Niba warigeze kubagwa mu gihe cyo kubagwa (C-bection), ese kuri iyi nshuro uzabyara bisanzwe? Reka tuvuge kuri VBAC!

Niba umwana wawe wa mbere yarabyawe hakoreshejwe uburyo bwo kubaga (C-baction), ushobora kwibaza uti "Ese nzabyara mu buryo busanzwe, ubu ngubu?" Iki ni ikibazo ababyeyi benshi bafite icyizere gikomeye, ariko rimwe na rimwe kizana ubwoba. None rero uyu munsi, reka tubiganireho neza kandi mu buryo ushobora gusobanukirwa.

Icyo gihe n'ubu: Ese uburyo utekereza ku kubyara bwarahindutse nyuma yo kubagwa?

Ushobora kuba wibuka ko mu gihe cya ba mama wawe, abantu benshi batekerezaga ko niba warabazwe inshuro imwe, wagombaga kubazwa indi C-baction kuri buri mwana nyuma yaho. Ndetse n'abaganga bo muri icyo gihe bakunze kubivuga. Hari impamvu zabiteraga.

Ariko muri iki gihe, siyansi y'ubuvuzi irateye imbere cyane . Hamwe n'ubushakashatsi bushya n'ubumenyi bushya, hari byinshi byahindutse. Ubu, abaganga ubwabo bavuga ko ababyeyi benshi bujuje ibisabwa, nubwo baba barabanje kubagwa, bashobora kubyara mu buryo bunyuranyije n'amategeko (Kuva mu gitsina nyuma yo kwa muganga - VBAC) . Mu by'ukuri, ubu bufatwa nk'uburyo bwizewe ku babyeyi benshi n'abana babo.

Tekereza, ushobora gutaha vuba nyuma yo kubyara umwana usanzwe. Nta kubabara bibaho kandi ushobora gukira vuba. Izi ni zimwe mu nyungu zikomeye za VBAC.

None se, nshobora gukora (VBAC)? Ni iki kigena ibyo?

Iki ni cyo kibazo cy'ingenzi cyane. Abantu bose si kimwe. Hari ibintu byinshi bigaragaza niba ushobora kugira VBAC cyangwa utabikora. Reka turebe buri kimwe ukwacyo.

1. Ni iyihe mpamvu yatumye ubagwa bwa mbere (C-bection)?

Hari igihe kubagwa bwa mbere bishobora gukorwa bitewe n’ikibazo cyihutirwa ku mwana, cyangwa bitewe n’ikibazo nk’umuvuduko w’amaraso wa nyina. Hari impamvu zimwe na zimwe, niba iyo mpamvu ishobora kuba iy’ingenzi muri ubu burwayi, bishobora kuba ari ibyago byo kubagwa VBAC. Ariko hari n’izindi mpamvu zimwe na zimwe, niba ari ikintu cyagize ingaruka kuri icyo gihe gusa. Urugero, niba warabazwe kubera ikintu nk’aho wambaye akara k’inyuma, niba umwana ari mu mwanya mwiza kuri iyi nshuro, ushobora kugerageza VBAC. Muganga wawe cyangwa umubyaza azagusobanurira birambuye.

2. Ubwoko bw'icibwa ry'umura - Iki ni cyo kintu cy'ingenzi cyane!

Dore ikintu ugomba kwitondera cyane. Imiterere y'igisebe mu mura wawe mu gihe cyo kubagwa bwa mbere ni ingenzi kuri VBAC. Iki si igisebe kigaragara ku ruhu rwawe, ahubwo ni igisebe kiri mu mura wawe.

Ahanini turavuga ku bwoko bubiri bw'ibice:

• Gukata igice cy'imbere:

Mu magambo make, ubu ni bwo buryo bukunze gukoreshwa cyane bwo gukata, kandi ni bwo bwiza cyane kuri VBAC.. Uku gukata gukorerwa mu gice cyo hasi, gito cy'umura, mu buryo bunyuranyije n'umurongo. Tekereza nk'umurongo wa bikini (atari ugukata uruhu, ahubwo ni ugukata mu mura). Uku gukata niho umura uba udakanda cyane iyo umwana avutse (iyo ufashe umwana kugira ngo asohoke). Kubwibyo, umubyeyi ufite ubwo bwoko bw'ugukata afite amahirwe menshi yo kugira VBAC nziza. Irindi zina ry'uku gukata ni (Low-transverse incision) .

• Gukata mu buryo buhagaze:

Muri ibi, gukata igice gikorerwa hejuru y'umura kugeza hasi, mu burebure. Kubera ko uku gukata kunyura mu mitsi ya nyababyeyi, hari ibyago byinshi byo gucika kw'umura (gucika kw'umura) binyuze mu gukata igice igihe nyababyeyi ikora cyane mu gihe cyo kubyara. Ibi bishobora guteza akaga cyane ku mubyeyi no ku mwana. Kubwibyo, abaganga muri rusange ntibagira inama yo gukora VBAC niba hari gukata igice gihagaze (cyane cyane gukata igice cyo hejuru cya nyababyeyi).

Icy'ingenzi: Nubwo uruhu rwawe rwaba rutambitse, hari igihe uruhu ruri mu nda rushobora kuba ruhagaze. Kubwibyo, ni ngombwa gusuzuma inyandiko zawe zo kubaga uhereye ku gikorwa cyo kubaga bwa mbere kugira ngo umenye neza uko uruhu rwaba rumeze. Vugana na muganga wawe kuri ibi.

3. Ni bangahe wabazwe mbere?

Nubwo ubusanzwe VBAC ikunze kwitabwaho nyuma yo kubagwa inshuro imwe, niba warigeze kubagwa inshuro ebyiri cyangwa nyinshi, kugira VBAC bishobora guteza akaga gakomeye. Ingaruka zo gucika kw'umura zishobora kwiyongera bitewe n'inkovu nyinshi mu mura. Ariko, mu bihe bimwe na bimwe byihariye, ndetse n'abamaze kubagwa inshuro ebyiri mbere bashobora kwemererwa kugerageza VBAC, mu bwitonzi bwinshi, mu kigo gikwiye. Ibi biterwa gusa n'amateka y'ubuzima bwawe, ubwoko bw'igisebe cy'umura, n'umwanzuro wa muganga ukuvura.

4. Uko utwite ubu n'izindi mpungenge z'ubuzima bwawe

Niba ufite indwara nka diyabete, umuvuduko ukabije w'amaraso, ikibazo cy'imikurire y'umwana wawe, cyangwa umwana usa n'aho ari munini cyane (macrosomia) muri iki gihe cyo gutwita, muganga wawe ashobora gutekereza kabiri ku bijyanye no kujya kwa muganga wa VBAC. Nanone, niba ufite ikibazo ku miterere y'umura wawe (urugero: fibroids), ibyo bishobora no kugira ingaruka ku cyemezo cyo gufata muganga wa VBAC.

Ese nta ngaruka ziri muri (VBAC)?

Nubwo VBAC ari amahitamo yizewe ku babyeyi benshi, ntabwo idafite ingaruka . Ingaruka nyamukuru ni ukuvunika kw'umura . Iki ni igihe urukuta rw'umura rucika aho babanje kubagwa. Ibi ni ibintu bidakunze kubaho (munsi ya 1% nk'uko imibare yo muri Sri Lanka ibivuga, cyane cyane ku bakorewe incision itambitse), ariko iyo bibaye, bishobora kuba ikibazo gikomeye ku mubyeyi n'umwana. Niyo mpamvu niba ugerageza VBAC,Bavuga ko bigomba gukorerwa mu bitaro bifite ibikoresho byose byo kubaga umwana mu buryo bwihutirwa.

Ku rundi ruhande, niba ugerageje VBAC ariko ntibikore, ushobora gusanga ugomba kubagwa mu buryo bwihutirwa. Ubu buryo bwo kubagwa butunguranye butari buteganyijwe bushobora guteza ibibazo bito ugereranije no kubagwa mu buryo buteganyijwe.

Witinya! Izi ngaruka zigamije kukwigisha, ntabwo zigutera ubwoba. Ababyeyi benshi bahura n'ikibazo cya VBAC nta kibazo. Icy'ingenzi ni ukuganira na muganga wawe niba ari byiza ku bijyanye n'ikibazo cyawe, ingaruka zacyo, n'inyungu zacyo.

Niba nifuza (VBAC), nkwiye gukora iki?

Niba urimo gutekereza gukoresha VBAC, kurikiza izi ntambwe:

1. Vugana na muganga wawe: Iki ni cyo kintu cya mbere kandi cy'ingenzi. Ganira na muganga wawe ku kubagwa kwawe kwa mbere (cyane cyane ubwoko bwo kubagwa kw'ibere), ubuzima bwawe bw'ubu, n'ibibazo byawe byihariye by'ubuzima. Baza ibyiza n'ibibi bya VBAC, n'ingaruka zihariye ushobora kugira. Muganga wawe azagusuzuma, asuzume inyandiko zawe, hanyuma afate umwanzuro niba VBAC ikubereye.

2. Baza ibitaro uhisemo kubyariramo umwana wawe: Si ibitaro byose bifite serivisi cyangwa politiki zimwe za VBAC. Hari ibitaro bishyigikira VBAC, aho ibyumba byihutirwa n'ibyumba byo kubaga bihari amasaha 24/7. Ariko, bimwe mu bitaro, cyane cyane bito, bishobora kutemera VBAC kuko bifite ubushobozi buke bwo gukemura ibibazo byihutirwa. Kubwibyo, ni ngombwa kumenya mbere y'igihe politiki ya VBAC ku bitaro uteganya kubyariramo umwana wawe.

3. Itegure, ariko ube witeguye: Nubwo waba witeguye kuvurwa VBAC, hari igihe ibintu bitagenda uko wabiteganyije. Iyo habayeho ingorane mu gihe cyo kubyara, muganga wawe ashobora gufata icyemezo cyo kubaga umwana mu buryo bwihutirwa. Wibuke ko intego nyamukuru ari ukugira umubyeyi muzima n'umwana muzima. Bityo rero, itegure gukurikiza amabwiriza ya muganga wawe.

Tekereza, niba ibitaro wahisemo bitakwemerera VBAC, ariko ukaba ubyifuza koko kandi muganga wawe akabyemera, ushobora kwimurirwa mu bindi bitaro bibyemera. Vugana na muganga wawe kuri ibi.

Ese twibuke muri make ibyo twaganiriyeho? (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Nubwo waba warigeze kubagwa mu gihe cyo kubagwa (C-baction), ababyeyi benshi bashobora kubyara mu gitsina (VBAC) . Ubu ni bwo buryo bwiza bwo kubyariramo.
• Ikintu cy'ingenzi mu kumenya niba ushobora guterwa VBAC ni ubwoko bw'icibwa ry'umura rikorwa mu gihe cyo kubagwa kwa mbere . Gukata icyuho mu buryo bw'ibanga ni byo byiza cyane.
• Ibi bigira ingaruka ku bintu nk'impamvu yatumye ubyara bwa mbere, umubare w'abana babanje kubagwa, ndetse n'uko ubuzima bwawe bumeze ubu.
• Hashobora kubaho ingaruka zimwe na zimwe muri VBAC, ariko izi ngaruka zishobora kugabanuka iyo habayeho igenamigambi ryiza n'itsinda ry'abaganga b'abahanga.
• Igikuru ni ukuganira kuri ibi na muganga wawe mu buryo bweruye. Ni we uzakugira inama ku cyakubera cyiza.
• Nanone, menya politiki ya VBAC y'ibitaro ugiye kubyariramo umwana wawe.

Wibuke ko gutwita no kubyara kose ari umwihariko. Ndakwifurije imbaraga zo guhitamo ikikubereye kandi gifite ubuzima bwiza kuri wowe no ku mwana wawe!

VBAC , Ubwicanyi, Kubyara bisanzwe, Kubaga igitsina cyavuye mu nda, Kubyara, Ubuzima bw'umubyeyi, Inama z'abaganga