Mukati
Kuberekwa kwemishonga kana cesarean chikamu: kubvunzurudza kunosungirwa
Kushanya uku na anesthetist, yakapihwa nemutemo kubvira 1994, inowanzoitika pakupera kwemwedzi wechi8 uye, chero zvazvingava, mazuva akati wandei zuva rekutumirwa kwedu risati rasvika. Izvo zvinosungirwa muzviitiko zvese apo chikamu cheKesariya kana kuberekwa kwakakonzerwa kwakarongwa (Chinyorwa D 6124-91 chePublic Health Code). Saizvozvo, kana tikasarudza nemaune epidural analgesia pachine nguva, tinokurudzirwa zvakasimba kutevedzera iyi bvunzurudzo. Chinangwa chayo: bvumira anesthetist uyo achatitarisira pazuva rekuberekwa kwedu kuti ave neruzivo rwakakwana rwefaira redu rezvokurapa kuti tive nechokwadi chekuchengeteka kwedu.
Pasina epidural: sarudzo yekubvunza inokurudzirwa
Peri kana kwete ? Kunyangwe isu tisina kunyatso sarudza, asi isu tiri kunetseka nezve kupindira uku, zviri nani kuenda kushanyo iyi : anesthesiologist aripowo kuti apindure mibvunzo yedu yese uye atibatsire kuita sarudzo yedu. Kushanya kunotonyanya kukosha kana mwana wedu akapinda chigaro kana kana iwe uine pamuviri wakawanda, izvo zvinowedzera kuwedzera njodzi kwete chete epidural, asiwo cesarean. Muchokwadi, a kuberekwa nguva dzose kuva mukadzi, hapana mukadzi anogona kuva nechokwadi chokuti haazove vakatarisana nematambudziko zvingangoda kuisirwa epidural kana spinal anesthesia, kana kunyange general anesthesia. Ichi ndicho chikonzero, kunyange mumamiriro ezvinhu apo isu takaronga kubereka mune imwe nzvimbo yezvokurapa (technical platform, physiological centre, birth centre kana kunyange kumba), tinokurudzirwa kuti tiende kushanya uku, nokuti kuendeswa kunzvimbo yekuberekwa ndiko. haana kumbobviswa!
Iyo pre-anesthetic kubvunza: zvinofamba sei?
panguva pre-anesthetic kubvunza, chiremba achatibvunza pamusoro pekuzvitakura kwedu (temu, ruzivo), asiwo nezvenhoroondo yedu yezvehutano (kuzvitakura kwekare, zvirwere, kurwara, nhoroondo yekuvhiya, nezvimwewo). Achatibvunza nezvemishonga uye marapiro ari kuenderera mberi, achitiudza kuti ndeipi yekuchinja kana kumisa. Iye achanyatsoongorora faira yedu, uye kunyanya migumisiro yezvakatemerwa kuongororwa kwekliniki (hematology, boka reropa, nezvimwewo). Iye achatora kunetsa kwedu, uremu hwedu uye auscultate isu. Iye achatizivisa nezve gadziriro yepashure yekuvhiyiwa kunofanira kuitwa kana tine chikamu chakarongwa chekuzvara. Iye achapindurawo mibvunzo yedu uye anorayira kuongororwa kweropa kwakakwana, kunofanira kuitwa mukati memazuva makumi matatu vasati vasununguka. Anogona zvakare kudikanwa kuti anyore bvunzo dzekuwedzera dzakasiyana zvichienderana nezvaakawana (chipfuva x-ray, electrocardiogram, nezvimwewo).
Ko kana ndikazvara ndisati ndabvunzana?
Usavhunduke ! Isu tinofanirwa kubatsirwa kubva kune epidural pasina dambudziko. Chokwadi, kunyangwe takave nekushanya kwekutanga kweanesthetic, a kuongororwa kweanesthetic chero zvakadaro zvichaitwa mumaawa anotangira kupindira. Muchidimbu: kana, kana nguva yasvika, iwe uchida kuita epidural kana mamiriro ezvinhu achida kupindira kwekuvhiya kwechimbichimbi, kuongororwa kwekiriniki uye ropa kwakarongwa panguva yekubvunzana (platelet count, kunyanya) inogona kuitwa (munyaya iyi , unogona kumirira kwechinguva chidiki kuti peri laying, bvunzo dzichiitwa). Uyezve, kunyange kana kuongorora uku kwakaitwa panguva yekubvunzurudza, kazhinji kunovandudzwa maawa mashomanana vasati vashanda, nokuti mamwe mashoko pamusoro pedu angave akachinja panguva ino: inogona kuitika yefivha, zvinetso zveropa, nezvimwewo.
Muravi wekutindivadza achasangana achavepo pazuva guru here?
Kwete hazvo. Nezvikonzero zvekuronga kwekushanda, mumwe murapi wokutindivadza kuti uyo akasangana mukubvunzana angangotitsigira pakupindira (kunyanya muzvimiro zveveruzhinji). Asi faira redu rekurapwa richange ratumirwa kwaari uye achaziva nyaya yedu mukati!