2009年11月04日

二度目の帝王切開〜手術編〜

出産から、かれこれ2週間。
あっという間です。
今日は、おーちゃんが良い子に寝てるので、ちゃちゃっと更新。

手術室の受付で、メガネを没収されてしまった私は、看護師さんに手をひかれて、手術台に向かいました。
手術台に横になると、わらわらと人がたくさん寄ってきて、どんどん準備が進みます。

というか、明らかにみなさん急いでる感じです。

なんせ、私の後にもう一人帝王切開が待ってますから、とにかく大急ぎなのです。

着てきた紙製のネグリジェ的な服を脱がされ、さっそく麻酔です。

麻酔科の先生は、前日にあいさつに来てくれましたが、来たのはたよりなーーーーーい感じの研修医。
研修医だから頼りないのではなく、彼のキャラがもともと頼りない感じ意外の何物でもないタイプでして、お医者さんとしては、はなはだ向いてない感じの先生でした。
しかし、この日の本番では、ボス先生も登場。

研修医氏、微妙にどやされながら、ボスの指示で麻酔の準備です。

帝王切開では、最初は腰から下半身だけに麻酔をします。
いきなり全身麻酔にすると、赤ちゃんも寝ちゃうから…と聞きました。
患者側からすれば、意識がある方が、産声も聞けるしね。
最初から全身である必要は、ないなあと思います。

最初に、背中に麻酔を入れる管を入れるのですが、気配で研修医氏が実際の処置をしてるっぽい。
最初に、管を入れるための麻酔をして、少し効いてきたところで、ホンちゃんの管を挿入。

してるっぽい?

つか、研修医氏の手は微妙に震えてるぅ〜

こえぇぇぇぇぇ〜

そして、震える研修医を、ドヤすボス先生。

がんばれ研修医。
祈るような気持ちでした(涙
いや、一番泣きそうだったのは、研修医氏自身かも。

緊張が伝染したせいか、妊婦なのに、お腹を丸めるような無理な体勢でいたせいか、お腹がカチコチに張っちゃったよ(涙涙

まあ、お腹が張るってのも、これで最後だろうけれど。

ボス先生の解説によると、前回使ったのは、おそらく即効で効いてくるタイプの麻酔だっただろう…と。
で、今回は、効いてくるまでに20分ほどかかるマイルドなタイプなのだそうです。
確かに、前回は、横を向いて麻酔が入ってから、すぐに効いてきて、仰向けになるのに、看護師さんや待機してた小児科の先生やら、みなさんに支えてもらって、一苦労だった記憶があります。

しかし、今回は、自力で仰向けになり、手術台の指定された位置に寝なおすことができました。
なるほど、効きはマイルドなようです。
私のように、体重にボリュームのあるタイプの患者さんには、こちらの方が、いいんじゃないでしょうかね…<え?体重で決めるの?

仰向けになると、またわらわらと人が寄ってきてまた、じゃかじゃかと準備が再開。
その合間に、研修医氏が、保冷剤かなにかを体のあちこちに当てて、麻酔の効きを確認します。
なんというか、びっくりするくらい、なかなか効いてきません。
マイルドな麻酔ホントに、効くのか???

麻酔が効いてくる気配がないのに、なぜか、歯の根が合わないほど、ガチガチ震えがきました。
寒くは感じないけど、震えが止まりません。

震えるんですが…

と何度も麻酔科ボスに言いましたが、「緊張してるからかな〜。熱もないし大丈夫ですよ」と、取り合ってもらえず。

10分ほどして、ようやくお腹周辺は効いてきたところで、尿をとる管を挿入。
まだ、思いっきり感覚があります。

きもぢわるいです〜(涙

足は、まだ感覚もあり、動きます。

でも、とにかくみなさん急いでいる様子。

執刀する先生が、麻酔の先生に、麻酔を入れてから何分ですかと尋ねました。

まもなく15分ですね

麻酔科ボスが答えます。

すると、執刀医先生がなんの躊躇もなく言いました。

じゃ、ちょっと早いけど始めましょう。
時間カウントしてください。
よろしくおねがいしまーす♪


おーーーい!
まだ20分たってないですけどーーーーー(涙


案の定、そけい部に近い部分を切られた時には、ひぃ〜っと叫んでしまいました。
痛いっての!!!

足は、まだ動くし、まだ、完全に麻酔が効いてる感じではありません。
勘弁してくださいよ…(涙涙
暴れなかった私は、冷静で偉い患者だわ。ホント。

そんなこんなで、痛い場所には、さらに局部麻酔の注射をしてもらい、なんとか手術続行。

おいらの時は、始まって5分ほどでおいらが出てきたのですが、今度はなかなか出てきません。
ようやく麻酔が効いてきて、安心したところで、「なかなか出てこないんですね…」と近くにいた看護師さんに聞いてみました。

RIKIPONさんは二度目だから、癒着してるところを慎重にはがしながら進めるんです。
だから、一度目の時よりは、時間がかかるんですけど、順調ですから心配ないですよ。

と説明してもらいました。
なるほど。
結局、30分ほどかかったでしょうか。
ようやく、お腹をぐいぐい押されて、おーちゃんが出てきました。
帝王切開で私が一番いやなのは、最後のお腹を押されて子供が出てくる瞬間です。
あれ、どうにかならないのかな。
痛くはないんだけど、内臓をひっかきまわされる感じが、どうにも慣れません。

さて。

おいらは、出て来て最初の処置が済むまで泣きませんでしたが(今思えば、低血糖でフラフラだったのよね…)、おーちゃんは、先生が13時11分!と言う前に、「ほぎゃ〜あ〜」と泣きました。
まだ、へその緒も繋がった状態で、ホントに出てきたとたんに泣いたそうです。

元気な証拠らしい。

おいらの時は、なかなか泣かないので、ドキドキして待っていましたが、その時近くにいた麻酔科の先生が「帝王切開だとすぐには泣かないものだから」と励ましてくれたけど、だとすると、おーちゃんは…????

へその緒を切ったら、すぐに、助産師さんがまず顔を見せてくれました。
すんごい勢いで泣いてました。

義父にそっくり…

それが最初の印象でした。

その後、隣の台に運ばれて、体を拭いてもらったり、助産師さんが簡単な診察をしたりしています。
その台を、私に見えるように、近づけてくれました。

が、私、目が悪いので、ぜんぜん見えませんでした(笑

なんとなくぼんやりと、頭が黒く見えたので、近くにいた看護師さんに「髪の毛生えてます?」って聞きました。

生えてますよ〜♪

うっそー。
3歳近くまで生えなかったおいらの弟とは思えません。
同じDNAでも違うのね〜

その後、診察してた助産師さんが、「赤ちゃん異常ありませんでした」とみんなに聞こえるように言いました。
そして、もう一度私のところに連れて来てくれて、よく見せてもらいました。

赤ちゃんは、一足先に病棟に戻ります。
しばしのお別れです。

おーちゃんは、私の指を握ってようやく泣きやんで、握手をした後、その手をパッと開いて、バイバイと手を振るかのようにして、去って行きました。

髪の毛、真黒い毛がぼーぼーに生えてました。

和な香りがしました(笑

おーちゃんが去ってしばらくすると、麻酔が切れて来てまた痛くなってきました。
子宮を収縮させるための処置が行われてるらしいのですが、後陣痛が始まったかのような感じで、気持ち悪い。
麻酔を足してもらいました。

そしたら、少しぼーっとしてきて、とりあえずおーちゃんが無事だったこともあり、安心して、寝そうになりましたが、どうやら寝かしてもらえないらしい(笑

RIKIPONさん、ちゃんと息してくださいね〜
はい、大きく深呼吸〜

と、研修医氏が2分に一回くらい声をかけてきます。
酸素用のマスクが用意された気配がありましたが、幸い私の深呼吸がうまかったのか、結局登場することもなく、手術は終わりに向かって行きました。

あと、縫うだけですから、もう少しで終わりですよ。

と声をかけてもらった頃には、最初から続いていた震えが最もひどくなりました。
どうやら、ホントに熱が出てきたようです。
それと同時に、胃とかみぞおち当たりに、重い石が乗っかってるような感じがして、吐きそうになりました。
そういえば、おいらの時も、病室に戻ってからこんな感じになったなあ…と思いだしていたら、麻酔科ボスが言いました。

子宮の収縮が始まってるんでしょう。
麻酔が効いてると、重く感じることがあるみたいです。

と説明してくれました。

へ〜そうなんだ。
理由がわかると、気持ち悪さも少しは軽減するってもんです。

研修医氏がボスに尋ねます。

どうして重く感じるんですか?

うんうん、良い質問だ。
私も聞きたいよ!

すると、ボスが自信満々に言いました。

それがわからねーんだな。
麻酔は、わからないことがいっぱいなんだよ。
でも、重いって言う妊婦さんが多いんだよね。

そ、そうなんだ…(笑

その間にも、寝そうになりながら、震えながら、「深呼吸ですよ〜」と言われながら、手術は進んで行きました。
いよいよ、パチンパチンと、ホチキスの音が聞こえ始めました。

ああ、もう終わりですね。

と私が聞くと、麻酔科ボスが「ええ、最後ホチキスみたいなので、表面を閉じてますから、もう終わりです。」とおっしゃいました。

看護師さんが「出血は200CCでした」と言いました。

おー少ない!
おいらの時は700を超えてたから、後から貧血になったりしましたが、そんなに少なくて済んだんだ…

ちょっとほっとしたりして。

間もなく、パチンパチンが終わって、執刀医の先生が、「お疲れさまでした〜」と言いました。
言った瞬間、すごい勢いで、片付けが始まりました。

次は何時から〜とか、もう、次の手術の相談が、そこここで始まっています。

もう、てんやわんやです。

私は、最後にレントゲンを撮って、来る時に着てきた紙のネグリジェを着て、ようやく手術室を出ました。
今度は、大人しくストレッチャーに乗せられて…
手術室を出たところで、しばらく様子見。

そこへ、主治医の先生がやってきて、言いました。

赤ちゃんの体重聞いた?2880だって。
37週にしては大きいし、すっごい元気だったよ。
安心してね。

それを聞いて、さっきまでぼーっとしてたのが、だんだんはっきりしてきました。
そうか、元気ってことは、保育器に入ってないってことで、病室に戻れば会えるってことか!

マイルドな麻酔は、効くのは遅いくせに、切れ味抜群らしいです。

病棟からお迎えが来て、ストレッチャーに乗りかえる時、ペットボトルのようなものを持たされました。

大事なものですから、しっかり持っててください

麻酔科研修医氏が、言います。
こいつが、後から良い仕事をしてくれた、モルヒネのボトルでした。
ボトルは実はポンプ仕掛けになっていて、このあと2日間ほど微量のモルヒネを背中の管から、私の体に入れてくれたのでした。
これのおかげで、おいらの時よりも、ずいぶんと楽に過ごすことができたやに思います。

モルヒネブラボー。

さすが麻薬♪

寒さがピークに来たので、銀紙みたいなので包まれながら、ようやく手術室を後にしました。
しかし、前回ほどではないにしても、やはりストレッチャーは気持ち悪い。
酔いそうです。

様子がおかしいと気付いたのは、執刀医の先生で、「どうしました?」と声をかけてくれました。

ストレッチャーの乗ると、寄っちゃうので…

と言ったら、先生が言いました。

じゃあ、急いで行きましょう。
酔っちゃうそうなので、急いで!!!

と小走りに!

曲がるたびに遠心力でぶんぶん振り回され、もうぐうの音も出ないほど気持ち悪かったのは言うまでもなく…
先生、逆効果だよ…

そう言おうとした時には、もうあっという間に病室についたようでした…

rikipon67 at 14:23コメント(197)妊娠出産よもやま話〜2009   mixiチェック

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おいらの家来で、組織論を研究しているつもりの人で、きまぐれで主婦、まれにシェフ。
2006.秋に大学院を退学し社会的な肩書きを失うも、2007年明けより、フリーで仕事を再開。軌道に乗るかどうかの瀬戸際な毎日です。
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