Ndeupi anesthesia zviri nani kune chikamu chesaaresa?
Vanachiremba havasi kupa mhinduro isina kufanira. Kusarudzwa kwemuitiro kunokonzerwa zvachose nemamiriro emukadzi, nguva, kuvapo kwezvinhu zvinowedzera. Kusarudza kuti anesthesia ingasarudzei chikamu chekudzivirira, vanachiremba vanowanzova nzvimbo. Nekugadziriswa uku, pane kuputsa kwekugadzirisa kushandiswa kwemapurisa pamwe chete nemagetsi emiromo zvishoma pane iyo nzvimbo iyo inowanikwa. Murwere anoziva kuti inofambisa nzira yekugadzirisa, kusingadi kudiwa kubvisa anesthesia, kunoderedza zvinetso. Izvi zvinowedzera kuna amai, izvo zvinenge zvangoerekana zvatanga kusangana nechecheche, inonzwa kuchema kwake.
Mhando dzeaneshesia mune chikamu ichi
Kupindura mubvunzo wevakadzi pamusoro peii anesthesia yakaitwa muchikamu chekusiya, vanachiremba vanoshevedza zvinotevera zvinogona kuita:
- kazhinji, anozivikanwa se "anesthesia";
- mhara - musara uye epidural.
Anesthesia yokutanga ine chikamu chechiesarea inoshandiswa mumamiriro akasiyana-siyana, apo pane zvinopesana nezvakaitika. Iyo inoshandiswa kuvepo kwezvimwe zviitiko zvinokanganisa, pakati payo iyo nzvimbo inopfigira ye fetus, inopera mumutsara wembilical. Pamusoro pezvo, kuberekwa pachako kunowanzobatanidzwa nemamiriro ezvinhu akadaro, apo nzira yekudzidzira ye trachea yakaoma, -kuisa pipe yeanesthesia. Nekugadzirisa uku, kune chiitiko chokuti zviri mukati mudumbu zvinopinda mubronchi, izvo zvinokonzera kukundikana kupora, pneumonia.
Ko chikamu chechiesariya chinogadziriswa sei nemafungiro epidural anesthesia?
Nzira iyi yakakurumbira uye inobudirira. Iko kuiswa kwechirwere kunzvimbo yekuwana nzvimbo yepelinha. Tanga kushandiswa kwehafu yeawa zvisati zvaitika nguva yakatarwa yekutengeswa. Nenguva iyo nguva yakadaro inokosha kuti mushonga uite. Nzvimbo yejojo inobatwa neine antiseptic solution uye nzvimbo yejojo inoratidzwa.
Nechirudzi urwu rweaneshesia nechikamu chechiesarea pachiyero chechiuno, chidimbu chinokosha, chisingabereki, chiremba anobaya ganda. Zvadaro, zvishoma nezvishoma kuwedzera, kusvika panzvimbo iyo pamusoro pemutsana, umo maitiro emishu anowanikwa. Mushure mokudaro, chikwata chakakosha chinopindirwa muchera-catheter, iyo inoshumira semudonzvo wemishonga. Iyo nhovo inobviswa, ichisiya iyo tube, iyo yakareba, - kuisa yakareba kwenguva yakareba, uiise kumabhanhire epfudzi, apo yakagadzirirwa. Iyo inyanzvi inoshandiswa zvishoma nezvishoma, kana zvichidiwa, muyero inowedzera. Kuwana nyore ku catheter kunovimbiswa.
Iyo iyo nzira yekushandisa mishonga inoitwa panzvimbo yakamira kana mune imwe nzvimbo kumativi. Kushungurudza kunenge kusina kurwadziwa. Vamwe vakadzi vanogona kucherechedza zvishoma, izvo zvinoratidzika semanzwiro ekudzvinyirira muzasi. Apo mishonga inoshandiswa zvakananga, murwere haanzwi chinhu. Nzira yacho inoshanda zvikuru.
Somugumisiro, kunzwisisika kwakadzimwa zvachose, asi amai-vachi-kumirira havasati vadzimwa - anonzwa mwana wake achangoberekwa, kuchema kwake kokutanga. Kutaura pamusoro pekureba kwenguva chikamu chekudzivirira chinopedzisira chiine anesthesia, vanachiremba vanocherechedza kuti zvichienderana neyero, kusunungurwa kwekunzwisisika kunogadzirirwa kwemaminitsi 80-120. Ino nguva yakakwana yekushanda.
Contraindications kune epidural anesthesia muchikamu chechipiri
Iyi nzira ine unhu hwakanaka, asi kunewo zvinopesana. Inorambidzwa apo:
- kuvhuvhuta nzvimbo iyo inofanirwa kuita nhengo - pustules, papules;
- blood clotting disorder;
- kunyanya kusawirirana kune zvinodhaka;
- zvirwere zvepamusoro, osteochondrosis;
- transversal or oblique fetal position.
Kutaura nezvengozi epidural anesthesia muchikamu chekudzivirira, vanachiremba vanocherechedza kuti kushandiswa kwakadaro kunodikanwa ruzivo, zvakajeka. Kukuvadza kwemitsipa yeropa, kuguma kwemishu kunokonzera migumisiro isingagadziriswi. Zvichipiwa izvi, kushandiswa kunoitwa chete pamakiriniki makuru, uko kune vashandi vanogona, zvakakosha. hardware.
Migumisiro yepidural anesthesia mune chikamu chekusiya
Tichifunga nezvekuti mukushanda nemhando iyi yeanesthesia, zviyero zvakakura zvechirwere zvinodikanwa, migumisiro inowanzoonekwa. Pakati pavo kunokosha kuziva:
- back pain area;
- headache;
- kudengenyeka mumakumbo.
Izvi zvinoshamisa zvinopfurikidza zvakasununguka, shure kwemaawa matatu. Izvo zvine chokuita nemigumisiro yemuviri wemishonga inoshandiswa pakuita. Matambudziko mushure mekushaya chirwere chinonzi anesthesia nechikamu chekushaya chirwere hachina kunyorwa. Dzinosanganisira:
- kukanganisa kwekugadzirisa;
- kukuvara kumutsipa wepelinha, musungo uri pedyo;
- zvinokonzera kugadziriswa kune zvinoshanda zvechirwere.
Ko maginini anesthesia anoitwa sei muchikamu chechiesarea?
Nemhando iyi yekuvharidzirwa kwemaitiro emagunha, mushonga unoshandiswa zvakananga mumvura inenge yakakomberedza tambo yepinini. Mushure mokujowa, neta inobviswa. Mukadzi anopiwa kuti agare pamubhedha kana tafura yekushanda nenzira iyo maoko ake anozorora pamabvi ake, uye musana wake unowirirana marefu. Nzvimbo yejojo inorapwa nean antiseptic, inject after which the subcutaneous tissue is lacking sensitivity and the process becomes less painful. Nzere refu uye ine tsono ine tsvina inogadziriswa. Iyo inorohwa zvakananga mu cerebrospinal fluid. Mushure mokubvisa nheyo, shandisa bhanhire rakaora.
Vakadzi vari kuvhiyiwa vanowanzoda kufarira mubvunzo wekureba kwechikamu chekuchengetedzwa kwemvura chinenge chiine anesthesia yomupfupa. Nguva yegadziriro yekutaura kwakadaro inokonzerwa nehutano hwechiremba, kusavapo kwematambudziko munguva yekuita. Pakati pevhesi, kushandiswa uku kunotora maawa maviri kubva panguva yekushandiswa kwechirwere uye injection munzvimbo ye lumbar. Muyero weiyo anesthetic inotarirwa kusvika pauwandu.
Kupindirana kwepinini anesthesia muchikamu chekusiya
Chikamu cheKesariya nechipembenene chinonzi anesthesia hachina kuitwa apo:
- kusavapo kwevashandi vanogona kurapwa;
- kurasikirwa kukuru kweropa;
- kuora muviri kwakanyanya kwemuviri;
- kushungurudzwa kweropa coagulation system;
- hutachiona, kuputika panzvimbo yejojo;
- kurwara;
- kukwirira kusina simba;
- kukanganisa kwemabasa ehutano hwemagetsi;
- pavanoshandisa vasati vambovhiya anticoagulants.
Migumisiro yechipfuva chinonzi anesthesia muchikamu chekudzivirira
Iko rudzi rwekukurudzira kune mamwe matambudziko. Kakawanda zvinetso zvinotevera zvinokura mushure mekutaurwa kwepenestine anesthesia nechikamu chechiesarea:
- donho rinopinza mukudzvinyirira;
- headaches;
- kushungurudzika kwenheyo yenheyo;
- kushungurudzika kumucheto kumashure;
- kukunda kwemutsipa wepelinha;
- kuputsa kwehutano hwemidziyo yeropa.
Jenesi anesthesia yechikamu chechiesarea
Anesthesia yakadaro ine chikamu chechiesarea ndiyo yekare yakashandurwa nayo. Muchiedza chemazuva ano chinoshandiswa kazhinji. Izvi ndezvekushaiwa kwekutonga pamusoro pemamiriro ehuamai, sezvo anonyura muhope huru, haanzwi chero chinhu. Iyo inoshandiswa mukushaikwa kwekudiwa kwemichina uye nyanzvi. Yakabatwa nekunyanyisa kwechirwere ichi. Nguva yezviito zvayo inobva pane rudzi rwemishonga, kuyerwa kwaro uye 10-70 maminitsi.
Kana iwe uchifarira chiremba, chii chinonzi anesthesia chiri nani pane chikamu chekushaya chirwere, mukadzi ane pamuviri anowanzonzwa nezvenzvimbo dzakanaka munzvimbo. Muchiitiko ichi, vanachiremba pachavo vanoratidza kuti havasi zvipatara zvekuberekwa vari kuzviita. Makirini makuru, emazuva ano, makiriniki ari oga anoshandisa nzira iyi nguva dzose. Saka zvinobvira kuderedza dambudziko nemigumisiro yeaneshesia rose, zvinokonzerwa nezvinodhaka pamucheto hazvibvumirwi.
Local anesthesia nokuda kwechikamu chechiesarea
Kutaura nezvechinhu chinonzi anesthesia chechikamu chekudzivirira chinoshandiswa, zvakakosha kucherechedza uye anesthesia yekunzvimbo. Vanoshandisa kwairi, apo zvakakosha kuderedza kushushikana, kubvisa kusuruvara apo puncturing uye injecting mishonga munharaunda. Chimwe chiyero chiduku chechirwere chinoshandiswa. Intradermal injection inogadzirwa. Mushure meizvi, mukadzi wacho anenge asinganzwisisi mukova wesingano.