Yiyiphi i-anesthesia engcono kwicandelo le-caesarean?
Oogqirha abanikeli impendulo engabonakaliyo. Ukukhethwa kwendlela kuphelele ngenxa yemeko yowesifazane, ixesha, ubukho bezinto ezinzima. Ukugqiba ukuba yiyiphi i-anesthesia yokukhetha kwisigxina socwangco, oogqirha banomdla wendawo. Ngolu luhlu, kukho ukuphulwa kwenkqubo yokudlulisa i-pulse kwi-fibre ye-nerve ngaphezu kwendawo apho i-substance ifakwe khona. Isigulane siyayazi ukuba iququzelela inkqubo yokuxhaphaza, ingabandakanyi isidingo sokurhoxisa kwi-anesthesia, iyanciphisa iingxaki. Oku kukudibanisa nonina, ophantse ngokukhawuleza uqhagamshelane nomntwana, uva ukukhala kwakhe.
Iindidi ze-anesthesia kwicandelo lokugcina
Ukuphendula umbuzo wabasetyhini malunga nento eyenziwa yi-anesthesia kwinqanaba elimisiweyo, oogqirha babiza ezi zilandelayo:
- jikelele, owaziwa ngokuthi "i-anesthesia";
- kummandla wesigodi kunye nesigxina.
I-aneshesia yokuqala kunye necesarean section isetyenziswe kwiimeko ezizodwa, xa kukho ukungqinelana kwendawo. Kuye kubhekiswa phambi kweemeko ezithile ezinqamlekileyo, phakathi kwazo indawo ehambayo yomntwana, i-prolapse of the strings. Ukongezelela, ukukhulelwa ngokwabo kudla ngokudibanisa kunye neemeko, xa inkqubo yokunyuselwa kwe-trachea iyanzima, - ukubeka ityhubhu ye-anesthesia. Ngolu hlobo, kunokukhokelela ukuba iziqulatho zesisu zingena kwi-bronchi, ebangela ukungaphumeleli kokuphefumula, impumoniya.
Inxalenye yesigqirha yenziwa njani nge-anesthesia ye-epidural?
Le ndlela iqhelekileyo kwaye isebenzayo. Ukuqaliswa kweziyobisi kummandla wendawo yomgca. Qalisa ukunyanzeliswa kwesigamu seyure ngaphambi kwexesha elijolisiweyo lokunikezelwa. Ngokukhawuleza ixesha elinjalo liyimfuneko ukuba amayeza athathe isenzo. Isiza sokungenwa kwesojoza siphathwa ngesisombululo se-antiseptic kwaye indawo yokuxilongwa imakwe.
Ngalolu hlobo lwe-aneshesia kunye necesarean section kwicala lokuhamba, inaliti ekhethekileyo, enyumba, ugqirha ugula isikhumba. Emva koko, ngokunyuka ngokukhawuleza, kufinyelela kwindawo engaphezu komgudu, apho iingcambu zentliziyo zifumaneka khona. Emva koko, ityhubhu ekhethekileyo ifakwe kwisaliti - i-catheter, eya kuba ngumsele wamachiza. Inaliti isuswe, ishiya ityhubhu, eyandisiweyo, - fakela ubude obude, uyifake kwibhinqa lehlombe, apho ichaneke khona. I-agent ilawulwa ngokuthe ngcembe, ukuba kuyimfuneko, i-dosage iyanda. Ukufikelela okulula kwi-catheter kuqinisekiswa.
Leyo ndlela yokusebenzisa le mayeza isenziwa kwindawo yokuma okanye kwindawo ehlangothini. Ukunyanzelisa kungenabuhlungu. Abanye abesifazana banokukubona ukuphazamiseka okuncinci, okubonakalayo njengento yokunyanzeliswa kwi-back back. Xa iyeza lilawulwa ngokuthe ngqo, isiguli asiva nantoni na. Inkqubo iphumelela kakhulu.
Ngenxa yoko, uvelwano luphelile ngokupheleleyo, kodwa ukukhumbula umama akulindelanga - uva umntwana wakhe osanda kuzalwa, ukukhala kwakhe kokuqala. Ukuxelela malunga nexesha elingakanani ixesha eliqhelekileyo lihlala ne-anesthesia ye-epidural, oogqirha baqaphele ukuba kuxhomekeke kumlinganiselo, ukususwa kwentliziyo kulungiswe imizuzu eyi-80-120. Eli xesha lanele ngokweenkqubo.
Ukuchasana kwi-anesthesia ye-epidural kwinqanaba le-cache
Le ndlela inempawu ezintle, kodwa kukho izichaso. Kuvumelekile xa:
- ukuvuvukala kwendawo apho kuyimfuneko ukufeza iipotules, iipulules;
- i-blood clotting disorder;
- ukunyanzelwana ngabanye kwiziyobisi;
- izifo zomgudu, i-osteochondrosis;
- indawo ehambayo okanye oblique fetal.
Ukuthetha ngengozi ye-epestural anesthesia kwicandelo lokulahla, oogqirha baqaphele ukuba ukunyanzelisa okunjalo kudinga amava, ukucaca. Ukulimala kwemithambo yegazi, ukuphela kwezibilini kubangela imiphumo engapheliyo. Ukunikezelwa kwezi ngqinisiso, ukunyanzeliswa kwenziwa kuphela kwiiklinikhi ezinkulu, apho kukho abasebenzi abaneemfuno ezizodwa. yeehadi.
Iziphumo ze-anesthesia ye-epidural kwinqanaba elikulo
Ngenxa yokuba kwintsebenziswano kunye nale ndlela ye-anesthesia, iidayitha ezinkulu zeziyobisi ziyimfuneko, iziphumo zecala zidlalwa. Phakathi kwabo kubalulekile ukuphawula:
- indawo yentlungu;
- intloko;
- ukuthuthumela emilenzeni.
Ezi zinto zihamba ngokuzimela, emva kweeyure ezingama-3-5. Zihlobene nomphumo kumzimba wamayeza asetyenziswayo kwinkqubo. Iingxaki emva kokuba i-anesthesia ye-epidural ne-caesarean section ayibhalwa ngokukhawuleza. Ziquka:
- ukuphulwa kwenkqubo yokucoca;
- ukulimala kwintambo yomgogodla, umlenze osondeleyo;
- iimpendulo ezithintekayo kwiqumrhu elisebenzayo leziyobisi.
Unjani i-anesthesia yomgogodla eyenziwa kwinqanaba le-caesarean?
Ngolu hlobo lokukhutshwa kweempembelelo zesibindi, le nkunkuma ifakwe ngqo kwi-fluid ejikeleze intambo yomgogodla. Emva kwejoza, inaliti isuswe. Ibhinqa linikwa ukuba lihlale kwiqhekeza okanye itafile yokusebenza ngendlela enokuthi izandla zakhe zihlale emadolweni akhe, kwaye umva wakhe uphezulu. Indawo yokuxilongwa i-injection iphathwa nge-antiseptic, inject emva kokuba izicubu ezincinci zilahlekelwa ukuqonda kwayo kwaye inkqubo iya kuba buhlungu kakhulu. Inaliti ende kunye negaqambileyo iyahlulwa. Ijojowe ngqo kwi-cerebrospinal fluid. Emva kokususa inaliti, sebenzisa ibhanti engumzimba.
Abasetyhini abaqhutywe ngophengululo bahlala benomdla kumbuzo wokuba ixesha elide le-laarean linesifo se-aneshesia. Ubude benkqubo yolo hlobo lwenziwa ngenxa yobugcisa boogqirha, ukungabikho kweengxaki ngexesha le nkqubo. Ngokomyinge, oku kuqhutywe kuthatha iiyure ezingama-2 ukususela ngexesha lokusetyenziswa kwesilwanyana kunye nomjovo kwiphondo lumbar. Umyinge we-anesthetic ubalwa ukuya phezulu.
Ukutshatyalaliswa kwe-anesthesia yomgulane kwicandelo lokugcina
Icandelo laseKesare kunye ne-anesthesia yomgulane ayilenzwanga xa:
- ukungabikho kwabasebenzi bezonyango abaqeqeshiweyo;
- ukulahleka okukhulu kwegazi;
- ukukhulelwa kwamanzi omzimba;
- iziphazamiso zenkqubo ye-blood coagulation;
- ukusuleleka, ukuvuvukala kwisayithi yomjovo;
- utywala;
- uxinzelelo oluphezulu;
- ukuphulwa kwemisebenzi yenkqubo ye-nervous central;
- xa usebenzisa ngaphambi kokuhlinzwa i-anticoagulants.
Iziphumo ze-anesthesia yomgogodla kwinqanaba elithintekayo
Olu hlobo lokwaziswa lunemiba ethile. Ngokuqhelekileyo iingxaki ezilandelayo ziphuhliswa emva kwe-anesthesia yomgudu kunye necesarean section:
- uphononongo olubukhali kwingcinezelo;
- intloko;
- ukuphazamiseka kwenkqubo yokutya;
- ukukhathazeka kwinqanaba elingaphantsi;
- ukutshatyalaliswa kwemisipha yomgudu;
- ukuphulwa kwempembelelo yemithana yegazi.
Jikelele i-anesthesia yecesarean section
I-anesthesia enjalo kunye necesarean section yinto edala kunazo zonke. Kwizithintelo zanamhlanje zisetyenziselwa ukuba zincinci. Le nyaniso kukuba ngenxa yokungabikho kokulawulwa kwimeko yomama, njengoko elala ebuthongweni obukhulu, akayiva nantoni na. Isetyenziswe ekungabikho kwezixhobo eziyimfuneko kunye neengcali. Kuthathwe ngokunyuka kwe-drug. Ubungakanani bezenzo zalo kuxhomekeke kulolu hlobo lweyeza, umyinge walo kunye nemizuzu eyi-10-70.
Ukuba unomdla kumgqirha, yiyiphi i-anesthesia eyona nto ibaluleke kakhulu kwiqendu le-caesarean, ibhinqa elikhulelwe livame ukuva malunga nezixhobo zengingqi ezilungileyo. Kule meko, oogqirha ngokwabo babonisa ukuba akuzona zonke izibhedlele zokubeletha eziqhubayo. Amakliniki amakhulu, anamhlanje, asebenzisa le ndlela rhoqo. Ngoko kunokwenzeka ukunciphisa ingozi kunye nemiphumo ye-anesthesia jikelele, umphumo weziyobisi kumntwana awufaki.
I-aneshesia yendawo yecesarean section
Ukuxelela malunga neyiphi i-anesthesia kwisigaba se-cache isetyenziswe, kuyafaneleka ukuphawula kunye ne-aneshesia yendawo. Basebenzisa kuyo, xa kuyimfuneko ukunciphisa ubuzwe, ukususa ubuhlungu xa kutyunjwa kunye nokunyanga amayeza emgodini. Umlinganiselo omncinane weziyobisi usetyenziswa. Injectedermal injection yenziwe. Emva koko, loo nto ibhinqa ayifumanga ukungena kwaliti.