Izinhlobo ezisetshenziswayo ze-anesthesia ezingxenyeni ezigciniwe zihlukaniswe zibe izingxenye ezimbili: i-anesthesia ejwayelekile, kanye ne-anesthesia yesifunda. Ku-anesthhesia yesifundazwe emhlabeni ngenxa yokusebenza, i-anesthesia ye-epidural, i-anesthesia yomgogodla kanye nokuhlanganiswa kwezi-anesthesia zomgogodla zisetshenziswa.
I-anesthesia ejwayelekile
Eminye iminyaka engu-10 eyedlule, i-anesthesia ejwayelekile yayinhlobo oluyinhloko lwe-anesthesia engxenyeni yokulahla. Ochwepheshe abanesifo esiphephile se-anesthesia yesifunda akwanele. Okwamanje, i-anesthesia jikelele isetshenziswa kuphela ezimweni ezingavamile:
- Ngaphambi kokuphikisana ne-anesthesia ye-epidural kanye nomgogodla (ukuphuma kwamanzi, i-coagulopathy, thrombocytopenia, njll);
- Ezimweni ezithile ezithintekayo (ukuguquka kwesigxobo somzimba, isikhundla esinqamulelayo se-fetus, njll);
- Ezimweni eziphuthumayo, uma kungekho isikhathi sokulungiselela nokuqhuba i-anesthesia yesifunda.
Ngesigaba sokudla, i-anesthesia jikelele ibangela izinkinga eziningi futhi kunzima kakhulu ukuthwala kunomunye wendawo. Uma ukukhulelwa kushintshela ukuphefumula kwendlela yokuphefumula, ngakho-ke kunezinkinga nge-intubation ye-trachea. Ingozi yokungena kokuqukethwe kwesisu esiswini lokuphefumula isanda kakhulu, okwenza i-pneumonia nokuhluleka okukhulu kokuphefumula. I-anesthetics, esetshenziswe ku-anesthesia jikelele, ishaya "umzimba" ngokuqinile umzimba hhayi umama kuphela, kodwa futhi nomntwana. Izingane ezisanda kuzalwa zingaphazanyiswa ukuphefumula, isimiso sezinzwa sicindezelekile. Kukhona ukulibazisa, ukulala, ukunyuka ngokweqile, okwenza kube nzima odokotela ukuba benze isiphetho ngesimo sensana.
I-anesthesia yesiFunda
I-epestural and anesthesia yomgogodla endaweni yesigcawu ibhekwa ngokuthi "izinga legolide" le-anesthesia. Lezi zindlela zifana nomunye. "Baqeda" ubuhlungu kuphela endaweni ethile yomzimba. Ngesikhathi esifanayo umama usemqondweni futhi angabona ukuzalwa kwengane yakhe. I-anesthesia yesiFunda iyenziwa nge-puncturing futhi injecting anesthetic emhlane ongezansi - endaweni ekhethekile eduze nomgogodla.
Umehluko wukuthi imithi ene-anesthesia yomgogodla ifakwe inaliti emanzini ahlanzekile. Lokhu kungukuthi, lokhu kungumjovo ojwayelekile. Futhi nge-anesthesia ye-epidural, lesi sidakamizwa sijojowe nge-catheter efakwe, ehlala emzimbeni kuze kube sekupheleni kokusebenza. Ngalo, kulula ukuphatha ezinye izidakamizwa ngaphandle kokuphindaphinda.
Nge-anesthesia yomgogodla, i-anesthesia ivela emaminithini angu-10-15, futhi nge-epidural ngemva kwemizuzu engu-20-30 kuphela. Nge-anesthesia ejwayelekile, isiguli asizwa sizwa ubuhlungu. Futhi nge-anesthesia yesifunda, isimo sihlukile. Akuyona into engavamile kakhulu emva kwesifo se-anesthesia esifundazweni ukuthi i-parturient iyaqhubeka izwa ubuhlungu. Ngezinye izikhathi isizathu siyisici ngasinye somuntu. Ngezinye izikhathi, lapho kuqala ukulwa, isimiso sezinzwa sisindiswa futhi asivinjelwe ngokuphelele. Kodwa ngezinye izikhathi isizathu sokungafaneleki kwe-anesthesia yesifunda yiphutha le-anesthesiologist.
Uma ubuhlungu phakathi nesikhumba se-cearean buhlala ngemuva kwe-anesthesia yomgogodla, odokotela bavame ukushintshela ku-anesthesia jikelele. Kodwa njengoba i-anesthesia ejwayelekile ingaphephile kowesana, ngokuvuma komama, umsebenzi ungaqhubeka nobuhlungu obukhulu kakhulu. Amacala anjalo, ngeshwa, awahlukile. Ngakho-ke, abesifazane abakhulelwe abahlela isigaba sokudla esingenabuhlungu "ukuze bangaboni ukubeletha, kufanelekile ukucabanga ngokucophelela ngemiphumela.
Uma ubuhlungu buzwa ngemva kwe-anesthesia ye-epidural, isixazululo silula. Umthamo omusha we-anesthetic usungulwa nge-catheter. Iqiniso, lizosebenza kuphela uma i-catheter ifakwa kahle. Ngaphezu kwalokho, umthamo owengeziwe wemithi yobuhlungu ungathinta ingane esanda kuzalwa.
Ukungafani: ukutheleleka emkhakheni we-anesthesia, ukubekezelelana ngabanye, ukuphazamiseka kwegazi, ama-platelets aphansi, njll.
Imiphumela: emva kwe-cearean nge-anesthesia ye-epidural, kuphakama ikhanda elinzima elidinga ukuvuselelwa. Ngemuva kokuthi "i-spinalka" - ikhanda lika-kichwa alinamandla kakhulu.
Izinzuzo: uma kuqhathaniswa ne-anesthesia ejwayelekile iphephile kakhulu kumama nengane.