Indlela I-Oxide Ye-Oxide Yezabasebenzi Eyenza Ngayo Ukubuya
I-gas ehlekayo, noma i-nitrous oxide, indlela yokuphumula ebuhlungu ephindaphinda e-United States njengendlela yokubambisa abantu ukusiza ukulawula ubuhlungu obubambisene nabasebenzi, nemiphumela emibi kakhulu kunezindlela zokusiza ubuhlungu bendabuko njengezidakamizwa ze- epidural noma intravenous (IV) njengoDemolol noma u-Stadol . Kungenzeka ukuthi uke wezwa ngokuhleka kwegesi njengokunye okusetshenziselwa ukusikhulula ngenkathi uthola udokotela wamazinyo; lena imithi efanayo.
Igesi lokuhleka libuye lingenakunambitheka futhi lingenangqondo. Lokhu kwenza kube lula ukuyisebenzisa futhi kunomusa kakhulu kumuntu osebenzayo, njengoba abanye abantu bakhathazeka ngokuthi bayakwazi ukunambitha imithi, njengokungathi ungakwazi ngezokwelapha eziningi.
Ngenkathi ukuhleka kwegesi kwahluleka kakhulu e-United States, amanye amazwe awazange ayeke ukusebenzisa igesi elihle lokugulisa iziguli. Eqinisweni, ungathola izinkomba eziningi kulo mkhuba ovelele ufana nokuthi "Shayela Ababelethi." Kwamanye amazwe, kuvame ukubizwa ngokuthi igesi nomoya. Uzothola ukuthi kuvame ukusetshenziswa kakhulu, ngisho nasekuzalweni kwekhaya .
Esinye isifundo, sanikezwa ukukhetha phakathi kwegesi le-epidural and laughing, cishe amaphesenti angu-20 eziguli ezisebenzayo bakhetha ukuhleka kwegesi kanti amaphesenti angama-60 alaba besifazane abeletha enye i-anesthesia. Zombili amaqembu, iqembu le-epidural, neqembu elimnandi legesi, lacelwa ukuba libheke ukuphumelela kosizo lwabo olukhethwe ubuhlungu.
Nakuba kwakukhona ukuhlukahluka okuningi eqenjini likagesi elihlekayo ngokuthi igesi elihle lokuhleka likususa kanjani ubuhlungu, kwakukhona isilinganiso esiphezulu sokwaneliseka uma kuqhathaniswa neqembu le-epidural.
Ukuhleka Kwegesi Okunikezwa Ngomsebenzi?
Enye yezinzuzo zangempela ukugaya igesi kuyisimo esheshayo nesivinini lapho singanikezwa khona.
Amaningi amakamelo afakwe ikhono lokusebenzisa igesi lokuhleka, noma ithangi elincane elinamasondo lihanjiswa egumbini. Kuyinto nje inhlanganisela ye-nitrous ne-oksijeni okuzibophezela ngokwenza imaski ebuso. Uma une-contraction, uphakamisa imaski ebusweni bakho nangokuphefumula ngokuvamile. Uyanciphisa isandla sakho futhi awusatholi ukwelashwa.
Kunconywa ukuba uqale ukuphefumula nge-nitrous oxide cishe imizuzwana engamashumi amathathu ngaphambi kokuqala kokuqedwa kwakho. Lokhu kusiza ukuxilongwa kwemithi ukufeza amazinga okuphakama cishe ngesikhathi esifanayo nesikhulu sezinkinga zakho. Kungathatha ukuphikisana okumbalwa ukuthola isikhathi esiphelele samazinga akho ubuhlungu nokubekezela. Ungasebenzisa i- monitor ye-fetal njengomhlahlandlela wokukusiza ukuthi ubone ukuthi ukuphika kwakho kuzokuqala noma kuncike kulabo abakuzungezile njengo-doula wakho noma umhlengikazi wezisebenzi ukuze akusize.
Enye yezinzuzo zokugaya igesi ukuthi kulula ukuyisebenzisa futhi ayidingi imishini ekhethekile yokuphepha emfushane ohlelweni lokulethwa ngokwaso. Ingaqaliswa ngokushesha futhi kalula futhi iqala ukunikeza ukukhululeka kobuhlungu ngaphakathi komzuzu wokusebenzisa. Lokhu kuyashesha kakhulu kunemithi eminingi kanye nezinye izinhlobo zezokwelapha zokuphumula ubuhlungu.
Futhi akuvimbeli ukusetshenziswa kwezinye izinhlobo zokuphumula kobuhlungu, kuhlanganise ne-epidural. Lokhu kungakwenza kube yindlela enhle yokubhukuda isikhathi phakathi kwesicelo se-epidural futhi lapho i-anesthesiologist itholakale ngempela.
Omunye umama uyichaza kanje, "Ngakwazi ukulawula ngokugcwele isimo. Ngangikuthanda ukuthi ngingamane ngiphakamise imaski futhi ngiyisebenzise lapho ngidinga khona. Ngacabanga ukuthi kuzoba yizinto ezihlukene, kodwa kwakungenjalo. Ngezinye izikhathi ngizohamba ngezimbalwa eziningana ngaphambi kokuyidinga futhi. Lokhu kwakungcono ukunika amandla. "
Imishini esetshenziselwa ukuhlinzeka ngegesi ehlekayo isethelwe ukuletha i-oksijeni engamaphesenti amahlanu namashumi ayisihlanu namaphesenti angu-nitrous oxide.
Awukwazi ukuguqulwa noma ukulungiswa. Yilokho okubeka uhlelo lokulethwa ngaphandle kwalawo asetshenziselwa amazinyo. Kubalulekile ukuqaphela, ngenxa yezizathu zokuphepha, ukuthi leli gesi alinakutsha.
Ngisiphi Isigaba Somsebenzi Ukusetshenziswa Kwegesi Lokugunda?
Igesi lokuhleka liyatholakala kuzo zonke izigaba zomsebenzi , ngokungafani neminye imithi yobuhlungu. Lokhu kungenza kube kuhle kakhulu isidingo sokugcina semithi yokwelashwa, ikakhulukazi uma udinga ukuthi usebenze masinyane. Ngakho ungayisebenzisa ekuqaleni kokusebenza ngenkathi uzama ukunquma noma ukulinda i-epidural. Ungayisebenzisa ekuguquleleni, uma ungenaso isikhathi semithi ye-epidural noma ye- IV ingase ibe yingozi kakhulu ukuyisebenzisa. Ungayisebenzisa futhi ngenkathi ucindezela noma ngesikhathi sokuzalwa kwe-placenta. Lokhu kusetshenziswa kungabandakanya isigaba sokukhanda sokulethwa kanye nokulethwa kwe-placenta, noma ukuhlolwa kwesibindi. Lezi zigaba ezimbili lapho ungabona ubuhlungu obukhulu ngenxa yezinqubo zokwelashwa, ikakhulukazi uma ungenayo i-epidural.
Ungasebenzisa igesi lokuhleka njengendlela yokusiza lapho i- epestural anesthesia enganele. Abanye odokotela basebenzisa ngisho negesi lokuhleka ngesikhathi sokuphathwa kwe-epidural ukusiza ukunciphisa ukwesaba nokuhlukunyezwa phakathi nokuphathwa kwayo.
Yiziphi Imiphumela Ezingezansi Zokugubha Kwegesi Lokusebenza?
Azikho imiphumela emibi eyaziwayo yomsebenzi. Eqinisweni, lapho kubhekwe, le ndlela yokuphumula ebuhlungu ayizange iguqule noma yimiphi imiphumela ngokwemigomo yesigcawu noma ukusizwa okukhulunywe njenge-forceps noma i-extrauum extractions. Futhi kubonakala sengathi ayinayo umphumela ebude bomsebenzi.
Enye indlela yokubheka ngalokhu ukuthi abasebenzi bayathinteka kanjani ngokuhamba, ukuqapha, njll. Nakuba udinga ukuba usondele lapho kusetshenzwa khona, kuyaphathwa futhi. Ngoba ukugaya igesi akukwenzi ukuba unqothule unenkululeko ephelele yokuhamba. Uyakwazi ukuthatha izikhundla ezikhululekile kuwe futhi usasebenzisa igesi elihlekayo. Uzwa sengathi uguqa emuva emuva embhedeni? Kwenze! Abesifazane abaningi bathanda iqiniso lokuthi lokhu akenzi imizimba yabo ibe yindlala ukuze bakwazi ukuphendula emsebenzini wabo ngokunyakaza.
Izibhedlela eziningi ngeke zibeke imingcele kumfazi osebenzayo osebenzisa igesi elihlekayo. Noma kunjalo, kufanele uqaphele njengoba uqala ukuyisebenzisa uma ucabanga izikhundla ezingahle zizinzile. Isibonelo singase sisebenzise ibhola lokuzalwa ne-nitrous oxide. Ungathanda ukusebenzisa isisekelo ukusiza ukuzinzisa ibhola noma ube nomlingani wakho noma i-doula ekusizeni ukuqinisekisa ukuthi uzinzile. Ungase futhi ukwazi ukusebenzisa lesi sikhathi ngenkathi kubhebhu. Lokhu ngokuqinisekile umbuzo okufanele ubuze uma usendleleni yakho yokubhedlela.
Ingabe Sikhona Isizathu Sokungasebenzisi Igesi Lokuhleka?
Ukuphikisana okubili kokusebenzisa igesi ehlekayo yibo abaye bahlinzwa ukuhlinzwa kwangaphakathi kwangaphakathi (ngenxa yokulethwa kwezidingo), nalabo abanesifo se-vitamin B12. Nakuba izingozi zezinkinga kulabo abanesifo se-vitamin B12 zibikwa uma zisebenzisa i-nitrous oxide njenge-anesthhesia, hhayi i-analgesia, njengokuthi siyisebenzisa ekusebenzeni nasekuzalweni.
Yiziphi Imiphumela Ezingezansi Zokugubha Kwegesi Ingane Yakho?
Ayikho imiphumela emibi eyaziwayo emntwaneni osanda kuzalwa futhi ayikho ukwanda okubonakalayo ekucindezelekeni komntwana okubonwayo neminye imithi. Futhi alishintshi ukuqapha kwengane esanda kuzalwa, ngakho-ke, ayishintshi ukuthi izikhathi zokuqala zokuncelisa zihamba kanjani nawe nomntanakho.
Yiziphi Imiphumela Ezingezansi Zokugubha Kwegesi Kuwe?
Iningi labantu abasebenzisa i-laugh laughing for labor report ukuthi bayajabula kakhulu ngemiphumela. Lokho kusho ukuthi akukho mithi ayinayo imiphumela emibi, kepha lokhu akusho ukuthi wonke umuntu uzothola le mibi. Abanye abantu abaye basebenzisa igesi lokuhleka baye babika inhlanzi, ukuhlanza, isizungu, nokulala. Nakuba iningi likhuluma kuphela ngokuzwa umoya wokuphumuza phakathi nokuphambana nokusetshenziswa kwegesi lokuhleka. Noma ngabe yimuphi umphumela, lezi zemihelo, uma uhlangabezana nazo, zihlala zifushane, futhi usheshe uzihlakaze uma ushiya ukusetshenziswa kwegesi elihlekayo.
Isibhedlela Sami Asinikeli Igesi Elihlekayo, Yini Engingayenza?
Uma isibhedlela sakho singakaqali ukunikeza i-nitrous oxide, qiniseka ukuthi ubuza ukuthi kusemisebenzini. Njengoba kukhona into entsha emitholampilo yanamuhla, kungenzeka ukuthi ikhona ekuthuthukiseni iziqondiso zokusetshenziswa kwayo endaweni yakini. Uma kunjalo, vele ubuze uma bekulindele ukuthi kuzobe sekulungele. Uma bengakaqali ukuhlola inketho, ungase uzame ukuthumela incwadi kumphathi wezokwelapha emsebenzini nokuhlinzekwa kweyunithi ukucela usizo kulowo ongakhuluma naye ukuze akwenze.
"Angikwazi ukuthola i-epidural ngenxa yesimo esithile sezokwelapha, futhi angifuni ukudakwa njengomuthi engizizwa ngayo ngemithi ejwayelekile ye-IV, ngakho ngacabanga ukuthi lokhu kuzwakale njengesixhumanisi esihle kakhulu. Ngeshwa, ayitholakalanga Umdokotela nombelethisi wami babenomusa ngempela ngokungisiza ukuba ngithole indlela yokuyisebenzisa esibhedlela sethu, "kusho umama othile. "Kwakufanele kube yimi kuphela, kodwa abahlengikazi bacabanga ukuthi kuyamangalisa kakhulu, manje bayinikezela kubo bonke abagulayo."
Ngokuqinisekile, umhlinzeki wakho ungumuntu ongakhuluma ngesifiso sakho sokuzama ukuhleka igesi lomsebenzi. Bangakwazi ukunikela ngesinye isimo. Bangase bakwazi ukukusiza ekwenzeni izinqubomgomo zibekwe esibhedlela sakho. Ukuba nabo bakusize ukuba ukhuthaze le nqubo kuwusizo olukhulu ngempela. Ngokuyiqiniso, izicelo eziholwa yiziguli kaningi lokho okushintsha izinqubomgomo zesibhedlela ezimweni eziningi. Izinhlamvu ezimbalwa kanye nezikhathi eziningi uzothola impendulo. Ngokuyinhloko, ngeke wazi ukuthi awuceli!
Qiniseka ukuthi ubuza ukuthi ngabe isibhedlela sakho, isikhungo sokuzalwa noma umhlinzeki wokubeletha ekhaya sisebenzisa igesi elihlekayo. Ungase ufune ukwazi uma kunezizathu ukuthi awufanele usebenzise i-nitrous oxide noma uma kukhona izinto ezingasho ukuthi akulungile kuwe.
> Imithombo:
> UMnu Collins, i-Starr SA, uMbhishobhi JT, i-Baysinger CL. I-Oxyde Nitrous for Labour Analgesia: Ukwandisa Izinketho Zokuhlaziya Kwabesifazane E-United States. I-Rev Obstet Gynecol. 2012; 5 (3-4): e126-e131.
> Klomp T, van Poppel M, Jones L, Lazet J, Di Nisio M, i-Lagro-Janssen ALM. I-analgesia engenalutho yokuphathwa kobuhlungu emsebenzini. Database Cochrane Yokuhlolwa Okuhlelekile 2012, Issue 9. Art. Cha: CD009351. I-DOI: 10.1002 / 14651858.CD009351.pub2
> Likis FE, Andrews JC, Mnu Collins, Lewis RM, Jero Seroogy, Starr SA, Walden RR, McPheeters ML. I-nitrogen oxide yokuphathwa kobuhlungu bomsebenzi: ukubuyekezwa okuhlelekile. Anesth Analg. 2014 Jan; 118 (1): 153-67. i-doi: 10.1213 / ANE.0b013e3182a7f73c.
> Richardson MG, Lopez BM, Baysinger CL. Ingabe I-Oxyde Nitrous Kufanele Isetshenziswe Ekusebenzeni Iziguli? I-Anesthesiol Clin. 2017 Mar; 35 (1): 125-143. doi: 10.1016 / j.anclin.2016.09.011.
> Richardson MG, Lopez BM, Baysinger CL, Shotwell MS, Chestnut DH. I-Oxyde Nitrous Ngomsebenzi: Ukwaneliseka Kwabesifazane Akuxhomeke Ekusebenzeni Ngokuhlelekile. Anesth Analg. 2017 Feb; 124 (2): 548-553. i-doi: 10.1213 / ANE.0000000000001680.