Kusamalira zowawa panthawi yogwira ntchito

Palibe njira imodzi yabwino yothanirana ndi zowawa panthawi yogwira ntchito. Chisankho chabwino kwambiri ndi chomwe chimamveketsa kwambiri kwa inu. Kaya musankha kugwiritsa ntchito ululu wopweteka kapena ayi, ndibwino kuti mukonzekere kubadwa kwachilengedwe.

Zowawa zomwe zimamveredwa pobereka ndizosiyana kwa mayi aliyense. Amayi ena amasankha kubadwa kwachilengedwe, kapena kubereka popanda mankhwala. Ngati zonse zikuyenda bwino, zitha kukhala zabwino.

Ngati mukufuna kubereka popanda mankhwala, tengani kalasi yobereka. Makalasi oberekera amaphunzitsa njira zopumira komanso kupumula. Izi zitha kukuthandizani kuti muchepetse zowawa mwachilengedwe mukamabadwa. Ndipo, atha kuwonjezera kukulimbikitsani komwe mungapeze kuchokera ku mankhwala mukasankha kumwa.

Kwa amayi ena, njira zomwe amaphunzira m'makalasi obereka ndi zokwanira kuti athetse ululu wawo. Amayi ena angasankhe kugwiritsa ntchito mankhwala opweteka panthawi yobereka.

A systemic analgesic ndi mankhwala opweteka omwe amalowetsedwa mumtsempha kapena minofu yanu. Mankhwalawa amachita pamakina anu onse m'malo mongokhala gawo lina la thupi lanu. Zowawa sizingathe, koma zidzachepetsedwa.

Ndi ma analgesics amachitidwe, azimayi ena amakhala ndi ntchito yosavuta komanso amakhala omasuka. Mankhwalawa nthawi zambiri samachedwetsa kugwira ntchito. Sizimakhudzanso mikangano.

Koma, zimapangitsa inu ndi mwana wanu kugona. Amayi ena amadandaula kuti amadzimvera chisoni.

Chiphuphu chimafewetsa kapena kumapangitsa kuti musamve bwino kumapeto kwa thupi lanu. Wothandizira zaumoyo wanu amalowetsa bwalolo kumbuyo kwanu. Izi zimachepetsa kupweteka kwa kupweteka ndipo zimapangitsa kukhala kosavuta kubereka mwana wanu kudzera kumaliseche kwanu.

Epidural ndiyo njira yabwino kwambiri komanso yothandiza kwambiri yothanirana ndi ululu. Amayi ambiri amasankha nthenda yothetsa ululu wa ntchito yawo. Zowona za ma epidurals:

• Palibe vuto lokhala pansi kwa inu kapena mwana wanu.
• Zowopsa ndizochepa.
• Mwayi wofuna kuperekera njira yobwererera (gawo la C) sawonjezeka.
• Ntchito nthawi zina imakhala yayitali pang'ono mukalandira matenda.
• Nthawi zambiri matenda amatha kulola ntchito yomwe yaimitsidwa kupita patsogolo.
• Zotsatira zoyipa kwambiri zamatenda ndikufooka komanso kusayenda (kuyenda).

Anesthesia yakomweko (pudendal block) ndi mankhwala osokoneza bongo omwe amakupatsani omwe amalowetsa mumaliseche anu ndi malo am'mbali mukatsala pang'ono kubereka. Amachepetsa kupweteka pamene mwana amadutsa malo amanjenje.

Kumbukirani kuti pulani ili chabe pulani. Khalani osinthasintha mukamakonzekera ntchito yanu ndi kubereka. Zinthu zimasintha nthawi ikafika tsiku lenileni. Amayi ambiri amasankha asanabadwe kuti akhale ndi kubadwa kwachilengedwe. Pambuyo pake, amasintha malingaliro awo ndikusankha kuti akufuna mankhwala opweteka. Palibe vuto kusintha malingaliro anu.

Azimayi ena amakonzekera mankhwala opweteka, koma amafika kuchipatala mochedwa kwambiri. Nthawi zina, mwana amabadwa mkazi asanalandire mankhwala opweteka. Ndibwino kupita kumakalasi obereka ndi kuphunzira za kupuma ndi kupumula, ngakhale mutakonzekera kulandira mankhwala opweteka.

Lankhulani ndi wothandizira za mitundu yosiyanasiyana ya kupweteka kwa ntchito yanu ndi kubereka. Thanzi ndi chitetezo cha inu ndi mwana wanu chimabwera poyamba, chifukwa chake omwe amakupatsani mwayi angakulimbikitseni mtundu umodzi wazopweteka kwa inu kuposa ena. Ndikofunika kudziwa zonse zomwe mungasankhe kuti mupange dongosolo labwino pantchito yanu ndi pobereka.

Mimba - kupweteka pa nthawi yogwira ntchito; Kubadwa - kusamalira ululu

Minehart RD, Minnich INE. Kukonzekera kwa pobereka ndi nonpharmacologic analgesia. Mu: Chestnut DH, Wong CA, Tsen LC, et al, olemba. Anesthesia ya Chestnut Obstetric: Mfundo ndi Kuchita. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 21.

Sharpe EE, Arendt KW. Anesthesia yamankhwala oberekera. Mu: Gropper MA, mkonzi. Anesthesia wa Miller. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 62.

Thorp JM, Grantz KL. Matenda azinthu zantchito zachilendo komanso zachilendo. Mu: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 43.

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