Izikhokelo zoBasebenzi kunye neZokuzalwa zokuTya nokuNwa
Kungenzeka ukuphazamiseka kubafazi abaninzi ukufumana ukuba ukutya nokusela zidibene okanye, kwezinye iimeko, azivunyelwe kwiiwadi zabasebenzi zesibhedlele samanje.
Yayiphi na iGunya lokuLinywa / ukuNwa ngexesha lezeMisebenzi elivela kuyo?
Ngomnyaka we-1946, uDkt Curtis Mendelson waxilisa ukuba imbangela yempumoniya emva kwe-anesthesia jikelele yayisifiso sesisu esiswini, ngenxa yokulibaziseka isisu esiswini.
Wayephawula ukuba ukutya kunokuhlanza iiyure ezingama-24 ukuya ku-4 emva kokudliwa.
UDkt. Mendelson uzame ukufumana umvundla ukuba ahlolisise imiphumo yomxholo emiphakeni. Ngoxa wafumanisa ukuba ukuthanda (ukuthatha iinqununu kwimiphunga yakho) yokutya okungapheliyo kunokubangela ukuphazamiseka, ekugqibeleni wagqiba ukuba akuyi kubakhokelela ekufuneni i-pneumonia.
Sill, wachaza ukuba ngokuthintela ukutya nokusela ngexesha lomsebenzi, unokunciphisa umthamo wesisu, ngaloo ndlela unciphise ingozi yokubeleka kwezilwanyana kwi-acid aspiration ngexesha phantsi kwe-anesthesia jikelele.
Kodwa Ngaba Kukho Into Efana Nesisu Esingenalutho Ngomsebenzi?
Impendulo ayikho. Ukucinga ukuba nayiphi na ibhinqa inesisu esipheleleyo, kungakhathaliseki ukuba ukutya kwayo okanye ukusela kotywala kwenzeka. Ukukhutshwa kwesisu sakho kulawulwa zimbini izinto: umthamo wesisu nesisu seempempo kunye nezixhobo zomzimba.
Siyazi ukuba isisu siphumelela ngokukhawuleza xa umthamo ungowona mkhulu, kwaye kuxhomekeke kwiziqulatho zangempela (ex.
amafutha akulibazisa ukusetyenziswa). Ubuhlungu, isisonguluko, uxinzelelo, kunye nokuphazamiseka kwengqondo, konke okuyinxalenye yenkqubo yomsebenzi, kuchaphazela inkqubo yokukhupha.
Kwakhona kwaziwa ukuba ukunyamezela kwandisa ama-catecholamine (ama-hormone oxinzelelo) ngexesha lobasebenzi, kwaye oku kunokunyusa umsebenzi. U-Penny Simkin, utitshala wokubeletha, uye wenza izifundo ezibonisa ukuba ama-27 ekhulwini kwabasetyhini babika ukuba abavumelekanga ukuba badle okanye basele bekwixesha elifanelekileyo ukuba baxinezeleke kakhulu.
Ngaba Ngaba Ukunqanda Ukutya okanye Ukuphuza Kungabonakali?
Ingozi yokufuna iinjongo kuphela yinkinga xa i-anesthesia jikelele isetyenziswa. Izixazululo ezimbini zoogqirha zivame ukuphendukela kweli nqanaba ii-IV zamanzi kunye ne-antacids. Kodwa i- IV i-fluids ayisoloko isisombululo esilungileyo kwiingxaki ze-hydration, njengoko zinengxaki zabo. Kwaye i-antacids idlalwa ngokubanzi ubuninzi be-30 mm, umthamo owaziwayo ukwandisa umngcipheko we-aspiration pneumonia.
Siyazi kwakhona ukuba ukukhawulela ukutya ngexesha lomsebenzi kungabangela iingxaki zodwa. Ngaphandle kwezinto ezixinzelelekileyo, ukukhawulela ukutya ngexesha lomsebenzi kungabangela ukutyalwa kwamanzi kunye ne-ketosis.
Uphando olutsha oluye lwaqhutywa kwi-hydration yomlomo kunye nokutya okubonisa ukuba abafazi abavunyelwe ukutya nokusela ukuze bathuthuzele emisebenzini banemivuzo emfutshane (ngokwemitha engama-90 imizuzu) kunye nesidingo esincinci sokwenyuka kwe-Pitocin . Kwakhona badla ukufuna imithi emincinci yeentlungu, kwaye abantwana babo banamazinga aphezulu aphezulu .
Olunye uphando lubonisa ukuba ukutya kunye / okanye ukusela akuzange kubonakale kukwandisa ukuphindaphindiwe kwesantya okanye ukuhlanza. Enyanisweni, ukuvumela ukutya nokusela xa kunesidingo esilungeleyo, ukondla, kunye nokunyuswa okukhulu.
Ukuba Ndenza isigqibo sokutya kunye nokusela, ngaba kukho ezinye izinto ezingcono kunabanye?
Kule ngongoma, kucetyiswa ukuba ngabafazi abancinci kuphela abonwa njengengozi ephantsi bayavunyelwa ukuba badle kunye / okanye basele ngexesha lomsebenzi .
Ukutya okucetywayo ezinye izibhedlele kuku:
- iti
- incindi yeziqhamo
- maqanda aphekwe
- utywala kunye ne bhotela
- bhisikidi
- umhluzi ocacileyo
- izithelo eziphekiweyo
Buza udokotela wakho wonyango kunye nendawo yokuzalwa malunga nemigaqo-nkqubo malunga nokutya kunye nokusela ngexesha lomsebenzi. Ukuba ababonisi uphando lwezokwelapha, ungabelana ngolwazi kunye nabo kwaye ubone ukuba baya kuhamba kunye nesicwangciso sakho sokuzalwa. Izibhedlele ezininzi kunye namaziko okuzalwa zifumana ukutya okukhethiweyo ngoku kwaye abasebenzi besifazane banelisekile kakhulu ngeziphumo.
Imithombo:
UMandisa Singata, uJoan Tranmer, iGillian ML Gyte. Ukukhawulela umlomo wamanzi kunye nokutya kokutya ngexesha lobasebenzi. I-Cochrane Library, 2013 I-DOI: i-10.1002 / 14651858.CD003930.pub3 Izikhokelo zoLwazi lwe-Anesthesia ye-Obstetric: Ingxelo ehlaziyiweyo yi-American Society ye-Anesthesiologists Umsebenzi we-Anesthesia, i-Anesthesiology: Umqulu 106 (4) ngo-Apreli 2007pp 843-863.
Ukunikezela Ukutya Okusemthethweni Kwabesetyhini Bomsebenzi, i-American College of Nurses-Midwives, I-Journal of Midwifery & Impilo Yabasetyhini - Meyi 2008 (Izahluko 53, Issue 3, Amakhasi 276-283, INGXELO: 10.1016 / j.jmwh.2008.03.006)
Ukukhawulela umlomo wamanzi kunye nokutya kokutya ngexesha lobasebenzi. Singata M, Tranmer J, iGyte GML. NgoJanuwari 2010 Ukuhlaziywa kweCochrane.