Gawo la Kayisareya silochitika kawirikawiri. Ndipo ngakhale kuti palibe ngozi ina iliyonse, maonekedwe ena a ntchitoyi adayenera kudziwika kuti athetse vuto. Gawo la Kaisara ndilodzidzidzi ndipo likukonzekera. Ndipo ngati panthawi yoyamba, palibe chomwe chimadalira mkaziyo, ndiye chachiwiri - ku gawo lokonzekera zomwe zingakonzedwenso ndizotheka kukonzekera.
Zisonyezo za gawo lachitsamba chokonzekera
Kodi gawo lokonzekera lokonzekera lidzachitidwa bwanji ndipo ngati liri lofunikira konse, limangotengedwa ndi dokotala yemwe akupezekapo. Pali zifukwa zenizeni komanso zenizeni. Poyambirira, monga lamulo, madokotala amadziwitsidwa za ngozi yobereka mwachibadwidwe, ndipo mayi wamtsogolo adzasankha.
Zokhudza zovuta zonse, zonse ndi zovuta kwambiri pankhaniyi. Ngati amayi anapatsidwa chiwalo choletsedwa, kukanidwa kwa opaleshoni ndi kubereka mwanjira yachibadwa kungabweretse mavuto aakulu ngakhale imfa.
Mkhalidwe ndi mikhalidwe, pamene iwo akukonzekera zowonongeka, zambiri. Nawa ena mwa iwo:
- Puloteni yoyenera kapena yoperewera ndi magazi;
- Kulephera kubereka kubadwa kwachibadwidwe chifukwa cha pepala lochepa kwambiri kapena kusagwirizana kwa mutu wa mwanayo;
- ziphuphu za ziwalo zouma;
- mtundu waukulu wa toxicosis;
- makonzedwe osayenera a mwanayo;
- Chilombo chosagwirizana pa chiberekero chifukwa chakale;
- Kuwonetsetsa chifukwa cha matenda ena (vuto ndi maso, pakatikati pa mitsempha kapena thupi).
Komanso, chokonzekera chokonzekera chimaperekedwa kuti chiwonetsero cha mwanayo chidziwitse, chifukwa dongosololi limatengedwa ngati matenda, omwe amachititsa mavuto ambiri. Pakati pa mimba yambiri, si chifukwa chomveka chochitira opaleshoni. Choncho, chokonzekera chosankha choyenera, mwachitsanzo, ndi kusankha pawiri pokhapokha ngati zikuwonetsedwa pamwambapa.
Kukonzekera gawo la kansera yosankha
Monga lamulo, nthawi yomwe gawo lokonzekera lokonzekera likuchitidwa lidziwika pasadakhale. Akafunsidwa za masabata angati omwe amatha kukonza, onse odwala matenda opatsirana pogonana adzayankha mosaganizira - pafupi ndi kubadwa kwachirengedwe.
Monga lamulo, sabata lisanafike tsiku loyenera, mayi ali kuchipatala. Panthawiyi, mayesero ena amachitika, chikhalidwe cha mwana wamwamuna ndi mayi wamtsogolo chikafufuzidwa. Ngati palibe chifukwa choopera, ndipo mimba yonseyo ndi yachibadwa, ndiye kuti mayiyo akhoza kupita kuchipatala masiku angapo asanachitike opaleshoniyo kapena ngakhale tsiku lomwelo.
Zochitika za opaleshoni
Pogwiritsa ntchito munthu wothandizira, mayiyo ayenera kukambirana ndi dokotala yemwe akupezekapo zonsezi: mtundu wa anesthesia mu gawo la Kaisareya , incision, ndondomeko ndi kukonzekera ntchito, nthawi yobwezeretsa. Kotero, mwachitsanzo, tsiku la kagawola, munthu sangathe kudya ndi kumwa, chifukwa panthawi ya opaleshoni, chakudya chochokera m'mimba chimatha kulowa mu njira yopuma.
Ponena za anesthesia, opaleshoniyi inkachitidwa kale mwachipatala chachikulu, ndipo mpaka lero, monga lamulo, mankhwala a m'magazi amagwiritsidwa ntchito. Pambuyo pa kupweteka kotereku, mayiyo samamva ululu m'munsi mwa thupi, koma amakhalabe ndi chidziwitso kuti amatha kuona mwana atabadwa.
Ndikofunika kukambirana ndi dokotala yemwe akupezekapo momwe gawoli lidzachitikire, kutanthauza kuti ndi mtundu wanji wa mankhwala omwe angagwiritsidwe ntchito. Monga lamulo, mu ntchito yokonzedweratu, dokotala amachotsa mwanayo, kupanga chowombera chosakanikirana - chomwe chimatchedwa "kumwetulira". Kugwedeza kwapadera kumagwiritsiridwa ntchito pokhapokha ngati munthu wodwala matenda oopsa amatha kudwala kapena pakakhala vuto linalake.
Mulimonsemo, gawo lotsekemera silikusowa kwa mkazi yemwe amaopa kubereka mwachibadwa, koma chosowa chofunikira. Omwe amasankha mwachangu opaleshoni yotereyi, muyenera kudziwa kuti nthawi yobwezeretsa pambuyo poyerekeza ndi yovuta kwambiri kuposa yobereka.