Izvi zvinowanzoshandiswa kushandiswa kweanesthesia yehutano hwepanyama uye pakuberekwa, zvakaoma nehuwandu hwemhepo, gestosis, breech presentation ye fetus, uyewo panguva yekushanda kwechikamu chekusiya. Mamiriro omwana achangoberekwa anovhiringidzwa nezvikonzero zvakawanda: "Mishonga yekushandiswa kwemishonga kunobva kuyerwa kwemishonga, kureba kwebasa uye mamiriro ekutanga emwana; Muzviitiko zvisingawanzoiti, semubairo wekushandiswa kweanalgesia muchechecheche, panogona kunge kune zvinetso zvekufema, pamwe nekuderera mukati memutambo wemwoyo. Asi kazhinji, sekuongorora kunoratidza, epidural anesthesia yakachengeteka kune amai nevana. Iye zvino tava kuziva nzira yekuita chiremba anesthesia panguva yekuberekwa.
Mhando dzeanesthesia
- Nharaunda yeAnesthesia inoshandiswa kuisa anesthetize mavara epeineum, inowanzoshandiswa episiotomy - iyo perineal incision, uye mushure mekusununguka, kana zvikwata zvinoshandiswa. Panzvimbo yemwana uyu rudzi rweaneshesia haruwaniki.
- Jenesi anesthesia ikozvino inoshandiswa chete mumamiriro ezvinhu akaipisisa, kazhinji - panguva yekushanda kwechikamu chekusiya. Iko nguva inenge iri muhupenyu husingazivi. Mumaminitsi okutanga, apo mwana achiri muchirwere cheuuterine, mararamiro akachengetedzwa akachengetedzeka, izvo zvisingabatsiri mwana achangoberekwa. Muzviitiko zvisingawanzoitiki, mwana anogona kuva nekuderera kwepfungwa yemwoyo uye kupumha. Sezvo mutemo, izvi zvinenge zvichiitika mune chimwe chezvinetso zvehutukutu mukubudiswa kwechechecheche.
- Inhalation anesthesia. Munguva iyi, amai vanoberekera kurwisana nekubatsirwa nemasikisi chaiwo. Kazhinji kazhinji nekuda kwechinangwa musanganiswa we nitrous oxide uye oksijeni inoshandiswa. Nitrous oxide inodhaka isina simba. Iyo inogadzirwa neanesthesia inobva pakufunga kwomufaro muhutano hwekushanda kwayo, izvo zvinoita kuti zvipfeko zvisanyanya kuoneka. Kana iyo inhalation anesthesia inoshandiswa kwenguva yakareba kwenguva refu, mutambo we mwoyo unogona kuderera mumucheche, uye pane mukana wekuti uchazoberekwa nechezasi yeApgar chikamu. Urwu urwu rwemapurisa aneshesia huri kushandiswa panguva ino.
- Epidural anesthesia - panguva iyi, imwe catheter inoshandiswa munzvimbo iyo yakaoma shell yepelinha uye vertebrae, iyo inonzi inonzi epidural space, uye nhengo yeanesthetic yemo inoshandiswa kuburikidza nayo.