Kucheka-dumbu
Nezve bvunzo iyi
Kuberekwa kwecasearean (C-section) kunoshandiswa kubudisa mwana kuburikidza nekucheka kwemishonga kunoitirwa mudumbu nemuchidziro. Kuronga C-section kungava kuri kudikanwa kana paine zvimwe zvinetso zvepamimba. Vakadzi vakamboberekwa neC-section vangave neimwe C-section. Kazhinji, zvisinei, kudikanwa kweC-section yekutanga hakusi pachena kusvika mushure mekutanga kwekuzvara.
Nei ichiitwa
Vanopa mazano vehutano vanogona kukurudzira C-section kana: Kubereka kwasingaiti zvakajairwa. Kubereka kwasingaiti zvakajairwa (labor dystocia) chimwe chezvikonzero zvakajairika zveC-section. Zvinetso zvekuenderera mberi kwekuzvara zvinosanganisira danho rekutanga rakaramba richienderera mberi (kuwedzera kwenguva refu kana kuvhurwa kwe cervix) kana danho rechipiri rakaramba richienderera mberi (nguva yakareba yekumanikidza mushure mekuzara kwakazara kwe cervix). Mwana ari mumamiriro ezvinhu akaoma. Kunetseka nezvekuchinja mumoyo wemwana kungaita kuti C-section ive sarudzo yakachengeteka. Mwana kana vana vari munzvimbo isina kujairika. C-section ndiyo nzira yakachengeteka yekuberekera vana vane tsoka kana matumbo anopinda munzira yekuberekera kutanga (breech) kana vana vane mativi kana mapendekete anouya kutanga (transverse). Uri kutakura vana vanopfuura mumwe. C-section inogona kudikanwa kune vakadzi vanotakura mapatya, triplets kana kupfuura. Izvi zvinonyanya kuitika kana kubereka kuchitanga nokukurumidza kana vana vasiri munzvimbo yemusoro. Pane dambudziko ne placenta. Kana placenta ichivhara kuvhurwa kwe cervix (placenta previa), C-section inokurudzirwa pakuberekera. Prolapsed umbilical cord. C-section inogona kukurudzirwa kana loop ye umbilical cord ichipinda mu cervix pamberi pemwana. Pane hanya nehutano. C-section inogona kukurudzirwa kune vakadzi vane matambudziko ehutano, akadai sechirwere chemwoyo kana uropi. Pane chidziviriro. Fibroid huru inodzivirira nzira yekuberekera, kupwanya kwe pelvic kana mwana ane mamiriro anogona kukonzera musoro kuva mukuru zvisina kujairika (severe hydrocephalus) zvinogona kuva zvikonzero zveC-section. Wakamboita C-section kare kana kuvhiya kwakasiyana-siyana pamimba. Kunyange zvazvo kazhinji zvichibvira kuita kuberekwa kwevaginal mushure meC-section, mugove wehutano anogona kukurudzira C-section inodzokororwa. Vakadzi vamwe vanokumbira C-sections nevana vavo vokutanga. Vangada kudzivisa kubereka kana matambudziko anogona kuitika ekuberekwa kwevaginal. Kana kuti vangada kuronga nguva yekuberekera. Zvisinei, maererano neAmerican College of Obstetricians and Gynecologists, izvi zvingave zvisiri sarudzo yakanaka kune vakadzi vanoronga kuva nevana vakawanda. C-sections dzakawanda mudzimai anenge aita, njodzi yematambudziko ne mimba dzinotevera inowedzera.
Ngozi nematambudziko
Kufanana nemamwe marudzi ekubatanidzwa kukuru, kuvhiya kweC-section kuno nezvinokuvadza. Zvinokuvadza kumwana zvinosanganisira: Zvinetso zvekufema. Vacheche vanoberekwa neC-section yakarongwa vane mukana mukuru wekuvandudza dambudziko rekufema rinokonzera kuti vafemere nekukurumidza kwemazuva mashoma mushure mekuberekwa (transient tachypnea). Kuakuvadzwa kwekubatanidzwa. Kunyange zvazvo zvisingawanzoitika, kucheka kwakashata paganda remwana kunogona kuitika panguva yekuvhiya. Zvinokuvadza kunaamai zvinosanganisira: Hutachiona. Mushure meC-section, panogona kuva nengozi yekuvandudza hutachiona hwe lining yemukati (endometritis), munzira yekumhanyisa kana panzvimbo yekucheka. Kurasikirwa neropa. C-section inogona kukonzera ropa rakawanda panguva uye mushure mekuberekwa. Kuita kweanesthesia. Kuita kweanesthesia chero rudzi runogoneka. Ropa rinogwamba. C-section inogona kuwedzera njodzi yekuvandudza ropa rinogwamba mukati me tsinga yakadzika, kunyanya mumitsipa kana mu pelvis (deep vein thrombosis). Kana ropa rinogwamba richifamba kumapfupa uye richivhara kuyerera kweropa (pulmonary embolism), kukuvara kunogona kuuraya. Kuakuvadzwa kwekubatanidzwa. Kunyange zvazvo zvisingawanzoitika, kukuvara kwekubatanidzwa kumatumbu kana kumatumbu kunogona kuitika panguva yeC-section. Kuwedzera njodzi panguva yekuzvitakura kwenguva yemberi. Kuva neC-section kuwedzera njodzi yematambudziko mukuzvitakura kwenguva yemberi uye mune mamwe mabasa ekubatanidzwa. Kuwedzera kweC-sections, kuwedzera njodzi ye placenta previa uye mamiriro ayo placenta inobatanidzwa kune rusvingo rwemukati (placenta accreta). C-section inowedzerawo njodzi yemukati wekumeka pamusoro pemutsara wemavara (uterine rupture) kune vakadzi vanoedza kubereka vaginal mukuzvitakura kwenguva yemberi.
Maitiro ekugadzirira
Kana paine chirongwa chekucheka mudumbu (C-section), chiremba angakurudzira kutaura nachiremba ane hunyanzvi hwekurapa neanesthesia kana paine zvirwere zvingawedzera njodzi yematambudziko ekurapa neanesthesia. Chiremba angakurudzirawo bvunzo dzeropa usati wachekwa mudumbu. Bvunzo idzi dzinounza ruzivo nezve rudzi rweropa uye huwandu hwechinhu chikuru masero matsvuku eropa (hemoglobin). Mhedzisiro yebvunzo inogona kubatsira kana uchida ropa panguva yekuchekwa mudumbu. Kunyange zvakadaro, kana uine chirongwa chekubereka mwana nekuzvara, zvakakosha kugadzirira zvisingatarisirwi. Kurukurai mukana wekucheka mudumbu nachiremba wako usati wasvika musi wako wekubereka. Kana usingarongeri kuva nevana vakawanda, unogona kutaura nachiremba wako nezve kurambidza mimba kwenguva refu kana kurambidza mimba zvachose. Maitiro ekurambidza mimba zvachose anogona kuitwa panguva yekucheka mudumbu.