Loluhlobo lwe-anesthesia selusetshenziselwa ukuhlinzekwa nge-anesthhesia yokusebenza komzimba nokubeletha, okunzima ukucindezelwa kwegazi, i-gestosis, i-breech iphrezentheshini ye-fetus, kanye nangesikhathi sokusebenza kwesigaba se-cearean. Isimo sosana sithinteka yizici eziningi: "Umphumela wokusetshenziswa kwemithi uxhomeke emthamo wezidakamizwa, ubude bomsebenzi kanye nesimo sokuqala somntwana; Ezimweni ezingavamile, ngenxa yokusetshenziswa kwe-analgesia ekusaneni, kungenzeka kube nokuphazamiseka kokuphefumula, kanye nokuncipha kwenhliziyo. Kodwa ngokuvamile, njengoba ucwaningo lubonisa, i-epidural anesthesia iphephile kumama nengane. Manje siyazi ukuthi singenza kanjani i-anesthesia yezokwelapha ngesikhathi sokubeletha.
Izinhlobo ze-anesthesia
- I-anesthesia yasendaweni isetshenziselwa ukuqeda izicubu ze-perineum, ijwayele ukusetshenziselwa i-episiotomy - ukuhlaselwa kwe-perineal, futhi emva kokubeletha, lapho kusetshenzwa izigcawu. Esimweni somntwana lolu hlobo lwe-anesthesia alithintekile.
- I-anesthesia jikelele okwamanje isetshenziselwa kuphela ezimweni ezimbi kakhulu, ngokungavamile - ngesikhathi sokusebenza kwesigaba sokuqapha. I-parturient isesimweni esingazi lutho. Emaminithini okuqala, lapho umntwana esesendlini yesibindi, ama-analgesics aphephile ajojowe, okungenakuphazamisa umntwana osanda kuzalwa. Ezimweni ezingavamile, umntwana angase anciphise izinga lokushaya kwenhliziyo nokuphefumula. Njengomthetho, lokhu kwenzeka uma kwenzeka kunoma yikuphi ubunzima lobuchwepheshe ekufakweni kwezingane ezisanda kuzalwa.
- Inhalation anesthesia. Phakathi nale nqubo, umama ubeletha ukusibulala umzimba ngokusizwa ngesimaki esikhethekile. Ngokuvamile kule nqubo isetshenziswa ingxube ye-nitrous oxide ne-oxygen. I-nitrous oxide iyisidakamizwa esibuthakathaka kunalokho. Indlela yokwenza i-anesthesia isekelwe esimweni sokuthokoza ekusebenzeni kwesicelo sayo, okwenza ukuthi izinkinga zingabonakali. Uma i-anesthesia ye-inhalation isetshenziselwa isikhathi eside, izinga lokushaya kwenhliziyo lingase linciphise kusana olusanda kuzalwa, futhi kukhona amathuba okuthi uzozalwa nge-Apgar score ephansi. Loluhlobo lwe-anesthesia yenqubo yobudala alusetshenzisiwe okwamanje.
- I-Epidural anesthesia - ngalesi senzo, i-catheter ekhethekile efakwe esikhaleni phakathi kwegobolondo elinzima lomgogodla kanye ne-vertebrae, isikhala okuthiwa i-epidural, ne-agent ye-anesthetic yangakini ifakwe kuyo.