Mukayandikira kubereka kapena kukonzekera opaleshoni yaikulu, kumva dokotala wanu akunena za "epidural" kungayambitse nkhawa. Lingaliro la jakisoni pafupi ndi msana wanu limapangitsa anthu ambiri kukhala ndi mantha. Koma kodi epidural ndi chiyani kwenikweni? Imagwira ntchito bwanji, ndipo kodi ndi chinthu chomwe muyenera kuchiopa? Tiyeni tikambirane mwachidule ndi Nirogi Lanka.
Kodi epidural ndi chiyani, mwachidule?
Epidural imaphatikizapo kupereka mankhwala pamalo enaake (malo ozungulira mitsempha) omwe amazungulira mitsempha ya msana wanu. Sichibayidwa mwachindunji mu msana wanu—koma m'malo ozungulira okha. Chimagwiritsidwa ntchito makamaka pochepetsa ululu.
Kawirikawiri amagwiritsidwa ntchito pa:
- Kubereka ndi kubereka kuti muchepetse ululu waukulu.
- Kusanza (anesthesia)za opaleshoni.
- Kusamalira ululu pambuyo pa opaleshoni.
- Chithandizo cha ululu wosatha wa msana , monga ululu woyambitsidwa ndi herniated disc.
Kodi mitundu yosiyanasiyana ya epidurals ndi iti?
Kutengera ndi zosowa zanu zachipatala, madokotala nthawi zambiri amagwiritsa ntchito mitundu iwiri ikuluikulu ya ma epidural.
| Mtundu wa Epidural | Kufotokozera ndi Kugwiritsa Ntchito |
|---|---|
| Mankhwala Oletsa Kupweteka a Epidural | Njira imeneyi imaphatikizapo kubaya jakisoni wa mankhwala oletsa ululu ndi kumva. Nthawi zambiri imagwiritsidwa ntchito pochepetsa ululu panthawi yobereka komanso opaleshoni. |
| Jekeseni wa Epidural Steroid (ESI) | Izi zimaphatikizapo kubaya jekeseni wa corticosteroid kuti muchepetse kutupa ndi kukwiya kwa mitsempha. Nthawi zambiri amalembedwa pa ululu wosatha. Mpumulowu ukhoza kukhala kwa milungu ingapo kapena miyezi ingapo. |
Kodi imagwira ntchito bwanji?
Mmene epidural imagwirira ntchito zimadalira mtundu womwe mumalandira.
Epidural Anesthesia imagwira ntchito poletsa kwakanthawi zizindikiro za ululu kuchokera ku mitsempha ya msana kupita ku ubongo wanu. Mutha kuganiza kuti ndi "kuzimitsa" mitsempha iyi kwa nthawi inayake. Kutalika kwa zotsatira zake kumatsimikiziridwa ndi mlingo womwe umaperekedwa.
Epidural Steroid Injection (ESI) imagwira ntchito popereka mankhwala mwachindunji ku mitsempha yotupa, zomwe zimathandiza kuchepetsa kutupa ndi kupanikizika komwe kumayambitsa ululu wanu.
Njira Zoyendetsera Ntchito
Gulu lanu lachipatala lingagwiritse ntchito njira zingapo popereka mankhwala:
- Kupereka jakisoni kamodzi: Mlingo umodzi, womwe umagwiritsidwa ntchito kwambiri pa Epidural Steroid Injections (ESI).
- Epidural yokhala ndi catheter: Catheter ndi chubu chopyapyala kwambiri komanso chosinthasintha. Chubuchi chimayikidwa pamalo ozungulira, zomwe zimathandiza dokotala wanu kupereka mankhwala ngati pakufunika. Njirayi imagwiritsidwa ntchito nthawi zambiri panthawi yobereka komanso pa opaleshoni yayitali.
- Mankhwala Ochepetsa Ululu Olamulidwa ndi Odwala (PCA): Izi zimagwiritsanso ntchito catheter, koma mumapatsidwa chipangizo chogwiritsidwa ntchito m'manja. Mutha kudina batani kuti mudzipatse nokha mlingo wa mankhwala opweteka ngati pakufunika kutero. Izi zakonzedwa kale kuti zipereke mlingo wotetezeka komanso wovomerezeka ndi dokotala , kuti mukhale otetezeka.
- Msana Wophatikizana ndi Epidural (CSE): Nthawi zambiri umagwiritsidwa ntchito panthawi yobereka, nthawi zina umatchedwa "walking epidural." Ngakhale kuti simungathe kuyenda momasuka, mutha kusunga mphamvu zokwanira m'miyendo yanu kuti musinthe malo kapena kuyendayenda bwino pabedi.
Kodi muyenera kukonzekera epidural?
Inde. Kukonzekera kumadalira mtundu wa epidural ndi zosowa zanu zachipatala. Dokotala wanu adzakupatsani malangizo omveka bwino, koma mungafunsidwe kuti:
- Kusala kudya (kupewa kudya ndi kumwa) kwa maola angapo musanachite opaleshoni.
- Imani kwakanthawi mankhwala ena, makamaka mankhwala ochepetsa magazi .
- Konzani kuti wina akutengereni galimoto yanu kupita kunyumba mukamaliza opaleshoniyo.
Kodi chimachitika ndi chiyani panthawi ya opaleshoniyi?
Chokumana nacho chimasiyana malinga ndi mtundu wa epidural.
Pa jakisoni imodzi:
Mudzaikidwa pamalo ogona chagada. Kenako, dokotala wanu adzachita izi:
1. Jakisoni wa mankhwala oletsa ululu kuti malowo asaoneke ngati achita dzanzi.
2. Gwiritsani ntchito fluoroscopy — njira yojambulira zithunzi za X-ray yamoyo — kuti muwonetsetse kuti singano yayikidwa bwino.
3. Ikani singano m'malo olumikizirana mafupa ndikubaya mankhwalawo.
4. Chotsani singano ndikuphimba malo omwe akhudzidwa ndi kuvala pang'ono kapena pulasitala.
Kwa epidural yokhala ndi catheter:
1. Mzere wa IV udzayikidwa kuti upereke madzi.
2. Mudzapemphedwa kugona chagada ndi mawondo anu atakokedwa ku chifuwa chanu, kapena kukhala pansi ndikuwerama patsogolo. Izi zimathandiza kutsegula mipata pakati pa mafupa anu a msana.
3. Malo oikiramo adzayeretsedwa ndi mankhwala oletsa ululu.
4. Singano ya epidural idzalowetsedwa, ndipo catheter (chubu chopyapyala) idzalowetsedwa mu malo a epidural.
5. Kenako singano imachotsedwa mosamala, ndikusiya catheter yokha pamalo pake.
6. Mankhwala amaperekedwa kudzera mu catheter ngati pakufunika.
7. Catheter idzachotsedwa mukamaliza kulandira chithandizo (izi zitha kuchitika patatha maola kapena masiku angapo).
Kodi mudzamva bwanji?
Mungamve kupweteka kwakanthawi mukalandira jakisoni wapafupi wokhudza dzanzi. Pamene singano ya epidural ikulowetsedwa, mungamve kupanikizika, kumva kuwawa, kutentha, kapena kumva "magetsi" kwakanthawi kochepa. Anthu ena samamva bwino kwenikweni. Kusasangalala kumeneku nthawi zambiri kumatha opaleshoni ikatha. Komabe, ngati mukumva kupweteka kwambiri kapena kosapiririka, chonde dziwitsani dokotala wanu nthawi yomweyo.
Kodi ubwino ndi zoopsa za epidural ndi ziti?
Ku Nirogi Lanka, timadziwa kuti epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu. Pa nthawi yobereka, imapereka kusinthasintha kwakukulu kuposa njira zina zochepetsera ululu. Zotsatirapo zake sizimachitika kawirikawiri. Kwa odwala omwe ali ndi ululu wosatha, kupeza njira yochepetsera ululu moyenera kudzera mu njirayi nthawi zina kungakuthandizeni kupewa kufunikira kwa opaleshoni.
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono. Komabe, kumbukirani kuti mavuto aakulu ndi osowa kwambiri .
Zoopsa zomwe zingachitike ndi izi:
- Kutuluka magazi pamalo obayira jakisoni.
- Matenda pamalo omwe jakisoni amachitikira.
- Kuwonongeka kwa mitsempha (kosowa kwambiri).
- Kusamva bwino kwa mankhwala.
- Kutuluka kwa madzi a m'mitsempha ya ubongo (CSF leak), komwe kungayambitse mutu pambuyo pake.
Kodi epidural imayambitsa kupweteka kwa msana kwa nthawi yayitali?
Izi ndi nkhawa zomwe anthu ambiri amakumana nazo, koma kumbukirani kuti nthawi zambiri epidural imayambitsa kupweteka kwa msana kwa nthawi yayitali kapena kosatha .
Ndi zachilendo kumva kupweteka kwakanthawi kapena kuvulala pamalo obayidwa jakisoni kwa masiku angapo, zomwe nthawi zambiri zimatha zokha. Amayi ambiri amamva kupweteka kwa msana akabereka —kaya anali ndi epidural kapena ayi . Izi nthawi zambiri zimachitika chifukwa cha kusintha kwa thupi m'mafupa ndi mitsempha ya m'chiuno mwanu panthawi ya mimba kubwerera ku mkhalidwe wawo asanafike mimba.
Nthawi yoti mupeze chithandizo chamankhwala
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita epidural, funsani dokotala wanu nthawi yomweyo kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala .
| Zizindikiro Zoyenera Kuzisamala |
|---|
| • Malungo. |
| • Kulephera kulamulira chikhodzodzo kapena matumbo (kusadziletsa mkodzo kapena ndowe). |
| • Kufooka kwa miyendo yanu komwe kumatenga nthawi yayitali kuposa momwe dokotala wanu adanenera. |
| • Mutu waukulu womwe umachitika munthu akaima kapena atakhala ndipo umachepa akagona. |
Ndizachibadwa kukhala ndi mantha ndi opaleshoni yokhudza msana wanu. Komabe, epidural ndi njira yomwe imagwiritsidwa ntchito kwambiri, yotetezeka, komanso yothandiza pochepetsa ululu padziko lonse lapansi. Chonde musazengereze kulankhula momasuka ndi dokotala wanu za mafunso kapena mantha aliwonse omwe mungakhale nawo. Nirogi Lanka yadzipereka ku thanzi lanu.
Mfundo Zofunika Kwambiri
- Epidural ndi njira yotetezeka komanso yodziwika bwino yothandizira kuchepetsa ululu.
- Imaperekedwa m'malo ozungulira msana (malo a epidural), osati m'msana weniweniwo.
- Amagwiritsidwa ntchito pochiza ululu panthawi yobereka, opaleshoni, komanso matenda opweteka nthawi yayitali.
- Mavuto aakulu ndi osowa kwambiri; kupweteka pang'ono pamalopo kwa masiku angapo ndi kwachibadwa.
- Lingaliro lakuti ma epidurals amayambitsa kupweteka kwa msana kwa nthawi yayitali ndi lingaliro lolakwika kwambiri.
- Nthawi zonse kambiranani momasuka za kukayikira kapena mantha aliwonse ndi dokotala wanu.
Epidural, kuchepetsa ululu, ululu wobereka, mankhwala oletsa ululu, kutsekeka kwa msana, kuchepetsa ululu, kupweteka kwa msana
