Pamene tsiku loti mwana wanu abwere padziko lapansi likuyandikira, ndi zachilendo kumva mantha pang'ono komanso mantha ndi ululu womwe mudzamve panthawiyo. Mwina mukudabwa kuti, "Ndithana bwanji ndi ululuwu?" Mwina mukudabwanso zomwe mungachite kuti muchepetse ululu. Njira imodzi yayikulu yochepetsera ululuwu ndikugwiritsa ntchito mankhwala ochepetsa ululu otchedwa opioids. Tiyeni tikambirane izi m'njira yosavuta lero.
Mwachidule, kodi ma Opioid awa ndi chiyani?
Ma opioid ndi mtundu wa mankhwala amphamvu ochepetsa ululu omwe amagwiritsidwa ntchito pochepetsa ululu. Nthawi zambiri amaperekedwa ngati mapiritsi kapena jakisoni mwachindunji mumtsempha (IV).
Mmene izi zimagwirira ntchito m'matupi athu n'zodabwitsa. Mwachidule, mankhwalawa amamangirira ku maselo athu a mitsempha ndipo amaletsa chizindikiro cha ululu kupita ku ubongo. Zili ngati kutseka njira ya ululu. Sikuti zokhazo, komanso amawonjezera kutulutsa kwa ma endorphins, omwe ndi mankhwala muubongo wathu omwe amatipangitsa kukhala osangalala komanso omasuka . Kotero mumayamba kumva omasuka komanso odekha.
Palinso mitundu yosiyanasiyana ya ma opioid .
- Zina zimapezeka mwachilengedwe kuchokera ku mbewu za chomera cha poppy. Mwachitsanzo, mankhwala ochepetsa ululu otchedwa morphine .
- Zina zimapangidwa m'ma laboratories kuchokera ku ma opiates achilengedwe.
- Palinso zina zomwe zimapangidwa ndi mankhwala okhaokha, zomwe zimapangidwa ndi mankhwala mu labotale. Pethidine ndi Fentanyl, zomwe timagwiritsa ntchito nthawi yobereka, zili m'gululi.
Ubwino ndi kuipa kogwiritsa ntchito ma opioid panthawi yobereka
Muli ndi njira zingapo zoti musankhe zochita pa ululu panthawi yobereka. Anthu ena amakonda kubereka mwana popanda mankhwala opweteka. Ena amagwiritsa ntchito njira zosiyanasiyana zochepetsera ululu motsogozedwa ndi dokotala. Ma opioid ndi njira imodzi yotere. Amagwiritsidwa ntchito makamaka kumayambiriro kwa nthawi yobereka, pamene kubereka kukuyamba kumene. Tiyeni tiwone zabwino ndi zoyipa za chilichonse.
| Zabwino | Zoyipa |
|---|---|
| Kuyamba mwachangu:Kutengera mtundu wa uta, mungayambe kumva kupweteka pang'ono. | Kugona: Mungamve ngati muli ndi tulo komanso mukugona. Koma ngati mukuganiza kuti kubereka kudzatenga nthawi yayitali, izi zingakuthandizeni kupuma pang'ono. |
| Kukhalitsa: Kuchepetsa ululu kumatenga maola angapo. | Kusanza ndi kusanza: Anthu ena angamve ngati m'mimba mwawo mukutembenuka ndipo akusanza. |
| Kumva kumasuka: Izi sizifooketsa minofu yanu, koma zimakuthandizani kumasuka, kotero mutha kupuma pang'ono musanayambe ntchito yovuta yobereka mwana wanu. | Chizungulire: Mungamve chizungulire komanso mutu wopepuka. |
| Zotsatira zomwe zingachitike pa mwana: Ichi ndiye chinthu chofunikira kwambiri. Ngati mankhwala awa aperekedwa panthawi yolakwika kapena mu mlingo wolakwika, zingakhudze thanzi la mwana. Kupuma kwa mwana ndi kugunda kwa mtima wake kungachepe. |
Ndicho chifukwa chake mitundu iyi ya mankhwala ochepetsa ululu nthawi zonse imaperekedwa kuchipatala, motsogozedwa ndi madokotala ndi anamwino.
Kodi kumwa mankhwala a opioid panthawi yobereka n'kotetezekadi?
Funso ili ndi lalikulu kwa amayi ambiri. Yankho ndi lakuti, inde, nthawi zambiri kumakhala kotetezeka kumwa mankhwala a opioid chifukwa cha ululu panthawi yobereka, ngati aperekedwa moyenera komanso moyang'aniridwa ndi dokotala. Koma sizikutanthauza kuti palibe zoopsa.
Chofunika kwambiri ndi nthawi ndi mlingo.
- Nthawi Yogwiritsira Ntchito: Mankhwala ochepetsa ululu awa amaperekedwa nthawi yobereka isanayambe. Mwachidule, saperekedwa pambuyo poti chiberekero chanu chatsegula pafupifupi masentimita 6 ndipo kupweteka kwanu kwayamba kuonekera nthawi zonse . Chifukwa chake ndi chakuti sapereka mpumulo waukulu pa nthawiyo komanso kuchepetsa kukhudzidwa komwe kungachitike pa mwana.
- Mlingo: DokotalaGwiritsani ntchito mlingo wokhawo womwe waperekedwa. Ngati mlingowo ndi wokwera kwambiri, kupuma ndi kugunda kwa mtima kungachepe mwa mayi ndi mwana.
Kodi mungayambe kukonda kwambiri zimenezi?
Mukamva za 'mliri wa opioid' padziko lonse lapansi, n'zomveka kuti mungaope kumwa mankhwala otere. Koma zoona zake n'zakuti, simudzakhala oledzera ndi mankhwala ochepetsa ululu ngati awa omwe amaperekedwa kamodzi panthawi yobereka. Munthu amakhala woledzera ndi mankhwala chifukwa thupi lake limazolowera pakapita nthawi. Izi sizingachitike ndi mlingo umodzi woperekedwa panthawi yobereka. Ngati simunakhalepo ndi mbiri ya kugwiritsa ntchito mankhwala osokoneza bongo, musachite mantha kwambiri ndi izi.
Kodi njira zina zothanirana ndi ululu ndi ziti?
Kuwonjezera pa ma opioid, palinso njira zina zodziwika bwino komanso zothandiza zothanirana ndi ululu panthawi yobereka. Mutha kukambirana zonsezi ndi dokotala wanu ndikusankha imodzi yomwe ili yoyenera kwa inu.
| Njira yothandizira ululu | Mwachidule... |
|---|---|
| Chipika cha Epidural | Izi ndi zomwe anthu ambiri m'dziko lathu amatcha "msana." Dokotala wogonetsa anthu amaika chubu chopyapyala (catheter) m'malo ozungulira msana wanu ndikukupatsani madzi ochepetsa ululu kudzera mmenemo. Pakatha mphindi 10-20, msana wanu wapansi udzakhala wopanda mphamvu. Simudzatha kuyenda pamene izi zili pamalopo. |
| Kutsekeka kwa msana | Iyi ndi jakisoni wolowetsedwa msana, monga epidural. Komabe, mankhwalawa amalowetsedwa mwachindunji m'madzi amsana. Amaperekedwa kamodzi kokha. Ululu umachepa pakatha pafupifupi maola awiri. Nthawi zambiri amagwiritsidwa ntchito pochotsa mimba (C-section) komanso pobereka movutikira. |
| Mankhwala oletsa ululu am'deralo | Izi zimagwiritsidwa ntchito pochita dzanzi pamalo ochepa okha. Mwachitsanzo, ngati papangidwa chotupa chaching'ono (episiotomy) kuti chikulitse nyini, jakisoniyu amaperekedwa kuti achite dzanzi pamalo amenewo. |
| Nitrous oxide | Izi zimatchedwanso "mpweya woseka." Mpweya uwu umapumidwa kudzera mu chigoba mukatsala pang'ono kugwidwa ndi khunyu. Sizimathetsa ululu wonse, koma zimapangitsa kuti zikhale zosavuta kupirira. Mutha kuyenda ndikuyenda uku mukugwiritsa ntchito. |
Kotero, mwina mukudabwa kuti pali njira zambiri zochepetsera ululu. Chinthu chabwino kwambiri chomwe mungachite ndikukambirana momasuka za njira zonsezi ndi dokotala wanu musanayambe kubereka, panthawi yoyembekezera mwana. Kenako, mutha kupanga dongosolo lokonzekera kubereka lomwe likugwirizana bwino ndi thanzi lanu, zomwe mumakonda , komanso momwe mwana wanu alili.
Uthenga Wopita Nawo Kunyumba
- Ma opioid ndi mankhwala amphamvu ochepetsa ululu omwe amaperekedwa pa ululu woyambirira wa kubereka . Nthawi zambiri saperekedwa panthawi yobereka.
- Ngakhale kuti izi zimathandiza kuchepetsa ululu mwachangu, zingayambitse mavuto monga kugona ndi nseru. Chofunika kwambiri, zimatha kuvulaza mwana ngati zitagwiritsidwa ntchito molakwika, choncho ziyenera kuperekedwa kokha moyang'aniridwa ndi dokotala.
- Simudzakhala ndi chizolowezi chomwa mankhwala a Opioid mukalandira upangiri wa dokotala panthawi yobereka. Musachite mantha ndi mankhwalawo mopanda chifukwa.
- Kuwonjezera pa ma opioid, palinso njira zina zothandiza kwambiri zochepetsera ululu, monga ma epidural ndi ma spinal blocks.
- Pomaliza, nthawi zonse lankhulani ndi dokotala wanu kuti musankhe njira yothetsera ululu yomwe ingakuthandizeni inu ndi mwana wanu kukhala otetezeka komanso abwino kwambiri.
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