Yokutindivadza pakusununguka - ayo mifananidzo, zvakanakira nekuipira

Kubereka - haisi chete refu-akamirirwa pamusangano mwana, asiwo zvisingatsungiririki vakawanda pamuviri kurwadziwa. Sezvo pachikumbaridzo marwadzo nehanya zvachose zvakasiyana, saka marwadzo mukadzi mumwe nomumwe achava akasiyana. Hapana anogona kutaura pachine kana yokutindivadza inodiwa iwe kana kwete. Asi iwe uchiri kuziva kuti yokutindivadza pakusununguka - ndiyo nzira yakanakisisa yokubatsira mukadzi anorwadziwa zvikuru.

Ngatitarisei chii vari mhando akasiyana yokutindivadza, avo zvakanakira nekuipira.

Kana inhalation yokutindivadza mukadzi anoziva. Panguva yakadururwa iye achatanga hondo raitevera, inofanira fema inhaler kana gasi. Kushandisa ichi rufimbi isoflurane, nitrous oxide, methoxyflurane, trichlorethylene, nitrous vasanganise okisijeni uye senitrogen. The chikuru mukana nzira iyi - duku nguva penguva pakati gasi Absorção de Água uye chiito chinoshanda.

yokutindivadza Local pakusununguka inodiwa kuti analgesia nomunhu nhengo dzomuviri. Somuenzaniso, panguva kwetsinga kana stitching crotch. Zvinonzi vakaurayiwa jekiseni ane rufimbi zvinodhaka. yokutindivadza Izvi hazvirevi kuderedza marwadzo panguva basa.

Regional yokutindivadza ndeyokuita kure vakawanda mhando yokutindivadza. Kune mhando mbiri yokutindivadza dzakadaro: nhengo dzomuviri uye musana.

Nhengo dzomuviri yokutindivadza pakukurukura kunosanganisira yachengetwa unonyaradza marwadzo rufimbi ari lumbar munzvimbo kuti nhengo dzomuviri nzvimbo pakati vertebrae. Rine dzakawanda zvakwakanakira:

• mukadzi vanoziva;
• yokutindivadza kunoitika zvishoma nezvishoma, hazvina chokuita akatsiga mudzimu kumwoyo;
• It haakonzeri kufema bundu;
• tinogona kuwedzera unonyaradza marwadzo kuburikidza anobudisa mushonga zvishoma nezvishoma wakasara ponji pamusoro intervertebral nzvimbo. Somuenzaniso: kana yokutindivadza chakaitwa pakuzvarwa, asi avo rwokuzvarwa muitiro hazvibviri, ipapo oparesheni (caesarean chikamu) kuburikidza anobudisa mushonga zvishoma nezvishoma mamwe dose pamusoro rufimbi chinotarisirwa;
• hama gwenya kugona zvikaramba.

Chero basa kurwadziwa hazvo ane nemimwe migumisiro. No kunze uye nhengo dzomuviri yokutindivadza. Matambudziko pashure zvingava zvakasiyana:

• chiveve uye anoshuwisa makumbo. Zviri kwomuzvarirwo kwokubatsira zvinodhaka;
• muviri wose wokudzedzeresa, kunounza kusagadzikana. No mukana ngozi;
• pavakanzwa rufimbi. Kunogona kukonzera zvakasiyana siyana zvirwere zviri mumuviri. Kana iwe uri sema kune mishonga vanofanira kuzivisa anesthesiologist;
• achideredza kumanikidzwa kuti anesthesiologist anogona kukurumidza kubvisa pakatanga yesaline uye spetspreparatov;
• asina kunaka kwechirwere yokutindivadza pamusoro kufema tsandanyama, zvichiita kuperevedza mhepo. Okisijeni panobviswa nokutumira kuburikidza asingazivikanwi;
• rinopa unonyaradza marwadzo ari venous pamubhedha. Izvi zvingaita kuti kurasikirwa pfungwa uye, zvinonyanya kukosha, kusvikira nokuvhiringidzirwa moyo;
• nemusoro uye kurwadziwa lumbar nharaunda kwemazuva mashomanana pashure pokuberekwa;
• rarest uye ngozi zvikuru nemamwe matambudziko - ropa ari nhengo dzomuviri nzvimbo, kukuvara tsinga, kuoma makumbo.

Zvikuru kushandiswa yokutindivadza nokuda caesarean chikamu - musana yokutindivadza. Izvi sumo rufimbi ari subarachnoid nzvimbo pakati vertebrae. Kunoda ponji Kamudzira kuti runopoteredza musana. Izvi zvinoreva kuti tsono vachange kusumwa zvikuru zvakadzama. Its zvakwakanakira:

• anaesthetises kwazvo;
• kumwe pashure 2 maminitsi zvinoita kutanga oparesheni;
• chiedza - pane bhuku pfungwa kuti kuisa tsono;
• kana vanhuwo sumo mudziyo haakonzeri CNS.

payakaipira:

• unonyaradza marwadzo mugumisiro yakatora anenge 2 h. Kana zvichiita caesarean chikamu kunodiwa kuramba jekiseni;
• nokuda nokukurumidza kutanga chiito uye marwadzo mishonga kungaderedza BP;
• Headache pashure pokuvhiyiwa kwemazuva 2-3;
• kururama nzvimbo anobudisa mushonga zvishoma nezvishoma zvinogona kukonzera refu blockade tsoka uye tikarega musana kana musana kunotevera.