7 mafunso wamba okhudza dzanzi pobereka m'mimba

Zamkati

• 1. Kodi mankhwala oletsa ululu amene amaperekedwa panthawi yobadwa bwino ndi ati?
• 2. Kodi opaleshoni imachitika bwanji?
• 3. Kodi ndingadziwe bwanji kuti dzanzi likugwira ntchito?
• 4. Kodi mankhwala ochititsa dzanzi amakhala nthawi yayitali bwanji?
• 5. Kodi mankhwala ochititsa dzanzi ali ndi zotsutsana?
• 6. Kodi mankhwala ochititsa dzanzi amakhala ndi zotsatirapo zoyipa?
• 7. Kodi ululu wobereka ungathetsedwe mwachilengedwe?

Nthawi zambiri pamakhala zowawa pobereka, chifukwa thupi la mayi limasintha kwambiri kuti mwanayo adutse njira yoberekera. Komabe, nthawi zambiri, ndizotheka kuthetsa ululu pochita zowawa zapafupipafupi atangoyamba kumene, momwe mankhwala opha ululu amathandizidwira ndipo chifukwa chake, mtundu uwu wa anesthesia amathanso kugwiritsidwa ntchito. analgesia.

Amayi ena, matenda am'mimba, kuphatikiza pakuchotsa kupwetekako, amathanso kusintha kukhudzidwa kwa mabala, chifukwa chake, adotolo amatha kugwiritsa ntchito chida posonyeza kuti mayi wapakati akuchepetsa, kuti athe kukankha ndikuthandizira mwana wobadwa.

Pansipa, kukayikira kwina kwadzidzidzi pobereka kumafotokozedwa:

1. Kodi mankhwala oletsa ululu amene amaperekedwa panthawi yobadwa bwino ndi ati?

Anesthesia yomwe imaperekedwa kwa amayi apakati panthawi yobereka ndi epidural, yomwe imagwiritsidwa ntchito kudera lumbar, m'malo opunduka, kuti ifike pamitsempha ya m'derali, ndikupatsa mankhwala othetsa ululu kumeneko ndi kuyambira mchiuno kutsika. Phunzirani zambiri za epidural anesthesia.

2. Kodi opaleshoni imachitika bwanji?

Epidural anesthesia amapatsidwa mayi wapakati atakhala pansi kapena atagona chammbali, atagwada ndi chibwano. Wobwezeretsa magazi amatsegula malo pakati pa mafupa a msana ndi dzanja lake, ndikuyika singano ndi chubu chopyapyala cha pulasitiki, chotchedwa catheter, chomwe chimadutsa pakatikati pa singano, ndipamene dokotala amalowetsa mankhwala oletsa ululu.

3. Kodi ndingadziwe bwanji kuti dzanzi likugwira ntchito?

Mankhwala ochititsa dzanzi atayamba kugwira ntchito, mayi wapakati amayamba kuchepa, kutenthedwa, kulemera kwa miyendo yake komanso kumva kulira. Komabe, dotolo wololera amafufuza mulingo woloza kuti awone ngati mayi wapakati ali wokonzeka kubereka.

4. Kodi mankhwala ochititsa dzanzi amakhala nthawi yayitali bwanji?

Zotsatira za anesthesia zimatha kukhala ola limodzi kapena awiri mwana atabadwa, ndipamene catheter imachotsedwa, ndipo mayiyo amatha kumva dzanzi kumiyendo yake yakumunsi.

5. Kodi mankhwala ochititsa dzanzi ali ndi zotsutsana?

Epidural anesthesia imatsutsana ndi azimayi omwe sagwirizana ndi mankhwala oletsa ululu, omwe ali ndi ma prostheshes a msana, matenda a coagulation, omwe amatenga ma anticoagulants, omwe ali ndi matenda am'mbuyo kapena milingo yamagazi m'mwazi.

Kuphatikiza apo, sayeneranso kuperekedwa ngati dokotalayo satha kuzindikira malo am'mimba, kapena ngati kubereka kumachitika mwachangu kwambiri, zomwe zimapangitsa kuti opaleshoni isavute.

6. Kodi mankhwala ochititsa dzanzi amakhala ndi zotsatirapo zoyipa?

Zotsatira zoyipa kwambiri za analgesia ndikuchepetsa kuthamanga kwa magazi. Kuphatikiza apo, zovuta zina zomwe zimatha kuchitika ndikumva kupweteka kwakumbuyo, zotupa pakhungu, mdera lomwe anesthesia idaperekedwa, mutu, womwe ungawonekere patangopita maola ochepa kuchokera pakubereka, kunjenjemera, kunyansidwa ndi kusanza, kuyabwa komanso kusungidwa kwamikodzo.

7. Kodi ululu wobereka ungathetsedwe mwachilengedwe?

Ngakhale kuthekera kwake kuli kosiyana kwambiri ndi komwe kumapezeka ndi epidural anesthesia, kwa amayi apakati omwe safuna kugwiritsa ntchito mankhwala ochititsa dzanzi pobereka, pali njira zina zachilengedwe zomwe zimathandiza kuchepetsa ululu ndipo zimaphatikizapo:

• Kutikita minofu kochitidwa ndi mnzanuyo, panthawi yobereka, pakatikati pakati pama contractions;
• Pumirani kwambiri munthawi yopweteka kwambiri ndikukakamiza mwanayo kuti abadwe;
• Gwiritsani ntchito njira monga kutema mphini kapena kutema mphini kuti muchepetse ululu;
• Khalani ndi ufulu woyenda paliponse mukamakangana.

Kuphatikiza apo, ndikofunikira kuti mayi wapakati atenge kukayikira konse ndi mayi wobereka panthawi yobereka kotero kuti panthawi yobereka, azimva chidaliro m'gulu lazachipatala ndipo amadziwa zomwe zichitike, ndikuthandizira kupumula. Onani mndandanda wathunthu wamalangizo pothana ndi zowawa za ntchito.