Mankhwala oletsa ululu pobereka - mitundu yake, ubwino ndi kuipa

Kubereka - ndi osati yaitali msonkhano ndi mwanayo, komanso mumamva kupweteka ambiri pakati. Popeza pakhomo la ululu tilinazo pa zonse, choncho ululu wa mkazi aliyense adzakhala osiyana. Palibe amene anganene pasadakhale ngati mankhwala ochititsa dzanzi chofunika kwa inu kapena ayi. Koma inu muyenera kudziwa kuti mankhwala oletsa ululu pobereka - Kodi njira yabwino kuthandiza mkazi ndi ululu.

Tiyeni tione zimene muli mitundu yosiyanasiyana ya mankhwala, ubwino ndi kuipa.

Pamene inhalation ochititsa dzanzi mkazi amadziwa. Pa nthawi imene iye adzayamba nkhondo lotsatira, ayenera pokoka mpweya inhaler kapena gasi. Kuziyika izi isoflurane mankhwala ochititsa, nitrous oxide methoxyflurane, trichlorethylene, nitrous chisakanizo cha mpweya ndi asafe. The mwayi waukulu njira imeneyi - yaing'ono nthawi imeneyi pakati mayamwidwe mafuta ndi zochita.

mankhwala oletsa ululu pamalopo pobereka wofunikila analgesia ziwalo payekha. Mwachitsanzo, pa kung'ambika kapena stitching crotch. Iwo anaphedwa ndi jekeseni wa mankhwala mankhwala ochititsa. mankhwala ochititsa dzanzi Izi si kupweteka pa ntchito.

mankhwala ochititsa dzanzi Regional ndicho mtundu ambiri ochititsa dzanzi. Pali mitundu iwiri ya mankhwala ochititsa dzanzi kuti: epidural ndi msana.

Epidural ochititsa dzanzi pa yobereka kumafuna kugwiritsira analgesic mankhwala ochititsa m'dera lumbar ku malo epidural pakati vertebrae lapansi. Iwo angapo ubwino:

• mkaziyo amadziwa;
• mankhwala ochititsa dzanzi kumachitika pang'onopang'ono, zilibe bwanji ntchito khola la chitetezo cha mtima;
• Sayambitsa kuyabwa kupuma;
• Kuthekera zimawonjezera ndi analgesic mwa catheter anachoka mu puncture wa danga intervertebral. Mwachitsanzo: ngati mankhwala ochititsa dzanzi pa chidachitika pa kubadwa, koma ndondomeko awo achilengedwe sizotheka, ndiye ntchito (Kaisara gawo) mwa catheter mlingo zina za mankhwala ochititsa chikuyendetsedwera;
• wachibale galimoto luso mwawo.

Aliyense mpumulo ululu ntchito kwenikweni ali ndi mavuto ena. Nazonso ndi epidural ochititsa dzanzi. Zovuta pambuyo zingakhale zosiyana:

• dzanzi ndi kuopsa kwa miyendo. Ndi mchitidwe wachibadwa utsogoleli wa mankhwala;
• thupi lonse kunjenjemera, kumabweretsa kusapeza kwambiri. Sizikanatheka ngozi;
• anachita kwa mankhwala ochititsa. Zingayambitse zosiyanasiyana matenda m'thupi. Pamene inu matupi awo sagwirizana ndi mankhwala ayenera awadziwitse dzanzi;
• kutsitsa kuthamanga kuti dzanzi mwamsanga kuthetsa kumayambiriro saline njira ndi spetspreparatov;
• ndi kungasokoneze ya mankhwala ochititsa dzanzi pa minofu kupuma, kuchititsa kuchepa kwa mpweya. Mpweya likuchotsedwa popereka mwa chigoba ndi;
• kugwiritsira analgesic pabedi venous. Zimenezi zingachititse kuti imfa ya chikumbumtima ndi, Chofunika kwambiri, kwa kusokoneza mtima;
• kupweteka ululu m'dera lumbar kwa masiku angapo pambuyo pa kubadwa;
• rarest ndi owopsa zosokonezeka - magazi danga epidural, kuwonongeka kwa mitsempha ziwalo za miyendo.

The mankhwala ochititsa dzanzi amagwiritsidwa ntchito gawo la Kaisara - msana ochititsa dzanzi. Izi mankhwala ochititsa oyamba mu malo subarachnoid pakati vertebrae lapansi. Kumafuna puncture Kakhungu lozungulira chingwe msana. Izi zikutanthauza kuti singano adzakhala anayambitsa zakuya kwambiri. ubwino:

• anaesthetises bwino;
• kwinakwake pambuyo Mphindi 2 n'zotheka kuyamba opaleshoni;
• kuwala - pali mfundo lina kulowetsa singano;
• ngati inadvertent oyamba chiwiya sayambitsa CNS.

kuipa:

• zotsatira analgesic unatha pafupi 2 h. Ngati nkotheka Kaisara gawo pamafunika jekeseni mobwerezabwereza;
• chifukwa cha isanayambike mofulumira kanthu ndi lakuthwa ululu mankhwala akhoza kuchepetsa kuthamanga kwa magazi;
• litsipa pambuyo opaleshoni masiku 2-3;
• cholakwika udindo wa catheter ndi zingachititse anatseka misewu yaitali mapazi ndi kuchepetsa kumbuyo kapena chingwe zoopsa msana.