Kufanana nekushanda chero kupi zvako, chikamu chekudya chinosanganisira kushandiswa kweanesthesia. Nhasi, kukura kwemishonga kwakaita kuti zvive nyore kuti mukadzi ave nehanya panguva yekuvhiya uye oona mwana achangoberekwa. Izvi zvinokonzerwa nechikamu chekushaya chirwere pasi peanesthesia yekunzvimbo.
Ndeipi inonzi anesthesia yepelinha yakaitwa pachikamu chechiesarea?
Nokuda kwekuiswa kwepelin aneshesia mune chikamu chekudzivirira, amai vakatarisira vanokumbirwa kuti vete parutivi rwake mumamiriro embryo kana kuti vagare, vakamugombedzera shure. Chinhu chikuru ndechokusimudza zvakapetwa. Chikamu chiduku chemashure munharaunda yekambarari inotapurirwa nesariseptic solution, saka chiremba anotanga nenyuchi yakapfava mukati mekudzivirira nzvimbo. Muchiitiko ichi, girasi rekugara rinorohwa, uye anesthetic inorohwa mu cerebrospinal fluid. Pashure pemaminetsi mashanu, amai vekuuya, sekutonga, havasati vava kunzwa chikamu chepasi chedu nemakumbo - unogona kutanga kushanda.
Kupindirana kwepinini anesthesia muchikamu chekusiya
Yenharaunda yeanesthesia ine chikamu chekudya haisi kuitwa mumatambudziko anotevera:
- kuderera kweropa guru;
- kupesana kweropa coagulation kana kubvumirwa kwemai anouya anticoagulants;
- hutachiona pazhenje nzvimbo;
- kuwedzera kwechisimba chisingaiti, zvirwere zveNCS;
- kurwara kune anesthetics;
- moyo rhythm kuvhiringidzika;
- hypoxia we fetus .
Mutsara anesthesia ane chikamu chemahesera - pros uye cons
Mutsara anesthesia ane chikamu chechiesarea inoonekwa seimwe yenzira dzakachengeteka dzeaneshesia. Pakati pezvibatsiro zveyi nzira madhere anosiyanisa zvinotevera:
- iyo yakanakisisa inogadzirisa (mishonga inoshanda pamutsara wemusana, uye kwete pamitsipa);
- kukurumidza kwehupenzi;
- kusununguka kwekushandiswa (chiremba anonyatsotsanangura kunaya kwetsono kuisa);
- kusabatwa kwe systemic toxicity (anesthetic inoshandiswa mumutengo muduku zvikuru).
Iyi nzira ine zvipingamupinyi zvayo:
- nguva shoma (inenge maawa maviri), kunyange zvazvo ichivhara nemaspine anesthesia ichi chakwane;
- kunononoka kuderera mukati mehutano hweropa-sechikonzero chekuzora uye kusuruvara;
- mushure mekuputika musoro kunogona kugara kwemwedzi - inobatanidzwa nekurasikirwa kwechikamu cheperebrospinal fluid uye kusina simba kusagadzikana kwechisimba;
- neurological complications (makemikari kana bhakterial meningitis, musana wechipfupa kukuvadzwa nekuiswa katheter kwenguva refu yepine anesthesia).