Epidurals ndi imodzi mwa zovuta komanso zopweteka kwambiri zomwe mayi angakumane nazo akamabereka. Amayi ena amaona kuti ululuwo ndi wosapiririka. Chifukwa chake, njira imodzi yodziwika bwino komanso yothandiza yothanirana ndi ululu waukuluwu ndi epidural. Ngakhale kuti anthu ambiri amva za ululuwu, samvetsa bwino kuti ndi chiyani, kodi ndi wotetezeka, komanso nthawi yoti atenge. Lero, tikambirana momveka bwino komanso mosavuta.
Kodi epidural kwenikweni ndi chiyani?
Mwachidule, epidural ndi jakisoni woletsa ululu womwe umaperekedwa m'dera la msana wanu, malo ozungulira msana wanu, pafupi ndi mitsempha yomwe imanyamula zizindikiro za ululu. Jakisoni uyu amachotsa dzanzi m'thupi lanu la pansi, ndikukupatsani mpumulo waukulu ku ululu waukulu wobereka.
Madokotala amagwiritsa ntchito njira imeneyi nthawi zambiri m'njira zingapo:
- Kuchepetsa ululu panthawi yobereka: Izi zimagwiritsidwa ntchito pochepetsa ululu panthawi yobereka komanso panthawi yopaleshoni .
- Pa opaleshoni: Kuchepetsa malo ochitira opaleshoni yochitidwa pansi pa thupi.
- Pambuyo pa opaleshoni: Kuchepetsa ululu pambuyo pa opaleshoni ina.
- Pa ululu wina: Pa matenda monga sciatica, imaperekedwanso pamodzi ndi mankhwala a steroid kuti achepetse ululu.
Akatswiri ogonetsa ululu amagwiritsa ntchito mankhwala ogonetsa ululu monga bupivacaine kapena lidocaine. Nthawi zina, mankhwalawa amaphatikizidwa ndi mankhwala ochepetsa ululu monga fentanyl kuti achepetse ululu. Mpumulo wa ululu nthawi zambiri umayamba kumveka mkati mwa mphindi 10 mpaka 20 pambuyo poti mlingo woyamba wa epidural waperekedwa.
Kodi izi ndi zotetezekadi? Kodi zingakhudze mwana?
Inde, ndithudi. Epidural ndi njira yotetezeka kwambiri . Ndi mankhwala oletsa ululu am'deralo, zomwe zikutanthauza kuti imakhudza malo ochepa okha omwe jakisoni amaperekedwa. Chifukwa chake nthawi zambiri simungamve tulo kapena nseru.
Chimodzi mwa zinthu zomwe amayi ambiri amaopa ndichakuti zingavulaze mwana. Ndipotu, mankhwala ena ochepetsa ululu omwe amaperekedwa panthawi yobereka amatha kudutsa mu placenta ndikukhudza mwana. Koma sizichitika ndi epidural.
Mankhwala ochepa kwambiri omwe amagwiritsidwa ntchito pa epidural amalowa m'magazi mwanu ndikudutsa m'magazi mwanu kupita kwa mwana wanu. Chifukwa chake, savulaza mwana. Sakhudza "Apgar scores" ya mwana kapena kuwonjezera mwayi woti mwana alowe m'chipinda chosamalira odwala kwambiri.
Chinthu china chimene anthu ena amaganiza n'chakuti kukhala ndi epidural kumawonjezera mwayi wokhala ndi opaleshoni. Izi sizolondola kwenikweni . Epidural imangochepetsa ululu. Mumamva kupanikizika kwa kupweteka kwa chiberekero chanu. Kotero mutha kukankhira mwana kunja nthawi ikakwana. Chifukwa chake, epidural siwonjezera mwayi wokhala ndi `vacuum extraction` kapena `forceps delivery`.
Kodi epidural imagwiradi ntchito? Imatenga nthawi yayitali bwanji?
Inde, epidural idzakupangitsani dzanzi kuyambira pamimba mpaka kumapazi. Koma mudzakhala odziwa bwino zomwe zikukuzungulirani. Ngakhale ululuwo utatha, mudzatha kukakamiza nthawi chifukwa mudzamva kupanikizika kwa mwana.
Kodi izi zimatenga nthawi yayitali bwanji? Yankho losavuta ndilakuti, bola ngati mukufunikira . Mutha kupeza mankhwala ena (`mapiritsi owonjezera`) kudzera mu chubu choonda (`catheter`) chomwe chimayikidwa mumsana wanu mukayamba kumva ululu kachiwiri. Mpumulo wa ululu udzakhalapo mpaka chubucho chitachotsedwa. Muyenera kukhala ndi mphamvu yobwezeretsanso kuyenda ndi kumva m'miyendo yanu mkati mwa ola limodzi kapena kuposerapo chubucho chitachotsedwa.
Komabe, tiyenera kukumbukira kuti si aliyense amene amachita bwino 100%. Pafupifupi munthu m'modzi mwa anthu khumi (`10%`) sangalandire mpumulo wa ululu womwe amayembekezera. Zikatero, dokotala wanu angakupatseni njira ina yochepetsera ululu.
Kodi pali zotsatirapo zilizonse? (Zotsatirapo)
Epidural ndi chida champhamvu chochepetsera ululu. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zotsatirapo zina zazing'ono zomwe zingachitike. Zambiri mwa izi ndi zakanthawi kochepa.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Kuthamanga kwa magazi kotsika | Vuto lomwe lingachitikire anthu ambiri. Mungamve chizungulire komanso nseru. Ogwira ntchito zachipatala nthawi zonse amasamala za izi. |
| Mutu | Anthu ena angavutike mutu akachita opaleshoni ya epidural. Ngati mudziwitsa dokotala wanu za izi, iye adzatha kuchiza. |
| Kuyabwa | Mankhwala omwe agwiritsidwa ntchito angayambitse kuyabwa pang'ono pakhungu. Izi ndi zakanthawi kochepa. |
| Kuvuta kukodza | Simungathe kumva chikhodzodzo chanu chikudzaza chifukwa thupi lanu lapansi lachita dzanzi. Nthawi zambiri pamagwiritsidwa ntchito catheter pa izi. |
| Kufooka m'miyendo | Simungathe kuyenda kwa maola angapo mpaka mphamvu ya mankhwala itatha, choncho musayese kudzuka. |
| Kuwonongeka kwa mitsempha | Izi ndi zachilendo kwambiri . Mwayi woti izi zichitike motsogozedwa ndi katswiri wodziwa bwino ntchito yoletsa ululu ndi wochepa kwambiri. |
Kotero, nthawi yabwino kwambiri yochitira opaleshoni ya epidural ndi iti?
Funso limene anthu ambiri amafunsa ndi ili. Palibe nthawi yeniyeni yomwe munganene kuti, "Iyi ndi nthawi yabwino kwambiri." Mutha kupempha nthawi iliyonse yomwe mukumva kuti simungathe kupirira ululu. Ikhoza kukhala pachiyambi, pakati, kapena pafupi ndi mapeto a kubereka.
Komabe, dokotala wa opaleshoni akuda nkhawa ndi zinthu ziwiri apa:
1. Kodi mulidi ndi nthawi yobereka?
2. Kodi mungakhale chete kwa mphindi zochepa pamene katemera akuperekedwa?
Kodi kungakhale kuchedwa kwambiri?
Taganizirani izi, zimatenga mphindi 10-15 kukonzekera epidural. Kenako zimatenga mphindi zina 10-15 kuti mumve mpumulo wa ululu. Choncho ngati mupempha epidural mukatsala pang'ono kubereka mwana wanu, mwina muli kale ndi mwana pofika nthawi yomwe wapatsidwa. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu za izi msanga, m'malo modikira mpaka ululuwo utakhala wosapiririka .
Kubereka mwana ndi chinthu chopweteka kwambiri. Koma ndi njira zotetezeka komanso zothandiza zothetsera ululu zomwe zilipo, tsopano zikuvomerezedwa kuti amayi sayenera kupirira ululu umenewo. Ngakhale mutakhala kuti simunakonzekere kuchita epidural poyamba, ngati mukumva kuti ululuwo ndi wosapiririka panthawi yobereka, mutha kupemphabe. Epidural ingakuthandizeni kukhala chete, opanda ululu, komanso kukupatsani mphamvu zoganizira kwambiri za kubereka mwana wanu.
Uthenga Wopita Nawo Kunyumba
- Ma epidural ndi njira yotetezeka komanso yothandiza kwambiri yochepetsera ululu panthawi yobereka.
- Izi zimaperekedwa ndi dokotala wa opaleshoni.
- Izi sizingavulaze mwana ndipo sizingawonjezere chiopsezo chochitidwa opaleshoni.
- Palibe "nthawi yabwino" yochitira opaleshoni ya epidural. Zimatengera kupita patsogolo kwa nthawi yobereka komanso kukambirana kwanu ndi dokotala wanu.
- Mukapita kuzipatala muli ndi pakati, lankhulani ndi dokotala wanu za njira zosiyanasiyana zochepetsera ululu zomwe zilipo, makamaka epidural.
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