Sashin Cesarean mataki-mataki

Tare da Farfesa Gilles Kayem, likitan mata a asibitin Louis-Mourier (92)

Jagorar dutsen

Ko an tsara cesarean ko gaggawa, ana shigar da mace mai ciki a cikin dakin tiyata. Wasu ma'auratan sun yarda, lokacin da sharuɗɗan suka yi daidai, cewa mahaifin yana nan a gefensa. Na farko, muna tsaftace fatar ciki tare da samfurin maganin antiseptik daga kasan cinya zuwa matakin kirji, tare da girmamawa akan cibiya. Sannan ana sanya wani catheter na fitsari domin ci gaba da komai da mafitsara. Idan mahaifiyar da za ta kasance ta riga ta kasance a cikin epidural, likitan likitancin yana ƙara ƙarin kashi na kayan aikin motsa jiki don kammala ciwon daji.

Ciwon fata

Likitan mahaifa zai iya yin sashin cesarean yanzu. A baya, an yi wa fata da kuma mahaifar ciki a tsaye. Wannan ya haifar da zubar jini da yawa kuma tabon mahaifa a lokacin ciki na gaba ya fi rauni. A yau, fata da mahaifa gabaɗaya ana yin su ta hanyar ƙetarewa.. Wannan shine abin da ake kira Pfannenstiel incision. Wannan dabarar tana tabbatar da ƙarin ƙarfi. Yawancin iyaye mata suna damuwa game da samun babban tabo. Wannan abin fahimta ne. Amma idan yankan ya yi kunkuntar, cire yaron na iya zama da wahala. Abin da ke da mahimmanci shine yanke fata a wurin da ya dace. Faɗin shawarar gargajiya shine 12 zuwa 14 cm. Ana yin katsewar 2-3 cm sama da pubis. Amfanin? A wannan wuri, tabon ba ya kusa ganuwa saboda yana cikin kullin fata.

Bude bangon ciki

Bayan an ɗora fata, likitan obstetrician ya yanke kitsen sannan kuma fascia (naman da ke rufe tsokoki). Dabarar sashin cesarean ta samo asali a cikin 'yan shekarun nan a ƙarƙashin rinjayar farfesa Joël-Cohen da Michael Stark. Kitsen sannan tsokoki suna yadawa zuwa yatsu. Hakanan ana buɗe peritoneum ta hanyar ba da damar shiga cikin rami na ciki da mahaifa. Kogon ciki ya ƙunshi gabbai iri-iri kamar ciki, hanji ko mafitsara. Wannan hanya ta fi sauri. Wajibi ne a ƙidaya tsakanin mintuna 1 zuwa 3 don isa cikin kogon peritoneal a lokacin farkon cesarean sashe. Rage lokacin aiki yana rage zubar jini kuma mai yiwuwa yana rage haɗarin kamuwa da cuta, wanda zai iya ba da damar mahaifiyar ta warke da sauri bayan tiyata.

Bude mahaifa: hysterotomy

Likitan ya shiga cikin mahaifa. Ana yin hysterotomy a cikin ƙananan yanki inda nama ya fi ƙanƙara. Wani yanki ne da ke zubar da jini kadan idan babu ƙarin cututtukan cututtuka. Bugu da ƙari, ƙwayar mahaifa ya fi karfi fiye da suturar jikin mahaifa a lokacin ciki na gaba. Haihuwa mai zuwa ta hanyoyin halitta yana yiwuwa. Da zarar an yi wa mahaifar mahaifa, likitan mata yana faɗaɗa yankan zuwa yatsu kuma ya tsage jakar ruwa. A ƙarshe, yana cire yaron ta kai ko ta ƙafafu bisa ga gabatarwar. Ana sanya jaririn fata zuwa fata tare da mahaifiyar 'yan mintuna kaɗan. Lura: Idan mahaifiyar ta riga ta sami sashin cesarean, aikin na iya ɗaukar ɗan lokaci kaɗan saboda ana iya samun saduwa, musamman tsakanin mahaifa da mafitsara. 

bayarwa

Bayan haihuwa, likitan obstetric yana cire mahaifa. Wannan shine ceto. Sa'an nan, ya duba cewa kogon mahaifa ba komai. Sai a rufe mahaifar. Likitan na iya yanke shawarar fitar da shi waje don suturce shi cikin sauƙi ko barin shi a cikin rami na ciki. Yawancin lokaci, visceral peritoneum da ke rufe mahaifa da mafitsara ba a rufe. An rufe fascia. Fatar ciki shi ne, a nata bangaren, sutured bisa ga masu aikin. Suttuwa mai daukar hankali ko a'a ko tare da kayan abinci. Babu wata dabarar rufewar fata da ta nuna kyakkyawan sakamako na ado watanni shida bayan aikin