Iyo nzira yekuberekwa inofambidzana nekunzwa kunorwadza kwekuti vamwe vakadzi vanokwanisa kutsungirira nekushivirira, uye vamwe vanobvumirana chero chinhu, kungorega kuregerera. Nzira dzakasiyana-siyana dzebasa rekugadziriswa rakagadzirwa uye rakaruramiswa. Mhando dzeanesthesia panguva yekuberekwa dzinogona kuva zvose mishonga uye kwete-zvinodhaka.
Anesthesia munguva yebasa: inotya kana chido?
Chisikwa chipenyu chimwe nechimwe chine marwadzo ayo, uye pasi, ndiyo inowedzera kurwadziwa kunoregererwa. Marwadzo panguva yebasa inokonzerwa nekuwedzera kuputika kwezvibereko zvechibereko, kuvhurwa kwechirwere, kupfurikidza nemubhedha wekuberekwa kwevana, kufambisa uye, kazhinji, kubvarura kubereka kwaamai. Kuora kwenguva refu uye kunorwadza kunogona kutungamirira kuwedzerwa kweropa, kushaya simba kwebasa uye kushungurudzika kwe fetus (kushaya kukwana kweakisijeni), iyo inotyisa kune vose amai uye fetus, uye kazhinji inotungamirira kudiwa kwekuendeswa nechikamu chekusiya.
Kwete-maitiro emasvomhu ekufananidzira kwekuberekwa
Zvisikwa zvakaisa kuti panguva yekuberekwa muuropi inobereka nhamba yakawanda ye endorphins, iyo inobatsira kurwadziwa. Chokutanga pane zvose, nzira yepfungwa inoshandiswa kune zvakasikwa anesthesia munguva yekuberekwa. Kana mukadzi panguva yekuzvitakura anogona kuchinja zvakanaka pakuberekwa, kurwadziwa kunenge kusingatauri. Basa guru rinoitwa nekusigirwa kwemhuri dzemunharaunda pakuberekwa uye kubereka, kunyanya murume. Kuchinja nzvimbo yemuviri panguva yekuberekwa, kuita zviito zvinoderedza mutoro pamusana wechipfupa zvinobatsira kuderedza kunetseka.
Pasizvino nguva yekushanda kwekushanda kwebasa kunogamuchirwa, maererano neiyi makamuri ekuisa mazuva ano ane masvingo ekugadzirira uye mabhodhoro anodzivirira. Pfungwa inokosha inobatsira pakuderedza marwadzo kufema kufema (kukurumidza kuputika mupfungwa kuburikidza nemhino uye kupera kwenguva refu kuburikidza nemuromo), iyo inobatsira mwana kugamuchira oxygen yakakwana munguva yekurwa. Kuderedza marwadzo kunobatsira kuisa muviri, kunobatsira kugadzirisa kusuruvara kwemasisipo panguva yekurwa uye kunonoka mupfungwa zvishoma. Nekuberekwa kwehama, inogona kuitwa neumwe wehama, kana kuti zvichida mukadzi pachake. Pakati pehutano hwekukwiza muviri zvinokurudzirwa kuita: kukuya, kubhabhatidza, kugadzika uye kupindira. Nzira yakanakisisa yokukwiza muviri inoshambadza nzvimbo ye lumbar uye nzvimbo ye sacrum.
Chiremba anesthesia yekuberekwa
Kuvhara kwechirwere chechirwere uye chinonzi intramuscular nargestic and non-narcotic analgesics, pamwe chete nemagariro emunharaunda yeanesthesia, inoshandiswa kune zvinodhaka zvinodhaka zvekuberekwa. Iyi nzira inoshandiswa kuisa maitiro, uye munguva yekupedzisira yeanesthesia edza kusaisa, kuitira kuti mukadzi anokwanisa kunyatsonzwisisa mirayiridzo yechiremba.
Nzira dzekumhara dzeanesthesia ndiyo nzira dzemazuva ano dzinogona kuderedza kubudirira uye dzinenge dzisingabatsiri kumucheche, sezvo dzisina kupinda ropa. Epidural anesthesia panguva yebasa
Mishonga yemazuva ano ine mu arsenal yayo yose yemhando dze nzira dze anesthesia uye kana iwe uchida kubereka usina kurwadziwa iwe unogona kusarudza pamwechete nemudzidzi wezvidzidzo-gynecologist nzira inobatsira zvikuru uye yakachengeteka kune amai uye remangwana mwana.