Your anaesthetic Caesarean Section - PUNJABI FINAL...Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 PUNJABI rIjnl ]nEsQIZI]a 2 ]EpIid[Url – plasitk wI izk CotI

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

quhada ]nEsQEitk

sIZerI]n sEkSn lzI

hr pNj b<ic]A ivcoM l<gBg izk wa jnm sIZerI]n sEkSn (]apReSn) nal huNwa hE. izhnA ivcoM wo iqhazI sIZerI]n sEkSnA bare pihlA

[umIw nhIM huNwI. izs krke izh ikqabca pfHn nal quha¥ Faizwa ho skwa hE, BaveM Xuw quha¥ kozI [umIw nhIM ik quhade

b<ce wa jnm sIZerI]n sEkSn nal hozega.


b<ce ¥ jnm wex wa qjrba ]Bu<l huNwa hE sIZerI]n sEkSn nal vI ]am DNg nal jnm wex vrgI qs<lI ho skwI hE. je quhade lzI sIZerI]n sEkSn wI lof pze, qA izh na soco ik izhwe nal quhadI jA ikse hor wI heTI hozI hE. sB qoM ZrUrI g<l quhadI ]qe quhade b<ce wI ihFaZq krna hE. ho skwa hE ik izhwe lzI sIZerI]n sEkSn hI sB qoM cNga DNg hove.

sIZerI]n sEkSn lzI kzI iksmA wI ]nEsQIZI]a (wrw rokx we DNg) hn. izs ikqabce ivc izhnA iksmA bare jaxkarI iw<qI hozI hE ]qe izh vI w<is]a ig]a hE ik hr DNg wI vrqoM krn vele kI huNwa hE. qusIM izhnA v<K v<K DNgA bare ]apxe ]nEsQIitst (]nEsQIZI]a wex vale daktr) nal g<l kr skwe ho. ]ObstEitRk ]nEsQIitst [uhnA daktrA ¥ ]aiK]a jAwa hE jo grBvqI]A ¥ ]nEsQIZI]a wex we kNm we maihr hn.

ho skwa hE ik quhade sIZerI]n sEkSn wI yojna pihlA hI bxazI gzI hove. izs kNm ¥ izlEkitv sIZerI]n sEkSn (cuix]a hoiz]a sIZerI]n ]pReSn) ]aKwe hn. ho skwa hE ik quhada/quhadI ]ObstEtRISI]n (ijhfa/ijhfI daktr grBvqI]A wI weKBal krn ]qe b<ce ¥ jnm wu]a[ux wa kNm krn valI]A imddvazIFA we nal iml ke kNm krwa/krwI hE) sIZerI]n wI slah weve, je [uh¥ jape ik b<ce wa jnm ]am DNg nal krva[ux ivc muSiklA ]a skwI]A hn. izhwI izk imsal izh hE ik je grB we ]XIrle iwnA ivc quhada b<ca ikse LEr-mamUlI halq ivc hove. kzI halqA ivc ]ObstEtRISI]n kahlI ivc sIZerI]n sEkSn wI slah we skwa/skwI hE, ]am qOr 'qe quhadI]A jxepa SurU hox mgroM. izh slah izs krke iw<qI ja skwI hE ik jxepe wa kNm bhuq hOlI hOlI cl irha hE, jA b<ce wI halq ivgf rhI hE, jA izh woveM g<lA hn. ]ObstEtRISI]n quha¥ w<sega/w<segI ik quhade iX]al ]nusar quha¥ sIZerI]n sEkSn ik[uM krva[uxa cahIwa hE, ]qe izs kNm lzI [uh pihlA quhadI izjaZq lzega/lzegI. . ]nEsQEitk wI]A iksmA ]nEsQEitk wI]A wo mu<K iksmA hn. jA qusIM jagwe rihNwe ho (rIjnl ]nEsQEitk) jA sOM jAwe ho (jnrl ]nEsQEitk). ]am qOr 'qe, sIZerI]n vele quha¥ rIjnl ]nEsQEitk iw<qa jAwa hE. qusIM jagwe rihNwe ho, pr quha¥ srIr we heTle ih<se ivc kuJ vI mihsUs nhIM huNwa. quhade lzI ]qe quhade b<ce lzI izh ]am qOr 'qe v<W sur<iK]q huNwa hE, ]qe qusIM ]qe quhada saQI woveM b<ce we jnm ¥ weK skwe ho.

rIjnl ]nEsQEitk wI]A iqNn iksmA hn: 1 spazInl – izh DNg sB qoM v<W vriq]a jAwa hE. sIZerI]n sEkSnA lzI izhwI vrqoM pihlA yojna bxa ke jA hNgamI halqA ivc kIqI ja skwI hE. ijhfI]A nrvZ srIr we heTle ih<se qoM sNvewna jA wrw we ]ihsas ¥ iljAwI]A hn [uh quhadI rIfH wI h<dI ivc izk qrl pwarQ we bEg ivc huNwI]A hn. ]nEsQIitst qrl we izs bEg ivc sQank ]nEsQEitk wa tIka la[uMwa hE, ijhwe lzI bhuq wI pqlI sUzI wI vrqoM kIqI jAwI hE. izh DNg qeZI nal kNm krwa hE ]qe bhuq hI QofI imkwar ivc ]nEsQEitk wvazI wex wI lof pEMwI hE.

Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 PUNJABI rIjnl ]nEsQIZI]a

2 ]EpIid[Url – plasitk wI izk CotI ijhI it[Ub jA kEQItr rIfH wI h<dI ivc nrvZ we nal r<KI jAwI hE ]qe lof pEx 'qe nrvZ sula[ux lzI ]nEsQEitk wvazI]A izs it[Ub rahIM iw<qI]A jAwI]A hn. jxepe wI pIf 'qe kabU pa[ux lzI kmZor sQank ]nEsQEitk Gol wex lzI ]EpIid[Url wI vrqoM kIqI jAwI hE. je sIZerI]n sEkSn wI lof pze, qA ]nEsQIitst v<W qeZ Gol wI vrqoM kr skwa hE. ]EpIid[Url ivc quha¥ sQank ]nEsQEitk wI spazInl naloM v<W doZ wI lof pzegI, ]qe izhwa ]sr hox ¥ v<W smA lgwa hE.

ril]a imil]a spzInl-]EpIid[Url jA sI ]E>s zI – woveM DNg izk<Te vrqe jAwe hn. spazInl quha¥ sIZerI]n lzI v<W CeqI suNn krwI hE. ]EpIid[Url wI vrqoM lof pEx 'qe ]apreSn qoM ba]w wrw-naSk wvazI wex lzI kIqI ja skwI hE. jnrl ]nEsQEitk – je quha¥ jnrl ]nEsQEitk iw<qa jaze, qA qusIM [us vele su<qe hovoge jw ]ObstEtRISI]n sIZerI]n sEkSn krega. ]<jk<lH jnrl ]nEsQIZI]a wI vrqoM G<t kIqI jAwI hE. kuJ hNgamI halqA ivc izhwI lof pE skwI hE, je quhade lzI rIjnl ]nEsQEitk G<t TIk hove, jA je qusIM su<qe rihxa caho.

wohA iksmA we ]nEsQEitk we cNge ]qe mafe p<KA bare jaxkarI izs ikqabce ivc ]<ge cl ke iw<qI gzI hE. pihlA izh jax lExa ZrUrI hE ik jw sIZerI]n sEkSn wI yojna bxa ke quhade ]apReSn wI qrIX iw<qI jAwI hE, [us vele kI huNwa hE. izlEkitv (yojna ]nusar) sIZerI]n sEkSn ]sEsmEMt (lof wa ihsab)


]am qOr 'qe ]apReSn lzI ]a[ux qoM pihlA qusIM hspqal ]a[uMwe ho. ]apReSn qoM pihlA imdvazIF quha¥ iml ke quhade XUn we nmUne tEst krn lzI lEMwI hE. [uh w<segI ik kI kuJ ho skwa hE. ]sEsmEMt qoM ba]w iZ]awaqr ]OrqA Gr vaps clI]A jAwI]A hn ]qe ]apReSn vale iwn hspqal ]a[uMwI]A hn, pr ho skwa hE ik quha¥ izk raq pihlA hspqal rihxa pze. quhade pet ivc Ktas ¥ Gta[ux lzI ]qe [ultI]A rokx lzI imdvazIF quha¥ golI]A vI we skwI hE. izk golI quha¥ ]apReSn qoM pihlA wI raq ]qe izk golI ]apReSn vale iwn svere lExI pEMwI hE. izh g<l quha¥ smJazI jazegI.

]nEsQIitst wa ]a[uxa quhade sIZerI]n sEkSn qoM pihlA ]nEsQIitst quha¥ imlega. [us quhadI ishq we ipCokf bare quhade nal g<l krega ]qe pu<Cega ik quha¥ pihlA ikhfe ]nEsQEitk iw<qe gze sn. quhada mu]aizna krn jA hor tEst krn wI lof vI pE skwI hE. ]nEsQIitst quha¥ w<sega ik ikhfe v<K v<K iksmA we ]nEsQEitk iw<qe jAwe hn ]qe [uh quhade svalA we jvab wevega.

[us iwn imdvazIF quhade ]apReSn wa smA w<segI ]qe pu<CegI ik kI qusIM golI]A lzI]A hn. quhadI ibiknI lazIn heTA we valA wI Sev krn wI lof pE skwI hE. quhade nA vala bEMd quhadI klazI jA ig<te 'qe laiz]a jazega. quhadI l<q ivc XUn we g<qle jNmxoM rokx lzI, imdvazIF quha¥ Xas iksm wI]A Gu<tvI]A jurabA (ijhnA ¥ tE>d stOikNgZ ]aiK]a jAwa hE) pihnx lzI vI ]aK skwI hE. quha¥ ]apReSn QIzetr vala ga[Un pihnx lzI iw<qa jazega. jnm vele quhade saQI (je kozI hE) ¥ quhade ]qe imdvazIF we nal ]apReSn QIzetr ivc imdvazIF we nal jax iw<qa jazega. imdvazIF [uh¥ ]apReSn QIzetr ivc pihnx lzI Xas k<pfe wevegI. ]apReSn QIzetr ivc kzI lok kNm krwe hn.


imdvazIF quhadI ]qe quhade b<ce wI weKBal ivc mww iwNwI hE.

]nEsQIitst we nal izk ]isstEMt huNwa/huNwI hE.

]ObstEtRISI]n we nal izk ]isstEMt ]qe izk sÁb nrs huNwI hE.

vaWU saman il]a[ux lzI hor nrs vI huNwI hE. QIzetr ivc staF we G<to GM<t s<q lok ZrUr huNwe hn.

QIzetr ivc quhade bl<d pRESr, iwl wI Wfkx, ]qe XUn ivc ]aksIjn wI imkwar ¥ napx vala saman quhade nal joif]a jazega. izhwe nal kozI qklIF nhIM hozegI. ]nEsQIitst quhade h<Q wI naf ivc kEnUla (plasitk wI plqI ijhI it[Ub) lazega ]qe izhwe rahIM quhade srIr ivc idRp la[uxa SurU krega. ]nEsQIitst quha¥ ]nEsQEitk wexa SurU krega. rIjnl ]nEsQEitk krva[uxa je qusIM rIjnl ]nEsQIitst krva[uxa hE, qA b<ce we jnm vele quhada saQI quhade kol ]apReSn QIzetr ivc rih skwa hE. [uh¥ bETx lzI ]qe kmre we kuJ ih<is]A ivc na jax lzI ]aiK]a jazega. izhwa mksw ]apReSn we ]OjarA we gNwe hox we Xqre qoM bcxa hE. (je qusIM jnrl ]nEsQEitk k krva[uxa hE, qA quhade saQI ¥ ikse hor kmre ivc [udIk krn lzI ]aiK]a jazega). quha¥ bETx lzI jA v<KI Bar letx lzI ]aiK]a ja skwa hE. ]nEsQIitst quhadI ip<T 'qe kItaxU-naSk Gol mlega, jo TNDa lgwa hE. [uh cmfI ¥ suNn krn lzI quha¥ Qofa ijha sQank ]nEsQEitk wex lzI quhadI ip<T we heTle ih<se ivc kozI shI QA l<Bega ]qe sUzI la[ux valI QA ¥ suNn krn lzI kozI sQank ]nEsQEitk laiz]a jazega. izhwe nal kzI var izk pl lzI kuJ cuBn huNwI hE.

iPr rIfH wI h<dI vala ]nEsQEitk wex lzI quhadI ip<T ivc pqlI ijhI sUzI lazI jAwI hE. kzI var sUzI l<gx vele quha¥ l<q ivc ibjlI we hlke ijhe Sa<k vrgI kuJ JuxJuxI ijhI huNwI japwI hE.


je ]ijha hove qA qusIM ]nEsQIitst ¥ w<so, pr izh ZrUrI hE ik ijs vele ]nEsQIitst rIfH wI h<dI ivc tIka laze, [us vele qusIM ih<lo du<lo na. jw sUzI TIk QA 'qe lg jaze, qA [uh sQank ]nEsQEitk ]qe wrw-naSk wvazI wa tIka la ke sUzI k<D lzega. izs kNm ¥ kuJ hI imNt lgwe hn, pr je sUzI la[ux lzI shI QA l<Bx ivc muSikl ]aze, qA kuJ v<W smA vI lg skwa hE.

]EpIid[Url (jA ril]a imil]a rIfH wI h<dI vala ]nEsQEitk ]qe ]EpIid[Url) krn lzI ]nEsQIitst v<W lNmI sUzI wI vrqoM krega qAik [uh ]EpIid[Url kEQetr (it[Ub) ¥ quhadI rIfHI wI h<dI ivc nrvZ we nal r<K ske. rIfH wI h<dI vale ]nEsQEitk vAg, l<q ivc JuxJuxI jA ibjlI wa hlka ijha Sa<k lgwa japwa hE. jw ]nEsQIitst ]EpIid[Url la irha hove, [us vele ZrUrI hE qusIM ih<lo du<lo na. pr jw keQEtr lg jaze, ]qe [uh sUzI k<D lze, qA quhade lzI ]dol pze rihxa ZrUrI nhIM. jw ]EpIid[Url wa ]sr hox lg pze qA quha¥ pqa lg jazega ik[uMik quhadI]A l<qA BarI]A ]qe grm mihsUs hox lg jAwI]A hn. izhnA ivc JuxJuxI ijhI vI SurU ho skwI hE. hOlI hOlI suNn srIr ivc PEl jazegI. ]nEsQIitst cEk krega ik kI ]apReSn qoM pihlA izh quhadI CaqI we ]<W qk phuNc gzI hE? ]nEsQEitk we shI DNg nal kNm krn lzI kzI var quha¥ ikse hor DNg nal ilta[ux wI lof vI pE skwI hE. tIm var var quhada bl<d pERSr napegI.


jw ]nEsQIitst wa ]sr hox lg jaze, qA imdvazIF izk it[Ub (yUrInrI kEQetr) quhadI peSabwanI ivc pa ke ]apReSn vele izh¥ XalI r<KegI. izhwe nal qklIF nhIM huNwI. izh it[Ub ]glI svere qk [u>Qe r<KI jazegI. izs krke quha¥ peSab lzI jax wI icNqa krn wI lof nhIM. ]apReSn krn lzI quha¥ ip<T Bar ilta ke K<be pase vl ¥ Jukaiz]a jazega. je ikse vele vI quhada iwl k<ca k<ca hove, qA qusIM ]nEsQIitst ¥ izhwe bare w<so. bl<d pRESr Gtx nal kzI var iwl k<ca k<ca hox lg jAwa hE. izhqoM bcx lzI ]nEsQItst quhada kozI izlaj krega. b<ce wa jnm hox qk quhade mUNh 'qe parwrSI plasitk we muKOte rahIM ]aksIjn iw<qI jazegI qAik b<ce ¥ jnm qoM pihlA kaFI ]aksIjn imle.

]apReSn quhade srIr we ]apReSn vale heTle ih<se ]qe ]qe b<ce we jnm vele quhade saQI we ivckar prwa laiz]a jazega. ]nEsQIitst hr vele quhade kol hozega/hozegI. ho skwa hE ik ipCokf ivc ho rhI kzI iksm wI iq]arI huNwI quha¥ suxazI weve, ik[uMik ]apReSn QIzetr ivc ]ObstEtRISI]n imdvazIFA ]qe staF wI tIm nal kNm krwa/krwI hE.

nala bNnHx valI QA we heTA ]am qOr 'qe quhadI cmfI ¥ Qofa ijha cIra iw<qa jAwa hE. jw ]apReSn cl irha hozega qA quha¥ ]OjarA we c<lx wI ]qe quhade srIr we ]ale wu]ail{M qrl iK<ce jax wI]A ]avaZA suxazI wexgI]A. ho skwa hE ik quha¥ iK<c jA Bar vI mihsUs hove, pr quha¥ wrw nhIM hozega. kzI ]OrqA kihNwI]A hn ik [uhnA ¥ japwa hE ik ^mere pet ¥ kozI ]NwroM Wo irha hE'. jw ]apreSn ho irha hozega, qA ]nEsQIitst quhade nal g<lA krega/kregI ]qe lof pEx 'qe [uh quha¥ hor wrw-naSk wvazI wevega/wevegI. kwe kwazIM behoS krn wI lof pE skwI hE, pr ]ijha bhuq G<t huNwa hE.

]apReSn SurU hox qoM ba]w b<ce wa jnm hox ¥ l<gBg 10 imNt lgwe hn. b<ce we jnm qoM izkwm ba]w imdvazIF b<ce ¥ suka ke [uhwI jAc pfqal krwI hE. izs kNm lzI imdvazIF we nal kozI b<ic]A wa daktr vI ho skwa hE. izhqoM ba]w qusIM ]qe quhada saQI ]apxe b<ce ¥ bahA ivc lE skwe ho, ]qe kzI var CaqI nal vI la skwe ho.


b<ce we jnm qoM ba]w, quhadI b<cewanI ¥ k<sx lzI ]qe ]Ol ¥ bahr k<Dx lzI isNtoisnon

(Syntocinon) nA wI wvazI quhade idRp ivc pazI jAwI hE. ZXm ivc iznFEkSn hox wa Xqra Gta[ux lzI lzI idRp ivc kozI ]EMtIbaiz{itk wvazI vI pazI jAwI hE. ]apReSn wa kNm pUra krn lzI ]ObstEtRISI]n ]<Wa ku GNta hor la[uMwa/la[uMwI hE. izhqoM ba]w ]nEsQEitk wa ]sr Xqm hox mgroM quha¥ hox vale wrw ¥ Gta[ux lzI quha¥ spoZItrI (golI) wI iw<qI jAwI hE.


jw ]apreSn pUra ho jaze ]apReSn qoM ba]w quha¥ irkvrI kmre ivc iljaiz]a jazega ]qe quhade bl<d pRESr lgaqar naip]a jAwa rhega. quhada saQI ]qe b<ca ]am qOr 'qe quhade kol hoxge. quhade b<ce wa Bar qoil]a jazega, ]qe iPr je qusIM caho qA b<ce ¥ ]apxa wu<W cuNGa[uxa SurU kr skwe ho. irkvrI kmre ivc quhade ]nEsQEitk wa ]sr hOlI hOlI Gt jazega ]qe ho skwa hE ik quha¥ cuBx jA Kaj ijhI mihsUs hove. kuJ GNit]A ba]w qusIM ]apxI]A l<qA iPr qoM ihla skoge.

quhadI rIfH wI h<dI ivc jA ]EpIid[Url rahIM iw<qI]A wrw-naSk wvazI]A kuJ GNte quhade wrw ¥ wUr r<KxgI]A. jw daktr jA nrsA quha¥ wrw-naSk wvazI]A wex qA izh wvazI]A lExa wrw we iPr qoM SurU hox wI [udIk krn naloM v<W cNgI g<l hE. izhnA wvazI]A wa ]sr quhade b<ce 'qe [us vele nhIM hozega jw qusIM [uh¥ ]apxa wu<W cuNGa{ge. jnrl ]nEsQEitk wexa (behoS krna) quha¥ jnrl ]nEsQEitk wex (behoS krn) we kzI karx ho skwe hn.

je ikse karx quhada XUn vgxa shI DNg nal bNw na huNwa hove, qA rIjnl ]nEsQEitk wI vrqoM na krna cNga huNwa hE.

je quha¥ izkwm sIZerI]n wI lof pE jaze qA rIjnl ]nEsQEitk we ]sr hox lzI lofIMwa smA nhIM

huNwa.

quhadI ip<T ivc kuJ XrabI]A krke rIjln ]nEsQEitk la[uxa muSikl hove.

kwe kwe, rIfH wI h<dI vala jA ]EpIid[Url ]nEsQEitk TIk QA 'qe nhIM laiz]a ja skwa, jA TIk kNm nhIM krwa.

izhwe lzI iZ]awaqr iq]arI]A rIjnl ]nEsQEitk vrgI]A hI hn. pr quhada saQI quhade nal ]pReSn QIzetr ivc nhIM ]a skwa. quha¥ pIx lzI kozI ]EMtsEisd wvazI iw<qI jazegI (quhade pet ivc Ktas ¥ Gta[ux lzI) ]qe ho skwa hE ik imdvazIF jnrl ]nEsQEitk wex qoM pihlA quhadI peSabwanI ivc kEQEtr (it[Ub) laze. ]nEsQIitst ichre 'qe laze muKOte rahIM kuJ imNt quha¥ sah lEx lzI ]aksIjn wevega. jw ]ObstEtRISI]n ]qe sarI tIm iq]ar ho jaze, qA ]nEsQIitst quhadI idRp ivc quha¥ sula[ux valI wvazI pa wevega. quhade sOM jax qoM QofI wer pihlA ]nEsQIitst wa ]isstEMt quhadI grwn ¥ hOlI hOlI wbazega, qAik pet ivcle qrl quhade PePif]A ivc na cle jax. behoSI wI wvazI wa ]sr bhuq CeqI huNwa hE.


quhade sOM jax mgroM, ]nEsQIitst quhade sah wI nlI ivc izk it[Ub lazega qAik quhade pet ivcle qrl quhade PePif]A ivc na cle jax ]qe quhade sah lEx wa kNm izk mSIn kre. ]nEsQIitst quha¥ su<qe r<Kx lzI ]apxa kNm krwa rhega qAik ]ObstEtRISI]n b<ce wa jnm sur<iK]q DNg nal krva[ux wa kNm kr ske. pr izhnA sBnA kNmA bare quha¥ kuJ vI pqa nhIM l<gega. quhade jagx mgroM, it[Ub l<gI hox krke quhada gla kuJ wuK skwa hE, ]qe ]apReSn wa wrw vI quha¥ mihsUs ho skwa hE. quha¥ [UMG vI ]a skwI hE ]qe kuJ wer lzI iwl vI k<ca k<ca ho skwa hE, pr qusIM CeqI TIk ho ja{ge. quha¥ irkvrI valI QA iljaiz]a jazega ij<Qe qusIM ]apxe b<ce ]qe saQI ¥ iml skwe ho.

hNgamI halq ivc sIZerI]n sEkSn hNgamI ]apReSn [uh huNwa hE ijhwe bare izk jA wo iwn pihlA yojna nhIM bxazI gzI huNwI. G<t kahlI vala ]apReSn yojna vale ]apReSn vAg hI kIqa ja skwa hE, pr izhqoM pihlA quha¥ Ktas Gta[ux lzI isrF izk golI lEx wa hI mOka imlega. pr kzI ]apReSn v<W CeqI krn wI lof pE skwI hE. izh kNm FEsla krn mgroM izk GNte we ]Nwr vI, ]qe bhuq G<t var ijNnI vI CeqI ske kIqa jAwa hE. qurNq sIZerI]n krn wa sB qoM ]am karx ]cank quhade b<ce lzI kozI muSikl pEwa ho jaxa huNwa hE (ijh¥ kzI var ^FItl idstREs' jA grB ¥ hox valI preSanI ]aiK]a jAwa hE). je quhada sIZerI]n qurNq krn wI lof pE jaze, qA ]am iq]arI]A ivc qbwIlI]A kIqI]A jAwI]A hn jA izh iq]arI]A C<d iw<qI]A jAwI]A hn. kEnUla (plasitk wI pqlI ijhI it[Ub) quhade h<Q wI naf jA bAh ivc ivc la[ux wI lof pzegI, je [u>Qe izh pihlA nhIM l<gI hozI. tIm quhade pet ivcoM Ktas ¥ Gta[ux lzI ]EMtEisd wvazI golI]A we rUp ivc nhIM sgoM it[Ub rahI we skwI hE. quhade sah lEx lzI ]aksIjn iZ]awa k<s ke iFt hox vale muKOte rahIM iw<qI ja skwI hE.


je jxepe wOran quhade wrw ¥ Gta[ux lzI quha¥ ]EpIid[Url laiz]a ig]a hE ]qe izh TIk kNm kr irha hE, qA ]nEsQIitst izhwe rahIM quha¥ kaFI ]nEsQEitk hNgamI sIZerI]n lzI we skwa hE. [uh quha¥ sQank ]nEsQEitk wI qkfI doZ wexge qAik wrw rokx wa kNm ]apReSn lzI cNgI qrHA ho ske.

]nEsQIitst izh FEsla krega ik kI ]EpIid[Url ivc hor wvazI pa[ux lzI kaFI smA hE jA, je quhade ]EpIid[Url nhIM l<ig]a qA kI rIfH wI h<dI ivc tIka la[ux wI lof hE jA kI ]EpIid[Url wrw qoM bca{ krn lzI kaFI kNm nhIM kr irha. je rIjnl ]nEsQEitk wex lzI kaFI smA nhIM, qA quha¥ behoS krna pzega. je qusIM ]nEsQIitst ¥ ]aiK]a sI ik qusIM rIjnl ]nEsQEitk cahoge, qA iZ]awaqr ]OrqA ¥ sIZerI]n lzI jnrl ]nEsQEitk wex wI sNBavna bhuq G<t hE. hr 10 sIZerI]nA ivcoM isrF izk kI qurNq krn wI lof huNwI hE. kzI var jw bhuq kahlI hove qA tIm kol izNna smA nhIM huNwa ik [uh quhade saQI ¥ pUrI qrHA smJa ske ik kI ho irha hE. ho skwa hE quhade saQI ¥ ]apReSn vele idilvrI rUm ivc [udIk krnI pze. izhwe nal quha¥ preSanI jA icNqa ho skwI hE. pr staF ba]w ivc swa quhade nal g<l krke smJazega ik kI hoiz]a ]qe ik[uM hoiz]a. ]apReSn qoM ba]w wrw qoM bca{ sIZerI]n sEkSn qoM ba]w wrw qoM bca{ krn we kzI DNg hn.

rIfH wI h<dI ivc tIka la ke jA ]EpIid[Url rahIM quha¥ lNme smeM we ]sr valI]A wrw-naSk wvazI]A iw<qI]A ja skwI]A hn.

kzI hspqalA ivc tImA ]EpIid[Url kEQetr lazI r<KwI]A hn qAik [uh ba]w ivc quha¥ izhwe

rahIM hor wvazI]A we skx.

]apReSn we ]XIr 'qe imdvazIF quha¥ wrw-naSk wvazI]A wa d<ba we skwI hE.

imdvazIF morFIn jA izho ijhI ikse hor wrw-naSk wvazI wa tIka la skwI hE.

tIm morFIn jA izho ijhI ikse hor wvazI wa idRp quha¥ la skwI hE. qusIM Xuw kNtRol kr skwe ho ik qusIM ikNnI wrw-naSk wvazI lExI hE. izh¥ peSEMt kNtRold ]nEljIsI]a jA pI sI ze (mrIZ we kNtRol valI wrw-naSk) ]aiK]a jAwa hE.

imdvazIF quha¥ idkloiFnEk, pErasItamol jA kodIn wI]A golI]A we skwI hE.

jnrl ]nEsQEitk we mukable 'qe rIjn ]nEsQEitk we Faizwe

spazInl (rIfH wI h<dI wa tIka) ]qe ]EpIid[Url quhade lzI ]qe quhade b<ce lzI ]am qOr 'qe v<W sur<iK]q huNwe hn.

[uh b<ce we jnm vele quhade saQI ¥ quhade kol rihx iwNwe hn.

ba]w ivc quha¥ [UMG nhIM ]a[uMwI.


[uh ijNnI vI CeqI ho ske quha¥ b<ca Pfa iwNwe hn.

ba]w ivc quhada wrw qoM cNga bca{ ho jAwa hE.

jnm vele quhada b<ca vWere cusq huNwa hE.

jnrl ]nEsQEitk we mukable 'qe rIjn ]nEsQEitk we nuksan

spazInl ]qe ]EpIid[Url nal quhada bl<d pRESr Gt jAwa hE, pr izhwa izlaj krna sOKa hE.

]am qOr 'q izhnA wa ]sr hox ¥ vMW smA lgwa hE, izs krke ]apReSn lzI iq]ar hox lzI quha¥ jnrl ]nEsQEitk naloM v<W smA cahIwa hE.

kwe kwe izhnA nal quha¥ kNbxI vI SurU ho skwI hE.

bhuq G<t var ]ijha huNwa hE ik TIk qrHA kNm nhIM krwe, izs krke tIm lzI quhqa¥ jnrl

]nEsQEitk wexa ZrUrI ho jAwa hE.

]EpIid[Url krva[ux valI]A 10 ]OrqA ivcoM car wI ]qe spazInl krva[ux valI]A 10 ]OrqA ivcoM wo wI tIke valI QA nrm pE jAwI hE. izh nrm QA kzI hFqe jA kzI mhIne rih skwI hE, pr ]ijha bhuq G<t huNwa hE.

sIZerI]n sEkSn nal b<ce wa jnm krva[uxa sur<iK]q hE ]qe bfa suKwazI qjrba ho skwa hE. bhuq sarI]A ]OrqA pUre kNm wOran jagwI]A rihxa cahuNwI]A hn. pr kzI ]OrqA [u>pr w<se karxA krke sOM jaxa psNw krwI]A hn. sa¥ ]as hE ik izh ikqabca shI cox krn ivc quhadI mww krega ik kI sIZerI]n sEkSn krva[uxa quhade lzI TIk hozega.


rIjnl ]nEsQEitk we Xqre ]<ge tebl ivc w<se gze hn. izh jaxkarI heT ilKe wsqaveZA ivcoM lzI gzI hE. tebl ivc iw<qe ]Nkfe ]NwaZe hI hn, ]qe v<K v<K hspqalA ivc izh v<K v<K ho skwe hn.

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.

jxepe wI]A pIfA ¥ Gta[ux lzI spazInl jA ]EpIid[Url wI vrqooM nal ho skx vale Xqre

Xqre wI iksm izh ikNnI ku var vaprwa hE? izh ikNna ku ]am hE?

bl<d pERSr kaFI iZ]awa Gt jaxa hr 5 ]OrqA ivcoM 1 (spazInl)

hr 50 ]OrqA ivcoM 1 (]EpIid[Url)

]am

ikqe ikqe

sIZerI]n sEkSn wa cNgI qrHA kNm na krna, izs krke jnrl ]nEsQEitk wI lof pExa

hr 20 ]OrqA ivcoM 1 (]EpIid[Url)

hr 100 ]OrqA ivcoM 1 (spazInl)

ikqe ikqe

kwe kwazIM

qeZ isr wrw hr 100 ]OrqA ivcoM 1 (]EpIid[Url)

hr 500 ]OrqA ivcoM 1 (spazInl)

]am nhIM

]am nhIM

nrv ¥ nuksan (l<q jA pEr 'qe QA suNn pE jaxa, jA l<q kmZor pE jaxa). izh ]sr 6 mhIin]A qoM v<W smA rih skwe hn.

Qofa smA – hr 1000 ]OrqA ivcoM 1

swa lzI – hr 13,000 ]OrqA ivcoM 1

G<t var

G<t var

]EpIid[Url Fofa (iznFEkSn)

hr 50,000 ]OrqA ivcoM 1 bhuq G<t var

mEinNjazIits hr 100,000 ]OrqA ivcoM 1 bhuq G<t var

]EpIid[Url hImatoma (XUn wa g<qla)

hr 170,000 ]OrqA ivcoM 1 bhuq G<t var

]cank behoS hoxa hr 5,000 ]OrqA ivcoM 1 bhuq G<t var


gNBIr cot, lkva mar jaxa vI hr 2500,000 ]OrqA ivcoM 1 bhuq hI G<t var

Cpe hoze wsqaveZA ivcoM kozI shI ]Nkfe nhIM imlwe. izh ]Nkfe isrF ]NwaZe hn, ]qe hr hspqal ivc izh v<Kre ho skwe hn.

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.

pUre weS ivc kIqe gze srve] qoM pqa l<ig]a hE ik grBvqI]A ¥ rIjnl ]nEsQIZI]a nal swIvI

Xqra hor iksm we mrIZA nalM G<Mt huNwa hE. [Cook 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] ]nEsQEitkA ]qe izhnA qoM ho skx vale Xqir]A bare vWere jaxkarI qusIM raizl kailj ]a<v

]nEsQIitsts wI izs vE>bsazIt qoM : www.youranaesthetic.info jA { ze ze wI izs vE>bsazIt qoM lE skwe ho: www.oaaformothers.info. sIZerI]n sEkSn nal sNbNWq weKBal we im]arA bare hor jaxkarI qusIM izs ikqab qoM lE skwe ho: 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 ]nesQEitk we Xqre Xqre wI iksm izh ikNnI ku var vaprwa hE? izh ikNna ku ]am hE?

CaqI wI iznFEkSn hr 5 ]OrqA ivcoM 1 ]am (pr iZ]awa halqA ivc gNBIr nhIM)

gla wuKxa hr 5 ]OrqA ivcoM 1 ]am

iwl k<ca k<ca hoxa hr 10 ]OrqA ivcoM 1 ]am

sah wI nlI ivc rukavt, ijhwe nal XUn ivc ]aksIjn Gt jaxa

hr 300 ]OrqA ivcoM 1 ]am nhIM

pet ivcoM qrl PePif]A ivc jaxa, Zorwar inmUnI]a


kornI]n ]breyn

(]<K qe JrIt l<gxa)


wNwA ¥ nuksan hr 4,500 ]OrqA ivcoM 1 G<t var

hoS rihxa (]nEsQEitk wOran kuJ smA jagwe rihxa)

hr 250 qoM 1000 ]OrqA ivcoM 1

G<t var

]EnaFIlEkiss (gNBIr ]lrijk ir]EkSn) hr 10,000 qoM 20,000 ]OrqA ivcoM 1

bhuq G<t var

mOq jA iwmaL ¥ nuksan hr 10,000 ]OrqA ivcoM 1 qoM G<t wI mOq

iwmaL ¥ nuksan

bhuq G<t var (yU ke ivc sal ivc 1 jA 2 var)

bhuq G<t var (shI ]Nkfe nhIM imlwe)


izh ikqabca iznFrmeSn Far mwrZ sbkmetI ]av wI ]ObstEitRk ]nEsQIitsts ]EsosIzeSn

(Information for Mothers Subcommittee of the Obstetric Anaesthetists’ Association) ne iq]ar kIqa.

izs sbkmetI ivc izh lok Saiml hn: daktr roZI jonZ (Dr Rosie Jones) (ce]rmEn); iÁs bInon (Charis Beynon) (nESnl cazIldbrQ tRst we numaizNwe); SahIn cOWrI (Shaheen Chaudry) (KpqkarA we numaizNwe); daktr recl koils (Dr Rachel Collis) (klsltEMt ]nEsQIits); daktr

rona ih[UZ (Dr Rhona Hughes) (raizl kailj ]aMv ]ObstEtRISI]nZ ]EMd gazIinkoloijsts we

numaizNwe); gel jahnsn (Gail Johnson) (raizl kalij ]a<v imdvazIvZ we numaizNwe); daktr

mazIkl iknsE>la (Dr Michael Kinsella) (knsltEMt ]nEsitst); daktr mkanI purva (Dr Makani Purva) (knsltEMt ]nEsitst); daktr rqnsbapqI SSIWrn (Dr Ratnasabapathy Sashidharan) (knsltEMt ]nEsitst). ]sIM daktr mazIkl vI (sabka ce]rmEn, iznFrmeSn Far mwrZ sbkmetI), daktr roSn FrnEMdo (Dr Roshan Fernando) ]qe pRoFEsr FEilistI rInoldZ (Professor Felicity Reynolds) we WNnvawI hA ijhnA ne izs ikqabce we pihle ]EdISn lzI kNm kIqa.

]sIM mAvA lzI izk ikqabca Pain Relief in Labour (jxepe vele wrw qoM ]aram) ]qe wo iFlmA

izk wUhrI dI vI dI 'qe iq]ar kIqI]A hn ijhnA we nA Coping with labour pain (jxepe vele

wrw nal inptxa) Your anaesthetic for Caesarean section (sIZerI]n sEkSn lzI quhada ]nEsQEitk).

izh woveM ikqabce sadI vE>bsazIt 'qe iml skwe hn, ]qe nal hI kzI bolI]A ivc izhnA we kzI

qrjme vI hn – ijveM ]rbI, bNgalI, kEMtonIZ, ÁozeSI]n, cEk, FREMc, jrmn, grIk, gujrqaI, ihNwI, ]azIslEMidk, iztalI]n, japanI, mEMdrI]n, poilS, purqgIZ, pNjabI, romanI]n, rSI]n, srbI]n, somalI, spEinS, qiml, trikS, [urwU ]qe vElS.

qusIM wovA ikqabic]A wI]A kapI]A (50 qoM 750 qk we pEk ivc) ]qe dbl dI vI dI wI]A kapI]A sadI

izs vE>bsazIt 'qe Farm Br ke mNgva skwe ho: www.oaaformothers.info { ze ze sEÁIterI]t Fon: +44 (0)020 8741 1311 zImel: [email protected] vE>bsazIt: www.oaaformothers.info rijstrd cEirtI nNbr 1111382 © Obstetric Anaesthetists’ Association 2009 wUsra ]edISn, ]kqUbr 2009

Documents

Your anaesthetic Caesarean Section - PUNJABI FINAL...Your Anaesthetic for Caesarean Section, 2nd edition, October 2009 PUNJABI rIjnl ]nEsQIZI]a 2 ]EpIid[Url – plasitk wI izk CotI