Gawo la Kaisara

Zamkati

• Chidule

Chidule

Gawo lotsekeka ndi njira yoberekera mwana podula pakhungu la pamimba pa mayiyo. Ngakhale kuti opatsirana (magawo a C) ndi njira zochitira opaleshoni zotetezeka, zimayenera kuchitidwa munthawi yoyenera zamankhwala.

Zina mwa zifukwa zomwe zimalepheretsa kulekerera ndi izi:

• Ngati mwana wakhanda akuyenda pang'ono (mphepo).
• Ngati mwanayo ali paphewa woyamba (wopingasa).
• Ngati mutu wa mwana ndi waukulu kwambiri kuti ungakwane kudzera mu ngalande yobadwira.
• Ngati kubereka kumatenga nthawi yayitali ndipo khomo lachiberekero la mayi silitalika mpaka masentimita 10.
• Ngati mayi ali ndi placenta previa, pomwe placenta imatseka njira yoberekera.
• Ngati pali zizindikilo za vuto la fetus ndipamene mwana amakhala pachiwopsezo chifukwa cha kuchepa kwa mpweya wopita kwa mwana wosabadwa.

Zina mwazomwe zimayambitsa vuto la fetus ndi izi:

• Kupanikizika kwa chingwe cha umbilical.
• Kupanikizika kwa mitsempha yayikulu yam'mimba mwa mayi chifukwa chobadwa kwake.
• Matenda a amayi chifukwa cha matenda oopsa, kuchepa magazi m'thupi, kapena matenda amtima.

Monga njira zambiri zochitira opareshoni, magawo a opareshoni amafunikira anesthesia. Nthawi zambiri, mayi amapatsidwa chotupa kapena msana. Zonsezi zidzachita dzanzi kumunsi kwa thupi, koma amayi amakhalabe ogalamuka. Ngati khanda liyenera kubadwa mofulumira, monga mwadzidzidzi, mayiyo atha kupatsidwa mankhwala oletsa ululu, omwe angamupangitse kuti agone. Pochita opaleshoniyi, amang'amba pamimba pamunsi pamiyendo kenako pamangobowola m'chiberekero. Palibe kupweteka komwe kumakhudzana ndi chilichonse mwazomwe zidachitikazi chifukwa cha anesthesia.

Dokotala amatsegula chiberekero ndi thumba la amniotic. Kenako khandalo limamasulidwa mosamala kupyola mu inchet ndi kupita kudziko lapansi. Njirayi imatenga pafupifupi mphindi 20.

Pambuyo pake, dokotalayo amatulutsa nsengwa ndi kusokerera m'mimba mwa chiberekero ndi m'mimba. Nthawi zambiri, amayi amaloledwa kutuluka mchipatala m'masiku ochepa, kupatula zovuta monga matenda amilonda. Chodetsa nkhaŵa chomwe amayi ambiri amakhala nacho ndi chakuti ngati angathe kudzabereka bwinobwino pambuyo poti anachiswa. Yankho limadalira pazifukwa zomwe zinali zofunikira kuti pakhale gawo la c poyamba. Ngati zinali chifukwa cha vuto limodzi, monga kupindika kwa umbilical chingwe kapena mphepo, ndiye kuti mayiyo amatha kubadwa bwino.

Chifukwa chake, bola mayi akadakhala ndi njira yoberekera imodzi kapena ziwiri zaposachedwa ndi chiberekero chotsika kwambiri, ndipo palibenso zisonyezero za munthu wobisalira, ndiye woyenera kubadwa ukazi pambuyo posiya kubereka, wotchedwanso VBAC.

Magawo obisala ndi otetezeka, ndipo amatha kupulumutsa miyoyo ya amayi ndi mwana nthawi yobereka mwadzidzidzi. Amayi oyembekezera ayenera kukhala okonzeka kukhala ndi mwayi wokhala nawo. Kumbukirani, pakubala, si njira yokhayo yoberekera yomwe ili yofunika, koma zotsatira zake zomaliza: mayi wathanzi ndi mwana.

• Gawo la Kaisara