Olu hlobo lwe-aneshesia lusetyenziswa ngokubanzi kwi-anesthesia yezabasebenzi kunye nokuzala, kunzima ngumxinzelelo wegazi ophezulu, i-gestosis, ukuveliswa kwe-breech ye-fetus, kunye nokusetyenziswa kwecandelo le-quarry. Imeko yentsana ichithwe yinkalo emininzi: "Impembelelo yokusetyenziswa kwamachiza kuxhomekeke kumlinganiselo wokusetyenziswa kweziyobisi, ubude bomsebenzi kunye nemeko yokuqala yomntwana; Kwiimeko ezinqabileyo, ngenxa yokusetyenziswa kwe-analgesia kwintsana, kunokuba nokuphefumula, kunye nokuhla kwezinga lentliziyo. Kodwa ngokubanzi, njengoko uphando lubonisa, i-epidural anesthesia iphephile kumama nomntwana. Ngoku siyazi indlela yokwenza i-anesthesia yezokwelapha ngexesha lokubeletha.
Iintlobo ze-anesthesia
- I-anesthesia yendawo isetyenziselwa ukuhlalutya izicubu ze-perineum, isetyenziselwa ukusetyenziswa kwe-episiotomy - ukuchithwa kwe-perineal, kwaye emva kokuhanjiswa, xa kusetshenziswe iigumbi. Kwimeko yomntwana lolu hlobo lwe-aneshesia aluchaphazeli.
- I-anesthesia ngokubanzi isetyenziswa kuphela kwiimeko ezimbi kakhulu, ngokungafanekiyo - ngexesha lokusebenza kwecandelo lesaharenti. I-parturient is in state unconscious. Kwimimiselo yokuqala, xa umntwana esasesigodini se-uterine, i-analgesics ezikhuselekileyo zijojowe, ezingenakuchaphazela intsana. Kwiimeko ezinqabileyo, umntwana unokuba nokuhla kwezinga lentliziyo nokuphefumula. Njengomthetho, oku kwenzekayo xa kukho naluphi na ubunzima bezobuchwepheshe ekutsalweni kwintsana.
- Inhalation anesthesia. Ngethuba le nkqubo, unina uzalisa i-anesthetic ngoncedo lweemaski ezikhethekileyo. Ininzi ngokuqhelekileyo ngenxa yale njongo isetyenziswa umxube we-nitrous oxide kunye ne-oxygen. I-nitroous oxide isisifo esibuthathaka. Indlela yokwenza i-anesthesia isekelwe kwintswelo yokunyameka kwinkqubo yesicelo sayo, okwenza ukuba iziphambano zingabonakali. Ukuba i-anesthesia ye-inhalation isetyenziselwa ixesha elide, inqanaba lentliziyo lingahle linciphise kwintsana, kwaye kukho amathuba okuba uzalelwe ngezantsi le-Apgar score. Olu hlobo lwe-anesthesia lwenkqubo ye-generic alunakuthi lisetyenziswe okwangoku.
- I-Epidural anesthesia - ngeli xesha, i-catheter ekhethekileyo ifakwe kwisithuba phakathi kwegobolondo elukhuni lomtya womgogodla kunye ne-vertebrae, indawo ebizwa ngokuba yi-epidural space, kunye ne-agent ye-anesthetic yendawo ifakwe kuyo.