He aha maikaʻi anesthesia no cesarean pauku: ke ano, nāʻikepili, contraindications, hōʻike manaʻo

Cesarean pauku -ʻoki kino, ma i ke keiki ua wehe 'ia e kekahi e oki ai i ka abdominal paia a me ka uterus. Mahalo i kēia ke kaʻina hana no kēlā me kēia makahiki i hanau ai na tausani o nā keiki, no laila, i ka ninau o ke pehea keia hana ua haliia mai la mawaho, excites nui expectant makua. Ma keia hihia, kekahi o ka mea nui na mea e pili ana a oe e manao mua hanau, o he ano o ka anesthesia.

No laila, i ka mea maikaʻi anesthesia no cesarean pauku? Mai ka 'atikala, e hiki ke loaʻa kumu o ka' ike e pili ana i ka loa mau hoʻohana 'ia' ano o ka anesthesia i ka hana, me ko lakou papa kuhikuhi pono a me ka keakea.

Pehea o keʻoki kino?

Ma mua o mākou loaʻa mai i ka mea a ka maikaʻi anesthesia no caesarean pauku, oe e olelo aku i kekahi mau olelo e pili ana i ke ano o keʻoki kino.

Ma cesarean pauku keiki kamaiki, aole ia e hōʻike i kuni i loko o ka maoli alanui (ma ka hanau Canal), a ua wehe 'ia ma ka liʻiliʻi incision i ka surgeon mea a hiki i ka uterine paia. Ma kēia Ho 'Oponopono incision ua i loko o ka lalo abdomen, e hoolilo ana i kekahi me ka makaʻu no ma hope oʻoki kino i aneane imperceptible. Oia ke ano o ka ka nahunahu hanau ka loa, he pono ole, a hoʻomano hoʻohana 'ia ma ka hana pono i loko o kekahi Europa aina, e like me Hawaii, keia ala e hiki mai ai i 40% o nā keiki.

Aia he mau ke ano o kaʻoki kino: oaeouee? A me ka pilikia. I ka mua o ia ina he mea he pilikia iloko o maoli ka nahunahu hanau kekahi complications e olelo hooweliweli aku i ke ola a me ka ola o ka makuahine, a me ka bebe. Ma nāʻikepili no keia hana, ua pilikia makuwahine pelvis, i ka make māinoino o ka hypoxia, ka nahunahu hanau, ka hoomaka ana i kakahiaka nui, mau hāpai keiki, a no laila, ma luna o. D. maoli ai, oaeouee?ʻoki kino o ka pahuhopu iʻano, no ka mea, ka manawa e hoomakaukau ai no ka mea mai ana maiʻoki kino wahine i loko o ka hana.

Pilikia ana o ua mau hana i loko o ka hihia ina he poe kekahi pilikia complications iloko o maoli ka nahunahu hanau. Ma keia hihia, he pōpilikia eʻoki kino i loko o ka hapanui o na hihia ua hana ka hoʻohana mau anesthesia, kekahi o na kumu pono o i mea na kokololio hookahi o anesthetic hookoia: i kēia mea nui, no ka mea, i kekahi manawa, i keʻakeʻa i hana mooolelo hele ma luna o ka minuke.

Maoli ai, e like me keʻoki kino o inconceivable me ka hoʻohana 'ana o ka anesthesia, i ole ia i ka hoʻomanawanui i ole ola i ke ola kŰia.

He aha 'ano o ka anesthesia hoʻohana no caesarean pauku?

Aia i mau walaʻauʻana ano o ka anesthesia mea e hoʻohana 'ia ma ke kaʻina hana o ka cesarean pauku hiki: kekahi o nā' āina a me ka mau anesthesia. Ka mea mua loa e hoole i ka pā lonoaʻili o wale i ka lalo hapalua o ke kino, oiai ma ka nui ike paka i o ka hoʻomanawanui nō hoʻi ia moʻolelo disconnected, a hoʻonānea kona nāʻiʻo. Ke koho ana o ka hana kūpono a ka hapanui pono o ka anesthesia hiki ke hana wale me ke kahuna lapaau e pono e lawe i ka mooolelo o ka 'o hāpai keiki, maternal ola kino, a me na mea he nui' ē aʻe.

Ano o ka anesthesia no caesarean pauku:

• mau anesthesia;
• spinal;
• epidural.

O ka papa kuhikuhi pono a me keakea o kela a me keia mea i ho'ākāka 'ia ma lalo nei.

A hiki i ke koho ana i loko o ka lokomaikai o ka mau anesthesia hiki ke hana?

Ke o Mānoa, a mau anesthesia mea i ku pono i ka luna 'hoomakaukau iʻoe i loko o ka venous koko kahe' ole hoʻohana i ka Tube hookomoia i loko o ka airway, ke hoʻomanawanui nō hoʻi ia moʻolelo disconnected ike, a me ka mea pohaku e haha aku ka eha. He nui ka e hoailona oukou i lalo mau anesthesia he mea Muscle hoʻomaha, hiki oe, e hana no obstetrician-surgeon pono hana ana.

Kēiaʻano o ka eha ana no ka wahine, ka poe i ai i caesarean pauku, koho i kŘpa a pohihihi keia. Ka nele no ka mau anesthesia kānāwai i loko o ka kēia hihia.

• contraindication i 'ē aʻe nei epekema no analgesia;
• i ke alo o ka makuwahine obesity;
• fetal hypoxia diagnosed;
• hoole ana i ka wahine, mai nā 'ano o ka anesthesia;
• malposition o ka uterus, prolapse o ka piko a me nā pilikia obstetric kulana.

Kēia manawa ka mau anesthesia no caesarean pauku Ua pili i ka hanana i loaʻa mea he pono e hana ia ma ka pilikia nāʻikepili, aʻoki lāʻau lapaʻau 'uao ua koi' ia e hoʻomaka urgently, e hoola i ke ola o ka makuwahine a me nā keiki. Ua ua kena ae la ia e ka mea e mau anesthesia i kekahiʻiʻo drawbacks.

Ke keakea o mau anesthesia

He aha maikaʻi anesthesia no cesarean pauku? Ma mua, olelo aku keia ninau, e mau kamailio e pili ana i kona hewa. Kauka ho'āʻo e mālama i kēia 'ano o ka anesthesia no caesarean pauku, no ka mea, anesthesia hiki ke haawi nui aku complications ma mua o nāʻeha ke ola ki ina hana like. Mawaena o ka loa e like me ka mea i i:

• parturient hypoxia, a ua kauoha ia e ka mea i i anesthesia hoemi akemāmā nona iho, a mahuahua koi no o oxygen;
• kiʻekiʻe pilikia o ka wehena, oa Inhalation o ka'ōpū Contents ke ala, ina he anesthesiologist ua i nā manaʻoi hoʻokoe 'diagnose keia ano, o ka hopena hiki e disastrous;
• he nui wale aku nā wāhine i loko o ka pauma i mau anesthesia.

Ke anesthetic ke alakai i ka 'aʻe ana i ka ÷ naehana hanu ha awina o ke keiki, e like me ka pono i loaʻa i kekahi e kaumaha ana ia i kona ko mākou hopohopo'ōnaehana ma ka pili ana me ka anal o ke keiki painkillers. Hope i pakahi aku la ia pilikia i loko o ka hihia o kekahi mau anesthesia ua hoʻohana 'ia i loko o preterm ka hana. Eia naʻe,ʻaʻole nui ia e makau o: ka mea kēia ai 'ke emi i ka pilikia o ka hopena maikaʻi' hopena no ka keiki a hiki i ka palena iki, a hiki i ka ia keiki i loaʻa kūikawā lapaau, maha ka noʻonoʻo i ka hopena o kekahi mau anesthesia.

Ke'ōlelo mai, He aha ka maikaʻi, e koho anesthesia no cesarean pauku mea mai ia oe a me kou kauka, akā, e hoomanao i mau anesthesia - i ka pono ala i ka anesthesia hana, a e akoakoa ai i ka mea e wale nō ia i loko o ka hanana i nā koho no ka mea kumu, hana ole Ua koe. No ka laʻana, i loko o ka hanana i ka wahine i loko o ka hana mai i lolelua ka naau, a loaa mai kekahi psychiatric maʻi, ka hana hiki wale ke lawe mai ma lalo mau anesthetic, me he kamepiula kiʻekiʻe i ka wahine e,ʻaʻole e hiki iā iloko o ka hana noho mālie, a, e pau ana i ka hana o ka surgeon.

Nui aku pinepine pili ma ka hoʻomaʻamaʻa epidural a me ka spinal anesthesia, 'o ia hoʻi, nā' āina 'analgesia i kūpono - kēia mauʻano mea nui lua pele e ae i ka wahine ma ka hana i loko o ka moku'āina o maopopo ike paka i. Kēia mea nui,ʻaʻole wale nō, no ka mea, ua hiki ke koke lawe ma luna o nā lima o ke keiki. Ma caesarean pauku obstetrician a me ka anesthesiologist ke malama ikaika hui 'ana me ka hoomanawanui, e ka mea maʻalahi e kuhikuhi i hiki complications.

I ka hana o ka epidural anesthesia

, E möakäka hou i kūpono ai Mamua pane i ka nīnau, i mea maikaʻi, e hana anesthesia no cesarean epidural anesthesia. Kēia mea he hana i loko i ka anesthetic ua injected i loko o ka epidural makahiki o ka spine i loko o ka lumbar māhele 'āina. Ma hope o anesthesia hua mai ma keia hana, he wahine i loko o ka hana i ka manawa o ka hana i loko o ka ike, akā, 'aʻole e haha aku i kekahi eha.

Local anesthesia no caesarean pauku e leie aku i ka wahine, e lawe i kaʻeleu loa i loko o ke kaʻina hana o ka nahunahu: e kamaʻilio me ka 'inikua koʻokoʻo, a makana i loko o ka keʻena kana kane, koke lawe i ka lima o ke keiki, a paʻa ia i ka pahu. Ma keia hihia, he wahine ma ka hanaʻeha, aole ia e haha aku, ma kekahi wahi i ka uuku discomfort iʻoki kino.

Eia naʻe, he mea kekahi mea nui mea. He nui na wahine i psychologically paʻakikī i ka olelo, e noho i loko o ka pae'ōnaehana lumi, ka mea, ua makau ia i cesarean pauku, e e ala ka mea, me ka i haha aku ka hapalua o kona kino. Pinepine makuwahine koi aku ma luna o ka mau anesthesia. Lākou makaʻu kupono e kūkākūkā me kou kauka a me ka anesthetist, ka mea e kamaʻilio pū ana ma au mamuli e pili ana pehea e hoomau aku anesthesia ina hana.

Pono o epidural anesthesia

Mawaena o ka papa kuhikuhiE pono o epidural anesthesia i na kēia:

• Ka pilina paʻa functioning o ka mea'ōnaehana mānowai koko'ōnaehana, o ka nele o ka puʻe kēia.
• Ua Ua hoola i ka manawa kūpono e lawe mai i ka neʻeʻana.
• Ke hoʻokoe 'eha i ka luna naehana'āpana, a aole no he pilikia o ka wehena.
• Ka lōʻihi lōʻihi like 'ole o ka anesthetic hopena. Inā pono, anesthesia hiki ke waiho loihi ana i kekahi manawa, i mea nui loa i loko o ka hanana ana ma hope o cesarean pauku mea pono ke hana i kekahi hou ana, no ka laʻana, paka i Tubala ligation.
• Ka wahine koke hele mai o ka anesthesia, lāʻau kū-operative ke ola au ua hoemi: 24 wale nō hola ma hope oʻoki kino, he nui loa nā mea maʻi e kū kaʻawale kiʻi mai, a neʻe mai a puni.
• Child hiki ke lawe i kona mau lima, a kau i ka umauma koke ma hope o ka hana.
• He hiki ke ho'ēmi i eha ma hope o ka nahunahu hanau, komo i loko o ka epidural makahiki painkillers.

Keakea o epidural anesthesia

I loko nō a pau kona pono, i ka hopena o epidural anesthesia no caesarean pauku i e loaa ole ia. Ua maopopo leʻa Pono eʻike i kēlā wā e hiki mai maternity:

• Inā ka anesthetic ua injected mea,ʻaʻole lawa ka mākaukau, kiʻekiʻe pilikia o ka noho i ka lāʻau i loko o ke koko. I ka Ia manawa ulu convulsions, ikaika hoemiia ke koko, a me ka ike paka i inhibited. Ka hopena hiki ia i ka make ana o makuwahine a me irreversible poino i ka'emi ko kahua.
• Kahi o 17% o ka anesthesia, aole ia i ai hoi i kekahi nä olonä, no ka mea, o ka mea no ka wahine i loko o ka hana i ka manawa o cesarean hānau uaʻike piʻi discomfort. No laila, ma mua e hoʻomaka ana i ka hana, e kaha i ka pā lonoaʻili hoʻohana kūikawā neurological ho'āʻo ma, e like me he kui oioi. Inā ka anesthetic i i hana pono, ka mea pono me ka hoopuka moakaka hooponopono o ka lāʻau.
• Inā ka medicament pono i pololei ole catheter loaʻa ma lalo o ka arachnoid spinalʻula, hiki i hoʻomaka ai spinal aeie, i mea pinepine i ka hopena o ka hoʻokō 'ole' ana o ka ÷ naehana hanu nenoaiu. E pale ia keia, mua komo he uuku mahele lāʻau o ka lāʻau: i kaʻoki lāʻau lapaʻau hui pono e mau minuke o kali ana e ike ina ua hana pololei 'ia o nā kaʻina hana.

Eia naʻe, epidural anesthesia no cesarean pauku Ua huikau, a me kona pomaikai nui pinepine hilinaʻi nui ma luna o ka hana a me ka 'oihana Hawaiʻi. Ke tactile ka loaʻaʻana o ka epidural makahiki ka loa mūmū hoʻi, no ka mea hoi, i ka wa spinal anesthesia ike loea peni mäka mea auoiaea ma luna o ka ili o ka cerebrospinal loli. He nolaila, nui ke koho i kekahi kauka i ke kumu no oe paulele, a akahele hoʻopaʻa haʻawina i nā hōʻike manaʻo o ka hana o ka haukapila kahi o kou kamaiki e e hanau ai.

spinal anesthesia

Initially epidural ka mea, ua manao kekahi maoli ke ola, no ka mea, e leie aku oe i ka e ole wale i ke kaʻina hana o ka ke keiki hanau loa painless, akā, no hoi i na wahine he manawa ole e lilo mōakaaka o ka manaʻo a me ka pokole i ka manawa o ka hanau ana o ka lōʻihi-kakali pēpē. Eia naʻe, no ka mea, o ka contraindications lehulehu, a me ka pahiki o ka helu o ka io hopena helu 'ia ma luna, epidurals ke kiʻekiʻe o haawi i ka lāʻau o ke spinal. He nui nā hoʻopaʻapaʻa ana i keia mea no ka maikaʻi anesthesia no cesarean pauku.

Spinal anesthesia o ka hooponopono ana o ka anesthetic i loko o ka lumbar hoʻi kaawale. Ka lāʻau 'komo ka subarachnoid makahiki o ka spinal kaula. Ma keia hihia, i ka hope o nā 'ano o ka anesthesia mea i' ano like: kekahi manawa ma hope o ka ka pahu kui ana o ka wahine ma ka hana ekolu pohaku e haha aku i ka malalo ka hapalua o kona kino, a me ke kauka ke hoomau aku i ka mea e pono aiʻoki lāʻau lapaʻau kaʻina hana.

Pros spinal anesthesia

He aha ka maikaʻi o ka anesthesia no cesarean pauku? Pane aku i keia ninau mea loa paʻakikī, e like me nā mea a pau pākahi. Akā, ua hiki ke kuhikuhi i ke kumu pono o spinal anesthesia:

• Noʻawahia hopena. kokoke i mālama, a aole hoi he pilikia i ke keiki ma ka hihia o accidental hui 'ana o ka anesthetic i loko o ke koko kahawai, mai ka naoh o ka naau a me ko mākou hopohopo kahua.
• Ma hope oʻoki kino, i ke kino ola koke.
• Kona mea e like analgesia: i ka wahine ma ka hana iʻoki kino i eha.
• Spinal anesthesia hou relaxes na nāʻiʻo, a kōkua ai i nā ka hana ana o ke kauka.
• By ana ke hoʻomaka i loko o kekahi mau minuke ma hope o ka hoʻoponopono, no laila, 'ākeʻakeʻa ai emi manawa.
• Spinal anesthesia ua i ka hailona hiki mua epidural. Ma waho aʻeo ka hoʻoponopono anesthesiologist hoʻohana i ka nui thinner kuikele, no laila, i ka pilikia o ka traumatic spinalʻaha a hewa lā hooponopono o ka anesthetic minimized.
• Ua nui na kauka ike i ka spinal anesthesia ua ka loa hemoleleʻano o ka anesthesia Caesarean pauku.

Spinal anesthesia no cesarean pauku: contraindications, a me ka nui flaws

Eia naʻe, spinal anesthesia i kekahi keakea:

• I ka lāʻau a pau i loko o nā hola, no laila, i kēia 'ano o ka anesthesia e ole e holopono ana, e pono e hana i kekahi i nā manipulation, a ina i ka manawa o keʻoki kino complications e ala mai, e hiki pono ai keu anesthesia.
• Spinal anesthesia mea,ʻaʻole hiki i ke alo o ke ahonui o kekahi mauʻano o spinal nā palapū.
• ke koko, e papa no ka mea, o ka mea kokololio hookahi o anesthesia.
• Inā na hana me ka i, e inject i ka lāʻau, i ole loa disinfected, loaʻa paha e kekahiʻano o infectious complications e like me meningitis.
• Ma hope oʻoki kino, he nui na wahine ma ka hana e ae hākilo loa headaches e hiki mau ai no kekahi mau lā a hiki pule.
• E like me ka hopena o ka pololei ole catheter e hanaʻino i ke aʻalolo oaio, i kapaia "ponytail". Kēia i ia i ke kumu i ka innervation o ka sacrum a me ka lumbar spine e e uhaʻiʻia.
• Spinal anesthesia mea,ʻaʻole e hiki i kekahi ano o spinal deformity.
• Spinal anesthesia mea,ʻaʻole hiki i premature poe o ke keiki a me nā obstetric ana.

'Oiai, i ka mea ma luna o drawbacks, spinal anesthesia ua manaoia kekahi o nā' ana i kūpono maikaʻi a safest o anesthesia no caesarean pauku.

Anesthesia no cesarean pauku: hōʻike manaʻo

He aha maikaʻi anesthesia no cesarean pauku? Reviews e pili ana i ka waiʻona ma ke na wahine ka hoao ana i loko o kekahi mauʻano o ka anesthesia, e kōkua i ka pane a hiki i keia ninau mai loaʻa.

Young makuwahine i kaulana i ka auoiaea kaʻina hana o kekahi mau anesthetic meaʻawaʻawa loa lawa: aia no he manao o ka pōniuniu, nausea, headaches, a me ka Muscle aches. Eia hou kekahi, ia mea,ʻaʻole e hiki koke mai ma hope o ka hānau, e lawe lima i ke keiki ka. Aia i kekahi io no o mau anesthesia: pinepine ma hope o kāu keiki i kaumaha o ka naehana ha awina.

He aha maikaʻi anesthesia no cesarean pauku? Reviews o epidural anesthesia no ka hapanui loa maikaʻi. New makuwahine e olelo aku nei ia ma hope o ke kaʻina hana, aole hoi he discomfort, a me ke keiki hiki ke koke pili ana i ka pahu. Eia naʻe, e like me ka mea e hoikeike ma ka manaʻo, pinepine ana discomfort i ka hooponopono, a me ka mea mua mau hola ma hope o Caesarean pauku, i ka wa a ka anesthetic ua eliminated mai ke kino, me ka haʻahaʻa hapalua kino ikaika lulu. Eia naʻe, pono i ka lā ma hope o ka hana ia mea hiki ke ku iluna ma kona mau wawae, e neʻe kū kaʻawale, a mālama i ke keiki.

Spinal anesthesia ma caesarean pauku nāʻana, ʻano nui maikaʻi hoʻolimalima i. Nā mea maʻi i aku nei au i i ole ka mahina eha ma keʻoki kino. Naʻe, i loko o kekahi mau hoopii, no kekahi mau pule i nā wāhine poino mai headaches a me abdominal discomfort.

Pehea e koho i ka anesthesia?

No laila, i ka mea maikaʻi anesthesia no cesarean pauku? He 'atikala AIM e hoike aku expectant makuwahine me ka ano o ka anesthesia hoʻohana no caesarean pauku anesthesia. Akā, e hoomanao, ma kekahi hihia e ole e alakaʻiʻia e ka luna 'ike, i ke koho ana o ka anesthesia! Wale i kekahi kauka O ka mea a pau i ka 'ikepili ma luna o ke ola o ka hou makuwahine ke koho i keʻano akau o ka anesthesia. O ka holo ana, ke hoʻomanawanui i ka makemake hiki ole ke AOON. No laila, ma mua oe hoʻoholo ma lalo i anesthesia mea pono e hana i kekahi caesarean pauku, oe e kaupaona i nā pros a me ka hooluolu ana o ka kekahi papa hana, a me ke kukakuka pu ana me ka surgeon, a me ka anesthesiologist.

I koho anesthesia holomua, e pono e hoʻokō i nā koi o ka 'Oihana nāna e hōʻike ana i ka ai muaʻoki kino, ka wā e kiʻi mai ma hope o ka caesarean pauku, a me ka mea e hana i mea no ke kino, e ola like' āwīwī i hiki.