Ukuba ukhulelwe, mhlawumbi ukhe weva nge-'epidural' yokunciphisa iintlungu ngexesha lokubeleka. Okanye ukhe weva umntu ethetha ngayo ukulawula iintlungu emva kwentlungu yomqolo okanye utyando. Abantu abaninzi bayoyika kancinci xa besiva eli gama, kuba bayazi ukuba lijelo elinikwa umqolo. Ngoko ke namhlanje, masithethe ngokuba yintoni i-epidural, yintoni eyenzayo, kwaye ingaba ikhuselekile na, ngendlela elula kakhulu onokuyiqonda.
Yintoni kanye kanye i-epidural?
Ngamafutshane, yityhubhu encinci, eguquguqukayo ( i-catheter ) efakwa kwindawo encinci emqolo wakho, ngaphandle nje kwe-membrane encinci ekhusela umqolo wakho, ebizwa ngokuba yi-epidural space . Ayiyi kubetha ngqo umqolo wakho. Oogqirha basebenzisa le ndlela ukuhambisa amayeza okudambisa iintlungu ngqo kwimithambo-luvo ethwala imiqondiso yentlungu eya engqondweni yakho. Oku kuthetha ukuba amayeza ambalwa afakwa kwezinye iindawo zomzimba wakho, kwaye kukho iziphumo ebezingalindelekanga ezimbalwa.
Cinga ngomyalezo wentlungu njengololiwe ohamba ngemithambo-luvo ukuya engqondweni. Oko kwenziwa yi-epidural kukumisa okwethutyana inxalenye yomzila kaloliwe. Emva koko umyalezo wentlungu awuyi engqondweni, kodwa uziva izinto ezifana nokuchukumisa kunye noxinzelelo. Yiloo nto ikhethekileyo ngayo.
Ziziphi iindlela eziphambili zokusebenzisa i-epidural?
I-epidural isetyenziswa ngeendlela ezimbini eziphambili: njenge -anesthesia kunye ne-analgesia.
| Indlela esetyenzisiweyo | Inkcazo kunye nokusetyenziswa |
|---|---|
| I-Anesthesia ye-Neva Block | Oku kwenzelwa ukuthintela ngokupheleleyo iintlungu ngexesha lotyando. Le ndlela isetyenziswa ngakumbi ngexesha lokubeleka, utyando lwesisu okanye umlenze. Nangona iintlungu ziphelile, uphilile engqondweni. Usenokukwazi nokuhamba ngoncedo. Iyeza linikwa rhoqo nge-catheter, ukuze ungaziva ntlungu de utyando luphele. |
| Iinaliti ze-Epidural Steroid | Oku kwahlukile kancinci. Oku kusebenzisa amayeza afana nee-steroids. Oku kwenzelwa ukunciphisa ukudumba kunye nentlungu ebangelwa yi-nerve ecinezelekileyo, i-herniated disc, okanye i-spinal stenosis. Ugqirha usebenzisa i-X-ray ukufumana i-nerve ebangela intlungu aze ayifake kufutshane nayo. Ngamanye amaxesha le ndlela ikwasetyenziselwa ukufumana unobangela wentlungu. |
Ingaba i-epidural ibuhlungu? Kwenzeka ntoni?
Le yeyona ngxaki inkulu abantu abaninzi abanayo. Nantsi into eyenzekayo ngokwenene:
1. Indawo: Uza kucelwa ukuba uhlale phantsi umqolo wakho ugobile phambili okanye ujike ecaleni utsale amadolo akho esifubeni sakho. Oku kuya kwandisa isithuba phakathi komqolo wakho kwaye kube lula ukufaka inaliti.
2. Okokuqala, yenza ulusu lube ne-debris : Ngaphambi kokuba kufakwe inaliti ye-epidural, ingcali ye-anesthesia iza kunika inaliti encinci ukuze ibenze ulusu lube ne-debris kuloo ndawo. Ngeli xesha, ungaziva ngathi ulunywa yimbovane encinci.
3. Ukufaka i-epidural: Emva kokuba ulusu luphelelwe ngamandla, ugqirha ufaka i-epidural. Ngeli xesha, abanye abantu banokuziva berhawuzelelwa kancinci, betshile, okanye bephelelwe ngamandla. Kodwa abanye abantu abaziva nto.
4. Ukufaka i-catheter nokususa inaliti: Kufakwa ityhubhu encinci (i-catheter) ngenaliti kwaye inaliti isuswe ngokupheleleyo. Konke okuseleyo emzimbeni wakho yile tyhubhu incinci, eguquguqukayo. Ngoko ke akukho nto ifanele ixhalabe ngayo, inaliti ayizukuhlala emzimbeni wakho.
5. Ukunika amayeza: Emva koko, iintlungu zinikwa ngale tube. Intlungu iyancipha kancinci kancinci kwimizuzu eli-10-20.
Kubaluleke kakhulu: Ukuba ufumana intlungu enzima nenganyamezelekiyo ngexesha okanye emva kwe-epidural, kubaluleke kakhulu ukwazisa ugqirha wakho okanye umongikazi wakho ngoko nangoko.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezinokubangela oku?
Njengakwezinye iindlela zonyango, i-epidural inokubangela iziphumo ebezingalindelekanga ezincinci. Nangona kunjalo, iingxaki ezinkulu azifumaneki rhoqo .
| Uhlobo lwesiphumo esibi | Inkcazo |
|---|---|
| Okuqhelekileyo |
|
| Ayiqhelekanga | |
| Iziphumo ezithile ezinokwenzeka ngexesha lokubeleka |
Abantu abaninzi bacinga ukuba i-epidural iya kubangela iintlungu zomqolo ezihlala ixesha elide. Nangona kunjalo, uphando lwezonyango aluzange lukungqine oku. Kuqhelekile ukuba neentlungu ezincinci kwindawo yokufakwa inaliti kangangeentsuku ezimbalwa emva kokufakwa inaliti.
Ngaba kukho abantu abangafanele ukuba ne-epidural?
Ewe, kwezinye iimeko, ukunika i-epidural kunokuba yingozi. Ugqirha wakho uza kuthetha nawe ngale nto.
- Ukuba une -aleji kwi-anesthetics.
- Ukuba unengxaki yokujiya kwegazi okanye uthatha amayeza okunciphisa igazi.
- Ukuba kukho isifo solusu kwindawo yokutofa.
- Iimeko zonyango ezifana nesifo seswekile esingalawulekiyo.
Kwimeko enjalo, ugqirha wakho uza kucebisa enye i-painkiller eyahlukileyo ekufaneleyo.
Yintoni ekufuneka uyilumkele emva kokuba ne-epidural?
Kukho izinto ezithile ekufuneka uziphephe de imiphumo ye-epidural iphele, edla ngokuba ziiyure ezingama-24.
- Kuphephe ukuqhuba.
- Kuphephe ukusebenzisa oomatshini.
- Kuphephe ukusela utywala.
Ngokuxhomekeke kutyando lwakho kunye nohlobo lwe-epidural olufumeneyo, ugqirha wakho uza kukunika imiyalelo ethile. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- I-epidural yindlela ekhuselekileyo nesebenzayo yokulawula iintlungu esetyenziswa ngexesha lokubeleka, utyando, kunye nezinye iimeko zentlungu ezingapheliyo.
- Kule nto, akukho naliti ifakwayo emzimbeni. Kufakwa ityhubhu encinci neguquguqukayo (catheter).
- Ulusu luba ndindisholo ngaphambi kokuba kufakwe i-epidural, ngoko awuyi kuva iintlungu ezininzi. Nangona kunjalo, ungaziva ungakhululekanga kancinci.
- Amathuba okuba neziphumo ebezingalindelekanga ezinzulu aphantsi kakhulu. Nangona kunjalo, ukuba unamathandabuzo okanye imibuzo malunga nantoni na, ungathandabuzi ukubuza ugqirha wakho.
- Kubaluleke kakhulu ukuze ukhuseleke ukulandela imiyalelo kagqirha wakho kanye emva kokuba unikwe i-epidural.
I-Epidural, ukuzala, iintlungu zokuphelisa iintlungu, i-anesthesia, iintlungu zomqolo, utyando, utyando
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