Pane mazita mazhinji uye maitiro anoendeswa akakomberedza munharaunda yezvokurapa, uye pamuviri uye kutarisirwa kwepabonde hazvisi zvakasiyana. Kana iwe uchienda kundotarisa chati yako yekutarisira kutara kana marenda ako ezvokurapa, kunyanya, unganzwa sokuti uri kuedza kuverenga mutauro wakasiyana. Izwi rinoshandiswa rinoshandiswa kuva maitiro akaenzana kuitira kuti chero chiremba kana chirembere uyo akatora chati yako anganzwisisa kuti sei kurapwa kwawakagamuchira, uye kuti chii chinonzi chiremba uye mararamiro ehupenyu.
Izvi zvinogona kunge zvakaoma kana wakambova nemwana asati aberekwa achishandisa c-chikamu.
Kana uchinge uine chirwere chekusiya chirwere ichi kubereka mwana, rekodi yako yezvechiremba ichada kuratidza izvi nekuda kwezvikonzero zvakasiyana-siyana. Ichi chikonzero chekutanga ndechokuti iwe zvino une chironda pachibereko chako. Kunyangwe ichi ichi chisisiri chikonzero chega chekuti uve nechirwere pamuviri wako, ndicho chimwe chezvikonzero zvinowanzozivikanwa. Nhoroondo yako yezvechiremba inofanirawo kuziva chikonzero chawakanga uine c-chikamu. Semuenzaniso, zvimwe zvikonzero zvinhu izvo zvakanyatsotaura nezvekuzvitakura kana kuti mwana uye hazvikwanisi kuzvidzokorora, zvakadai sekusveta kunetseka nekuda kwekudzivirirwa kana kuberekwa mwana. Zvimwe zvikonzero zve c-chikamu zvingave zvakanyanya kuitika zvakare. Izvi zvinogona kukubatsira iwe uye chiremba wako kana kuti nyamukuta kuti uronga zvekuita kwako pamuviri uye kuberekwa.
Izvo zvizhinji zvevakadzi vakadzi vane c-chikamu chekutanga chikafu chakanaka chekuzvarwa patsva mumimba inotevera .
Izvi zvinozivikanwa sevakadzikadzi kuberekwa mushure mekuvharwa kwechirean kana VBAC. Vamwe vashandi vachapedza nguva yakawanda vachitaura nezvekushanda kwebasa rinozoita sei pamuviri mutsva uyu, kupa izvo zvinowanzonzi muedzo webasa mushure meTORAC inonzi cearean. Izvi zvinoreva kuedza kushanda munguva yekuzvarwa kwevakadzi mushure memasikati (VBAC).
Vatsigiri veVBAC vanoti iyi izwi rinonyanya kufunga uye rinokurudzira vakadzi kufunga nezvehutano hwekubudirira.
IAmerican College of Obstetricians naGynecologists (ACOG) vanodavira kuti VBAC ndiyo nzira yakachengeteka yevakadzi vazhinji, kunyange kana vakave nezviviri zviviri zvekare kune imwe rudzi rwekudzivirira. Apa ndipo apo marekhodi enyu ezvehutano angauya asingakwanisi kuratidza chero vangave vashandi vatsva rudzii rwekushandiswa kwakashandiswa mumarwadziro enyu epakutanga asati aberekwa.
Pasinei nokuti iwe unoti chii, VBAC kana TOLAC, ine kubereka pamuviri inogona kubatsira kune amai nemwana. Iva nechokwadi chekutaura nachiremba wako kana mukukuta pamusoro pezvipingamupinyi uye zvibatsiro zvemamiriro ako. Usanonoka kuwana mhirizhonga yechipiri, izvi zvinogona kuva chisarudzo chikuru uye havasi vashandi vose vanofunga kuti VBAC inofanira kupiwa pasinei nemigumisiro inobvumira muhuwandu hwevanhu.
Sources:
Landon MB, Hauth JC, Leveno KJ, Spong CY, Leindecker S, Varner MW, et al. Zvibereko zvemadzimai uye zvepininatal zvinosangana nemuedzo webasa mushure mokunge mushure mokunge musununguka. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. N Engl J Med 2004; 351: 2581-9.
National Institutes of Health. NIH Conform Development Conference: Kuberekwa kwemudzimai mushure mokunge mushure mokunge musikana: zvitsva zvitsva. Consensus Development Conference statement. Bethesda (MD): NIH; 2010.
Kuberekwa kwemazamu mushure mekunge kusununguka kwekuvhara. Dzidzira Bulletin Nha. 115. American College yeVokuvhiya uye Gynecologists. Obstet Gynecol 2010; 116: 450-63.