Yimuphi u-anesthesia ongcono kwesigaba se-caesarean?
Odokotela abanikeli impendulo engavamile. Ukukhethwa kwendlela kuphelele ngenxa yesimo somfazi, isikhathi, ubukhona bezinto ezikhulayo. Ukunquma ukuthi iyiphi i-anesthesia yokukhetha isigaba sokuvala, odokotela bavame ukuba yisifunda. Ngalokhu kukhwabanisa, kukhona ukwephulwa kwenqubo yokudlulisa ukushaywa komzimba emagqumeni omzimba kakhulu ngaphezu kwendawo lapho kusetshenziswa khona into. Isiguli siyazi ukuthi sikwenza inqubo yokuxhaphaza, akubandakanyi isidingo sokuhoxisa ku-anesthesia, kunciphisa izinkinga. Lokhu kuhlanganisa nomama, okusheshayo ukusungula ukuxhumana nomntwana, ezwa ukukhala kwakhe.
Izinhlobo ze-anesthesia ezigabeni zokuqapha
Ukuphendula umbuzo wabesifazane mayelana nokuthi i-anesthesia yenzeka kanjani esigabeni sokugcina, odokotela babiza lezi zindlela ezilandelayo:
- jikelele, owaziwa ngokuthi "i-anesthesia";
- esifundeni - umgogodla kanye ne- epidural.
I-anesthesia yokuqala ene-caesarean isigaba isetshenziselwa ezimweni ezihlukile, uma kunezingqinamba ezingezansi. Kusetshenziselwa ukuba kube khona amacala asemthethweni, okuphakathi kwendawo okungahambisani nayo yomsana, isifo sezintambo. Ngaphezu kwalokho, ukukhulelwa ngokwayo kuvame ukuhlotshaniswa nalezi zimo, lapho inqubo yokwaziswa kwe-trachea iyanzima, - ukubeka ithubhu ye-anesthesia. Ngalokhu kukhwabanisa, kungenzeka ukuthi okuqukethwe kwesisu kungena ku-bronchi, okubangela ukuhluleka kokuphefumula, isibhamu.
Isigaba se-caesarean senziwa kanjani nge-anesthesia ye-epidural?
Inqubo enjalo ijwayelekile futhi isebenza kahle. Kuyinto yokwethulwa kwesidakamizwa endaweni yendawo yendawo yomgogodla. Qala ukuxhaphaza isigamu sehora ngaphambi kwesikhathi esihleliwe sokulethwa. Isikhathi esinjalo ngokuqondile siyadingeka ukuba imithi isenze. Indawo yokujola iphathwa ngesisombululo se-antiseptic futhi indawo yomjovo ibhalwe.
Ngalolu hlobo lwe-anesthesia elinesigaba sokudla esisezingeni eliphansi, inaliti ekhethekile, oyinyumba, udokotela uphonsa isikhumba. Khona-ke, ngokuya kancane kancane, ufinyelela isikhala ngaphezu komgogodla, lapho izimpande zemizwa zikhona khona. Emva kwalokho, i-tube ekhethekile efakwe enaliti - i-catheter, eyobe isebenza njengomuthi wemithi. Inaliti isusiwe, ishiya ithubhu, elinde, - unamathisele ubude obude, ulethe ebhanini lehlombe, lapho lihleli khona. I-agent ilawulwa kancane kancane, uma kunesidingo, umthamo wanda. Ukufinyelela okulula ku-catheter kuqinisekisiwe.
Yona kanye inqubo yokusebenzisa le mithi yenziwa endaweni yokuma noma endaweni ehlangothini. Ukuhlukunyezwa kungenabuhlungu. Abanye besifazane bangase babone ukunganaki okuncane, okuyinto ebonakala njengomzwelo wokucindezela emhlane ophansi. Uma umuthi uphathwa ngokuqondile, isiguli asizwa lutho. Inqubo iphumelela kakhulu.
Ngenxa yalokho, uzwela luvaliwe ngokuphelele, kodwa ulwazi lomama olulindile aluvaliwe - uzwa ingane yakhe, ukukhala kwakhe kokuqala. Ukutshela ukuthi isigaba sokugcina lesi sigameko sihlala isikhathi esingakanani nge-anesthesia ye-epidural, odokotela baqaphela ukuthi ngokuya kwesilinganiso, ukususwa kokuzwela kulungiselelwe imizuzu engu-80-120. Lesi sikhathi sanele ngokwanele ekusebenzeni.
Ukuqhathaniswa kwe-anesthesia ye-epidural endaweni yesigcawu
Le ndlela inemfanelo emihle, kodwa kukhona nokuchasene. Kuvinjelwe lapho:
- ukuvuvukala kwendawo lapho kudingeke khona ukufeza ama-pustules, ama-papules;
- i-clotting disorder;
- ukungaboni ngaso sonke isikhathi izidakamizwa;
- izifo zomgogodla, i-osteochondrosis;
- isikhundla esiphambene noma oblique fetal.
Ukukhuluma nge-anesthesia eyingozi engozini ye-epidural engxenyeni yokulahla, odokotela bathi ukuphathwa okunjalo kudinga ulwazi, ukucaca. Ukulimala kwemithambo yegazi, ukuphela kwezinzwa kubangela imiphumela engenakuguquka. Njengoba kunikezwe la maqiniso, ukuxhaphazwa kwenziwa kuphela emitholampilo emikhulu, lapho kunabasebenzi abaqeqeshiwe, abakhethekile. ihadiwe.
Imiphumela ye-anesthesia ye-epidural engxenyeni yokulahla
Ngenxa yokuthi ekusebenzeni nalolu hlobo lwe-anesthesia, imithi enkulu yesidakamizwa iyadingeka, imiphumela emibi ivame ukubonakala. Phakathi kwabo kufanelekile ukuphawula:
- indawo yokubuhlungu emuva;
- ikhanda;
- ukuthuthumela emilenzeni.
Lezi zenzakalo zidlula ngokuzimela, emva kwamahora angu-3-5. Zihlobene nomphumela emzimbeni wemithi esetshenziselwa inqubo. Izinkinga emva kwe-anesthesia ye-epidural ne-caesarean sigaba ayitholakali eqoshiwe. Zihlanganisa:
- ukwephula inqubo yokuchama;
- ukulimala emthonjeni womgogodla, inzwa eseduze;
- ukusabela kwe-allergic kuya engxenyeni esebenzayo yomuthi.
I-anesthesia yomgogodla ikwenziwa kanjani esigabeni sokudla?
Ngalolu hlobo lokuvinjelwa kwemizwa yesibindi, umuthi ujova ngokuqondile emthonjeni ozungeza intambo yomgogodla. Ngemuva kokujola, inaliti isusiwe. Owesifazane unikezwa ukuba ahlale embhedeni noma etafuleni lokusebenza ngendlela ezandleni zakhe zihlala emadolweni akhe, futhi emuva kwakhe kunamaphiko. Indawo yokujola iphathwa nge-antiseptic, inject emva kwalokho izicubu ezingaphansi kwezinto ezilahlekelwa ukuzwela kwayo futhi inqubo iba buhlungu kakhulu. Inaliti ende futhi enomzimba ihlushwa. Ijojowe ngqo ku-fluere cerebrospinal. Ngemva kokukhipha inaliti, sebenzisa ibhande elibolile.
Abesifazane abahlinzwayo bavame ukuba nesithakazelo embuzweni wokuthi isigaba se-cearean sikhatsi esingakanani nge-anesthesia yomgogodla. Isikhathi senqubo yokulethwa kwezidingo kubangelwa ukuqeqeshwa kodokotela, ukungabikho kwezinkinga ngesikhathi senqubo. Ngokwesilinganiso, lokhu kukhwabanisa kuthatha amahora amabili kusukela esikhathini sokusetshenziswa kwesidakamizwa nomjovo esifundeni se-lumbar. Umthamo we-anesthetic ubalwa kuphezulu.
Ukuqhathaniswa kwe-anesthesia yomgogodla kusigaba sokugcina
Isigaba saseKhesari nge-anesthesia yomgogodla asikwenziwanga uma:
- ukungabi khona kwabasebenzi bezokwelapha abaqeqeshiwe;
- ukulahleka okukhulu kwegazi;
- ukuwohloka okukhulu komzimba;
- ukuphazamiseka kwesistimu yegazi coagulation;
- ukutheleleka, ukuvuvukala endaweni yomjovo;
- ukwelashwa;
- ukucindezela okuphezulu okungahambi kahle;
- ukwephulwa kwemisebenzi yesistimu ye-central central;
- lapho usebenzisa ngaphambi kokuhlinzwa ama-anticoagulants.
Imiphumela ye-anesthesia yomgogodla engxenyeni yokugcoba
Lolu hlobo lokukhuthaza lunemiphumela ethile. Ngokuvamile izinkinga ezilandelayo zikhuphuka ngemuva kwesifo sokugaya umgogodla nesigaba sokudla:
- ukudonsa okubukhali ekucindezelekeni;
- ikhanda;
- ukuphazamiseka kwesimiso sezinzwa;
- ubuhlungu emhlane osephansi;
- ukunqotshwa kwemizwa yomgogodla;
- ukwephula ubuqotho bemithanjeni yegazi.
I-anesthesia ejwayelekile yesigaba se-caesarean
I-anesthesia enjalo enesigaba sokudla isifo esidala kunazo zonke. Ezingqinamba zanamuhla zisetshenziswa ngokungavamile. Leli qiniso libangelwa ukungabi namandla okulawula isimo somama, njengoba elele ebuthongweni obunzima, akazwa lutho. It isetshenziswa ngokungabikho imishini ezidingekayo kanye nochwepheshe. Kuthathwa ngokunyanyiswa kwe-drug emithanjeni. Ubude besenzo salo kuxhomeke kuhlobo lomuthi, umthamo wayo futhi imizuzu engu-10-70.
Uma unesithakazelo kudokotela, iyiphi i-anesthesia engcono kakhulu kusigaba sokudla, owesifazane okhulelwe uvame ukuzwa ngezici ezinhle zesifunda. Kulokhu, odokotela ngokwabo bakhombisa ukuthi akuzona zonke izibhedlela zokubeletha ezizenzayo. Imitholampilo emikhulu, yanamuhla, yangasese isebenzisa le nqubo njalo. Ngakho kungenzeka ukunciphisa izingozi nemiphumela ye-anesthesia ejwayelekile, umphumela wezidakamizwa emfuseni awukhishiwe.
I-anesthesia yasendaweni ye-caesarean section
Ukutshela ukuthi i-anesthesia yesigaba se-cereal isetshenziswa, kubalulekile ukuphawula futhi i-anesthesia yendawo. Basebenzisa kuwo, uma kudingekile ukunciphisa ubuzwe, ukususa isifo sokwehla lapho kukhishwa futhi ukujova imithi endaweni yomgogodla. Imithi encane yomuthi isetshenziswa. Injected Intradermal yenziwa. Emva kwalokho, lo wesifazane cishe akanomuzwa wokungena kwenaliti.