Epidural anesthesia ndiyo inowanzozivikanwa yeanesthesia inoshandiswa pakuberekwa. Sezvo uwandu hwemapurusi huri nzvimbo yose pakati pezvifuva nemabvi ako, ungashamisika kuti unogona sei kusundira mwana wako kunze kwebasa. Kunyange zvazvo zvimwe zvidzidzo zvakatarisa kuti kana kuti usingave nehutachiona huri kuchinja sei iwe unosundira mwana wako kunze, zvigumisiro zvakasanganiswa. Zvimwe zvidzidzo zvinoratidza kuti kune kukanganisa, asi vamwe vanoratidza kuti hakuna kusiyana kwezvibereko.
Zvinonyanya kukosha ndezvinoitika kwauri uye kubasa kwako. Kuziva kuti kutarisira chii kunogona kukubatsira iwe kunzwisisa zviri kuitika.
Inokurudzira Kukunda Nezvakaipa
Chido chekumanikidzira ndechekuti vakadzi vanoshanda vanoona sei pedyo nenguva yekuzvarwa. Dzimwe nguva izvi zvinokurudzira zvakanyanya uye vakadzi vanoritsanangurira sechimwe chinhu icho muviri wavo uri kuita uye havakwanisi kuzvidzora. Dzimwe nguva, zvinongoreva kuti zvinonzwa zviri nani kusundira, kunyanya pamusoro wepamusoro wechinyorwa, pane zvazvinonzwa kuti usasundira. Mune vamwe vakadzi, chirwere chinoparadza chinogona kuderedza kana kubvisa chido chekukwira muchechi yechipiri yebasa. Izvi zvinotungamirira kune dzidziso yekushanda pasi. Kushanda pasi izwi rinotsanangura kumirira kusundira kusvikira mwana ari kure zvakanyanya kusvika mukati memapapiro. Izvi zvinobvumira amai kuti vazorore uye vaifungidzirwa kuti vadzivirire:
- Fetal distress
- Nguva refu kusundira
- Mamwe fetal malpositions kana kuti kubvumira mwana nguva yekufuratira munzvimbo yakanaka
- Amai vanobva vachinzwa vachinetseka vaneta nokutsvaga basa
Yeuka kuti chibereko chinoenderera mberi nekutsvaira kwayo kunyange pasina kubatsirwa kwaamai. Asi kubvumira kubvumira mwana kutendeuka uye kuburuka kunogona kubatsira kune vose vanobatanidzwa. Izvi zvakawanikwa mune zvimwe zvidzidzo, asi vamwe havana kuwana zvikomborero, uye pedyo nechinzvimbo chisingatauriki chekuedza nzira iyi yekudhonza.
Zvipatara zvakawanda zvinoshandisa izvi seprotocol.
Nzvimbo Dzokusimudzira Nechirwere
Sezvo chirwere chekare chinopesera amai, haagoni kutora nzvimbo dzakawanda nekuda kwekushaiwa kwekunzwa. Izvi zvinoisa muganhu pane nhamba yezviitiko zvinokwanisa, izvo zvinogona kudzivisa kufambira mberi munguva yebasa.
Ndapota cherechedza kuti izvi zvakasiyana kubva kuna amai kuenda kuna amai, vamwe vakadzi vachave nekufambisa kupfuura vamwe, izvi zvinogona kuchinja zvaunogona kuita zvishoma asi zvicharamba zvichida rubatsiro rwakakura kubva kune avo vanokupoteredza. Nekusigirwa kwakanaka kubva kune mumwe wako, a doula , vanamukoti vanoshanda uye vamwe, pane dzimwe nzvimbo iyo amai vanogona kugona kufunga nayo kusanganisira:
- Semi-vagere nevanhu kana mitsipa yegumbo
- Kunze kwenhema
- Kutsigirwa squat
- Semi-prone
- Akanyura pasi petsoka yemubhedha, achizorora
- Ita nekutsigira kana kutsigira gumbo
Chinhu chimwe chinofanira kuchengetedza mupfungwa kana kubatsira mumwe munhu ane chirwere chepachirwere ndechekuchenjerera kuti usapfuurira-wedzera marwadzo kana mamwe maungo. Zvinokonzerwa kukanganisa muviri wemuviri nekuti haakwanisi kunzwa kurwadziwa. Iye haazive kuti angakuudza rini kuti agare sezvaangowanzoita kudai iwe waizofanira kuwedzera majoini ake.
Nguva Yezvikamu Pamusoro Pokusungirira
Kutsvakurudza kunotiratidza kuti nguva inopera apo vose amai nomwana vari kuita zvakanaka, hazvidiwi.
Sezvo chirwere chinogona kuwedzera nguva inoda kubvisa mwana kunze, kana amai nemucheche vachiri kuita zvakanaka, bvunza chiremba wako kana muchecheti kana pane chikonzero chipi zvacho nei usingafaniri kubvumirwa kuramba uchimhanya kusati kwaitwa chikamu chekusiya . Dzimwe nguva kuchinja kusina kumira munzvimbo kunobatsira pakufambira mberi kwebasa mberi nekuunza mwana pasi.
Epidural Complications
Kunyange zvazvo kuderedzwa kwekutambudzika kunobatsira kwepachirwere, mishonga iyi inowedzerawo ngozi yaunoda:
- Vanoda Pitocin (iyo yakagadzirisa maitiro ehomoni oxytocin), iyo inogona "isingave yakachengeteka sezvaimbofunga", maererano neshumo ra2013 kubva kuAmerican College of Obstetricians uye Gynecologists
- Zvinoda zvekusimba kana kubvisa zvinyorwa
- Iva ne episiotomy
- Unoda nguva yakawanda yekusimudzira kupfuura iwe waizodaro
- Wedzera urefu hwechikamu chechipiri nokuti mishonga yako haikwanise kubatsira kutenderera mwana wako munzvimbo dzakasarudzwa pakuberekwa
Kushandiswa kwepachirwere hakuzove nemukana mukuru pamusana pekukwanisa kwako kusundira, uye kunyanya kunetseka kuva nguva refu. Izvozvo zvakati, vakadzi vakawanda vanoshingaira kutengesa maminetsi mashomanana ekushanda pamwe nekununurwa kunorwadza kwakapiwa nechirwere chepachirwere cheimwe nzira. Kana uri kuronga kuva nechirwere chepachirwere, taura nachiremba wako uye doula nezvekuti unoda kubata sei chikamu chekushanda kwebasa.
> Sources:
> IAmerican College yezvipembenene uye Gynecologists: Kudzidza Kunowana Migumisiro Inoparadza yePacocin muMucheche (2013)
> Lemos A, Amorim MMR, Dornelas de Andrade A, de Souza AI, Cabral Filho J, Correia JB. Kusimudza / kutakura nzira dzechikamu chechipiri chebasa. Cochrane Database yekuongorora kwakarongeka 2017, Nyaya 3. Art. Kwete: CD009124. DOI: 10.1002 / 14651858.CD009124.pub3
> Lieberman, E., & O'donoghue, C. (2002).
> Osborne K, Hanson L. Kushanda pasi kana kubata pasi: chirongwa chekushandura uchapupu hwebasa rechipiri kune chiito chekuberekwa. J Perinat Nursing Neonatal. 2014 Apr-Jun; 28 (2): 117-26. doi: 10.1097 / JPN.0000000000000023.
> Migumisiro isingadiwi ye Epidural Analgesia Panguva Yebasa: Ongororo Yakarongeka. American Journal of Obstetrics uye Gynecology