Anesthesia panguva yekuberekwa kunobatsira mukadzi kuti aende nyore nyore kuonekwa kwechimiro checheche kuchiedza. Kubudirira kwemaitiro anesthesia kunoderedza ngozi yezvinetso . Ngatimbokurukurai zvakajeka nzira dzeanesthesia munguva yekubereka, tsvaga kuti ndeapi mhando dzinoshandiswa, uye nzira yekuraira marwadzo ekurwadziwa panguva yekuberekwa pasina mushonga.
Iwe unesthesia panguva yekuberekwa here?
Kuberekwa kusina kurwadziwa munguva pfupi yapfuura kwaiita sokuti hakuna. Kunyange zvakadaro, kukura kwemishonga kunobvumira mukadzi ane pamuviri kuti ave amai vari kuda kusuruvara. Izvi zvinoumba mamiriro ekunyaradza kukuru, izvo zvinoderedza kukura kwezvinetso zvinokonzera, kubvisa kutya. Kunyanya kunoderedza marwadzo ehutano, uye pamwe nayo inonyangarika uye kutya pamwero wekusaziva.
Zvakakosha kuziva kuti anesthesia panguva yekuberekwa dzimwe nguva inokosha. Pasina anesthesia, kutakura hakusi mari muhupo hwezvirwere zvisingaperi. Saka, vanachiremba vanoderedza kutambura kwaamai pakuberekwa, kubvisa zvachose kushungurudzika mupfungwa. Zvose izvi zvakanaka zvinobatsira kumhanya kwenguva yekudzoka uye nguva yayo.
Anesthesia panguva yekuberekwa - "nokuda" uye "kurwisana"
Havazi vose vakadzi vane pamuviri vanosarudza basa rakanaka pasina kurwadziwa. Vakawanda vari kurwisa anesthesia munguva ino. Kutapukirwa kwavo kunobatanidzwa nekusava nemigumisiro pane fetus yeinesthetic chikamu. Mukuwedzera, vakadzi vane pamuviri vakadaro vane chivimbo chokuti mucheche ane anesthesia haangakwanisi kuenderana nemamiriro ezvinhu matsva emamiriro ezvinhu. Zvisinei, nzira dzemazuva ano dzeanesthesia dzinokonzera zvachose kuvapo kwezvinhu zvakanyorwa.
Zvidzidzo zvenguva ichangopfuura muzvipembenene zvakaratidza kuti ruzivo rwakakwana rwekununurwa nekubudirira panguva yakakodzera, kutevedzana kwemasero, kunoderedza kukura kwezvinetso. Kutaura nezveAnalgesia panguva yekuberekwa, vanachiremba vanoshevedza mazano anotevera:
- kuderedza kuchemwa kwemapirwere;
- kubvisa kudzvinyirira;
- kudzivirira kwe fetal hypoxia .
Asi sekurapa kupi zvayo, chirwere chinopesana nemazino pakuberekwa chinokanganisa:
- kukurudzirwa kweanoriparidzi;
- kupera simba kwebasa.
Mhando dzeanesthesia pamhando kana kushanda
Nzira dzeanesthesia panguva yekuberekwa, zvichienderana nenzira uye nzira dzinoshandiswa, dzinowanzogoverwa mu:
- kwete-pharmacological nzira;
- medicamentous;
- regional anesthesia.
Kusarudzwa kwenzira yeanesthesia inokonzerwa nemamiriro ehutus uye mukadzi ane pamuviri. Vanachiremba vanofunga kuti inogona kushandisa anesthesia, kutarisira kune:
- nguva yekuita gestation;
- nhamba yezvibereko;
- kusabvumirana kwezvinyorwa muvakadzi vane pamuviri.
Kwete-maitiro emasvomhu ekufananidzira kwekuberekwa
Kwete-zvinodhaka anesthesia pakuberekwa kunobvisa zvachose kushandiswa kwemishonga. Munyaya iyi, vanachiremba vanoshandisa nzira dzakasiyana-siyana dzepfungwa, physiotherapy, kufema kwakakodzera . Saka zvinogoneka kuvhiringidza mukadzi kubva pamarwadzo echokuita zvakanyanya, zvichiita kuti kuderedza kutambura kunobatanidza nekugadzirisa mutsipa , kudzinga fetus. Pakati pezvinowanzoitwa:
- Psychoprophylaktka - kuitisa zvidzidzo apo mukadzi ane pamuviri anoziviswa kuhukuru hwekuita kwekuberekwa, anodzidziswa kupumha, kufema, tuzhitsya.
- Kuchengetedza kwekwenyasi nzvimbo uye sacrum - kunoderedza marwadzo, kunobatsira kutamisa nguva yekuwedzera kwechibereki nyore.
- Nzira yekuputira - inobatsira kupumha, kwete kunyanya kunzwa kurwadziwa.
- Kugadziriswa - kuiswa kwemasano anokosha munguva yekusununguka kunobatsira kugadzirisa kushushikana mupfungwa, kugadzirira mukadzi ane pamuviri kubereka mwana.
- Zvokugeza zvinodziya - kuderedza inzwi rehuputi hweutterin, kukurumidza kuita nzira yekuzarura, kuderedza kusuruvara.
Nzira dzokurapa dzemanzwiro ekurera mwana
Sezvinoratidzwa nezita racho, nzira dzakadaro dzeanesthesia dzinosanganisira kushandiswa kwemishonga. An analgesic for analgesia yekuberekwa yakasarudzwa mumwe nomumwe. Inofanira kufungwa kuti madhiragi akadaro anokwanisa kupinda nepakadzika, saka anogona kushandiswa chete mune imwe nguva yebasa uye muyero yakasarudzwa nachiremba. Maererano nehutungamiri hwehutachiona hwekushongedza, ndiyo tsika yekuparadzanisa:
- Intravenous anesthesia. Iyo inofananidzira kuiswa kwechirwere zvakananga muropa rega rose, zvichiita kuti kusagadzikana kwakakwana kwekuziva. Murwere anobhabhatidzwa muhope, nekunzwisiswa hakubvumirwi.
- Epidural anesthesia. Iyo inofananidzira kuiswa kwemishonga munharaunda yemutsara wepelinha. Somugumisiro, kutapurirwa kwemaitiro emagunha kubva kumativi epasi emuviri akavharwa.
- Inhalation anesthesia. Anesthetic inorapwa kuburikidza nehutano hwemapfupa.
Chiremba anesthesia ekuberekwa kwakanaka kunobatsira kugadziriswa kwemukadzi. Amai vanouya havatyi kutya, kushungurudzika mupfungwa kunobatanidzwa nekuuya kwekuuya. Mazuva ano mazano eanesthesia pakuberekwa ane mikana yakawanda, pakati payo:
- kunyatsogadzirisa kwekuita kwekuendesa;
- kusabatwa kwemigumisiro;
- zvisinganyanyi kukosha pamucheche.
Mazuva Ano Maitiro Ekutambudzika Anesthetizing
Mazuva ano anesthesia yekuzvarwa inobvisa zvachose kukura kwezvinetso zvakabatana nekushandiswa kwemishonga panguva yekuendeswa. Muchiitiko ichi, zvinokonzerwa nemishonga inopesana nemasikirwo pamufusi wacho pachayo inoderedzwa. Inobatsira kubereka mwana ane utano, inosimudza matanho ekudzorerwa kwemukadzikadzi mushure mekupedzisira. Pakati pezvipararira, zvinoshandiswa zvakanyanya nzira dzemazuva ano dzeanesthesia:
- epidural anesthesia ;
- kuvhara kwechivande (kuiswa kwemaitiro anesthetic munharaunda yepudendal nerve);
- kuiswa kwezvinodhaka mumatumbu emusana wokuberekwa (kunoderedza kunzwisisika, kunoderedza kusuruvara kana kupfuura mwana kuburikidza nekuberekwa kwechirwere).
Anesthesia mukuberekwa - epidural anesthesia
Epidural anesthesia panguva yekuberekwa yakapararira nekuda kwekushanda kwakakwana, kusava nesimba kune mwana. Panguva imwecheteyo, zvinokwanisika kuchengetedza zvakanyanya kunyaradza kumukadzi ari mubasa. Mushonga unojowa munharaunda pakati pe 3rd uye 4th lumbar vertebrae. Kuvhara kutapurirwa kwemasimba emagetsi kunosanganisa manzwiro ekurwadza. Mukadzi wacho pachake anoziva uye anogona kunzwa kuchema kokutanga kwechecheche, sezvinoitwa mukuberekwa kwepanyama.
Zvisinei, izvi zvinyorwa panguva yekuberekwa zvine zvinetso zvayo. Pakati peizvi:
- kusazvibata kweamai vane nguva yakaoma yekushanda;
- kurereka nguva ye fetal ekudzingwa;
- njodzi ye hypocia yakawanda mumucheche pamusana pekuderera kwakasimba kweropa mukati mamai.
Intravenous analgesia panguva yekuberekwa
Painkillers hawanzogadziriswa mukati. Izvi zvinokonzerwa nehuwandu hwematambudziko. Mushure mekushandisa shanduko yeanesthetics, kune kuyerwa kwebasa, kukura kwekudzivirira, izvo zvinoshungurudza zvakanyanya nzira yekuendesa. Mukuwedzera, kune mikana yekuderedza inzwi remasumbu, izvo zvakashata zvekudzingwa kwe fetal: kurwisana kunoshaya, kuva nenguva shoma uye kusimba.
Anesthesia panguva yekuberekwa
Kufunga nezvenzira yekuita kuti mwana aberekwe, vakadzi vanowanzosangana nemararamiro evanhu anesthesia. Aya maitiro anonyatsorega kushandiswa kwezvinodhaka, ivo vakachengeteka kumwana uye amai. Chiito chavo chinangwa chekuzorora. Pakati pavo pane:
- kushandiswa kwemimhanzi therapy;
- kushambadza kwerutivi rwenharaunda;
- motokari.
Ungagadzirira sei kubhadhara pasina kurwadziwa?
Tichifunga nezvemashandisirwo emabasa ekuraira, zvakakosha kutaura kuti nzira inobatsira ndeyokuzvivaraidza. Sezvo wakanyatsoziva unyanzvi uhwu, mukadzi achakwanisa kudzikisa mamiriro ake panguva yekuberekwa. Iwe unoda kudzidza izvi zvisati zvaitika, kunyange mukugadzirisa kubereka mwana. Kuti udzivirire muviri wako unoda:
- Gamuchira nzvimbo yakakwana.
- Kupisa kunofanira kunge kunonoka uye kuisa pfungwa.
- Simudza gumbo rimwe, uye rimwe racho, uchinzwa kupesana.
- Tora chibhakera chimwe, ipapo imwe.
Sezvo uchinzwa kupesana, zvakakosha kugadzirisa misumbu kwemasekondi 5-10, ndokuzorora. Saka ita nehurumende imwe neimwe yemuviri, zvishoma nezvishoma uchishandisa misumbu yemashure, makumbo, mimba, maoko, pelvis. Aya maitiro anesthesia panguva yekuberekwa achabatsira mukadzi ari mubasa achizorora zvakakwana munguva yepakati, kupumha nekuenderera mberi. Rhodorazorazhenie pachayo ichange isisina kunetseka, uye zvinetso zvakadai sokuputika kwechikadzi uye perineum, zvichadziviswa.