Njengokwenza noma yikuphi ukuhlinzwa, isigaba sokudla sithinta ukusebenzisa i-anesthesia. Namuhla, ukuthuthukiswa kwemithi kuye kwenza ukuba owesifazane aqonde ngesikhathi sokusebenza futhi abone ingane ngokushesha ngemva kokuzalwa. Lokhu kungenxa yesigaba sokudla ngaphansi kwe-anesthesia yendawo.
I-anesthesia yomgogodla ikwenziwe kanjani esigabeni sokudla?
Ukuze kungenwe isifo sokugaya umgogodla esigabeni sokugaya, umama olindelekile ucele ukuba alale eceleni kwakhe endaweni yesisu noma ahlale phezulu, abuye abuyele emuva. Into eyinhloko ukugubha umgogodla. Ingxenye encane engemuva esifundeni se-lumbar iphathwa ngesisombululo se-antiseptic, kanti udokotela usungula inaliti encane kakhulu engxenyeni ye-intervertebral. Kule nkinga, i-mater yokugcina ihlatshwa, futhi ukujola umzimba kujojowe ku-cerebrospinal fluid. Ngemuva kwemizuzu engu-5-10, umama ozayo, njengomthetho, akasasazi ingxenye engezansi ye-trunk nemilenze - ungaqala ukusebenza.
Ukuqhathaniswa kwe-anesthesia yomgogodla kusigaba sokugcina
I-anesthesia yasendaweni enesigaba sokudla akuyona eyenziwa ngamacala alandelayo:
- kunciphise ivolumu yegazi;
- ukwephulwa kwegazi coagulation noma ukwamukelwa umama esizayo of anticoagulants;
- ukutheleleka endaweni yokuqothula;
- ukunyuka kwengcindezi, ukugula kwe-CNS;
- ukungezwani komzimba ku-anesthetics;
- ukuphazamiseka kwenhliziyo;
- hypoxia we-fetus .
I-anesthesia yomgogodla nge-caesarean section - izinzuzo nezingozi
I-anesthesia yomgogodla enesigaba sokudla ihlolwe njengenye yezindlela eziphephile zokuphefumula. Phakathi kwezinzuzo zale ndlela odokotela bahlukanisa okulandelayo:
- umphumela omuhle kakhulu we-analgesic (isidakamizwa sisebenza emthonjeni womgogodla, hhayi emithonjeni);
- ijubane lokubulala umzimba;
- ukukhululeka kokuqaliswa (udokotela unquma ngokunembile ukujula kokufakwa kwenaliti);
- ukungabi khona kwesifo sohlelo (ukuhlinzeka ngezinzwa kuhlinzekwa ngezinga elincane kakhulu).
Le ndlela inezinselelo zayo:
- isikhathi esilinganiselwe (cishe amahora angu-2), nakuba i-cearean ne-anesthesia yomgogodla ilanele;
- ukwehla okubukhali ekucindezelekeni kwegazi - ngenxa yokuzondeka nokucabangela;
- ukukhishwa ikhanda kungadlulela izinyanga - kuhloswe ukulahlekelwa okuyingxenye yomshoshaphansi we-cerebrospinal uketshezi olungaphelele;
- izinkinga ze-neurological (amakhemikhali noma ama-bacterial meningitis, ukulimala komgogodla ngokufakwa komcathisi we-anesthesia yomgogodla isikhathi eside).