Lesapo la mokokotlo thethebatso - phethahetse thethebatso nakong opereishene

Ho fihlela joale, lesapo la mokokotlo thethebatso - e mong oa mekhoa e atlehang ka ho fetisisa ea thethebatso sebelisoa nakong ea tshebetso ka 'mele o ka tlaase. Ho ea ka molao-motheo oa hae oa ho mokhoa ona e tšoanang le thethebatso epidural, empa a batla a e fapaneng ho tloha hae.

Thethebatso ke eng

Nakong ea ho lihuoa ha thethebatso, ngaka peho sethethefatsi ka kotloloho ka khoele lesapo la mokokotlo, e lumellang u ho thibela methapo le boikarabelo ba ho litakatso tsa kutlo. Tabeng ena, mokuli o ikutloa a batang e tsoang mokokotlo ho maoto a ka, hamorao e ka tlaase karolo ea 'mele ke matla ka ho feletseng. The nako ya moriana ho fihlela ho dihora tse 2. Joale, mokhatlo oa ebile a ba nahanela ba qala ho hlaphoheloa.

Pele a etsa ho buuoa botsa, oa mofuta ofe thethebatso e sebediswa sepetlele, 'me khetha le kgetho ya loketse ka ho fetisisa. Nakong ea ha ho buuoa sebelisa lesapo la mokokotlo thethebatso, mokuli e falimehile. Leha ho le joalo, motsoako oa thethebatso kakaretso le thethebatso ea lopollang bohloko postoperative.

kopo

thethebatso lesapo la mokokotlo e atisa ho sebelisoa nakong ea ketsahalo eo:

1. Gynecological buuoa, incl ha ho tlosa popelo
2. opereishene ea masapo
3. Immobilization kapa fracture ea molala femoral

Lingaka tse ka nako ya bolaoa ya rerile karolo caesarean ba eketsehileng fa ratang ho thethebatso lesapo la mokokotlo. Mosali e mong oa mosebetsi o boima e ka boemo Together, eo ka mokhoa o amohelehang ama boemo kakaretso ea ngoana. Leha ho le joalo, maemong a mang, lingaka li sebelisa 'me e maske oksijene. Ha mokuli a ikutloang kateng boemong bo sa thabiseng, joale laolwa e lethal dose tlatsetso ya analgesics intravenous, maemong a feteletseng, a isoa ho thethebatso kakaretso.

Mokhoa oa ho kenya tshebetsong

tsamaiso ea lithethefatsi Tsamaiso ka litsela tse peli. Mokuli e lutse holim'a bohale ba tafole ho sebelisa mehaho le, lutse elbows hae ka mangole ', ho itšetleha pele. U ka phetha input bolela le ho bua leshano. Mokuli e beha ka lehlakoreng la hae le letšehali, 'me e fana ka koba lebetsoeng le mangole' me thekeng. Ho sa tsotellehe hore mokhoa oo, ngaka e leka ho fihlella sothoe lebetsoeng le khutla.

Contraindications

The contraindications ka sehloohong ho phetha lesapo la mokokotlo thethebatso ke tsena:

1. Ngotsweng le mamello ho hana
2. Intracranial kgatelelo ya madi
3. fetal hypoxia
4. Kamehla ho otla ha pelo, lefu la pelo
5. Spepsis
6. Coagulation hloleha
7. Dehydration kapa lahleheloa ke mali
8. Mafu a ya CNS (bohareng tsamaiso ea methapo)
9. Malformations tsa lesea le
10. fetal lefu
11. potlaka
12. Ho ba sieo ha maemo a hlokahala
13. kulisa ho analgesics
14. tsoaetsanang letlalo

Le melemo le mathata

Lesapo la mokokotlo thethebatso o sebelisa menyetla, haholo phapang e tsoa ho e mefuta e meng ea ea liphallelo e bohloko.

1. Setšoantšo sa bohloko postoperative. boemo ena o qoba selelekeleng tlatsetso ya medicaments e thehiloeng morphine e.
2. Performance. Lithethefatsi o laolwa ka ho toba ka khoele lesapo la mokokotlo, kahoo, ho ke tse ling tse ngata e sebetsang hantle le ho etsa lintho haholo ka potlako ho qala, ho ena le ho le thethebatso epidural.

Ho phaella tabeng ea ho tlisa melemo e itseng, e na le haelloang teng lona, 'me eo e kenyeletsa:

1. A bohale a phokotso ea khatello. Ho tluoa tabeng ka lebaka la stasis venous le arteriolar dilation. Tabeng ena, ho phahamisa maoto ho thusa ho tsosolosa phallo ea mali le ho normalize khatello ea mali.
2. Hlooho ka 'na ba bonahatsa ka ho lekaneng e telele (matsatsi a ho fihlela ho 4 ka mor'a ho buuoa).
3. Ho nyekoa ke pelo - ka sehloohong le ditlamorao bakoang ke hypoxia le hypotension bardikardiey.
4. Bohloko ka morao. Ha e le hantle ena e ka 'na eaba lebaka la ho tsitsipano ligament, ho sithabela priostalnoy kapa kgahlamelo ya maqhubu a nako e telele ho ka thata tafole ho sebelisa mehaho. Hangata bohloko tlohang ka letsatsi la bobeli.
5. Utloa ho lahleheloa ke le hlaha haholo-holo ka lebaka la ho sebelisa nale kholoanyane (27 G). Complication ke lentsoe le akaretsang le batho bao e seng durables, empa ka tlisa tse ling bakuli ba kameho ea tebileng.

Lesapo la mokokotlo thethebatso, liphello tsa tse mahlonoko tseo ho leng -Ke moholo tsela ea ho thethebatso nakong opereishene ha ho joalo. Ke hoo e ka bang se sireletsehileng, ka ho phethahetseng relaxes mesifa ka mpeng le lopollang bohloko ka tsela e atlehang. Ha ho litla mpe ka lesea le ntse sebelisoa esita thethebatso bakeng sa tshebetso obstetric. Lesapo la mokokotlo thethebatso phetha karolo ea bohlokoa ho phetha tshebetso 'meleng e ka tlaase.