Mankhwala ochititsa dzanzi Epidural kwa gawo cesarean: zizindikiro ndi ubwino

Pamene funso n'lakuti za kusankha mankhwala ochititsa dzanzi pa nkhani ya amayi apakati ndi n'komwe angapo zizindikiro, ikuchitika MAGAZI ndi ultrasound diagnostics, zinthu kumatanthauza chiopsezo ndi zinthu pathological wa mayi tsogolo ndi mwana wosabadwayo. Epidural ochititsa dzanzi pa gawo la Kaisara liyenela zounikira ambiri mankhwala. Ndipo kulibe kudabwa: Mosiyana ndi ochititsa dzanzi ambiri, njira zambiri zochepa chiopsezo cha matenda oyamba ndi contraindications.

Epidural ochititsa dzanzi pa gawo la Kaisara amakonda limati kuvutika kwa mtima ndi chiyembekezo chifukwa cha kusowa kufunika kokhala ndi endotracheal chubu zimasunga ntchito zachilengedwe kupuma ndi mlingo nazo kwambiri analgesic zotsatira. Ubwino, wodwalayo amazindikira ndi kulankhula mokwanira.

Epidural ochititsa dzanzi pa gawo la Kaisara amapereka zosangalatsa pafupifupi khoma m'mimba, ndi chifukwa kuti zinthu zonse zofunikira zokhudzana ndi m'zigawo wa mwana wosabadwa ndi phukusi opaleshoni akhoza kuchitika ndithu bwino. Njira postoperative kunali kosavuta kwa usiku woyamba kukuonetsedwa kulandira mankhwala othetsa ululu. Kusangalala ndi odwala kubwerera ku moyo wabwinobwino mofulumira.

Epidural ochititsa dzanzi zakonzedwa ena zikuonetsa chamankhwala gawo cesarean. Mwachitsanzo, pa nthawi imene m'pofunika kupuma akulembayo (matenda a m'mapapo), myasthenia ndi njira zina pathological mu zimakhala minofu yosalala, popanda kuthekera kwa ntchito mankhwala amphamvu ndi relaxants, akapanda ichi, palibe mtengo ambiri ochititsa dzanzi.

Kuchita popanda contraindications, monga limati mantha, magazi, yoopsa hypoxia, DIC, atrioventricular chipika wachiwiri ndi apamwamba madigiri kuvulazidwa msana, msana ndi CNS chiyambi organic, tsankho ndi mankhwala ntchito mankhwala ochititsa dzanzi.

Epidural analgesia amatanthauza choimira dera ochititsa dzanzi. Mu mtundu uwu, pali view wina - msana ochititsa dzanzi. losiyanasiyana zosakhalitsa gawo inayake ya mankhwala ochititsa dzanzi ndi nthawi yake. Ndi osiyana ndi malo zakayendesedwe ka mankhwala, ngakhale singano womwewo anaikapo mu ngalande msana. Pamene msana ochititsa dzanzi mankhwala mankhwala ndi kutumikiridwa mu malo msana, umene wazunguliridwa ndi chipolopolo olimba. Pamene mankhwala chikuyendetsedwera epidural danga msana pakati pa msana ndi zida ligamentous. Msana ochititsa dzanzi pa gawo la Kaisara angagwiritsidwe ntchito pakalibe contraindications ndi mavuto zotheka. Ngati kuyembekezera panthaŵi opareshoni, zokonda zapatsidwa epidural mankhwala, chifukwa Kutalika kwa iye pang'ono. Ndi mitundu onse ali mofanana oletsedwa n'zotheka kutengeka ndi kayendedwe ka miyendo m'munsi ndi thupi mu mafupa a chiuno ndi pamimba.

Akazi ambiri amene ali ndi epidural pamene anasankhidwa ndemanga Kaisara gawo kusiya positive. Ena anatha kuyerekeza zotsatira za mankhwala ochititsa dzanzi ambiri, anazisiya, ndi mtundu wa mankhwala ochititsa dzanzi. Iwo yodziwika ndi isanayambike mofulumira kanthu analgesic, kulankhula pa opareshoni ndi chimwemwe kuganizira mwana wake yomweyo pambuyo m'zigawo. Ayambe mofulumira thupi ndi mmodzi mwa ubwino waukulu wa mtundu uwu wa mankhwala ochititsa dzanzi.