Siyakuqonda ukukhululeka kobuhlungu kwabesifazane abakhulelwe kanye nomvuseleli wesibhedlela sokubeletha.
- Masichaze masinyane ukuthi igama elithi "izinzwa" alifanele ngokuphelele lapha. I-Anesthesia ingenye yezinhlobo ze-anesthesia, okubandakanya ukuphathwa kwama-analgesics asebenza phakathi nendawo ukudala, phakathi kwezinye izinto, ukulahlekelwa ukwazi. Isetshenziswa ngokungavamile kakhulu ngesikhathi sokubeletha (isigaba se-caesarean enye indaba). Konke okunye yi-anesthesia. Ake sikhulume ngaye.
Inhloko yegumbi labagula kakhulu esibhedlela sabakhulelwe uNombolo 5, iVolgograd
Kunezindlela ezingokwengqondo zokudambisa izinhlungu ngesikhathi sokubeletha, lapho owesifazane eyilungiselele kahle le nqubo kangangokuthi angezwa buhlungu nakancane. I-Physiotherapy isetshenziswa futhi - ishawa ekhethekile nokunye okunjalo. Konke lokhu kuhloswe ngokufeza ukukhululeka kobuhlungu (i-analgesia).
Ngokuqondene nokukhululeka kobuhlungu bezidakamizwa, kunezinketho ezimbili: ukusetshenziswa kwama-analgesics asebenza maphakathi (ama-narcotic) kanye ne-anesthesia yesifunda (i-epidural, umgogodla, kwesinye isikhathi i-paravertebral). I-Epidural ithandwa kakhulu ngoba inezinzuzo ezibaluleke kakhulu. Okokuqala, ilawulwa kahle. Okwesibili, ingaqhutshwa isikhathi eside impela - kuze kube usuku olulodwa nengxenye.
Uma kunesidingo, kuvumelekile ukuthola i-catheter (lapho umuthi ugeleza khona) esikhaleni se-epidural (epidural) (ngaphansi kolwelwesi lwe-arachnoid yomgogodla) ngisho izinsuku ezintathu, sonke lesi sikhathi singenziwa i-anesthesia. Futhi, okwesithathu, ukusebenza kahle. Lokhu kusebenza, ngendlela, kuzo zonke izinhlobo ze-anesthesia yesifunda. Uma i-analgesics yesenzo esiphakathi ishintsha kuphela ukuqonda kwethu kobuhlungu, khona-ke izinhlobo zesifunda se-anesthesia ziqukethe ukuphazanyiswa okuphelele kwendawo kokuphazamiseka kobuhlungu kohlelo oluphakathi lwezinzwa. Ake ngichaze ngesibonelo sebhalbhu yokukhanyisa. Ama-analgesics aphonsa ikhethini phezu kwalesi sibani, futhi liyaqhubeka livutha ngamandla afanayo, yize sibona ukukhanya okuncane kakhulu. Futhi i-anesthesia yesifunda inyusa ukumelana kwisekethe yesibani, ngenxa yalokhu kusha buthakathaka.
Ngubani onquma ngokusetshenziswa kwe-anesthesia esimweni esithile? Imvamisa, udokotela ungudokotela obelethayo ohola ukuzalwa. Lokhu akushiwo ngaphambili, isinqumo senziwa ngqo ngesikhathi sokubeletha. Kukhona, impela, abesifazane abathi: Ngiyesaba yonke into, ngizozala kuphela nge "epidural". Kodwa umsebenzi ohambelana nabo wengqondo wenziwa nabo. Kwenzeka ukuthi isinqumo se-anesthesia senziwe ngaphambi kwesikhathi, ngaphambi kokubeletha.
Ngesikhathi sokubeletha, kunezizathu eziningi ezibekiwe zokuqokwa kobuhlungu bezidakamizwa. Yebo, izicelo zowesifazane obelethayo ziyabhekwa. Akekho umuntu ozokwenza noma yini ephikisana nentando yakhe.
Njengodokotela obesebhekene nokuqeda izinhlungu iminyaka engu-12, ngicabanga kanjalo. Uma ubuchwepheshe besimanje bukuvumela ukuthi ugweme ukuzwa okungathandeki, kungani ungasebenzisi. Izindlela zesifunda zokudambisa izinhlungu azinangozi ngokuphelele enganeni ngesizathu esisodwa esilula: umuthi awujovwa egazini. Kwethulwa esikhaleni somgogodla womama, lapho kubhujiswa khona kamuva. Ingane ayikutholi. Uma konke kwenziwa kahle, akukho okuphikisanayo, khona-ke le ndlela ayinakulimaza nakunina.
I-Spinal anesthesia ngesikhathi sokubeletha nayo isetshenziswa njalo. Lokhu futhi kuyindlela yesifunda ye-anesthesia, lapho i-anesthetic yendawo ijojowe khona hhayi esikhaleni se-epidural, kodwa ngqo entanjeni yomgogodla. Amandla we-anesthesia aphakeme lapha kune-anesthesia ye-epidural, isivinini sokuqala kwesenzo siphezulu kakhulu, kepha okubi ukuthi asikwazi ukushiya ipayipi esikhaleni somgogodla, lapha umuthi ufakwa ngasikhathi sinye. Ngakho-ke, le ndlela kungenzeka kuphela esigabeni sokugcina sabasebenzi, uma ukucindezela kubuhlungu ngokweqile. Ngendlela, umphumela womjovo owodwa womuthi lapha uhlala emahoreni amane (nge-epidural - kuze kufike kuhafu nohafu). Ngiyaphinda ngiyasho, isinqumo sithathwa kuphela ngemvume yowesifazane obelethayo.
Ngubani odinga izinzwa kwasekuqaleni? Bahlale bezama ukubulala izinzwa ukuzalwa ngaphambi kwesikhathi - ngoba konke kwenzeka ngokushesha, owesifazane akanaso isikhathi sokuzilungiselela, ngakho-ke umkhawulo wakhe wezinhlungu uphakeme. Ukuphumula kwezinhlungu kuphinde kuthambise umzimba kamama, nengane ikhululeke kakhudlwana lapho izalwa.
I-young primiparous nayo izama njalo ukuqeda izinhlungu. Futhi, isizathu se-anesthesia ukutholakala kwezifo ezingaphezulu komzimba, umfutho wegazi ophezulu. Yebo, ngokombono wokuziphatha, isizathu sokudambisa izinhlungu ukulethwa kombungu ofile.
Ubuhle bezindlela zesifunda ze-anesthesia ukuthi ngemuva kwabo owesifazane akudingeki ukuthi "asuke." Ukungazi noma ukuphefumula akuguquki nganoma iyiphi indlela. Kungakapheli amahora amabili ebelethile, owesifazane angaqala ukufeza izibopho zakhe zokuba ngumama.