Ukuba ngumama yenye yezona zinto zintle nezixabisekileyo umfazi anokuba nazo ebomini bakhe. Nangona kunjalo, kunye nolo vuyo, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala xa ucinga ngentlungu ehambisana nokuba nomntwana. Ngamanye amaxesha, kufuneka unyamezele le ntlungu kangangeeyure, kwaneentsuku. Ngoko ke, enye yezona ndlela zidumileyo nezisebenzayo zokulawula le ntlungu namhlanje yi-epidural. Nangona abantu abaninzi bevile ngayo, abazi ukuba yintoni kanye kanye, yenziwa njani, kwaye ziziphi izinto ezilungileyo nezingalunganga. Ngoko ke namhlanje, siza kuthetha ngayo yonke le nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-epidural?
I-epidural yinaliti ekhethekileyo yokubulala iintlungu enikwa ukunciphisa iintlungu zokuzala. Ifana ne-anesthesia. Nangona kunjalo, ithomalalisa kuphela inxalenye esezantsi yomzimba wakho, ukusuka esiswini ukuya ezantsi, endaweni yomzimba wonke.
Olu tyando lunikwa kwindawo ethambileyo kakhulu ejikeleze umqolo wakho. Ngokwezonyango, le ndawo ibizwa ngokuba yi -'Epidural Space' . Le ndawo kulapho kukho khona imithambo-luvo ephambili ethwala imiqondiso yentlungu esuka emzimbeni wethu ukuya engqondweni. Ngoko ke xa kufakwa i-anesthetic kule ndawo, imiqondiso yentlungu eya engqondweni iyavalwa okwethutyana, kwaye awuva ntlungu.
Le nkqubo yenzeka njani?
I-epidural idla ngokunikezelwa kwigumbi lokubeleka apho ukuyo. Awuyi kuva ntlungu ingako xa inikwa, kodwa ungaziva ungakhululekanga.
1. Indawo yokuma: Okokuqala, ugqirha wakho okanye ingcali yokudambisa iintlungu uza kukuxelela ukuba ulale kwelinye icala lebhedi, amadolo akho asondele esifubeni sakho kangangoko kunokwenzeka, ngokungathi ugobile. Le ndawo yokuma iza kukunceda ubone indawo ephakathi komqolo wakho.
2. Ukucoca nokufaka iintlungu: Okulandelayo, indawo eza kufakwa inaliti icocekile kakuhle kwaye kufakwa inaliti encinci ukuze ulusu lungabi nantlungu.
3. Ukufaka inaliti ye-epidural : Okulandelayo, inaliti ye-epidural eyenzelwe ngokukodwa ifakwa ngononophelo 'kwindawo ye-epidural' esithethe ngayo ngaphambili.
4. Ukunika amayeza: Nje ukuba inaliti ikwindawo efanelekileyo, kufakwa ityhubhu ethambileyo neguquguqukayo (catheter) ngayo ize ikhutshwe inaliti. Emva koko, ngale tyhubhu, isixa esifunekayo samayeza okubulala iintlungu singeniswa kancinci emzimbeni wakho kusetyenziswa ipompo.
Uza kuziva iintlungu ziphela kancinci kancinci kwimizuzu eli-15 emva kokusela eli yeza. Ubungakanani bentlungu ozivayo buya kuxhomekeka kuhlobo, ubungakanani, kunye nobungakanani beyeza olinikwayo.
Eyona nto ibalulekileyo kukuba i-epidural ayikwenzi ungabikho zingqondweni. Ungahlala uphaphile kwaye uthethe. Isusa nje intlungu .
Ziziphi iingenelo kunye nokungalungi kwe-epidural?
Njengalo naluphi na unyango lwezonyango, i-epidural ineengenelo kunye neengozi zayo. Kubalulekile ukwazi omabini amacala ngaphambi kokuba wenze isigqibo.
| Iingcali | Iingxaki |
|---|---|
| Ukuphelisa iintlungu: Eyona nzuzo iphambili kukuba ungafumana ukukhululeka ngokupheleleyo kwiintlungu zokubeleka. Oku kukuvumela ukuba uphumle kwaye wonge amandla. | Ukungakwazi ukuhamba: Ngenxa yokuba umzimba wakho ongezantsi uziva ungakhululekanga, usenokungakwazi ukuvuka okanye ukuhamba emva kokufumana i-epidural. Kuya kufuneka uhlale ebhedini. |
| Ukuqaphela: Ungahlala uphaphile ngexesha lokubeleka. Oku kuya kukunceda ufumane ithuba lokubeleka unengqondo ecocekileyo. | Isigaba sesibini sokubeleka esithatha ixesha elide: Ngexesha lokutyhala, usenokungaziva kakuhle izihlunu zakho, ngoko ke kunokuba nzima ukwazi indlela yokutyhala. Oku kunokubangela ukuba umntwana athathe ixesha elide ukuphuma. |
| Ukukhululeka kwengqondo: Uxinzelelo, uloyiko, kunye nexhala elibangelwa yintlungu egqithisileyo liyancipha kakhulu. | Uxinzelelo lwegazi oluphantsi: Ngamanye amaxesha, uxinzelelo lwakho lwegazi lunokwehla ngequbuliso ngenxa ye-epidural. Oku kunokubangela ukuba isantya sentliziyo yomntwana sehle kancinci. Nangona kunjalo, akukho nto ixhalabisayo njengoko abasebenzi bezonyango besoloko bejonga oku. |
| Ukulungiselela utyando olungxamisekileyo lwe-C-section:Ukuba kukho imeko engxamisekileyo, efana nokuba umntwana akafumani ioksijini eyaneleyo, kuya kufuneka kwenziwe utyando lotyando ngokukhawuleza. Ekubeni sele kunikwe i-epidural, utyando lunokwenziwa ngokukhawuleza ngaphandle kokuthatha ixesha lokunika i-anesthesia. | Ngamanye amaxesha kuyaphela: Kufuneka unikwe i-saline (IV fluids) ngaphambi kokuba unikwe i-epidural. Le nkqubo ithatha ixesha. Ukuba umlomo wakho wesibeleko uvuleke ngokupheleleyo kwaye umntwana wakho sele eza kungena, kusenokuba kudala kakhulu ukuba unikwe i-epidural. |
Ngubani onokuba sengozini yokufumana i-epidural?
Nangona i-epidural ikhuselekile kakhulu, inokuba yingozi kwabanye abantu. Ukuba unayo nayiphi na kwezi meko zingezantsi, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngayo ngaphambi kokuba ubeleke.
- Ukuba ukhe watyandwa kakhulu ngaphambili emqolo wakho ongezantsi.
- Ukuba unesifo sokujiya kwegazi .
- Ukuba uthatha amayeza athile okunciphisa igazi.
- Ukuba unentsholongwane emqolo wakho ongezantsi.
Iingozi ezinkulu ezinokwenzeka ngokungaqhelekanga
Musa ukoyika xa ufunda ngezi zinto. Kuba ezi zinto azifane zenzeke. Oko kuthetha ukuba zinokwenzeka kumntu omnye kwisigidi. Kodwa kubalulekile ukuba uqaphele.
- Ukonakala kwemithambo-luvo okungapheliyo ngenxa yokonakala komqolo okanye ingcambu yemithambo-luvo.
- Ukukhubazeka okungapheliyo ngenxa yokuqokelelwa kwegazi (i-hematoma) ejikeleze umqolo.
Ziziphi iziphumo ebezingalindelekanga ezinokubakho emva kwe-epidural?
Emva kokuba ufumene umntwana wakho, unokufumana ezinye iziphumo ebezingalindelekanga njengoko i-epidural iphela. Uninzi lwazo zezokwexeshana.
- Ubuhlungu kwindawo ehlatywe kuyo inaliti: Usenokuziva unamanxeba athile kunye nobuhlungu kwindawo ehlatywe kuyo inaliti kangangeentsuku ezimbalwa.
- Umkhuhlane: Ubushushu bomzimba bunokunyuka kancinci.
- Intloko ebuhlungu kakhulu: Abanye abantu banokuba nentloko ebuhlungu kakhulu. Oku akufani nentloko eqhelekileyo. Ukuba uyifumana le nto, xelela ugqirha wakho okanye umongikazi wakho ngoko nangoko .
- Ubunzima bokuchama: Ngenxa yokuba izihlunu zesinyi azinamsebenzi, kunokuba nzima okwethutyana ukuchama. Kwiimeko ezinjalo, kunokufakwa i-catheter ukuze kukhutshwe umchamo.
- Ukurhawuzelela: Amanye amayeza okubulala iintlungu anokubangela ukurhawuzelela kwesikhumba.
Ezininzi zezi zinto ziyanyamalala ngokupheleleyo emva kweeyure okanye iintsuku ezimbalwa.
Umyalezo Wokuya Ekhaya
- I-Epidural yindlela esebenzayo nekhuselekileyo yokulawula iintlungu ngexesha lokubeleka.
- Oku kukuvumela ukuba ube namava okungabi nantlungu ekubelekeni kwaye unengqondo ecocekileyo . Akunampembelelo ingako kumntwana.
- Njengayo yonke into, oku kuneengenelo kunye neengozi zako. Ukungakwazi ukuhamba kunye nobunzima bokutyhala kunokuthathwa njengezona ngxaki ziphambili.
- Ngaphambi kokuba uthathe isigqibo sokuba uyayifuna na i-epidural, xoxa ngayo yonke imibuzo yakho kunye noloyiko lwakho nogqirha wakho ngaphandle kokuthandabuza.
- Kubalulekile ukunika ugqirha wakho inkcazo epheleleyo yembali yakho yezonyango .
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