Timamvetsetsa kupwetekedwa kwa azimayi apakati pamodzi ndi wopatsanso mphamvu kuchipatala cha amayi oyembekezera.
- Tiyeni titanthauze nthawi yomweyo kuti mawu oti "ochititsa dzanzi" sali oyenera pano. Anesthesia ndi imodzi mwanjira zamankhwala ochititsa dzanzi, zomwe zimakhudza kuyendetsa analgesics yapakati kuchititsa, mwazinthu zina, kutaya chidziwitso. Amagwiritsidwa ntchito kwambiri nthawi yobereka (gawo la kaisara ndi nkhani ina). China chirichonse ndi mankhwala ochititsa dzanzi. Tiyeni tikambirane za iye.
Mutu wa chipinda chamankhwala achidwi achipatala nambala 5, Volgograd
Pali njira zamaganizidwe ochepetsera ululu panthawi yobereka, pomwe mayi amakhala wokonzekera bwino ntchitoyi kotero kuti sangamve kuwawa konse. Physiotherapy imagwiritsidwanso ntchito - shawa lapadera ndi zina zotero. Zonsezi cholinga chake ndi kukwaniritsa ululu (analgesia).
Ponena za kupumula kwa mankhwala osokoneza bongo, pali njira ziwiri: kugwiritsa ntchito ma analgesics apakati (mankhwala osokoneza bongo) ndi anesthesia yachigawo (epidural, msana, nthawi zina paravertebral). Epidural ndi yotchuka kwambiri chifukwa ili ndi maubwino ambiri. Choyamba, imayendetsedwa bwino. Kachiwiri, zitha kuchitika kwa nthawi yayitali - mpaka tsiku limodzi ndi theka.
Ngati ndi kotheka, ndikololedwa kupeza catheter (kudzera momwe mankhwala amayendera) mu epidural (epidural) danga (pansi pa nembanemba ya arachnoid ya msana) ngakhale kwa masiku atatu, nthawi yonseyi anesthesia amatha kuchitidwa. Ndipo, chachitatu, kuchita bwino. Izi zikugwira ntchito, mwa njira, ku mitundu yonse ya anesthesia yachigawo. Ngati analgesics yapakatikati imangosintha malingaliro athu akumva ululu, ndiye kuti mitundu yapaesthesia imakhala ndi kusokonekera kwathunthu kwamalingaliro opweteka ku dongosolo lamanjenje. Ndiloleni ndifotokoze ndi chitsanzo cha babu yoyatsa. Ma analgesics amaponyera babu yophimba iyi, ndipo imapitilizabe kuyaka mwamphamvu chimodzimodzi, ngakhale tikuwona kuwala kocheperako. Ndipo dzanzi ochititsa dzanzi kumawonjezera kukana mu dera nyale, chifukwa cha ichi chimafooka ofooka.
Ndani amasankha kugwiritsa ntchito mankhwala ochititsa dzanzi pankhani inayake? Nthawi zambiri, dokotala - ndi azamba amene amatsogolera kubadwa. Izi sizinafotokozeredwe pasadakhale, lingaliro limapangidwa mwachindunji pobereka. Pali, zachidziwikire, azimayi omwe amati: Ndikuwopa chilichonse, ndidzabala ndi "matenda" okha. Koma ntchito yofananira yamaganizidwe imachitika nawo. Sizimachitika kuti lingaliro la ochititsa dzanzi linapangidwa pasadakhale, asanabadwe.
Pa nthawi yobereka, pali zifukwa zingapo zomwe zimapangitsa kuti munthu akhale ndi vuto la kupweteka kwa mankhwala. Pempho la mkazi amene akubereka limaganizidwanso, zachidziwikire. Palibe amene angachite chilichonse motsutsana ndi chifuniro chake.
Monga dokotala yemwe wakhala akuthetsa ululu kwa zaka 12, ndikuganiza choncho. Ngati matekinoloje amakono amakulolani kupewa zovuta, bwanji osazigwiritsa ntchito. Njira zachilengedwe zopewera ululu zilibe vuto lililonse kwa mwana pachifukwa chimodzi chokha: mankhwalawa samayikidwa m'magazi. Imayambitsidwa mu danga losalala la msana wa amayi, pomwe imawonongeka pambuyo pake. Mwanayo samachipeza. Ngati zonse zachitika molondola, palibe zotsutsana, ndiye kuti njirayi siimavulaza mayi ngakhale.
Anesthesia ya msana pobereka imagwiritsidwanso ntchito kawirikawiri. Imeneyi ndi njira yachigawo yoperekera mankhwala ochititsa dzanzi, momwe mankhwala oletsa ululu am'deralo amalowetsedwa m'malo am'mimba, koma mumtsempha wamtsempha. Mphamvu ya anesthesia ndiyokwera pano kuposa matenda opatsirana, kufulumira kwa kuyambiranso kumakhala kwakukulu kwambiri, koma choyipa ndikuti sitingathe kusiya catheter mumsana, apa mankhwalawa amabayidwa nthawi imodzi. Chifukwa chake, njirayi imatheka kokha mgawo lomaliza la ntchito, ngati mikanduyo ili yopweteka kwambiri. Mwa njira, zotsatira za jakisoni wina wa mankhwala pano zimatha mpaka maola anayi (ndi matenda - mpaka theka ndi theka). Ndikubwereza, lingaliro limapangidwa pokhapokha ndi chilolezo cha mayi yemwe ali pantchito.
Ndani amafunikira dzanzi poyamba? Nthawi zonse amayesetsa kuchepetsa kupweteka kwa kubadwa msanga - popeza zonse zimachitika mwachangu, mkazi alibe nthawi yokonzekera, chifukwa chake ululu wake umakhala wokwera. Kupweteka kumapumulitsanso thupi la mayi, ndipo mwanayo amakhala womasuka kubadwa.
Achichepere oyeserera amayesetsanso kuchepetsa ululu. Komanso, chifukwa cha ochititsa dzanzi ndi kupezeka kwa matenda osabereka, matenda oopsa kwambiri. Kuchokera pamalingaliro, chifukwa chothandizira kupweteka ndikubereka mwana wosabadwa wakufa.
Ubwino wa njira zam'madera ochititsa dzanzi kuti pambuyo pake mkazi safunika "kuchoka." Kudziwa kapena kupuma sikusintha mwanjira iliyonse. Pasanathe maola awiri kuchokera pamene mayi wabereka, mayi amatha kuyamba kukwaniritsa udindo wake wa umayi.