Anesthesia Yonse Pakubweretsa

Zamkati

• Kodi cholinga chokhala ndi anesthesia panthawi yobereka ndi chiyani?
• Kodi kuopsa kwa mankhwala ochititsa dzanzi pakapita nthawi ndi kotani?
• Kodi njira yoti mukhale ndi anesthesia ndi yotani?
• Kodi maubwino a ochititsa dzanzi pobereka ndi ati?
• Kodi malingaliro ake ndi otani?

Anesthesia wamba

Anesthesia wamba imapangitsa kutayika kwathunthu komanso kuzindikira. Anesthesia wamba imaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo (IV) komanso opumira, omwe amatchedwanso kuti anesthetics. Pakati pa anesthesia, simungathe kumva kupweteka ndipo thupi lanu silimayankha pamaganizidwe. Dokotala wotchedwa anesthesiologist adzawunika zizindikiritso zanu zofunika mukakhala kuti mukuchepetsedwa komanso amakubwezeretsani.

General anesthesia ikufuna kubweretsa zigawo zisanu zapakati pa opaleshoni:

• analgesia, kapena kupweteka kwa ululu
• kusokonezeka, kapena kukumbukira kukumbukira njirayi
• kutaya chidziwitso
• kusayenda
• kufooketsa mayankho odziyimira pawokha

Kubereka kumafuna kutenga nawo mbali, chifukwa chake ndikosowa kuti mulandire mankhwala ochititsa dzanzi nthawi yobereka chifukwa kumakupatsani chidziwitso.

Kodi cholinga chokhala ndi anesthesia panthawi yobereka ndi chiyani?

Mankhwala abwino opatsirana panthawi yobereka amapereka mpumulo kuti muthe kutenga nawo mbali pobadwa ndikukankhira pakafunika kutero. Sizimaletsanso kapena kuchepetsa ntchito za mwana wanu. Komabe, pakagwa mwadzidzidzi pamafunika mankhwala oletsa kumva kuwawa nthawi zina.

Nthawi zambiri madokotala amagwiritsa ntchito mankhwala oletsa ululu pakabereka. Amagwiritsa ntchito mankhwala oletsa ululu pakadzidzidzidzimutsa ndipo nthawi zina popereka njira zobayira. Zifukwa zina zomwe mungakhalire ndi aneshesia mukamabereka ndi izi:

• Zomverera zam'madera sizigwira ntchito.
• Pali kubadwa kosayembekezereka kwa mphepo.
• Paphewa la mwana wanu limagwidwa mu ngalande yoberekera, yomwe imatchedwa phest dystocia.
• Dokotala wanu ayenera kuchotsa mapasa achiwiri.
• Dokotala wanu akuvutika kuti apereke mwana wanu pogwiritsa ntchito forceps.
• Pali zadzidzidzi pomwe maubwino a anesthesia ambiri amaposa ngozi zake.

Ngati mukukhala ndi anesthesia wamba, ndikofunikira kuti muchepetse kupezeka kwa mwana wanu ku mankhwala oletsa ululu momwe mungathere.

Kodi kuopsa kwa mankhwala ochititsa dzanzi pakapita nthawi ndi kotani?

Anesthesia yodziwika imapangitsa kuti munthu asamadziwe bwino komanso amachepetsa minofu yomwe ili panjira yanu komanso m'mimba. Nthawi zambiri, dokotala wanu wochita opaleshoni adzayika chubu chakumapeto kwa chikwangwani chanu kuti muwonetsetse kuti mumalandira mpweya wambiri komanso kuteteza mapapu anu ku zidulo zam'mimba ndi madzi ena.

Ndikofunika kusala kudya mukayamba kukhala ndi zipsinjo ngati mungafune kupita pansi pa dzanzi. Minofu yomwe imayendetsa chimbudzi chanu imamasuka nthawi yonse ya anesthesia. Izi zimawonjezera chiopsezo choti mutha kupuma m'madzi am'mimba kapena madzi ena m'mapapu anu, omwe amatchedwa aspiration. Izi zitha kuyambitsa chibayo kapena kuwonongeka kwina mthupi lanu.

Zowopsa zina zomwe zimayambitsidwa ndi anesthesia ndi monga:

• Kulephera kuyika chubu chakumapeto kwa mphepo
• kawopsedwe ndi mankhwala oletsa ululu
• kupuma kwa mwana wakhanda

Anesthesiologist wanu atha kuchita izi kuti muchepetse ziwopsezo zanu:

• perekani mpweya pamaso pa ochititsa dzanzi
• perekani mankhwala ophera asidi kuti muchepetse acidity m'mimba mwanu
• perekani mankhwala ogwiritsira ntchito mwachangu kuti muchepetse minofu yanu kuti ikuthandizireni kupumira mwachangu komanso kosavuta
• lembani pakhosi panu kuti mutsekeze ndipo muchepetse chiopsezo cha kukhumba mpaka chubu chakumapeto chikupezeka

Kuzindikira za aneshesia kumachitika mukadzuka kapena kukhalabe ogalamuka pang'ono pomwe muli ndi anesthesia. Izi zitha kuchitika chifukwa mumalandira zokhazika mtima pansi poyamba, zomwe zingakupangitseni kuti musayende kapena kuuza dokotala kuti mwadzuka. Izi zimatchedwanso "kuzindikira komwe sikunachitike mwa maopareshoni." Ndizosowa, ndipo kumva kupweteka mkati mwake kumakhala kosowa kwambiri. Kwa ena, zimatha kubweretsa mavuto amisala ofanana ndi kupsinjika kwa pambuyo pa zoopsa.

Kodi njira yoti mukhale ndi anesthesia ndi yotani?

Muyenera kusiya kudya mukangoyamba kupweteka. Izi ndi zabwino kwa amayi onse omwe ali pantchito kuti achite ngati angafunike mankhwala oletsa ululu.

Mukalandira mankhwala ena kudzera mu IV. Kenako, mwina mudzalandira nitrous oxide ndi oxygen kudzera pachimake chapaulendo. Anesthesiologist wanu adzaika chubu chakumapeto kwa chikwangwani chanu kuti muthandizire kupuma ndikupewa kulakalaka.

Mukabereka, mankhwalawo adzatha ndipo dokotala wanu wochititsa dzanzi adzakudzutsaninso. Muyenera kuti mudzamvanso groggy ndikusokonezeka poyamba. Mutha kukhala ndi zovuta zina monga:

• nseru
• kusanza
• pakamwa pouma
• zilonda zapakhosi
• kunjenjemera
• kugona

Kodi maubwino a ochititsa dzanzi pobereka ndi ati?

Zigawo zam'madera, monga kupweteka kwa msana kapena epidural, ndizotheka. Komabe, anesthesia wamba amatha kugwiritsidwa ntchito mwachangu mwadzidzidzi kapena ngati mungafune kubwezera mwachangu. Ngati gawo la mwana wanu lili kale mu ngalande yoberekera mukafuna anesthesia, mutha kuyipeza popanda kukhala kapena kusintha malo.

Mukakhala pansi pa anesthesia, kupweteka sikumakhala vuto chifukwa mukugona kwenikweni. Mankhwala ena opha ululu, monga kuphulika, nthawi zina amangopatsa ululu pang'ono.

Kwa azimayi ena omwe amafunikira kuti asamaberekedwe mwachisawawa ndipo adachitidwapo opaleshoni yam'mbuyo kapena opunduka m'mbuyo, anesthesia ikhoza kukhala njira yovomerezeka m'malo opatsirana m'chigawo kapena msana. Izi zitha kukhala zovuta kuzikwaniritsa chifukwa cha zovuta zam'mbuyomu. Ngati muli ndi vuto lakutuluka magazi, chotupa muubongo, kapena kupanikizika kopitilira muyeso, mwina simungathe kulandira mankhwala osokoneza bongo kapena msana ndipo mungafunike anesthesia wamba.

Kodi malingaliro ake ndi otani?

Dokotala wanu amayesetsa kupewa kugwiritsa ntchito mankhwala oletsa ululu pakabereka chifukwa njira yoberekera imafunika kuti mukhale ozindikira komanso achangu. Komabe, mungafunike anesthesia wamba ngati muli ndi mavuto azaumoyo. Madokotala makamaka amagwiritsa ntchito dzanzi pobereka pobereka. Kugwiritsa ntchito dzanzi nthawi yobereka kumakhala ndi zoopsa zazikulu, koma ndizotetezeka.