Niba umwana wawe wa mbere yaravutse binyuze mu kubagwa, ushobora kuba ufite ikibazo gikomeye mu mutwe wawe mu gihe utegereje uwa kabiri: "Ese nzashobora kubyara mu buryo busanzwe, ubu ngubu?" Iki ni icyizere gihuriweho n'ababyeyi benshi, akenshi kijyana no guhangayika gato. Reka tubiganireho neza kandi mu buryo bworoshye uyu munsi.
Icyo gihe n'ubu: Ese uburyo abantu babonaga ku ivuka nyuma yo kubagwa bwarahindutse?
Ushobora kuba wibuka ko mu gihe cy'ababyeyi bacu, benshi bizeraga ko iyo umaze kubagwa, buri mwana ukurikiraho yagombaga kubyara akoresheje kubagwa. Ndetse n'abaganga bakunze kubisaba icyo gihe, kandi hari impamvu zabyo.
Ariko, ubuvuzi bwa none bwateye imbere cyane . Hamwe n'ubushakashatsi bushya n'ubumenyi bushya, hari byinshi byahindutse. Muri iki gihe, abaganga bemeza ko ababyeyi benshi bujuje ibisabwa babanje kubagwa bashobora kubyara nyuma yo kwa muganga (VBAC) . Mu by'ukuri, ubu bufatwa nk'uburyo bwizewe ku babyeyi benshi n'abana babo.
Tekereza kuri ibi: iyo ubyaye bisanzwe, ushobora gutaha vuba. Nta kubabara ku mubiri kugabanuka, kandi ushobora gukira vuba. Ibi ni bimwe mu byiza bikomeye bya VBAC.
None se, nshobora kugira VBAC? Biterwa n'iki?
Iki ni cyo kibazo cy'ingenzi cyane. Si kimwe kuri buri wese. Hari ibintu byinshi bigena niba ushobora kugira VBAC. Reka tubirebe kimwe kimwe.
1. Ni iyihe mpamvu yatumye ubagwa bwa mbere?
Hari igihe kubagwa bwa mbere bishobora kuba byaratewe n’ikibazo cyihutirwa ku mwana cyangwa ikibazo cy’umubyeyi nk’umuvuduko ukabije w’amaraso. Niba impamvu yo kubagwa bwa mbere ishobora kongera kugaruka muri iyi nda, kubagwa bwa mbere bishobora kuba ari ikibazo gikomeye. Ariko, hari impamvu zimwe na zimwe zari zihariye kuri icyo gihe gusa. Urugero, niba wabagagwa bwa mbere kubera ko umwana yari mu mwanya wo ku nda, kandi umwana ari mu mwanya ukwiye kuri iyi nshuro, hari amahirwe menshi yo kugerageza kubagwa bwa mbere. Muganga wawe azashobora kubigusobanurira neza.
2. Ubwoko bw'icibwa ry'umura - Iki ni cyo kintu cy'ingenzi cyane!
Iki ni ikintu ugomba kwitondera cyane. Ubwoko bw'inkovu ikorerwa ku mura wawe mu gihe cyo kubagwa kwa mbere ni ingenzi kuri VBAC. Ntabwo tuvuga ku nkovu igaragara ku ruhu rwawe, ahubwo tuvuga ku nkovu ikorerwa ku mura ubwawo.
Muri rusange tuvuga ku bwoko bubiri bw'ibisebe:
- Gukata igice gito:
Mu magambo make, ubu ni bwo bwoko bukunze kugaragara cyane kandi bwiza cyane kuri VBAC . Ubu buryo bwo gukata bukorwa mu gice cyo hasi cy'umura gito cyane. Tekereza nk'umurongo wa bikini (atari ugukata uruhu, ahubwo ni uwo mu mura). Kubera aho buherereye, aka gace ntigahura n'igitutu kinini iyo umura ubyimbye mu gihe cyo kubyara. Kubwibyo, umubyeyi ufite ubwo bwoko bwo gukata afite amahirwe menshi yo gukora VBAC neza.
- Gukata mu buryo buhagaze:
Muri iki gihe, gukata bikorerwa mu buryo buhagaze uhereye hejuru ugana hasi mu mura. Kubera ko uku gukata binyura mu mitsi ya nyababyeyi, hari ibyago byinshi byo gucika kw'umura iyo nyababyeyi ifashe cyane mu gihe cyo kubyara. Ibi bishobora guteza akaga ku mubyeyi n'umwana. Kubwibyo, niba ukata uhagaze (cyane cyane "classical" incision mu gice cyo hejuru cya nyababyeyi), abaganga muri rusange ntibakugira inama yo kugerageza gukoresha VBAC.
Icy'ingenzi: Nubwo uruhu rwawe rwaba rutambitse, hari igihe uruziga rw'umura rushobora kuba ruhagaze. Kubwibyo, ni ngombwa kugenzura inyandiko zawe zo kubaga uhereye igihe wabaga wabanje kubagwa kugira ngo umenye neza ubwoko bw'uruziga rw'umura rwakozwe. Biganireho na muganga wawe.
3. Wakorewe C-section zingahe?
Nubwo tuvuga kuri VBAC nyuma yo kubagwa C-section rimwe, kugerageza kubagwa C-section kabiri cyangwa kenshi bishobora guteza akaga gato. Bitewe n'ubwiyongere bw'inkovu mu mura, ibyago byo gucika kw'umura bishobora kuba byinshi. Ariko, mu bihe bimwe na bimwe byihariye, ndetse n'ababazwe C-section kabiri mbere bashobora kwemererwa kugerageza kubagwa VBAC mu kigo gikwiye mu buryo bwitondewe cyane. Ibi biterwa gusa n'amateka y'ubuzima bwawe, ubwoko bw'igisebe cy'umura, n'umwanzuro wa muganga wawe.
4. Uko utwite ubu n'ibindi bibazo by'ubuzima
Niba ufite indwara nka Diyabete Mellitus cyangwa umuvuduko ukabije w'amaraso muri iki gihe cyo gutwita, niba hari impungenge ku mikurire y'umwana, cyangwa niba umwana asa n'aho ari munini cyane (macrosomia), muganga wawe ashobora kongera gusuzuma VBAC. Byongeye kandi, ibibazo byose bijyanye n'imiterere y'umura wawe (urugero, fibroids) nabyo bishobora kugira ingaruka ku cyemezo.
Ese nta ngaruka na nke zibaho iyo ufite VBAC?
Nubwo VBAC ari amahitamo yizewe ku babyeyi benshi, ntabwo idafite ingaruka . Ingaruka nyamukuru ni ukuvunika kw'inda . Ibi bibaho iyo urukuta rw'inda rucitse aho inkovu yabanje kubagwa. Ibi ni gake cyane (muri Sri Lanka, cyane cyane ku bafite ikibazo cyo gucika), ariko iyo bibaye, bishobora kuba ikibazo cyihutirwa ku mubyeyi no ku mwana. Niyo mpamvu bivugwa ko niba ugerageza VBAC, byagakwiye gukorerwa mu bitaro bifite ibikoresho byose byo kubagwa byihutirwa .
Ku rundi ruhande, niba ugerageje kubagwa VBAC ariko ntibigende neza, ushobora gukenera kubagwa mu buryo bwihutirwa. Mu kubagwa mu buryo bwihutirwa nk'ubwo, ibyago byo kugira ibibazo bito bishobora kuba byinshi ugereranije no kubagwa mu buryo bwihutirwa.
Witinya! Twavuze izi ngaruka kugira ngo tukumenyeshe, ntabwo ari ukugira ngo tubatere ubwoba. Ababyeyi benshi bakunze kugira VBAC nta kibazo. Ikintu cy'ingenzi ni ukuganira na muganga wawe niba ikwiranye n'uburwayi bwawe, ingaruka zayo, n'inyungu zayo, hanyuma ugafata umwanzuro.
Niba nshaka VBAC, nkwiye gukora iki?
Niba urimo gutekereza gukoresha VBAC, kurikiza izi ntambwe:
1. Vugana na muganga wawe: Iyi ni intambwe ya mbere kandi y'ingenzi cyane. Ganira ku bisobanuro byawe bya mbere byo kubagwa mu gihe cya C (cyane cyane ubwoko bw'igisebe cyo mu mura) n'uko ubuzima bwawe buhagaze ubu. Baza neza ibyiza, ingaruka, n'impungenge zimwe na zimwe ushobora kuba ufite. Muganga wawe azagusuzuma, asuzume inyandiko zawe, kandi akugire inama niba VBAC ikubereye.
2. Baza ibitaro aho uteganya gutanga serivisi: Si ibitaro byose bifite ibikoresho cyangwa politiki zimwe kuri VBAC. Hari ibitaro bishyigikira VBAC kandi bifite ibyuma byihutirwa n'ibyumba byo kubaga bihari amasaha 24/7. Ariko, hari ibitaro bito bishobora kutemera VBAC bitewe n'amikoro make mu gihe cy'impanuka. Kubwibyo, ni ngombwa cyane kumenya politiki ya VBAC y'ibitaro wahisemo mbere y'igihe.
3. Witegure, ariko ube umuntu uhuza n'ibyo ukora:
Nubwo waba wariteguye VBAC, hari igihe ibintu bitagenda uko byateganijwe. Iyo habayeho ikibazo mu gihe cyo kubyara, muganga wawe ashobora gufata icyemezo cy'uko ari ngombwa kubagwa mu buryo bwihutirwa. Wibuke ko intego nyamukuru ari ukugira umubyeyi muzima n'umwana muzima. Bityo rero, itegure gukurikiza inama za muganga wawe.
Tekereza kuri ibi: niba ibitaro wahisemo bitakwemerera imiti ya VBAC, ariko ukaba uyifiteho icyifuzo gikomeye kandi muganga wawe akabyemera, ushobora kwimurirwa mu bitaro bitanga serivisi za VBAC. Ganira na muganga wawe kuri ibi bishoboka.
Reka dusobanure muri make ibyo twaganiriyeho (Ubutumwa bwo kujyana mu rugo)
Noneho rero, dore ingingo z'ingenzi ugomba kwibuka mu byo twaganiriyeho:
- Nubwo waba warigeze kubagwa mu kibuno mbere, ababyeyi benshi bashobora kubyara bisanzwe (VBAC). Ubu bifatwa nk'amahitamo meza.
- Ikintu cy'ingenzi mu kumenya niba VBAC ishoboka ni ubwoko bw'igisebe cyo mu mura gikozwe mu gihe cyo kubagwa kwa mbere kwa C-section. Gusiba icyuma gica mu buryo bw'ibanga ni byo byiza cyane.
- Ibintu nk'impamvu yo kubagwa C-baction bwa mbere, umubare w'ababaga babanje kubagwa C-baction, n'uko ubuzima bwawe buhagaze ubu nabyo bigira uruhare.
- Hashobora kubaho ingaruka nto zijyanye na VBAC, ariko iyo habayeho gahunda nziza n'itsinda ry'abaganga b'abahanga, izi ngaruka zishobora kugabanuka.
- Igikuru ni ukuganira na muganga wawe ku buryo bweruye kuri ibi. Nibo bazakugira inama ku cyakubera cyiza mu gihe urwaye.
- Menya neza ko wiyiziye mbere y'igihe ibijyanye na politiki ya VBAC y'ibitaro uteganya kubyariramo.
Wibuke ko gutwita no kubyara kose ari umwihariko. Ndakwifurije imbaraga zo guhitamo ikizewe kandi gifite ubuzima bwiza kuri wowe no ku mwana wawe!
Nirogi Lanka: VBAC, kubagwa C, kubyara bisanzwe, gukata nyababyeyi, kubyara, ubuzima bw'umubyeyi, inama z'abaganga
