Iyeza elona nto yinto endiyithathiyo mna nam nomntwana wam, abaninzi abafazi bayayicinga. Kwaye zonke iingcali ziyavumelana nalo. Ukhuseleko lwakho kunye nempilo yengane esandula kuzalwa ngumsebenzi obalulekileyo oogqirha. Yingakho unelungelo lokufumana lonke ulwazi malunga namayeza aya kusetshenziselwa ukuzala. Ugqirha kufuneka akuxelele ukuba zeziphi iindlela zonyango ezisebenzisayo kwiimeko zakho, ngokusekelwe kwimeko yezempilo, inkqubo yokukhulelwa kunye nenkqubo yokudala. Kuloluhlu olucetywayo, ungakhetha naliphi na iziyobisi, kunye nendlela eyaziswa ngayo. Musa ukubonisana nawe kuphela kwimeko apho kukho ingozi ebomini bakho nobomi bentsana. Kule meko, umsebenzi wakho oyintloko kukufumana ingcali efanelekileyo kwaye uyamthemba ngokupheleleyo. Yiba noxolo, ngaphandle kwemfuno nobungqina obalulekileyo, akukho nxaxheba oya kwenziwa kuwe.
Ngaphandle kwentlungu
Ngokuqinisekileyo, unamandla okwaneleyo angaphakathi ngaphakathi kwenkqubo yokubonakalisa umntwana. Nangona kunjalo, kwanokuba umfazi onenkalipho unokufuna uncedo oluvela ngaphandle. Kukho amaqela amaninzi eentlungu ezisetyenziswe kwizigaba ezahlukeneyo zokubeletha. Kufanelekile ukuba ndiyazi ukuba yiyiphi i-painkiller engcono yokunikezelwa.
1. Isigaba sokulungiselela
Ukuba uzalisa okokuqala, eli nqanaba liyakudlulela kwiiyure ezininzi. Iintlukwano ngelo xesha, njengomthetho, aziqabile, kodwa ngokuqhelekileyo zibuhlungu kakhulu. Ukuba azinakho ukukhokelela ekuvuleni komlomo wesibeleko, unokunikezwa nge-anesthhesia ye-intramuscular - iya kukuvumela ukuba udibanise ukulala ukulala kwaye ulale ezimbalwa iiyure ezibuhlungu, okuqinisekileyo uza kusindisa amandla akho ekuzalweni okuzayo. I-anesthesia enjalo isebenza ngaphakathi kweeyure eziyi-3-4.
Iziphumo
I-anesthesia ye-intramuscular ingabangela ubuthongo obuswini lwe-cardiotocogram, ebhalwe ekuzalweni. Kodwa emva kokupheliswa kwechiza, iziphumo zibuyela ngokuqhelekileyo ngokuqhelekileyo.
2. Isigaba esisebenzayo sabasebenzi
Ngeli xesha, ungasebenzisa zombini i-anesthesia ye-intramuscular kunye ne-anesthesia ye-epidural. Kwimeko yokuqala kubalulekile ukwenza injola engama-30-40 imizuzu ngaphambi kokuvela komntwana, mhlawumbi umntwana usenokuzalwa elele kwaye enobuqili. Ungakhathazeki, kungekudala uza kufumana umsebenzi wakhe.
Nge-anesthesia ye-epidural, amayeza aziswa kwi-epidural space kwingingqi ye-lumbar (umzimba ongaphantsi unqatshelwe ubuzwe). Olu hlobo lwe-anesthesia alunayo inetyhefu kwaye alungena kwigazi lomama okanye umntwana. Nangona kunjalo, i-anesthesia enjalo ayifaneleki wonke umntu. Ukuchasana kuyo kukunyanya okanye ukuhlinzwa okuphambeni. Enye imeko ebalulekileyo kukusekwa kwemibhikano eqhelekileyo (kunye nexesha lemizuzu emi-2-3). Ukuba uqhuba i-anesthesia ngaphambili, ukuzalwa kunokunciphisa.
Iziphumo
I-anesthesia ye-Intramuscular ayinayo imiphumo emibi. Emva kwama-3-4 iiyure, i-anesthetics iyahlukana ngokupheleleyo kwaye ayifumaneki egazini.
Ukuba i-anesthesia yomgogodla isetyenziselwa kwicandelo lokutywala, inyaba inokwenzeka. Ziyakususwa lula ngokusetyenziswa ngokukhethekileyo. Izilonda ze-Neuralgic kule meko zincabile. Isikhundla kwinqanaba elenziwe ngayo i-injection ayinalo umdanso wendalo, akunakwenzeka ukuba ungene kwiimbambo eziphumayo. Inkqubo yokuqhuba i-aneshesia enjalo isetyenziswe ngokucacileyo.
Ngaba ufuna amayeza?
Abasetyhini bathwala iQela B Streptococcus, eyandisa kakhulu umngcipheko wokuthengisa lesi sifo kwintsana esanda kuzalwa. Ngaphezu koko, i-streptococcus, enefuthe elibi kwi-placenta, ingabangela i-hypoxia yobusana. Kungenxa yoko, ngeveki yama-36 yokukhulelwa, bonke oomama banokucetyiswa ukuba benze i-smear (kwizitho zangasese zangaphandle) ukucacisa ubukho be-streptococcus. Ukuba ifunyenwe, iziza-antibiotics (ezifana ne-penicillin) zisetyenziselwa ukuzala. Maxa wambi ama-antibiotics anqunywe ngabasetyhini abaneenjongo zeprolactic. Ngokomzekelo, ukuba umfazi okhulelweyo iiyure eziyi-8 ezedlule uye washiya amanzi, kwaye umsebenzi wokuzalwa awukaqali.
Yongeza isantya
Khawuleza ukhawuleze imvumba engakho. Kodwa ukuba ngokukhawuleza kukho imeko apho ukukhawuleza kunokuchaphazela imeko yengane kunye nenhlalakahle yomama, oogqirha banokukhuthaza umsebenzi wabasebenzi. Ngokomzekelo, ukuba ibhinqa liza kwikhaya lokubeleka ngeendlela ezingavumelekanga, iiVedas ziye zahamba kwiiyure ezingama-5 ezedlule, okanye kwiimeko ezinzima kakhulu, xa kubalulekile ukuba abasebenzi bawele emini.
1. Isigaba sokulungiselela
Kwisigaba sokulungiselela abasebenzi, isilungiselelo esikhethekileyo sisetyenziselwa uhlobo lwe-gel, eqaliswa kumfazi. Iqulethwe ngama-analogues of natures of prostaglandins, awalungiselela umlomo wesibeleko ngokuza kufutshane - ukuyenza mfutshane, yenza kube nzima, ukubonelela ukuvula.
2. Isigaba esisebenzayo sabasebenzi
Kwisigaba esisebenzayo sezabasebenzi, ukuba izithintelo azizinzi ngokwaneleyo kwaye rhoqo, umlomo wesibeleko awuyi kuvulwa okanye umsebenzi wezobasebenzi owaqala ngokukhawuleza ngokukhawuleza, usebenzise i-oxytocin, eyenza ukwanda kwamaxesha omzimba we-uterine. I-rodovozbuzhdenie edlalwa rhoqo kunye ne-anesthesia. I-Oxytocin ilawulwa ngoncedo lwe-dropper kude kube nokuqala kokuqhekeka rhoqo kunye nokuvulwa komlomo wesibeleko. Ixesha lokusetyenziswa kwalo lugxininise ngabanye - umntu othile kwiiyure ezingama-7, kumntu othile 16. Ukuba emva koko ukuvuselela kungenako umphumo, kugqityiwe, kwaye abasebenzi baphela ngecandelo le-cearean. Ulwazi oluthi i-oxytocin luyanciphisa kakhulu imithana yegazi kwaye ngoko ke yimbangela yokunyusa uxinzelelo lwegazi kumama ozayo kunye nokungabi ncitshiswa kwe-oksijini (hypoxia) kwintsana engenakuphela. Impembelelo kwiinqanawa zeempawu ezihambelanayo ze-hormone yemvelo eziveliswa yi-placenta zincitshiswa.
Iziphumo
Kubaluleke kakhulu ukusebenzisa i-oxytocin, kuphela emva kokulinda, xa umlomo wesibeleko unyanzelekile, ukhula. Ukukhawuleza ngokugqithiseleyo koogqirha abayalela oku kukhuthazwa kwisigaba sokulungiselela abasebenzi (umlomo wesibeleko unyaka, uninzi) uvame ukukhokelela kwicandelo lokugcina.
Nyaniso
Ukusetyenziswa kweepsps kunye ne-papaverine ekusebenzisweni kwezenzululwazi akuvumelekanga. Ngokuqhelekileyo ezi zonyango zibekwe ukwenzela ukuba zikhulule umlomo wesibeleko kwaye zikhawuleze inkqubo yekhowudi. Nangona kunjalo, banokususa i-spasm ye-muscle kuphela, ngelixa i-cervix iyisisu esisebenzayo. Kule meko, ukusetyenziswa kwabo kungenanto.
Ukudibanisa
Kwamanye amazwe, i-anesthesia jikelele ayiqhelekanga isetyenziswa ekuzalweni. Ngokomzekelo, e-US, kuphela ama-5-7% eecareare. Nangona kwilizwe lethu ubude bokusetyenziswa kwalo buphantse kwi-70%! Ekuqaleni, i-injection injection inikezwa kumama, loo nto ibhinqa ebuthongweni, emva koko i-narcotic gases ifakwe kwi-tube ekhethekileyo, ixhasayo kulo mbuso kulo lonke umsebenzi.
Ukusetyenziswa kwamachiza kumachiza e-narcotic kwenzeka ngowesifazane oyedwa kuphela kwisigidi. Umngcipheko omkhulu kumama nomntwana uhambelana namava kunye nomsebenzi weqela loogqirha. Ukuze izidakamizwa ezisetyenziswayo zingene kwigazi lomntwana kwisantya esincinci, kufuneka uwasuse kwi-uterus ngokukhawuleza.
Ukongezelela, kubaluleke kakhulu ukuba umntwana washesha wehla ezandleni ze-neonatologist. Unokufumana ukulala nokunyanzeliswa kwemfuyo yokuphefumula. Ukuba i-crust iyangena i-amniotic fluid, kuyimfuneko ukuba umntu amncede ahlise umqala wakhe. Ingcali ihlola imeko yomntwana. Ukuba engabonakali nayiphi na impawu ye-hypoxia (ukungabi nmoya oksijini), uya kuba kunye nezinye iintsana, kuphela ekulawulwa kancinci. Ukuba kukho nayiphi na into, i-mask i-mask i-okijeni iyadingeka. Kukho nawuphi na, yonke imiphumo yokusebenzisa i-anesthesia jikelele yomntwana iyakhutshwa kwiintsuku zokuqala zobomi bakhe.
Abafazi abaphikisana ngokupheleleyo nokusetyenziswa kwanamaphi amayeza bangasayina umqulu okhethekileyo ngaphambi kokubeletha. Ibonisa ukuba nayiphi na isiphumo senkqubo yobudala, bathatha uxanduva lonke.
Kwezinye iimeko, xa ibhinqa lineengxaki ezibuhlungu ezingakhokelela ekuvuleleni umlomo wesibeleko, kunele ukuzalisa ukugcinwa kwamanzi omzimba. Kule meko, izihlunu ezihamba kakuhle ze-uterus ziyekezela, kwaye iziphene ziya kusebenza
I-aneshesia yokuqala ekusebenzeni ngexesha lesiganeko isetyenzisiwe ngo-1847 nguJitz Simpson. Kwakuyi-chloroform.
Ukuqapha okufanelekileyo
Kwizibhedlele ezininzi zokubeletha bonke oomama abasasa ngaphandle kokubeka i-dropper nge-saline. Kutheni? Ukuze ukwazi ukuphendula ngokukhawuleza kwiimeko zexinzelelo kwaye ngokukhawuleza uziphelise. Ukubeleka kulindeleke, kodwa kungenakwenzeka, inkqubo. Yingakho sifuna ukufikelela ngokusisigxina kwi-vein, ukwenzela ukuba kwiimeko eziphuthumayo ngekathetha ungakwazi ukufaka imithi ngokukhawuleza. Ngamanye amaxesha oomama abazayo baya kumiselwa i-drop of saline ne-glucose. Oku kubaluleke ngakumbi kwabo bangadli ngaphambi kokuba babele. Kule meko, i-glucose iya kuba ngumthombo omkhulu wamandla, okungaqinisekanga, kuya kuba luncedo kumama ekubelekeni kwaye emva kwabo, xa eqala ukunyanzela umntwana osinda kulinde. I-saline ye-physics kunye ne-glucose ikhuselekile ngokupheleleyo kumama nomntwana.