I-anesthesia e-Kesariya

Kuze kube manje, ngokulethwa kokusebenza, enye yezindlela ezimbili ze-anesthesia isetshenziswa: i-anesthesia jikelele (i-anesthesia) noma i-anesthesia yesifunda ( umgogodla noma i-epidural). Naphezu kwekutsi izindlela ze-anesthesia zesifunda ziba zivame kakhulu, i-anesthesia ene-caesarean sigaba isalokhu idume kakhulu ngenxa yobulula nokusebenza kwayo.

I-anesthesia ejwayelekile yesigaba se-caesarean - izinkomba

Ingxenye yesesare ngaphansi kwe-anesthesia ejwayelekile yinto engavamile namuhla: abesifazane abaningi ngesikhathi sokuhlinzwa bafuna ukuqaphela futhi ngokushesha bafaka ingane esifubeni. Kodwa-ke, kunezibonakaliso zalendlela yokwelashwa kwezinzwa:

• Ukuqhathaniswa kwe-anesthesia yesifunda (ukuphuma kwegazi, ukuphazamiseka kwe-clotting);
• ukungenakwenzeka kokwenza i-anesthesia yesifunda (ukukhuluphala kwamathambo, ukuhlinzwa okukhulu emgodleni);
• ukwenqaba owesifazane ovela emzimbeni ovela emthonjeni we-spinal or epidural anesthesia;
• izimo ezikhethekile ze-obstetric ( isikhundla esiphambanisayo somntwana , ukwehla kwesicingo somzimba, njll);
• isidingo sesigaba esiphuthumayo sokudla kwezifo eziphuthumayo.

Isigaba se-Caesarea: iyiphi i-anesthesia engcono?

Uma ingane yakho izalwa njengomphumela wesigaba se-caesarean ehleliwe, cishe uzobe uhlinzekwa ukukhetha indlela ye-anesthesia. Ku-odokotela ohlinzayo, i-cearean ngaphansi kwe-anesthesia ejwayelekile izohlale ikhetha (isiguli siyasheshe siphendule futhi sivuselele ngokuphelele, uhlelo lwakhe lwezinhliziyo alukwazi ukugcwala ngokweqile).

Ngomama ozayo, i-anesthesia ejwayelekile enezifo zokudla ayiyona into engcono kakhulu: imithi ayinakekelwa kahle njalo, iphinde ifike kumntwana nge-placenta, ebangela ukucindezeleka kwesistimu enkulu. Ngenxa yalokho, bobabili umama nomntwana bangase bazizwe benesizungu, ubuthakathaka, belele ngenxa yezinsuku ezimbalwa emva kokusebenza. Ngaphezu kwalokho, Ngesikhathi sokuhlinzwa ngaphansi kwe-anesthesia ejwayelekile, kuhlale kunengozi yokufisa (ukungena emaphashini okuqukethwe kwesisu sesiguli) nokuthuthukiswa kwe-hypoxia (ukungabi namandla oksijini). Ngakho-ke, uma kungekho ukuphikisana kwe-anesthesia yesifunda, odokotela batusa i-anesthesia nge-anesthesia ye-epidural noma yomgogodla.

Kodwa-ke, uma kwenzeka ukuhlinzwa okuphuthumayo, uma yonke iminithi ibiza, uzonikezwa i-anesthesia ejwayelekile nge-cearean. Kulokhu, izifiso zowesifazane ekubelethweni azidlali indima eqinile, ngakho ungaxabani nomuntu ohlinzeka nge-anesthesiologist kanye nodokotela ohlinzayo: umsebenzi wabo ukugcina impilo yomama nengane.