Ngaba ukulungele ukuba ngumama kwaye ungathanda ukwazi ngee-epidurals zokunciphisa iintlungu ngexesha lokubeleka?

Ukulindela umntwana ngamava akhethekileyo namnandi kubomi bomfazi ngamnye. Kwangaxeshanye, kuqhelekile ukuba noloyiko oluncinci kunye nexhala malunga nentlungu ngexesha lokubeleka. Abanye abantu banokuziva besoyika nangona becinga ngentlungu eza ngelo xesha. Nangona kunjalo, ngenxa yokuba isayensi yezonyango ihambele phambili kangakanani, kukho iindlela zokukunceda ulawule loo ntlungu kakhulu kwaye ujongane nokuzala ngengqondo ezolileyo necacileyo. Enye indlela eyaziwayo nephumelele kakhulu phakathi kwabaninzi ibizwa ngokuba yi-'(Epidural)' . Abanye babiza oku ngokuba yi-'(Epidural Block)'. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kulungile?

Yintoni le `(Epidural)`? Kalula nje...

Ngamafutshane, i-epidural yindlela yokunciphisa iintlungu zokubeletha, ikwenze uzive ukhululekile kancinci, kwaye ikuncede uzive uzolile kwaye ulawula yonke inkqubo.

Le yindlela yokulawula iintlungu kwindawo ethile yomzimba, "Ulawulo lweentlungu zengingqi." Oko kukuthi, yonke indawo engaphantsi kweempundu zakho - kuquka iindonga zesini ukuya kuthi ga emilenzeni yakho - iyasuswa kwiintlungu. Kodwa eyona nto ibalulekileyo kukuba xa ufumana "i-Epidural," nangona ungenazo iintlungu, usaphila , unokuziva okwenzekayo kufutshane nawe, kwaye unokuva oko kuthethwa ngoogqirha nabahlengikazi. Oko kuthetha ukuba ungonwabela umzuzu omhle umntwana wakho efika kweli hlabathi enengqondo ecacileyo. Le yindlela ephambili yokunika isiqabu kwiintlungu ngexesha lokubeleka.

Inikwa njani le `(Epidural)`? Ungacacisa kancinci?

Ngoku mhlawumbi ucinga, "Owu, ndingayenza njani le nto? Ngaba iza kuba buhlungu? Yintoni eza kwenzeka?" Ungakhathazeki, ndiza kukuchazela ngokulula.

Xa ufumana i-epidural, ingcali yokubulala iintlungu ifaka ityhubhu encinci ebizwa ngokuba yi-catheter emqolo wakho ongezantsi, ngakumbi kwindawo ejikeleze intambo yomqolo ebizwa ngokuba yi-epidural space. Indawo ye-epidural yindawo encinci engaphandle kwe-membrane encinci egubungela intambo yomqolo wakho.

Xa usenza oku, uza kucelwa ukuba uhlale phantsi okanye ulale phantsi. Nokuba yeyiphi na indlela, kufuneka ugcine umqolo wakho ujikelezile kwaye ugobile phambili . Cinga ngayo njengekati enomqolo wayo ogobileyo. Ngale ndlela, kuya kuba lula kugqirha ukufaka i-catheter.

Le `(Catheter)` iza kuthatha imizuzu embalwa ukuyifaka. Okokuqala, kufakwa iyeza elincinci ukuze kuthintelwe loo ndawo. Ngoko ke ungaziva urhawuzelelwa kancinci, njengembovane encinci ekulumayo, okanye uziva uhlaba. Emva koko ungaziva ucinezelekile okanye uziva ucinezelekile. Inaliti isetyenziselwa ukukhokela i`(Catheter)` encinci kwindawo efanelekileyo. Emva kokuba ifakiwe, inaliti iyasuswa. Ungaziva i`(Catheter)` emqolo wakho, kodwa ayibuhlungu okanye ayikhululeki.

Le `(i-Epidural catheter)` iya kuhlala ikwindawo yayo de kube kuphelile ukuzala kwakho. Kulapho amayeza eentlungu anikwa khona xa kufuneka.

Kuvakala njani emva kokuba unikwe i-epidural?

Iyeza elinikwa nge-epidural catheter lisenokuba ne-painkillers (ezifana ne-opioids), i-anesthesia, okanye zombini ezi zinto zimbini.

Uza kuqala ukuziva iziphumo zamayeza kwimizuzu eli-10-20 emva kokuba enikwe. Uza kuqhubeka uziva iintshukumo zomntwana, ukuqina kwesisu sakho xa isibeleko sifinyela. Oko kukuthi, uza kuva uxinzelelo lomntwana ozama ukuphuma. Kodwa intlungu enganyamezelekiyo iza kube iphelile kakhulu. Kubaluleke kakhulu ukuba uzive ezi ntlungu, kuba ziya kukunceda xa uqala ukutyhala umntwana.

Njengoko ugqirha enyusa okanye enciphisa umthamo weyeza, imilenze yakho isenokuziva ibuthathaka kancinci, ifudumele, irhawuzelela, indindisholo, okanye inzima. Nangona kunjalo, ngokungafaniyo nezinye iintlungu, xa ufumana i- epidural , uyazi kakuhle kwaye uyazi ukuba kwenzeka ntoni kufutshane nawe.

Ziziphi iingenelo zokufumana i-epidural?

Kukho iingenelo ezininzi ze-epidural. Makhe sijonge ezona ziphambili.

• Ukunceda intlungu ixesha elide: Eyona nzuzo inkulu kukuba ungafumana uncedo lokunceda intlungu ixesha elide kangangoko ufuna, oko kuthetha ukuba ude uphele umhla wokuzala.
• Ubuchule bokulungisa umthamo: Oogqirha banokuyilungisa idosi yamayeza ngokweemfuno zakho kunye nezigaba zokubeleka. Banokuyeka nokukunika amayeza okwethutyana ukuba kuyimfuneko.
• Ukuphaphama kakuhle kunye namandla: Ekubeni umthamo wamayeza udla ngokuba sezantsi, oku kunceda umama ahlale ephaphile, eve ukudumba xa kufika, kwaye kwangaxeshanye abe namandla afunekayo okutyhala umntwana.
• Ukhuseleko: Ngenxa yokuba uninzi lwamayeza luhlala kwindawo ye-epidural, kuncinci kakhulu okungena egazini likamama okanye lomntwana. Ke ngoko, i-epidural ikhuselekile kakhulu kumama nakumntwana.
• Kwimeko yoqhaqho olungxamisekileyo: Khawuthelekelele ukuba kufuneka wenze uqhaqho olungxamisekileyo ngexesha lokubeleka. Kwimeko enjalo, unokufumana i-anesthetic enamandla kancinci nge-catheter ye-epidural osele unayo. Oku kuya kukutyhafisa ngokupheleleyo ukususela esinqeni ukuya ezantsi, kodwa uya kuba uphaphile ngokupheleleyo ngexesha lotyando. (Nangona kunjalo, ukuba une-C-section engxamisekileyo ngaphandle kwe-catheter ye-epidural, unokufuna ukunikwa i-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto ngexesha lotyando.)

"I-epidural inokunceda kakhulu ekunciphiseni iintlungu kwaye ikuvumele ukuba wamkele umntwana wakho emhlabeni ngengqondo ezolileyo necacileyo."

Ngaba kukho naziphi na iingxaki okanye iingozi kwi-epidural?

Njengakwezinye iinkqubo zonyango, i-epidural ayizizo ezingenazo iingozi zayo. Kodwa ezi zihlala zincinci okanye zilawulwa lula ngoogqirha. Makhe sijonge ukuba ziyintoni na:

• Ubunzima bokutyhala: Ngamanye amaxesha, i-epidural inokwenza kube nzima ukutyhala umntwana . Nangona kunjalo, ukuba oku kuyenzeka, ingcali ye-anesthesiologist inokulungisa umthamo wamayeza ukulungisa ingxaki.
• Uxinzelelo lwegazi oluphantsi kumama: Oku kunokuba nefuthe elincinci ekuhambeni kwegazi kumntwana. Kodwa oku kunokulawulwa lula ngoogqirha.
• Ezinye izinto ezingathandekiyo: Abanye abantu banokuba neentloko ezibuhlungu, iintlungu zomzimba, umkhuhlane, isicaphucaphu, okanye ukuhlanza .
• Ubunzima bokuchama okwethutyana: Ngamanye amaxesha kunokuba nzima ukuchama. Ukuba oku kuyenzeka, kunokufuneka kufakwe i-catheter yexeshana yomchamo.

Ezi zinto zisenokuvakala zisoyikisa kancinci, kodwa khumbula ukuba iingozi ziphantsi kakhulu (Ilungisiwe: "ரோமே ஦ாயி" sisiTamil, sebenzisa "இதமா ஦ாயி"), ziphantsi kakhulu , kwaye iqela lezonyango likulungele konke oku.

Ngaba i-epidural iya kumchaphazela umntwana wam?

Uloyiko oluphambili abanalo abanye oomama kukuba, "Ngaba eli yeza liza kuyichaphazela na imveku?" Enyanisweni, lincinci kakhulu iyeza elinikwa nge-epidural elifikelela egazini lomntwana. Eli lincinci kakhulu kunelo leyeza eliza kufikelela kumntwana ukuba unikwe i-IV okanye i-anesthesia jikelele.

Umngcipheko womntwana obangelwa yi-epidural uphantsi kakhulu. Nangona kunjalo, ngamanye amaxesha ukubandezeleka okuncinci kunokwenzeka. Oku kuthetha ukuba ukubetha kwentliziyo yomntwana kunokuhla ngenxa yoxinzelelo lwegazi oluphantsi lukamama. Nangona kunjalo, oku kunokulungiswa ngokulula. Oku kunokuthintelwa ngokunika umama ulwelo nge-IV, ukutshintsha indawo yakhe, nokuphucula ukujikeleza kwegazi kwakhe.

Ndiza kuziva njani emva kokufumana umntwana?

Usenokuziva ungcangcazela emva kokuzala umntwana. Oku kwahlukile kwabanye abantu, nokuba babene-epidural okanye babengenayo, ngoko ungakhathazeki ngayo.

Imilenze yakho iya kuziva indindisholo kwaye inzima, ivakalelwa ngathi iyakruqula de imiphumo yamayeza iphele. Ngoko ke usenokungakwazi ukuhamba iiyure ezimbalwa emva kokuba umntwana wakho ezelwe. Nangona kunjalo, kungcono ukuba nomntu onokukunceda uhambe ude imilenze yakho ivakale njengeqhelekileyo.

Ukuba ubunokuhlinzwa nge-C-section, ugqirha wakho unokushiya i-epidural endaweni yayo okwethutyana ukunceda ukulawula iintlungu emva kotyando.

Indawo ye-epidural inokuba buhlungu kancinci kangangeentsuku ezimbalwa. Oku kuqhelekile. Amaxesha amaninzi, oomama abaye baba ne-epidural banokuba nentloko ebuhlungu emva kokubeleka. Ukuba oku kuyenzeka, kufuneka uxelele ugqirha wakho ngoko nangoko.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ekugqibeleni, i-epidural yindlela elungileyo nekhuselekileyo yokulawula intlungu yokuzala. Inokukunceda ukunciphisa iintlungu kwaye wamkele umntwana wakho emhlabeni ngentuthuzelo noxolo lwengqondo.

Kakade ke, ayinguye wonke umntu odinga i-epidural, kwaye abanye abantu abayifuni. Yisigqibo sakho ngokupheleleyo. Kodwa ukuba ucinga ngayo, thetha nogqirha wakho ngayo . Banokukunceda ukhethe eyona ndlela ifanelekileyo kuwe, ucinge ngemeko yakho yempilo, izinto ozikhethayo, nokunye.

Khumbula, ukuzala lucelomngeni kwaye luyinto entle. Unelungelo lokwenza loo nto ibe mnandi kangangoko.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Ukuba kukho enye into ofuna ukuyibuza, nceda uzive ukhululekile ukubuza!

I- Epidural, ukuzala, iintlungu zokuphelisa iintlungu, iintlungu zokubeletha, utyando lotyando, i-anesthesia, ukukhulelwa