Apo Paunoda Kuvhiya Paunenge Wakwegura
Chisarudzo chekuvhiyiwa panguva yemubereki chinogona kuva chakaoma. Pane varwere vaviri vanofunga (kana kunyanya kana mukadzi ane pamuviri) pane imwe chete, uye njodzi dzenzira - -iwo-dzakakura kudarika apo murwere asina pamuviri.
Kusarudzwa, zvakadai sokuvhiyiwa kwepurasitiki, hazvisi kuitwa panguva yekuzvitakura.
Zvizhinji zvipatara zvinowedzera kuongororwa kwevakadzi vose vezera rokurera nguva pfupi vasati vavhiyiwa kuitira kuti murwere asingazivi kuti vane pamuviri kubva pakuvhiyiwa.
Muzviitiko zvakawanda, kuvhiyiwa panguva yekuzvitakura kunodzivirirwa chero nguva zvichibvira, kuderedza zvinetso zvemucheche uye amai. Muzviitiko zvakawanda, kana pane chisarudzo chekuvhiya mukadzi ane pamuviri ndeyekuti upenyu hweamai huri munjodzi pasina kuvhiyiwa. Somuenzaniso, kana amai vachiwedzera appendicitis chirwere ichi chichaitwa sematambudziko ezvinyorwa zvinoputika zvakanyanya kune ngozi dzeappendectomy. A rhinoplasty (basa remaputi) raisazoitwa.
Muchechi yemunhu inonyanya kunetseka kukuvadzwa kunokonzerwa nokusangana nemishonga munguva yekutanga chemutatu, kunyanya mukati memavhiki masere ekutanga ekudzivirira. Kuvhiyiwa kunodzivirirwa chero nguva zvichibvira panguva ino, uye inogona kuchinjwa kusvika chetatu chepiri kana yakakodzera.
Nei Chirwere Chichidziviswa PaMuchembere?
Kune zvikonzero zvakawanda nei kuvhiyiwa kuchidzivirirwa panguva yekuzvitakura. Mukadzi ane pamuviri ane hypercoagulable, zvinoreva kuti ropa rake rinowanzovhara kupfuura rinowanikwa kunze kwekuita pamuviri. Iko kushanduka pakuvhara kubatsira kudzivirira mukadzi kubuda ropa panguva yakawanda panguva yekuberekwa, asi quintuples pangozi yekuwana ropa clot panguva kana mushure mekuvhiyiwa.
Kune vakadzi vane vhiki makumi maviri kana kupfuura muhucheche hwavo, dambudziko rinonzi "aortocaval" uye "veocaval compression" rinogonawo kuva dambudziko. Izvi zvinoitika kana mukadzi akamira akarara pamusana wake uye uremu hwemucheche hunorega ropa richiyerera kuburikidza nemidziyo yakawanda yeropa. Kuti udzivise izvi, mamwe maitiro anochengetedza murwere kuti ave akareruka pamusana wake anoshandiswa kana zvichibvira.
Mukuwedzera, apo aneshehesia yakawanda inopiwa kumukadzi ane pamuviri, fetus inogamuchirawo anesthesia. Nokuda kwechikonzero ichi, kana zvakakodzera, nharaunda yemunharaunda kana yemunharaunda anesthesia inoshandiswa pane nzvimbo yakazara anesthesia.
Zvakadini NeC-Zvikamu?
A C-chikamu ( chikamu cheKesariya) chinowanzoitwa pavakadzi vane pamuviri, uye inonzi yakachengeteka kune vose amai uye fetus; zvisinei, kuvhiyiwa kune imwe nzvimbo kunze kweC-Section inowanzogadzirirwa kwevhiki 6-8 mushure mokuberekwa. Chimwe chete kunze kweiyo mitemo ndiyo tubal ligation nzira, iyo inogona kusanganiswa neC-Section delivery.
Zvimwe Zvokufungisisa Usati Wava Nokuvhiya
Asati avhiyiwa paanenge ane pamuviri, kune zvinhu zvakawanda zvokufunga nezvazvo, kusanganisira zvinotevera:
- Kuvhiyiwa kunonyatsodikanwa here?
- Ndezvipi ngozi dzekusavhiyiwa?
- Ko mai vachabva vasara vasina kuvhiyiwa here?
- Ko mwana achararama pasina upiyona here?
- Ko mwana achange ari mupenyu here?
- Ko njodzi dzenzira yacho inopfuura mibairo yegadziriro yacho here?
- Kuvhiyiwa kunogona kunonoka kusvikira apedza kubereka pasina kukuvadza amai kana fetus?
- Ko njodzi dzeanesthesia dzinogona kuderedzwa nekuva aneshehesia yechipfuva pane nzvimbo yakawanda anesthesia here?
- Unogona here kushandisa mishonga pamberi, panguva uye shure mushure mekugadzirisa nzira yacho kuderedza kuderedza ngozi?
- Kuvhiyiwa kunogona kunonoka kusvikira wechipiri chetatu inotanga kuderedza ngozi kune fetus?
Kuchengetedza Kuvhiya Paunenge Wakwegura
Kune nguva dzose njodzi yokuti mukadzi wezera rekubereka angave ane pamuviri paanovhiyiwa.
Kana uri kuvhiyiwa uye iwe uri kuita zvepabonde, zvakakosha kuti uve nechirwere chepamuviri vasati vavhiyiwa. Munzvimbo dzakawanda zvivako, kuve nekuzvidzivirira pamuviri kune chikamu chekuongorora nguva dzose musati waita; Zvisinei, iwe unogona kukumbira kuedzwa kwekuzvimirira kuitwe kana kusiri chikamu chekuchengetedza kwevarwere.
Shoko Rinobva Kwazvo:
Nepo kuvhiyiwa panguva yekuzvitakura hakusi mamiriro ezvinhu akanaka, sezvo zvinoreva kuti amai vanotarisira vane chirwere chakakomba cheutano. Izvozvo zvakati, zvinokwanisika kuva nekuvhiya kunobudirira kunoguma nemugumisiro wakanaka wekuvhiya uye zvose mai vane utano uye mwana ane utano. Iko nguva dzose inokurudzirwa kuti urege kuvhiyiwa panguva yekuzvitakura kana zvichibvira, asi huwandu hwakawanda hwemitambo yakaitwa pavakadzi vane pamuviri vanobudirira.
> Kwakabva:
> Anesthesia nokuda kwokuvhiyiwa kusina-obstetric panguva yekuzvitakura. Kuenderera mberi Dzidzo muAnesthesia, Kuchengetedza Kunokosha uye kurwadziwa. Yakasvika muna May 2013. http://ceaccp.oxfordjournals.org/content/6/2/83.full