Indlela yokwenza isigaba se-cearean inkomo

Njenganoma yikuphi okunye ukusebenza, isigaba se-cearean sinezigaba eziningana ezilandelanayo.

Ukulungisa

Kunezinhlobo ezimbili zokulungiswa:

Imile - uma ukukhwabaniswa kwenziwa eceleni kocansi lwesisu. Isilwane simisiwe emshinini okhethekile, izitho zangasemuva ziboshwe.
Esikhundleni esivamile - uma usika endaweni engaphansi kwesidumbu sesisu. Isilwane sitholwa etafuleni lokusebenza (ungasebenzisa amabhali amaningana wefani noma utshani, uwafake ngethusi), i-hind kanye nezembatho zangaphambili ziboshwe ngezintambo, ikhanda ligcinwe futhi licindezelwe phezulu ngezandla zakho.

Kodwa-ke, akuyona into engavamile ukuba inkomo emile ilale phansi ngesikhathi sokuhlinzwa.

Ukulungiselela insimu yokuhlinza

Ukuqhuba umsebenzi ophezulu, kuyadingeka ukuba uqhube ukuqeqesha okuqala, okuqukethe izenzo ezilandelayo:

Izinwele ezihlanzekile.
Indawo endaweni yokucwiliswa ihlanzwa kahle nge-sese bese ihlungwa ngokucophelela.
Isikhumba sikhukhulwa ukuze somile, senziwe ngotshwala noma iodini.
Indawo yokucubungula ihlukaniswe ngendwangu ehlanzekile.

Uyazi? Ngolimi lwenkomo kutholakala ama-buds angu-25 000. Omunye umuntu ikhiqiza Amalitha angu-150 ngosuku futhi wenza cishe ukunyakaza okuyi-100.

I-Antiseptic ne-anesthesia

Ukuze ukhiqizwe kwesibeletho futhi kususwe kalula kusuka emgodini wesisu, i-epidural anesthesia iyadingeka. Indawo lapho umjovo owenziwe khona, ukhona phakathi kwe-vertebrae yokuqala neyilandelayo. Inaliti ifakwe ngephutha esikhunjeni, futhi emva kokugquma, idluliselwa ngaphakathi nge-angi 45 °. Ukujula okunamandla kufanele kube ngu-3 cm. Isixazululo kufanele siphumeze uma isilonda sincipha kancane.

I-anesthesia ingaba nezinhlobo ezahlukene:

Okuphansi (ngemuva) - esetshenziselwa ukusebenza endaweni yokuma. Faka i-20 ml yesisombululo se-novocaine, ishisa ukushisa komzimba.
Phezulu (phambili) - kwenziwa endaweni yomzimba ohlangothini. Faka injini i-130 ml yesisombululo se-anesthetic. Kulesi simo, i-paresis yamalungu omzimba we-pelvic kwenzeka.

Futhi isebenzisa i-paralyumbal anesthesia, ehlanganiswa nesidakamizwa sangaphambilini inikeza ukuphumula okudingekayo, okunikeza ithuba lokuqhuba isigaba sokulahla.

Imisebenzi yokusebenza

Isigaba sokudla sinezinyathelo ezilandelayo:

Ukufinyelela kokusebenza (laparotomy).
Ukufakwa kwesibeletho.
Ukuvula imbobo.
Ukukhishwa kwe-fetus nokuhlukaniswa kwe-placenta.
Ukulonda amanxeba.
Ukuvalwa kwamanxeba edonga lesisu.

Sika

Ngokuvamile, ukuqhuma kwe-ventro-lateral kwenziwa. Inikeza ukufinyelela okuhle kwesibeletho, futhi ngesikhathi esifanayo kubangela ukulimala okuncane emzimbeni. Kungenziwa kwesokunxele noma kwesokudla.

Udonga lwamathumbu luyinqunyiwe kuya ku-35 cm. Qalisa ukuchotshozwa ezingeni lomkhawulo oseduze wesibalo esingu-10 cm ngaphezulu kwesisekelo saso. Ukuqhuma kuqhutshwa kusuka phezulu kuze kube phansi bese kuphelela ngaphambi kwodonga lwesisu esiswini 4 cm ngaphezulu kwesigqoko somzimba esiswini, kufanele senziwe kancane.

Ngemuva kokuhlambalaza kwesikhumba kanye ne-fascia, i-rectus abdominis ihlukaniswe eceleni kwezingcingo zayo ngokuphela kwesicwecwe. Khona-ke, phakathi kwesilonda, thatha ucezu lwe-forceps yesisindo somzimba oqondile we isisu nge-forceps bese wenza ukuchotshozwa okuhambelana nesiqondiso sesikhumba sesikhumba, ngenkathi sivula futhi i-peritoneum ihlangane nayo.

Kubalulekile! Okusheshayo kuukufihla isigxobo esiswini noma ukususa i-peritoneal fluid akuvunyelwe ngokuqinile, njengoba isilwane singase sishaqeleke.

Ukuvulwa nokuvulwa kwesibeletho

Ngemuva kokuhlukanisa isilonda sodonga lwesisu nangamapulangwe oyinyumba, i-omentum iyakunqunywa, futhi ngemva nje kokuba i-eventus ye-uterine uphondo idluliselwe. Ukugijima kubizwa ngokuthi kudonsela uphondo lwesisu, lapho umntwana ekhona khona, ekuvuleni. Lokhu kwenziwa ngesandla - okokuqala bahlunga isandla ngesandla, bese bebamba ngesisu bese bezitshela kuze kube yilapho isiphondo sophondo siphuma esilonda.

Ukususwa kwe-fetus ne-placenta

Lapho zonke izicubu zigawulwa, umsizi uthatha imilenze enxeba futhi uwaxoshe, kuyilapho udokotela wezilwane edula izilonda ze-fetal ngalesi sikhathi, ukhulula i-amniotic fluid futhi athathe umntwana. Uma ingane isesitatimendeni esiyinhloko, isuswe emathanjeni okugcoba, futhi uma i-pelvic - isifo sekhanda nesifuba. Emntwaneni, umlomo kanye nekhasi zihlanjululwa nge-mucus, futhi intambo yomzimba ibuye iphindwe. Ekuphetheni, indawo yokugcina ihlukanisiwe.

Thola ukuthi kungani inkomo ingasuki ekugcineni.

Ukwehlisa isilonda sesibeletho nokuvala isilonda sodonga lwesisu

Ngemuva kokuba ingane isuswe kanye nokubeletha, ungaqala ukuthunga isisu. Lesi sigaba sibaluleke kakhulu, ngoba kuphela uma senziwa ngendlela efanele, ukutholakala okulula kuzoba lula. Ngemuva kokugxilisa lesi sizalo, isisindo somzimba sihlolwe, izicubu zisuswa futhi indawo yokucwilisa ihlanza kahle. Ngemuva kokuba sekuphelile ukusebenza, i-block extrapleural yenziwa ngokusho kweVVV. Mosin noma i-Novocain ilawulwa ngaphakathi.

Uma kunqunywa ukuthi ingane ishonile ngesikhathi sokuhlinzwa, ama-antibiotics, njenge-biomitsin noma i-penicillin, ayaziswa ngokuqondile ukuze agweme ukuthuthukiswa kwe-peritonitis.

Ukunakekela i-postoperative yenkomo

Ngemuva kokusebenza, isilwane kumele sigcinwe sodwa kwabanye izinsuku eziningana. Ama-antibiotics ajojelwe izinsuku ezingu-5 ukugwema ingozi yokuvuvukala.

Udokotela wezilwane uqhuba ukuhlolwa emva kwezinsuku ezintathu, ehlola izibonakaliso zezinkinga zokuthutha emva kwesikhathi.

Uyazi? Izinkomo zezinkomo nezinkunzi zibizwa ngokuthi amathole. Kodwa-ke, bambalwa abantu abazi ukuthi igama elifanayo kubantwana bison, bison kanye nezinkukhu.

Ngakho-ke, isigaba se-caesarean akuyona into enzima kakhulu engasindisa inkomo nomntanakhe. Kodwa-ke, kungenziwa kuphela ochwepheshe, yiqiniso. Uma kunesidingo, kufanele iqondiswe ngokushesha ngangokunokwenzeka, ngoba into esemqoka ukuqhuba ukusebenza ngesikhathi.