Isigaba saseKesariya sabesifazane abathile yindlela kuphela yokuba umama. Ukuphikisana kokubeletha kwemvelo kungaba nzima kakhulu futhi kungathí sina, kungase kube isimo somama, izici zesakhiwo sakhe, izifo noma izifo ezihluphekile, noma isimo se-fetus, ngokwesibonelo, i-fetus enkulu kakhulu, eqinisekisiwe yi- cord umbilical , isimo esiphuthumayo esenziwa yi-hypoxia. Emva kokudlulela kwangaphambilini, ngamathuba angu-95%, lo wesifazane uzophinde abelethe ngokuhlinzwa. Uma ucabanga ukuthi lo msebenzi uzokwenziwa kanjani, abesifazane abaningi banquma ukuthi kufanele bavumelane ne-cearean ene-anesthesia ye-epidural, nokuthi izohamba kanjani.
I-epestural anesthesia enezinsizakalo zesigaba sokudla
I-anesthesia ye-Epidural ingaphazamisa ngokuphelele isigamu esingaphansi komzimba ngokuletha inaliti ene-anesthetic esikhathini esiphakathi kwe-vertebrae esifundeni sesinqe. Ngenxa yesifo se-anesthesia ye-epidural, umama uhlala ekwenzeni futhi ngokushesha ubona ingane yakhe. Owesifazane ngokushesha usuka e-anesthesia, isikhathi sokuphumula ngemuva kwesikhathi sinciphisa, ngaphezu kwalokho, ngokushesha ubona umntwana wakhe. Lapho ezalwa nokusetshenziswa kwe-anesthesia enjalo, ubaba angase abe khona. Ingane ngokushesha emva kokubeletha ingaxhunyaniswa esifubeni. Ngezinye izifo, isibonelo, isifo se-astonma, i-anesthesia ye-epidural efaneleka kakhulu ezinkomba zezokwelapha. Kukhona nezinzuzo ezinhlotsheni ezinjalo zodokotela, isibonelo, uma kunesidingo, ukwandisa isenzo sesidakamizwa ngokumane nje ungeze inani elifanele le-anesthetic ku-catheter.
Ukubuyekezwa okuningi mayelana ne- anesthesia ye-epidural ne-cearean kusikisela ukuthi abesifazane bavame ukubekezelela i-anesthesia, abangenayo izinkinga ukuze babuyiselwe emsebenzini, futhi kakade ngosuku lokubeletha bangaqala ukuhamba. Lokhu kukuvumela ukuba ubuyele ngokushesha empilweni evamile bese uqala ukuzimela ngokuzimela ingane.
Isigaba saseKesariya ngaphansi kwe-anesthesia ye-epidural - ukungalungi
Ngendlela yokwelapha efanelekayo odokotela eya enhlanganweni ye-anesthesia, i-epestural anesthesia cishe ayinakho ukuphazamiseka. Kubalulekile ukuthi kwenziwe odokotela abanolwazi oluningi nolwazi, kanti umtholampilo unayo yonke imishini edingekayo yokuqapha isimo somama nokuvuselelwa okuphuthumayo uma kwenzeka izimo ezingalindelekile.
Kodwa-ke, akuwona wonke owesifazane lezi zinzuzo ezingaphezu kweqiniso lokuthi eziningi zinamandla. Ukucindezeleka ngokweqile nokucindezeleka abanye abomama abafuni ukuzwa, bayesaba yinqubo yokulungiselela ukuhlinzeka, bahlale behlala ekamelweni lokusebenza, kanye nokuthi bangaboni nje isigamu somzimba. Yingakho kube lula ukucindezeleka kwengqondo kwabanye besifazane ukuthi banqume nge-anesthesia ephelele. Umbuzo onjalo uxoxwa kangcono nodokotela. Angakwenza noma akuqinisekisile ukuthi ku-anesthesia ye-epidural futhi
I-Caesarian ngaphansi kwe-anesthesia ye-epidural yikhono lokuzwa ngokugcwele inqubo yonke yokuzalwa komntwana, ukuyibona ngokushesha ngemuva kokususwa emgodini wesibindi, nokuphinde uhambe ngokushesha ekusebenzeni okunzima bese ufaka i-rut ejwayelekile. Into esemqoka ukukhetha udokotela ohlinzayo nodokotela we-anesthesiologist, othembele ngokugcwele, futhi uqiniseke ngomphumela ophumelelayo.