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Ženama će pri porodu ubrzo biti ponuđena nova vrsta ublažavanja bolova, koja će biti alternativa epiduralnoj analgeziji, piše Daily Mail.

Brzodjelujući opioid pod nazivom remifentanil može se ponuditi onima koji žele kontinuirano ublažavanje boli tijekom poroda, ali ne žele primiti epiduralnu, prema ažuriranom nacrtu smjernica Nacionalnog instituta za zdravlje i izvrsnost skrbi (Nica). Rečeno je da će, s obzirom na to da žene same kontroliraju lijekove koji su im dani, moći biti pokretljivije nego što bi bile s epiduralnom.

U međuvremenu, ažurirani nacrt smjernica navodi da NHS ne osigurava uređaje Tens, ali trudnice mogu koristiti vlastite ako žele. Međutim, treba ih upozoriti da "postoji vrlo malo dokaza o njegovoj učinkovitosti u porođajnoj fazi, ali nema dokaza o štetnosti". Remifentanil u krvotok stiže putem cjevčice. Stroj koji sadrži lijek spojen je na ovu cijev i trudnice mogu same primijeniti lijek za ublažavanje bolova prema potrebi, a tajmer spojen na stroj osigurava da ne uzmu previše.

Nice tvrdi da se u usporedbi s opioidima koji se daju putem injekcije, pokazalo da remifentanil smanjuje upotrebu epiduralne anestezije, odnosno injekcije lijeka u leđa, koja ženama uklanja osjećaj boli u donjem dijelu tijela. Korištenjem njega postoji i smanjena vjerojatnost rođenja djeteta induciranim porodom.

Do lijeka je došlo nakon što su brojne bolnice obustavile korištenje plina i zraka kao metode ublažavanja boli tijekom porođaja zbog zabrinutosti za sigurnost medicinskog osoblja koje je izloženo dušikovom oksidulu. Ažurirane smjernice iz Nice također daju prijedloge o tome gdje bi žene trebale roditi. One žene koje imaju prekomjernu tjelesnu težinu - s rezultatom indeksa tjelesne mase od 25 ili više, trebale bi biti svjesne da bi se one i njihova beba mogli suočiti s povećanim rizicima tijekom porođaja i trebali bi to "uzeti u obzir kada planiraju mjesto rođenja", stoji u izvješću. 

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Ženama će pri porodu ubrzo biti ponuđena nova vrsta ublažavanja bolova, koja će biti alternativa epiduralnoj analgeziji, piše Daily Mail.

Brzodjelujući opioid pod nazivom remifentanil može se ponuditi onima koji žele kontinuirano ublažavanje boli tijekom poroda, ali ne žele primiti epiduralnu, prema ažuriranom nacrtu smjernica Nacionalnog instituta za zdravlje i izvrsnost skrbi (Nica). Rečeno je da će, s obzirom na to da žene same kontroliraju lijekove koji su im dani, moći biti pokretljivije nego što bi bile s epiduralnom.

U međuvremenu, ažurirani nacrt smjernica navodi da NHS ne osigurava uređaje Tens, ali trudnice mogu koristiti vlastite ako žele. Međutim, treba ih upozoriti da "postoji vrlo malo dokaza o njegovoj učinkovitosti u porođajnoj fazi, ali nema dokaza o štetnosti". Remifentanil u krvotok stiže putem cjevčice. Stroj koji sadrži lijek spojen je na ovu cijev i trudnice mogu same primijeniti lijek za ublažavanje bolova prema potrebi, a tajmer spojen na stroj osigurava da ne uzmu previše.

Nice tvrdi da se u usporedbi s opioidima koji se daju putem injekcije, pokazalo da remifentanil smanjuje upotrebu epiduralne anestezije, odnosno injekcije lijeka u leđa, koja ženama uklanja osjećaj boli u donjem dijelu tijela. Korištenjem njega postoji i smanjena vjerojatnost rođenja djeteta induciranim porodom.

Do lijeka je došlo nakon što su brojne bolnice obustavile korištenje plina i zraka kao metode ublažavanja boli tijekom porođaja zbog zabrinutosti za sigurnost medicinskog osoblja koje je izloženo dušikovom oksidulu. Ažurirane smjernice iz Nice također daju prijedloge o tome gdje bi žene trebale roditi. One žene koje imaju prekomjernu tjelesnu težinu - s rezultatom indeksa tjelesne mase od 25 ili više, trebale bi biti svjesne da bi se one i njihova beba mogli suočiti s povećanim rizicima tijekom porođaja i trebali bi to "uzeti u obzir kada planiraju mjesto rođenja", stoji u izvješću. 

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StoryEditorOCM
ZdravljeBOLJA OPCIJA

Trudnicama će se tijekom poroda nuditi novo sredstvo protiv bolova, zbog njega se možemo pozdraviti s epiduralnom

Piše MOZAIK SD
27. travnja 2023. - 17:26
24778148
PREMIUM
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Ženama će pri porodu ubrzo biti ponuđena nova vrsta ublažavanja bolova, koja će biti alternativa epiduralnoj analgeziji, piše Daily Mail.

Brzodjelujući opioid pod nazivom remifentanil može se ponuditi onima koji žele kontinuirano ublažavanje boli tijekom poroda, ali ne žele primiti epiduralnu, prema ažuriranom nacrtu smjernica Nacionalnog instituta za zdravlje i izvrsnost skrbi (Nica). Rečeno je da će, s obzirom na to da žene same kontroliraju lijekove koji su im dani, moći biti pokretljivije nego što bi bile s epiduralnom.

U međuvremenu, ažurirani nacrt smjernica navodi da NHS ne osigurava uređaje Tens, ali trudnice mogu koristiti vlastite ako žele. Međutim, treba ih upozoriti da "postoji vrlo malo dokaza o njegovoj učinkovitosti u porođajnoj fazi, ali nema dokaza o št...

#POROD#EPIDURALNA #REMIFENTANIL
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13. svibanj 2024 20:56