Imibuzo eyi-7 ejwayelekile mayelana ne-anesthesia ngesikhathi sokubeletha kwesifazane

-Delile

• 1. Yini i-anesthesia enikezwa ngesikhathi sokuzalwa okujwayelekile?
• 2. Yenziwa kanjani i-anesthesia?
• 3. Ngazi kanjani ukuthi i-anesthesia iyasebenza?
• 4. Uhlala isikhathi esingakanani umphumela we-anesthesia?
• 5. Ingabe i-anesthesia inokuphikisana okuthile?
• 6. Ingabe i-anesthesia inemiphumela engemihle?
• 7. Ngabe izinhlungu zokubeletha zingadanjiswa ngendlela engokwemvelo?

Kuvamile ukuthi kube nobuhlungu ngesikhathi sokubeletha okujwayelekile, njengoba umzimba wowesifazane uba nezinguquko ezinkulu ukuze ingane idlule emgodini wokuzalwa. Kodwa-ke, ezimweni eziningi, kungenzeka ukudambisa izinhlungu ngokwenza i-epidural anesthesia ngemuva nje kokuqala kwezingcindezi, lapho kunikezwa khona amanani amancane we-anesthetics ngakho-ke, kuleli cala lolu hlobo lwe-anesthesia lungasetshenziswa futhi. i-analgesia.

Kwabanye besifazane, i-epidural, ngaphezu kokubususa ngokuphelele ubuhlungu, futhi ingashintsha ubuzwela ekucindezelweni futhi, ngakho-ke, udokotela angasebenzisa ithuluzi ukukhombisa ukuthi owesifazane okhulelwe unesifinyeto nini, ukuze akwazi ukusunduza nokusiza ingane ezozalwa.

Ngezansi, okunye ukungabaza nge-anesthesia ngesikhathi sokubeletha kuyacaciswa:

1. Yini i-anesthesia enikezwa ngesikhathi sokuzalwa okujwayelekile?

I-anesthesia enikezwa abesifazane abakhulelwe ngesikhathi sokubeletha okujwayelekile yi-epidural, esetshenziswa esifundeni se-lumbar, esikhaleni se-vertebral, ukuze kufinyelele izinzwa zesifunda, kunikeze i-analgesia lapho nokusukela okhalweni kwehle. Funda kabanzi mayelana ne-epidural anesthesia.

2. Yenziwa kanjani i-anesthesia?

I-Epidural anesthesia inikezwa owesifazane okhulelwe ehlezi noma elele ngohlangothi, amadolo nesilevu kufakwe. Udokotela obulala izinzwa uvula izikhala eziphakathi komgogodla womgogodla ngesandla sakhe, bese efaka inaliti nethambo leplastiki elincanyana, elibizwa ngokuthi i-catheter, elidlula maphakathi nenaliti, okuyilapho udokotela ejova khona umuthi wokubulala izinzwa.

3. Ngazi kanjani ukuthi i-anesthesia iyasebenza?

Lapho i-anesthesia iqala ukusebenza, owesifazane okhulelwe uqala ukuzwa ukulahlekelwa okuqhubekayo kwemizwa, ukushisa, isisindo emilenzeni yakhe nokushoshozela. Kodwa-ke, udokotela obulala izinzwa uzohlola izinga le-anesthesia ukubona ukuthi owesifazane okhulelwe ukulungele yini ukubeletha.

4. Uhlala isikhathi esingakanani umphumela we-anesthesia?

Imiphumela ye-anesthesia ingahlala ihora elilodwa noma amabili ngemuva kokuzalwa kwengane, okuyilapho kukhishwa khona ipayipi, futhi owesifazane angathola ukuba ndikindiki ezithweni zakhe ezingezansi.

5. Ingabe i-anesthesia inokuphikisana okuthile?

I-Epidural anesthesia iyaphikiswa kwabesifazane abangenwe umuthi wokubulala izinzwa, abanezitho zokufakelwa komgogodla, izifo ze-coagulation, abathatha ama-anticoagulants, abanokutheleleka emuva noma izinga eliphansi lama-platelet egazini.

Ngaphezu kwalokho, akufanele futhi kunikezwe uma udokotela engakwazi ukuthola isikhala se-epidural, noma uma ukulethwa kwenzeka ngokushesha okukhulu, okwenza i-anesthesia ingakwazi ukuphathwa.

6. Ingabe i-anesthesia inemiphumela engemihle?

Umphumela ovame kakhulu we-analgesia ukwehla komfutho wegazi. Ngaphezu kwalokho, eminye imiphumela engahle yenzeke ubuhlungu obuphansi emuva, izilonda zesikhumba, esifundeni lapho kwenziwa khona i-anesthesia, ikhanda, elingavela emahoreni ambalwa emva kokubeletha, ukundindizela, isicanucanu nokuhlanza, ukulunywa nokugcinwa komchamo.

7. Ngabe izinhlungu zokubeletha zingadanjiswa ngendlela engokwemvelo?

Yize ukusebenza kuhluke kakhulu kulokho okutholwe nge-epidural anesthesia, kwabesifazane abakhulelwe abangafuni ukusebenzisa i-anesthesia ngesikhathi sokubeletha okujwayelekile, kunezindlela ezithile zemvelo ezisiza ukulawula izinhlungu futhi ezibandakanya:

• Ukubhucungwa okwenziwa nguzakwethu, ngesikhathi sokulethwa, esikhathini esiphakathi kokuphambana;
• Phefumula ngokujulile ngesikhathi sobuhlungu obukhulu kakhulu bese uphoqa ingane ukuthi izalwe;
• Sebenzisa amasu anjengokukhanda noma i-acupressure ukudambisa izinhlungu;
• Yiba nenkululeko yokuhambahamba ngesikhathi sokuphambana.

Ngaphezu kwalokho, kubaluleke kakhulu ukuthi owesifazane okhulelwe athathe konke ukungabaza nodokotela obelethisayo ngesikhathi sokubeletha ukuze kuthi ngesikhathi sokubeletha, azizwe ezethemba eqenjini lezokwelapha futhi azi ukuthi kuzokwenzekani, enza lula ukuphumula. Bona uhlu oluphelele lwamathiphu wokuqeda izinhlungu zabasebenzi.