Anyi amfani da cutar maganin cutar tare da ɓangaren caesarean a matsayin tushen irin cutar. Irin wannan cuta na yanki yana da tasiri sosai, yana da ƙananan sakamako. Yi la'akari da shi a cikin ƙarin bayyane, nuna alamar alamun, fasali na halaye da kuma contraindications.
Hanyar rubutun maganin ruhu - alamomi
Anasheshia tare da cesarean ana aiwatar da ita a sha'awar mace a cikin aiki. Yawancin iyaye masu zuwa a gaba waɗanda aka tsara wani sashe da aka tsara sun fi dacewa da wannan irin maganin cutar. Tare da irin wannan cuta, mace ta kasance mai hankali, tana sauraron kuka na farko na jaririn, amma ba ya jin komai. Har ila yau, akwai wasu abubuwan da ke gaban waxannan maganin cutar shan magani wanda ya cancanta ga wadandaareare. Daga cikinsu akwai:
- gaban preeclampsia ;
- hawan jini;
- hanta da koda cuta;
- sunan myopia;
- ciwon sukari mellitus;
- contraindications ga general wizard;
- aiki mai kisa;
- yanayin rashin lafiyar mahaifa.
Ta yaya sashen cearean tare da maganin farfadowa?
Mata, shirye-shiryen tiyata, suna da sha'awar likitoci, kamar yadda sashen caesarean yake da maganin cutar. Kafin a fara aiki, mace mai ciki ta zauna a kan gado, ko kuma ta kwance a gefenta. Yanki na kashin baya bayan da aka saka maciji ana kula da shi tare da antiseptic. Bayan an fara shan magani, likitoci sunyi kwaskwarima a cikin ƙananan ƙananan ciki, da ɗan sama da yanki. A kan raunin da aka yi, an sanya masu fadada, suna buɗewa zuwa tayin.
Bayan an buɗe magungunan, magunguna sun fara cire 'ya'yan itace a waje. Bayan kammala nasarar wannan mataki, jaririn ya yanke igiya mai mahimmanci kuma ana amfani da shi. Ana ba mama da oxytocin, don rabuwa da bayan haihuwa. Bayan wannan, ana yin suturing. A madadin gwangwani a cikin 'yan watanni baya akwai wata tsawa, wanda kusan ba a ganuwa ba, basa haifar da rashin tausayi.
Ta yaya zubar da jini a cikin wani ɓangare na caesarean?
An gabatar da maganin annoba a cikin ɓangaren sunaye a cikin matsayi. A wannan yanayin, an ba da haƙuri a matsayin matsayi: kafafun kafa a cikin gwiwoyi, sa idon a kan gado, tanƙwara da baya, harɗa ɓangaren mahaifa. Hanya ita ce wurin da mace take kwance a gefenta (mafi sau da yawa a dama). Duk da haka, aikin likita ya nuna cewa yana da sauƙi don gudanar da kwakwalwa a yanayin zaman lafiya.
An yi amfani da rigakafi, tare da taimakon wani maciji na musamman, a cikin sarari tsakanin bango na canji na tsakiya da harsashi mai launi na ƙananan baya (sararin samaniya). An saka na'urar motsa jiki na musamman, na bakin ciki (catheter) ta hanyar allura, wadda aka bari don allurar rigakafi. Magungunan kwakwalwa, tare da sashen caesarean, ya hada da maganin magungunan miyagun ƙwayoyi: ƙara yawan ƙaddamarwa ko dakatar da wadata.
Shin yana da zafi don yin maganin ciwon maganin epidural tare da cesarean?
Wannan hanya, kamar maganin jini, yana da wuya ga mai haƙuri kanta. Kafin fitinar, likitoci suna yin maganin cutar ta gida. Ƙananan rashin jin daɗi, mai ciki mai ciki mai zafi zai iya ji kawai a lokacin da aka yi shi. A sauran sauran hanya ba sa haifar da ciwo, mata suna dacewa da matsayi. Abubuwan da ke tattare da mahaifiyar da ke gaba, game da irin wannan mummunan aiki, a matsayin ɓangaren ƙwayar cuta a cikin waɗannan sassan ne, ba su da tushe.
Har yaushe ne sashen cesarean na karshe don maganin ciwon ciki?
Ƙungiyar Cesarean a ƙarƙashin maganin ƙwaƙwalwar ƙwayar cuta ba ta wuce rabin sa'a ba. A lokaci guda, a matsakaici, daga lokacin gwamnati don cirewa daga tayin waje daga ciki, yana ɗaukar minti 10-15. Sauran lokaci yana ciyarwa akan suturing da ciwo na postoperative. A lokaci guda kuma, mace tana gudanar da wani hormone don cirewa da haihuwar mahaifa. Domin ya hana kamuwa da cuta, ana ba da mota ga kwayoyin cutar antibacterial.
Cesarean ƙarƙashin maganin maganin ciwon zuciya - jijiyoyi
Tare da dacewar ɗaukar cutar shan magani, mace ba ta jin wani abu a lokacin aiki. Hanyoyi a cikin ɓangaren caesarean ƙarƙashin maganin ƙwaƙwalwar ƙwayar cuta suna haɗuwa da farawa na aikin m. Bayan allurar, mace mai ciki ta fara lura da jin dadi, jinin nauyi a ƙafafunta. Bayan dan lokaci, mahaifiyar gaba ba zata ji ƙananan ɓangaren ƙananan ƙwayar ba - duk abin da ke ƙasa da shafin intanet. Ƙananan ƙararrawa yana yada cikin jiki. Wannan sabon abu zai iya kasancewa tare da kadan tingling, wani ji na goosebumps, wanda bace bayan cikakken anesthesia.
Yaya yawancin cutar shan magani bayan wadannan cesarean?
Magunguna tare da caesarean kimanin sa'o'i 2. Nan da nan a wannan lokacin, likitoci sun hana mace ta tashi bayan aiki. Tare da irin wannan cuta, jini yana gudana a cikin ƙananan ƙananan ragowar ƙasa. Saboda haka, idan kuna kokarin tashi, akwai rauni a kafafunku - akwai yiwuwar fadowa. Bugu da ƙari, sau da yawa bayan aikin akwai ciwon kai, damuwa, wanda ya sa ci gaba da jin daɗin sabuwar jariri.
Magunguna a cikin asibiti a cikin caesarean - sakamakon
Sakamakon binciken bayan anadarya a cikin wani ɓangaren maganin nan ne ake danganta da wadanda basu yarda da contraindications akan halinta ba ko tare da cin zarafin maganin cutar. A wannan yanayin akwai matsalolin da za a iya fahimta, duka daga mahaifi da jariri. Bi sakamakon sakamakon ciwon maganin jinya ga mata masu raunana (a lokacin aiki):
- damuwa na harsashi mai wuya na kashin baya;
- rage yawan zuciya;
- bayyanar tashin hankali da zubar da ciki;
- wani rashin lafiyan abin da ya faru ga rashin lafiya.
Rikici na iya bunkasa a cikin sabon jariri a cikin lokacin postpartum:
- zafi a baya da kai;
- cin zarafin lactation ;
- rage girman hankali na kafafu;
- rushewar CNS.
Yin aikin ciwon daji tare da ɓangaren caesarean zai iya shafar yanayin jaririn:
- rage a cikin zuciya (bradycardia);
- cin zarafin tsarin numfashi;
- cin zarafin ƙwaƙwalwar tsotsa;
- rukuni;
- kwakwalwa.
Raunin baya bayan ciwon maganin epidural tare da cesarean
Magungunan kwakwalwa tare da caesarean, wanda aka lasafta shi a sama, sau da yawa ya juya cikin jinƙan mace bayan haihuwar yaro. Akwai dalilai da dama don hakan. Rashin haɗari shine farfadowa - tsari mai kumburi a cikin sararin samaniya. Wannan rikitarwa ya taso ne saboda yanayin da ya yi tsawo a cikin catheter a baya ko lokacin da ɓangaren ya kasance. Bugu da ƙari, jin zafi na iya kara tsanantawa bayan tiyata saboda gine-ginen herrenbral.
Sauran cututtukan da ke cikin baya suna da alaka da rashin daidaituwa akan hanyar da ake ciki kamar maganin cutar a cikin sashen cesarean, amsawar jiki ga wani cututtuka. Saboda rashin kulawa mai yawa, likita na iya cutar da injector tare da harsashi mai zurfi, inda aka samo asalinsu. Bambance-bambancen, dole ne a rarrabe mummunan ciwo, wanda ke da alaka da yanayin halayyar mai haƙuri.
Ciwon kai bayan epestural anesthesia tare da cesarean
Da yake bayani game da sakamakon da rikitarwa na maganin ciwon maganin cutar a cikin waɗannan sassan, dole ne a rarrabe da kuma ciwon kai a bayan aiki. Hannarsu tana haɗuwa da sakamakon wani abu mai cutarwa a jiki. An lura da hakan a kashi 50 cikin dari na marasa lafiya wadanda ke fama da cutar analidia. Duration na jin dadi mai raɗaɗi - daga sa'o'i da yawa zuwa makonni. Ciwon kai zai iya haifar da canji a cikin matsin intracranial, saboda fitowar ruwan da yake ciki a cikin kwakwalwa (tare da lalacewar membrane).
Irin wannan yanayi yana buƙatar yin amfani da hankali. Aikin yana kunshe da fashewa da tsinkayar ruwa tare da taimakon kayan aiki na musamman. Bayan manipulation, an sanya shinge jini a shafin yanar gizo. Yaduwar jinin da aka cire daga jikin jikin ya shiga inji a shafin yanar gizo. A sakamakon haka, ana katange fitar da ruwan sanyi. Taimakawa ga lafiyar mace ta yadda ya kamata a rana ta gaba bayan hanya.
Magungunan kwakwalwa tare da sashen caesarean - contraindications
Ba za a yi amfani da irin wannan cuta na yankin ba koyaushe. Kuma duk wani maganin likita, ya haramta akan aiwatarwa kuma yana da ciwon maganin cutar tare da Caesarean, maƙaryata ga aiwatar da waɗannan sune:
- rashin haƙuri;
- babu kayan aiki na musamman ko gwani na musamman;
- hawan jini mai tsanani;
- Dehydration na jiki;
- rushewar tsarin hawan jini;
- hypotension;
- daukan matakai ;
- rauni na kashin baya;
- high intracranial matsa lamba;
- wani rashin lafiyan abu zuwa ga rashin lafiya;
- Zuciya ta damuwa;
- fetal hypoxia ;
- malformations na tayin.