Mankhwala ochititsa dzanzi Epidural ayenera kuchitidwa odziwa dzanzi.

  Epidural ochititsa dzanzi - njira yofala mankhwala, amene ntchito mu zipatala. Jekeseni wa mankhwala ochititsa mu dera lumbar, agwiritsidwa kwa ziwalo towerengeka; nyini ndi chotulukira, ndipo amachepetsa tilinazo mmunsi mwa thupi. Epidural ochititsa dzanzi ntchito pobereka, mankhwala alibe kungasokoneze mwana, izo kumathandiza kuchepetsa magazi, potero kuchepetsa magazi kuti nsengwa ndi.

Nthawi zina, mungathe kugwiritsa ntchito mtundu wa mankhwala ochititsa dzanzi.

Epidural ochititsa dzanzi - mtundu wa zotsatira mankhwala ochititsa pa misempha ya chingwe msana. Ngati pa ntchito mayi sangakhoze kuima ululu, akhoza kugwiritsa ntchito mtundu wa mankhwala, jakisoni kapena catheter kupulumutsa ndi contractions pang'onopang'ono anayambitsanso analgesic. Koma pa nthawi ino, mumafunika nthawi zonse dzanzi, iye oyang'anira kuthamanga kwa mtima.

Mu zina, ochititsa dzanzi ntchito mu opareshoni, kuchepetsa ululu mu nthawi postoperative. Amayi ena asankha kugwiritsa ntchito epidural ochititsa dzanzi chifukwa opaleshoni cesarean gawo. mkaziyo amadziwa ndi kuwona yomweyo mwanayo ndipo pa nthawi ya opaleshoni iko kokha ayese ngakhale kupweteka kulikonse.

The ntchito njira ya mankhwala ochititsa dzanzi pali contraindications: si ololedwa ntchito, ngati munthu amadwala ofoola ziwalo, matenda ya ubongo, kapena pali matenda pachimake matenda.

Epidural ochititsa dzanzi ikuchitika odziwa anesthetist chili ndi wapadera.

Zimawawa kuchita ngati epidural ndi?

Ndondomeko lonse kumatenga pafupifupi mphindi 20, mkazi ayenera kukhala kulephera kuyenda wathunthu, pa nthawi yomweyo zimatengera mpando "wa mwana wosabadwayo, kapena mphaka" kunama pa mbali yake kapena atakhala atatsamira patsogolo. Musanayambe kulowa catheter, dera pakati pa vertebrae mu m'munsi kupweteka kwa msana relievers obkalyvaya malo awa (pa ululu kutengeka, ndondomeko angayerekezedwe jekeseni mu mtsempha a). Kenako dokotalayu, ntchito anasiyira ochititsa dzanzi epidural, amaika singano pakati vertebrae lapansi. Pofuna kuonetsetsa kuti singano ali malo oyenera, ndi dzanzi nayo chitsanzo syringe kuchedwa, ngati sanalandire magazi, kapena lake madzimadzi cerebrospinal, ndiye singano ndi malo olondola.

Ndiye, singano catheter akulowa anesthetist, msinkhu lolingana muzu wa tilinazo theka m'munsi mwa thupi. Kenako, muvi chikutha catheter amamangiriridwa kumbuyo ndi kumulondolera mayesero a kulowa mankhwala Yang'anani thupi lawo siligwirizana ndi mankhwala ochititsa dzanzi pa akazi. Kenako, mlingo zofunika chikuyendetsedwera pafupifupi nthawi mozama pafupi ora, ndiye mankhwala kutumikiridwa ndi kubwerezedwa ngati ndi kofunika.

Patapita kanthawi, mkazi ikutha kupwetekedwa pa ntchito, kuwongolera ntchito. Mkazi ayenera kukhala kuyang'aniridwa zonse obstetricians. Ngati amayi ndi kuthamanga kwa magazi, ndiye atachita mankhwala, amakhala ponseponse, ndipo ngati muUmambo ochititsa dzanzi anachepetsedwa, ndiye inu kuika dropper kuonjezera magazi buku. Zonse mankhwala mulibe kungasokoneze mwana.

Nthawi zina, mavuto angayambe pambuyo mankhwala ochititsa dzanzi epidural.

ululu -Head angayambe chifukwa cha kugonjetsedwa kwa mpanda wa meninges, zikhoza kwa milungu 1-2.

Wonse mwambo kuti pa nthawi ya mankhwala ochititsa dzanzi linathyoka sterility, izo zikhoza kutupa pa malo jekeseni.

Kungokhala pa mayikidwe akhoza chowongolera magazi anu ndi chisokonezo mu mtima.

Ndi mpheto yoyenera mocheperapo kuona mavuto kapena mavuto.