Njengawo nawuphi na umsebenzi, isigaba se-caesarean sithetha ukusetyenziswa kwe-anesthesia. Namhlanje, ukuphuhliswa kweyeza kuye kwenza ukuba umfazi abe nolwazi ngexesha lokusebenza aze abone umntwana emva kokuzalwa. Oku kubangelwe kwicandelo lokutya kwi-anesthesia yendawo.
Unjani i-anesthesia yomgogodla eyenziwe kwinqanaba le-caesarean?
Ukuqaliswa kwe-anesthesia yomgogodla kwinqanaba elimnyama, umama olindelekileyo uceliwe ukuba alale ecaleni lakhe kwisithuba sombungu okanye ahlale phezulu, wabuyisela umva. Into ephambili kukuba ugobe umgudu. Inxalenye encinci yomqolo kwingingqi ye-lumbar iphathwa ngesisombululo se-antiseptic, ngoko ugqirha usungula inaliti encinci kakhulu kwindawo ye-intervertebral. Kule meko, umlingani ohlalayo uhlaywe, kwaye i-anesthetic ifakwe kwi-cerebrospinal fluid. Emva kwemizuzu emi-5-10, umama wesikhathi esizayo, njengomgaqo, akasayi kuphinda avezwe inxalenye engezantsi ye-trunk kunye nemilenze - ungaqalisa ukusebenza.
Ukutshatyalaliswa kwe-anesthesia yomgulane kwicandelo lokugcina
I-aneshesia yendawo kunye necesarean section ayenziwanga kula maxesha alandelayo:
- ukunciphisa umthamo wegazi;
- ukuphulwa kwegazi okanye ukufakwa komama ozayo we-anticoagulants;
- usulelo kwiziko lokuqhawula;
- uxinzelelo olusandayo lwe-intracranial, izifo ze-CNS;
- ukungabikho komzimba kwi-anesthetics;
- ukuphazamiseka kwentliziyo;
- i-hypoxia yomntwana .
I-anesthesia yomgulane kunye necesarean section-pros and cons
I-anesthesia yomgulane kunye necesarean section icingwa njengenye yeendlela ezikhuselekileyo ze-anesthesia. Phakathi kweenzuzo zale ndlela oogqirha bahlula oku kulandelayo:
- isiphumo esihle se-analgesic (isicatshulwa senza umthambo womgca, kwaye kungekhona kwiimbilini);
- isantya se-anesthetic;
- ukukhululeka kokuphunyezwa (ugqirha ugqiba ngokuchanileyo ubunzulu bokufakwa kwenaliti);
- ukungabikho kwesicatshulwa (i-anesthetic ilawulwa ngendlela encinci kakhulu).
Le ndlela inokungaphumeleli kwayo:
- ixesha elilinganiselweyo (malunga neeyure ezingama-2), nangona i-cearean kunye ne-anesthesia yomgogodla yanele;
- Ukunciphisa ngokukhawuleza kwixinzelelo legazi - ngenxa yesisu kunye nesicefe;
- Iintsuku zentloko zingaphumelela iintsuku - zidibene nelahleko elincinci ye-cerebrospinal yomsinga kunye nokunyanzeliswa kwengcinezelo;
- iingxaki zegazi (iichiza okanye i-bacterial meningitis, ukulimala kwentambo yomgogodla ngokusungulwa kwecatheter ukwenzela ukuba i-anesthesia yomlenze ihlale ihlala ixesha elide).