Kubadwa kwa nyini pambuyo pa gawo la C

Ngati mudabadwira kale (C-gawo) kale, sizitanthauza kuti mudzayenera kuberekanso momwemo. Amayi ambiri amatha kubereka kumaliseche atakhala ndi gawo la C m'mbuyomu. Izi zimatchedwa kubadwa kwachikazi pambuyo posiya (VBAC).

Amayi ambiri omwe amayesa VBAC amatha kubereka kumaliseche. Pali zifukwa zambiri zoyesera VBAC m'malo mokhala ndi gawo la C. Ena ndi awa:

• Kukhala kanthawi kochepa kuchipatala
• Kuchira mwachangu
• Palibe opaleshoni
• Kuchepetsa chiopsezo cha matenda
• Mwayi wochepa mungafunike kuthiridwa magazi
• Mutha kupewa magawo amtsogolo a C - chinthu chabwino kwa azimayi omwe akufuna kukhala ndi ana ambiri

Chiwopsezo chachikulu ndi VBAC ndikutuluka (chiberekero) kwa chiberekero. Kutaya magazi kuchokera ku chotupa kumatha kukhala pachiwopsezo kwa mayi ndipo kumatha kuvulaza mwanayo.

Amayi omwe amayesa VBAC koma osapambana nawonso amafunika kuthiridwa magazi. Palinso chiopsezo chachikulu chotenga matenda m'chiberekero.

Mpata wophulika umadalira kuchuluka kwa magawo a C ndi mtundu wanji womwe mudakhala nawo kale. Mutha kukhala ndi VBAC ngati mukadangotumiza gawo limodzi la C m'mbuyomu.

• Kudulidwa kwa chiberekero chanu kuchokera ku gawo lakale la C kuyenera kukhala komwe kumatchedwa kutsika pang'ono. Wothandizira zaumoyo wanu angafunse lipotilo kuchokera ku gawo lanu lakale la C.
• Simuyenera kukhala ndi mbiri yakale yophulika chiberekero kapena zipsera zochitidwa maopaleshoni ena.

Omwe akukuthandizani adzafuna kuwonetsetsa kuti mafupa anu amakula mokwanira kuti azitha kubereka ndipo azikuwunikirani kuti muwone ngati muli ndi mwana wamkulu. Zingakhale zosatetezeka kuti mwana wanu adutse m'chiuno mwanu.

Chifukwa mavuto amatha kuchitika mwachangu, pomwe mukukonzekera kuti mukakambe nawo chimathandizanso.

• Muyenera kukhala kwinakwake komwe mungayang'anitsidwe pantchito yanu yonse.
• Gulu lazachipatala kuphatikiza mankhwala ochititsa dzanzi, oberekera ndi ogwira ntchito m'chipinda chogwiritsira ntchito ayenera kukhala pafupi kuti achite gawo ladzidzidzi la C ngati zinthu sizingayende monga momwe amakonzera.
• Zipatala zazing'ono sizingakhale ndi gulu loyenera. Mungafunike kupita kuchipatala chokulirapo kuti mukapereke.

Inu ndi wothandizira wanu mudzasankha ngati VBAC ili yoyenera kwa inu. Lankhulani ndi omwe akukuthandizani za zoopsa ndi zopindulitsa zanu ndi mwana wanu.

Chiwopsezo cha mzimayi aliyense ndi chosiyana, chifukwa chake funsani zomwe zimakukhudzani kwambiri. Mukamadziwa zambiri za VBAC, zidzakhala zosavuta kusankha ngati zili zoyenera kwa inu.

Ngati wothandizira wanu atanena kuti mutha kukhala ndi VBAC, mwayi ndi wabwino kuti mutha kukhala ndi chipambano. Amayi ambiri omwe amayesa VBAC amatha kubereka kumaliseche.

Kumbukirani, mutha kuyesa VBAC, koma mungafunikire gawo la C.

VBAC; Mimba - VBAC; Ntchito - VBAC; Kutumiza - VBAC

Mchere DH. Kuyesedwa kwa ntchito ndi kubereka ukazi ukabereka. Mu: Chestnut DH, Wong CA, Tsen LC, et al, olemba. Anesthesia ya Chestnut Obstetric: Mfundo ndi Kuchita. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 19.

Landon MB, Grobman WA. Kubadwa kwa nyini atabereka. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 20.

Williams DE, Pridjian G. Obstetrics. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 20.

• Gawo la Kaisara
• Kubereka