Ngaba ugqirha wakho wakha wakuxelela nge-epidural? Mhlawumbi yayiyeyokubeleka, okanye utyando, okanye iintlungu zomqolo. Kuqhelekile ukuba nexhala elincinci kwaye ungathandabuzi ngokujova kufutshane nomqolo wakho. Kodwa yintoni ngokwenene? Ingaba ikhuselekile? Isebenza ntoni? Ungakhathazeki, siza kuthetha ngayo ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-epidural?
I-epidural kukufakwa kwe-painkiller kwindawo engenanto ejikeleze imithambo-luvo emqolo wakho. Le ndawo siyibiza ngokuba 'yi-epidural space'. Yile ndlela elaqala ngayo eli gama.
Cinga ngomqolo wethu njengetyhubhu eneengcingo ezininzi ezihamba ngayo. Ngaphakathi kweli thubhu kukho intambo yomgogodla. Ngaphandle kweli thubhu, oko kukuthi, indawo engenanto ngaphakathi komqolo, kuthiwa yindawo ye-epidural. Ngokufaka amayeza okudambisa iintlungu kweli thuba, bayayimisa okwethutyana imiqondiso yentlungu ehamba ngaloo mithambo-luvo iye engqondweni.
Oogqirha basebenzisa ii-epidurals kwiimeko ezahlukeneyo. Umzekelo:
- Lawula iintlungu ngexesha lokubeleka .
- Ngaphambi kotyando, qalisa i-anesthesia .
- Ukunciphisa iintlungu emva kotyando .
- Nyanga iintlungu zomqolo ezibangelwa zizifo ezifana nediski ehluthwe yi-herniated.
- Lawula iintlungu ezingapheliyo .
Kukho iintlobo ezimbini eziphambili ze-epidurals:
Ngokuxhomekeke kwisizathu sokuba sinike i-epidural, kukho iintlobo ezimbini eziphambili. Ukuze ukuqonde kakuhle oku, jonga itheyibhile engasezantsi.
| Uhlobo lwe-Epidural | Injongo ephambili | Isiphumo sihlala ixesha elingakanani? |
|---|---|---|
| I-Epidural Anesthesia | I-anesthesia isetyenziselwa ukuphelisa iintlungu kunye neemvakalelo kwindawo ethile. Le isetyenziswa kakhulu ngexesha lokubeleka kunye notyando. | Isiphumo sixhomekeke kubungakanani beyeza elinikwayo. Lihlala iiyure ezimbalwa. |
| Inaliti ye-Epidural Steroid (ESI) | Isetyenziselwa ukulawula iintlungu ezingapheliyo kunye nokudumba , oku kuquka ukufaka inaliti yohlobo lwe-steroid (i-corticosteroid). | Oku kusebenza kakhulu. Kunokulawula iintlungu kangangeeveki ukuya kwiinyanga. |
Isebenza njani le nto? Iindlela zokunika i-epidural
Indlela esebenza ngayo i-epidural iyahluka ngokuxhomekeke kuhlobo lwayo.
- I-epidural anesthesia ivala okwethutyana imiqondiso esuka kwimithambo-luvo eva intlungu ukuya engqondweni. Kufana nokucima iswitshi. Icima loo mithambo-luvo okwethutyana.
- Inaliti ye-epidural steroid ibandakanya ukufaka iyeza elijikeleze umthambo ovuvukileyo obangela intlungu. Oku kunciphisa ukudumba kunye noxinzelelo kumthambo, nto leyo enciphisa intlungu.
Oogqirha basebenzisa iindlela ezahlukeneyo zokufaka eli yeza.
Ii-epidurals ezifakwa ngenaliti enye
Oku kubandakanya inaliti enye ye-anesthetic okanye i-steroid. Le yindlela edla ngokusetyenziswa ngayo inaliti ye-steroid yokuthintela iintlungu zomqolo.
Ii-Epidurals ezine-catheter
Oku kuquka ukufaka ityhubhu encinci neguquguqukayo (catheter) kwindawo ye-epidural. Le tyhubhu ikuvumela ukuba unike amayeza amaninzi ngexesha elifanelekileyo nangomlinganiselo ofanelekileyo. Le ndlela idla ngokusetyenziswa ukulawula iintlungu koomama abakhulelweyo nangexesha lotyando olude.
I-Epidural ene-PCA
Emva kotyando oluthile, i-catheter ifakwa kwindawo yakho ye-epidural, kwaye ipompo encinci iqhagamshelwe kuyo. Ucofa iqhosha kuyo, kwaye ungazitofa ngomlinganiselo okhuselekileyo wamayeza anikwe ngugqirha wakho, nanini na xa uwafuna. Oku kubizwa ngokuba yi-patient-controlled analgesia (PCA).
Umqolo odibeneyo kunye ne-epidural (CSE)
Oku kuquka ukunika umxube we-anesthetic kunye ne-steroid nge-catheter. Le ndlela idla ngokusetyenziswa ukulawula iintlungu ngexesha lokubeleka. Ikwabizwa ngokuba yi-'walking epidural', kodwa abantu abaninzi abakwazi ukuhamba. Nangona kunjalo, basenako ukuhambahamba kuba banemvakalelo ethile emilenzeni yabo.
Uzilungiselela njani ngaphambi kwe-epidural?
Ngokuxhomekeke kwisizathu sokuba ufumane i-epidural, amalungiselelo ekufuneka uwalungiselele anokwahluka. Ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ngokwesiqhelo, unokucelwa ukuba wenze izinto ezinje:
- Kuphephe ukutya nokusela iiyure ezimbalwa ngaphambi konyango.
- Yeka okwethutyana ukuthatha amayeza athile (ingakumbi amayeza okunciphisa igazi) kunye neevithamini.
- Lungiselela kwangaphambili ukuba umntu akuse ekhaya emva konyango.
Kwenzeka ntoni xa kunikwa i-epidural?
Xa unikwa i-epidural, uza kujika ngecala uze ulale phantsi, okanye uza kucelwa ukuba ugobe phambili uhlale phantsi. Emva koko ugqirha uza kulandela la manyathelo:
1. Okokuqala, i-cannula ifakwa emthanjeni osengalweni yakho, njenge-saline drip.
2. Emva koko, kufakwa inaliti encinci ukuze kuthintelwe indawo apho kufakwe khona i-epidural.
3. Okulandelayo, inaliti ye-epidural ifakwa kwindawo ye-epidural emqolo wakho. (Kwiinaliti ze-steroid zentlungu yomqolo, ngamanye amaxesha kusetyenziswa ikhamera ekhethekileyo (i-fluoroscopy), efana ne-X-ray, ukuze kubonwe ngqo apho inaliti iya khona.)
4. Ukuba kufakwa i-catheter, kufakwa ityhubhu encinci (i-catheter) ngenaliti kwaye inaliti isuswe ngononophelo. Ityhubhu ihlala ngaphakathi emzimbeni.
5. Emva koko baqala ukunika iyeza ngaloo tyhubhu.
6. Xa ungasadingi mayeza (okunokwenzeka emva kweeyure ezimbalwa okanye iintsuku ezimbalwa), i-catheter iya kususwa.
Usenokuziva unomsindo xa uqala ukufumana iyeza lokubulala iintlungu. Emva koko, xa unikwa i-epidural, unokuziva urhawuzelelwa kancinci, urhawuzelelwa, okanye uvutha. Kodwa ukuba ufumana iintlungu ezinganyamezelekiyo, kufuneka uxelele ugqirha wakho ngoko nangoko.
Ngaba i-epidural ingabangela intlungu emqolo kamva?
Lo ngumbuzo obuzwa ngabantu abaninzi kwaye yinto abantu abaninzi abayoyikayo.
Kunqabile kakhulu ukuba i-epidural ibangele iintlungu zomqolo ezihlala ixesha elide. Oku kudla ngokuba yinto engafanelekanga.
Kuqhelekile ukuba kubekho ukuqaqamba okanye ukukrweleka okuncinci kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbalwa. Oku kuya kuphela ngokupheleleyo kwiintsuku ezimbini ukuya kwezintathu.
Oomama abaninzi bava iintlungu zomqolo emva kokubeleka. Isizathu soku kukuba amathambo kunye nemisipha eyayisoluliwe ngexesha lokukhulelwa iqala ukuhlengahlengisa indawo yayo eqhelekileyo. Oku kunokwenzeka nokuba ubunayo i-epidural okanye akunjalo. Ngoko ke awunakubeka ityala kwi-epidural ngayo.
Ngaba kukho iingozi kunye nemiphumo emibi?
Ii-epidurals zihlala zikhuselekile kakhulu, kodwa njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezincinci kakhulu. Nangona kunjalo, ezi azixhaphakanga kakhulu.
- Ukopha kwindawo efakwe kuyo inaliti.
- Usulelo kwindawo yokutofa.
- Ukuvuza kolwelo lomqolo (oku kwenzeka rhoqo).
- Umonakalo wemithambo-luvo.
- Iziphumo ebezingalindelekanga okanye ukunganyamezelani namayeza.
Ezi ngozi ziphantsi kakhulu. Ugqirha wakho uza kuziqwalasela zonke ezi zinto aze akuphathe ngendlela ekhuselekileyo.
Ufanele uthethe nini nogqirha?
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kokufumana i-epidural, fowunela ugqirha wakho ngoko nangoko, okanye uye kwicandelo elikufutshane lesibhedlele esingxamisekileyo (ETU).
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Ukuchama okungalawulekiyo | Ukungakwazi ukuzibamba komchamo okanye ilindle. |
| Ubuthuntu/ubuthathaka emilenzeni | Ukuba ndindisholo okanye ubuthathaka emilenzeni kuhlala ixesha elide kunokuba ugqirha emyalele. |
| Intloko ebuhlungu kakhulu | Intloko ebuhlungu eyenzeka xa umi okanye uhleli kwaye ikhululeka xa ulele phantsi. |
Kuqhelekile ukuziva usoyika xa uxelelwa ukuba uza kufumana inaliti kufutshane nomqolo wakho. Kodwa i-epidural yindlela ekhuselekileyo nesebenzayo yokulawula iintlungu. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- I-epidural yindlela ekhuselekileyo nesebenzayo yokulawula iintlungu.
- Isetyenziswa kakhulu kwiimeko ezinje ngokubeleka, utyando olwahlukeneyo, kunye neentlungu ezingapheliyo zomqolo.
- Kudla ngokuba yingcamango engafanelekanga ukuba i-epidural ibangela iintlungu zomqolo ezihlala ixesha elide.
- Ungaze unqikaze ukuxoxa nogqirha wakho ngayo nayiphi na into oyicingayo, amathandabuzo, okanye imibuzo onayo malunga ne-epidural .
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, ubuthathaka emilenzeni yakho, okanye intloko ebuhlungu emva kokuhlinzwa kwe-epidural, funa ingcebiso kagqirha ngoko nangoko.
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