I-Anesthesia ekuhanjisweni: ezomzimba, ezengqondo, zonyango

Wonke umfazi oba ngumama. Ngexesha lokukhulelwa, intombazana ilindele ukuzalwa komntwana. Nangona kunjalo, ngaphezu kokulindela okuvuyayo, phantse wonke umntu uvakalelwa ukwesaba ukubeletha. Abanye bathetha ngayo ngokuzwakalayo, kwaye abanye bagcina yonke into ngokwabo, kodwa inyaniso ihlala.


Namhlanje sibonga ngamachiza anamhlanje, unokuthabatha iindlela ezininzi zokwenza i-anesthetize ngexesha lokubeletha. Kodwa akuzona zonke iindlela ezifanayo kubantu abafanayo. Ngoko ke, kwiifom ungasoloko udibana nempendulo yokuba i-anesthesia ayizange isebenze kwaye intlungu yayisayiva. Abaninzi abafazi bayethusa.

Kubalulekile ukuba uqaphele ukuba intlungu ekuzalweni yendalo kwaye ukwesaba oko kuqhelekileyo. Kodwa ingxaki yonke kukuba oomama bexesha elizayo "baphakamise" ukwesaba kwabo bangaphandle - bafunda kwiifom yeengxoxo ezihlukeneyo kunye neendaba ezibuhlungu zokubandezeleka xa bebeletha. Oogqirha abaninzi banqina ukuba la mabali agxininisa kwaye umfazi ngokwakhe ubeka iimvakalelo zangaphambi kokubeka. Ngelo xesha, ivaliwe ngokwengqondo kwaye akaphulaphuli abaceba kunye nababelethisi. Ngenxa yoko, kungekhona nje ukuveliswa kweentlungu, kodwa kunye nokuzalwa kwezemvelo kuphazamiseka.

Indlela yokwenza kule meko? Okokuqala, kufuneka uhlalise kwaye ufunde ukuba amayeza anamhlanje anika iinketho ezininzi ze-anesthesia ngexesha lokubeletha. Kwakhona, kuyimfuneko ukuqonda ukuba yintoni intlungu yokuzalwa kunye nayo evela kuyo. Oku kuya kunceda ukususa uxinzelelo lwengqondo, olubalulekileyo.

Kutheni kukho intlungu ekubelethweni?

Okokuqala, siya kufumana kunye nawe, yintoni imbangela yokuqalisa isisu ekuzalweni. Imfuneko ebalulekileyo yokubonakalisa intlungu eqinileyo ngexesha lokuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqheko lwezitheko. Ngenxa yokunciphisa, umlomo wesibeleko uvulwe. Kwakhona ukuvalelwa kwintlungu kunye nangenxa yobunzima bemigqa exhasa isibeletho. Ukuvakalelwa kwemizwa efanayo kunamandla kwaye kunokukhulula iiyure ezininzi ezingathandekiyo ekuzaleni intombazana.

Xa umlomo wesibeleko uvula kwaye umntwana uqala ukuhamba kunye nomnxeba wokuzalwa, ubuhlungu obukhulu buvela ngenxa yengcinezelo enamandla kakhulu yentloko yomntwana kwiithambo ezithambileyo ze-pelvis, i-perineum kunye namathambo. Ngendlela, ukuba inkqubo yentsholongwane yowesifazane iqeqeshiwe, intlungu iya kuba ingabonakali kwiimvavanyo, kuphela ukuvakalelwa kwengcinezelo eqinile. Kodwa akunakwenzeka ukuba abaninzi abafazi bexesha elidlulileyo babezibandakanya ekuqeqesheni inkqubo yabo yeentlanzi, ngoko intlungu ekuhambeni kwesikhathi ayikwazi ukuphetshwa.

I-Pharmacological ithetha nge-analgesia yokubeletha

Ukuba intlungu ibuhlungu kakhulu kwaye loo ntokazi ayisakwazi ukwenza oko, ugqirha unokunikezela izidakamizwa zamachiza.

Inkqubela

Iingqungquthelwano zijolise ekunciphiseni inkqubo yesantya yowesifazane. Baya kunceda ukuphelisa ukuxhalaba, ukwesaba kunye nokugqithisa ukuqonda okubonakalayo kwintlungu. Ngamanye amaxesha umfazi, ngaphantsi kwefuthe lala mayeza, ufumana ukulala okuncane phakathi kwexesha eliphakathi kokuphambana.

Abahlaziyileyo

Ezi ziyobisi zenza ngendlela eyahlukileyo. Zibangela ukuphumla okuqhubekayo kwanamandla onke ama-muscle. Oku kuvumela ukuchazwa ngokukhawuleza nangokukhawuleza kwesibeleko.

Iindlela ze-anesthesia

Ezi ziyobisi zinomphumela onzima emzimbeni: zikhulula izihlunu, ziphazamise ingqondo kwaye zikhusele ukuvalelwa kwintlungu. Ziyasetyenziswa kwezo meko xa ngexesha lokubeletha into ehamba kakuhle.

Iingcali zezokwelapha

Zinefuthe elinamandla kakhulu emzimbeni kungekhona kuphela umama, kodwa kunye nolutsha oluzayo. Ngako oko, zisetyenzisiwe kakhulu kwaye emva koko, kwiimeko ezimbi kakhulu.

Iindidi ze-aneshesia

Anesthesia yendawo

Ngoluhlobo lwe-anesthesia, i-anesthetic ifakwe kwisisitye esithambileyo emnyango wesini. Ngokuqhelekileyo isetyenziswe njenge-anesthetic emva kokubeletha (xa usebenzisa i-seams) okanye ngaphambi kokusika i-perineum. Ukungqinelana nokusetyenziswa malunga nokuba akukho, ngaphandle kokunyanzelwana komntu.

Ukuhlawula i-anesthesia

I-epidural anesthesia iyaxhaphaka namhlanje. Inkunkuma ekhethekileyo ifakwe kwi-parturient, ekhubaza i-nerudal nererve. Ngenxa yoko, kuvela ukulahlekelwa ngokupheleleyo kobuthathaka kumfazi wonke, ngaphandle kwezabelo zangaphandle.

I-Anesthesia yahlula kwii-subspecies eziliqela, kuxhomekeke kwindawo yokulawulwa kweziyobisi:

Kukho ukuchasene nokusetyenziswa kwe-anesthetic efanayo:

Jikelele u-Anesthesia weNdalo

Nge-anesthesia jikelele, umntwana unqumla ngokupheleleyo ingqalelo. Isetyenziselwa ukungenelela kwindlela yokuhlinzwa okanye kulawo matyala apho i-anesthesia ye-epidural ingenakwenziwa.

Xa ukhetha i-aneshesia, oogqirha bakhokelwa yizinto ezininzi: ukuqinisekisa ukhuseleko oluphezulu kumntwana nokubeleka, kwakunye nempilo kamama ozayo.

Ukubeletha emanzini

Amanzi aququzelela inkqubo yokubeleka, amaninzi amantombazana akhetha le ndlela yokuququzelela abasebenzi. Ibhafu eliqhelekileyo ngamanzi afudumele angashenxisa ngokupheleleyo i-painkillers. Ngaphambi kokuqala kwemfazwe nganye, kuyimfuneko ukuxubha emanzini ukuze isisu sigubungele ngokupheleleyo. Kodwa akukho nhlobo ungayilala emhlane wakho - oku kuya kuba nzima ukuvula umlomo wesibeleko. Kubalulekile ukuqwalasela into yokuba kunokwenzeka ukuzala kuphela kubakho bonyango bezempilo, ukuba, ukuba kunokwenzeka, banokukunceda ngokukhawuleza.

Kubaluleke kakhulu ukubeka iliso lokushisa kwamanzi, akufanele kudlule ukushisa komzimba wakho. Ukuba akukho ubhabha, ngoko unokusebenzisa isitya esiqhelekileyo. Vele ujike kwaye uqondise i-jet yamanzi kwisisu sakho. Ukuba amanzi sele esele ahamba, ngoko nje ukuba amanzi anesichetic angasebenzisa kuphela isitya, kodwa nakunoma yintoni na akuyikubhukuda.

Ukuphumla kwengqondo kwintetho

Ukunyanzeliswa nokukhathazeka kwengqondo ngexesha lokubeleka kunokukhokelela ekuphuhliseni intlungu enamandla. Ukuze ugweme oku, kufuneka ufunde ngaphambi kokuzalwa kobugcisa obukhethekileyo bokuphumula: ukuphefumula okufanelekileyo, isikhundla esifanelekileyo somzimba, ukuhlaziya kunye nokunye.

Kufuneka uzibeke phambi kwangaphambili. I-Nestoit ihleli kwiintlungu, cinga ngento yokuba umntwana uza kuzalwa ngokukhawuleza, kwaye ungayigcina, ucinge ngezihlandlo ezimnandi. Unako nokuba kwindlela yokuzala umntwana.

Xa ulwa, ungazama ukufumana umzimba okhululekile kwindawo leyo, eya kunciphisa intlungu. Squat kwaye usasaze amadolo akho ngokubanzi. Ukuba oku kungakukhathazi kuwe, hlala phantsi ngamadolo uze usasaze ngokubanzi njengoko kunokwenzeka. Oku kubangela ukuba i-coccyx ibuhlungu. Unokuxhoma nantoni na: entanyeni yendoda, emva kombhede, umnyango wendlu. Esi sikhundla siya kunciphisa uxinzelelo kunye nentlungu iya kuncipha.