Zipatala zamakono zimapereka amayi m'njira zosiyanasiyana kuti athe kupirira ululu. Pamtima mwa ena pali kuyambitsidwa kwa mankhwala, zotsatira za ena zimapezeka popanda mankhwala. Koma panalibe chilengedwe chonse kapena ayi, zosiyana kwambiri zimagwirizana. Kaya amagwiritsa ntchito anesthesia, makolo amtsogolo ndi adokotala adzasankha. Chirichonse chimadalira osati pazochitika za njirayo, komanso pa zikhalidwe za thupi la mkazi, nthawi ya mimba, njira yoberekera. Pasanapite nthawi, dzidziwitse nokha ndi maonekedwe a mitundu yonse yakuchotsa ululu ndipo pamodzi ndi dokotala musankhe woyenera.
Pali mankhwala angapo (omwe amafuna kuti mankhwala ayambe) njira za aneshesia.
Anesthesia wamkati
Amaonedwa kuti ndiwothandiza kwambiri. Zotsatirazi zimachitika mothandizidwa ndi mankhwala osokoneza bongo, omwe amawonekera m'magulu a msana wam'mimba (msana). Njirayi ikuchitika mothandizidwa ndi singano ndi catheter yopyapyala, kudzera mwa mankhwalawo. Zimachepetsa zopweteka zomwe zimachokera m'munsi mwa thupi, osawalola kuti afikenso ubongo. Mkaziyo amakhalabe chidziwitso. Mankhwalawa (mosiyana ndi jekeseni) alibe vuto kwa mwanayo, chifukwa salowerera m'magazi ake. Zimagwiritsidwa ntchito pokhapokha kubereka kwachibadwidwe, ndi gawo lachisindikizo, komanso kwa kubadwa kovuta.
Zimathandiza kuthandizira amayi amtsogolo omwe sali otetezeka kuti azichita bwino anesthesia (mwachitsanzo, asthmatics). Njirayi imathandiza kuti abereke ana okhawo omwe ali ndi matenda oopsa kwambiri, ofooka, omwe amatha kugwira ntchito pochedwa toxicosis. Kawirikawiri kupweteka kwa m'mimba kumayambitsa kugwa kwa magazi. Nthawi zina amai amamva mutu m'masiku angapo pambuyo pobereka. Kumapeto kwa nthawi ya ntchito, jekeseni ya mankhwalawa amasiya, kotero kuti wodwalayo amve kuyesera ndikugwira nawo mwakhama pakubereka.
Anesthesia ya kupweteka
Nthawi zosiyanasiyana, madokotala akhoza kugwiritsa ntchito mankhwala monga baralgin, spasmalgin, no-shpa ndi ena. Ntchito yawo yayikulu sikuti awonongeke, koma kuthetsa mavuto ena omwe amabwera pakubereka. Mwachitsanzo, kuchotseratu mankhwala a chiberekero, kuyang'anira ntchito ya ntchito. Njirayi sikutanthauza kutenga nawo mbali kwa munthu wodwalayo. Ndipo mankhwalawa akhala akugwiritsidwa ntchito kwa nthawi yaitali ndipo motero zochita zawo zimaphunziridwa bwino.
Zingasokoneze mwanayo: pali mavuto ndi kusintha (mwachitsanzo, kutentha kwa thupi kumakhala kovuta).
Inhalation anesthesia
Mtundu wa anesthesia umagwiritsidwa ntchito panthawi yogwira ntchito pakatha chiberekero chitatsegulidwa ndi masentimita atatu. Zomwe zimagwiritsidwa ntchito (nthawi zambiri nitrous oxide, yomwe imadziwika kuti amusing gas) imadyetsedwa kupyolera mu chigoba nthawi iliyonse.
Njira yotsegula imakuthandizani kusintha mosavuta mlingo wa mankhwala, poganizira kukula kwake kwa mankhwala. Amagwiritsidwa ntchito mosagwirizana ndi mitundu ina ya anesthesia. Zimakhudza amai 50% okha. Nthaŵi zina, maganizo a mayi wam'tsogolo amatha kusintha. Zotsatira zake, zimakhala zovuta kuziganizira nthawi yovuta kwambiri yobereka.
Azimayi omwe ali ndi pakati amatha kupereka mwayi wambiri mwa mankhwala osokoneza bongo komanso njira zochepetsera ululu.
Transcutaneous electroneurostimulation (mwayi)
Chifukwa cha mphamvu zamagetsi zamasula mahomoni a endorphins okondwa, kuchepetsa ululu. Miwiri iwiri ya electrode imayikidwa kumbuyo. Panthaŵi imodzimodziyo, wodwala akhoza kulamulira zochita zawo mosiyana, malingana ndi momwe amamvera. Njirayi ndi yotetezeka ndipo imagwirizana ndi njira zambiri za anesthesia. Kugwiritsira ntchito Chinthu sikutanthauza kukonzekera kopadera. Koma sizimakhudza gawo lomaliza la ntchito ndipo sizigwirizana ndi hydrotherapy.
Kujambula m'mimba (kutsekemera, kuvomereza, kupiritsa thupi)
Kuwonetsera kwa ziwalo zokhudzana ndi chilengedwe cha thupi kumapangidwa ndi kuthandizidwa ndi singano, laser boriti, magetsi kapena misala. Panthawi imodzimodziyo zowawa zimatsekedwa, ntchito yothandizira imagwirizanitsidwa, kuyendayenda kwa m'mimba kumakula. Njirayi ndi yopweteka kwa onse omwe ali ndi pakati komanso mwana. Mayi kapena mnzako wam'tsogolo akhoza kudzipangira okha. Komabe, maphunziro apadera ndi ofunikira. Ngati palibe wina, gwiritsani ntchito woyenera Kuznetsov: ikani pansi pa chiuno.