Shamwari yakagadzikana uye isingaverengeki chero ipi zvayo anesthesia inoshanda. Murwere ane pamuviri haazombofi anesthetized kunze kwekunge akaratidzirwa rudzi rwekuvhiya. Nokudaro, kana ichitaura kuti yakaipa sei anesthhesia inobata muviri panguva yekuzvitakura, inoreva kusanganiswa kwezvakaipa - zvose anesthesia pamwe nekushanda kwayo.
Maererano nehuwandu, vanenge 3% yevakadzi pavanenge vachiita pamuviri vanofanira kuvhiyiwa anesthesia. Kazhinji kacho, basa rinowanikwa mumunda wekunyatsodzika mazino, chirwere chepfungwa uye chirwere (cholecystectomy, appendectomy). Anesthesia panguva yekuzvitakura inongowanikwa chete kana pane zviratidzo zvinokurumidzira uye zvinokurumidza, pasi pemamiriro ezvinhu anopa kutyisa kwehupenyu hwemai. Kana mamiriro ezvinhu achibvumira, kana chirwere chacho pachacho uye aneshesia hachidi kukurumidza kukurumidza uye inogona kuitwa nenzira yakarongwa, saka zvakanakisisa kumirira kuberekwa kwomwana. Mushure meizvi, pasina mimwe ngozi, mukadzi anogona kupinda muchipatara kuti aite kurapwa kwakaratidzwa kurapwa kwechirwere.
Ndezvipi njodzi dzehuwandu hweanesthesia mune vakadzi vane pamuviri?
Panguva yekuongororwa kwenhamba yakawanda yeongororo, nyanzvi dzakaita zvinotevera:
- Jenesi anesthesia panguva yeanesthesia panguva yekuzvitakura inopa kuwandisa kwakanyanya kwekufa kwevabereki. Chaizvoizvo, yakaenzana nekukosha kune ngozi yeanesthesia yakaitwa panguva yekuvhiyiwa kwevakadzi vasina pamuviri.
- Dambudziko rekukurira kuberekwa kunosvibisa vana vatsva pasi pemamiriro ezvinhu apo pakubata pamuviri mukadzi akange ari anesthetized and operated is very small. Izvo zvakaenzana zvikuru nehuwandu hwekufambisa kwemaitiro akafanana mumadzimai ane pamuviri asina kumbobvira awana anesthesia uye chirwere.
- Mukana wekuparara kwepamuviri, akaenzana pamusoro pematatu matatu ekutora pamuviri, pamwe chete nehutano hwekufa kwekuberekwa anenge anenge 6 muzana. Ichi chikamu chinodarika zvishoma (11%), kana anesthesia yakaitwa mumutambo wekutanga wekuita pamuviri. Nguva inotyisa zvikuru mupfungwa iyi - mavhiki masere ekutanga, apo fetus inotarwa uye yakaumbwa nhengo nhengo dzepamusoro.
- Mukana wekuberekwa nguva isati yasvika, apo aneshehesia yakawanda inoshandiswa panguva yekuzvitakura, inewo 8%.
Kugadzirira kwevanhu vakawanda anesthesia
Nokutsvaga kwemakore achangobva kupfuura, kuchengetedzwa kwezvinodhaka kwakave zvichiratidzwa kuti zvakakwana kune anesthesia yakawanda mukudzivirira. Pasina mubvunzo, zvakaipa zvisingabatsiri pamucheturo wekugadzirira kwakadai se diazepam uye nitrous oxide yaionekwa nguva dzose. Nyanzvi dzakaratidza kuti panguva yeanesthesia panguva yekuzvimba, zvakanyanya kukosha hazvirevi zvakananga mishonga (anesthetic), asi nzira yeanesthesia. Basa rinonyanya kukosha rinotambidzwa kwete nekubvumirwa kwekudonha kwakakosha kwehutano hweropa uye nehuwandu hwehupenyu hwehupenyu hwehutachiona hwemukadzi ane pamuviri munguva yeanesthesia. Panewo pfungwa yekuona kuti panguva yekuzvitakura zviri nani kudzivisa kushandiswa kwemashoko anesthetic ane adrenaline. Kunyangwe kuiswa kwepachiitiko kweanesesthetics yakadai muropa remudzimai kunogona kukonzera kukanganisa kwakasimba uye kunopfuurira kweropa kuderera kumucheche kuburikidza neparcenta. Nyanzvi dzinocherechedza kuti iyo inowedzheni yepamunharaunda (yakakurumbira mukurapa mazino), seye ultracaine kana articaine ine adrenaline.
Nokudaro, tinogona kutaura zvakachengeteka kuti anesthesia yakawanda uye kuvhiyiwa kunoitwa panguva yekuzvitakura zvakakwana zvakachengeteka hutano hwaamai, asi dzimwe nguva zvinogona kukuvadza mwana weramangwana. Nguva dzose inonyanya kuipa ndiyo yekutanga katatu yekudzivirira. Chisarudzo chekupedzisira pamusoro pekudiwa kwekuvhiyiwa uye aneshesia panguva yakawanda panguva yekuzvitakura inofanira kunyatsotorwa. Zvakakosha kufungisisa zvose zvinokonzerwa nekukanganisa kwakaipa kweanesthesia uye kushanda pachayo pakusununguka kwemwana asati aberekwa. Kana kushanda kusakosha uye kune mukana wekudzokazve kwekanguva, zvino zvakanakisisa kuzviita panguva yechitatu chetatu yekudzivirira.