Iwe unogona kunge une mibvunzo pamusoro peC-chikamu zvitsva zvisati zvaitika uye shure kwechikamu chako chekusiya , zvikurukuru kana chisina kurongwa. Kutora kwako chinhu chinoda kurapwa uye kutarisirwa. Iwe uchawana mirayiridzo yekuti ungatarisira sei apo iwe uchirapa. Nzira yekurapa iri muzvikamu. Dzidza pamusoro pezvaunotarisira uye kunyaradza zvinogona kuitwa kuti udzivise kushatirwa.
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Ndechipi Chine Chekuita Kwemimba Ichashandiswa?Iwe unogona kukumbira chiremba wako kuti ndeupi rudzi rwekuvharwa kwemuviri kuchashandiswa, iyo ichasarudza rudzi rwekutsva iwe uchava. Iyo yakananga kana bicyini incision (Pfannenstiel incision) ndiyo inonyanya kushandisa rudzi rwakashandiswa. Icho chiri pamusoro pevheji yepicic kana kuti pamusoro pebvudzi renyoro. Izvi zvinopa chikafu chinonyanya kukosha chichiratidzira kana chaporeswa.
Vertical incisions hazviwanzoitiki, asi iyo ndiyo yepakutanga yakashandiswa kushandiswa uye saka dzimwe nguva inonzi classical incisions. Mune mararamiro, rudzi urwu rwekudzidzira runozivikanwa sekati midline. Inongoshandiswa chete mumamiriro ezvinhu akaipisisa.
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Ndeupi Mhando YeUterine Incision Inoshandiswa?Mukati, ruvara rwechibereko chako runogona kutarisa zvakafanana nekuvhara pamuviri wako. Inogona kukwira uye ichidzika (classical) kana yakakwana (bikini). Ichasarudzawo kana iwe uri mukana wakanaka wekuberekwa kwevakadzi mukati mekuberekwa kwakatevera, unozivikanwa semukadzi kuberekwa mushure memasikati (VBAC) .
Iyo yakawanda inowanzoitwa uterine incision inonzi incision inogadziriswa pachikamu chezasi chechibereko (low flap transverse incision). Kuva nemwana mucheche , mwana muchinzvimbo chisingazivikanwi, kana kuti chirwere chinokurumidzira chinogona kurapa rudzi rwakasiyana rwekudzivirira. Kuberekwa mumudzimai mumitambo inotevera kunogona kunge kune ngozi yakawanda kune zvimwe zvinenge zvichisarudzwa, sezvinowanzoitika kuti kuwedzera kwako kunowedzera.
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Ndezvipi Zvinhu Zvichatshandiswa Kuvhara Kuchengeta Kwangu?Zvinhu zvinoshandiswa kupfigira tsvina yako zvinogona kutarisa pane zvimwe zvinhu, kusanganisira muviri wako weropa uye chiremba chako chaunoda. Chiremba wako angashandisa:
- Staples
- Sutures (stitches)
- Steri akacheka (tepi yakanyatsozivikanwa)
- Glue
- Kusanganiswa
Zvimwe zvinhu zvokuvhara, zvakadai sezvokudya, zvinoshandiswa kwechinguva uye zvichabviswa mushure mekunge imwe nguva yenguva. Izvo zvakare zvinotarisana nezvinodiwa nemuranda wako uye kuti uri kuporesa sei.
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Chii Chandinoita Kana Ndichine Huri Mukutengesa Kwangu?Pain inowanzonziwo mumazuva ekutanga mushure mekuvhiyiwa kwako. Chiremba wako achapa mishonga inorwadza kana yakakodzera. Kune dzimwe zviratidzo zvinonyevera zvinoratidza kuti une dambudziko nekukanganiswa kwako. Kana iwe uine ruvara, kuzvimba, kurwadziwa kwakakomba, kana kurwadziwa kunowedzera, unofanira kufanira chiremba wako. Iwe unofanirwawo kudana pakarepo kana iwe uine chinhu chipi zvacho chinoputika kunze kwekushambadzira. Izvi zvinogona kuva zviratidzo zvehutachiona, izvo zvinoda kutarisirwa nokukurumidza. Danaidza mushandi wako, zvisinei kuti nguva yezuva ndeipi.
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Izvo Zvakasvibirira C-chikamu Changu Kupera Here?Zvinowanzoitika kuti utambudze panguva yekurapa. Ngwarira pamusoro pokucheka nokuti unoda kudzivisa utachiona. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wanyora, zvinokwanisika kuzvikuvadza iwe pachako. Vamwe vanaamai vanoona kuti kubata chimwe chinhu zvakasimba pamusoro pevha yavo kunogona kuderedza kuchema kwekunzwa.
Kubva kunogona kukonzerwa nehuputi huri kukura shure kana hwaveurwa kare kusati kwavhiyiwa. Kana iwe uchiri kutora shure mushure mokunge vhudzi rako rinokura shure, rinogona kunge richibva pakuporesa.
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Chii Chandinoita Kana Chinyorwa Changu cheCesare Chinotsamwiswa?Iva nechokwadi chekuchengetedza C yako chikamu kusanganisa nzvimbo yakachena uye yakaoma. Kana uri kunetseka kuchengetedza nzvimbo yacho yakaoma nekuda kweshefu reganda iro rinogona kupedzisira riri pamusoro pekudzivirira, bvunza chiremba wako nezvekushandisa chimwe chinhu chakafanana nekorstarch kana nzvimbo yacho yakapora zvachose. Unogonawo kushandisa girafu kana kamba. Iva nechokwadi chokuti wakaoma ganda mushure mekugeza.
Edza kudzivisa zvipfeko zvinogara zvakananga pamusoro peC-chikamu chechikamu chako. Funga kuita izvi kwemwedzi mishomanana. Sezvo mishonga inoporesa, unogona kuedza kuisa radhi yako yekare mukati uye ingasava nechinetso nayo.
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Zvakajairika Kuva neNumb Cesarean Scar?Unhu hwakapoteredzwa nehutachiona hausi dambudziko asi hunogona kunetsa. Vamwe vana vanorondedzera kuti havafungi zvakapoteredza kana kungova pamusoro peC-chikamu chechikamu chavo. Kune vamwe ndekushaya kwenguva kwenguva kwekunzwa, kune vamwe inogara nokusingaperi. Taura izvi kune chiremba wako kana une mibvunzo pamusoro payo kana kana yakakunetsa iwe.
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Chii Chingaita Kuti Mavara Angakaita?Kuporeswa, chidimbu cheC-chikamu chinosvika 4 kusvika ku 6 masendimita yakareba, kunyange hurefu uhwu hunogona kusiyanisa nekuda kwekuiswa kwekutsva uye urefu hunodiwa kuti ubereke mwana wako. Iko kubwinya kuchadererawo kudarika nguva.
Mamwe mapepa akafuridzirwa asi vamwe vachiwedzerwa. Izvi zvinowirirana nezvokuti muviri wako unoporesa sei. Dzimwe nguva, munguva yekurapa, muviri wako unopindira kuvhiiyo nekukanda muchechi. Izvi zvinogona kureva kuti iwe unowedzera kuvhara, unozivikanwa se hypertrophic scar. Mhando iyi yeronda inogara panzvimbo chaiyo chiremba wako chiremba akacheka, zvisingafani nechikafu chechikafu, icho chinogona kuva chakanyanya uye chinowedzera kunze kwekugadzirwa kwepakutanga.
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Zvinotora Nguva Yakadini Kuti Kufuridzira Kuporese?Iwe uchacherechedza kuti nzvimbo yeC-chikamu chikamu chinoshanduka zvishoma nezvishoma, zvishoma nezvishoma zvokuti iwe haungagoni kuona musiyano zuva nezuva. Iwe unogona kutora mifananidzo kuti uone kuti nzira yekurapa inotarisa sei munguva. Pakutanga, kurapwa kwakakosha uye kuchinja kwezuva rose kunogona kuonekwa, asi shure kweizvozvo, iwe haungawani kuchinja kusina kuoneka sekuonekwa.
Nguva inotora kuti C-chikamu chikamu chekuporesa chinopesana kubva kumukadzi kusvika kumukadzi. Dzimwe nguva pane zvimwe zvingaita zvishoma nezvishoma kana zvinopesana nekuporesa kwako, sekudya kusina kunaka, utachiona, nezvimwewo. Kuramba wakagwinya uye kudya zvakanaka kuchabatsira muviri wako kuita basa rawo.
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Pane Zvimwe Zvitsva Zvinowanikwa Here?Munhu wose anenge ane tsvina achave nerudzi rwakaoma. Iyo inotarisa sei kuvhiyiwa ichaenderana nezvimwe zvinhu, kusanganisira:
- Kwenguva yakareba sei iwe waive neC-chikamu chako
- Rudzi rwekugadzirwa kwakaitwa
- Ndezvipi zvakasarudzwa zvakaitwa munzvimbo imwe chete
- Mhando yekugadzirisa chiremba wako chiremba akaita
- Zvinhu zvinoshandiswa (steri-strips, sutures, glue, kana staples)
- Kuti muviri wako wapora sei
- Ganda rako rakatendeseka
- Chimiro chemuviri wako wekukura
Kana kamwe ruvara rwako ruchiporeswa, uye kazhinji, kana wapedza kuwedzera kumhuri yako, iwe unogona kutarisa zvinogadzirisa nguva refu. Izvi zvinogona kusanganisira rwendo kuenda kuchiremba wechiremba wepurasitiki kana dermatologist kune mishonga yepamutemo kana kuti mune zvokurapa.
Iwe unogonawo kuedza kuderedza ukuru hwechivara kuburikidza uchishandisa zvimwe-zve-makambani akaita setilicone strips kana zvimwe zvigadzirwa zvinokurudzirwa nemushandi wako. Iwe unofanirwawo kudzivisa kubuda kwezuva kwegore risati rapera kuti kuderedze kukanganisa kwemavara. Vamwe vashandi vanorayirawo kuporesa nekudzidzira masheji ekurapisa.
Mushure mokunge nguva yekupora yokutanga yapera, kana iwe usinganyatsofari nehutu hwako, pane zvimwe zvingasarudzwa kuti udzivise kutarisa kwaro. Izvi zvinogona kusanganisira mishonga seSteroid injection uye mumatambudziko akaoma, unogona kuve nokuvandudzwa kwakaitwa kuedza kubvisa zvakanyanya kuvhara mavara, kunyange izvi zvisingawanzoitiki.
Chirwere chokudzokorora chinowanzoitwa kwemwedzi mishomanana mushure mekuvhiya kwako kwekutanga. Icho chirongwa chekuvhiya icho chinogona kana chisingafukidzwi nemishuwarenzi, asi kunosanganisira kucheka maronda matsvuku kure nekusika ruvara rutsva rwunofunga kuti rwunofadza zvikuru.
Steroid majovhiri mukati mekuvhara inogona kutanga nguva pfupi mushure mekuvhiyiwa kutarisira kubatsira kubvisa hypertrophic kana keloid scarring. Inogona kuvharwa nehushuwarisi, asi izvozvo zvichabva pane kugoverwa kwako. Ijojekesheni inogona kupiwa kupa mwedzi wega kwega kusvika kumwedzi mitanhatu, zvichienderana nehovha yako.
Laser therapy ndeimwe nzira, asi haibvise zvachose chivara. Imari iri kunze kwehomwe inotora zvidzidzo zvakawanda uye inoguma muvhara isinganyanyi kugadzikana uye ine mavara mashoma. Iyi kurapwa inogona kutanga nguva pfupi mushure mekutanga kuporesa.
Izvo zvakanyanya kusarudzwa zvingadai zviri kugadzirisa mimba, kazhinji kunzi inoitwa mimba. Izvi zvinoderedza chidimbu cheC-chikamu, asiwo kune rimwe ganda nemafuta munzvimbo. Chirwere chinoguma kubva mumumbu chinogona kuva chakakura, saka iva nechokwadi chokuti iwe unonyatsoudzwa musati wawana nzira yacho yaitwa.
Shoko Rinobva Kunyanya
Kana iwe uine hanya kana uine mibvunzo, unofanira kuzviendesa kuna chiremba wako. Iwe unofanirwa kumushevedza iye kana pakarepo kana ruvara rwako rutsvuku kana rwunopera, kana iwe uri kutengesa fivhiri. Shanda pamwe chete nechiremba wako kuti uwane mitsva yekuporesa yaunoda.
> Sources:
> Gabbe SG. Obstetrics Normal uye Zvinetso Zvokugadzirira . Philadelphia, PA: Elsevier; 2017.
> Huppelschoten AG, van Ginderen JC, van den Broek KC, Bouwma AE, Oosterbaan HP. Nzira Dzakasiyana-siyana dzeMucheka Mutsvuku uye Kuvharwa Kweganda paCesarea Chikamu: A Randomized Clinical Trial Pakupedzisira-Zvimwe Zvokugadzirisa. Acta Obstet Gynecol Scand . 2013 Aug; 92 (8): 916-24. doi: 10.1111 / aogs.12142. Epub 2013 Apr 22.
> Ledon JA, Savas J, Franca K, et al. Intralesional Treatment yeKeidis and Hypertrophic Scars: a Review. Dermatol Surg 2013; 39: 1745.
> Mackeen AD, Berghella V, Larsen ML. Matanho Nezvinhu zveganda Kuvharwa muKesariya Chikamu. Cochrane Database Syst Rev. 2012 Nov 14; 11: CD003577. doi: 10.1002 / 14651858.CD003577.pub3.