Niba utwite, ushobora kuba warumvise 'epidural' igabanya ububabare mu gihe cyo kubyara. Cyangwa se wigeze wumva umuntu ayivugaho kugira ngo agabanye ububabare nyuma yo kubabara umugongo cyangwa kubagwa. Abantu benshi bagira ubwoba iyo bumvise iri zina, kuko bazi ko ari urushinge ruterwa ku mugongo. None rero uyu munsi, reka tuganire ku cyo epidural ari cyo, icyo ikora, ndetse niba ari umutekano, mu buryo bworoshye cyane ushobora gusobanukirwa.
Epidural ni iki mu by'ukuri?
Mu magambo make, ni umuyoboro muto kandi woroshye ( catheter ) winjizwa mu mwanya muto uri mu mugongo wawe, inyuma gato y'urukiramende rugufi rurinda uruti rw'umugongo wawe, rwitwa epidural space . Ntabwo rugera ku ruti rw'umugongo wawe. Abaganga bakoresha ubu buryo kugira ngo batange imiti igabanya ububabare mu mitsi ijyana ibimenyetso by'ububabare mu bwonko bwawe. Ibi bivuze ko imiti mike iterwa mu bindi bice by'umubiri wawe, kandi ingaruka mbi zikaba nke.
Tekereza ubutumwa bw'ububabare nk'imodoka igenda mu mitsi igana mu bwonko. Icyo epidural ikora ni uguhagarika by'agateganyo igice kimwe cy'iyo nzira ya gari ya moshi. Hanyuma ubutumwa bw'ububabare ntibujya mu bwonko, ahubwo wumva ibintu nko gukorakoraho no gukandamizwa. Ibyo nibyo bidasanzwe kuri bwo.
Ni iyihe mikoreshereze y'ingenzi ya epidural?
Umuti wo mu bwoko bwa epidural ukoreshwa mu buryo bubiri bw'ingenzi: nk'ikinyabutabire n'umuti ugabanya ububabare.
| Uburyo bwakoreshejwe | Ibisobanuro n'imikoreshereze |
|---|---|
| Anesthesia yo kugabanya imitsi | Ibi bikorwa kugira ngo ububabare bukomeze burundu mu gihe cyo kubagwa. Ubu buryo bukoreshwa cyane cyane mu gihe cyo kubyara, kubagwa mu nda cyangwa ku maguru. Nubwo ububabare bushize, uba ufite ubwenge. Ushobora no kugenda ukoresheje ubufasha. Umuti utangwa buri gihe unyuze muri catheter, bityo ntukumva ububabare kugeza igihe ubuvuzi burangiye. |
| Inshinge za Epidural Steroid | Ibi bitandukanye gato. Ibi bikoresha imiti nka steroid. Ibi bikorwa kugira ngo bigabanye kubyimba no kubabara biterwa no gucika kw'imitsi, disiki ya herniated, cyangwa stenosis y'umugongo. Muganga akoresha X-ray kugira ngo amenye neza umutsi utera ububabare hanyuma awutere hafi yawo. Hari igihe ubu buryo bukoreshwa no kugira ngo hamenyekane icyateye ububabare. |
Ese epidural irababaza? Ni iki kibaho?
Iki ni cyo kibazo gikomeye abantu benshi bafite. Dore uko bigenda mu by'ukuri:
1. Uburyo bwo guhagarara: Uzasabwa kwicara uhetamye umugongo cyangwa uhindukire uruhande amavi yawe yegereye igituza. Ibi byongera umwanya uri hagati y'umugongo wawe kandi bikorohere gushyira urushinge.
2. Ubwa mbere, shyiramo ibinure ku ruhu : Mbere yuko urushinge rw'ikinya rushyirwa mu gice cy'inyuma cy'uruhu, umuganga w'ikinya azagutera urushinge ruto kugira ngo ashyiremo ibinure ku ruhu ruri muri ako gace. Muri iki gihe, ushobora kumva umeze nk'uri kurumwa n'ikinyobwa gito.
3. Gushyiramo agakoresho ko mu mutwe: Nyuma y'uko uruhu rumaze kugira ibisebe, muganga ashyiramo agakoresho ko mu mutwe. Muri iki gihe, bamwe bashobora kumva bafite ububabare, ubushye, cyangwa bakumva batameze neza. Ariko hari abantu batabona ikintu na kimwe.
4. Gushyiramo catheter no gukuramo urushinge: Umuyoboro muto (catheter) ushyirwamo unyuze mu rushinge hanyuma urushinge rugakurwaho burundu. Icyo usigaranye gusa mu mubiri wawe ni uyu muyoboro muto kandi woroshye. Rero nta kintu na kimwe cyo guhangayikishwa nacyo, urushinge ntiruzaguma mu mubiri wawe.
5. Gutanga imiti: Hanyuma, imiti igabanya ububabare itangwa binyuze muri uyu muyoboro. Ububabare bugenda bugabanuka buhoro buhoro mu minota 10-20.
Icy'ingenzi cyane: Niba ubabara cyane kandi utabasha kwihanganira mu gihe cyo kubabara cyangwa nyuma y’aho urwariye, ni ngombwa cyane kumenyesha muganga wawe cyangwa umuforomo wawe ako kanya.
Ese hari ingaruka mbi zishobora guterwa n'ibi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, epidural ishobora gutera ingaruka mbi nto. Ariko, ingorane zikomeye ni gake cyane .
| Ubwoko bw'ingaruka mbi | Ibisobanuro |
|---|---|
| Bisanzwe |
|
| Gake cyane | |
| Ingaruka zihariye zishobora kubaho mu gihe cyo kubyara |
Abantu benshi batekereza ko epidural itera ububabare bw'umugongo igihe kirekire. Nyamara, ubushakashatsi bw'abaganga ntibwabigaragaje. Ni ibisanzwe kugira ububabare bworoheje aho watewe urushinge mu minsi mike nyuma yo guterwa urushinge.
Ese hari abantu badakwiye kugira epidural?
Yego, rimwe na rimwe, gutanga epidural bishobora guteza akaga. Muganga wawe azakubwira kuri ibi.
- Niba ufite ubwivumbure ku miti igabanya ububabare.
- Niba ufite ikibazo cyo kuvura amaraso cyangwa urimo gufata imiti igabanya amaraso.
- Niba hari ubwandu bw'uruhu aho bateye inshinge.
- Indwara nka diyabete idakora neza.
Muri iki gihe, muganga wawe azaguha indi miti igabanya ububabare ikubereye.
Ni iki ugomba kwitondera nyuma yo kugira epidural?
Hari ibintu bimwe na bimwe ugomba kwirinda kugeza igihe ingaruka z'imitsi yo mu bwonko zirangiye, ubusanzwe zigera ku masaha 24.
- Irinde gutwara imodoka.
- Irinde gukoresha imashini.
- Irinde kunywa inzoga.
Bitewe n'uko wabazwe ndetse n'ubwoko bw'indwara yo mu nda wahawe, muganga wawe azaguha amabwiriza yihariye. Ni ngombwa cyane gukurikiza ayo mabwiriza neza.
Ubutumwa bwo kujyana mu rugo
- Epidural ni uburyo bwizewe kandi bufite akamaro bwo kurwanya ububabare bukoreshwa mu gihe cyo kubyara, kubagwa, ndetse no mu bihe bimwe na bimwe by'ububabare budakira.
- Muri ibi, nta rushinge rushyirwa mu mubiri. Hashyirwamo gusa umuyoboro muto kandi woroshye (catheter).
- Uruhu rutangira gucika intege mbere yuko agahu ka epidural gashyirwamo, bityo ntuzumva ububabare bwinshi. Ariko, ushobora kumva umerewe nabi gato.
- Amahirwe yo kugira ingaruka mbi zikomeye ni make cyane. Ariko, niba ufite gushidikanya cyangwa ikibazo ku kintu icyo ari cyo cyose, ntutindiganye kubaza muganga wawe.
- Ni ingenzi cyane kugira ngo umutekano wawe ukurikize amabwiriza ya muganga wawe nyuma gato yo guhabwa epidural.
Epidural, kubyara, ububabare, ikinya, ububabare bw'umugongo, kubagwa, kubagwa
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.