Hoʻomaopopo mākou i ke ʻeha o nā wahine hāpai me ka resuscitator o ka haukapila makuahine.
- E wehewehe koke i ka huaʻōlelo "anesthesia" ʻaʻole kūpono kūpono ma aneʻi. ʻO Anesthesia kekahi o nā ʻano anesthesia, e pili ana i ka lawelawe ʻana i nā analgesics e hana ana i waena, e hana, a me nā mea ʻē aʻe, i ka nalo o ka ʻike. Hoʻohana pinepine ʻia ia i ka wā o ka hānau hānau (ʻāpana caesarean kekahi moʻolelo ʻē aʻe). Anesthesia nā mea āpau āpau. E kamaʻilio kāua e pili ana iā ia.
ʻO ke poʻo o ka hale mālama mālama nui o ka haukapila makuahine No. 5, Volgograd
Aia kekahi ʻano psychological o ka hōʻeha ʻeha i ka wā hānau, ke mākaukau maikaʻi ka wahine no kēia kaʻina hana ʻaʻole paha ʻo ia e ʻeha iki. Hoʻohana ʻia ʻo Physiotherapy - kahi ʻauʻau kūikawā a me nā mea like. Pili kēia mau mea āpau i ka loaʻa ʻana o ka ʻeha (analgesia).
E pili ana i ka hōʻeha ʻeha lāʻau, aia ʻelua mau koho: ka hoʻohana ʻana i nā analgesics e hana ana i nā kikowaena (narcotics) a me nā anesthesia āpana (epidural, spinal, kekahi manawa paravertebral). ʻO Epidural ka mea i makemake nui ʻia no ka mea he waiwai nui kona. ʻO ka mea, kaohi maikaʻi ʻia. ʻO ka lua, hiki ke hoʻokō ʻia no kahi manawa lōʻihi - a i hoʻokahi a me ka hapa o nā lā.
Inā pono, ʻae ʻia e ʻike i ka catheter (kahi e kahe ai ka lāʻau) i loko o ka maʻi epidural (epidural) (ma lalo o ka membrane arachnoid o ke kuamoʻo) a ʻekolu paha mau lā, hiki ke hana ʻia i ka anesthesia. A, ʻo ke kolu, ka hoʻokō ʻana. Pili kēia, ma ke ala, i nā ʻano anesthesia āpau. Inā hoʻololi wale nā analgesics o ka hana waena i kā mākou ʻike i ka ʻeha, a laila ʻo nā ʻano anesthesia āpau ka mea i loko o ka hoʻopau kūloko kūloko o nā ʻeha e hoʻokomo i ka ʻōnaehana waena. E ʻae wau e wehewehe me kahi laʻana o ke kukui uuku. Kiola nā analgesics i kahi pale ma luna o kēia ipukukui, a ke hoʻomau nei ia e ʻā me ka ikaika like, ʻoiai ʻike mākou i ka liʻiliʻi ikaika ʻole. A hoʻonui ka anesthesia āpana i ke kūpaʻa i ke kaapuni kukui, no ka mea nāwaliwali ia.
ʻO wai e hoʻoholo i ka hoʻohana ʻana i ka anesthesia ma kekahi hihia? ʻO ka pinepine, he kauka kauka-kauka kauka nāna e alakaʻi i ka hānau ʻana. ʻAʻole hōʻike ʻia kēia ma mua, hoʻoholo pololei ʻia i ka wā hānau hānau. Aia nō, ʻoiaʻiʻo, nā wahine e ʻōlelo nei: makaʻu wau i nā mea āpau, e hānau wale wau me kahi "epidural". Akā hoʻokō ʻia ka hana psychological pili me lākou. ʻAʻole hiki ke hoʻoholo i ka anesthesia ma mua, ma mua o ka hānau ʻana.
I ka wā hānau, he nui nā kumu kumu no ke koho ʻana i ka ʻeha ʻeha lāʻau. ʻĀ, e noʻonoʻo ʻia nā noi a ka wahine i ka hana, ʻoiaʻiʻo. ʻAʻohe mea e hana i kekahi mea kūʻē i kāna makemake.
Ma ke ʻano he kauka e hana nei i ka ʻehaʻeha no 12 mau makahiki, manaʻo wau pēlā. Inā ʻae nā ʻenehana hou iā ʻoe e hōʻalo i nā naʻau ʻoluʻolu ʻole, no ke aha e hoʻopili ʻole ai iā lākou. ʻO nā ʻano ʻāpana o ka hōʻoluʻolu ʻeha e makaʻu loa i ke keiki no hoʻokahi kumu maʻalahi: ʻaʻole i hoʻokomo ʻia ka lāʻau i loko o ke kahe o ke koko. Hoʻokomo ʻia ia i loko o ka wahi epidural o ka iwi kuamoʻo o ka makuahine, kahi e luku ʻia ai. ʻAʻole loaʻa i ke keiki. Inā hana pololei ʻia nā mea āpau, ʻaʻohe contraindications, a laila ʻaʻole halihali ʻia kēia hana i ka ʻino i ka makuahine.
Hoʻohana pinepine ʻole ʻia ka anesthesia iwi i ka wā hānau. ʻO kēia kekahi ʻano hana o ka anesthesia, kahi i hoʻokomo ʻole ʻia ai ka anesthetic kūloko i loko o ka wahi epidural, akā pololei i ka iwi kuamoʻo. ʻOi aku ka ikaika o ka anesthesia ma mua o ka anesthesia epidural, ʻoi aku ka kiʻekiʻe o ka wikiwiki o ka hoʻomaka ʻana o ka hana, akā ʻo ka mea maikaʻi ʻole ʻaʻole hiki iā mākou ke waiho i kahi catheter i loko o ka hakahaka o ka iwi, ma aneʻi e hoʻopili ʻia ka lāʻau i ka manawa like. No laila, hiki wale kēia hana i ka pae hope loa o ka hana, inā ʻeha loa nā kuʻikahi. Ma ke ala, ʻo ka hopena o hoʻokahi injection o ka lāʻau lapaʻau ma aneʻi a ʻehā mau hola (me kahi epidural - a i hoʻokahi a me ka hapalua). Ke haʻi hou aku nei, hoʻoholo wale ʻia me ka ʻae o ka wahine i ka hana.
ʻO wai ka mea pono i ka anesthesia ma ka mua? Hoʻomaʻo pinepine lākou e anesthetize i ka hānau mua ʻana - ʻoiai hiki wawe nā mea āpau, ʻaʻohe manawa o ka wahine e hoʻomākaukau ai, a no laila ʻoi aku ka kiʻekiʻe o kāna paepae ʻeha. Hoʻomaha hoʻomaha ka ʻeha i ke kino o ka makuahine, a ʻoluʻolu hoʻi ka pēpē e hānau.
Hoʻomaʻo mau ka ʻōpio ʻōpio e hōʻoluʻolu i ka ʻeha. Eia kekahi, ʻo ke kumu o ka anesthesia ke kū ʻana o nā pathology extragenital, hypertension arterial. ʻĀ, mai kahi kuanaʻike kuʻuna, ke kumu o ka hōʻoluʻolu ʻeha ka lawe ʻana o kahi pēpē make.
ʻO ka maikaʻi o nā kiʻina āpau o ka anesthesia ma hope o lākou ʻaʻole pono ka wahine e "neʻe." ʻAʻole loli ka ʻike a me ka hanu ʻana i kekahi ʻano. Ma waena o ʻelua mau hola ma hope o ka hānau ʻana, hiki i kahi wahine ke hoʻomaka e hoʻokō i kāna kuleana makuahine.