Epidural tshuaj loog rau phais plab seem: indications thiab zoo

Thaum cov nqe lus nug tshwm sim txog cov kev xaiv ntawm tshuaj loog nyob rau hauv cov ntaub ntawv ntawm lub cev xeeb tub cov poj niam, yog muab rau tus account ib tug xov tooj ntawm indicators, As, nqa tawm kev kuaj ntshav thiab ultrasound diagnostics, txhais muaj tej yam thiab tej yam kev mob pathological ntawm lub neej yav tom ntej leej niam thiab tus me nyuam hauv plab. Epidural tshuaj loog thaum lub sij hawm caesarean seem yuav tsum tau lub feem ntau luminaries ntawm cov tshuaj. Thiab tsis muaj zem: Tsis zoo li ua kom tsaug zog, qhov no txoj kev muaj tsawg npaum li cas uas yuav muaj teeb meem thiab contraindications.

Epidural tshuaj loog ntawm caesarean seem excludes depressive lub xeev ntawm lub plawv thiab cov aspiration vim tsis muaj qhov yuav tsum tau siv ib tug endotracheal raj preserves ib tug natural pa muaj nuj nqi thiab qhov muaj sib sib zog nqus analgesic nyhuv. Nrog rau tag nrho cov zoo, tus neeg mob yog meej pem thiab tau sib txuas lus ntau.

Epidural tshuaj loog rau caesarean seem muab yuav luag tiav so ntawm lub plab phab ntsa, nrog rau cov tshwm sim tias tag nrho cov tsim nyog muaj feem xyuam rau cov extraction ntawm ib tug me nyuam hauv plab los ntawm kev phais kev pab yuav nqa tawm heev ntseeg nkaws. Lub postoperative kawg yog npaum li cas yooj yim rau cov thawj hmo ntuj yog qhia tau txais painkillers. Rov qab thiab cov neeg mob rov qab mus rau lub neej zoo sai.

Epidural tshuaj loog yog teem tseg rau ib co kev kho mob indications rau phais plab seem. Piv txwv li, nyob rau hauv tus neeg mob qhov twg nws yog tsim nyog los kom ua tsis taus pa spontaneity (mob ntsws), myasthenia thiab lwm yam pathological dab nyob rau hauv cov ntaub so ntswg ntawm tus nqaij, tsis muaj tus tau ntawm kev siv ntawm hwj chim tshuaj thiab hnaiv, tsis muaj uas tsis muaj nqi ua kom tsaug zog.

Tsis ua li cas tsis contraindications, uas muaj xws li poob siab lub xeev, los ntshav, me nyuam hauv plab hypoxia, DIC, atrioventricular thaiv lub thib ob thiab ntau dua degrees ntawm tus txha caj qaum raug mob, txha caj qaum thiab Cns organic keeb kwm, intolerance tshuaj siv rau tshuaj loog.

Epidural loog hais txog ib tug regional hom tshuaj loog. Nyob rau hauv no hom, muaj lwm saib - txha caj tshuaj loog. Ntau hom kev ib ntus ya commencement ntawm lub tshuaj loog thiab nws ntev. Nws yog sib txawv thiab qhov chaw nyob ntawm cov tshuaj tswj, txawm hais tias tus tib rab koob tso rau hauv cov leeg nrob kwj dej. Thaum tus txha caj tshuaj loog tshuaj yam khoom uas yog muab rau hauv cov leeg nrob qhov chaw, uas yog surrounded los ntawm ib tug khoom plhaub. Thaum ib tug yeeb tshuaj yog muab epidural txha caj chaw ntawm cov nqaj qaum thiab ligamentous apparatus. Txha caj tshuaj loog ntawm caesarean seem yuav siv nyob rau hauv qhov qhaj ntawv los ntawm contraindications thiab tau teeb meem. Yog hais tias cov kev tsim pab thaum lub sij hawm lub lag luam, nyiam yog muab epidural tshuaj loog, vim hais tias ntev ntawm nws ib nyuag ntev me ntsis. Nrog ob hom yog Attendance sim tau nov ntawm nqaij tawv thiab lub zog ntawm sab ceg ntoo thiab lub cev nyob rau hauv lub plab mog thiab lub plab mog.

Muaj ntau cov poj niam uas muaj ib tug epidural thaum raug xaiv caesarean seem xyuas tawm zoo. Ib txhia twb tau los sib piv cov teebmeem ntawm ua kom tsaug zog, ua nyob rau hauv lub dhau los lawm, thiab qhov no hom ntawm tshuaj loog. Lawv cim los ntawm ib tug sai pib ntawm analgesic txiav txim, muaj peev xwm sib txuas lus thaum lub sij hawm ib lub lag luam thiab kev zoo siab rau contemplate nws tus me nyuam tam sim ntawd tom qab extraction. Lub ceev ceev rov qab los ntawm lub cev kuj yog ib tug ntawm lub ntsiab zoo los ntawm no hom ntawm tshuaj loog.