Obadde ozaala omwana ng’oyita mu C-section emabegako? Ka tuyige ku VBAC (Okuzaala mu bukyala oluvannyuma lw'okulongoosebwa)!

Wazaala omwana eyasooka nga olongoosebwa? Mu kiseera ekyo, ng'ogenda okuddamu okuzaala, olina okuba n'ekibuuzo ekinene mu birowoozo byo nti, "Nange ku mulundi guno nja kuzaala okwa bulijjo, kwe kugamba, okuyita mu bukyala (okuzaala mu bukyala)?" Kino kibuuzo bamaama bangi kye balina. Kale leero, ka twogere ku kuzaala okwa bulijjo oluvannyuma lw’okulongoosebwa, kwe kugamba, VBAC (Vaginal Birth After cesarean).

VBAC (Okuzaala mu bukyala oluvannyuma lw’okulongoosebwa) kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, VBAC bw’oba ​​omaze okulongoosebwa omulundi gumu oba okusingawo (C-sections) n’oluvannyuma n’ozaala omwana wo addako mu bukyala, nga eno y’engeri eya bulijjo. Omanyi C-section omusawo bw’akulongoosa mu lubuto ne nnabaana okuggyamu omwana.

Ekigendererwa ekikulu ekya VBAC kwe kuwa omuntu eyasooka okulongoosebwa C-section omukisa okuzaala mu ngeri eya bulijjo mu lubuto lwe oluddako. Kyokka, oluusi, bw’oba ​​omaze okulongoosebwa omulundi gumu oba okusingawo, okuzaala omwana mu ngeri eya bulijjo kiyinza okuba eky’akabi katono .

Waliwo ebintu ebiwerako by’olina okulowoozaako ng’osalawo oba okugezaako VBAC oba nedda. Okugeza nga:

• Ekika ky’okutema omusawo kwe yakozesa ng’akulongoosaamu C-sections emabegako n’okusala C-sections mmeka z’obadde okola.
• Ebyafaayo byo eby'obulamu .
• Mu kiseera kino olina embeera endala yonna ey'obujjanjabi ?
• Embeera y’omwana n’okumanya oba omwana alina obuzibu bwonna mu bulamu .

Omusawo wo ajja kwetegereza bino byonna era akubuulire oba tekiba kya bulabe gy’oli okugezesa VBAC. Ajja kukunnyonnyola ebirungi n’ebibi. Olwo, okusinziira ku kukubaganya ebirowoozo okwo, osobola okusalawo oba okugezaako VBAC oba okukola C-section endala.

Okunoonyereza kulaga nti abakyala nga 75% ababadde balongoosebwa C-section omulundi gumu bazaala bulungi mu bukyala mu lubuto lwabwe oluddako. Naye, bw’oba ​​obaddeko C-sections bbiri oba okusingawo emabega, emikisa gyo egy’okufuna VBAC okutuuka ku buwanguzi giyinza okukka okutuuka ku bitundu nga 50% .

Abasawo oluusi bayita VBAC nga TOLAC (Trial of Labour After Cesarean) . TOLAC kaweefube w’okuzaala mu bukyala oluvannyuma lw’okulongoosebwa. Singa okugezaako kuno (TOLAC) kuba kwa buwanguzi, ekivaamu kiba VBAC. Bwe kiba tekifunye buwanguzi, kijja kwetaagisa okulongoosebwa C-section endala.

Lwaki abantu bangi basuubira VBAC oluvannyuma lw’okulongoosebwa C-section?

Kino kitera okuba eky'okwegomba kw'omuntu ku bubwe . Abantu abamu bandyagadde okuzaala mu bukyala, naye olw’ensonga ezimu, tebasobola. Oba bayinza okwagala okuzaala mu bukyala kubanga kitwala ekiseera ekiwanvu okuwona oluvannyuma lw’okulongoosebwa C-section.

Ne bw’oba ​​oyagala okuzaala mu butonde, omusawo ayinza okukuwa amagezi okulongoosebwa mu ngeri ya C-section olw’obumu ku bulabe obuli mu VBAC. Oba, bayinza okugamba nti si kibi okugezaako VBAC.

Birungi ki ebiri mu VBAC?

Waliwo ebirungi ebiwerako ebiri mu VBAC bw’ogeraageranya ne C-section. Weetegereze:

• Okuwona amangu n’okukendeeza ku kubeera mu ddwaaliro: Oluvannyuma lw’okulongoosebwa C-section, wabaawo okuwummulako ennyo ku kitanda n’obudde obuteme we buwona. Bino tebitera nnyo ku VBAC.
• Obutalongoosebwa lubuto: Ekintu kyokka ekinene ky’olina okwewala kwe kulongoosebwa okw’amaanyi.
• Okwewala oba okukendeeza ku bulabe bw’okulongoosebwa C-section (nga okuvaamu omusaayi omungi, okukwatibwa yinfekisoni).
• Emigaso eri omwana: Mu kuzaala okwa bulijjo, amazzi g’omu lubuto mu mawuggwe g’omwana gaggyibwamu ng’omwana ayita mu mulyango gw’okuzaala. Kino kiteekateeka omwana okufuna omukka gwa oxygen oluvannyuma lw’okuzaalibwa. Ekirala, abaserikale b’omubiri gw’omwana basikirizibwa nga bayita mu mudumu gw’okuzaala.
• Obulabe bw’ebizibu (nga okutondebwa kw’ebitundu by’enkovu - okunywerera, okwonooneka kw’ebitundu by’omunda) ebiyinza okubaawo olw’okulongoosebwa enfunda eziwera katono.
• Omuntu gw’ayagala: Abantu abamu baagala nnyo okulaba nga bazaala mu ngeri eya bulijjo.

Lowooza ku kino, bw’oba ​​oteekateeka okuzaala abaana abawera, kirungi nnyo okuba ne VBAC ennungi okusinga okusigala ng’okola C-sections. Kubanga buli C-section ejja n’akabi akatono.

Obulabe ki obuli mu kugezaako VBAC?

C-section ereka enkovu ku nnabaana. Kale, okunyigirizibwa okuva mu kuzaala kuyinza okuleetera nnabaana okukutuka okuyita ku nkovu y’ekitundu kya C (okukutuka kwa nnabaana) . Kino kye kabi akakulu akali mu VBAC. Wabula okunoonyereza okwakakolebwa kulaga nti emirundi egisinga, VBAC esobola okukolebwa awatali bulabe oluvannyuma lw’okulongoosebwa C-section.

Okukutuka kwa nnabaana kizibu ekitatera kubaawo naye nga kya maanyi ekiyinza okutta omuntu . Bw’oba ​​oli mu bulabe bwa maanyi obw’okukutuka nnabaana, ebiseera ebisinga omusawo wo tajja kugezaako kukola VBAC.

Obulabe obulala obuyinza okuvaamu ng’ogezaako VBAC mulimu:

• Okufiirwa omusaayi
• Ekirwadde
• C-section ey’amangu: Kino kya bulabe okusinga C-section etegekeddwa.

Obulabe ki obuli mu nnabaana okukutuka?

Obulabe bw’okukutuka kwa nnabaana eri omuntu eyasooka okulongoosebwa C- section, nga wasalibwako okusala okutono mu transverse , buli nga 0.9%, nga kino kiri wansi w’ekimu ku buli 100. Kale, wadde nga kino kya bulabe kitono nnyo, kikulu okukimanya.

Okusala okuva mu C-section eyasooka kukosa VBAC?

Yee, mazima ddala kikola. Waliwo ebika by’okusala ebiwerako ebikolebwa mu kiseera ky’okusala C-section:

• Low transverse incision: Kino kirina obulabe obutono obw’okukutuka kwa nnabaana. Okusala kuno kukolebwa okubuna ekitundu ekya wansi era ekigonvu ekya nnabaana.
• Low vertical incision: Kino kitwala obulabe obusingako katono obw’okukutuka kwa nnabaana okusinga okusala transverse. Kino kikolebwa mu buwanvu mu kitundu ekya wansi era ekigonvu ekya nnabaana.
• Okusala mu buwanvu mu kitundu ekya waggulu ekya nnabaana ("Classical" incision): Eno y'engeri esinga okuba ey'akabi ey'okukutula nnabaana. Abasawo abalongoosa bayinza okwetaaga okusala ekika kino ng’omwana tannazaalibwa oba ng’omwana ali mu mbeera enzibu okuzaala.

Ensonga enkulu ennyo wano eri nti ekifo n’obulagirizi bw’enkovu erabika okuva ebweru w’olubuto lwo tebijja kuba bye bimu n’ekifo n’obulagirizi bw’ekitundu ekisaliddwa munda mu nnabaana wo. Ng’ekyokulabirako, wadde ng’enkovu y’olubuto yo ewanvuye, ekifo ekisaliddwa mu nnabaana wo kiyinza okuba nga kiwanvu.

Ebiwandiiko byo eby’obujjanjabi birina okubeeramu ebikwata ku kifo n’obulagirizi bw’ekifo we batemye mu nnabaana wo. Bw’oba ​​oyogera n’omusawo wo ku bulamu bwa VBAC, kakasa nti yeetegereza ebiwandiiko byo eby’obujjanjabi n’ebitundu byonna ebya C-sections byonna eby’emabega.

Ani asinga okubeera ne VBAC ennungi?

Yogerako n’omusawo wo ku byafaayo by’obulamu bwo, olubuto lw’olina mu kiseera kino, n’ensonga zonna ezaaviirako okukulongoosebwa C-section emabegako.

Oyinza okuba n’omukisa omulungi ogw’okufuna VBAC okutuuka ku buwanguzi singa:

• Bw’oba ​​obadde omaze okulongoosebwa C-section emu oba bbiri yokka, n’ebyo byakolebwa nga waliwo ebitundu ebitono eby’okusala mu kitundu ekya wansi ekya nnabaana .
• Bw’oba ​​obadde ozaala mu bukyala emabegako.
• Bw’oba ​​tonnalongoosebwa nnabaana kulala (e.g. myomectomy ).
• Bw’oba ​​tolina byafaayo bya kukutuka kwa nnabaana.
• Tolina mbeera yonna ya bujjanjabi eyandifudde okuzaala okwa bulijjo okuba okw’akabi (e.g., fibroids za nnabaana, obuzibu mu kifo kya nnabaana).
• Bw’otandika okuzaala mu ngeri ey’okwekolako, ng’olunaku lw’okuzaala terunnatuuka.

Bw’oba ​​obadde ne VBAC ennungi emabegako – nga tolina buzibu nga nnabaana okukutuka – otera okuzaala obulungi mu bukyala mu biseera eby’omu maaso.

Mu mbeera ki emikisa gya VBAC okutuuka ku buwanguzi gye gikendeera?

Oluusi, emikisa gya VBAC okutuuka ku buwanguzi giyinza okukendeera olw’ensonga nga:

• C-section eyasooka yakolebwa kubanga okuzaala kwali tekugenda mu maaso.Kwe kugamba, singa omumwa gwa nnabaana gwo tegwagguka (kugaziwa) oba okuggwaamu obulungi mu kiseera ky’okuzaala okwa bulijjo.
• Bw’oba ​​olina emyaka egisukka mu 35.
• Bw’oba ​​omugejjo oba omugejjo.
• Bw’oba ​​osuubira omwana omunene oba ng’osuubira emirundi mingi.
• Singa olunaku lwo lw’olina okuzaala luyise.
• Singa oddamu okufuna olubuto nga tewannayita myezi 18 ng’omaze okuzaala omwana wo eyasooka (ekiseera ekitono wakati w’embuto) .
• Bw’oba ​​olina obulwadde bwa preeclampsia (nga abasawo batera okukola C-section).

Obulabe ki obuli mu kuddamu okulongoosebwa C-section?

Tewali muwendo gwa C-sections oguteereddwawo gw’osobola okuba nalyo. Wabula okunoonyereza okumu kulaga nti abantu abalongoosebwa C-sections nnyingi balina obulabe bungi, gamba nga:

• Okuvaamu omusaayi omungi.
• Obuvune mu kibumba n’ekyenda.
• Ekirwadde.
• Embeera z’enkwaso mu lubuto olujja, okugeza, okwegatta okutali kwa bulijjo kw’enkwaso ku nnabaana ( placenta previa oba placenta accreta ).
• Okukutuka kwa nnabaana.
• Adhesions (okukwatagana kw’ebitundu by’enkovu).

Obulabe buno buyinza okwawukana okusinziira ku muntu. Kisinziira nnyo ku byafaayo byo eby’obulamu, n’embeera entongole eza buli lubuto n’okuzaala. Kale, omusawo wo y’asinga okwogera naye ku birungi n’ebibi ebiri mu kukola C-section endala oba okugezaako VBAC.

Bibuuzo ki by’osaanidde okubuuza omusawo wo ku VBAC n’okuddamu okulongoosebwa C-section?

Okufaananako ne VBAC, C-section erina emigaso n’akabi. Kale, kikulu okutegeera enkola zombi ez’okuzaala n’engeri gye zikukwatamu.

Teesa ku nsonga zino n'omusawo wo:

• Ebikwata ku mbuto zo ezasooka n'okuzaala .
• Biki ebyakuleetera okukeberebwa C-section ?
• VBAC ne C-section tebirina bulabe bitya eri ggwe ne bbebi wo?
• Nsonga ki z'osaanidde okulowoozaako/obutalowooza ku VBAC ?
• Nsonga ki z’osaanidde okulowooza/obutaddamu kulowooza ku C-section ?
• Enteekateeka y’okuleeta okuzaala (oba waliwo oba nedda).
• Oba eddwaaliro mw'ogenda okuzaala omwana wo lisobola okukola ku mbeera ez'amangu .
• Ebikwata ku nteekateeka zo ez'okuzaala abaana abalala .

Olw’okuba walina C-section eyasooka tekitegeeza nti tosobola kuba na VBAC mu maaso. Oyinza okuba nga wali owulidde oba osomye nti enkovu oluvannyuma lw’okulongoosebwa C-section esobola okuleeta obuzibu mu mbuto z’omu maaso. Kyokka embeera ya buli muntu ya njawulo.

N’ekisembayo, ebintu by’olina okujjukira

Nga tonnafuna lubuto, yogerako n’omusawo wo ku by’oyagala n’ebikweraliikiriza ku VBAC. Asobola okukunnyonnyola ebirungi n’ebibi n’okukuyamba okusalawo oba VBAC si nnungi gy’oli. Olubuto lwo bwe lugenda lugenda mu maaso, kikulu okugenda mu maaso n’okwogera n’omusawo wo n’okuddamu okwetegereza enteekateeka yo ey’okuzaala. Jjukira nti buli lubuto lwa njawulo, n’olwekyo kola n’omusawo wo okusalawo ekikusinga obulungi.

` VBAC, cesarean, C-section, okuzaala okwa bulijjo, olubuto, okukutuka kwa nnabaana, okuzaala