Anesthesia ukulethwa: ngobuhle nangobubi bawo

Lokho kwakuhamba kahle kwezinyanga eziyisishiyagalolunye sokulinda, ngokushesha umndeni wakho uzobe unezela. Kodwa eduze usuku ukubukeka ingane, ukwesaba ngaphezulu kukhona umama esizayo. Abaningi abazimisele ukuchitha ukulethwa izinzwa. Kodwa lokhu kuyinqubo engokwemvelo ukuthi yilowo nalowo owesifazane osuke kalula ukubhekana ngaphandle imithi ebulala izinzwa.

Lesi sihloko uzobe anikelwe le nkinga, njengoba ukulethwa izinzwa, izinzuzo nezingozi kuyothiwa wachaza ngokuningiliziwe. Yini esongela lokhu ukungenela ingxenye obstetricians wena nengane yakho engakazalwa, nawe bayofunda. Izinhlobo nokubeletha ukukhululeka ubuhlungu kungaba nhlobonhlobo. Kuyini lokhu? Funda mayelana kuwo.

ukulethwa Anesthesia: Midwifery, izindlela ezintsha

Phakathi ngemihelo kubangelwa imisipha spasm, okuyinto iyakhula ngenxa ukukhululwa kwe-adrenaline. Ngokuvamile, owesifazane kuhlaselwa uvalo is sahlanganisa ukuhlushwa.

Anesthesia ukulethwa owesifazane nasengqondweni okulungiselelwe ngamabomu wafika uhlela ukuzalwa komntwana, avame kungadingeki. Nokho kukhona izimo lapho izinzwa wenziwa udokotela.

Izimpawu ze-izinzwa

Yenza ukukhululeka ubuhlungu lapho bebeletha, uma kukhona:

• wazalwa kungakabi isikhathi;
• ubuhlungu obukhulu;
• eside;
• nokukhulelwa izingane eziningi ngasikhathi;
• izithelo ezinkulu ;
• kwesigaba cesarean;
• ekukhandlekeni kancane;
• hypoxia fetus;
• isidingo kokungenela kuhlinzwa.

Uma kungekho kulokhu okungaphezulu is hhayi waphawula, ke izinzwa nalapho bebeletha ngokuvamile akudingeki.

izinhlobo izinzwa

imithi yesimanje anganikeza lezi zinhlobo ezilandelayo izinzwa ngesikhathi sokubeletha: wezokwelapha kanye nezidakamizwa. Kulokhu, udokotela wakho kufanele yena ukhethe uhlobo izinzwa ukuthi ngeke kukulimaze noma ingane yakho. Kufanele kuqashelwe ukuthi umama yena angeke liqoke ukukhululeka ubuhlungu, uma bungekho ubufakazi ngqo lokhu.

izindlela impumuzo nokubeletha ubuhlungu Non-izidakamizwa

Leli qembu indlela ephephe kunazo iyathandwa ikakhulukazi phakathi obstetricians. Yini osebenza lapha? umzimba ukusebenza futhi elula ukuthi ungaqala noma nini zomsebenzi: kutivocavoca, massage ejwayelekile, futhi reflexology aquatherapy.

Naphezu ukutholakala zokwelapha ngempumelelo ngaphezulu, abaningi abashiya ngamabomu nabo bakhetha non-izidakamizwa. analgesia ngokwemvelo kwi ehlanganisa nokubeletha:

• Umsebenzi;
• ukuphefumula efanele;
• massage;
• lokuzalwa amanzi;
• Reflexology.

Ukubukeka ingane - lena isenzakalo esibaluleke kunazo zonke ekuphileni kwakho. Shiya kuphela esiqala emihle kosuku, ungasiza izindlela non-izidakamizwa wokukhululeka ubuhlungu esabeletha, le nkulumo ayinankinga futhi ewusizo kokubili wena kanye nengane yakho.

Umsebenzi ngesikhathi sokubeletha

Kubalulekile kakhulu ukukhetha izimpi sokuma zokungenelela kungakonakali kanjalo ingasi ukungenzi litho. Zisize wena kanye nengane yakho wayeyozalelwaphi. Uma ungazange zaphazamisa zabasebenzi, khetha umzimba bona bebodwa, okubaluleke kakhulu, ukuze kube lula. Nokho, ukunyakaza abukhali akuvumelekile. Thatha inothi engqondo lokhu okulandelayo:

• kweqa kusukela uzwane ukuze ngesithende;
• wathi ukugoba, kuse ecaleni;
• ukhalo jiggle, motion isiyingi;
• eguqa futhi isiyaphuma yomgogodla;
• ukuzungeza esebenzayo;
• wahosha ku fitball.

ukuphefumula umzimba

Ukuze ufunde amasu ukuphefumula ezidingekayo ngaphambi kokubeletha, ngesikhathi sokukhulelwa. Plus le ndlela - kungenzeka ngokuhlanganisa nezinye izinhlobo ukukhululeka ubuhlungu. Akudingeki kweso lwezokwelapha, wena uyakwazi ukulawula inqubo. Uyozwa impumuzo ngokushesha, futhi okubaluleke - thatha yena esandleni. Kukhona amasu athile ukuze ukuphefumula izivivinyo. Uma uzoba khona lapho ezalwa othile omaziyo, yena kumele batetayete nalaba umzimba ukusiza inqubo yokuzala wena.

Isebenza kanjani? Kuyadingeka ukuba zikuphazamise yena ubuhlungu, bagxile uphefumulele phezulu. Kuyini ezijulile futhi abushelelezi, kuba lula ngawe nengane yakho, ngoba uthola umoya-mpilo owengeziwe. Futhi uma indlela enjalo isetshenziswa ngesikhathi esifanayo ne -oxygen buso, umphumela kuyoba ngcono kakhulu, ingane yakho izonethezeka. Kunezindlela eziningana lezinkathi, phakathi kwesikhathi lapho umoya kumele lingafani:

• impi yokuqala;
• ukwandisa in ukushuba Kufinyeta;
• Ukudalulwa wesibeletho;
• phakathi kweminye imizamo.

Phakathi izimpi lokuqala

Lolu hlobo is zihlukaniswa yokuthi kuba ukuphefumula bushelelezi futhi ezijulile ukuthi oxygenates igazi ingane kanye nonina. Gxila ekugcineni. On namacala amane uhogele ekhaleni bese exhale ngoba umlomo eziyisithupha. Izindebe kufanele eligoqiwe tube. Kungenzeka ukuthi uphazamisekile kusukela ubuhlungu, yokuzijwayeza inika umphumela okuphumuzayo. Ingasetshenziselwa ngisho ngesikhathi ninetwetwe noma ukucindezeleka okunzima ukuphila okuzinzile.

Nge izimpi okukhulu

Ngalesi sikhathi, udinga ukuzola, manje yisikhathi ukusebenzisa inqubo inja umoya. Lezi izinto ezingasho lutho, umoya engajulile umlomo, ulimi lidinga baba kancane emlonyeni wakhe. Musa cabanga ngezindlela wena njengamanje bheka, esibhedlela - kungcono indawo lapho kufanele baye bacabange kuphela ngezithombe impilo yakhe, futhi ngomntwana, kulapho ngakho, kholwa kimi, awuwedwa!

Izikhathi dilatation wesibeletho

Lona isiqongo, kubuhlungu lokho kunokuba manje, ngeke! Kodwa kumele sibe sibekezela ke, lapho ebeletha ngoba engalutholanga ngaphandle izinzwa namanje akukhetha imithi indlela. Ubani okufanele kusheshiswe ukuphefumula, ukwenza izinto ezingasho lutho umoya okusheshayo. Izindebe pursed pout, yenza ekhaleni umoya, bese exhale ngomlomo. Lapho impi uyayekela, ukuzola kancane, kungcono udonsa kakhulu umoya futhi ngokulinganayo. Le ndlela ikuvumela ukuba uphumule umhelo kancane.

isikhathi imizamo

Zonke okubi kakhulu iphelile, izimpi manje. Umntanakho maduze azalwe. Uma lokuzalwa ayiyona inkimbinkimbi, umntwana uzovela emva 1-2 imizamo. Kuyadingeka ukuba push izikhathi 2-3 imizamo. Ungethuki, ngoba manje okwamanje wokugcina, cishe kobuhlungu. Uma ukuzidabukela, cha hlonipha oda i obelethisayo, une ukusebenzisa amathuluzi, futhi kusukela okuzokwenza kube buhlungu ngempela. Uma uqala imizamo, udinga sengidonsa umoya, exhale, sengidonsa umoya futhi ukubamba umoya wakho amasekhondi 10-15, kanye nesidingo ukusunduza. Hhayi tuzhtes ididi noma bevivinya amehlo akho, + ngakho ungathola hemorrhoids, imithambo yegazi liqhume amehlo, unhlangothi, nezinye nemiphumela ebuhlungu futhi iyingozi.

Esinye isimemezelo esibalulekile: lena yinkathi ephakathi Kufinyeta nemizamo ize kwakudingeka ngiphumule kodwa nesokuphumula futhi akhe qondanisa umoya wakho. Sidinga ukuqeqesha nsuku zonke ngesikhathi sokukhulelwa, ngesikhathi sokubeletha bakwazi ukudonsa ngokwami ndawonye. Letha umoya automatism, futhi uzoba bebodwa ukulawula wena yenza libe lulanyana enzuzweni yomshikashika wabo.

ezinye izinketho

izindlela zesimanje ukukhululeka ubuhlungu emshikashikeni zihlanganisa uhlu enkulu izinqubo ezihlukahlukene, kodwa ngempumelelo kakhulu (non-izidakamizwa) kukhona massage, amanzi lokuzalwa , futhi Reflexology.

Indlela uhlikihla ngesikhathi sokubeletha? On umzimba kukhona amaphuzu okungatholakala nomthelela kakhulu ukunciphisa kanye athobe ubuhlungu. Esimweni sethu - endaweni sacral. Ungenza lokhu kokubili ngamunye futhi ukucela umuntu elilandelayo. Le ndawo ingaba unhlangothi, ingcosana, massage, ngomusa u-. Ukuze ugweme ububomvu kanye yokucasuka endaweni massage, ngezikhathi gcoba indawo ukhilimu noma uwoyela.

Isiza amanzi? I ngamanzi afudumele lula ukububekezelela ubuhlungu zomsebenzi, amanzi futhi kunomphumela eziphumulele. umama okhulelwe kungathatha bazenzela isikhundla ukhululekile futhi nje uphumule ngenkathi ugweme Ukugodola, imfiva kanye ukujuluka, isikhumba esomile.

Kuyini reflexology? Modern izinzwa ukulethwa futhi kuhlanganisa indlela ezifana ukutshopa. Kuyasiza ukuthuthukisa zabasebenzi kanye banciphise ubuhlungu Kufinyeta. Njengoba ubona, izinketho eziningi, okuzokwenza ukhetha - kungcono isinqumo sakho siqu.

izidakamizwa izinzwa

Ngaphezu kwalezindlela zokudlulisela zemvelo, kukhona ngempumelelo ngaphezulu kodwa, ngokulandelana, yingozi khulu. izindlela zesimanje imithi impumuzo umsiko, indlela kuhlanganisa lokhu okulandelayo:

• epidural;
• ukuvinjelwa umgogodla;
• inhlanganisela umgogodla-epidural;
• izidakamizwa;
• izinzwa wendawo;
• ukuxhuma ukuvinjelwa;
• zinhlungu.

Lezi izindlela kunqunyiwe ezimweni ezibucayi, udokotela wakho futhi kuyilapho elandela inqubekela phambili ukulethwa, ukuqinisekisa ukuthi ingane izalwe iphila futhi iluhlaza. Ngaphambili he has zonke ulwazi mayelana ukukhululeka ubuhlungu futhi ungaba nabo nawe. Zama ukulalela okushiwo udokotela, kodwa uyazi ukuthi ungakwazi futhi kufanele isetshenziswe. Zonke imithi ukuba nezindlela engemihle. Futhi, uma isithathe isinqumo ngomsebenzi ukukhululeka ubuhlungu, kungase kube khona nemiphumela ebuhlungu.

block epidural

Wonke umuntu oye wezwa kuBaba futhi, kodwa hhayi wonke umuntu uyazi butholakala enqubweni eyinkimbinkimbi yokuthela inqubo. Okokuqala, i-analgesia epidural ebeletha kungaba esinqunyiwe noma ephelele. Uma ubelethe ngendlela engokwemvelo, izidakamizwa injected ngesisekelo ukuthi banayo ngokwanele kuphela kuqala esigabeni zomsebenzi (ie Kufinyeta), kuyilapho imizamo umphumela zomuthi siphela. Kulokhu, amasignali ubuhlungu kuphela avimbelwe endaweni ngezansi inkaba, motor ikhono, umuntu ezazi futhi kungaba ukuzwa ukukhala lokuqala komntanakhe. Uma isifiso sakho noma izinkomba ezikhethekile ndikindiki futhi esigabeni zomsebenzi (imizamo) yesibili, kodwa kuyingozi ngoba ungazizwa amasignali umzimba wakho nokubeletha kungaba ngokuphawulekayo imisiwe noma azihambanga kahle. Uma lokhu akudingekile, akuyona imizamo nhlungu, phakathi kwesikhathi lapho ubuhlungu ngcono.

inketho Okwesibili - isigaba cesarean. Kulokhu umthamo iqondiswa ezingaphezu kuka e samuntu odlule, ibuye ivinjiwe motor umsebenzi. Plus le izinzwa - yikhono ngokushesha ubone ingane futhi bamuzwe.

ukuvinjelwa umgogodla

Lokhu kubuye umjovo, elisesifundeni emuva aphansi, ku uketshezi emhlabeni nomgogodla. Lena indlela engabizi, uma kuqhathaniswa nabangu-izinzwa epidural.

buhle:

• uhlale engqondweni;
• umphumela sithatha amahora amabili;
• Lokhu kuwukhulula wonke umzimba wakho kusuka thoracic futhi ngezansi.

nebubi:

• Kungabangela zekhanda ezinamandla;
• kwehlisa umfutho wegazi;
• kungadala nobunzima bokuphefumula.

inhlanganisela Spinal-epidural

Lena ubuchwepheshe empeleni esasisesisha ehlanganisa indlela ezimbili ngenhla. Anesthesia ihlala ngakho isikhathi eside nge umama bayazi. Eyokuqala amahora amabili esebenza izinzwa emgogodleni, njll - epidural.

izidakamizwa

Kungakhathaliseki it kwakuzwakala ukuthi eziyinqaba eziphikisanayo, kodwa izidakamizwa nazo asetshenziswa nalapho bebeletha, kodwa kuyaqabukela, ezimweni ezikhethekile. Lokho ukusetshenziswa kwezidakamizwa? Ziyakwazi:

• "Promedol";
• "Vortala";
• "Leksir";
• "Pethidine";
• "Nalbuphine";
• "Butorphanol."

Izidakamizwa lokuhlukumeza futhi kungenzeka iqondiswa intramuscularly, futhi ngemithambo yegazi (nge ipayipi), ukhetho lwesibili iyona ngempumelelo kakhulu, kusukela kungenzeka ulungise Isikali zomuthi. Le ndlela muhle ngoba ivinjiwe ubuhlungu amahora ayisithupha nonina entsha engase aphumule. Umthelela kwenzeka phakathi nemizuzu embalwa. Yiqiniso, zikhona downsides: mhlawumbe behlisa ukuphefumula, futhi wena kanye nengane.

izinzwa wendawo

It alisetshenziswa okudambisa ubuhlungu ngesikhathi sokubeletha, kodwa ngempumelelo kakhulu uma ufuna wenze imbobo lwesitho sangasese sowesifazane noma yaseZimbabwe ngemva kwekhefu. Imijovo zenziwa ngokuqondile endaweni sangasese somuntu wesifazane, umphumela iza cishe ngokushesha, kuvinjwe isikhashana ubuhlungu kule site umjovo. Ayikho imiphumela emibi ngesikhathi esisodwa akukwazi wena noma ingane yakho.

ukuvinjelwa isizalo

Umjovo senziwa ngqo odongeni sangasese, lapho ubuhlungu ivinjelwe kuphela ngesandla esisodwa. umjovo enjalo yabenza ngqo phambi kokuzalwa kwengane. Isenzo umuthi esingaphansi kwehora futhi ayinayo imiphumela eseceleni. Lolu hlobo lwe-izinzwa asifanele inkathi izimpi.

zinhlungu

Zinhlungu asetshenziselwa ukuphumula, ukwenza imijovo at esigabeni sokuqala lapho Kufinyeta awatholatholakali futhi akuzona njengoba sensitive. Enjalo yezokwelapha izinzwa ukulethwa buthuntubeze yingxenye yokuqwashisa kanye nokuqoqa has umphumela sine wehlise umsebenzi wengane, kodwa akusho aluqede ngokuphelele ubuhlungu. Zinhlungu kungaba kokubili ifomu tablet futhi iqondiswa ngemithambo yegazi noma intramuscularly. Lapho iqondiswa umphumela ngemithambo yegazi ngokushesha.

puerperium

Futhi ukuchitha izinzwa emva kokubeletha. Kungani? Kowesifazane zaziphumula futhi sithole amandla. Yini engase kukuhlupha:

• amajaqamba kubangelwa lesizalo ukusikwa;
• beka amakhefu kanye nezimboni;
• ingathiyeki uhambo yokugezela;
• ubuhlungu besifuba;
• ingono ngokuhlaziya (ngenxa yokudla okunganembile).

Uma ubuhlungu kubangelwa amakhefu kanye nezimboni, sengithembisa amaphilisi ezinhlungu noma amafutha, kodwa uma lokuzalwa wathatha kwesokudla futhi ulandele inhlanzeko yomuntu siqu, ubuhlungu akufanele kube, noma kufanele omncane. Phakathi suturing udokotela kumele anesthetize, nokuthi lokhu kuzokwenzeka - kufanele athuthukise nawe kuxoxwa.

Kunezindlela eziningana ukuze banciphise ubuhlungu esiphansi:

• ukwelashwa amanzi njalo futhi emfushane;
• Ukupholisa ekhethekile pad (ukusiza ukuvimbela edema);
• Isitolo e gasket esiqandisini (ukuba kuluthuntubeze udosi ubuhlungu);
• Vulela i kwelulama;
• ngaphansi uhlupho indawo ukusikeka kanye amakhefu (ukugwema ukutheleleka ngegciwane, ungamenzi ukunyakaza kungazelelwe ukuthi Nikela ukululama ngokushesha);
• elikhethekile esihlalweni isiguqo (ucindezela zokukhekheleza on endaweni inkinga).

Izinhlungu ezihambisana lesizalo ukusikwa, shiya wedwa ngesonto emva ukuzalwa komntwana. Ukuze wehlise kubo:

• ukwenza umzimba ekhethekile;
• elele ngesisu sakhe;
• ukwenza massage.

Iqolo ukusiza ukwenza lokhu okulandelayo: amanga endaweni eqinile, futhi ungagobisi umlenze ngakwesokudla amadolo bese ugcine kwedolo ngesandla sakhe sokunene. ngesandla sobunxele ukhombe esithendeni unyawo ilungelo imbilapho. Hlala kulesi sikhundla imizuzwana embalwa, uphumule bese uphinda. Uma ubuhlungu emuva ohlangothini lwesobunxele, khona-ke yenza yonke obufanayo unyawo lwesobunxele.

Izibuyekezo

Abesifazane ababekwa ngaphansi izinzwa ngesikhathi sokubeletha, imicabango yabantu mayelana zonke izinhlobo izinzwa ukushiya okuhle nokubi. Lonke Imfihlo yokuthi zonke umzimba ihlukile, okuyinto indlela okufanele, akekho owaziyo. Abesifazane abeza ukuvela ingane wemfanelo woza, ithi wakhetha ngamabomu non-kwemithi impumuzo umsiko: zonke izidakamizwa zokukhwabanisa inemiphumela emibi ezithinta isimo futhi ingane kanye impilo kamama. Okunye omama bathi kahle izinzwa ukuba banqobe nalolu sizi lula kakhulu.

Zokubeletha - inqubo yemvelo, futhi thina ngokwethu angabhekana ngayo ubuhlungu ngesikhathi sokubeletha, ngokuvumelana iningi labesifazane. Lapha, bathi, kubaluleke kakhulu ukuba nasengqondweni lelungiselelwe, ukwazi namasu ukuphefumula, ukuze azigcine ekhuthele, ukulalela iseluleko udokotela.