Basa Nekuberekwa Kutungamirirwa Kwekudya uye Kunwa
Zvinogona kuuya sezvinovhiringidza vakadzi vakawanda kuti vawane kuti zvokudya nekumwa zvakaderera kana, pane dzimwe nguva, hazvigamuchirwi mumatare evashandi echipatara chemazuva ano.
Ndeipi Iri Mishandira Pakudya / Kunwa Munguva Yebasa Rinouya?
Muna 1946, Dr. Curtis Mendelson akafungidzira kuti chikonzero chepneumonia chinotevera general anesthesia chaiva nechido chemuviri mukati, nekuda kwekunonoka gastric kuvhara mubasa.
Akataura kuti chikafu chinogona kurasikirwa maawa 24-48 mushure mekudyiwa.
Dr Mendelson akaedza sarbhi kuongorora migumisiro yehupenyu mumapapu avo. Kunyange zvazvo akawana kuti kuda (kutora zvinyorwa mumapapu ako) zvezvokudya zvisingaverengeki zvinogona kukonzera kudzivirira, pakupedzisira akafunga kuti hazvizoitisa kune chinangwa chepneumonia.
Sill, akatsanangura kuti kuburikidza nekudzivisa kudya nekumwa munguva yebasa, unogona kuderedza dumbu rehuwandu, zvichiita kuderedza dambudziko rematambudziko ekuberekwa kubva kune asidi aspiration asi pasi peanesthesia.
Asi Kune Icho Chinhu Chiri Sechinhu Chisina Mimba Panguva Yebasa?
Mhinduro yacho kwete. Iko kufungidzira ndeyekuti chero mukadzi ane dumbu rakazara, pasinei nokuti zvokudya zvake zvekupedzisira kana kunwa zvakadini zvaitika. Kubudiswa kwemudumbu wako kunotarisirwa nezvinhu zviviri: dumbu remukati mukati uye kukanganisa kwemakemikari uye muviri.
Isu tinoziva kuti dumbu rinopedzisira richikurumidza kupfuura iyo iyo izwi riri pakureba kwayo, uye zvichienderana nezviri mukati mazviri (ex.
mafuta anonoka kushandiswa). Njodzi, kushungurudza, kushungurudzika, uye kukanganiswa kwepfungwa, zvose zvinowanzoita chikamu chebasa rebasa, uyewo zvinokanganisa kushandiswa kwekuita.
Izvo zvinozivikanwawo kuti kuderedza kunowedzera catecholamine mazinga (mahomoni ekudzvinyirira) munguva yebasa, uye kuti izvi zvinogona kuwedzerwa basa. Penny Simkin, mudzidzisi wekuberekwa, akaita zvidzidzo zvichiratidza kuti 27 muzana yevakadzi vakarondedzera kuti kusabvumirwa kudya kana kunwa kwaive kwakanyanyisa kunetseka zvikuru kwavari.
Nokudaro Kurambidzwa Kwokudya kana Imwi Kunoita Kuti Uve Nehanya Here?
Ngozi dzekutsvaga zvinongova dambudziko apo aneshehesia yakawanda iri kushandiswa. Mhinduro mbiri dzechiremba vanowanzotanga kusvika panguva ino ndeye IV mvura uye antiacids. Asi mvura yeA IV haisi nguva dzose inogadziriswa yekugadzirisa matambudziko e hydration, sezvo vane matambudziko ega. Uye zvinopisa zvinowanzopiwa muhuwandu hwemamiriyoni makumi maviri nemakumi matatu, ivhu rinozivikanwa kuti riwedzere dambudziko rekutsvaga pneumonia.
Isuwo tinoziva kuti kudzivisa kudya panguva yebasa kunogona kukonzera zvinetso zvayo. Kunze kwezvinokonzera kushungurudzika, kudzivirira kudya munguva yebasa kunogona kukonzera kupera mvura uye ketosis.
Zvidzidzo zvenguva ichangobva kuitika pamuromo we hydration uye kudya kunoratidza kuti vakadzi vanobvumirwa kudya nekumwa kuti vanyaradzwe mubasa vane basa shoma (nemavhareji emaminitsi 90) uye vashoma vanoda kuwedzera pamwe nePacocin . Vanowanzodaidza mishonga shoma shomanana, uye vana vavo vane mapeji akakwirira .
Chimwe chidzidzo chakaratidza kuti kudya uye / kana kunwa hazvina kuonekwa kuti kuwedzere kuwandisa kwekunyara kana kunatswa. Kutaura zvazviri, kubvumira zvokudya nekumwa zvakakosha zvakakosha, kudya kunovaka muviri, nekuwedzera kunyaradzwa.
Kana Ndikasarudza Kudya Nekumwa, Ndezvipi Zvimwe Zvakanakisisa Kupfuura Vamwe?
Panguva ino, zvinokurudzirwa kuti vakadzi voga vanoonekwa sechepasi-ngozi vanobvumirwa kudya uye / kana kunwa munguva yebasa .
Zvokudya izvo zvinoratidzwa nezvimwe zvipatara zvinotevera:
- tea
- chibereko chemichero
- zvishoma zvakabikwa mazai
- tsvina yakashata uye bhotela
- zviri pachena mabhisikiti
- Clear broth
- michero yakabikwa
Kumbira mushandi wako wehutano uye nzvimbo yekuberekerwa pamusoro pemitemo yavo pamusoro pezvokudya nekumwa panguva yebasa. Kana vasina kuratidza zvidzidzo zvezvechirwere zvemazuva ano, unogona kugovera ruzivo navo uye ona kana vachizoenda pamwe neurongwa hwekubereka kwako. Zvipatara zvakawanda uye zvizvarwa zvekuberekwa zvine zvokudya zvinokosha zvebasa iyezvino uye vakadzi vanoti vanogutsikana zvikuru nemigumisiro.
Sources:
Mandisa Singata, Joan Tranmer, Gillian ML Gyte. Kurambidza kunwa kwemvura uye kudya kunenge panguva yebasa. The Cochrane Library, 2013 DOI: 10.1002 / 14651858.CD003930.pub3 Mirayiridzo Yedzidzo yeAnsthesia Inobvumirana: Anoparidzirwa Nhoroondo yeAmerica Society yeAnesthesiologists Task Force yeAststetric Anesthesia, Anesthesiology: Bhuku 106 (4) April 2007pp 843-863.
Kupa Mutezo Wemuromo kune Vakadzi muBashandi, American College of Nurse-Midwives, Journal of Midwifery & Women's Health - May 2008 (Vol. 53, Nyaya 3, Mapeji 276-283, DOI: 10.1016 / j.jmwh.2008.03.006)
Kurambidza kunwa kwemvura uye kudya kunenge panguva yebasa. Singata M, Tranmer J, Gyte GML. January 2010 Cochrane Review.