Anesthesia kuchipatala panthaŵi ya kuvutika

Epidural anesthesia amachititsa kuti thupi lisawonongeke. Ndi mtundu uwu wamagetsi, mayi amadziwa, koma samamva kupweteka, minofu ya perineum imamasuka kwambiri, yomwe imathandiza kuchepetsa chiopsezo chovulaza pakubereka kwa mayi ndi mwana. Phunzirani zambiri mu nkhani yokhudza "Mankhwala opweteka panthawi yamavuto".

Mankhwala oterewa akugwiritsidwa ntchito kwambiri kuti awonongeke kwa thupi ndi kubereka, zovuta ndi kuthamanga kwa magazi, gestosis, kufotokoza kwa mwana wosabadwa, komanso panthawi yogwiritsidwa ntchito. Mkhalidwe wa mwana wakhanda umakhudzidwa ndi zifukwa zambiri: "Kugwiritsa ntchito mankhwala kumadalira mlingo wa mankhwala, kutalika kwa ntchito ndi chikhalidwe choyamba cha mwanayo; Nthawi zambiri, chifukwa cha kugwiritsidwa ntchito kwa analgesia mwana wakhanda, pangakhale mavuto opuma, komanso kuchepa kwa mtima. Koma kawirikawiri, monga momwe kafukufuku amasonyezera, epidural anesthesia ndi yotetezeka kwa mayi ndi mwana. Tsopano tikudziwa momwe tingachitire mimba zachipatala nthawi yobereka.

Mitundu ya anesthesia

• Anesthesia ya m'deralo amagwiritsidwa ntchito poyesa minofu ya perineum, yomwe imagwiritsidwa ntchito nthawi zambiri pa episiotomy - perineal incision, ndipo atatha kubereka, pamene zigawo zimagwiritsidwa ntchito. Padziko la mwanayo mtundu uwu wa anesthesia sakhudzidwa.
• Anesthhesia yambiri imagwiritsidwa ntchito panthawi zovuta, kawirikawiri - panthawi yogwiritsidwa ntchito. Chizoloŵezichi ndi chikhalidwe chosadziŵa. Mphindi yoyamba, pamene mwana adakali mchiberekero cha uterine, mankhwalawa amalowetsedwa bwino, omwe samakhudza mwana wakhanda. Nthawi zambiri, mwanayo amakhala ndi kuchepa kwa mtima ndi kupuma. Monga lamulo, izi zimachitika pakakhala zovuta zina zamakono pakuchotsedwa kwa mwana wakhanda.
• Inhalation anesthesia. Panthawiyi, mayi amabereka mankhwala osokoneza bongo mothandizidwa ndi maski wapadera. Kawirikawiri pampingo uwu chisakanizo cha nitrous oksidi ndi oxygen chikugwiritsidwa ntchito. Nitrous oxide ndi mankhwala ochepa kwambiri. Mankhwala a anesthesia amachokera kumaganizo okhwima panthawi yomwe akugwiritsira ntchito, zomwe zimapangitsa kuti zovutazo zisamaonekere. Ngati inhalation anesthesia imagwiritsidwa ntchito kwa nthawi yaitali, kuthamanga kwa mtima kungachepetse kwa mwana wakhanda, ndipo pali chitsimikizo kuti chidzabadwa ndi gawo laling'ono la Apgar. Mtundu uwu wa anesthesia wa ndondomeko yowonjezera siukugwiritsidwa ntchito pakalipano.
• Epidural anesthesia - panthawiyi, catheter yapadera imalowetsedwa pakati pa chipolopolo cholimba cha msana wam'mimba ndi vertebrae, chomwe chimatchedwa epidural space, ndi wothandizira am'deralo.