye nekusimudzirwa kwomwana. Kana mimba yakanaka uye isina zvirwere, chirwere chinonzi caesarean chinorondedzerwa zuva rinotevera kumubereki wakaberekwa.

Vhiki mbiri musati wapiwa chiitiko ichi, gynecologist uyo akaona chirongwa chepamuviri wese anopa mukadzi mukurara kwekuberekwa kwechipatara uye anotsanangura nzira yekugadzirisa chikamu cheKesari kuitira kuti zvingava nyore kuti mukadzi adzore kushanda kwepfungwa. Mukuwedzera, amai vanouya mune ramangwana vanogona kupinda misangano yepfungwa, iyo inoitika pa polyclinics. Ichatibatsirawo kunzwisisa nekutsvaga nzira inotevera.

Kugadzirira kushanda

Kugadzirira kwepamberi yekugadzirisa chikamu chekudzivirira kunotanga nekuiswa kwepakutanga muchipatara. Pano mukadzi anoenda kuongororwa anodiwa uye anoramba ari pasi pekutarirwa kwachiremba aripo mazuva mashomanana vasati vasvika. Chirevo chekutanga chinotanga kurongwa kwekushanda, uye rinotaurirawo kuti ingagadzirire sei chikamu cheKesariya.

Mukadzi wacho anotora miedzo yose inodiwa, anodzidza pamusoro pekusagadzikana kweanesthesia uye kuvapo kwemishonga yemishonga kune mishonga, kuita sarudzo ye ultrasound kuti uone kuda kwecheche pakuberekwa.

Zuva risati rapera kuvhiyiwa, kudya kwemanheru kunofanirwa kubatwa kwete mushure meawa gumi nemaviri. Mumangwanani kusati kwaitwa, kunyange kushandiswa kwemvura kunorambidzwa. KuneKesariya, mukadzi ari pakuberekwa anofanirwa kuenda nenharo isina chinhu. Kushanda kwekushanda kunowanzopiwa mumangwanani emaawa.

Kuvhiyiwa kunoitwa sei?

Sezvo avo vanodarika, chiremba anotsanangura mukadzi ari mubasa usiku. Pazuva rakasarudzwa, mukadzi wacho anoenda kunhu hygienic procedures. Pano, vanoita enema yekuchenesa, uye vanoveura zvidimbu zvemuviri. Pane imwe nguva inopiwa kuti iise pazvinosungirirwa zvinyorwa. Mushure meizvozvo, kugadzirira kwechikamu chekudzivirira kwapera, uye amai vanotumirwa kuimba yekushandisa.

Mhando dzeaneshesia

Pamberi pekuvhiyiwa, mukadzi anesthetized. Kune marudzi maviri eesesthesia:

• Epidural anesthesia.
• General anesthesia.

Epidural anesthesia inosanganisira kutungamirirwa kwechirwere chepfungwa mumutsipa wepelinha neine tsono. Iyi nzira haina marwadzo, pane kufadza. Zvose zvinonzwa zvinokurumidza kukurumidza, uye kunzwa kunopera mukati memaminitsi mashomanana.

Jenesi anesthesia inzira inoshandiswa kakawanda. Inoshandiswa apo paine chido chekutanga chirongwa chinokurumidza kupfuura epidural anesthesia inotanga kushanda .

Mushure mokutungamira kwechirwere chekuita, chirongwa chinotanga chinotanga. Chiremba anocheka mudumbu, anoputira mishonga, uye anogura musumbu uye anovhura fetal bladder. Mushure mekubviswa kwechecheche, nzira yekuchera inotanga. Pamubereki, sutures inoshandiswa nekubatsira kwetambo, izvo ivo pachavo mwedzi mishomanana vachapedza. Zvadaro tsvimbo inowanikwa pamimba. Zvose zvinoshandiswa hazvitoreri kupfuura maminitsi makumi mana. Sezvaunofamba nenzira iyo, iwe zvino unoziva.

Mushure mokuvhiya: chiitiko, kudya

Mushure mokupindira kwebasa racho, mukadzi wacho anoramba ari muchipatara kwemazuva asingasviki kwemazuva manomwe. Nguva yose iyi ari pasi pekutarisa kwevashandi vezvokurapa, uyo anogadzira zvese zvinodiwa uye anopa iye uye mwana ane hanya.

Maawa ekutanga mushure mekusiya zvikafu ndizvo zvakanyanya. Murwere ari muimba huru yekuchengetedza mune imwe nzvimbo yepamusoro. Kwenguva yakati akapiwa chirwere chekurwadza uye kupora mishonga. Iwe unogona kugara kwemaawa matanhatu kana masere mushure mekushanda. Zuva rakatevera mukadzi wacho anotumirwa kune imwe ward.

Kudya mushure mokuvhiya kwakanyanya zvakasimba, asi chete kokutanga. Pazuva rokutanga, kunwa kwakanaka kunokurudzirwa, uye haufaniri kunwa mvura yakakonta. Pazuva rechipiri mushure mekusiya zvokudya, kushandiswa kwemvura yakasvibirira (masobho, mashedati yakashambadza uye mabheti) inobvumirwa. Kana hupenyu hwemukadzi hwakanaka, zvino pazuva rechitatu anobvumirwa kutanga kudya kwakakodzera kune vose vatsva.

Musha wekuchengetedza nekuchengetedza

Mushure mokusununguka kubva kuchipatara, iwe uchada kutevera zvimwe zvidzidzo. Saka, kubva pakushambidza, kushanyira dziva uye kushambira mumabhazi kunofanirwa kurega kwemwedzi mishomanana, kusvikira kuporesa kwezvibatanidzwa kuchiitika.

Kushingaira kwekuita muviri kunopindirana zvakare kwemwedzi miviri. Vakadzi vakawana chikamu chekusiya, havagoni kusimudzwa pakutanga uye vanopfeka chero chinhu chakakosha kupfuura mwana.

Kudzokera kuhupenyu huri hwepabonde hwepabonde hunokwanisa chete mumwedzi umwe nehafu-miviri. Munguva ino muviri unenge uine nguva yekuwanazve. Mukufananidza, zvakakosha kusarudza nzira dzinouya dzekudzivirirwa, kubva pakuberekwa kwakatevera mushure mekushanda kunokwanisika kwete makore maviri gare gare.

Psychological training

Nzira yekugadzirira sei psychologically kune chikamu cheKesaria? Pasinei nechokwadi chokuti vanachiremba vanoratidzira zvakashata pamusoro pekuita kwechikamu chekudzivirira, nhasi kushandiswa kwekushanda inzira inogona kuitika kwete chete muhupo hwezviratidzo, asiwo pane kuda kweamai vanouya. Kugadzirira kwechikamu chechiesariya kunosanganisira kuongorora zvose zvinobudirira uye zvinopera zvekuita.

Pros of cesarean:

• Hapana kukuvadzwa kuhutano hwemukadzi.
• Izvo zvinenge zvisinganzwisisiki zvichibva kune anesthesia.
• Nzira yacho inotora mushure maminitsi makumi mana, asi kuberekwa kunowanzoitika kunogona kutora maawa mazhinji.
• Iwe unogona kuona mwana pakarepo mushure mekushanda, pamwe chete nekuberekwa kwepanyama.

Cons:

• Nguva yakareba yekugadziriswa kwemashure uye kusangana pasi pekutarisirwa kwechiremba.
• Inonamatira pamimba uye chibereko chinogara kwenguva yose.
• Mamwe mummies anocherechedza kuti mwedzi yokutanga hainzwi sepfungwa dzeukama hwepedyo nemucheche, achitaura nezvekuita kwekuberekwa kwekuberekwa.
• Nguva yakareba yekugadzirisa muviri (kugadziriswa kwemaitiro emvura, chiito chemuviri uye zvepabonde).

Kuti uve wakagadzirira mufambiro kune izvi, zvakakosha kuti uverenge mabhuku akakodzera, unogona kukumbira chiremba wako kuti akuudze kuti ungagadzirira sei chikamu cheKesariya, uyewo kuti basa racho pachako sei. Kubva mumuromo wechiremba uyo ave anewe kwemwedzi mipfumbamwe, zvicharatidzika zvakachengeteka uye zvinobatsira kuti uzorore.

Mune nzira yekubereka, basa guru rinotambidzwa nemafungiro epfungwa, saka gadzikana, uye zvimwe zvose zvichaitwa kwauri nehupenyu uye chiremba wako.