Ziziphi zomzimba engcono ngokuqhaqhwa: iintlobo, izalathisi, Izimo, ncomo

ngokuqhaqhwa - utyando, apho kuzalwa isuswa ewisa eludongeni esiswini kunye esibelekweni. Ngenxa yale nkqubo kunyaka ngamnye bazalelwe amawaka abantwana, ngoko ke umbuzo lo msebenzi lwenziwa njani phandle, Iyandonwabisa abazali abaninzi abalindele. Kulo mzekelo, enye yezona zinto zibalulekileyo kufuneka ucinge ngaphambi kokuba azalwe, i uhlobo zomzimba.

zomzimba Ngoko ke yintoni ngcono uqhaqho? Ukususela nqaku, ungafumana ulwazi olusisiseko malunga neentlobo ezisetyenziswa ngokuxhaphakileyo ye zomzimba ngexesha lokusebenza, eziluncedo zazo eziphambili kunye nobubi.

Njani na uqhaqho?

Ngaphambi sifumanisa oko zomzimba okuhle Uqhaqho, uthi amagama ambalwa malunga nohlobo utyando.

Ngexesha ngokuqhaqhwa usana olusanda kuzalwa alibonakali nikukukhanya, ngendlela yemvelo (ngokusebenzisa emjelweni ukuzalwa), kwaye kupheliswa ngokuba liqatywe encinane ugqirha yenza eludongeni zesibeleko. Kwizibhedlela mihla liqatywe senziwe esiswini asezantsi, ukwenza: kukuqulungana emva kotyando na phantse imperceptible. Loo indlela lokuzalwa kuqhelekile kwaye esisetyenziswa ngokubanzi kwi practice kwamanye amazwe aseYurophu, afana eJamani, le ndlela iza ukuya kwi-40% abantwana.

Kukho iindidi ezimbini kotyando: yesiqhelo kunye likaxakeka. Eyokuqala kukuba xa kukho umngcipheko ngexesha lokubeleka zendalo naziphi na iingxaki ezisongela ubomi impilo kamama nomntwana. Ngu ezibonisa ukuba lo msebenzi zizinto isinqe unina kuxineneyo kaThixo, ugrogriso hypoxia, ekuzaleni, lwaqala ngasekuqaleni, ukukhulelwa ezininzi, njalo njalo. D. Ngokuqhelekileyo, utyando endlini lwalo ikhethwayo kuba kukho ixesha lokulungiselela ezayo utyando yomfazi onenimba.

operation Emergency lwenziwa kwimeko ukuba bekukho naziphi na iingxaki eziyingozi ngexesha lokubeleka yendalo. Kulo mzekelo, kukho utyando likaxakeka kwiimeko ezininzi yenzelwa usebenzisa zomzimba jikelele, omnye amancedo engundoqo iyileyo na isiqalo ngokukhawuleza isiphumo iintlungu: oku kubaluleke kakhulu, kuba maxa wambi ngexesha akhawunti yabasebenzi zivalwe kuqhubeka umzuzu.

Ngokuqhelekileyo, usebenzela onjalo akunakucingelwa ngaphandle kokusebenzisa zomzimba, kungenjalo isigulane ngeke usinde wothukile kabuhlungu.

Ziziphi iindidi zomzimba esetyenziselwa Uqhaqho?

Kukho iindidi ezimbini ezisisiseko zomzimba enokusetyenziswa kwinkqubo ngokuqhaqhwa: a zommandla Ukubulawa jikelele. Eyokuqala kuphika ngokupheleleyo uvakalelo kuphela isiqingatha esezantsi lomzimba, ngoxa ezingqondweni jikelele isigulane kobonelelo ngokupheleleyo, kwaye ukhululeke izihlunu zakhe. Ukukhetha le ndlela efanelekileyo kwaye efanelekileyo zomzimba kungenziwa kuphela ugqirha kuthathelwa ingqalelo izinto awohluke zokukhulelwa, impilo yoomama, kunye nezinye izinto ezininzi.

Iintlobo zomzimba ngenxa Uqhaqho:

• Ukubulawa jikelele;
• spinal;
• ebulewe.

Okulungileyo nokungalunganga ngendlela nganye zichaziwe apha ngezantsi.

Xa ukhetho obuphathelele zomzimba jikelele enokwenziwa?

Eli zomzimba jikelele kukuba ngenxa amalungiselelo ezinzima ezithi eyaziswa ukuhamba kwegazi lwemithambo okanye sebenzisa ityhubhu lifakwa ngokuma, isigulana ngokupheleleyo ezingqondweni kobonelelo, yaye uyayeka zintlungu. Kubalulekile ukuba uqaphele ukuba phantsi zomzimba jikelele kukho kwemisipha zokwehlisa, elikuvumela ukuba ukudala ukuba iimeko zokusebenza lula obstetrician-ugqirha.

Olu hlobo ntlungu kubafazi ekufuneka Uqhaqho, khetha kunqabile kakhulu. Imfuneko zomzimba jikelele zingenzeka kwezi meko zilandelayo:

• contraindication kwezinye iindlela ezikhoyo ukuze analgesia;
• phambi komama ukutyeba;
• hypoxia Palsy une;
• ukwala ukuba abafazi kwezinye iintlobo Ukubulawa;
• malposition le isibeleko, prolapse le imfesane yosana kunye nemeko yokubelekisa nezinye kaxakeka.

Kule mihla zomzimba jikelele ukuba Uqhaqho isebenza kwimeko apho kukho imfuneko ozakuphunyezwa phezu ezibonisa likaxakeka, kunye nokungenelela ngotyando kufuneka uqale ngokungxamisekileyo ukuze asindise ubomi koomama kunye nabantwana. Oku kubangelwa kukuba zomzimba ngokubanzi ezinye kuneengxaki ebalulekileyo.

Le lobubi Ukubulawa jikelele

zomzimba Yintoni ngcono ukuba uqhaqho? Ngaphambi kokuba siphendule lo mbuzo, makhe sithethe amaphutha ayo. Oogqirha bazame ukuphepha olu hlobo zomzimba ngenxa Uqhaqho, kuba zomzimba anganika iingxaki ezininzi ngaphezu kwezinye iindlela ntlungu. Phakathi kwezona eqhelekileyo kukubonelela:

• hypoxia parturient, nto leyo ebangelwa kukuba ngexesha zomzimba umthamo wamandla wemiphunga yokwanda kwemfuno oksijini;
• umngcipheko omkhulu yokulangazelela, okt Inhalation kweziqulatho isisu endleleni, ukuba anesthesiologist akukho ngexesha ixilonge le meko, imiphumo inokuba yintlekele;
• abafazi abaninzi abakhulelwe xi liphuma ngexesha Ukubulawa jikelele.

Le ndindisholo kunokukhokelela ukugxojwa umsebenzi nokuphefumla usana, kwakunye zibe nefuthe ngxelo imbi ohlelo lwakhe luvo ngokunxulumene kwii-ezo ntlungu ngumkhaya. Last ingozi kwimeko zomzimba jikelele isetyenziswa emigudwini njengokuzalwa. Noko ke, ukuba woyike akayikhumbuli kakhulu: amachiza zanamhlanje ziyakwazi ukunciphisa ingozi neziphumo ezibi ukuba umntwana ubuncinane, ukuba usana efanayo ufumana iyeza ezizodwa, ukhulula ifuthe Ukubulawa jikelele.

Ngoko ke, yintoni na kungcono ukukhetha zomzimba kwicandelo omama kukuwe ukuba wena nogqirha wakho, kodwa ke khumbula ukuba zomzimba jikelele - hayi indlela engcono imisebenzi zomzimba kwaye babhenele kumele kube kuphela xa kuthe ukuba ezinye iinketho ngenxa yaso nasiphi na isizathu, ukwenza kuhleli. Ngokomzekelo, xa kunokwenzeka ukuba umfazi ozalayo ine nangengqondo obungazinzanga okanye abanalo naluphi na izifo zengqondo, lo msebenzi kufuneka wenziwe kuphela phantsi iintlungu jikelele, njengokuba emngciphekweni omkhulu ukuba umfazi akayi kuba nako ukuhlala sizolile ngexesha ukusebenza kwaye uza kuyeka izenzo ngugqirha.

Kuninzi kakhulu isetyenzisiwe practice ebulewe kunye zomzimba spinal, oko kukuthi, iindlela analgesia lwengingqi - ezi ntlobo kuba ikhuseleke kakhulu ukuvumela njengomfazi ozalayo kwimo ukwazi ecacile. Oku kubalulekile kungekuphela nje ngenxa yokuba kunokwenzeka ukuba uwathathile kwangoko phezu izandla usana. Ngexesha ngoqhaqho icandelo obstetrician kunye anesthesiologist uyakwazi ukugcina bahlale kunye isigulane, yenzela lula ukuba ukuchonga iingxaki kunokwenzeka.

Inkqubo ye Ukubulawa ebulewe

, Ukuba ukucacisa oko okwenza Ngaphambi kokuba siphendule lo mbuzo, yintoni kungcono ukwenza zomzimba ngenxa omama Ukubulawa ebulewe. Le yinkqubo apho ndindisholo leyo lesitofu kwisithuba ebulewe yomqolo kummandla empontshwa. Emva zomzimba eveliswa ngale ndlela, njengomfazi ozalayo ngexesha operation kule ezingqondweni, kodwa awubone intlungu.

zomzimba engingqi Uqhaqho ikuvumela umfazi ukuba bathathe inxaxheba kule nkqubo inenimba: ukunxibelelana kunye nabasebenzi bezempilo, okanye abakhoyo Chamber indoda yakhe, ngoko nangoko uthabathe izandla usana, waza kuyo waqhoboshela esifubeni. Kulo mzekelo, umfazi kwenimba angacingi, ngaxa abanye nobunzima kancinane ngexesha utyando.

Noko ke, kukho enye into ebaluleke kakhulu. abafazi abaninzi ngengqondo kunzima ukugqiba ukuhlala kwigumbi yokusebenza, yokuba boyika ukuba ngexesha uqhaqho, baya kuba bephaphile kwaye uzive isiqingatha umzimba wakhe. Amaxesha amaninzi oomama kugxininisa Ukubulawa jikelele. imbilini yabo Kucetyiswa ukuba uxoxe nogqirha wakho kunye nomongikazi, oya kuthetha nzulu malunga ukuze uqhubeke njani inkqubo zomzimba.

Izinto eziluncedo ze Ukubulawa ebulewe

Phakathi iingenelo eziphambili zomzimba ebulewe zezi zilandelayo:

• ukusebenza ezinzileyo kwenkqubo sentliziyo, ukunqongophala yokugaleleka ngamandla.
• It is saving ithuba ukwenza intshukumo.
• Engabandakanywayo ukulimala iphecana ephezulu bokuphefumla akukho umngcipheko yokulangazelela.
• Ubude elide isiphumo iintlungu. Ukuba kuyimfuneko, zomzimba ungadluliselwa nangaliphi na ixesha, nto leyo ibaluleke kakhulu kwimeko emva ngokuqhaqhwa kuyimfuneko ukwenza nayiphi na imisebenzi engaphezulu, umzekelo, kuvelisa tubal ligation.
• Umfazi ngokukhawuleza bephuma zomzimba, sokubuyisa ixesha ekuphulukenwe post-operative lifinyele: iiyure ezingama-24 kuphela emva kotyando, izigulane ezininzi nga ngokuzimeleyo avuke Ukuhambahamba.
• Umntwana uyakwazi ukuthatha ezingalweni zakhe aze abulawe nencum ngoko nangoko emva kotyando.
• Kuyenzeka ukuba ubuhlungu emva ekumitheni, engena ntlungu space ebulewe.

Lobubi Ukubulawa ebulewe

Nangona zonke izinto zayo, imiphumo zomzimba ebulewe ngenxa Uqhaqho inokuba yedanisayo. ngokuqinisekileyo Oku kufuneka ukwazi maternity ngalinye elizayo:

• Ukuba ndindisholo leyo lesitofu akwanelanga abanezakhono, umngcipheko omkhulu okufumana ichiza egazini. Ngelo xesha ukuphuhlisa unditsho, kabukhali kunciphise uxinzelelo lwegazi nokuphila ukuncokola. Umphumela ungaba ukufa yoomama okanye umonakalo ongenakulungiseka luvo.
• Malunga ne-17% ye-zomzimba akuthethi ukuvimbela ezinye luvo, ngenxa yoko umfazi ozalayo ngexesha lonikezelo omama ahlangabezana nobunzima. Ngoko ke, ngaphambi kokuba lo msebenzi, khangela uvakalelo ngokusebenzisa iimvavanyo ezikhethekileyo luvo, ezifana emnweni pin. Ukuba ndindisholo zange isebenze kakuhle, oko kufuna ulawulo okuphindwayo ichiza.
• Ukuba medicament ngenxa catheter ezingachanekanga bafika phantsi intambo arachnoid emqolo, kunokuthi kwenzeke ibloko spinal, nto leyo edla ngenxa yokusilela kwenkqubo sokuphefumla. Ukuze uphephe oku, kuqala, bengangenanga igcuntswana leyeza ichiza: iqembu kufuneka nje ezimbini imizuzu elindele ukufumanisa ukuba lenquba yenzelwa ngokuchanekileyo.

Ngelishwa, zomzimba ebulewe ngenxa ngokuqhaqhwa inzima kakhulu, nempumelelo yayo evame ixhomekeke amava nezakhono zobungcali. Ukubonwa lafaka bendawo ebulewe kakhulu olungaqondakaliyo, kanti xa zomzimba spinal mmakishi enokuthenjwa imveliso phezu komhlaba ulwelo lwe-cerebrospinal. Kubalulekile ke ngoko ukuba ukhethe ugqirha ebangela nikholosa ngayo, nakule ngocoselelo bafunde nokubuyekezwa umsebenzi esibhedlele apho umntwana wakho azalwe.

Ukubulawa spinal

Ekuqaleni ebulewe kwabonakala usindiso ngokwenene, kuba likuvumela ukuba wenze nje inkqubo yokuba umntwana ozelwe yalula ngokupheleleyo, kodwa wanika abafazi ithuba ukuba ningethi ukucacisa izimvo kunye imbono ngexesha kokuzalwa kosana elide ilindelwe. Noko ke, ngenxa yokuba Izimo abaninzi amathuba eziliqela iziphumo ezibi ezidweliswe ngasentla, ngokuthe ngcembe epidurals unika entendeni lialio. Abantu abaninzi bathi lo nguye zomzimba kakhulu uqhaqho.

zomzimba spinal obuyiyo okuphelisa iintlungu kwi empontshwa umva ngokwahlukana. Ichiza engena isithuba subarachnoid ye umnqonqo. Kulo mzekelo, isiphumo zombini iindidi zomzimba into efanayo: ixesha elithile emva kokuba kutyalwe njengomfazi ozalayo uyayeka ukuba uzive isiqingatha esezantsi yomzimba wakhe, kwaye ugqirha phambili neenkqubo eziyimfuneko yotyando.

Kwizazi Ukubulawa spinal

Yintoni na le zomzimba kakhulu uqhaqho? Phendula lo mbuzo zicwadi kunzima kakhulu, njengokuba sonke ngabanye. Kodwa sinako ukuchonga iingenelo eziphambili Ukubulawa spinal:

• Akukho ukusebenza ityhefu. ngokoqobo anayenza, yaye akukho umngcipheko umntwana xa ukudibana ngengozi le ndindisholo kumlanjana igazi indlela zentliziyo okanye luvo.
• Emva kotyando, umzimba ngokukhawuleza wachacha.
• analgesia Umgangatho: njengomfazi ozalayo ngexesha utyando ntlungu.
• zomzimba spinal ngakumbi buyasikhulula izihlunu, leyo lula umsebenzi kugqirha.
• Ngu msebenzi aqala phakathi kwemizuzu embalwa emva kulawulo, ngoko kukho uphazamiseko kuthatha ixesha ngaphantsi.
• zomzimba spinal lwenziwe ngendlela elula kakhulu kunento ebulewe. Ukongeza nolawulo anesthesiologist isebenzisa ngenaliti ukubhitya kakhulu, kangangokuba ingozi intambo traumatic nomqolo okanye ulawulo yayiphosakele iintlungu kuncitshiswe.
• Oogqirha abaninzi bayaqonda ukuba zomzimba spinal yaba lwalo kakhulu ogqibeleleyo zomzimba Uqhaqho.

zomzimba spinal for ngokuqhaqhwa: Izimo, kunye neziphene ezinkulu

Ngelishwa, zomzimba spinal inazo okungalunganga:

• Izenzo kweziyobisi kwisithuba seeyure ezimbini, ngoko olu hlobo zomzimba akathandi kusebenza, kufuneka ukuba enze nawuphi na izakhi ezongezelelweyo, kwaye ukuba ngexesha iingxaki uqhaqho kuvela, ungafuna Ukubulawa engaphezulu.
• zomzimba spinal kungenakwenzeka phambi yomguli kweentlobo ezithile zokonzakala emqolo.
• uxinzelelo lwegazi lingehla ngenxa kokuqala ngokukhawuleza zomzimba.
• Ukuba izixhobo apho ukuba bafake ichiza, zange kakuhle iintsholongwane, kusenokubakho iintlobo iingxaki ezasulelayo ezifana meningitis.
• Emva kotyando, abasetyhini abaninzi yabasebenzi yintloko bebona ezinzima unokuthatha iintsuku eziliqela okanye iiveki.
• Ngenxa catheter ezingachanekanga kungonakalisa iziko luvo, ebizwa ngokuba "poni". Lo isenokuba isizathu sokuba innervation le sacrum kunye empontshwa umqolo uya kwaphulwa.
• zomzimba spinal kungenakwenzeka kwezinye iindlela ukukhubazeka spinal.
• zomzimba spinal kungenakwenzeka kunye wona ngaphambi ngumkhaya kunye nezinye iimeko yokubelekisa.

Nangona kubakho iingxaki ngasentla, zomzimba spinal igqalwa ndlela ingcono ikhuselekileyo kwe zomzimba kwicandelo ngoqhaqho.

Ukubulawa for ngokuqhaqhwa: ncomo

zomzimba Yintoni ngcono ukuba uqhaqho? Reviews ngento ukushukumisa amabhinqa ngexesha uhlobo oluthile zomzimba, kuya kusinceda sifumane impendulo yalo mbuzo.

oomama abaselula ziye zaphawula ukuba inkqubo zikhutshwa lokudoma jikelele kungemnandi ngokwaneleyo: kukho yimvakalelo iingqaqambo nesiyezi, isicaphucaphu, intloko ebuhlungu, kunye kwezihlunu. Ngaphezu koko, akukho akukwazeki ngoko nangoko emva kokuzalwa ukuthatha ngesandla umntwana lowo. Kukho omnye isiphumo esibi zomzimba ngokubanzi; rhoqo emva kokuba umntwana wakho ukudakumba kuloo msebenzi sokuphefumla.

zomzimba Yintoni ngcono ukuba uqhaqho? Izimvo zomzimba ebulewe ngenxa becala ezintle. oomama abatsha bathi emva kokuba inkqubo apho, akukho ubuhlungu, kwaye umntwana nangoko isicelo esifubeni. Noko ke, njengoko oko kungqinwa ingxelo, akholisa ukubakho kabi kulawulo kwaye kwiiyure ezimbalwa zokuqala emva kwecandelo ngoqhaqho, xa ndindisholo iyapheliswa ivela emzimbeni, isiqingatha umzimba asezantsi enikina ngamandla. Noko ke, ngosuku nje emva kokuba umsebenzi kuyenzeka ukuba ume ngeenyawo zawo, ukuhamba ngokuzimeleyo kwaye unakekele kuzalwa.

zomzimba spinal kwi ncomo Uqhaqho, ikakhulu positive uhola. Izigulane bathi zange iintlungu ngexesha utyando. Noko ke, kwezinye iimeko, iiveki eziliqela abafazi uphethwe yintloko kuhlolwe esiswini.

Indlela ukukhetha Ukubulawa?

zomzimba Ngoko ke yintoni ngcono uqhaqho? Eli nqaku lijonge ukuba baziqhelanise, oomama abakhulelweyo kunye Ziziphi iintlobo zomzimba esetyenziselwa ngoqhaqho icandelo zomzimba. Kodwa khumbula, kunjalo ukuba ukhokelwe le ngcaciso elapha ngasentla, ukukhethwa Ukubulawa! Kuphela ugqirha lowo zonke iinkcukacha impilo yoomama ezintsha Ungakhetha uhlobo ekunene zomzimba. Kakade ke, iminqweno yomguli angena kubethwa ngoyaba. Ngoko ke, ngaphambi kokuba wenze isigqibo phantsi apho zomzimba kuhle ukwenza ngoqhaqho, kufuneka ubone iingenelo neengozi indlela ethile, yaye babe nodliwanondlebe kunye ugqirha kunye anesthesiologist.

Ukuze zomzimba ekhethiweyo uphumelele, kufuneka ukuphumeza zonke iingcebiso zeengcali neya kuthi yazise ukuba adle phambi kotyando, ukuze xa uvuka emva kokuba ngoqhaqho, kwaye nomawukwenze ukuze umzimba ukuze achache ngokukhawuleza kangangoko kunokwenzeka.