Anesthesia ya ndondomeko ya makolo ndi thandizo la epidural anesthesia ndiyo njira yamakono yowonongeka. Njirayi ndi yothandiza komanso yopweteka, motero amalandira olemekezeka ambiri pakati pa madokotala ndi amayi omwe akukhala nawo.
Njira yoperekera imachitika mwa mkazi aliyense m'njira zosiyanasiyana. Ena amamva kupweteka kosautsa, ena amabala mosavuta komanso momasuka. Inde, mayi aliyense wamtsogolo angasankhe njira yachiwiri. Epidural anesthesia panthawi yobereka ikhoza kuchepetsa kwambiri kupweteka, kupangitsa kubereka mosavuta. Komabe, mzimayi aliyense ayenera kudziwa kuti matenda opweteka kwambiri pa nthawi yobereka ndi thandizo lachipatala m'ntchito yowonongeka. Choncho, musanasankhe njirayi, muyenera kufufuza mosamalitsa ubwino ndi kuipa kwa njira iyi.
Kodi epidural anesthesia imachita bwanji?
Chifukwa cha mankhwala amodziwa amagwiritsira ntchito mankhwala omwewa monga mankhwala opangira mano - lidocaine kapena novocaine. Katswiri wina wamagetsi amachititsa kuti mankhwalawa asagwiritsidwe ntchito m'dera la msana, zomwe zimabweretsa ululu. Mankhwalawa amalowetsedwa m'dera la lumbar komwe amai amakhala.
Epidural anesthesia - zopindulitsa ndi zowononga
Madokotala ambiri amagwiritsa ntchito matenda opatsirana pogonana panthawi ya kubala chifukwa cha ubwino wake pa zovuta zina:
- Mankhwala opatsirana pogwiritsa ntchito jekeseni amalola amayi kuti azipumula ndi kupumula panthawi ya kuvutika ndi kugwira ntchito;
- nthendayi yamatsenga imachotsa ululu;
- nthendayi yamagetsi imathandiza kuchepetsa kuthamanga kwa magazi;
- Njira ya epidural anesthesia imaonedwa kuti ndi yotetezeka kwambiri pa thanzi la mayi ndi mwana.
Ngakhale kupindula kwa epidural anesthesia panthawi yobereka, njira iyi ingayambitse mavuto aakulu kwa mayi ndi mwana. Zotsatira zowonjezereka za matenda oopsa a anesthesia:
- kupweteka kwa mutu komanso kupweteka kwa mayi;
- kuchepa kwa kuthamanga kwa magazi, komwe kumalimbikitsa mkazi ali pabedi kugona;
- kufunika kovuta kugwiritsa ntchito zida zowonjezereka pamayesero;
- chiwopsezo cha gawo losungirako chipatala chikuwonjezeka;
- mayi amatha kuwonjezeka chifukwa cha kuchepa kwa magazi.
- pafupifupi theka la milandu imatsogolera hypoxia mwa mwana;
- Nthawi zambiri kupuma kwa mwana wakhanda kumakhala kovuta;
- analepheretsa kwambiri kukula kwa mwana wakhanda.
Zotsatira za matenda oopsa a anesthesia zingakhale zovuta kwambiri kwa mwanayo. Kufikira kufunika kochiritsidwa mwamsanga. Komanso, mavuto pambuyo pa matenda oopsa a amthesa amapezeka nthawi zambiri mwa amayi.
Epidural anesthesia mu gawo lachisindikizo
Epidural anesthesia amaonedwa kuti ndi njira yabwino yoperekera zakudya. Mankhwalawa amasiyana ndi anesthhesia, amalola kuti mayi akugwira ntchito akuwonetsetse momwe ntchitoyi ikuchitira komanso nthawi yomweyo kuti asamve ululu uliwonse. Kutsegula m'mimba kumatsekeretsa maganizo omwe amayamba kuchokera pachiberekero kupita ku ubongo, pamene amasiya mayiyo mu chidziwitso chathunthu. Epidural anesthesia ndi gawo lachisamaliro sichilepheretsa kukhazikitsa mgwirizano woyamba pakati pa mayi ndi mwana wakhanda, chomwe chiri chofunikira kwambiri.
Epidural anesthesia - zotsutsana
Ngakhale kuti amayi ambiri omwe amagwira ntchito ndi madokotala amasankha njira imeneyi yowonongeka, matenda opatsirana pogonana pa nthawi yobereka sangathe kugwiritsidwa ntchito nthawi zonse. Zotsutsana ndi kugwiritsa ntchito epidural anesthesia:
- mayi ali mu chidziwitso;
- mkazi yemwe ali ndi vuto akudwala sepsis;
- Kukhalapo kwa kuvulala kwa msana ndi ubongo mwa mkazi wokonda;
- Matenda a purulent mwa mkazi wokhalapo;
- Zomwe zimayambitsa matendawa zimakhala zovuta kwambiri kwa mayi.
Pamaso pa mavuto aliwonsewa omwe ali pamwambawa, epidural anesthesia angapangitse mavuto aakulu a matendawa, mpaka zotsatira zowononga.
Kodi kuchuluka kwa matenda a epestural anesthesia kulipira kuchuluka kotani?
Mtengo wa epidural anesthesia pa nthawi ya kubala umasiyana malinga ndi chipatala cha amayi omwe amasankhidwa, chigawo cha dziko, chiyeneretso cha munthu wodwala matenda a anesthesiologist. Epidural anesthesia ndi ufulu kwaulere m'maofesi opanda ufulu a nyumba za amayi omwe ali ndi amayi. Mkazi aliyense pa kubala ali ndi ufulu wofuna izi. M'nyumba za amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndi amayi omwe ali ndiokha. Kuti mudziwe kuchuluka kwa matenda a anesthesia omwe amawononga panthawi yobereka, mukhoza kumsonkhano wodzipereka kuti mukhale ndi pakati komanso kubereka. Pamsonkhano womwewo, mungapeze mayankho ochokera kwa amayi pamtundu uwu.
Kusankha njira yogwiritsira ntchito mankhwala osokoneza bongo, mayi sayenera kuiwala kuti kubereka ndi njira yachilengedwe, yomwe mavoti oposa 80% samafuna kuti athandizepo madokotala.