{"id":3551,"date":"2022-02-14T16:17:57","date_gmt":"2022-02-14T16:17:57","guid":{"rendered":"https:\/\/onehospital.mk\/?p=3551"},"modified":"2022-09-12T12:33:12","modified_gmt":"2022-09-12T12:33:12","slug":"cesarean-section-pain-relief-method-combined-spinal-epidural-anesthesia-prim-dr-vladimir-ristevski","status":"publish","type":"post","link":"https:\/\/onehospital.mk\/sq\/prerje-cezariane-lehtesim-dhimbjesh-metode-e-kombinuar-spinal-epidural-anestezi-prim-dr-vladimir-ristevski\/","title":{"rendered":"Metoda e leht\u00ebsimit t\u00eb dhimbjes me prerje cezariane - Anestezi spinale e kombinuar me ate epidurale - Prim. Dr. Vladimir Ristevski"},"content":{"rendered":"

Prim. Dr. Vladimir Ristevski<\/a> jep udh\u00ebzime dhe gjith\u00e7ka q\u00eb duhet t\u00eb dini p\u00ebr anestezin\u00eb epidurale dhe spinale. Anestezia epidurale dhe spinale e cila siguron ngurt\u00ebsi rajonale gjat\u00eb seksionit cezarian \u00ebsht\u00eb metoda e preferuar p\u00ebr shkak t\u00eb komoditetit q\u00eb ofron. Megjithat\u00eb, kur p\u00ebrdoret s\u00eb bashku me anestezin\u00eb kurrizore, rehatia q\u00eb i ofron n\u00ebn\u00ebs rritet m\u00eb tej.<\/p>\n

Edhe n\u00ebse gjith\u00e7ka shkon mir\u00eb, p\u00ebr shum\u00eb n\u00ebna momenti i lindjes nuk \u00ebsht\u00eb gj\u00eb tjet\u00ebr ve\u00e7se nj\u00eb makth. Dhimbja q\u00eb do t\u00eb p\u00ebrjetoj\u00eb gjat\u00eb nj\u00eb lindjeje normale dhe shqet\u00ebsimi se f\u00ebmija i saj do t\u00eb l\u00ebndohet, i afrojn\u00eb n\u00ebnave n\u00eb pritje ides\u00eb p\u00ebr t\u00eb b\u00ebr\u00eb nj\u00eb operacion cezarian. Edhe pse ekspert\u00ebt rekomandojn\u00eb operacionin cezarian vet\u00ebm kur \u00ebsht\u00eb e nevojshme, lindshm\u00ebria me operacion cezarian po rritet si nj\u00eb ortek. Prandaj, anestezia b\u00ebhet e r\u00ebnd\u00ebsishme n\u00eb operacionin cezarian.<\/p>\n

Metodat rajonale t\u00eb anestezis\u00eb<\/h3>\n

Ekzistojn\u00eb dy mund\u00ebsi p\u00ebr n\u00ebnat e ardhshme q\u00eb do t\u00eb b\u00ebjn\u00eb prerje cezariane: anestezi e p\u00ebrgjithshme ose anestezi epidurale.
\nN\u00ebn anestezi t\u00eb p\u00ebrgjithshme, n\u00ebna bie plot\u00ebsisht n\u00eb gjum\u00eb gjat\u00eb lindjes. Prandaj, n\u00ebna nuk mund t\u00eb jet\u00eb d\u00ebshmitare e lindjes s\u00eb foshnj\u00ebs. Me anestezi epidurale, n\u00ebna \u00ebsht\u00eb d\u00ebshmitare e lindjes s\u00eb foshnj\u00ebs, sepse ajo ngurt\u00ebsohet pak n\u00ebn bel. Megjith\u00ebse ndjesia e dhimbjes zhduket me anestezi epidurale, n\u00ebna shtatz\u00ebn\u00eb mund t\u00eb ndjej\u00eb prekjen dhe t\u00ebrheqjen dhe shtrirjen e indeve gjat\u00eb seksionit cezarian. Edhe pse kjo situat\u00eb nuk shkakton dhimbje, disa n\u00ebna e kan\u00eb t\u00eb pak\u00ebndshme. metoda e preferuar sot \u00ebsht\u00eb aplikimi i metodave t\u00eb anestezis\u00eb spinale dhe epidurale s\u00eb bashku n\u00eb operacionet cezariane. Kjo metod\u00eb e kombinuar quhet anestezi spinale epidurale e kombinuar.<\/p>\n

Ekzekutimi i procesit<\/h3>\n

Hapet aksesi vaskular dhe i jepet serumi n\u00ebn\u00ebs s\u00eb ardhshme, e cila d\u00ebrgohet n\u00eb sall\u00ebn e operacionit p\u00ebr nj\u00eb operacion cezarian. Nd\u00ebrkoh\u00eb, detyra e vetme p\u00ebr n\u00ebn\u00ebn e ardhshme \u00ebsht\u00eb t\u00eb marr\u00eb nj\u00eb pozicion ulur. Nd\u00ebrsa n\u00ebna \u00ebsht\u00eb n\u00eb k\u00ebt\u00eb pozicion, vendi i procedur\u00ebs pastrohet me solucione antiseptike dhe mbulohet me perde sterile. Anestezia lokale aplikohet me nj\u00eb gjilp\u00ebr\u00eb shum\u00eb t\u00eb holl\u00eb n\u00eb l\u00ebkur\u00eb n\u00eb vendin ku do t\u00eb kryhet nd\u00ebrhyrja n\u00eb m\u00ebnyr\u00eb q\u00eb n\u00ebna shtatz\u00ebn\u00eb t\u00eb mos ndjej\u00eb dhimbje gjat\u00eb procedur\u00ebs. Hap\u00ebsira epidurale arrihet m\u00eb pas duke kaluar nj\u00eb gjilp\u00ebr\u00eb t\u00eb holl\u00eb midis dy rruazave. Me nj\u00eb gjilp\u00ebr\u00eb m\u00eb t\u00eb holl\u00eb t\u00eb kaluar p\u00ebrmes k\u00ebsaj gjilp\u00ebre, ajo prek hap\u00ebsir\u00ebn kurrizore dhe jep nj\u00eb anestezi lokale. Hapi tjet\u00ebr pas anestezis\u00eb spinale \u00ebsht\u00eb vendosja e nj\u00eb kateteri n\u00eb zon\u00ebn epidurale. Pas futjes s\u00eb kateterit, gjilp\u00ebra hiqet dhe pjesa tjet\u00ebr e kateterit fiksohet n\u00eb l\u00ebkur\u00eb. Pas disa minutash, n\u00ebna e ardhshme \u00ebsht\u00eb mpir\u00eb plot\u00ebsisht nga beli e posht\u00eb. Koh\u00ebzgjatja e k\u00ebtij procesi, q\u00eb p\u00ebrshkruhet p\u00ebrgjith\u00ebsisht, nuk \u00ebsht\u00eb aq e gjat\u00eb sa duket. Ky proces p\u00ebrfundon n\u00eb 2-3 minuta.<\/p>\n

P\u00ebrpar\u00ebsit\u00eb<\/h3>\n

N\u00ebna nuk ndjen dhimbje gjat\u00eb prerjes cezariane t\u00eb b\u00ebr\u00eb me anestezi spinale-epidurale t\u00eb kombinuar. P\u00ebrve\u00e7 k\u00ebsaj, nj\u00eb n\u00ebn\u00eb shtatz\u00ebn\u00eb q\u00eb merr anestezi spinale t\u00eb kombinuar mund t\u00eb jet\u00eb e vet\u00ebdijshme p\u00ebr foshnj\u00ebn n\u00eb lindje, sepse ajo \u00ebsht\u00eb e vet\u00ebdijshme. Prandaj, ata kan\u00eb nj\u00eb shans p\u00ebr t\u00eb p\u00ebrjetuar faz\u00ebn m\u00eb emocionuese t\u00eb lindjes p\u00ebr shum\u00eb n\u00ebna. Sigurisht, ajo p\u00ebrjeton komoditetin e dit\u00ebve pa dhimbje kur m\u00eb pas kujdeset p\u00ebr f\u00ebmij\u00ebn e saj.
\nNj\u00eb avantazh tjet\u00ebr i anestezis\u00eb s\u00eb kombinuar spinale-epidurale ndaj anestezis\u00eb s\u00eb p\u00ebrgjithshme \u00ebsht\u00eb se transferimi i barnave t\u00eb dh\u00ebna gjat\u00eb dhe pas operacionit p\u00ebrmes placent\u00ebs ose nga qum\u00ebshti te foshnja \u00ebsht\u00eb i pap\u00ebrfillsh\u00ebm. Megjithat\u00eb, medikamentet kund\u00ebr dhimbjes t\u00eb dh\u00ebna intravenoze ose orale gjat\u00eb anestezis\u00eb s\u00eb p\u00ebrgjithshme dhe seksionit cezarian dhe gjat\u00eb dhe pas operacionit mund t'i kalojn\u00eb foshnj\u00ebs dhe t\u00eb shkaktojn\u00eb efekte an\u00ebsore. Nj\u00eb avantazh tjet\u00ebr i metod\u00ebs \u00ebsht\u00eb se eliminon rreziqet q\u00eb lidhen me anestezin\u00eb e p\u00ebrgjithshme.<\/p>","protected":false},"excerpt":{"rendered":"

Prim. Dr. Vladimir Ristevski gives instructions and everything you have to know about Epidural and Spinal anesthesia. Epidural and Spinal anesthesia which provides regional stiffness during cesarean section is the preferred method because of the comfort it provides. However, when used in conjunction with spinal anesthesia, the comfort it provides to the mother is further […]<\/p>","protected":false},"author":4,"featured_media":3557,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[63,88,31,1,75,89,78,77],"tags":[167,170,171,168,172,174,173,104,175,169],"class_list":["post-3551","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anesthesiology-news","category-blogu","category-center-of-woman-child","category-news","category-one-news","category-one-news_sq","category-uncategorized-mk","category-uncategorized-sq","tag-anesthesia","tag-birth","tag-delivery","tag-epidural","tag-mom","tag-moms","tag-one-hospita","tag-one-hospital","tag-one-moms","tag-spinal"],"acf":[],"yoast_head":"\nCesarean section pain relief method - combined spinal epidural anesthesia - Prim. 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