Mukuchita mantha ndi epidural? Tiyeni tikambirane izi mwachidule!

Mukatsala pang'ono kubereka kapena kuchitidwa opaleshoni yayikulu, zingakhale zoopsa pang'ono dokotala akakuuzani kuti mufunika epidural. Anthu ambiri amachita mantha akamva mawu oti "epidural" ndipo ndi jakisoni kumbuyo. Koma kodi epidural ndi chiyani kwenikweni? Imagwira ntchito yanji? Kodi ndi chinthu choti muope? Tiyeni timvetse izi momveka bwino komanso mosavuta.

Mwachidule, kodi epidural ndi chiyani?

Epidural ndi jakisoni wolowetsedwa m'malo ozungulira mitsempha ya msana wanu (malo ozungulira msana) . Siwolowetsedwa mwachindunji mu msana. Umangolowetsedwa m'malo ozungulira msana. Umagwiritsidwa ntchito makamaka poletsa ululu.

Nazi zina mwazochitika pamene izi zimagwiritsidwa ntchito:

• Lamulirani ululu wochuluka panthawi yobereka .
• Dulani malo otupa (kuchepetsa ululu) musanachite opaleshoni.
• Kuchepetsa ululu pambuyo pa opaleshoni.
• Monga chithandizo cha ululu wosatha wa msana womwe umayamba chifukwa cha matenda monga herniated disc.

Kodi mitundu ya epidural ndi iti?

Pali mitundu iwiri ikuluikulu ya ma epidural omwe madokotala amagwiritsa ntchito, kutengera zosowa zanu.

Kodi ichi chimagwira ntchito bwanji?

Mmene epidural imagwirira ntchito zimasiyana malinga ndi mtundu womwe mwapatsidwa.

Mankhwala oletsa ululu otchedwa Epidural anesthesia amaletsa kwakanthawi kutumiza kwa zizindikiro za ululu kuchokera ku mitsempha ya msana kupita ku ubongo wanu. Izi zikutanthauza kuti mitsempha "imazimitsidwa" kwa kanthawi. Kutalika kwa zotsatira zake kumadalira kuchuluka kwa mankhwala omwe aperekedwa.

Jakisoni wa epidural steroid (ESI) umachepetsa kutupa ndi kupanikizika mwa kubaya mankhwala mozungulira mitsempha yotupa yomwe imayambitsa ululu.

Njira zosiyanasiyana zoperekera mankhwala

Madokotala, pali njira zingapo zobayira mankhwalawa m'thupi lanu.

• Jakisoni kamodzi: Iyi ndi jakisoni kamodzi kokha. Umu ndi momwe jakisoni wa steroid (ESI) nthawi zambiri amaperekedwa.
• Epidural yokhala ndi catheter: Catheter ndi chubu chopyapyala kwambiri komanso chosinthasintha. Chubu ichi chimayikidwa m'malo ozungulira ndipo chingagwiritsidwe ntchito kupereka mankhwala nthawi zonse momwe chingafunikire. Njirayi imagwiritsidwa ntchito nthawi yobereka komanso m'maopaleshoni omwe amatenga maola angapo.
• Mankhwala Ochepetsa Ululu Olamulidwa ndi Odwala (PCA): Iyi ndi njira yoperekera mankhwala opweteka kudzera mu catheter. Koma mutha kupeza mankhwala opweteka nokha podina batani pa chipangizo chaching'ono chomwe chili m'manja mwanu. Izi zimangokupatsani mlingo wotetezeka womwe dokotala wanu watsimikiza, kotero palibe chodetsa nkhawa nacho.
• Kulumikizana kwa Msana ndi Epidural (CSE): Njirayi imagwiritsidwa ntchito nthawi zambiri pobereka. Anthu ena amaitchanso kuti "walking epidural." Komabe, simudzatha kuyenda konse. Komabe, mudzakhala ndi kumva pang'ono m'miyendo yanu, kotero mutha kuyendayenda pabedi ndikusintha malo.

Kodi ndiyenera kukonzekera ndisanayambe epidural?

Inde. Koma zinthu zomwe muyenera kuchita zimasiyana malinga ndi mtundu wa epidural yomwe muli nayo komanso chifukwa chake. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Nthawi zambiri mungapemphedwe kuchita izi:

• Kusala kudya (kusiya kudya ndi kumwa) kwa maola angapo musanachite opaleshoni.
• Siyani kumwa mankhwala aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi .
• Konzani pasadakhale kuti wina akutengereni kunyumba mukamaliza opaleshoni.

Kodi chimachitika ndi chiyani ngati epidural yaperekedwa?

Izi zimasiyananso malinga ndi mtundu womwe mwapatsidwa.

Ngati jakisoni imodzi yaperekedwa:

Mudzapemphedwa kugona chagada. Kenako dokotala adzakuuzani:

1. Jakisoni kakang'ono kamaperekedwa kuti khungu lizizizira mozungulira malo obayira jakisoni.

2. Fluoroscopy , makina ngati X-ray yamoyo, amagwiritsidwa ntchito kuonetsetsa kuti singano ikupita komwe iyenera kukhala.

3. Singano imayikidwa mu malo ozungulira ndipo mankhwala amabayidwa.

4. Singano imachotsedwa ndipo pulasitala yaying'ono imayikidwa pamalo obayira.

Ngati catheter yaikidwa:

1. Kansalu (IV line) idzaikidwa mu mtsempha womwe uli m'dzanja lanu kuti ikupatseni saline.

2. Mudzapemphedwa kugona chagada, mawondo anu atakokedwa pachifuwa, kapena kukhala pampando ndikuwerama patsogolo. Izi zidzawonjezera malo pakati pa msana wanu.

3. Malo omwe jakisoniyo adayimitsidwa.

4. Singano ya epidural imayikidwa ndipo catheter (chubu chopyapyala) imadutsamo kupita ku malo a epidural.

5. Kenako singano imachotsedwa mosamala, ndikusiya catheter yokha mkati.

6. Mankhwala ofunikira amaperekedwa kudzera mu catheter imeneyo.

7. Pamene kufunika kwa mankhwala kwatha (pambuyo pa maola angapo kapena masiku angapo), catheter imachotsedwa.

Kodi ubwino ndi zoopsa za epidural ndi ziti?

Epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu. Pa nthawi yobereka, imakhala yosinthasintha kuposa njira zina zogonetsa ululu. Ilinso ndi zotsatirapo zochepa. Kwa iwo omwe ali ndi ululu wosatha, imatha kupewa zinthu monga opaleshoni ngati ululuwo wachepetsedwa.

Zoopsa zomwe zingachitike:

• Kutuluka magazi kuchokera pamalo omwe adabayidwa jakisoni.
• Matenda pamalo omwe jakisoni amachitikira.
• Kuwonongeka kwa mitsempha (kosowa kwambiri).
• Kusamvana ndi mankhwala.
• Kutuluka kwa madzi ozungulira msana (`Cerebrospinal fluid leak`). Izi zingayambitse mutu pambuyo pake.

Kodi epidural ingayambitse kupweteka kwa msana pambuyo pake?

Ichi ndi mantha aakulu kwa anthu ambiri. Kumbukirani kuti nthawi zambiri epidural imayambitsa kupweteka kwa msana kwa nthawi yayitali kapena kosatha .

Ndizachilendo kukhala ndi ululu wakanthawi kapena mabala pamalo obayira jakisoni kwa masiku angapo. Izi zimatha pakatha masiku awiri kapena atatu. Amayi ambiri amamva kupweteka kwa msana akabereka - kaya anali ndi epidural kapena ayi . Izi zili choncho chifukwa mafupa ndi mitsempha ya m'chiuno yomwe idasintha panthawi ya mimba ikusinthira ku malo awo atsopano.

Nthawi yoti mukaonane ndi dokotala

Ngati muli ndi zizindikiro zotsatirazi mutachita epidural, imbani dokotala wanu nthawi yomweyo kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) .

Ndizachibadwa kuchita mantha mukamva mawu oti "spinal tap." Koma epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu yomwe imagwiritsidwa ntchito kwambiri padziko lonse lapansi. Choncho musaope kulankhula ndi dokotala wanu za mafunso kapena nkhawa zomwe mungakhale nazo pankhaniyi.