Anesthesia yenzira yemadzitateguru nemubatsiro wepidural anesthesia ndiyo nzira yakakurumbira yemazuva ano yeanesthesia. Iyi nzira inoshanda uye haina kurwadziwa, saka inowanikwa vakawanda vanoyemura pakati pechiremba uye vakadzi vanoita zvekare.
Nzira yekubudisira inoitika mumukadzi wese nenzira dzakasiyana. Vamwe vanoona kurwadziwa kusingatauriki, vamwe vanoberekera nyore nyore uye vakasununguka. Zvechokwadi, amai vose vehupenyu vangasarudza yechipiri sarudzo. Epidural anesthesia panguva yekuberekwa kunogona kuderedza zvakanyanya kurwadziwa, kuita kuti zvizvarwa zvive nyore. Zvisinei, mukadzi wese anofanira kuziva kuti epidural anesthesia panguva yekuberekwa ndeyekupindira mune zvehutano mune zvakashata zvehupenyu. Nokudaro, usati wafunga pamusoro peizvi, iwe unofanira kunyatsoongorora zvose zvinobatsira uye zvisingabatsiri zvemuitiro uyu.
Ndeipi epidural anesthesia yakaitwa?
Nokuda kweanesthesia iyi nzira inoshandisa zvinenge zvakafanana nemishonga sekunyanya mazino - lidocaine kana novocaine. Anesthesiologist inokanganisa imwe yemishonga iyi munzvimbo iyo munharaunda yemugwagwa, iyo inoguma nekuregererwa kwemarwadzo. Icho chinotyisa chinokonzerwa munzvimbo ye lumbar munzvimbo iyo amai vagere.
Epidural anesthesia - pros uye cons
Vanachiremba vakawanda vanoshandisa epidural anesthesia panguva yekuberekwa nekuda kwezvakanaka kune dzimwe mazamu:
- Injected anesthetic inobvumira amai kuti vazorore uye vanyarara panguva yebasa nekushanda;
- epidural anesthesia inobvisa zvakakwana kurwadziwa;
- epidural anesthesia inobatsira kuderedza kuwedzerwa kweropa;
- Nzira yepidural anesthesia inoonekwa seyo yakachengeteka yehutano hwaamai nevana.
Pasinei nezvose zvinobatsira zvepidural anesthesia panguva yekuberekwa, nzira iyi inogona kutungamirira kumigumisiro yakaipa yeiyo amai nemwana. Migumisiro inogona kuitika yepachirwere anesthesia:
- kuora musoro kwemazuva mazhinji uye kurwadziwa shure shure kwaamai;
- kuderera kweropa, izvo zvinoita kuti mukadzi ari panhovo avete pasi;
- kukosha kwekushandisa girtric forceps kuwedzera munguva yekuedza;
- mukana wekudzivirira chikamu chinowedzera;
- mukana wekuvhara ropa shure kwemaamai kunowedzera;
- inenge hafu yematambudziko inotungamirira ku hypo hypoia mumwana;
- kazhinji basa rekupumadza rechecheche rakaremara;
- zvakanyanyisa kubvisa kukura kwenyama kwechechecheche.
Migumisiro yepidural anesthesia inogona kunge isina kunaka zvikuru kumwana. Kusvikira kudiwa kwekukurumidzira kutarisirwa. Uyezve, zvinetso mushure mekushaya chirwere chinonzi anesthesia zvinowanzoonekwa mumamai.
Epidural anesthesia muchikamu chechipiri
Epidural anesthesia inonzi ndiyo nzira yakanakisisa yekuregererwa kwekutora. Izvi zvakasiyana-siyana zveanesthesia, kusiyana nehukuru anesthesia, inobvumira mukadzi ari mubasa kuti aone kushanda kwebasa uye panguva imwechete kuti arege kunzwa kurwadziwa. Anesthetic chete inodzivisa mafungiro anorwadza anobva kubva muchibereko kusvikira kuuropi, paanosiya amai vachiziva zvakakwana. Epidural anesthesia ine chikamu chechiesarea haisi kudzivirira kuumbwa kwekutanga kutaurirana pakati peamai nechechecheche, iyo inonyanya kukosha.
Epidural anesthesia - zvinopesana
Pasinei nekuti vakadzi vakawanda vari mubasa uye vanachiremba vanosarudza nzira iyi yeanesthesia, epidural anesthesia panguva yekuberekwa haigoni kushandiswa mumamiriro ezvinhu ose. Kupindirana kwekushandiswa kwepidural anesthesia:
- amai vacho vari mumamiriro asingazivi;
- mukadzi ari kusununguka ane chirwere;
- kuvapo kwekukuvadzwa kwemupfungwa uye uropi mumukadzikadzi;
- zvirwere zvinoputika mumukadzikadzi;
- zvinokonzera kugadzikana kusvika kune anesthetic mumukadzi wechikadzi.
Muhupo hwehumwe hwezvinetso zvataurwa pamusoro apa, epidural anesthesia inogona kutungamirira kune zvinetso zvakakomba zvechirwere ichi, kusvika pamigumisiro inouraya.
Ndechipi chakawanda chinonzi anesthesia chinobhadhara kubhadhara?
Mari yepidural anesthesia panguva yekuberekwa inopesana zvichienderana nechipatara chekuberekwa chakasarudzwa, nzvimbo yenyika, kukodzera kweanesesthesiologist. Epidural anesthesia isingabhadharwi mumahofisi emahara edzimba dzematunhu ehurumende. Mukadzi mumwe nomumwe mukuberekwa ane kodzero yekukumbira izvi. Mumisha yevanamai vomunharaunda uye nechibvumirano chekutanga, mari ye epidural anesthesia inosvika pamadhora zana kusvika ku800. Kuti uwane kuti yakawanda epestural anesthesia inodhura sei pakuberekwa, iwe unogona pane musangano wakazvipira pamuviri nekuberekwa. Pamusangano mumwe chete, unogona kuwana mhinduro kubva kumadzimai nenzira iyi.
Kusarudza nzira yekuisa anesthetic, mukadzi haafaniri kukanganwa kuti kutakura inzira yechisikigo, iyo inopfuura 80% yemhosva haifaniri zvachose kupindira kwechiremba.