
prasava samayamlo noppi nirvahana

prasava samayamlo noppi nirvahana anedi prasava mariyu prasava samayamlo oka mahila anubhavinche noppiki chikitsa ledhaa nivaarana. prasava samayamlo streeki kalige noppi mottam paakshikamgaa aame bidda parimaanam mariyu sthaanam, aame pottikadupu parimaanam, aame bhavodvegalu, sankochaala balam mariyu aame drukpathampai aadharapadi untundi. prasavam samayamlo ottidi noppini penchutundi. prasava mariyu prasava badhanu elaa edurkovalo dadapuga mahilalandaruu aandolana chendutaaru. prati streeki prasavaalu bhinnamgaa untaayi mariyu jananam mariyu prasava samayamlo anubhavinche noppi mottaanni anchanaa veyadam khachitamgaa saadhyam kaadu.
kontamandi mahilalu noppi upasamanam yokka "sahaja paddhathulatho" matrame baga chestaaru. chaalaa mandhi mahilalu noppi nundi upasamanam kaliginche mandulu mariyu vaidya jokyaalato "sahaja paddhatulanu" militam chestaaru. prasavampai saanukuula drukpathaanni pempondinchukovadam mariyu bhayanni nirvahinchadam kooda kontamandi mahilalaku noppini edurkovadamlo sahaayapadavachhu. prasava noppi anedi anaaroogyam ledhaa gaayam kaaranamgaa vachhe noppi laantidi kaadu. badulugaa, idhi sisuvunu janana kaaluva nundi krindiki mariyu bayataku nette garbhasayam yokka sankochaalu valla sambhavistundi. maroe maatalo cheppalante, prasava noppi anedi oka uddesyam unna prakriya valla vastundi.
charitra.
20va sataabdaaniki mundu, noppi nirvahana kosam etuvanti vaidya jokyalu lekunda, prasavaalu pradhanamgaa intlone jarigaayi. prasava anedi mahilalaku maranaaniki pradhana kaaranam, mariyu chaalaa mandhi eee prakriya gurinchi bhayapaddaru, noppi nirvahana kosam pedda korikanu srushtinchaaru. conny mahilaa rogula demandlu unnappatikee, 19va sataabdam madhyakaalaaniki mundu chaalaa takkuva upasamanam andinchabadindi. prasava samayamlo rasayana anaesthesia modatisaarigaa 1847loe pravesapettabadindi, idhi mahilala nundi maddatu mariyu vaidyula nundi ayishtatanu pondindi. kontamandi vaidyulu mariyu mataparamaina adhikarulu prasavamlo noppi upasamanam anedi prasavaanni badhakaramga cheyalane devuni empikaku viruddhamgaa undani vaadinchaaru; ayithe, itarulu eee vivarananu pratyaekamgaa vyatiraekimchaaru. ayithe, anastheeshiyaaku chaalaa vyatiraekata, daani aarogya parinaamaalu mariyu prasavampai saareeraka prabhaavaala gurinchi aandolana paramgaa roopondinchabadindi.
1853loe raani victoria thana enimidava bidda puttinapudu noppi upasamanam kosam chloroformnu upayoginchaalani teesukunna nirnayam dwara anaesthesia vadakam prachuryam pondindi. eee prakriya mahilalaku "chloroform" eah laa raine "(raani shaililo) gaa prasiddhi chendindi.
20va sataabdam praarambhamlo, germanyloni freebergloni iddaru vaidyulu carle gaas mariyu bernhardt cronig "twilight sleep" anie piluvabade aushadha-prerita sthithini abhivruddhi chesaaru. eee prakriya, mukhyamgaa sikshana laeni vaidyulu nirvahinchinappudu, aneka pramaadaalu mariyu dushprabhaavaalanu kaligi undhi. daani perugudala mariyu patanam modati-taranga streevaadam mariyu modati prapancha yuddham samayamlo talettina german vyatiraeka bhavana rendintitho samanamga unnaayi.
1956loe, pope payas XIII noppileni prasava viniyogaanni aamodinchaadu. 1960laloe noppi nirvahana kosam epidural analgesics perugudala kanipinchindi.
tayari.
prasavaniki siddham kavadam anedi prasava samayamlo anubhavinche noppi mottaanni prabhaavitam chestundi. prasava taragatini teesukovachhu, garbham nirvahistunna vaaritho sampradinchavacchu, mariyu prasnalanu vrayadam anedi noppini nirvahinchadaaniki oka mahilaku avasaramaina samacharanni pondadamlo sahaayapadutundi. snehitulu mariyu kutumba sabhyulatho saralamaina sambhaashanhalu aandolanalanu tagginchavachhu.
naan-pharmacological.
aneka paddhatulu mahilalu vishraanti teesukoovadaaniki mariyu noppini marinta niyantrinchagaligela cheyadaaniki sahaayapadataayi. noppi upasamanaaniki vaidyetara vidhaanaala prabhavanni sameekshinchinappudu, neetilo nimajjanam, sadalimpu paddhatulu mariyu acupuncture noppini tagginchaayani kanugonnaru. eee mariyu itara aushadha sambandhita noppi nirvahana empikalu krinda marinta charchinchabaddaayi.
neeru mariyu prasava.
american office off umens health prakaram, hydrotherapy anie kooda piluvabade vecchani neetilo pani cheyadam, mahilalaku saareeraka maddatu anubhooti chendadaaniki sahaayapadutundi mariyu vaarini vecchagaa mariyu sadalinchela chestundi. sraamika mahilalu taralinchadaaniki mariyu neetilo soukaryavantamaina sthaanaalanu kanugonadaaniki kooda sulabham kaavacchu.
prasava modati dasalo neetilo nimajjanam analgesia avasaranni tagginchadaaniki mariyu bahusha prasava vyavadhini tagginchadaaniki sahaayapadavachhu, ayithe, prasava rendava mariyu moodava dasalalo neetilo nimajjanam aushadha shaastra jokyala vadakanni gananeeyamgaa taggistundani suuchimchadaaniki parimita dayta undhi.
water birthing loe, oka mahila delivery kosam neetilo untundi. american academy off pediatrics daani bhadratanu choopinche adhyayanalu lekapovadam mariyu arudaina conny nivedinchabadina samasyala avakaasam kaaranamgaa neetilo pampinhee cheyadam gurinchi aandolana vyaktam chesindi.
noppi niyantranaku vaidya mariyu aushadha paddhatulu.
vaidyulu, narsulu, vaidya sahayakulu, narsulu mariyu mantrasaanulu saadhaaranamgaa prasavamlo unna streeni noppi upasamanam avasaramaite adugutaaru. sikshana pondina mariyu anubhavagnudaina vaidyudu icchinappudu aneka noppi upasamana empikalu baga panicheestaayi. vaidyulu prasava samayamlo vividha dasalalo noppi upasamanam kosam vividha paddhatulanu kooda upayoginchavacchu. ayinappatikee, prati aasupatri mariyu janana kendramlo anni empikalu andubaatulo laevu. talli aarogya charitra, alerjeelu ledhaa itara aandolanala unikini batti, konni empikalu itarulakanna baga panicheestaayi.
opioids.
prasava samayamlo noppi upasamanaaniki aneka paddhatulu unnaayi.  opiyaayidlu anedi noppi upasamanaaniki sahaayapadataaniki saadhaaranamgaa prasava samayamlo upayoginche oka rakamaina analgesia.  vaatini neerugaa kandaraalaloki shaat roopamlo inject cheyavachu ledhaa IV loe unchavacchu. eee mandulu prasavistunna talliki magata, durada, vikaram ledhaa vaantulu vanti avaanchita dushprabhaavaalanu kaliginchavacchu. prasavistunna talliloo avi swalpamgaa unnappatikee, sisuvu eee mandulanu tolaginchadaaniki ekkuva samayam padutundi. anni opiyaayidlu mavini daatavacchu mariyu hridaya spandana raetu, swaasa ledhaa medadu panitiirutoe samasyalanu kaliginchadam dwara sisuvunu paelavamgaa prabhaavitam cheyavachu.  eee kaaranamgaa, opiyaayidlu delivareeki daggaragaa ivvabadavu. ayithe, avi prarambha prasavamlo prayojanakaramgaa untaayi, endukante avi nistejamaina noppiki sahaayapadataayi, conny talli kadalika ledhaa nettagala saamarthyaanni debbateeyakandi.  vaati upayogam kooda sijerian vibhagala adhika avakaasamtoe mudipadi unnatlu anipinchadu. delivery samayamlo opiyaayidlanu upayoginchaalani nirnayinchetappudu pariganinchavalasina aneka vishayalu unnaayi mariyu eee empikalu, alaage pramaadaalu mariyu prayojanaalu, sikshana pondina vaidya nipunulatoe prasava modati dasalo charchinchabadaali.  sisuvunu prabhaavitam chese vidhanalu mariyu mandula gurinchi prasnalu adagadam chellubaatu ayye prasnalu.
epidural mariyu vennemuka addamkulu.
epidural anedi vennupamu krinda oka chinna pradaesamloe, oka gottanni (catheter) venuka bhaagamlo unche prakriya. prasava samayamlo avasaramaina vidhamgaa gottam dwara chinna motaadula mandulanu ivvavacchu. vennemuka addanki thoo, takkuva vennupuusalooni vennemuka dravam loki shaat gaa oka chinna motaadu aushadham ivvabadutundi. vennemuka addamkulu saadhaaranamgaa prasava samayamlo okasari matrame ivvabadataayi. epidural mariyu vennemuka addamkulu chaalaa mandhi mahilalu prasava mariyu prasava samayamlo chaalaa takkuva noppitho melakuvagaa mariyu apramattamgaa undataaniki anumatistaayi. epidural thoo, noppi upasamanam aushadham icchina 10 nundi 20 nimishala tarvaata praarambhamavutundi. anubhooti chendhe timmiri sthaayini sardubaatu cheyavachu. vennemuka addanki thoo, manchi noppi upasamanam ventane praarambhamavutundi, conny idhi okati nundi rendu gantalu matrame untundi.
kadalika saadhyame ayinappatikee, mandulu motaru paniteerunu prabhaavitam chesthe nadaka kakapovachhu. epidural raktapotunu tagginchagaladu, idhi sisuvu hridaya spandananu mandaginchagaladu. eee pramaadaanni tagginchadaaniki IV dwara ivvabade dravaalu ivvabadataayi. dravaalu vanuku kaliginchavacchu. conny prasavamlo unna mahilalu tarachugaa epidural thoo ledhaa lekunda vanukutaaru. vennupamu yokka cover catheter dwara puncture cheyabadithe, chedu talanoppi yerpadavachhu. chikitsa talanoppiki sahaayapadutundi. epidural anedi prasava tarvaata konni rojula paatu sambhavinche vennunoppini kaligistundi. epidural anedi prasava modati mariyu rendava dasalanu podiginchagaladu. prasava samayamlo aalasyamgaa isthe ledhaa ekkuva mandulu upayoginchinatlayithe, samayam vachinappudu nettadam kashtam kaavacchu. epidural anedi sahayaka yoni delivery pramaadaanni penchutundi.
pudendal block.
eee prakriyaloo oka vaidyudu timmirini kaliginche aushadhaanni yoni mariyu sameepamloni pudendal naralaloki inject chestaadu. eee naram yoni mariyu yoni diguva bhaagaaniki anubhootini teesukuvelutundi. noppi niyantrana yokka eee paddhati prasava samayamlo aalasyamgaa matrame upayoginchabadutundi, saadhaaranamgaa sisuvu thala bayataku raavadaaniki mundhe. pudendal block thoo, kontha noppi upasamanam untundi, conny sramistunna stree melakuvagaa, apramattamgaa mariyu sisuvunu bayataku nettagalagaali. sisuvu eee aushadham dwara prabhaavitam kaadu mariyu dheeniki chaalaa takkuva pratikuulatalu unnaayi.
peelche noppini tagginche noppi.
prasavistunna tallulaku andubaatulo unna aushadha noppi upasamanam yokka maroka roopam peelche nitrus oxide.  idhi saadhaaranamgaa gaalitho nitrus oxide yokka 50/50 misramam, idhi peelche analgesic mariyu anaesthetic.  nitrus oxidenu 1800la chivari nundi prasava samayamlo noppi nirvahana kosam upayogistunnaru. peelche noppini nivaarinche aushadham vadakam saadhaaranamgaa yuke, finland, australia, singapur mariyu nyoojilaandlalo upayoginchabadutundi mariyu united stateslo prajaadarana pondutondi.
noppi niyantrana yokka eee paddhati epidural vale noppi upasamanaanni andinchakapoyinappatiki, eee rakamaina analgesiaku aneka prayojanaalu unnaayi.  nitrus oxide chavakainadi mariyu prasava samayamlo yea dasaloonainaa surakshitamgaa upayoginchavacchu.  chalanaseelatanu konasaagistuu telikapati noppi upasamanam korukune mahilalaku idhi upayogapadutundi mariyu epidural thoo avasaramaina daanikante takkuva paryaveekshanha kaligi untundi.  noppi upasamanaaniki sahaayapadataaniki idhi prarambha prasavamlo kooda upayogapadutundi mariyu janana bantulu, sthaanam maarpulu mariyu bahusha neeti jananam vanti itara aushadha-kaani noppi paddhathulatho kalipi upayoginchabadutundi.  gyaas sweeya-nirvahanalo untundi kabatti yea samayamloonainaa entha gyaas peelchukoovaalanukuntunnaar daanipai sraamika talli puurti niyantrana kaligi untundi.
parimita dushprabhaavaala valla nitrus oxide adanapu prayojanaanni kaligi undhi.  kontamandi tallulu kontha maikamu, vikaram, vaantulu ledhaa magatanu anubhavinchavacchu, ayithe, motaadu rogiche nirnayinchabadutundi kabatti, eee lakshanaalu praarambhamaina tarvaata aame thana viniyogaanni parimitam cheyavachu.  gyaas twaragaa prabhavam chooputundi, conny kontakaalam paatu kooda untundi, kabatti analgesia prabhaavaala nundi prayojanam pondadaaniki aame musugunu thana mukhaniki pattukoovaali. sisuvu swaasa teesukovadam praarambhinchina ventane adhi twaragaa tolaginchabadatam valla sisuvuku chaalaa takkuva prabhavam untundi. nitrus oxide vayuvu vaadakamlo etuvanti vaidyaparamgaa mukhyamaina pramaada karakalu levani aadharalu suuchimchavu, idhi aushadhasambandham kaani mariyu aushadhasambandhamaina noppi nirvahana yokka itara paddhatulaku viruddhamgaa, apgar ledhaa taadu rakta vayuvu paramgaa.  nitrus oxide vaadakamtho sambandham unna aarogya samrakshana pradaataku edainaa perigina vruttiparamaina pramaadaalu unnaya anie nirnayinchadaaniki parimita aadharalu kooda unnaayi.
prasava tarvaata noppi nirvahana.
prasava tarvaata perineal noppi mahilalu mariyu vaari pillalapai takshana mariyu deerghakaalika pratikuula prabhavalanu kaligi untundi. eee prabhavalu tallipaalanu mariyu sisuvu samrakshanaku antaraayam kaliginchavacchu. injection saitla nundi vachhe noppi mariyu saadhyamayye episotomy talli nundi vachhe noppi yokka nivedikanu tarachugaa anchanaa veyadam dwara nirvahinchabadutundi. noppi anedi gayalu, kothalu, garbhasaya sankocham mariyu urugujjula noppi nundi raavacchu. tagina mandulu saadhaaranamgaa ivvabadataayi. saadhaarana episotomylu puttina tarvaata noppi sthaayini tagginchavani kanugonabadaledu.

