Chiremba wako akambokuudza nezve epidural here? Pamwe yaive yekubereka, kana kuvhiyiwa, kana kurwadziwa kwemusana. Zvakajairika kunzwa kutya uye kuzeza kubaiwa jekiseni pedyo nemusana wako. Asi chii chaizvo? Yakachengeteka here? Inoitei? Usazvidya moyo, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi epidural?
Epidural ijekiseni remushonga unoderedza marwadzo munzvimbo isina chinhu yakatenderedza tsinga dziri mumusana wako. Nzvimbo iyi tinoidaidza kuti 'nzvimbo ye epidural'. Ndiko kwakabva zita racho.
Funga nezvemusana wedu sechubhu ine waya dzakawanda dzinopinda nepakati payo. Mukati mechubhu iyi mune tambo yemusana. Kunze kwechubhu iyi, kureva nzvimbo isina chinhu mukati memusana, kunonzi nzvimbo ye epidural. Nekubaya mishonga inoderedza marwadzo munzvimbo iyi, vanomisa kwenguva pfupi zviratidzo zvekurwadziwa zvinofamba nemutsinga idzodzo kuenda kuuropi.
Vanachiremba vanoshandisa epidurals mumamiriro akasiyana-siyana. Semuenzaniso:
- Dzora marwadzo panguva yekusununguka .
- Usati wavhiyiwa, tanga mushonga weanesthesia .
- Kuderedza marwadzo mushure mekuvhiyiwa .
- Rapa marwadzo emusana anokonzerwa nezvirwere zvakaita sedhisiki re herniated.
- Gadzirisa marwadzo asingaperi .
Kune mhando mbiri huru dze epidurals:
Zvichienderana nechikonzero chatinopa epidural, kune mhando mbiri huru. Kuti unzwisise izvi zvakajeka, ona tafura iri pazasi.
| Rudzi rweEpidural | Chinangwa chikuru | Mhedzisiro yacho inogara kwenguva yakareba sei? |
|---|---|---|
| Anesthesia yeEpidural | Anesthesia inoshandiswa kubvisa marwadzo nemanzwiro panzvimbo isina chinhu. Iyi inonyanya kushandiswa panguva yekusununguka nepakuvhiyiwa. | Mhedzisiro yacho inoenderana nehuwandu hwemushonga unopihwa. Kazhinji unotora maawa mashoma. |
| Jekiseni reEpidural Steroid (ESI) | Izvi zvinoshandisa kudzikamisa kurwadziwa kwenguva refu nekuzvimba , kusanganisira kubaya jekiseni remhando ye steroid (corticosteroid). | Izvi zvinoshanda zvikuru. Zvinogona kudzora marwadzo kwemavhiki kusvika kumwedzi. |
Izvi zvinoshanda sei? Nzira dzekurapa epidural
Mashandiro anoita epidural anosiyana zvichienderana nerudzi rwayo.
- Anesthesia ye epidural inovhara kwenguva pfupi zviratidzo kubva kutsinga dzinonzwa kurwadziwa kuenda kuuropi. Zvakafanana nekudzima switch. Inodzima tsinga idzodzo kwenguva yakati.
- Jekiseni re epidural steroid rinosanganisira kubaya mushonga wakakomberedza tsinga yakazvimba iri kukonzera marwadzo. Izvi zvinoderedza kuzvimba nekumanikidzwa kwetsinga, zvichideredza marwadzo.
Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekubaya mushonga uyu.
Majekiseni epidurals anobayiwa kamwe chete
Izvi zvinosanganisira kubaiwa jekiseni kamwe chete remushonga unonyaradza marwadzo kana steroid. Izvi ndizvo zvinowanzoitwa majekiseni esteroid ekurwadziwa kwemusana.
Epidurals ine catheter
Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika (catheter) munzvimbo ye epidural. Chubhu iyi inokutendera kuti upe mishonga yakawanda panguva yakakodzera uye nehuwandu hwakakodzera. Nzira iyi inowanzoshandiswa kudzora marwadzo mumadzimai ane pamuviri uye panguva yekuvhiyiwa kwenguva refu.
Epidural ine PCA
Mushure mekuvhiyiwa kumwe, catheter inoiswa munzvimbo yako ye epidural, uye pombi diki inobatanidzirwa pairi. Unodzvanya bhatani pane izvi, uye unogona kuzvibaya mushonga wakachengeteka wawakanyorerwa nachiremba wako, chero nguva yaunoda. Izvi zvinonzi patient-controlled analgesia (PCA).
Kusanganiswa kwemusana-kupidigurirwa (CSE)
Izvi zvinosanganisira kupa musanganiswa wemushonga unonyaradza marwadzo nesteroid kuburikidza necatheter. Nzira iyi inowanzoshandiswa kudzora marwadzo panguva yekusununguka. Inonziwo 'walking epidural', asi vanhu vazhinji havakwanisi kufamba. Zvisinei, vanogona kufamba-famba nekuti vane kunzwa mumakumbo avo.
Unogadzirira sei usati watanga epidural?
Zvichienderana nechikonzero chauri kubatwa ne epidural, gadziriro yaunofanira kuita inogona kusiyana. Saka zvakakosha kutevedzera mirairo yachiremba wako nemazvo. Kazhinji, unogona kukumbirwa kuita zvinhu zvakaita se:
- Dzivisa kudya nekunwa kwemaawa mashoma usati warapwa.
- Rega kutora mimwe mishonga (kunyanya mishonga inoderedza ropa) nemavhitamini kwenguva pfupi.
- Ronga pachine nguva kuti mumwe munhu akuendese kumba mushure mekurapwa.
Chii chinoitika kana epidural ikapihwa?
Kana wapihwa epidural, uchatendeudzirwa nerutivi rwako woitwa kuti urare pasi, kana kuti uchakumbirwa kuti umire mberi wogara. Chiremba achatevera matanho aya:
1. Kutanga, kanula inopinzwa mutsinga iri muruoko rwako, semvura inodonhedzwa nesaline.
2. Zvadaro, jekiseni diki rinopihwa kuti nzvimbo yakapinzwa epidural isave nechinhu .
3. Tevere, tsono ye epidural inopinzwa munzvimbo ye epidural iri kumusana wako. (Pakubaiwa majekiseni e steroid ekurwadziwa kwemusana, kamera yakakosha (fluoroscopy) dzimwe nguva inoshandiswa, yakafanana neX-ray, kuti ione chaipo panoenda tsono.)
4. Kana paine catheter, chubhu yakatetepa (catheter) inopinzwa nepatsono uye tsono inobviswa nokungwarira. Chubhu inoramba iri mumuviri.
5. Vanobva vatanga kupa mushonga kuburikidza nechubhu iyoyo.
6. Kana usingachadi mushonga (zvinogona kuitika mumaawa mashoma kana mazuva mashoma), catheter ichabviswa.
Unganzwa kurwadziwa paunotanga kushandisa mushonga wekuti usave nechiveve. Zvadaro, kana wapihwa epidural, unganzwa kukwenya, kusanzwa chiveve, kana kupisa. Asi kana uchinzwa kurwadziwa kusingatsungiririki, unofanira kuudza chiremba wako nekukasika.
Epidural inokonzera kurwadziwa kwemusana here gare gare?
Uyu mubvunzo unobvunzwa nevanhu vazhinji uye chimwe chinhu chinotyiwa nevanhu vazhinji.
Kashoma kuti chirwere chemusana chikonzere kurwadziwa kwemusana kwenguva refu. Izvi zvinowanzova pfungwa isiriyo.
Zvakajairika kuti pave nekurwadziwa kudiki kana maronda panzvimbo yakabayiwa jekiseni kwemazuva mashoma. Izvi zvinopera zvachose mumazuva maviri kusvika matatu.
Vanaamai vazhinji vanorwadziwa nemusana mushure mekusununguka. Chikonzero cheizvi ndechekuti mapfupa nemarunda akatambanudzwa panguva yekuzvitakura ari kutanga kugadzikana panzvimbo yawo yakajairika. Izvi zvinogona kuitika kunyangwe wakambova ne epidural kana kuti kwete. Saka haugone kupomera epidural mhosva yacho.
Pane njodzi nemigumisiro here?
Mishonga yeEpidurals inowanzo chengetedzwa zvikuru, asi semamwe maitiro ekurapa, kune dzimwe njodzi diki. Zvisinei, idzi hadziwanzoitiki.
- Kubuda ropa kubva panzvimbo yakabayiwa jekiseni.
- Utachiona panzvimbo yekubaiwa jekiseni.
- Kubuda kwemvura yemusana (izvi hazviwanzoitika).
- Kukuvadzwa kwetsinga.
- Migumisiro kana kuti allergies yemishonga.
Njodzi idzi dzakaderera zvikuru. Chiremba wako achafunga nezvezvinhu izvi zvose uye achakurapa nenzira yakachengeteka zvikuru.
Unofanira kutaura nachiremba rini?
Kana ukaona chimwe chezviratidzo zviri pazasi mushure mekubatwa epidural, fonera chiremba wako nekukasika, kana kuenda kuchipatara chiri pedyo newe (ETU).
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| Kupindwa nechando | Kupisa muviri kwakanyanya. |
| weti isina kudzorwa | Kutadza kuzvidzora kana kuti kusazvidzora weti. |
| Kushaya simba/kushaya simba mumakumbo | Kushaya simba kana kushaya simba kwemakumbo kunogara kwenguva yakareba kupfuura zvakarayirwa nachiremba. |
| Musoro wakakomba | Musoro wakanyanya unoitika kana wakamira kana wakagara uye unorerutswa nekurara pasi. |
Zvakajairika kuti unzwe kutya kana ukaudzwa kuti uchabayiwa jekiseni pedyo nemusana wako. Asi epidural inzira yakachengeteka uye inoshanda yekudzora marwadzo. Taura nachiremba wako nezvemibvunzo kana zvinokunetsa. Iye achakutsanangurira zvese.
Mharidzo Yekuenda Nayo Kumba
- Epidural inzira yakachengeteka uye inoshanda yekudzivirira marwadzo.
- Inowanzoshandiswa pakurapa zvirwere zvakaita sekubereka mwana, kuvhiyiwa kwakasiyana-siyana, uye kurwadziwa kwemusana kusingaperi.
- Kazhinji kacho ipfungwa isiriyo yekuti epidural inokonzera kurwadziwa kwemusana kwenguva refu.
- Usambozeza kukurukura chero kutya, kusava nechokwadi, kana mibvunzo yaunayo nezve epidural nachiremba wako .
- Kana ukaona zviratidzo zvakaita sefivha, kushaya simba mumakumbo, kana musoro wakanyanya mushure mekuvhiyiwa, tsvaga rubatsiro rwechiremba nekukasika.
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