Mankhwala ochititsa dzanzi Epidural pobereka: zotsatira ndi ndalama

Akazi ambiri amene wayamba mwana kwa nthawi yoyamba kapena monga kuganizira za mimba, kubadwa ndondomeko wake wowopsa chifukwa cha kupweteka kuti silipita izo. Masiku ano, pali njira zothetsera izo kwambiri.

Mmodzi wa iwo - epidural mankhwala oletsa ululu pobereka, amene amalola kuti Simumva kuwawa pa ntchito. Koma ubwino wake zoonekeratu, pali contraindications.

Kusankha ntchito epidural mankhwala oletsa ululu pobereka, zotsatira za omwe ali payekha kwambiri, kodi dokotala. Pali nthawi zina simungakhoze kuchita popanda. Nthawi zina ntchito mwamtheradi contraindicated.

Choncho, ochititsa dzanzi epidural pobereka sayenera kugwiritsidwa ntchito milandu zotsatirazi:

• osauka magazi clotting ;

• otsika magazi;

• mavuto ndi chingwe msana;

• matenda mantha dongosolo;

• kunenepa;

• matenda pa malo jekeseni;

• mkulu intracranial kuthamanga;

• chifuwa kuti mankhwala;

• magazi.

Zikuonetsa ntchito zake:

• kuthamanga magazi;

• ululu otsika pakhomo;

• m'mbuyo yakucha khomo lachiberekero;

• matenda a impso ndi mtima;

• mavuto ndi diso;

• cesarean gawo.

Kodi adzazunzika ndi ochititsa dzanzi epidural, ndipo zotsatira zake zimadalira makhalidwe munthu wa mayi ndi wokhoza mwa anesthetist. Iwo akhoza zotsatirazi:

• mutu;

• maonekedwe a hernias;

• kupweteka kwa msana;

• ubongo matenda;

• kuchepetsa kuthamanga ndi mavuto kupuma;

• Izo kumawonjezera Mwina wa ntchito forceps, kugwiritsa ntchito gawo la Kaisara ndi postpartum kukha mwazi;

• atabadwa zotheka hypoxia, kulephera kupuma, ndi chopinga wa chitukuko.

Malinga ndi kafukufuku, ndi epidural pobereka kumabweretsa zotsatira zoipa mu 5-10% ya milandu. The akazi ena onse amasangalala ndi mankhwalawa kupambana.

Choncho m'pofunika kuganizira. Ngati kusankha kugwiritsa ntchito njira imeneyi mpumulo ululu, kupeza azamba wabwino ndi dzanzi. Pa ntchito, mosamalitsa kutsatira malangizo awo onse.

Today epidural mankhwala oletsa ululu pobereka, amene ndalama m'zipatala payekha ranges kuchokera $ 100 $ 800 mu zipatala anthu lopanda zizindikiro. Price zimadalira luso la anesthetist ndi dera la bungwe makamaka.

Ubwino wa ntchito:

• kuchepetsa nthawi ya khosi kutsegula;

• wosabadwa limayenda bwino kudzera m'njira kubadwa;

• ululu likuchotsedwa kwathunthu;

• mkazi wobala ndi ku chikumbu mtima wonse;

• kumachepetsa zoipazi;

• oyenera akazi a m'badwo uliwonse.

Ndi zogwirizana amene contraindicated mtsempha ndi inhalation ochititsa dzanzi. Mwakhama ntchito gawo la Kaisara. Ichi chizathandiza mayi latsopano kumva kulira loyamba la mwanayo ndi angagwirizanitse ku chifuwa.

Childs, mlingo pobadwa kuchita masamu kuti dzanzi nkhondo, ndipo anayesa mopanda phindu kwenikweni zapita. Zimenezi zimathandiza mayi kuti kupuma ndi kupeza mphamvu. Ngati kunali kulakwitsa ndi mawerengedwe a mlingo, mwina kusokoneza ndi kutha kwa mchitidwe wa ubeleka. Nthawi zina mankhwala othetsa ululu komanso kuyesetsa, ngati iwo ali contraindicated. Komabe, izi kumafuna luso kuchokera azamba-gynecologist.

Kodi kuchita ndi epidural pobereka, ndi kuwawa? Iwo midadada zilakolako kuti apite pamodzi makungwa mitsempha. mankhwala lidocaine wa mtundu ndi kutumikiridwa mu danga epidural, ndipo ndi osambitsidwa ndi mizu msana anakafika m'menemo.

Puncture zichitike malo atakhala, kupinda patsogolo kapena kunama litapotanitsidwa kalachikom.Predvaritelno tinsalu zamizidwa ndi kusakhala ndi kuchizidwa ndi antiseptic. Kudzera singano catheter ndi anaikapo, ndi limene mankhwala akulowa. Choyamba, ntchito mayesero mlingo. singano ndi zikafika, ndi catheter ndi Pamilunguyo ndi zomatira tepi. Kwa onse dzanzi oyang'anira udindo wa mayi ndi zimene anachita kwa mankhwala. Iye akhoza kusintha mlingo umene ukubwera.

Motero, njira imeneyi amapereka mkazi kusankha. Kapena kulekerera kwambiri kupweteka, kapena pa ntchito samaona. Njira ali zizindikiro, contraindications ndi zotsatira zake. Choncho, ntchito ayenera kukhala chogwirizana ndi azamba anakonzeratu ndi dzanzi.