Ngati mukuyembekezera mwana, mwina munamvapo kale mawu oti ' epidural '. Mwina kuchokera kwa mnzanu, kapena kuchokera ku kanema. Anthu ambiri amaganiza kuti ndi chinthu chomwe chimaperekedwa kuti chichepetse ululu panthawi yobereka. Ndi zoona, koma pali maubwino ambiri a epidural kuposa amenewo. Chifukwa chake lero, tiyeni tichotse mantha ndi kukayikira konse pa izi ndikukambirana za izi m'njira yolunjika komanso yolunjika.
Kodi epidural ndi chiyani? Imagwira ntchito bwanji?
Mwachidule, epidural ndi mtundu wa mankhwala oletsa ululu omwe amagwiritsidwa ntchito kuchepetsa ululu. Taganizirani za msana, womwe ndi gawo lofunika kwambiri la mitsempha yomwe imayenda pansi pa msana wathu. Uli ndi nembanemba yotetezera. Malo ang'onoang'ono omwe ali kunja kwa nembanembayo ndi omwe timatcha 'malo ozungulira'.
Dokotala, makamaka katswiri wogonetsa anthu ogonetsa, amagwiritsa ntchito singano yopyapyala kwambiri kuti aike chubu chopyapyala komanso chosinthasintha, chotchedwa catheter , pamalo omwe mwatchulawa. Kenako, kudzera mu chubucho, mankhwala ofunikira ochepetsa ululu amaperekedwa pang'onopang'ono m'thupi. Mankhwalawa amaletsa zizindikiro za ululu kupita ku ubongo. Chifukwa chake, sitimvanso ululu.
Chofunika kwambiri ndichakuti singano ya epidural ikayikidwa ndipo catheter ikayikidwa, singanoyo imachotsedwa kwathunthu. Chomwe chimatsala m'thupi lanu ndi chubu chofewa komanso chopyapyala. Choncho musadandaule kuti singanoyo itsala mkati.
Kodi ntchito zazikulu za epidural ndi ziti?
Kuwonjezera pa kubereka, komwe anthu ambiri amakudziwa, ma epidural amagwiritsidwanso ntchito m'mikhalidwe ina ingapo. Tiyeni tiwone zomwe zili.
| Kagwiritsidwe Ntchito | Kufotokozera kosavuta |
|---|---|
| Pa nthawi yobereka | Iyi ndi njira yodziwika kwambiri. Iyi ndi njira yomwe imangochepetsa ululu (analgesia). Izi zikutanthauza kuti mumakhala ozindikira, mutha kulankhula, ndikusuntha miyendo yanu pang'ono, koma simudzamva ululu wambiri wa kubereka. |
| Pa Opaleshoni ndi Pambuyo pake | Epidural imaperekedwa kuti ichotse dzanzi lonse pamalopo, makamaka pa opaleshoni yayikulu ya m'chiuno, bondo, kapena pansi pa mimba. Ingagwiritsidwenso ntchito kuchepetsa ululu pambuyo pa opaleshoni. |
| Monga chithandizo cha ululu wosatha | Njirayi imagwiritsidwanso ntchito pobaya mankhwala monga ma steroid pa ululu wosatha wa msana ndi mwendo womwe umayamba chifukwa cha matenda monga ma disc a herniated ndi spinal stenosis. |
Kodi epidural imapweteka kwambiri ikayikidwa?
Ichi ndi mantha aakulu omwe anthu ambiri ali nawo. Izi ndi zomwe zimachitikadi:
1. Malo : Choyamba, mudzapemphedwa kukhala pampando ndikuwerama patsogolo kapena kutembenukira mbali imodzi ya bedi ndikubweretsa mawondo anu pachifuwa panu.
2. Kuyeretsa: Kenako, dokotala adzayeretsa bwino dera lakumbuyo komwe jakisoni adzaperekedwe.
3. Kusanza: Kenako, singano yaying'ono imagwiritsidwa ntchito kupangitsa khungu kukhala losanza. Zili ngati kupangitsa dzino kukhala losanza musanatulutse dzino. Pa nthawiyi, zimamveka ngati nyerere yaying'ono ikukulumani.
4. Kuyika epidural: Khungu likatha dzanzi, dokotala amaika epidural. Simudzamva kupweteka kulikonse panthawiyi. Komabe, mungamve zachilendo, monga kupanikizika kapena kunjenjemera. Anthu ena sangamve chilichonse.
5. Kuchotsa singano: Katheta (chubu cha heani) ikayikidwa bwino, singanoyo imachotsedwa kwathunthu.
Chofunika kwambiri ndichakuti ngati mukumva ululu wosapiririka panthawiyi, kapena ngati mukumva ngati kugwedezeka kwamagetsi kukugwerani mwendo wanu, muyenera kuuza dokotala nthawi yomweyo.
Kodi pali zotsatirapo zilizonse za epidural?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, epidural ingayambitse zotsatirapo zazing'ono. Komabe, zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri. Tiyeni tiwone zomwe zingachitike.
| Zotsatirapo/zovuta | Zoyenera kudziwa |
|---|---|
| Kuthamanga kwa magazi kotsika | Izi zimachitika kawirikawiri. Mungamve chizungulire. Koma izi zitha kuthetsedwa ndi gulu lachipatala, lomwe lidzayang'ane kuthamanga kwa magazi nthawi zonse. |
| Kuvuta kukodza | Mankhwala ochepetsa ululu amatha kupangitsa kuti mitsempha ya m'chikhodzodzo isagwire bwino ntchito kwakanthawi. Ngati pakufunika kutero, catheter ikhoza kuyikidwa kuti ikonze vutoli. |
| Kugwedezeka ndi kugwedezeka | Izi zitha kuchitika chifukwa cha kusintha kwa kutentha kwa thupi. Palibe chodetsa nkhawa nacho. |
| Mutu waukulu | Kawirikawiri (osakwana 1%) izi zingachitike ngati singano yalowa mwangozi m'madzi amsana. Pali mankhwala a izi. |
| Matenda, kutuluka magazi | Izinso sizichitika kawirikawiri. Zinthu monga kupangika kwa magazi chifukwa cha kutuluka magazi zimatha kuchitika. Koma madokotala akuda nkhawa kwambiri ndi izi. |
Zoopsa zapadera zokhudzana ndi kubereka
- Gawo lachiwiri la kubereka lingakhale lalitali pang'ono.
- Kumva mphamvu yofunikira kuti munthu akankhire kungakhale kochepa.
- Pakhoza kukhala chiopsezo chowonjezeka pang'ono cha kung'ambika kwa perineum .
Kodi pali anthu omwe sali oyenera kugwiritsa ntchito epidural?
Inde. Nthawi zina, kupereka epidural kungakhale koopsa. Dokotala wanu adzakambirana nanu izi ndikupanga chisankho.
- Ngati muli ndi ziwengo ndi mankhwala oletsa ululu omwe mumagwiritsa ntchito.
- 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?
Ngakhale zotsatira za epidural zitatha, muyenera kupewa zinthuzi kwa maola osachepera 24.
- Pewani kuyendetsa galimoto.
- Pewani kugwiritsa ntchito makina olemera.
- Pewani kumwa mowa kotheratu.
Kutengera ndi matenda anu, dokotala wanu adzakupatsani malangizo enieni. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
Uthenga Wopita Nawo Kunyumba
- Epidural ndi njira yothandiza kwambiri yochepetsera ululu yomwe imagwiritsidwa ntchito osati pobereka kokha, komanso pochita opaleshoni ndi ululu wosatha.
- Izi zimachitika ndi katswiri wa opaleshoni. Komanso, malowo amakhala opanda mphamvu asanaperekedwe jakisoni, kotero ululu umakhala wochepa.
- Chotsala m'thupi lanu si singano yolimba, koma chubu cha pulasitiki chofewa komanso chofewa (catheter).
- Ngakhale kuti zotsatirapo zazing'ono zingatheke, mavuto aakulu ndi osowa kwambiri.
- Chofunika kwambiri: Khalani omasuka komanso oona mtima kwa dokotala wanu kapena katswiri wa mankhwala ogonetsa ngati muli ndi mafunso, nkhawa, kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza matenda anu. Izi ndizofunikira pa chitetezo chanu.
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