Kodi dokotala wanu adakuuzanipo za epidural? Mwina inali yokhudza kubereka, kapena opaleshoni, kapena kupweteka kwa msana. Ndizachibadwa kumva mantha pang'ono ndikukayikira kulandira jakisoni pafupi ndi msana wanu. Koma kodi kwenikweni ndi chiyani? Kodi ndi yotetezeka? Imagwira ntchito yanji? Musadandaule, tikambirana mwachidule, mwanjira yomwe mungamvetse.
Mwachidule, kodi epidural ndi chiyani?
Epidural ndi jakisoni wa mankhwala opha ululu m'malo opanda kanthu ozungulira mitsempha ya msana wanu. Malo awa timawatcha 'malo opachikika'. Umu ndi momwe dzinalo linayambira.
Taganizirani za msana wathu ngati chubu chokhala ndi mawaya ambiri odutsamo. Mkati mwa chubuchi muli chingwe cha msana. Kunja kwa chubuchi, ndiko kuti, malo opanda kanthu mkati mwa msana, kumatchedwa malo a epidural. Mwa kubaya mankhwala ochepetsa ululu m'malowa, amaletsa kwakanthawi zizindikiro za ululu zomwe zimadutsa m'mitsempha kupita ku ubongo.
Madokotala amagwiritsa ntchito ma epidurals m'njira zosiyanasiyana. Mwachitsanzo:
- Lamulirani ululu panthawi yobereka .
- Musanachite opaleshoni, yambitsani mankhwala oletsa ululu .
- Kuchepetsa ululu pambuyo pa opaleshoni .
- Chiritsani ululu wa msana womwe umabwera chifukwa cha matenda monga herniated disc.
- Sinthani ululu wosatha .
Pali mitundu iwiri ikuluikulu ya epidurals:
Kutengera chifukwa chomwe timapereka epidural, pali mitundu iwiri ikuluikulu. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.
| Mtundu wa Epidural | Cholinga chachikulu | Kodi zotsatira zake zimakhala nthawi yayitali bwanji? |
|---|---|---|
| Mankhwala Oletsa Kupweteka a Epidural | Mankhwala oletsa ululu amagwiritsidwa ntchito pochotsa ululu ndi kumva kupweteka m'dera linalake. Izi zimagwiritsidwa ntchito kwambiri panthawi yobereka komanso opaleshoni. | Zotsatira zake zimadalira kuchuluka kwa mankhwala omwe aperekedwa. Nthawi zambiri amatenga maola angapo. |
| Jekeseni wa Epidural Steroid (ESI) | Poletsa ululu ndi kutupa kosatha, izi zimaphatikizapo kubaya mtundu wa steroid (corticosteroid). | Izi ndi zothandiza kwambiri. Zingathe kuchepetsa ululu kwa milungu ingapo mpaka miyezi. |
Kodi izi zimagwira ntchito bwanji? Njira zoperekera epidural
Mmene epidural imagwirira ntchito zimasiyana malinga ndi mtundu wake.
- Mankhwala oletsa ululu otchedwa epidural anesthesia amaletsa kwakanthawi zizindikiro kuchokera ku mitsempha yomva ululu kupita ku ubongo. Zili ngati kuzimitsa switch. Zimazimitsa mitsempha imeneyo kwa kanthawi.
- Jakisoni wa epidural steroid umaphatikizapo kubaya mankhwala mozungulira mitsempha yotupa yomwe imayambitsa ululu. Izi zimachepetsa kutupa ndi kupanikizika kwa mitsempha, zomwe zimathandiza kuchepetsa ululu.
Madokotala amagwiritsa ntchito njira zingapo pobaya mankhwalawa.
Ma epidural obayidwa kamodzi
Mu izi, jakisoni wa mankhwala oletsa ululu kapena steroid amabayidwa kamodzi. Umu ndi momwe jakisoni wa steroid wochizira ululu wammbuyo nthawi zambiri amaperekedwa.
Ma Epidural okhala ndi catheter
Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha (catheter) m'malo olumikizirana mafupa. Chubuchi chimakupatsani mwayi wopereka mankhwala angapo panthawi yoyenera komanso muyeso woyenera. Njirayi nthawi zambiri imagwiritsidwa ntchito poletsa ululu kwa amayi oyembekezera komanso pa opaleshoni yayitali.
Epidural yokhala ndi PCA
Pambuyo pa opaleshoni zina, catheter imayikidwa m'malo anu ozungulira, ndipo pampu yaying'ono imalumikizidwa nayo. Mukadina batani pa izi, mutha kudzibaya nokha mankhwala otetezeka omwe dokotala wanu wakupatsani, nthawi iliyonse mukawafuna. Izi zimatchedwa analgesia yolamulidwa ndi odwala (PCA).
Kuphatikizika kwa msana ndi epidural (CSE)
Izi zimaphatikizapo kupereka mankhwala oletsa ululu ndi steroid kudzera mu catheter. Njirayi nthawi zambiri imagwiritsidwa ntchito poletsa ululu panthawi yobereka. Imatchedwanso 'walking epidural', koma anthu ambiri sangathe kuyenda. Komabe, amathabe kuyenda chifukwa ali ndi kumverera kwina m'miyendo yawo.
Kodi mumakonzekera bwanji musanachite epidural?
Kutengera chifukwa chomwe mukupangira epidural, kukonzekera komwe muyenera kuchita kungasiyane. Chifukwa chake ndikofunikira kutsatira malangizo a dokotala wanu molondola. Nthawi zambiri, mungapemphedwe kuchita zinthu monga:
- Pewani kudya ndi kumwa kwa maola angapo musanalandire chithandizo.
- Siyani kumwa mankhwala enaake (makamaka ochepetsa magazi) ndi mavitamini kwakanthawi.
- Konzani pasadakhale kuti wina akutengereni kunyumba mukatha kulandira chithandizo.
Kodi chimachitika ndi chiyani ngati epidural yaperekedwa?
Mukapatsidwa epidural, mudzatembenuzidwira chammbali ndikugoneka pansi, kapena mudzapemphedwa kuti muweramire patsogolo ndikukhala tsonga. Kenako dokotala adzatsatira izi:
1. Choyamba, kanula imayikidwa mu mtsempha womwe uli m'dzanja lanu, ngati madzi amchere.
2. Kenako, jakisoni kakang'ono kamaperekedwa kuti achepetse dzanzi pamalo pomwe epidural inayikidwapo.
3. Kenako, singano ya epidural imayikidwa m'malo a epidural kumbuyo kwanu. (Pa jakisoni wa steroid wokhudza ululu wa msana, kamera yapadera (fluoroscopy) nthawi zina imagwiritsidwa ntchito, mofanana ndi X-ray, kuti muwone komwe singano ikupita.)
4. Ngati catheter ikulowetsedwa, chubu chopyapyala (catheter) chimalowetsedwa kudzera mu singano ndipo singanoyo imachotsedwa mosamala. Chubucho chimakhalabe mkati mwa thupi.
5. Kenako amayamba kupereka mankhwala kudzera mu chubu chimenecho.
6. Mukapanda kufunikiranso mankhwala (omwe angakhale m'maola ochepa kapena masiku angapo), catheter idzachotsedwa.
Mungamve kupweteka kwambiri mukangoyamba kumwa mankhwala oletsa dzanzi. Kenako, mukapatsidwa epidural, mungamve kupweteka pang'ono, dzanzi, kapena kutentha. Koma ngati mukumva kupweteka kosapiririka, muyenera kuuza dokotala wanu nthawi yomweyo.
Kodi epidural ingayambitse kupweteka kwa msana pambuyo pake?
Funso limene anthu ambiri amafunsa ndi limene anthu ambiri amaliopa.
Ndikosowa kwambiri kuti epidural imayambitsa kupweteka kwa msana kwa nthawi yayitali. Izi nthawi zambiri zimakhala zolakwika.
Ndizachilendo kuti pakhale kupweteka pang'ono kapena mabala pamalo omwe adabayidwa jakisoni kwa masiku angapo. Izi zimatha kwathunthu pakatha masiku awiri kapena atatu.
Amayi ambiri amamva kupweteka kwa msana akabereka. Chifukwa cha izi n'chakuti mafupa ndi mitsempha yomwe inatambasulidwa panthawi ya mimba ikuyamba kusinthasintha momwe inalili. Izi zitha kuchitika kaya munali ndi epidural kapena ayi. Choncho simunganene kuti epidural ndiye chifukwa chake.
Kodi pali zoopsa ndi zotsatirapo zake?
Ma epidural nthawi zambiri amakhala otetezeka kwambiri, koma monga njira ina iliyonse yachipatala, pali zoopsa zazing'ono kwambiri. Komabe, izi sizichitika kawirikawiri.
- Kutuluka magazi kuchokera pamalo omwe adabayidwa jakisoni.
- Matenda pamalo omwe jakisoni amachitikira.
- Kutuluka kwa madzi m'msana (izi zimachitika kawirikawiri).
- Kuwonongeka kwa mitsempha.
- Zotsatirapo zake kapena ziwengo za mankhwala.
Zoopsa zimenezi n’zochepa kwambiri. Dokotala wanu adzaganizira zonsezi ndikukuthandizani m’njira yotetezeka kwambiri.
Kodi muyenera kulankhula ndi dokotala liti?
Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutalandira epidural, imbani dokotala wanu nthawi yomweyo, kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU).
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| Malungo | Kutentha kwa thupi kokwera. |
| Kusakodza kosalamulirika | Kusadziletsa kwa mkodzo kapena ndowe. |
| Kufooka/kufooka m'miyendo | Kufooka kwa miyendo kumatenga nthawi yayitali kuposa momwe dokotala adanenera. |
| Mutu waukulu | Mutu waukulu womwe umachitika munthu akaima kapena atakhala ndipo umachepa akagona pansi. |
Ndizachilendo kuchita mantha mukauzidwa kuti mulandira jakisoni pafupi ndi msana wanu. Koma epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo. Iye adzakufotokozerani zonse.
Uthenga Wopita Nawo Kunyumba
- Epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu.
- Amagwiritsidwa ntchito kwambiri pa matenda monga kubereka mwana, maopaleshoni osiyanasiyana, komanso kupweteka kwa msana kosatha.
- Kawirikawiri ndi lingaliro lolakwika kuti epidural imayambitsa kupweteka kwa msana kwa nthawi yayitali.
- Musazengereze kukambirana ndi dokotala wanu za mantha, kukayikira, kapena mafunso aliwonse okhudza epidural .
- Ngati mukumva zizindikiro monga kutentha thupi, kufooka kwa miyendo yanu, kapena mutu waukulu mutachita epidural, funsani upangiri wa dokotala nthawi yomweyo.
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