Sezvo chikamu chekudzivirira ichi chichikwira uye nhamba yemadzimai ekuberekwa mushure memasikati (VBACs) achiwa, pane vakadzi vazhinji vane mavara akawanda. Sayenzi shure kwekuchengetedzwa kwezvipembenene zvinyorwa zvinoreva kuti kuvhiya kwepamusoro kwawakaita iwe, riskier kuvhiyiwa ndewe iwe nechechecheche. Zvinotyisa zvokuti National Institute of Health (NIH) yakati iwe haufaniri kusarudza avharean kana iwe uchida vana vanopfuura vaviri kana vatatu.
Ndeapi Ngozi dzeCesareans dzakawanda?
Pakati pezvipingamupinyi zvinokonzerwa nezvipembenene zvakasiyana-siyana zvinosanganisira njodzi yeparcenta previa, accentta placenta, uye hysterectomy . Iyi njodzi pakuita pamuviri inokwira kune imwe neimwe yega uye ine mararamiro ehupenyu hupenyu hwemai nechecheche.
"Ndinofungidzira kuti yakanga isingatsananguri zvakanaka kwandiri," akadaro Amanda, mushure memazuva matatu aya. "Ndaiziva kuva nemwana mushure mechikamu chechikamu chakanga chakawedzera ngozi, asi ini handina kuziva kuti yakakwira mushure mekuvhiyiwa mumwe nomumwe."
Kunewo matambudziko emadzimai anowirirana zvakananga nekuvhiya kweavoarea, sekukuvara kwemuviri, kubvumirwa kwe ICU, kushandiswa kwemavheni kushandiswa, cystotomy nezvimwe. Izvo zvinowedzerawo sezvo nhamba yevanodya iri kuwedzera. Kuvhiyiwa kwacho kunonyanya kuoma zvikuru kuita nehutu hwechivara, kureva kuti kuravhirwa kunotora nguva yakareba kuti uite.
Future Pregnancies
Iko kukura mumungozi kunobatsira hutano hwaamai, hutano hwemucheche, huwandu hwekuita pamuviri mune ramangwana pamwe nehutano hwekusununguka munguva yemberi.
Kana dambudziko racho richikwira nemubereki mumwe nomumwe kuti pane chimwe chinhu chinetso, ipapo hupenyu hwemucheche naamai hunogona kuva pangozi. Izvi hazvirevi kuti iwe haungabatwi kana iwe uri nepamuviri mushure memazuva matatu, asi zvinoreva kuti iwe unogona kuva nepamuviri wepamusoro yekuzvitakura uye unogona kutarisirwa zvakanyanya.
Chisarudzo chechikamu chekutanga kana chekutanga chekuregererwa hachifaniri kutorwa zvishoma kana pasina chiremba, maererano neAmerican College yeB / GYNs. Vamwe vatsvakurudzi vakaratidza kuti tubal ligation inokurudzirwa kuti vanaamai vanove nevanodarika vatatu vanodzivirira kuti vabatsirwe kudzivisa izvi zvinowedzera njodzi.
Amanda anoyeukawo izvi: "Chiremba wangu wokupedzisira akaedza kunditora kuti ndive nehutachiona mushure mokunge ndava nemwana wangu wokupedzisira.Iye akati zvakanga zvisiri nyore kuti tive nepamuviri zvakare.Ndine mhinduro yechipiri kubva kune chiremba ane ngozi. akati ini ndakaporeswa zvakanaka, ndakanga ndisati ndambova nehutachiona, uye ndakanga ndiri mukana akanaka kune mumwe mwana, kunyange nehuwandu hwehutano. "
Sources:
Gasim T, Al Jama FE, Rahman MS, Rahman J. Nhamba dzakawanda dzinodzokorora zvikamu izvi: zvinetso zvevashandi, zvinetso zvevabereki, nemigumisiro. J Reprod Med. 2013 Jul-Aug; 58 (7-8): 312-8.
Zvikamu zvakawanda zvekusiya zvikamu zvekusiya. Makoha FW, Felimban HM, Fathuddien MA, Roomi F, Ghabra T. Int J Gynaecol Chibvumirano. 2004 Dec; 87 (3): 227-32.
Maternal morbidity inobatanidza nekudzokorora kwakawanda kwekuregererwa kwezvinhu. Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, Carpenter M, Peaceman AM, O'Sullivan MJ, Sibai B, Langer O, Thorp JM, Ramin SM, Mercer BM. Obstet Gynecol. 2006 Jun; 107 (6): 1226-32.
Kuchengetedzwa kwakachengeteka kwekutanga kwekusununguka kwekutaura. Obstetric Care Consensus Nha. 1. American College of Zvipfeko uye Gynecologists. Obstet Gynecol 2014; 123: 693-711.