Izinzwa Epidural sesigaba cesarean: izinkomba kanye nezinzuzo

Lapho kuphakama umbuzo mayelana choice of izinzwa esimweni abesifazane abakhulelwe, is kunakwe eziningi izinkomba, kwenziwe ukuhlolwa kwegazi ne-ultrasound ukuhlola, kuchazwa engcupheni nemibandela sokugembula kukamama esizayo futhi ingane. izinzwa Epidural ngesikhathi Ukubeletha kudinga izinkanyiso kakhulu ekwelapheni. Futhi akumangalisi: Ngokungafani ukubulawa kwezinzwa okuvamile, le ndlela has ingozi ingasaphathwa yezinkinga kanye contraindications.

izinzwa Epidural at Ukubeletha akufaki uthi bacindezeleke ezisekujuleni kwenhliziyo futhi nokufuna kugunyazwe ugqozi ngenxa yokuntuleka isidingo sokusebenzisa i-tube endotracheal ivikela umsebenzi yemvelo zokuphefumula futhi ezingeni possesses nethonya elijulile analgesic. Sinazo zonke lezi zinzuzo, isiguli bayazi futhi bakwazi ukuxhumana ngokwanele.

izinzwa Epidural ngoba Ukubeletha inikeza ukuphumula cishe ngokuphelele udonga besisu, futhi umphumela waba ukuthi yonke imisebenzi ezidingekayo ezihlobene isizinda umbungu ukungenela kuhlinzwa kungaba kwenziwe ngempela ngokushelela. Inkambo nasezinkingeni ezilandela ngemva kokuhlinzwa kwaba lula kakhulu ukuba leli Ngobusuku bokuqala kuboniswa ethola amaphilisi ezinhlungu. Lokutakula kanye neziguli ukubuyela ekuphileni okuvamile ngokushesha.

izinzwa Epidural omiselwe ezinye zezinkomba zokuthi yezokwelapha sesigaba cesarean. Ngokwesibonelo, ezimweni lapho kuyadingeka ukugcina ukuphefumula iletha (isifo samaphaphu), myasthenia nezinye izinqubo sokugembula kwezicubu imisipha bushelelezi, ngaphandle kokuba nokwenzeka ukusetshenziswa kwezidakamizwa ezinamandla futhi relaxants, ngaphandle kwalokho kakho izindleko ukubulawa kwezinzwa okuvamile.

Ngeke akwenze ngaphandle Izimo, okuhlanganisa ukushaqeka uthi, ukopha, hypoxia fetus, DIC, vimba atrioventricular degrees yesibili nangaphezulu ka umgogodla cord yokulimala, emgogodleni CNS imvelaphi organic, ukungabekezelelani ukuze imithi esetshenziselwa izinto zokubulala izinzwa.

analgesia Epidural sibhekisela ohlotsheni lesifunda ngokusungula indlela yokubulala izinzwa. Kulesi hlobo, kunesinye umbono - izinzwa emgogodleni. Imihlobo ehlukeneko yesikhashana ingxenye kokuqalisa izinzwa kanye ubude bayo. Ihlukile nendawo izidakamizwa abaphathi, nakuba inaliti efanayo ufakwa umsele umgogodla. Lapho izinzwa emgogodleni izidakamizwa izidakamizwa iqondiswa esikhaleni umgogodla, okuyinto lizungezwe igobolondo eliqinile. Uma umuthi iqondiswa epidural isikhala umgogodla phakathi yomgogodla kanye apharathasi ligamentous. izinzwa Spinal at Ukubeletha ingasetshenziswa ngokungabi bikho Izimo kanye nezinkinga kungenzeka. Uma kulindeleke wasekela ngesikhathi ukusebenza, kubonelelwa kakhulu izinzwa epidural, ngoba ubude bakhe isikhashana. Nge zombili izinhlobo kuthiwa ngokulinganayo umbeki kungenzeka ukuzwa kanye nokunyakaza nasemilenzeni aphansi nomzimba ukhalo nesisu.

Abesifazane abaningi abangenawo epidural lapho akhethwa caesarean kwesigaba Izibuyekezo ushiye omuhle. Abanye bakwazi ukuqhathanisa imiphumela ukubulawa kwezinzwa okuvamile, esikhathini esidlule, futhi lolu hlobo izinzwa. Basuke eziphawuleka kuqala okusheshayo isinyathelo analgesic, ikhono lokukhulumisana ngesikhathi eqhuba uhlelo nenjabulo ukucabanga ngomntanakhe ngokushesha ngemva isizinda. Kuvuka lokusheshako somzimba futhi omunye izinzuzo main of lolu hlobo izinzwa.