Rehunga epidural mō te wāhanga cesarean: tohu me painga

A, no te panga o te pātai e pā ana ki te kōwhiringa o rehunga i te take o te wahine hapu, e tangohia ki pūkete he maha o tohu, kawea atu whakamātautau toto me tātaritanga ultrasound, āhuatanga mōrea tautuhi me tikanga pathological o te whaea i mua nei, me te kukune. rehunga epidural i roto i te wāhanga whakawhānau titau te nuinga o rongoā te whakamarama. Na kahore he mea whakamiharo: Rerekē rehunga whānui, kua nui iti mōrea o pōauautanga me contraindications tenei tikanga.

rehunga epidural i motu whakawhānau katia āhua fakalotofo'í o te ngakau, me te wawata tika ki te kore o te hiahia ki te whakamahi i tētahi ngongo endotracheal tiakina ana te mahi tūturu matehā me roaa te taumata pānga analgesic hohonu. Ki enei painga katoa, he mohio, me te taea ki te kōrero āta te manawanui.

rehunga epidural mō te wāhanga whakawhānau whakarato tata oti whakangā o te taiepa puku, me te hua e taea te kawea nga mahi e tika ana katoa e pā ana ki te tangohanga o te kukune i te wawaotanga hāparapara i roto i tino pai. Ko nui māmā te akoranga postoperative whakaaturia hoki te te po tuatahi te fariiraa i painkillers. hoki Whakaora me tūroro ki te ora noa tere.

i whakaritea rehunga epidural te hoki etahi tohu hauora mō te wāhanga cesarean. Hei tauira, i roto i te wā i reira he mea tika ki te pupuri i te kupukupu māhorahora (mate pūkahukahu), myasthenia me ētahi atu tukanga pathological i roto i te kopa o te uaua maeneene, i waho te taea o te whakamahi o te raau taero puai, me relaxants, kahore nei kahore rehunga whānui utu.

Ehara i te mahi i waho contraindications, e ngā āhua ru, toto, hypoxia fetal, hoki, atrioventricular poraka tuarua, me te teitei o nga nekehanga o te whara filosilivá aho, ua me te CNS takenga organic, ātete ki rongoā e whakamahia ana mō te rehunga.

E pā ana analgesia epidural ki te momo-rohe o te rehunga. I roto i tenei momo, i reira he tetahi tirohanga - rehunga tuaiwi. momo rerekē o te timatanga wāhanga rangitahi o te rehunga me tona roanga. He rerekē, me te wāhi o te whakahaere tarukino reira, ahakoa kua whakaurua te ngira ano ki te awa filosilivá. A, no te rehunga filosilivá te whakahaere taonga tarukino ki te wāhi filosilivá, karapotia nei e te anga totoka. A, no te whakahaere he tarukino te epidural wāhi filosilivá i waenganui i te tuaiwi me taputapu ligamentous. Ka taea te whakamahi rehunga filosilivá i motu whakawhānau i roto i te ngaro o contraindications me pōauautanga taea. Ki te te tūmanakohia paturuhia i roto i te mahi, i homai hiahia te rehunga epidural, no te mea roanga o ia i te iti roa. Ki te kei te rite āraia momo e rua te taea o te sensation me nekehanga o nga wahi o raro, me te tinana i roto i te papatoiake, me te puku.

He tokomaha nga wahine e whai he epidural ka i whiriwhiria arotake wāhanga whakawhānau waiho pai. Etahi i taea e ki te whakarite i te pānga o te rehunga whānui, hanga i roto i te mua, me tenei momo o te rehunga. Kua tohua ratou e te huaki tere o mahi analgesic, ki te kaha te kōrero i roto i te mahi, me te oaoa ki feruri ia tamaiti tonu i muri i te tangohanga. Ko hoki te ora tere o te tinana tetahi o nga painga matua o tenei momo o te rehunga.