Ngati muli ndi pakati, mwina munamvapo za 'epidural' yochepetsera ululu pobereka. Kapena munamvapo wina akunena za izi kuti achepetse ululu pambuyo pa kupweteka kwa msana kapena opaleshoni. Anthu ambiri amachita mantha pang'ono akamva dzinali, chifukwa amadziwa kuti ndi jakisoni woperekedwa kumsana. Kotero lero, tiyeni tikambirane za tanthauzo la epidural, zomwe imachita, komanso ngati ndi yotetezeka, m'njira yosavuta yomwe mungamvetse.
Kodi epidural kwenikweni ndi chiyani?
Mwachidule, ndi chubu chopyapyala komanso chosinthasintha ( catheter ) chomwe chimayikidwa pamalo ang'onoang'ono kumbuyo kwanu, kunja kwa nembanemba yopyapyala yomwe imateteza msana wanu, yotchedwa epidural space . Sichikhudza msana wanu mwachindunji. Madokotala amagwiritsa ntchito njira iyi popereka mankhwala ochepetsa ululu mwachindunji ku mitsempha yomwe imanyamula zizindikiro za ululu ku ubongo wanu. Izi zikutanthauza kuti mankhwala ochepa akulowetsedwa m'ziwalo zina za thupi lanu, ndipo pali zotsatirapo zochepa.
Ganizirani uthenga wa ululu ngati sitima yoyenda ndi mitsempha kupita ku ubongo. Chimene epidural imachita ndikuyimitsa kwakanthawi gawo limodzi la njanjiyo. Kenako uthenga wa ululu supita ku ubongo, koma umamva zinthu monga kukhudza ndi kukakamizidwa. Ndicho chomwe chili chapadera pa izi.
Kodi ntchito zazikulu za epidural ndi ziti?
Epidural imagwiritsidwa ntchito m'njira ziwiri zazikulu: ngati mankhwala oletsa ululu komanso ngati mankhwala ochepetsa ululu.
| Njira yogwiritsidwa ntchito | Kufotokozera ndi ntchito |
|---|---|
| Kuletsa Kutsekeka kwa Mitsempha | Izi zimachitika kuti muchepetse ululu wonse panthawi ya opaleshoni. Njirayi imagwiritsidwa ntchito makamaka panthawi yobereka, opaleshoni yam'mimba kapena ya mwendo. Ngakhale ululuwo watha, mumakhala odziwa bwino. Mutha kuyenda ndi thandizo. Mankhwalawa amaperekedwa nthawi zonse kudzera mu catheter, kotero simukumva ululu uliwonse mpaka opaleshoniyo itatha. |
| Majekeseni a Epidural Steroid | Izi ndi zosiyana pang'ono. Izi zimagwiritsa ntchito mankhwala monga ma steroids. Izi zimachitika kuti achepetse kutupa ndi ululu womwe umabwera chifukwa cha kupsinjika kwa mitsempha, herniated disc, kapena spinal stenosis. Dokotala amagwiritsa ntchito X-ray kuti apeze mitsempha yeniyeni yomwe imayambitsa ululu ndikuyibaya pafupi nayo. Nthawi zina njira iyi imagwiritsidwanso ntchito kupeza chomwe chimayambitsa ululu. |
Kodi epidural imapweteka? Kodi chimachitika ndi chiyani?
Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Izi ndi zomwe zimachitikadi:
1. Malo: Mudzapemphedwa kukhala pansi ndi msana wanu wowerama patsogolo kapena kutembenukira m'mbali ndi mawondo anu atakokedwa pachifuwa panu. Izi zidzawonjezera malo pakati pa msana wanu ndikupangitsa kuti singano ikhale yosavuta kulowetsa.
2. Choyamba, gwirani khungu ndi dzanzi : Musanalowetse singano ya epidural, dokotala wogonetsa adzakupatsani jakisoni kakang'ono kuti khungu likhale ndi dzanzi pamalopo. Pa nthawiyi, mungamve ngati mukulumidwa ndi nyerere yaying'ono.
3. Kuika epidural: Khungu likatha dzanzi, dokotala amaika epidural. Pa nthawiyi, anthu ena angamve kupweteka pang'ono, kutentha, kapena dzanzi. Koma ena samva chilichonse.
4. Kuyika catheter ndi kuchotsa singano: Chubu chopyapyala (catheter) chimayikidwa kudzera mu singano ndipo singano imachotsedwa kwathunthu. Chokhacho chomwe chimatsala m'thupi lanu ndi chubu chopyapyala ichi komanso chosinthasintha. Choncho palibe chodetsa nkhawa nacho, singano sidzakhalabe m'thupi lanu.
5. Kupereka mankhwala: Kenako, mankhwala ochepetsa ululu amaperekedwa kudzera mu chubu ichi. Ululu umachepa pang'onopang'ono mkati mwa mphindi 10-20.
Chofunika Kwambiri: Ngati mukumva ululu waukulu komanso wosapiririka panthawi ya epidural kapena pambuyo pake, ndikofunikira kwambiri kudziwitsa dokotala kapena namwino wanu nthawi yomweyo.
Kodi pali zotsatirapo zilizonse zomwe izi zingayambitse?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, epidural ingayambitse zotsatirapo zazing'ono. Komabe, mavuto aakulu ndi osowa kwambiri .
| Mtundu wa zotsatira zoyipa | Kufotokozera |
|---|---|
| Wofala |
|
| Zosowa | |
| Zotsatira zenizeni zomwe zingachitike panthawi yobereka |
Anthu ambiri amaganiza kuti epidural ingayambitse kupweteka kwa msana kwa nthawi yayitali. Komabe, kafukufuku wa zamankhwala sanatsimikizire izi. Ndizachilendo kukhala ndi ululu wochepa pamalo obayira jakisoni kwa masiku angapo mutabayira jakisoni.
Kodi pali anthu omwe sayenera kukhala ndi epidural?
Inde, nthawi zina, kupereka epidural kungakhale koopsa. Dokotala wanu adzakambirana nanu za izi.
- Ngati muli ndi vuto la kupweteka kwa mankhwala oletsa ululu.
- Ngati muli ndi vuto la magazi kuundana kapena mukumwa mankhwala ochepetsa magazi.
- Ngati pali matenda a pakhungu pamalo omwe adabayidwa jakisoni.
- Matenda monga matenda a shuga osalamulirika.
Pankhaniyi, dokotala wanu adzakupatsani mankhwala ena ochepetsa ululu omwe ali oyenera kwa inu.
Kodi muyenera kusamala ndi chiyani mukamaliza opaleshoni ya epidural?
Pali zinthu zina zomwe muyenera kupewa mpaka zotsatira za epidural zitatha, zomwe nthawi zambiri zimakhala maola 24.
- Pewani kuyendetsa galimoto.
- Pewani kugwiritsa ntchito makina.
- Pewani kumwa mowa.
Kutengera ndi opaleshoni yanu ndi mtundu wa epidural yomwe mudalandira, dokotala wanu adzakupatsani malangizo enieni. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
Uthenga Wopita Nawo Kunyumba
- Epidural ndi njira yotetezeka komanso yothandiza yochepetsera ululu yomwe imagwiritsidwa ntchito pobereka, opaleshoni, komanso matenda ena opweteka nthawi yayitali.
- Mu izi, palibe singano yomwe imayikidwa mkati mwa thupi. Ndi chubu chopyapyala komanso chosinthasintha (catheter) chokha chomwe chimayikidwa.
- Khungu limakhala lopanda mphamvu musanalowetsedwe epidural, kotero simudzamva kupweteka kwambiri. Komabe, mungamve kusasangalala pang'ono.
- Kuthekera kwa zotsatirapo zoyipa kwambiri n'kochepa kwambiri. Komabe, ngati muli ndi kukayikira kapena mafunso okhudza chilichonse, musazengereze kufunsa dokotala wanu.
- Ndikofunikira kwambiri kuti mukhale otetezeka kutsatira malangizo a dokotala wanu mutangomaliza kulandira epidural.
Epidural, kubereka, mankhwala ochepetsa ululu, mankhwala oletsa ululu, kupweteka kwa msana, opaleshoni, opaleshoni
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