Kodi mankhwala ochititsa dzanzi bwino gawo cesarean: mitundu, zizindikiro, contraindications, ndemanga

Cesarean gawo - opaleshoni yomwe wangobadwa kumene ali anachotsa kagawo pa khoma m'mimba ndi chiberekero. Zikomo njirayi chaka amabadwa ana mazanamazana, kotero funso la mmene ntchito imeneyi ikuchitika, Amasonkhezera makolo ambiri woyembekezera. Pankhaniyi, chimodzi mwa zinthu zofunika kwambiri muyenera kuganiza asanabadwe, ndi mtundu wa mankhwala ochititsa dzanzi.

Chotero kodi bwino mankhwala ochititsa dzanzi pa gawo cesarean? Kuyambira nkhani, mungapeze mfundo zikuluzikulu za mitundu zambiri ntchito ya mankhwala ochititsa dzanzi pa opaleshoni, ubwino waukulu ndi kuipa.

Kodi opaleshoni?

Pamaso ife tikupeza zimene ochititsa dzanzi yabwino gawo la Kaisara, muyenera kunena mawu ochepa za chikhalidwe cha opaleshoniyo.

Pa gawo cesarean mwana wakhanda sizimawoneka kuyatsa mwachibadwa (kudzera m'njira kubadwa), ndipo anachotsa kudzera ang'ambe thupilo yaing'ono kuti dokotala zimapangitsa kuti pakhoma uterine. Mu zipatala zamakono ang'ambe thupilo wapangidwa pamimba m'munsi, kupanga chipsera pambuyo opaleshoni pafupifupi imperceptible. Njira imeneyi imagwira pobereka sizachilendo ndipo ankagwiritsa ntchito mchitidwe m'mayiko ena ku Ulaya, monga Germany motere abwera kwa 40% ya ana.

Pali mitundu iwiri ya opaleshoni: chizolowezi ndipo mwadzidzidzi. Choyamba n'chakuti ngati pali chiopsezo pobereka zachilengedwe mavuto alionse amene angasokoneze moyo ndi thanzi la mayiyo ndi mwanayo. Ndi zizindikiro ntchito ndi yopapatiza kwambiri mafupa a chiuno mayi, kuopseza hypoxia, kubadwa, m'mamawa, mimba angapo, ndi zina zotero .. Mwachibadwa, kusankidwa opaleshoni ndi njira yochezera, ngati pali nthawi yokonzekera kuti adziwitse opaleshoni mayi akubereka.

ntchito Emergency imagwiridwa mu ngati panali mavuto alionse oopsa pobereka achilengedwe. Pankhaniyi, ndi opaleshoni mwadzidzidzi nthawi zambiri amachitidwa ntchito mankhwala ochititsa dzanzi ambiri, wina wa ubwino waukulu umene uli isanayambike mofulumira zotsatira mankhwala ochititsa: Ichi ndi chofunika kwambiri, chifukwa nthawi zina pa nkhani obstructed ntchito akupitiriza miniti.

Mwachibadwa, zimenezi opaleshoni zodabwitsa popanda kugwiritsa ntchito mankhwala, mwinamwake wodwalayo mwina sapulumuka mantha chopweteka.

Kodi ndi mitundu iti ya mankhwala ochititsa dzanzi ntchito gawo la Kaisara?

Pali mitundu iwiri yaikulu ya mankhwala ochititsa dzanzi amene angagwiritsidwe ntchito mu ndondomeko ya gawo cesarean: a m'dera lawo komanso ambiri ochititsa dzanzi. Woyamba kwathunthu amakana tilinazo yekha theka m'munsi mwa thupi, pamene pa kutsitsimuka ambiri wodwala sakukhudzidwa kwathunthu, ndipo masulani minofu yake. Kusankha njira yoyenera ndi abwino kwambiri a mankhwala ochititsa dzanzi zikhoza kuchitika kokha ndi dokotala kutenga nkhani za peculiarities wa mimba, matenda akuchikazi, ndi zinthu zina zambiri.

Mitundu ya mankhwala ochititsa dzanzi pa gawo la Kaisara:

• ambiri ochititsa dzanzi;
• msana;
• epidural.

Ubwino waukulu ndi kuipa kwa njira iliyonse ali pansipa.

Pamene kusankha mokomera ochititsa dzanzi ambiri angatani?

Mfundo yaikulu ya mankhwala ochititsa dzanzi ndi wakuti chifukwa kukonzekera zovuta zomwe tikuuzidwa mu otaya venous magazi kapena ntchito chubu anaikapo mu airway, wodwalayo kwathunthu sakukhudzidwa manyazi, ndipo Umasiya kupwetekedwa. Nkofunika kudziwa kuti pogonekedwa ndi mankhwala ambiri pali minofu zosangalatsa, wakupatsani kulenga azamba-dokotala zinthu yabwino ntchito.

Mtundu wa chithandizo ululu kwa amayi amene ali ndi gawo la Kaisara, kusankha n'chosoŵa. Kufunika kwa mankhwala ochititsa dzanzi ambiri angagwe milandu zotsatirazi:

• contraindication njira zina wogwila kwa analgesia;
• kukhalapo kwa amayi kunenepa;
• yoopsa hypoxia matenda;
• timakana akazi mitundu ina ya mankhwala ochititsa dzanzi;
• malposition la chiberekero, prolapse wa chingwe umbilical ndi zinthu zina zadzidzidzi obstetric.

Masiku ano ambiri ochititsa dzanzi pa gawo la Kaisara likukhudza kukachitika kuti pali kufunika kuti aphe pa zikuonetsa mwadzidzidzi, ndi phukusi opaleshoni chofunika kuyamba mwamsanga kuti tipulumutse azimayi ndi ana. Iwo amayamba ndi chakuti ambiri ochititsa dzanzi ali zina zovuta kwambiri.

The kuipa mankhwala ochititsa dzanzi ambiri

Kodi bwino mankhwala ochititsa dzanzi pa gawo cesarean? Tisanayankhe funso limeneli, tiyeni tikambirane za zolakwa zake. Madokotala kupewa mtundu wa mankhwala ochititsa dzanzi pa gawo la Kaisara, chifukwa ochititsa dzanzi angapereke mavuto ambiri kuposa njira zina mpumulo ululu. Pakati ambiri ndi kupereka:

• parturient hypoxia, amene amayamba chifukwa chakuti pa ochititsa dzanzi kusagwira m'mapapo ndi kuwonjezeka kwa mpweya;
• chiopsezo kukhumba, mwachitsanzo Inhalation ya nkhani m'mimba njira, ngati dzanzi si yake oterewa chikhalidwe ichi, zotsatira zake zingakhale zoopsa;
• akazi ambiri mimba kuthamanga limatuluka pa ochititsa dzanzi ambiri.

The mankhwala ochititsa kungayambitse kuphwanya ntchito kupuma wa ana akhanda, komanso ndi kumafooketsa osati dongosolo lake mantha mogwirizana ndi malowedwe a othetsa ululu latuluka. Last oopsa kwambiri, makamaka pa nkhani ya mankhwala ochititsa dzanzi ambiri ntchito mu ntchito masiku asanakwane. Komabe, si kwambiri kuopa: mankhwala amakono akhoza kuchepetsa chiopsezo zotsatira zoipa mwanayo asatayike, kuti wakhanda chomwecho afika mankhwala wapadera, yonena zotsatira za mankhwala ochititsa dzanzi ambiri.

Choncho, kodi ndi bwino kusankha mankhwala ochititsa dzanzi pa gawo cesarean ndi inu ndi dokotala anu, koma kumbukirani kuti mankhwala oletsa ululu ambiri - osati njira yabwino ntchito mankhwala oletsa ululu ndipo amachita zimenezi ayenera kukhala kukachitika kuti asadziphe zifukwa zilizonse, sichoncho patsalanso. Mwachitsanzo, mu chochitika mkazi wakubala ali ndi maganizo osakhazikika kapena akudwala matenda aliwonse amisala, opaleshoni akhoza ikuchitika pansi mankhwala ochititsa ambiri, monga chiopsezo kuti mkazi sangathe kukhala odekha pa ntchito ndi kulepheretsanso zochita za opaleshoni ya.

Kwambiri zambiri ntchito mchitidwe epidural ndi msana mankhwala, mwachitsanzo, njira dera analgesia - mitundu ndi owopsa kulola mkazi wakubala mu mkhalidwe chikumbumtima bwino. Izi ndi zofunika osati chifukwa n'zotheka yomweyo pa manja a ana akhanda. Pa Kaisara gawo azamba ndi dzanzi akhoza zira zonse ndi wodwala, zimveke kuzindikira mavuto zotheka.

Ndondomeko ya mankhwala ochititsa dzanzi epidural

, Kodi kufotokozera chimapanga Tisanayankhe funso, kodi ndi bwino kuchita ochititsa dzanzi chifukwa cesarean epidural ochititsa dzanzi. Iyi ndi ndondomeko yomwe popha ululu ndi jekeseni danga epidural msana m'dera lumbar. Pambuyo mankhwala oletsa ululu opangidwa ndi njira imeneyi, mkazi wakubala pa nthawi ya ntchito ndi mu chikumbumtima, koma Kodi Simumva kuwawa kulikonse.

Local ochititsa dzanzi pa gawo la Kaisara amalola mkazi kutenga nawo mbali mu ndondomeko za pobereka: kulankhulana ndi anthu ogwira ntchito zachipatala, kapena alipo Komiti mwamuna wake, nthawi yomweyo manja a akhanda ndi angagwirizanitse ku chifuwa. Pankhaniyi, mkazi ululu ntchito asaone, panthawi ina ndi kusapeza pang'ono pa opaleshoni.

Komabe, pali chinthu chimodzi chofunika kwambiri. akazi ambiri maganizo kovuta kusankha kukhala mu chipinda cha opareshoni, amaopa kuti pa gawo cesarean, iwo adzakhala maso ndipo samaona theka thupi lake. Nthawi zambiri amayi amalimbikira pa ochititsa dzanzi ambiri. mantha awo bwino kukambirana ndi dokotala wanu ndi anesthetist, amene tikambirana mwatsatanetsatane mmene Zitatero ochititsa dzanzi ndondomeko.

Ubwino wa mankhwala oletsa ululu epidural

Mwa ubwino waukulu wa mankhwala oletsa ululu epidural izi:

• Khola kugwira ntchito dongosolo mtima, kupanda kuthamanga kukakhala.
• Iwo kupulumutsa n'zotheka kuchita gululi.
• Kwaletsedwa choipa kwa thirakiti chapamwamba kupuma ndipo palibe chiopsezo chiyembekezo.
• Kutalika yaitali zotsatira mankhwala ochititsa. Ngati ndi kotheka, mankhwala ochititsa dzanzi angathe pa nthawi iliyonse, chimene chiri chofunika kwambiri kukachitika kuti pambuyo gawo cesarean n'kofunika kuchita ntchito zina, mwachitsanzo, zimatulutsa ligation Tubala.
• mofulumira mayiyu adzatuluke ochititsa dzanzi, msanamira-ntchito nthawi kuchira yafupika: maola 24 pokhapokha kumupanga opaleshoni, odwala ambiri akhoza mosadalira dzukani muziyendayenda.
• Mwana akhoza kutenga mu mikono yake ndi kuika kwa nganga yomweyo pambuyo ntchito.
• N'zotheka kuchepetsa ululu akabereka, kulowa othetsa ululu epidural danga.

Kuipa ochititsa dzanzi epidural

Ngakhale ubwino wake onse, zotsatira za mankhwala ochititsa dzanzi epidural kwa gawo la Kaisara mwina zingakhale zokhumudwitsa. Izi amafuna kudziwa chilichonse umayi tsogolo:

• Ngati mankhwala ochititsa jekeseni sikokwanira aluso mkulu chiopsezo kukhudzana ndi mankhwala m'magazi. Pa nthawi yomweyo kukhala zopweteka, zikuchepa yafupika magazi ndi imathetsa kutsitsimuka. Zotsatira zake zingakhale imfa ya amayi kapena kuwonongeka chosachiritsika wamanjenje dongosolo.
• Pafupifupi 17% ya mankhwala ochititsa dzanzi siikutchinga ena misempha, chifukwa cha zomwe mkazi wakubala pa nthawi yobereka cesarean akukumana nkhawa. Choncho, musanayambe opareshoni, onani tilinazo ntchito yapadera ubongo mayesero, monga pini pokha. Ngati mankhwala ochititsa sizinayende bwino, pamafunika makonzedwe mobwerezabwereza mankhwala.
• Ngati medicament chifukwa catheter pachithunzichi ali pansi pa arachnoid msana, angayambe msana chipika, chomwe nthawi zambiri chifukwa cha kulephera kwa dongosolo kupuma. Popewa izi, poyamba analowa mlingo ka mankhwala: gulu opaleshoni ayenera mphindi ziwiri zokha kudikira kuti aone ngati ndondomeko imagwiridwa molondola.

Mwatsoka, epidural ochititsa dzanzi pa gawo cesarean imavuta kwambiri, ndi bwino nthawi zambiri zimadalira zinachitikira ndi luso la ntchito. Kudziwika chogwirika wa danga epidural ndi samveka ndithu, koma pamene msana ochititsa dzanzi odalirika chikhomo linanena bungwe padziko madzimadzi cerebrospinal. Choncho n'kofunika kusankha dokotala zimene zimachititsa mungakhulupirire, ndi mosamala ndi ndemanga za ntchito ya chipatala kumene mwana wanu adzabadwa.

msana ochititsa dzanzi

Poyamba epidural zinkaoneka chipulumutso chenicheni, chifukwa chakuti limakupatsani osati kupanga ndondomeko ndi mwana wobadwa sabweretsa chisoni kotheratu, koma anaperekanso akazi mwayi kuti asataye momveka wa kuganiza ndi maganizo pa nthawi ya kubadwa kwa nthawi yaitali mwana. Komabe, chifukwa cha contraindications ambiri ndi Mwina angapo zotsatira zoipa tatchulazi, epidurals pang'onopang'ono amapereka m'dzanja la msana. Ambiri amati zimenezi ndi ochititsa dzanzi yabwino gawo cesarean.

Msana ochititsa dzanzi ndi akuluakulu a mankhwala ochititsa mu lumbar kumbuyo kulekanitsidwa. Mankhwala akulowa malo subarachnoid wa chingwe msana. Zotsatira ndi ofanana mitundu onse a mankhwala ochititsa dzanzi: patapita kanthawi jekeseni wa mkazi amene akubereka ikutha kumva theka m'munsi mwa thupi lake, ndipo adokotala akhoza chitani zofunika popanga munthu opaleshoni.

Ubwino msana ochititsa dzanzi

ndi mankhwala ochititsa dzanzi yabwino gawo cesarean chiyani? Kuyankha funso limeneli ndi kovuta, monga aliyense payekha. Koma tikhoza kudziwa ubwino waukulu wa mankhwala oletsa ululu msana:

• Palibe zotsatira poizoni. pafupifupi mwaonapo, ndipo palibe chiopsezo mwana ngati kukhudzana mwangozi mankhwala ochititsa mumtsinje magazi zochita za mtima kapena mantha dongosolo.
• Pambuyo pa opaleshoni, thupi msanga anachira.
• Quality analgesia: mkazi wakubala pa opaleshoni ululu.
• mankhwala ochititsa dzanzi msana zina pansi minofu, uyenera kuthandiza ntchito ya dokotala.
• Ndi ntchito mukhoza kuyamba mkati mphindi zochepa pambuyo makonzedwe, kotero kusokonezedwa amatenga nthawi yochepa.
• Msana ochititsa dzanzi wapangidwa sizivuta kuposa epidural. Kuwonjezera makonzedwe dzanzi akugwiritsa ntchito kwambiri n'kakang'ono singano, kotero kuti chiopsezo zoopsa msana kapena kusagaŵa wa mankhwala ochititsa sanamvere.
• madokotala ambiri kuzindikira ochititsa dzanzi msana anali chimake kwambiri wangwiro wa mankhwala oletsa ululu Kaisara gawo.

mankhwala ochititsa dzanzi msana kwa gawo cesarean: contraindications, ndi zolakwika zikuluzikulu

Mwatsoka, msana mankhwala oletsa ululu ali zina zabwino;

• Machitidwe mankhwala pasanathe maola awiri, choncho mtundu uwu wa mankhwala oletsa ululu sizigwira ntchito, muyenera kuchita mpheto zoonjezera, ndipo ngati pa nthawi ya mavuto opaleshoni uka, mungafunike mankhwala ochititsa dzanzi owonjezera.
• Msana mankhwala oletsa ululu si zotheka pamaso pa wodwala a mitundu ina kuvulala msana.
• magazi akhoza kusiya chifukwa cha isanayambike mofulumira ochititsa dzanzi.
• Ngati zipangizo zimene kubaya mankhwala, sanali bwino motetezedwa kuti tizilombo toononga, pangakhale zosiyanasiyana mavuto matenda monga malungo.
• Pambuyo pa opaleshoni, akazi ambiri mu ntchito ndi ananena aakulu mutu kuti ukhoza kwa masiku angapo mwinanso masabata.
• Chifukwa cha catheter pachithunzichi akhoza kuwononga likulu amatchedwa "ponytail". Izi zikhoza kukhala chifukwa kuti innervation wa sacrum ndi lumbar msana lidzasweka.
• Msana mankhwala oletsa ululu si zotheka m'njira chilema msana.
• Msana mankhwala oletsa ululu si zotheka ndi detachment msanga wa nsengwa ndi zinthu zina obstetric.

Ngakhale kuti si zovuta pamwamba, msana ochititsa dzanzi ndi chimodzi cha njira yabwino ndi chabwino cha mankhwala ochititsa dzanzi pa gawo la Kaisara.

Mankhwala ochititsa dzanzi pa gawo cesarean: Ndemanga

Kodi bwino mankhwala ochititsa dzanzi pa gawo cesarean? Reviews zimene zomverera akazi zinachitikira pa mtundu winawake wa mankhwala, kungatithandize kupeza yankho la funso limeneli.

achitsikana amanena kuti linanena bungwe ndondomeko ya mankhwala ochititsa ambiri zosasangalatsa zokwanira: pali kumverera kwa zopweteka chizungulire, kunyansidwa, mutu, ndi minofu. Komanso, sikutheka yomweyo pambuyo pa kubadwa kwa dzanja mwanayo. Pali wina zotsatira zoipa za mankhwala oletsa ululu onse: Nthawi zambiri mwana wanu ali maganizo a ntchito kupuma.

Kodi bwino mankhwala ochititsa dzanzi pa gawo cesarean? Reviews a epidural ochititsa dzanzi kwakukulukulu positive. abereka kuti pambuyo ndondomeko, palibe kusamva, ndipo mwana akhoza yomweyo ntchito kwa pachifuwa. Komabe, umboni ndi ndemanga, amayambira kusapeza boma ndi woyamba maola angapo pambuyo gawo la Kaisara, pamene mankhwala ochititsa ndi kuchotsedwa thupi, m'munsi theka thupi kwambiri kugwedeza. Komabe, chabe tsiku opaleshoni n'zotheka imani pa mapazi ake, kuti amuchotse paokha ndi kusamalira akhanda a.

Msana ochititsa dzanzi pa ndemanga Kaisara gawo, makamaka zabwino movutikira. Odwala kuti sanaone ululu pa opaleshoni ya. Komabe, nthawi zina, kwa masabata angapo akazi amadwala mutu ndi kusapeza m'mimba.

Kodi kusankha mankhwala oletsa ululu?

Chotero kodi bwino mankhwala ochititsa dzanzi pa gawo cesarean? Nkhaniyi Cholinga anaziphunzitsa amayi oyembekezera ndi zimene mitundu ya mankhwala ochititsa dzanzi ntchito Kaisara gawo ochititsa dzanzi. Koma kumbukirani, Mulimonsemo sayenera kutsogoleredwa ndi mfundo pamwamba, kusankha mankhwala oletsa ululu! Only dokotala amene ali deta onse thanzi la abereka akhoza kusankha mtundu woyenera wa mankhwala ochititsa dzanzi. Kumene, wodwalayo akufuna sitingakane. Choncho, musanasankhe zoti umene ochititsa dzanzi ndi bwino kuchita mbali Kaisara, muyenera kufufuza ubwino ndi kuipa kwa njira ina, ndipo kukaonana ndi dokotala ndi dzanzi.

Kuti asankhidwa ochititsa dzanzi bwino, muyenera kugwiritsa ntchito malangizo onse a akatswiri amene amalangiza mmene kudya asanachite opareshoni, pamene kudzuka pambuyo gawo la Kaisara, ndi chochita kuti thupi achire mwamsanga.