Zvipatara zvemazuva ano zvinopa maamai nenzira dzakasiyana-siyana dzokugadzirisa marwadzo. Pamwoyo yevamwe ndiko kuiswa kwemishonga, zvinoitika zvevamwe zvinowanikwa pasina mushonga. Asi kwakanga kusina chidimbu chezvinhu zvose kana kuti kwete, kusiyana kwakasiyana kwakabatana. Zvichida kushandura kune anesthesia, vabereki vanouya uye chiremba vanosarudza. Zvinhu zvose hazvirevi chete pamasikirwo emutsetse, asiwo pamamiriro ehupenyu hwemukadzi, nguva yekuzvitakura, nzira yekuzvara. Pamberi payo, zvizivikanise nemhando dzakasiyana-siyana dzekubvisa marwadzo uye pamwechete nachiremba anosarudza yakakodzera.
Pane mishonga yakawanda (inoda kuiswa kwemishonga) nzira dzeanesthesia.
Mutsara anesthesia
Inofungidzirwa inonyanya kushanda. Mhedzisiro inogadziriswa nekubatsira kwemashoko anesthetic, ayo anowanikwa mune epidural kana epidural nzvimbo yemutsara wemutsara (nzvimbo yepona). Iyi nzira inoitwa pamwe nekubatsirwa kwetsono uye catheter shoma, iyo iyo mishonga inopihwa. Inovhara marwadzo ekurwadziwa anouya kubva kumucheto wepasi, kwete kuvabvumira kuti vasvike muuropi. Mukadzi wacho anoramba achiziva. Iyo mishonga (kusiyana nemashizha) inenge isina chakaipa kumwana, sezvo isingapindi muropa rake. Inoshandiswa zvose pakuzvarwa kwepanyama, uye nokuda kwechikamu chekudzivirira, uyewo kune kuberekwa kwakaoma.
Inobvumira kubatsiridza vanaamai vari munguva yemberi vasina kuchengeteka kuti vaite aneshehesia yakawanda (semuenzaniso, asthmatics). Iyo nzira inoita kuti zvibvirire kubereka voga kuvakadzi vane hypertension, kusimba kwebasa, kucherekera toxicosis. Mharapara anesthesia kazhinji inokonzera donhi muropa. Dzimwe nguva vakadzi vane hutano mukati memazuva mashoma mushure mekuberekwa. Pakupera kwebasa rekushanda, mujenya wehutachiona hunomiswa, kuitira kuti murwere anzwe achiedza nekushingaira kubatanidzwa pakuberekwa.
Injection anesthesia
Munguva dzakasiyana-siyana dzokubereka, vanachiremba vanogona kushandisa madhiragi akadaro se baralgin, spasmalgin, kwete-shpa nevamwe. Basa ravo guru harisi rekushaya anesthetize, asi kugadzirisa zvimwe zvinetso zvinomuka mukugadzirisa kuberekwa. Somuenzaniso, kubvisa tsvina yemukati, kurongedza basa rebasa. Iyo nzira hairevi kubatana kweanesesthesiologist. Uye mishonga yacho yakashandiswa kwenguva yakareba uye naizvozvo basa ravo rakanyatsodzidza.
Inganganisa zvakanyanya mwana: pane matambudziko nekugadziriswa (somuenzaniso, kuporesa basa hakunetsi).
Inhalation anesthesia
Mhando iyi yeanesthesia inoshandiswa muchikamu chinoshanda chekubereka mwana mushure mekunge chivharox ichivhurwa nemasendimita matatu (3 cm). Mushonga unoshandiswa (kazhinji nitrous oxide, inowanzozivikanwa sean amusing gas) inodyidzwa kuburikidza nemasikisi panguva yekugadzikana kwega.
Inhalation nzira inokubvumira kuti ushandure nyore nyore chiremba chechirwere, uchifunga nezvekuwedzera kwemakumbo. Yakashandiswa zvakanaka mukubatanidzwa nemamwe marudzi eesesthesia. Kubudirira kunobata 50% chete yevakadzi. Mune zvimwe zviitiko, manzwiro emuviri wemangwana amangwana haasviki. Somugumisiro, zvakaoma kuisa pfungwa pane imwe nguva inonyanya kukosha yekuberekwa.
Muchiriniki vakadzi vane pamuviri vanogona kupa sarudzo yezviverengeka hazvidi kuti kuiswa kwemishonga mumuviri uye nzira dzokudzivirira kurwadziwa kwekuberekwa.
Transcutaneous electroneurostimulation (chinga)
Pasi pesimba remagetsi zvinokonzera mahomoni emufaro endorphins, kuderedza marwadzo. Maviri maviri emagetsi anosanganiswa kumashure. Panguva imwecheteyo, murwere anogona kutonga zviito zvavo pachavo, zvichienderana nemanzwiro avo. Nzira yacho yakachengeteka uye inoenderana nemamwe nzira dzakawanda dzeaneshesia. Kushandisa Chance hazvidi kukugadzirira chaiyo. Asi haibvumiri muchero wokupedzisira webasa uye hazvienderani ne hydrotherapy.
Kugadziriswa (kubvongodza, kupupurika, kubvongodza)
Kujekesa kune zvigadzirwa zvehupenyu zvinoshandiswa mumuviri zvinoitwa nekubatsirwa nenyuchi, laser danda, magetsi emvura kana kuisirwa. Panguva imwecheteyo mafungiro anorwadza akavharwa, basa rebasa rinowirirana, uteropulmonary circulation inovandudza. Iyo nzira haina chakaipa kune vose vane pamuviri uye mwana. Mukadzi kana mudzimai wake mune ramangwana vanogona kuzviita ivo pachavo. Zvisinei, kurovedzwa kwakakosha kunokosha. Kana musina mumwe, shandisai Kuznetsov's applicator: iise pasi pechiuno.