Okuqukethwe
Iyini i-epidural?
I-Epidural analgesia ihlanganisa ukukhulula ubuhlungu bowesifazane ngesikhathi sokubeletha.
Qaphela ukuthi ingxenye engezansi kuphela enendikimba.
Umkhiqizo obulala izinzwa ujovwa phakathi kwama-vertebrae amabili e-lumbar nge-catheter, ishubhu elincanyana, ukuze uphinde uphindwe kalula uma kunesidingo. I-epidural isetshenziselwa ukubeletha kwemvelo, kodwa futhi nezingxenye zokuhlinzwa. Kungakhathaliseki ukuthi ukhetha i-epidural noma cha, ukubonisana kwangaphambi kokubulala izinzwa kuhlelelwe ekupheleni kokukhulelwa. Igoli ? Bona ukuthi kukhona yini ukuphikisana uma kwenzeka kuba ne-epidural noma i-anesthesia ejwayelekile. Udokotela obulala izinzwa uzophinde a-ode ukuthi kuhlolwe igazi ngaphambi nje kokubeletha.
Ingabe i-epidural iyingozi?
I-epidural ayikho hhayi engozini enganeni ngenxa yokuthi i-anesthesia yendawo, okuncane komkhiqizo kudlula ku-placenta. Kodwa-ke, i-epidural enamandla kancane ingehlisa umfutho wegazi kamama ongathinta ukushaya kwenhliziyo yengane. Umama okhulelwe angaphinde aphathwe ezinye izigameko zesikhashana: isiyezi, ikhanda elibuhlungu, iqolo, ukuchama kanzima. Ezinye izingozi ezingaba khona (ukulimala kwemizwa, ukushaqeka kokwaliwa), kodwa ezingavamile, yilezo ezixhumene nanoma yisiphi isenzo sokubulala izinzwa.
Inkambo ye-epidural
I-epidural yenziwa ngokwesicelo sakho, ngesikhathi sokubeletha. Akufanele kwenziwe sekwephuze kakhulu ngoba yayingeke isaba naso isikhathi sokusebenza futhi yayingeke isebenze ekufinyezeni. Yingakho kuvame ukubekwa lapho ukuvuleka komlomo wesibeletho kuphakathi kuka-3 no-8 cm. Kodwa futhi kuya ngesivinini somsebenzi. Empeleni, udokotela obulala izinzwa uqala ngokukuhlola futhi ahlole ukuthi awunakho yini ukuphikisana. Ukulala ngohlangothi, umile noma uhlezi, kumele ulethe umhlane wakho kuye. Ibulala amagciwane bese ibulala ingxenye ethintekayo. Ube esehlaba phakathi kwama-vertebrae amabili ase-lumbar bese efaka i-catheter enalini, yona ngokwayo ebanjwe ngebhandeshi. I-epidural ithiyori ayinabuhlungu, njengoba le ndawo ike yalaliswa ngezinzwa zendawo. Lokhu akuvimbeli ukuthi umuntu angakhathazeka phambi kwenaliti engu-8 cm, futhi yilokhu okungenza umzuzu ungajabulisi. Ungase ube nemizwa emincane kagesi, i-paresthesias (ukuphazamiseka kokuzwa) emilenzeni yakho noma emuva kafushane kakhulu lapho unikezwa.
Imiphumela ye-epidural
I-epidural iqukethe nciphisa ubuhlungu ngenkathi ulondoloza imizwa. Kungcono futhi kudosiswe kangcono, ukuze kuvunyelwe umama ukuthi ezwe ukuzalwa kwengane yakhe. Isenzo saso sivame ukwenzeka phakathi kwemizuzu eyi-10 kuya kweyi-15 ngemuva kokulunywa futhi sihlala cishe amahora angama-1 kuye kwangama-3. Kuye ngobude bokubeletha, kungase kudingeke ukuthi unikeze eminye imijovo nge-catheter. Akuvamile, kodwa ngezinye izikhathi i-epidural ayinawo umphumela oyifunayo. Kungase futhi kuholele ekubulaweni kwezinzwa ngokwengxenye: ingxenye eyodwa yomzimba inkindiki kanti enye. Lokhu kungaxhunyaniswa ne-catheter ebekwe kabi, noma kumthamo wemikhiqizo eguqulelwe kabi. Udokotela obulala izinzwa angakulungisa lokhu.
Contraindications ku-epidural
Zibhekwa njenge-contraindication ngaphambi kokubeletha: izifo zesikhumba endaweni ye-lumbar, ukuphazamiseka kwegazi, ezinye izinkinga zezinzwa.
Ngesikhathi sokubeletha, ezinye izinto eziphikisanayo zingabangela ukuthi udokotela obulala izinzwa akwenqabe, njengokugqashuka komkhuhlane, ukopha noma ukushintsha komfutho wegazi.
Izinhlobo ezintsha ze-epidural
I-epidural ozithathele yona, ebizwa nangokuthi i-PCEA (i-Patient Controlled Epidural Analgesia), ithuthuka kakhulu. Cishe ingxenye yabesifazane ikwazile ukuhlomula kuyo ngo-2012, ngokocwaningo olwenziwe ngu(Ciane). Ngale nqubo, unepompo ukuze uzithasele inani lomkhiqizo obulala izinzwa kuye ngobuhlungu. Imodi ye-PCEA ekugcineni inciphisa imithamo yomkhiqizo wokubulala izinzwa, futhi ithandwa kakhulu komama.
Okunye okusha ngeshwa kusekuncane kakhulu kwandile: i-ambulatory epidural. Inomthamo ohlukile, okuvumela ukuthi ugcine ukuhamba kwemilenze yakho. Ngakho-ke ungaqhubeka nokunyakaza nokuhamba ngesikhathi sokubeletha. Ufakwe izinto zokuqapha eziphathwayo zokuqapha izinga lokushaya kwenhliziyo yengane, futhi ungashayela umbelethisi noma nini.