isj eiryn seKxn ÜAaçp/exn µara jNmÝ se phle pe3 ko su ... for...Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 HINDI 1 isj_eiryn seKxn ÜAaçp/exn µara jNmÝ

Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 HINDI

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isj_eiryn seKxn ÜAaçp/exn µara jNmÝ se phle pe3 ko su¶ krne ke ilye dI jane valI dva ÜAneS4ei3kÝ

lgwg hr pa>c bCco. me. se 0k bCce ka jNm isj_eiryn seKxn ÜAaçp/exnÝ µara hota hE| [nme. se do-itha{ isj_eiryn seKxn

Ap/Tyaixt hote hE.| [silye [s puiStka ko p!_na xayd Aapke ilye ]ict rhe, cahe Aapko yh lge ik Aapko isj_eiryn seKxn

kI AavXyKta nhI. pD_egI|


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bCce ka jNm 0k n wUlne vala Anuwv hE isj_eiryn seKxn ÜAaçp/exn µara jNmÝ vEsa hI s.to8jnk Anuwv hota hE jEsa samaNy jNm ke smy| yid Aapko isj_eiryn seKxn kI AavXyKta pD_e to Aap yh n soce. ik Aapse ko{ wUl hu{ hE ya Aapne iksI ko inrax ikya hE| ATyavXyk bat yh hE ik Aap AOr AapkI bebI suri9t rhnI caihye, AOr [ske ilye s.wv hE ik isj_eiryn seKxn hI behtrIn ]pay ho|

isj_eiryn seKxn ke ilye pe3 ko su¶ krne ke Anek ]pay hE.| [s puiStka me. ]n ]payo. ke bare me. btaya gya hE AOr yh VyaQya kI g{ hE ik pe3 ko su¶ krne ÜAneS4ei3kÝ ke dOran Kya hota hE| iviw¶ AneS4ei3Ks Üpe3 ko su¶ krne ke ]payo.Ý ke bare me. Aap AneS4ei3S3 Üsu¶ krne vale DaçK3rÝ se bat kr sktI hE.| AaçBs3ei¨k AneS4ei3S3\s (Obstetric anaesthetists) vh ivxe8) hote hE. jo gwRvit mihla ko AneS4ei3k Üsu¶ krne valI dvaÝ dete hE.|

Aapke isj_eiryn seKxn kI yojnab.dI s.wvt: phle se kI ja sktI hE| [sko [leki3v isj_eiryn seKxn. (elective Caesarean section) khte hE.| Aapke AaçBs3eiïxyn ko Agr yh mehsUs huAa ik naçrml trIke se bCce ko jNm dene me. Aapko ki#na{ Aa sktI hE to vh suzav de skta hE ik Aapka isj_eiryn seKxn ikya ja0 ÜAaçBs3eiïxyn ]s DaçK3r ko khte hE. jo imDva[f_o. ke sa4 gwRvit mihla kI deqwal krta hE AOr bCce ka jNm krata hEÝ| [ska 0k ]dahr` yh ho skta hE ik jb gwR ke A.itm idno. me. Aapka bebI pe3 me. #Ik S4an pr n ho|

ku7 keso. me. Aapka AaçBs3eiïxyn A.itm 9ò. me. isj_eiryn seKxn ka suzav de skta hE| 0esa p/ay: tb hota hE jb Aap p/sv ÜlebrÝ kI AvS4a me. Aa cukI ho. | [sko [mrje.sI isj_eiryn seKxn. (emergency Caesarean section) khte hE.| vh [silye [ska suzav deta hE ik AapkI lebr bhut AaihSta cl rhI hE, ya bCce kI piriS4it qrab hotI ja rhI hE, ya ye dono. kar` hE.|

Aapke AaçBs3eiïxyn ko Agr yh lga ik Aapko isj_eiryn seKxn kI AavXyKta hE to vh [s bare me. Aapse bat krega AOr Aaçp/exn ke ilye phle AapkI Anumit lega|

AneS4ei3k kI iksme.

AneS4ei3k do p/kar ke hote hE.| Aap ya to jagtI rhe.gI Ü[se rIjnl AneS4ei3k khte hE.Ý| Agr Aapka

isj_eiryn seKxn ikya gya to Aam tOr pr Aapko jnrl AneS4ei3k idya ja0ga| [ske dOran Aap jagtI rhe.gI pr.tu Aapko Apne xrIr ke incle wag me. ku7 mehsUs nhI. hoga| yh ]pay Aam tOr pr Aapke AOr bebI ke ilye suri9t rhta hE AOr Aapko t4a Aapke pa3Rne ko jNm ke Anuwv ka Avsr wI imlta hE|

rIjnl AneS4Iij_ya tIn p/kar ke hote hE.:

1 Spa[nl: AapkI rI!_ kI hD\DI me. ns ke pas PlaiS3k kI 0k mhIn nLkI ya ke3I4r p/vex kI jatI hE, AOr jb wI AavXyKta pD_e ns ko su¶ krne valI dva [s nLkI se xrIr me. p/vex kI ja sktI hE| p/sv pI!_a ÜlebrÝ ko km krne ke ilye Aam tOr pr AneS4ei3k dva ka hLke Asr vala 6ol xrIr me. 0ipD\yUrl µara p/vex ikya jata hE| Agr Aapko isj_eiryn seKxn ÜAaçp/exnÝ kI AavXyKta pD_I to AneS4ei3S3 Aapke xrIr me. lge 0ipD\yUrl ke ma@ym se tej_ Asr vala 6ol Aapke xrIr me. p/vex kr skta hE| Spa[nl kI tulna me. 0ipD\yUrl me. Aapko lokl AneS4ei3k dva kI bD_I ma5a kI AavXyKta pD_egI, AOr ]sko p/wavxalI hone me. wI J_yada smy lgega|


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2 0ipD\yUrl: yh ]pay Aam tOr pr p/yog ikya jata hE, AOr [sko yojnab.d ya [mrje.sI isj_eiryn seKxn ke ilye p/yog ikya ja skta hE| Aapke xrIr ke incle ihSse se mehsUs krne kI jo nse. ÜnvRj_ nervesÝ }pr ja rhI hE. vh AapkI rI!_ kI hD\DI ke A.dr trl pda4R kI 0k 4elI ke A.dr hotI hE.| AneS4ei3S3 0k bhut mhIn sU{ se lokl-AneS4ei3k dva trl pda4R ke [s beg me. p/vex krega| Spa[nl kI tulna me. 0ipD\yUrl me. Aapko lokl AneS4ei3k dva kI J_yada ma5a kI AavXyKta pDegI, AOr [sko p/wavI hone me. wI smy lgta hE| 3 Spa[nlã0ipD\yUrl kI s.yuKt dva ya sI0s{ (CSE) : yh ]pcar dono. ]payo. ka mel hE| isj_eiryn seKxn ÜAap/exnÝ me. Spa[nl dene se Aapka xrIr bhut jLdI su¶ ho jata hE| Agr AavXyKta pD_I to 0ipD\yUrl ko J_yada AneS4ei3k dva dene ke ilye p/yog ikya ja skta hE, AOr Aaçp/exn ke bad ddR km krne kI dva0. dene ke ilye wI|

jnrl AneS4ei3k: yid Aapko jnrl AneS4ei3k idya gya ÜyanI behox ikya gyaÝ to ]s smy Aap behox rhe.gI jb AaçBs3eiïxyn isj_eiryn seKxn ÜAaçp/exnÝ krega| Aam tOr pr Aajkl jnrl AneS4Iij_ya bhut km p/yog ikya jata hE, pr.tu ku7 [mrje.isyo. me. [sko [Stemal ikya ja skta hE, ]dahr` ke ilye jb rIjnl AneS4ei3k Aapke ilye ]ict n ho ya Agr Aap hox me. rh kr jNm krvana cahtI ho.|

hr p/kar ke AneS4ei3k ke AnukUl AOr p/itkUl p/wavo. kI VyaQya [s puiStka me. Aage cl kr kI g{ hE, pr.tu yh jan lena ]pyogI rhega ik jb isj_eiryn seKxn ikya jata hE AOr Aapko Aaçp/exn kI iti4 bta{ jatI hE to Kya hota hE|

[leki3v Üyojnab²Ý isj_eiryn seKxno. ke bare me.:

AseSme.3 ÜASptal me. prI9`Ý

Aam tOr pr Aaçp/exn vale idn se phle Aapko ASptal Aana pD_ta hE| imDva[f_ Aapse imlegI AOr Aapke qUn ka nmUna legI taik Aaçp/exn se phle ]skI ja.c kI ja ske, AOr vh Aapko bta0gI ik ja.c me. Kya paya ja skta hE| AseSme.3 ke bad Ai2ka.x mihla0. Apne 6r clI jatI hE. AOr Aaçp/exn vale idn hI ASptal AatI hE., pr.tu yh s.wv hE ik iksI mihla ko 0k rat phle se hI ASptal me. =kna pD_e| Aapke pe3 kI AmLta ko km rqne ke ilye AOr ]li3ya. rokne ke ilye imDva[f_ Aapko dva kI goilya. de sktI hE| Aapko caihye ik


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Aaçp/exn kI rat se phle 0k golI qa0. AOr 0k golI ]s subh ijs idn Aapka Aaçp/exn ikya jana hE| [ske bare me. Aapko VyaQya kI ja0gI|

AneS4ei3S3 se mulakat

isj_eiryn seKxn ÜAaçp/exnÝ se phle 0k AneS4ei3S3 ko Aapse mulakat krnI caihye| vh Aapse AapkI meiDkl ihSÏ ÜicikTsIy piriS4itÝ ke bare me. pU7ega AOr Agr Aapko phle kwI AneS4ei3k idya gya hE to ]ske bare me. malUm krega| s.wv hE ik vh Aapke xrIr kI ja.c kre AOr AitirKt 3ES3 kra0| vh Aapko ]n iviw¶ AneS4ei3Ks ke bare me. wI bta0ga jo Aapko idye ja skte hE., t4a Aapke p/Xno. ke ]%r dega|

Aaçp/exn vale idn

imDva[f_ Aapko bta0gI ik Aapka Aaçp/exn kb hona hE AOr yh suiniXct kregI ik Aap ApnI dva kI golI le.| ho skta hE ik Aapko naiw ke nIce se bal xev krne pD_e.| AapkI kla{ ya 3q_ne pr Aapke nam ka 0k bE.D ba.2a ja0ga| AapkI 3a.go. me. rKt ke 4Kke n jme. [silye Aapko 0k ivxe8 t.g 3a[3\s phna[ ja0gI, ijsko phnane me. imDva[f_ AapkI shayta kregI Ü[s S3aik.g ko 3I[DI S3aik.Gs khte hE.Ý| Aapko ph¶e ke ilye 0k i4ye3r ga]n idya ja0ga| yid Aapka ko{ 0esa pa3Rnr hE jo bCce ke jNm ke ilye iJ_mmedar hE to vh Aapke AOr imDva[f_ ke sa4 Aaçp/exn ke kmre ÜAaçp/ei3.g i4ye3rÝ me. =k skta hE| Aaçp/exn ke kmre me. ]nko ph¶e ke ilye imDva[f_ ]Nhe. 0k ivxe8 vS5 degI| Aaçp/ei3.g i4ye3r me. bhut se log kam krte hE.:

vha. pr imDva[f_ hogI jo AapkI AOr bebI kI dewwal kregI|

AneS4ei3S3 ka 0k shayk hoga


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AaçBs3eiïxyn ka 0k shayk hoga AOr ]ske sa4 0k S¢b-nsR hogI

0k AOr nsR hogI jo AitirKt ]pkr` lane lejane ka kam kregI| i4ye3r me. S3af_ ke km se km sat log mOjUd rhe.ge|

i4ye3r me. Aapke xrIr se Anek ]pkr` joD_e ja0.ge taik Aapka rKtcap, h<dy-git AOr Aapke rKt me. AaçKsIjn kI ma5a ko mapa ja ske| [n ]pkrò. se Aapko ko{ Aaht nhI. hogI| AneS4ei3S3 Aapke ha4 kI rg ya ba>h me. 0k keNyUla ÜPlaiS3k kI 0k mhIn nLkIÝ lga0ga AOr 0k iDæp tEyar krega ijske µara Aapke xrIr me. panI c!_aya ja0ga| [ske bad AneS4ei3S3 Übehox krne vala DaçK3rÝ AneS4ei3k Übehox krne kI p/i¢yaÝ xu+ krega|

rIjnl AneS4ei3k lgvana ÜjNm ke dOran xrIr ke incle wag ko su¶ krne valI dva lgvanaÝ

Agr Aapko rIjnl AneS4ei3k idya gya hE to Aapka pa3Rnr Aapke sa4 Aaçp/ei3.g i4ye3r me. rh skta hE| ]nse kha ja0ga ik vh 0k jgh pr bE#e. AOr kmre ke ivxe8 wag me. n ja0. taik Aaçp/exn me. p/yog kI jane valI mxIno. ko roga uAo. se suri9t rqa ja ske ÜAgr Aapko jnrl AneS4ei3k yanI behoxI kI dva dI g{ hE to Aapke pa3Rnr se 0k Alg kmre me. bE#ne ke ilye kha ja0gaÝ|

Aapse bE#ne ya 0k Ao3 ho kr ApnI kmr ko moD_ kr le3ne ke ilye kha ja0ga| AneS4ei3S3 AapkI kmr pr jIvaùmar dva lga0ga jo Aapko #.DI mehsUs hogI| [ske bad vh AapkI kmr ke incle wag ke ]ict S4an pr lokl AneS4ei3k dva ka 0k 7o3a [.jeKxn lga0ga taik AapkI Tvca su¶ ho ja0| kwIkwI [ske kar` ku7 9no. ke ilye Aapko hLkI sI cuwn mehsUs ho sktI hE|

ifr rI!_ kI hD\DI me. Spa[nl AneS4ei3k dene ke ilye 0k barIk sU{ AapkI kmr me. lga{ ja0gI| s.wv hE ik sU{ lgte smy Aapko ApnI 3a>g me. hLkI sI cuwn fEltI hu{ mehsUs ho, ibLkul 0ese hI jEse ibjlI ka hLka z3ka lgta hE|


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yid 0esa ho to AneS4ei3S3 ko [s bare me. bta0., pr.tu yh AavXyk hE ik jb AneS4ei3S3 AapkI rI!_ kI hD\DI me. [.jeKxn lga0 to Aap ihle. nhI.| jb sU{ shI jgh pr lg ja0gaI to vh ]s sU{ µara Aapke xrIr me. lokl neS4ei3k AOr ddRmar dva c!_a0ga AOr ifr sU{ bahr inkal lega| [s p/i¢ya me. kevl c.d imn3 hI lgte hE., pr.tu Agr sU{ lgane ke ilye #Ik S4an tlax krna ki#n ho to ku7 J_yada smy wI lg skta hE|

0ipD\yUrl Üya s.yuKt Spa[nl-0ipD\yUrlÝ ke ilye AneS4ei3S3 0k bD_I sU{ p/yog krega taik AapkI rI!_ kI hD\DI kI ns ke ink3 vale S4an me. 0ipD\yUrl ke3I4r ÜnLkIÝ lga ske| Spa[nl kI trh hI [sse wI kwIkwI 3a>g me. hLkI sI cuwn fEltI hu{ mehsUs hotI hE ya 0esa lgta hE jEse ibjlI ka hLka z3ka lg jata hE| jb AneS4ei3S3 Aapke xrIr me. 0ipD\yUrl lga0 to yh AavXyk hE ik Aap ihle. nhI. pr.tu ke3I4r lg jane ke bad vh Aapke xrIr se sU{ inkal le.ge AOr tb Aap ihl sktI hE.|

jb Spa[nl ya 0ipD\yUrl kam krne lgega to Aapko [s bare me. pta cl ja0ga Kyo.ik tb AapkI 3a>ge. Aapko bhut warI AOr gmR mehsUs hone lge.gI, AOr s.wv hE ik Aapko hLkI sI cuwn wI mehsUs ho| su¶ hone kI AnuwUit Aapko AaihSta-AaihSta Apne xrIr ke }prI wag pr c!_tI hu{ mehsUs hogI| Aaçp/exn xu+ hone se phle AneS4ei3S3 yh pD_tal krega ik ]ska p/wav Aapke sIne ke bIc tk phu.c gya hE| kwIkwI yh AavXyk ho jata hE ik Aapse pl3ne ke ilye kha ja0 taik AneS4ei3k #Ik trh p/wavI ho ske| 3Im ka 0k sdSy k{ bar Aapka BlDp/exr wI lega|

jb AneS4ei3k p/wavI ho ja0ga to imDva[f_ Aapke mU5axy me. 0k nLkI Üpexab inkalne valI nLkIÝ lga0gI taik Aaçp/exn ke dOran mu5axy qalI hota rhe| [sse Aapko tklIf_ nhI. phu.cegI, AOr yh nLkI AglI subh tk Aapke xrIr me. lgI rhegI taik Aapko pexab krne ke ilye n jana pD_e|

Aaçp/exn ke ilye Aapko kmr ke bl il3aya ja0ga AOr ba{. Aor zuka kr rqa ja0ga| Agr Aapko ]L3I Aane lge to AneS4ei3S3 ko [s bare me. bta0.| ]L3I Aane ka 0hsas kwIkwI rKtcap km ho jane ke kar` wI hota hE| [sko dUr krne ke ilye AneS4ei3S3 Aapko dva dega|

bebI ka jNm ho jane tk s.wv hE ik Aapko 0k PlaiS3k maSk µara AaçKsIjn dI ja0 taik [s bat ko suiniXct ikya ja ske ik jNm se phle bebI ko bhut sI AaçKsIjn imltI rhe| PlaiS3k ka maSk 0sa hota ho jo Aapke mu>h pr s3 kr lgne vala hota hE| Aaçp/exn

Aapke xrIr ke incle wag AOr Aaçp/exn vale wag ko 0k prde ke pI7e rqa ja0ga AOr Aap ya Aapka pa3Rnr xrIr ke ]s ihSse ko nhI. deq pa0.ge| AneS4ei3S3 sare smy Aapke sa4 rhega| Aaçp/exn ke kmre me. Aapko Apne Aaspas Anek Aavaj_e. suna{ de.gI Kyo.ik AaçBs3eiïxyn bhut se kmRcairyo. AOr imDa[f_o. kI 3Im ke sa4 kam krta hE|

ibiknI la[n Ünaiw ke nIce seÝ AapkI Tvca ka3I ja0gI| Aaçp/exn xu+ hone ke bad Aapko Anek ]pkrò. kI Aavaj_e. suna{ de.gI AOr mehsUs hoga ik jEse bebI ke Aaspas se pe3 ka panI sKxn µara Ühva kI shayta se qe.c krÝ bahr inkala ja rha hE| Aapko iq.cav AOr dbav mehsUs hoga pr.tu ddR nhI. hoga| k7u mihlaAo. ne Apne [s Anuwv ke bare me. btate hu0 kha hE ik 0esa lgta hE jEse ko{ A.dr se ]nke xrIr kI 2ula{ kr rha hE| Aaçp/exn ke dOran AneS4ei3S3 Aapse bat krta rhega, AOr yid AavXyk huAa to Aapko ddR km krne valI AitirKt dva0. wI dega| kwIkwI yh wI AavXyk ho jata hE ik ]Nhe. Aapko jnrl AneS4ei3k ÜbehoxI kI dvaÝ denI pD_e, leikn 0esa bhut km hota hE|

Aaçp/exn xu+ hone ke bad bebI kI pEda[x tk p/ay:10 imn3 lgte hE.| jNm ke tur.t bad imDva[f_ Aapke bebI ko suqa0gI AOr ]skI ja.c kregI| s.wv hE ik 0k pIiDyaÏixyn wI imDva[f_ ke sa4 Aapke bebI kI ja.c kre| [ske bad Aap AOr Aapka pa3Rnr Apne bebI ko god me. le skte hE., AOr ku7 priS4ityo. me. ]se Apne xrIr se icpka wI kste hE.|


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jNm pXcat, gwaRxy ko ksne AOr bIja.Dasn ÜbCce kI 4elIÝ bahr inkalne ke ilye Aapke iDæp me. 0k dva imla{ jatI hE ijse Syntocinon khte hE.| iDæp me. 0k 0eN3Ibayoi3k dva wI xaiml kI ja0gI taik Aapke 6av me. [.f_eKxn n lge| Aaçp/exn pUra krne me. AaçBs3eiïxyn ko lgwg AitirKt Aa2a 6.3a lgega| [ske bad Aapke mLµar me. 0k spojI_ I Üdva kI golIÝ wI DalI ja sktI hE taik jb AneS4ei3k ÜbehoxI kI dvaÝ p/wavI n rhe to Aapke xrIr me. tklIf_ n ho|


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Aaçp/exn smaPt hone ke bad

Aaçp/exn smaPt hone ke bad Aapko Aaram ke kmre ÜirkvrI +mÝ me. le jaya ja0ga, jha. pr Aapke rKtcap pr @yan rqa ja0ga| samaNyt: Aapka pa3Rnr AOr bebI Aapke pas hI ho.ge| Aapke bebI ka vj_n ikya ja0ga| yid Aap cahe. to ]se Apna dU2 ipla sktI hE.| Aaram ke kmre me. Aapke AneS4ei3k kI p/waivta AaihSta-AaihSta smaPt ho ja0gI, AOr s.wv hE ik Aapko Apne xrIr me. hLkI cuwn AOr qujlI mehsUs ho| do 6.3o. ke A.dr Aap ApnI 3a>go. ko 0k bar ifr ihlajula ske.gI|

Spa[nl ya 0ipD\yUrl ke sa4 dI jane valI ddRmar dvaAo. se ku7 6.3o. tk Aapko ddR mehsUs nhI. hoga| jb DaçK3r ya nseR. Aapko ddRmar dva0. de. to ]nko ]sI smy lena behtr rhega, n ik tb jb Aapko ddR xu+ ho ja0| jb Aap bCce ko Apna dU2 ipla0.gI to jo dva0. Aapko dI g{ hE. ]nka p/wav bCce pr nhI. hoga| jnrl AneS4ei3k yanI behoxI kI dva lena

jnrl AneS4ei3k Kyo. p/yog ikya ja skta hE [ske ku7 kar` inMniliqt hE.:

yid Aapko ko{ 0esI smSya hE ijske kar` Aapka rKt #Ik se jm nhI. pata to behtr yh hE ik Aap rIjnl AneS4ei3k n krva0.|

yid Ap/Tyaixt karò. se Aapka isj_eiryn ÜAaçp/exnÝ krna pD_a to s.wv hE ik rIjnl AneS4ei3k ko p/wavI hone ke ilye ]ict smy n iml ske|

yid AapkI kmr me. ApsamaNyta0. hE. to s.wv hE ik rIjnl AneS4ei3k ki#n ya As.wv ho|

kwIkwar Spa[nl ya 0ipD\yUrl AneS4ei3k ko #Ik S4an pr nhI. lgaya ja skta, ya s.wv hE ik vh #Ik se kam n kr pa0|

jnrl AneS4ei3k Übehox krneÝ kI Ai2ka.x tEyairya. wI vEse hI hotI hE. jEsI rIjnl AneS4ei3k Üsu¶ krne kIÝ hotI hE. pr.tu jnrl AneS4ei3k ke dOran Aapka pa3Rnr Aapke sa4 Aaçp/exn ke kmre me. nhI. =k skta| Aapko pIne ke ilye 0k antacid dI ja0gI taik Aapke pe3 kI 0eisDta ko km ikya ja ske, AOr s.wv hE ik jnrl AneS4ei3k xu+ krne se phle imDva[f_ Aapke mU5axy me. 0k ke3I4r ÜnLkIÝ lga0| mu>h pr lga0 jane vale maSk µara sa.s lene ke ilye AneS4ei3S3 Aapko ku7 im.3o. ke ilye AaçKsIjn dega, AOr jb AaçBs3eiïxyn AOr 3Im ke sb log tEyar ho ja0.ge to AneS4ei3S3 Aapke iDæp me. AneS4ei3k ÜbehoxI kI dvaÝ imla0ga taik Aap behox ho ja0.| behox hone se ku7 phle AneS4ei3S3 ka shayk AapkI gdRn ko hLke se dba kr rqega taik Aapke pe3 ka trl pda4R Aapke fefD_o. me. n jane pa0| AneS4ei3k ÜbehoxI kI dvaÝ bhut jLdI p/wavI ho jatI hE|


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jb Aap behox ho ja0.gI to AneS4ei3S3 AapkI Xvas-nlI me. 0k nLkI lga0ga jo Aapke pe3 ke trl pda4R ko Aapke fefD_o. me. jane se rokegI, AOr 0k mxIn µara AapkI sa>s ko cltI rqegI| AneS4ei3S3 ApnI AneS4ei3k ÜbehoxI kI p/i¢yaÝ ko jarI rqega taik Aap behox rhe. AOr AaçBs3eiïxyn Aapke bebI ko jNm idla ske, pr.tu [n sb ke bare me. Aapko ku7 pta nhI. clega|

jb Aap hox me. Aa ja0.gI to nLkI lgne ke kar` s.wv hE ik Aapko Apne gle me. k7 beAaramI mehsUs ho, AOr Aaçp/exn ke kar` wI Aapko ku7 ddR ho skta hE| Aapko nI.d Aa0gI, AOr s.wv hE ik ku7 der ke ilye Aapka jI wI imclane lge| Aapko Aaram krne ke kmre me. le jaya jaa0ga, jha. pr Aap Apne bebI AOr pa3Rnr ke sa4 ho.gI|

[mrje.sI me. ikya jane vala isj_eiryn seKxn ÜAaçp/exnÝ

[mrje.sI me. ikya jane vala Aaçp/exn vh hota hE ijskI 0k ya do idn phle se yojnab.dI n kI g{ ho| yh iktna AavXyk ho skta hE [skI inwtaR [spr hE ik AapkI piriS4itya. kEsI hE.| jo Aaçp/exn km taTkailk ho vh yojnab.d Aaçp/exn kI trh hI ikya ja skta hE, pr.tu 0sI piriS4it me. Aapko Aaçp/exn se phle Ai2ktm 0k antacid golI lene ka hI smy iml pa0ga, jiBk ku7 Aaçp/exn 0ese hote hE. ijNhe. tur.t krna pD_ta hE, yanI in`Ry lene ke 0k 6.3e ke A.dr ya kwIkwar ijtnI jLdI s.wv ho ske| Ait-tur.t Aaçp/exn kI AavXyKta pD_ne ka sb se samaNy kar` yh hE ik Aapke bebI ke sa4 Acank ko{ smSya pEda ho ja0 Ü[s piriS4it ko kwI kwI fetal distress khte hE., yanI jNm lene vale bebI me. 6brah3 pEda ho janaÝ|

Agr Aako Ait-tur.t isj_eiryn kI AavXyKta hu{ to Aaçp/exn ke ilye kI jane valI samaNy tEyairyo. ko hme. bdlna pD_ skta hE ya ]nko 7oD_na pD_ skta hE| Aapke ha4 ya ba>h kI rg me. 0k keNyUla ÜPlaiS3k kI 0k mhIn nLkIÝ lga{ ja0gI, yid vh phle hI se lgI hu{ nhI. hE| Aaçp/exn krne valI 3Im Aapke pe3 kI 0eisDta


10

ko km krne ke ilye 3eble3 dene kI bjay keNyUla µara Aapko antacid dva de sktI hE, AOr s.wv hE ik Aapko AaçKsIjn wI dI ja0 jo 0k 0ese maSk ke ma@ym se dI ja0gI jo Aapke mu>h pr ks kr lgaya gya ho|

Agr p/sv pI!_a ko km rqne ke ilye Aapko phle hI 0ipD\yUrl idya ja cuka hE AOr vh #Ik trh se kam kr rha hE to AneS4ei3S3 Aapko ]ske µara ]ict ma5a me. AneS4ei3k ÜbehoxI kI dvaÝ dega taik [mrje.sI me. Aapka Aaçp/exn ikya ja ske| [ske µara AneS4ei3k kI jLdI p/waivt hone valI 0k bD_I ma5a Aapko dI ja0gI taik srjrI ke dOran Aapko ddR ka 0hsas n ho| AneS4ei3S3 ko yh in`Ry lena pD_ega ik Kya ]ske pas 0ipD\yUrl me. AitirKt dva imlane ka smy hE| yid Aapko 0ipD\yUrl nhI. idya gya ya Agr Aapka 0ipD\yUrl ddR ko #Ik se rok nhI. pa rha hE to AneS4ei3S3 Aapko Spa[nl lga0ga| yid rIjnl AneS4ei3k dene ka smy nhI. hE ya [tna smy nhI. hE ik vh p/waivt ho ske to Aapko jnrl AneS4ei3k idya ja0ga ÜyanI behox ikya ja0gaÝ| yid Aapne AneS4ei3S3 se yh kha ik Aapko rIjnl AneS4ei3k idya ja0 to Ai2ka.x mihlaAo. ke keso. me. isj_eiryn ÜAaçp/exnÝ ke ilye jnrl AneS4ei3k idye jane kI bhut km s.wavna hotI hE| kevl 10 me. se 0k isj_eiryn ATyavXyk hota hE|

kwIkwar Agr bhut jLdI hu{ to 3Im ke pas [tna smy nhI. hoga ik vh Aapko ya Aapke pa3Rnr ko yh bta0 ik Aapke ilye Kya ikya ja rha hE, AOr Aaçp/exn ke smy Aapke pa3Rnr ko wI iDlIvrI ke kmre me. hI p/tI9a krnI pD_ sktI hE| 0esI piriS4it me. Aap duqI AOr ic.itt ho sktI hE., pr.tu S3af_ ke log bad me. Aapko bta0.ge ik Kya huAa AOr Kyo.|

Aaçp/exn ke bad ddR km krna

isj_eiryn Aaçp/exn ke bad ddR km krne ke Anek ]pay hE.:

Spa[nl ya 0ipD\yUrl ke sa4 Aapko 0esI ddRmar dva dI ja sktI hE jo der tk p/wavI rhe|

ku7 ASptalo. kI 3Ime. 0ipD\yUrl ke3I4r ÜnLkIÝ ko xrIr me. hI lga rhne de.gI taik bad me. vh AitirKt dva Aapke xrIr me. c!_a ske.|

Aaçp/exn ke bad imDva[f_ mlµar se A.dr Dalne valI ddRmar dva de sktI hE|

imDva[f_ morfIn ya ]sI trh kI ko{ ANy ddRmar dva ka [.jeKxn Aapko de sktI hE

3Im Aapko 0esI iDæp lga sktI hE jsme. morf_In ya ]sI trh kI ko{ ANy dva xaiml ho| Aapko iktnI ma5a me. ddRmar dva0. dI ja0. [spr Aapka iny.5` ho skta hE| [sko rogI µara ddRmar dva k. ol krne kI p/i¢ya (patient-controlled analgesia, PCA) khte hE.|

imDva[f_ Aapko diclofenac, perasI3amaçl ya codeine de sktI hE| jnrl AneS4ei3k Übehox ikye janeÝ kI tulna me. rIjnl AneS4ei3k Üsu¶ ikye janeÝ ke law

Spa[nl AOr 0ipD\yUrl samaNyt: Aap AOr Aapke bebI ke ilye suri9t hE.|

Aap AOr Aapke pa3Rnr jNm ke smy 0k sa4 rh skte hE.|

jNm ke bad Aap nI.d me. nhI. rhe.gI|

Aap Apne bebI ko jLdI se jLdI ApnI god me. le ske.gI AOr ]se Apna dU2 ipla ske.gI|

jNm ke bad Aapka ddR jLdI smaPt ho ja0ga|

jNm ke smy AapkI bebI J_yada scet rhegI|

jnrl AneS4Iij_ya kI tulna me. rIjnl AneS4Iij_ya kI p/itkUlta0.

Spa[nl AOr 0ipD\yUrl ke kar` Aapka rKtacap nIce ja skta hE, pr.tu [ska [laj krna Aasan hE|


11

samaNyt: [nko p/waivt hone me. J_yada smy lgta hE| [silye behox ikye jane kI tulna me. Aapko Aaçp/exn ke ilye tEyar krne me. J_yada smy lgega|

[nke kar` kwIkwar Aap pr kpkpah3 c!_ sktI hE|

iksI iksI piriS4it me. ve #Ik se kam wI nhI. kr pate| [silye 3Im ko xayd Aapko behox krne kI dva denI pD_e|

ijn mihlaAo. ko 0ipD\yUrl idya jata hE ]n mihlaAo. me. hr 10 me. se lgwg car ko AOr ijnko Spa[nl idya jata hE ]n me. hr 10 me. se do kI kmr pr vh S4an nmR pD_ jata hE jha. pr sU{ lga{ jatI hE| yh nmR S4an kwIkwI k{ sPtah ya mhIne tk bakI rhta hE, pr.tu 0esa bhut km hota hE|

isj_eiryn seKxn ÜAaçp/exnÝ se bebI ko pEda krna suri9t hE, AOr yh bD_a s.to8jnk Anuwv ho skta hE| bhut sI mihla0. [s dOran jagtI rhna ps.d krtI hE., jiBk ku7 mihla0. ]Kt karò. se behox rhna ps.d krtI hE.| Agr Aapko isj_eiryn seKxn kI AavXyKta pD_I to hme. Aaxa hE ik [s puiStka kI shayta se Aap Apne ilye ]icttm cyn kr ske.gI|


12

rIjnl AneS4ei3k Üsu¶ ikye jane keÝ joiqmo. ka ivvr` nIce 3ebl me. idya gya hE| yh sUcna inMniliqt p/kaxno. se lI g{ hE| 3ebl me. idye g0 Aa>kD_e kevl Anumaint hE., AOr iw¶ ASptalo. me. iviw¶ Aa>kD_e pa0 ja skte hE.|

Holdcroft A, Gibberd FB, Hargrove RL, Hawkins DF, Dellaportas CI. Neurological complications associated with pregnancy. British Journal of Anaesthesia 1995 – chapter 75, pages 522–526.

Jenkins K, Baker AB. Consent and anaesthetic risk. Anaesthesia 2003 chapter 58, pages 962–984.

Jenkins JG, Khan MM. Anaesthesia for Caesarean section: a survey in a UK region from 1992 to 2002. Anaesthesia 2003 – chapter 58, pages 1114–1118.

Jenkins JG. Some immediate serious complications of obstetric epidural analgesia and anaesthesia: a prospective study of 145,550 epidurals. International Journal of Obstetric Anesthesia 2005 – chapter 14, pages 37–42.

Reynolds F. Infection a complication of neuraxial blockade. International Journal of Obstetric Anesthesia 2005 – chapter 14, pages 183–188.

ddR ko km krne ke ilye 0ipD\yUrl ya Spa[nl lene ke joiqm

joiqmo. ka vgR iktnI mihlaAo. ko yh hota hE yh iktna Aam hE

rKtcap me. kaf_I kmI Aa jana

hr 5 me. se 1 mihla ko ÜSpa[nl me.Ý hr 50 me. se 1 mihla ko Ü0ipD\yUrl me.Ý

Aam hE kwIkwar

isj_eiryn seKxn ÜAaçp/exnÝ me. #Ik se kam nhI. kr pate | [silye Aapko jnrl AneS4ei3k ÜbehoxI kI dvaÝ lenI pD_egI

hr 20 me. se 1 mihla ko Ü0ipD\yUrl me.Ý hr 100 me. se 1 mihla ko ÜSpa[nl me.Ý

kwIkwar bhut kmI ke sa4

tIv/ isrddR

hr 100 me. se 1 mihla ko Ü0ipD\yUrl me.Ý hr 500 me. se 1 mihla ko ÜSpa[nl me.Ý

Aam nhI. hE Aam nhI. hE

ns ÜnvR nerveÝ ko 9it phu.cna Ü3a>g ya pa>v me. su¶ ho jane vale ihSse, ya 3a>g kmjor ho jana

[ske p/wav 6 mhIne se Ai2k clte hE.

AS4ayIhr 1000 me. se 1 mihla ko S4ayI hr 13,000 me. se 1 mihla ko

dulRw dulRw

0ipD\yUrl ka 6av Ü[.f_eKxnÝ hr 50,000 me. se 1 mihla ko bhut dulRw

mein.ja[i3s hr 100,000 me. se 1 mihla ko bhut dulRw

0ipD\yUrl hema3oma ÜrKt ke 4KkeÝ

hr 170,000 me. se 1 mihla ko bhut dulRw

AakiSmk behoxI

hr 5,000 me. se 1 mihla ko dulRw

tIv/ co3, ijsme. lkvag/St ho jana wI xaiml hE

hr 250,000 me. se 1 mihla ko

AitdulRw

swI ]Kt joiqmo. ke ilye p/kaixt samg/I se pirxu² Aa>kD_e ]plB2 nhI. hE.| ye Aa>kD_e kevl Anuman hE., AOr 0k ASptal se dUsre ASptal me. pa0 jane vale Aa>kD_o. me. A.tr ho skta hE


13

Ruppen W, Derry S, McQuay H, Moore RA. Incidence of epidural hematoma, infection, and neurologic injury in obstetric patients with epidural analgesia/ anesthesia. Anesthesiology 2006 – chapter 105, pages 394–399. 0k ra*Ïy sveR me. yh paya gya hE ik ANy roigyo. kI tlna me. gwRvit mihlaAo. pr p/yog ikye jane vale rIjnl AneS4Iij_ya ke kar` S4ayI hain ke joiqm km hE.| [TM, Counsell D, Wildsmith JAW. Major complications of cenral neuraxial block: report on the third National Audit Project of the Royal College of Anaesthetists. British Journal of Anaesthesia 2009; 102: 179-190] AneS4ei3Ks t4a AneS4ei3k ke joiqmo. se s.b.i2t J_yada jankarI Aapko raçyl kailj Aaçf_ AneS4ei3Ks se iml sktI hE: www.youranaesthetic.info ya Ao00 (OAA) se p/aPt kre.|

isj_eiryn seKxn me. deqwal ke Stro. se s.b.i2t J_yada jankarI Aapko [s puStk se iml sktI hE: Caesarean section: clinical guideline (National Collaborating Centre for Women’s and Children’s Health; commissioned by the National Institute for Clinical Excellence. London: Royal College of Obstetricians & Gynaecologists Press, 2004).

jnrl AneS4ei3Ks Übehox ikye janeÝ ke joiqm

joiqmo. ka vgR iktnI mihlaAo. ko yh hota hE yh iktna Aam hE sIne me. [.f_eKxn hona

hr 5 me. se 1 mihla ko

Aam hE ÜAi2ka.x tIv/ nhI. hoteÝ

gle me. ddR hona


Aam hE

]li3ya> Aana


Aam hE

sa.s ka raSta b.d ho jane kI smSya, ijske kar` rKt me. AaçKsIjn kI ma5a km ho jatI hE

hr 300 me. se 1 mihla ko Aam nhI. hE

pe3 kI samig/ya. fefD_o. me. clI jana, AOr tIv/ inmoinya ho jana


Aa>q pr i7lne ka inxan pD_ jana Ükorinyl Ab/exnÝ


da>to. ko nuksan phu.cna

hr 4,500 me. se 1 mihla ko dulRw

jagte rhna ÜAneS4ei3k ke dOran ku7 ku7 hox me. rhna

hr 250 se 1000 mihlaAo. me. se 1 mihla ko

dulRw

Anaphylaxis Ü0lrjI kI tIv/ p/iti¢yaÝ hr 10,000 se 20,000 mihlaAo. me. se 1 mihla ko

bhut dulRw

m<Tyu ya miSt*k ivkar

mOt: 100,000 me. se 1 se wI km mihla ko

miSt*k ivkar:

bhut dulRw: ÜyUke me. p/itv8R 1 ya 2 koÝ bhut dulRw: Aa>kD_e mOjUd nhI. hE.


14

yh puiStka ilqne valI s.S4a ka nam hE: The Information for Mothers Subcommittee of the Obstetric Anaesthetists’ Association ]psimit ke sdSy inMniliqt hE.: Dr Rosie Jones - ceyrpsRn; Charis Beynon – neXnl ca[LDb4R ¨S3 ka p/itini2; Shaheen Chaudry – ]pwoKtaAo. kI p/itini2; Dr Rachel Collis – k.sl3e.3 AneS4ei3S3; Dr Rhona Hughes - raçyl kalej Aaçf_ AaçBs3eiïxy.s 0e.D ga[nakolaçijS3\s ka p/itini2; Gail Johnson - raçyl kalej Aaçf_ imdva[f_ kI p/itini2; Dr Michael Kinsella - k.sl3e.3 AneS4ei3S3; Dr Makani Purva - k.sl3e.3 AneS4ei3S3; Dr Ratnasabapathy Sashidharan - k.sl3e.3 AneS4ei3S3 Dr Michael Wee Ü[.f_meRxn f_açr mdsR sb-kme3I ke wUtpUvR ceyrmEnÝ, Dr Roshan Fernando AOr Professor Felicity Reynolds ne jo kam gta.k ke ilye ikya 4a hm ]ske ilye ]nka 2Nyvad khna cahte hE.| mataAo. ke ilye hm 0k ANy puiStka wI p/kaixt krte hE. ijska nam hE: Pain Relief in Labour AOr do DIvIDI pr do if_Lme. ijnka nam hE: Coping with labour pain AOr Your anaesthetic for Caesarean section dono. puiStka0. Aap hmarI vebsa[3 se p/aPt kr sktI hE.| puiStkaAo. ke Alava Anuvad kI g{ AOr bhut sI

samg/I wI ]plB2 hE jo AbIR, b.galI, ke.3onIj_, k\ro0eixyn, cek, _e.c, jrmn, yUnanI, gujratI, ihNdI, Aa[slE.iDk, [3ailyn, japanI, mE.Deirn, poilx, putRgalI, p.jabI, romainyn, +sI, sibRyn, somalI, SpEinx, taiml, tukIR, ]dUR AOr vELx wa8aAo. me. ]plB2 hE|

dono. puiStkaAo. kI AitirKt kaçipya> Ü50 ya 750 ke pEko. me.Ý AOr dono. DIvIDI [s sa[3 pr f_amR wrne ke bad p/aPt kI ja sktI hE.: www.oaaformothers.info OAA indexaly f_on: +44 (0)020 8741 1311 {mel: [email protected] vebsa[3: www.oaaformothers.info rijS3DR ceir3I n.br: 1111382 SvTvai2kar: © Obstetric Anaesthetists’ Association 2009 iµvtIy p/kaxn, AKtUbr 2009

Documents

isj eiryn seKxn ÜAaçp/exn µara jNmÝ se phle pe3 ko su ... for...Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 HINDI 1 isj_eiryn seKxn ÜAaçp/exn µara jNmÝ