{"id":1417,"date":"2021-08-10T20:00:22","date_gmt":"2021-08-10T18:00:22","guid":{"rendered":"https:\/\/www.drardi.com\/?p=987"},"modified":"2021-08-10T20:00:22","modified_gmt":"2021-08-10T18:00:22","slug":"i-pari-cesarian-po-i-dyti","status":"publish","type":"post","link":"https:\/\/drardi.com\/shop\/i-pari-cesarian-po-i-dyti\/","title":{"rendered":"I pari Cesarian, po i dyti?"},"content":{"rendered":"<p><strong>\u00a0<\/strong>\u00c7far\u00eb zgjedhjesh m\u00eb ofrohen<\/p>\n<p>Keni dy zgjedhje n\u00eb dispozicion:<\/p>\n<ul>\n<li>Lindje natyrale (vaginale) pas nj\u00eb lindjeje me prerje cezariane (VBAC).<\/li>\n<li>Prerje cezariane t\u00eb planifikuar.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Pyesni veten n\u00ebse jeni nj\u00eb kandidat i mir\u00eb p\u00ebr VBAC? N\u00ebse p\u00ebrfitimet e VBAC tejkalojn\u00eb rreziqet? P\u00ebrgjigja mund t\u00eb varet nga ju. K\u00ebtu keni ndihm\u00eb p\u00ebr t\u00eb peshuar t\u00eb mirat dhe t\u00eb k\u00ebqijat. Sidoqoft\u00eb, zgjedhja p\u00ebr t\u00eb ndjekur VBAC ose p\u00ebr t\u00eb caktuar nj\u00eb lindje cezariane\u00a0 mund t\u00eb jet\u00eb e v\u00ebshtir\u00eb.<\/p>\n<p>&nbsp;<\/p>\n<p>Pse e konsideroni VBAC?<\/p>\n<p>Krahasuar me kryerjen e nj\u00eb lindje me prerje cezariane, lindja vaginale\u00a0 nuk p\u00ebrfshin asnj\u00eb operacion, asnj\u00eb nga nd\u00ebrlikimet e mundshme t\u00eb operacionit, nj\u00eb q\u00ebndrim m\u00eb t\u00eb shkurt\u00ebr n\u00eb spital dhe nj\u00eb kthim m\u00eb t\u00eb shpejt\u00eb n\u00eb aktivitetet normale t\u00eb p\u00ebrditshme. VBAC gjithashtu mund t\u00eb jet\u00eb nj\u00f6 opsion t\u00ebrheq\u00ebs n\u00ebse doni t\u00eb p\u00ebrjetoni lindje vaginale.<\/p>\n<p>\u00cbsht\u00eb\u00a0 e r\u00ebnd\u00ebsishme t\u00eb merren parasysh edhe shtatz\u00ebnit\u00eb e ardhshme. N\u00ebse jeni duke planifikuar p\u00ebr m\u00eb shum\u00eb shtatz\u00ebni, VBAC mund t&#8217;ju ndihmoj\u00eb t\u00eb shmangni rreziqet e lindjeve t\u00eb shumta cezariane, si\u00e7 jan\u00eb problemet e placent\u00ebs.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Cilat jan\u00eb rreziqet e VBAC?<\/p>\n<p>Nd\u00ebrsa nj\u00eb VBAC i suksessh\u00ebm shoq\u00ebrohet me m\u00eb pak komplikime sesa nj\u00eb lindje me prerje cezariane e p\u00ebrzgjedhur nga vet\u00eb ju, nj\u00eb p\u00ebrpjekje\u00a0 e d\u00ebshtuar e lindjes vaginale\u00a0 pas nj\u00eb operacioni cezarian \u00ebsht\u00eb e lidhur me m\u00eb shum\u00eb komplikime, duke p\u00ebrfshir\u00eb nj\u00eb ruptur\u00eb (\u00e7arje) t\u00eb mitr\u00ebs.<\/p>\n<p>\u00c7arja\u00a0 e mitr\u00ebs \u00ebsht\u00eb e rrall\u00eb, ndodh n\u00eb m\u00eb pak se 1% t\u00eb grave q\u00eb tentojn\u00eb nj\u00eb prov\u00eb t\u00eb lindjes natyrale\u00a0 pas asaj cezariane. Sidoqoft\u00eb, ruptura e mitr\u00ebs \u00ebsht\u00eb k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn\u00a0 tuaj dhe p\u00ebr foshnj\u00ebn tuaj.<\/p>\n<p>Gjat\u00eb nj\u00eb rupture t\u00eb mitr\u00ebs, plaga ku \u00ebsht\u00eb kryer prerje e m\u00ebparshme cezariane n\u00eb mit\u00ebr hapet. Nj\u00eb operacion urgjent cezarian\u00a0 \u00ebsht\u00eb i nevojsh\u00ebm p\u00ebr t\u00eb parandaluar komplikimet k\u00ebrc\u00ebnuese p\u00ebr jet\u00ebn. Trajtimi mund t\u00eb p\u00ebrfshij\u00eb heqjen kirurgjikale t\u00eb mitr\u00ebs (histerektomi). N\u00ebse mitra juaj hiqet, nuk do t\u00eb jeni n\u00eb gjendje t\u00eb mbeteni p\u00ebrs\u00ebri shtatz\u00ebn\u00eb.<\/p>\n<p>&nbsp;<\/p>\n<p>Kush i p\u00ebrmbush kriteret\u00a0 p\u00ebr VBAC?<\/p>\n<p>Pranueshm\u00ebria e VBAC varet nga shum\u00eb faktor\u00eb. P\u00ebr shembull:<\/p>\n<p><strong><em>\u00c7far\u00eb lloj prerjeje (incizioni) t\u00eb mitr\u00ebs \u00ebsht\u00eb p\u00ebrdorur p\u00ebr prerjen e m\u00ebparshme cezariane? <\/em><\/strong><\/p>\n<p>Shumica e operacioneve cezariane p\u00ebrdorin nj\u00eb prerje t\u00eb ul\u00ebt t\u00ebrthore (transversale). Grat\u00eb q\u00eb kan\u00eb pasur nj\u00eb prerje t\u00eb ul\u00ebt t\u00ebrthore ose t\u00eb ul\u00ebt vertikale jan\u00eb zakonisht kandidate p\u00ebr VBAC. N\u00ebse keni pasur nj\u00eb prerje paraprake t\u00eb lart\u00eb vertikale (klasike), VBAC nuk rekomandohet p\u00ebr shkak t\u00eb rrezikut t\u00eb \u00e7arjes s\u00eb mitr\u00ebs.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>A keni pasur ndonj\u00ebher\u00eb ruptur\u00eb\u00a0 t\u00eb mitr\u00ebs?<\/em><\/strong> N\u00ebse po, ju nuk jeni kandidat p\u00ebr VBAC.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>A keni pasur operacione t\u00eb tjera n\u00eb mitr\u00ebn tuaj?<\/em><\/strong> N\u00ebse keni pasur operacione t\u00eb tjera t\u00eb mitr\u00ebs, t\u00eb tilla si p\u00ebr heqjen e fibroidit, VBAC nuk rekomandohet p\u00ebr shkak t\u00eb rrezikut t\u00eb ruptur\u00ebs\u00a0 s\u00eb mitr\u00ebs.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>A keni pasur lindje t\u00eb m\u00ebparshme vaginale?<\/em><\/strong> Nj\u00eb lindje vaginale t\u00eb pakt\u00ebn nj\u00eb her\u00eb para ose pas prerjes tuaj C-lindore rrit probabilitetin e nj\u00eb VBAC t\u00eb suksessh\u00ebm.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Sa operacione cezariane\u00a0 keni pasur?<\/em><\/strong> Shum\u00eb ofrues t\u00eb kujdesit sh\u00ebndet\u00ebsor nuk do t\u00eb ofrojn\u00eb VBAC n\u00ebse keni pasur m\u00eb shum\u00eb se dy operacione cezariane.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Kur keni lindur p\u00ebr her\u00eb t\u00eb fundit?<\/em><\/strong> Rreziku i ruptur\u00ebs s\u00eb mitr\u00ebs \u00ebsht\u00eb m\u00eb i lart\u00eb n\u00ebse provoni VBAC m\u00eb pak se 18 muaj pas lindjes tuaj t\u00eb m\u00ebparshme.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>A keni ndonj\u00eb shqet\u00ebsim sh\u00ebndet\u00ebsor q\u00eb mund t\u00eb ndikoj\u00eb n\u00eb lindjen vaginale?<\/em><\/strong> Lindja cezariane mund t\u00eb rekomandohet n\u00ebse keni probleme me placent\u00ebn, foshnja juaj \u00ebsht\u00eb n\u00eb nj\u00eb pozicion jonormal, ose prisni\u00a0 trinjak\u00eb ose\u00a0 m\u00eb shum\u00eb.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>Ku do ta lindni f\u00ebmij\u00ebn?<\/em><\/strong> Planifikoni t\u00eb lindni n\u00eb nj\u00eb struktur\u00eb t\u00eb pajisur p\u00ebr t\u00eb\u00a0 kryer nj\u00eb operacion emergjent cezarian. \u00a0Lindja\u00a0 n\u00eb sht\u00ebpi nuk \u00ebsht\u00eb e p\u00ebrshtatshme p\u00ebr VBAC.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><em>A do t\u00eb keni nevoj\u00eb t\u00eb nxisni procesin e lindjes? <\/em><\/strong>Lindja e detyruar zvog\u00eblon gjasat e nj\u00eb VBAC t\u00eb suksessh\u00ebm.<\/p>\n<p>Si ndryshon lindja\u00a0 gjat\u00eb VBAC nga lindja rutin\u00eb vaginale?<\/p>\n<p>N\u00ebse zgjidhni VBAC, kur t\u00eb\u00a0 filloj\u00eb procesi i lindjes do t\u00eb ndiqni nj\u00eb proces t\u00eb ngjash\u00ebm me at\u00eb t\u00eb p\u00ebrdorur p\u00ebr \u00e7do lindje vaginale. Sidoqoft\u00eb, ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor ka t\u00eb ngjar\u00eb t\u00eb rekomandoj\u00eb monitorimin e vazhduesh\u00ebm t\u00eb rrahjeve t\u00eb zemr\u00ebs s\u00eb foshnj\u00ebs suaj dhe t\u00eb jet\u00eb i p\u00ebrgatitur p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb operacion cezarian t\u00eb p\u00ebrs\u00ebritur \u00a0n\u00ebse \u00ebsht\u00eb e nevojshme.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00c7far\u00eb k\u00ebshille tjet\u00ebr i ofrohet grave q\u00eb po marrin parasysh VBAC?<\/p>\n<p>N\u00ebse jeni duke marr\u00eb parasysh VBAC, diskutoni opsionin, shqet\u00ebsimet\u00a0 dhe pritshm\u00ebrit\u00eb tuaja me ofruesin tuaj t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb fillim t\u00eb shtatz\u00ebnis\u00eb. Sigurohuni q\u00eb ai ose ajo t\u00eb ket\u00eb historin\u00eb tuaj t\u00eb plot\u00eb mjek\u00ebsore, duke p\u00ebrfshir\u00eb \u00e7do t\u00eb dh\u00ebn\u00eb lidhur me operacionet e m\u00ebparshme cezariane\u00a0 dhe \u00e7do procedur\u00eb tjet\u00ebr kirurgjikale\u00a0 n\u00eb mit\u00ebr. Ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb llogaris\u00eb mund\u00ebsin\u00eb q\u00eb t\u00eb keni nj\u00eb VBAC t\u00eb suksessh\u00ebm.<\/p>\n<p>&nbsp;<\/p>\n<p>Gjithashtu, \u00a0duhet t\u00eb planifikoni ta lindni f\u00ebmij\u00ebn tuaj n\u00eb nj\u00eb struktur\u00eb t\u00eb pajisur p\u00ebr t\u00eb kryer nj\u00eb operacion urgjent .Vazhdoni t\u00eb diskutoni p\u00ebr rreziqet dhe p\u00ebrfitimet e VBAC gjat\u00eb gjith\u00eb shtat\u00ebzanis\u00eb, ve\u00e7an\u00ebrisht n\u00ebse shfaqen faktor\u00eb t\u00eb caktuar rreziku.<\/p>\n<p>&nbsp;<\/p>\n<p>Mbi t\u00eb gjitha, p\u00ebrpiquni t\u00eb q\u00ebndroni fleksib\u00ebl. Rrethanat e shtatz\u00ebnis\u00eb suaj suaj mund ta b\u00ebjn\u00eb VBAC nj\u00eb zgjedhje t\u00eb qart\u00eb ose, pas k\u00ebshillimit, ju dhe ofruesi juaj i kujdesit sh\u00ebndet\u00ebsor mund t\u00eb vendosni q\u00eb nj\u00eb operacion i p\u00ebrs\u00ebritur cezarian\u00a0 do t\u00eb ishte zgjedhja m\u00eb\u00a0 e mir\u00eb.<\/p>\n<p>V.O &#8211; Vendimi p\u00ebrfundimtar sigurisht do t\u00eb vler\u00ebsohet nga mjeku juaj.<\/p>\n<p>Dr. A. Prushi<br \/>\nP\u00ebrpunoi: Dr. Ina Cala<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00c7far\u00eb zgjedhjesh m\u00eb ofrohen Keni dy zgjedhje n\u00eb dispozicion: Lindje natyrale (vaginale) pas nj\u00eb lindjeje me prerje cezariane (VBAC). Prerje cezariane t\u00eb planifikuar. &nbsp; Pyesni veten n\u00ebse jeni nj\u00eb kandidat i mir\u00eb p\u00ebr VBAC? N\u00ebse p\u00ebrfitimet e VBAC tejkalojn\u00eb rreziqet? P\u00ebrgjigja mund t\u00eb varet nga ju. K\u00ebtu keni ndihm\u00eb p\u00ebr t\u00eb peshuar t\u00eb mirat dhe [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":23738,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[240],"tags":[236,268],"class_list":["post-1417","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-obstetrike","tag-obstetrike-gjinekologji-obgyn-obsgjin-drardi-drprushi-drardiprushi-obstetergjinekolog-shtatzenia","tag-vbac-postsectio-vaginale-linde"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>I pari Cesarian, po i dyti? - Intimacy<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"I pari Cesarian, po i dyti? - Intimacy\" \/>\n<meta property=\"og:description\" content=\"\u00a0\u00c7far\u00eb zgjedhjesh m\u00eb ofrohen Keni dy zgjedhje n\u00eb dispozicion: Lindje natyrale (vaginale) pas nj\u00eb lindjeje me prerje cezariane (VBAC). Prerje cezariane t\u00eb planifikuar. &nbsp; Pyesni veten n\u00ebse jeni nj\u00eb kandidat i mir\u00eb p\u00ebr VBAC? N\u00ebse p\u00ebrfitimet e VBAC tejkalojn\u00eb rreziqet? P\u00ebrgjigja mund t\u00eb varet nga ju. 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