Uyoyika i-epidural? Masithethe ngale nto ngokulula!

Xa uza kubeleka okanye wenze utyando olukhulu, kunokuba yinto eyoyikisayo xa ugqirha ekuxelela ukuba uza kuyidinga i-epidural. Abantu abaninzi bayaxhalaba xa besiva igama elithi "epidural" kwaye liyinaliti emqolo. Kodwa yintoni kanye kanye i-epidural? Isebenza ntoni? Ngaba yinto yokoyika? Masiyiqonde ngokucacileyo nangokulula le nto.

Ngamafutshane, yintoni i-epidural?

I-epidural yinaliti kwindawo ejikeleze imithambo-luvo emqolo wakho (indawo ye-epidural) . Ayifakwa ngqo kwintambo yomqolo. Ifakwa kuphela kwindawo ejikeleze yona. Isetyenziselwa kakhulu ukulawula iintlungu.

Nazi ezinye iimeko apho oku kusetyenziswa khona:

• Lawula iintlungu ezigqithisileyo ngexesha lokubeleka .
• Nciphisa indawo (ukubulala iintlungu) ngaphambi kotyando.
• Nciphisa iintlungu emva kotyando.
• Njengonyango lweentlungu ezingapheliyo zomqolo ezibangelwa zizifo ezifana nediski ehluthwe yi-herniated.

Ziziphi iintlobo ze-epidurals?

Kukho iintlobo ezimbini eziphambili ze-epidurals ezisetyenziswa ngoogqirha, kuxhomekeke kwiimfuno zakho.

Isebenza kanjani lento?

Indlela esebenza ngayo i-epidural iyahluka ngokuxhomekeke kuhlobo olunikiweyo.

I-epidural anesthesia ithintela okwethutyana ukudluliselwa kwemiqondiso yentlungu esuka kwimithambo-luvo yakho yomqolo ukuya engqondweni yakho. Oku kuthetha ukuba imithambo-luvo "icinyiwe" okwethutyana. Ubude besiphumo buxhomekeke kubungakanani beyeza elinikiweyo.

Inaliti ye-epidural steroid (ESI) inciphisa ukudumba kunye noxinzelelo ngokufaka amayeza ajikeleze imithambo-luvo evuvukileyo ebangela iintlungu.

Iindlela ezahlukeneyo zokunika amayeza

Oogqirha, zininzi iindlela zokufaka eli yeza emzimbeni wakho.

• Inaliti enye: Le yinaliti ejovwa kube kanye. Le yindlela ejovwa ngayo rhoqo.
• I-Epidural ene-catheter: I-catheter yityhubhu encinci kakhulu, eguquguqukayo. Le tyhubhu ifakwa kwindawo ye-epidural kwaye ingasetyenziselwa ukunika amayeza rhoqo njengoko kufuneka. Le ndlela idla ngokusetyenziswa ngexesha lokubeleka nakwiinkqubo zotyando ezithatha iiyure ezininzi.
• I-Analgesia eLawulwa yiSigulana (i-PCA): Le yindlela yokunika amayeza entlungu nge-catheter. Kodwa ungawafumana ngokwakho amayeza entlungu ngokucinezela iqhosha kwisixhobo esincinci esisesandleni sakho. Oku kukunika kuphela idosi ekhuselekileyo emiselwe ngugqirha wakho, ngoko ke akukho nto inokubangela ixhala ngayo.
• I-Combined Spinal-Epidural (CSE): Le ndlela isetyenziswa kakhulu ngexesha lokubeleka. Abanye abantu bayibiza ngokuba yi-"walking epidural." Nangona kunjalo, awuyi kukwazi ukuhamba konke konke. Nangona kunjalo, uya kuba nemvakalelo ethile emilenzeni yakho, ngoko ke unokuhambahamba ebhedini kwaye utshintshe izikhundla.

Ngaba kufuneka ndilungiselele ngaphambi kwe-epidural?

Ewe. Kodwa izinto ekufuneka uzenze ziya kwahluka ngokuxhomekeke kuhlobo lwe-epidural onayo kunye nesizathu sayo. Ugqirha wakho uya kukunika imiyalelo ecacileyo malunga noku. Ngokuqhelekileyo unokucelwa ukuba wenze oku kulandelayo:

• Zila ukutya (ukungatyi nokusela) iiyure ezimbalwa ngaphambi kokuba kwenziwe inkqubo.
• Yeka okwethutyana ukusebenzisa nawaphi na amayeza owasebenzisayo, ingakumbi amayeza okunciphisa igazi .
• Lungiselela kwangaphambili ukuba umntu akuse ekhaya emva kwenkqubo.

Kwenzeka ntoni xa kunikwa i-epidural?

Oku kuyahluka ngokuxhomekeke kuhlobo olunikiweyo.

Ukuba kufakwe inaliti enye:

Uza kucelwa ukuba ulale ngesisu. Emva koko ugqirha:

1. Kufakwa inaliti encinci ukuze kuthintelwe ulusu olujikeleze indawo efakwe inaliti.

2. I-Fluoroscopy , umatshini ofana ne-X-ray ephilayo, isetyenziselwa ukuqinisekisa ukuba inaliti iya ngqo apho kufanele ukuba ikhoyo.

3. Inaliti ifakwa kwindawo ye-epidural kwaye iyeza liyafakwa.

4. Inaliti iyasuswa kwaye kufakwa iplasta encinci kwindawo yokutofa.

Ukuba kufakwe i-catheter:

1. I-cannula (umgca we-IV) iya kufakwa emthanjeni osengalweni yakho ukuze ikunike i-saline.

2. Uza kucelwa ukuba ulale ngecala, amadolo akho asondele esifubeni sakho, okanye uhlale esihlalweni ugobe phambili. Le ndawo iya kwandisa isithuba phakathi komqolo wakho.

3. Indawo yokuhlatywa kwenaliti ayisebenzi kakuhle.

4. Inaliti ye-epidural ifakwa kwaye i-catheter (ityhubhu encinci) idluliselwa kuyo iye kwindawo ye-epidural.

5. Emva koko inaliti isuswa ngononophelo, kushiyeke i-catheter kuphela ngaphakathi.

6. Amayeza afunekayo anikwa ngaloo catheter.

7. Xa isidingo samayeza siphelile (emva kweeyure ezimbalwa okanye iintsuku ezimbalwa), i-catheter iyasuswa.

Ziziphi iingenelo kunye neengozi ze-epidural?

I-epidural yindlela ekhuselekileyo nesebenzayo yokulawula iintlungu. Ngexesha lokubeleka, iguquguquka ngakumbi kunezinye iindlela zokubulala iintlungu. Ikwanazo neziphumo ebezingalindelekanga ezimbalwa. Kwabo banentlungu engapheliyo, inokuthintela nezinto ezifana notyando ukuba iintlungu ziyalawulwa.

Iingozi ezinokubakho:

• Ukopha kwindawo efakwe kuyo inaliti.
• Usulelo kwindawo yokutofa.
• Ukonakala komthambo (kunqabile kakhulu).
• Ukusabela kwe-allergy kwiyeza.
• Ukuvuza kolwelo olujikeleze umqolo (`ukuvuza kolwelo lwe-cerebrospinal`). Oku kunokubangela intloko ebuhlungu kamva.

Ngaba i-epidural ingabangela intlungu emqolo kamva?

Olu loyikiso olukhulu kubantu abaninzi. Khumbula ukuba kunqabile kakhulu ukuba i-epidural ibangele iintlungu zomqolo ezihlala ixesha elide okanye ezingapheliyo .

Kuqhelekile ukuba nentlungu okanye ukukrweleka okwethutyana kwindawo yokuhlatywa inaliti kangangeentsuku ezimbalwa. Oku kuya kuphela kwiintsuku ezimbini ukuya kwezintathu. Oomama abaninzi bafumana iintlungu zomqolo emva kokubeleka - nokuba babene-epidural okanye babengenayo . Oku kungenxa yokuba amathambo esinqeni kunye nemisipha eyatshintsha ngexesha lokukhulelwa iyaziqhelanisa neendawo zayo ezintsha.

Ufika nini kugqirha

Ukuba unezinye zezi mpawu zilandelayo emva kokwenza i-epidural, fowunela ugqirha wakho ngoko nangoko okanye uye kwisebe lezonyango ezingxamisekileyo lesibhedlele (ETU) elikufutshane .

Kuqhelekile ukuba uzive usoyika xa usiva igama elithi "spinal tap." Kodwa i-epidural yindlela ekhuselekileyo nesebenzayo yokulawula iintlungu esetyenziswa kakhulu kwihlabathi liphela. Ngoko ke ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo malunga noku.