Kawirikawiri m'makliniki a amayi wina amatha kumva kuti kubereka mobwerezabwereza pambuyo pa gawo lachisitomala lidzawonekeranso zochitika zomwezo zobadwa mwakuya sizikutchulidwa. Komabe, mchitidwewu wakhala ukusiyidwa kwambiri, chifukwa pali mwayi weniweni wobereka mwachibadwa, ngakhale kuti kubadwa kwapita kumathera pa opaleshoni.
Lero, mchere wachiwiriwu amachitika pokhapokha ngati ali ndi matenda okhwima. Ndipo ngati mimba yachiwiri, monga yoyamba, imathera ndi gawo losungirako, ndiye kuti mayiyo amaperekedwa kuyera kwathunthu. Kuchokera mimba yachitatu pambuyo pa mchere wa wachiwiri ndi wosafunika kwambiri - kumakhala koopsa osati kwa thanzi, komanso moyo wa mayi ndi mwana.
Kodi gawo la kansara likuwonetsedwa liti kachiwiri?
Kaisara pa kubadwa kwachiwiri kumachitika ngati mkazi ali ndi shuga, kuthamanga kwa magazi, myopia wamkulu, mawindo a retina, matenda osokoneza bongo.
Kuonjezera apo, kachiwiri kachisankho chokonzekera kachitidwe kachitidwe kameneka kachitidwa ngati mkazi ali ndi zinthu zoterezi monga mapepala opapatiza. Kukhala ndi mwayi waukulu wobwereka mobwerezabwereza ngati mimba ili yayikulu.
Udindo wofunikira umasewera ndi zotsatira za munthu woyamba odwala: ngati opaleshoniyo yayamba ndi mavuto, ululu pambuyo pake sungatheke, ndiye kubereka kachiwiri kudzachitika pogwiritsidwa ntchito kwa Kaisareya.
Kumalo oopsya, amayi omwe anabadwanso kale kuposa zaka ziwiri pambuyo pa opaleshoniyo, komanso omwe adachotsa mimba pakati pa gawo loyambalo komanso mimba iyi. Kujambula chiberekero kumakhudza kwambiri mapangidwe a chilonda.
Musapewe opaleshoni yachiwiri ndi amayi omwe ali ndi longitudinal suture pambuyo pa gawo loyamba la odwala ndi omwe ali ndi placenta previa pachimake. Ndiponso ngati zida zogwirizana zimayambira mu rumen mmalo mwa minofu.
Kodi ndizoopsa kukhala ndi wachiwiri wamasiye?
Ngati mwawonetsedwa gawo lachiwiri lokonzekera, muyenera kumvetsetsa kuti limaphatikizapo chiopsezo chachikulu kuposa choyamba. Kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri, nthawi zambiri zimakhala zovuta kwambiri. Izi zimachokera ku zothandizira zothandizira - kawirikawiri anzawo a gawo la Kaisareya ndi ntchito zina.
Kuonjezera apo, zotsatira za mavuto monga anemia, thrombophlebitis wa pelvis ndi endometritis zikuwonjezereka. Ndipo nthawi zina pamakhala mkhalidwe umene chifukwa madokotala amachiza hypotonic, omwe sangakhoze kuimitsidwa, madokotala ayenera kuchotsa chiberekero cha mayiyo.
Koma osati amayi okha omwe akuvutika ndi opaleshoni. Kwa mwana, wachibale wotsekedwa wachiwiri amagwirizanitsidwa ndi zoopsa monga kusokonezeka kwa ubongo, hypoxia - zotsatira za nthawi yayitali yogonjetsedwa ndi anesthesia. Pambuyo pake, ndi mchiwiri wachiwiri wa mchere wodwalayo kuti alowe m'mimba, amayi amafunikira nthawi yambiri kuposa nthawi yoyamba.
Kodi wachiwiri wamasiyeyo ali bwanji?
Kawirikawiri mdulidwewu umadulidwa pa msoko womwe umapezeka. Mwa kuyankhula kwina, msoko wakale ndi wamtengo wapatali. Izi ndizo
Suture pambuyo pa mchere wa chiwiri amapangika nthawi yayitali kusiyana ndi nthawi yoyamba. Izi zimayenera kulamulira, popeza mavuto osiyanasiyana monga adhesions, suppuration ndi nthawi zina zosasangalatsa sizinachitike.
Koma musataye mtima patsogolo pa nthawi. Mwinamwake, dokotala wanu, poganizira chifukwa cha nthawi yotsiriza, adzayesera kuchita zonse kuti asatuluke opaleshoni yachiŵiri, ndipo mumabereka mwana mwachibadwa.