Ukuba ulindele umntwana, mhlawumbi sele ulivile igama elithi ' epidural ' ngaphambili. Mhlawumbi kumhlobo, okanye kwimovie. Abantu abaninzi bacinga ukuba yinto nje enikwa ukunciphisa intlungu ngexesha lokubeleka. Yiyo loo nto, kodwa zininzi iingenelo ze-epidural ngaphezu koko. Ngoko ke namhlanje, masiyeke lonke uloyiko kunye namathandabuzo ngayo size sithethe ngayo ngendlela ethe ngqo nethe ngqo.
Yintoni i-epidural? Isebenza njani?
Ngamafutshane, i-epidural luhlobo lwe-anesthesia olusetyenziselwa ukulawula iintlungu. Cinga ngomthambo womqolo, oyinxalenye ebalulekileyo yenkqubo yemithambo-luvo ehamba emqolo wethu. Une-membrane yokuyikhusela. Indawo encinci engaphandle kwe-membrane yinto esiyibiza ngokuba yi-'epidural space'.
Ugqirha, ingakumbi ingcali yokubulala iintlungu, usebenzisa inaliti ethambileyo kakhulu ukufaka ityhubhu ebhityileyo neguquguqukayo, ebizwa ngokuba yi-catheter , kwindawo oyikhankanyileyo. Emva koko, ngaloo tyhubhu, amayeza afunekayo okunciphisa iintlungu angeniswa kancinci emzimbeni. La mayeza athintela imiqondiso yentlungu ukuba ingangeni engqondweni. Ngenxa yoko, asisaziva iintlungu.
Eyona nto ibalulekileyo kukuba emva kokuba inaliti ye-epidural ifakiwe kwaye i -catheter ikwindawo yayo, inaliti isuswe ngokupheleleyo. Konke okuseleyo emzimbeni wakho yityhubhu ebhityileyo nethambileyo. Ngoko ungakhathazeki malunga nokuba inaliti ishiywe ngaphakathi.
Ziziphi iindlela eziphambili zokusebenzisa i-epidural?
Ukongeza ekuzalweni komntwana, into abantu abaninzi abayaziyo, ii-epidurals zisetyenziswa kwezinye iimeko ezininzi. Makhe sijonge ukuba ziyintoni na.
| Ukusetyenziswa | Ingcaciso elula |
|---|---|
| Ngexesha Lokuzala | Le yeyona ndlela ixhaphakileyo. Le yindlela ethomalalisa iintlungu kuphela (i-analgesia). Oku kuthetha ukuba uphilile engqondweni, uyakwazi ukuthetha, kwaye ushukumise imilenze yakho kancinci, kodwa awuyi kuva intlungu yokubeleka. |
| Ngexesha nasemva kotyando | I-epidural inikwa ukuze ivale ngokupheleleyo indawo, ingakumbi ngexesha lotyando olukhulu esinqeni, edolweni, okanye esiswini esisezantsi. Ingasetyenziselwa nokulawula iintlungu emva kotyando. |
| Njengonyango lweentlungu ezingapheliyo | Le ndlela ikwasetyenziselwa ukujova amayeza afana nee-steroids kwiintlungu ezingapheliyo zomqolo nemilenze ezibangelwa zizifo ezifana neediski ze-herniated kunye ne-spinal stenosis. |
Ingaba i-epidural ibuhlungu kakhulu xa ifakwa?
Olu lolona loyiko lukhulu abantu abaninzi abanalo. Nantsi into eyenzekayo ngokwenene:
1. Indawo : Okokuqala, uza kucelwa ukuba uhlale esitulweni uze ugobe phambili okanye ujike uye kwelinye icala lebhedi uze uzise amadolo akho esifubeni sakho.
2. Ukucoca: Okulandelayo, ugqirha uza kucoca kakuhle indawo engasemva apho kuza kufakwa khona inaliti.
3. Ukuba ndindisholo: Emva koko, kusetyenziswa inaliti encinci ukwenza ulusu lube ndindisholo. Kufana nokuzenza ndindisholo iintsini ngaphambi kokuba kukhutshwe izinyo. Kule ndawo, kuvakala ngathi imbovane encinci iyakuluma.
4. Ukufaka i-epidural: Emva kokuba ulusu luphelelwe ngamandla, ugqirha ufaka i-epidural. Awuyi kuva ntlungu ngeli xesha. Nangona kunjalo, ungaziva uvakalelo olungaqhelekanga, olufana noxinzelelo okanye ukukrwempa. Abanye abantu basenokungaziva nto konke konke.
5. Ukususa inaliti: Nje ukuba i-catheter (ityhubhu ye-heani) ibekwe kakuhle, inaliti isusiwe ngokupheleleyo.
Eyona nto ibalulekileyo kukuba ukuba ufumana iintlungu ezinganyamezelekiyo ngeli xesha, okanye ukuba uziva ngathi umbane uyehla emlenzeni wakho, kufuneka uxelele ugqirha ngoko nangoko.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga ze-epidural?
Njengakwezinye iindlela zonyango, i-epidural inokubangela iziphumo ebezingalindelekanga ezincinci. Nangona kunjalo, iziphumo ebezingalindelekanga ezinzulu azifumaneki rhoqo. Makhe sijonge ukuba yintoni enokwenzeka.
| Isiphumo/ingxaki | Yintoni ekufuneka uyazi |
|---|---|
| Uxinzelelo lwegazi oluphantsi | Oku kuqhelekile. Usenokuziva unesiyezi. Kodwa oku kunokulawulwa liqela lezonyango, eliza kujonga uxinzelelo lwakho lwegazi rhoqo. |
| Ubunzima bokuchama | Izithomalalisi zentlungu zingenza imithambo-luvo yesinyi ingasebenzi kakuhle okwethutyana. Ukuba kuyimfuneko, kunokufakwa i-catheter ukulungisa oku. |
| Ukungcangcazela kunye nokungcangcazela | Oku kunokwenzeka ngenxa yotshintsho kubushushu bomzimba. Akukho nto ibalulekileyo. |
| Intloko ebuhlungu kakhulu | Amaxesha amaninzi oku kungenzeka (ngaphantsi kwe-1%) ukuba inaliti ingene ngengozi kulwelo lomqolo. Kukho unyango loku. |
| Iintsholongwane, ukopha | Ezi nazo aziqhelekanga kakhulu. Izinto ezifana nokwakheka kwehlwili legazi (i-hematoma) ngenxa yokopha zinokwenzeka. Kodwa oogqirha bakhathazekile kakhulu ngale nto. |
Iingozi ezikhethekileyo ezinxulumene nokuzala
- Isigaba sesibini sokubeleka sinokuba side kancinci.
- Imvakalelo yamandla afunekayo ukuze utyhale isenokuba ncinci kancinci.
- Kusenokubakho umngcipheko okhulayo wokukrazuka kwe -perineal .
Ngaba kukho abantu abangafanelekanga kwi-epidural?
Ewe. Kwezinye iimeko, ukunika i-epidural kunokuba yingozi. Ugqirha wakho uza kuxoxa nawe ngale nto aze enze isigqibo.
- Ukuba une -allergies kumayeza okubulala iintlungu oyisebenzisayo.
- 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?
Nokuba emva kokuba i-epidural iphelile, kufuneka uziphephe ezi zinto ubuncinane iiyure ezingama-24.
- Kuphephe ukuqhuba.
- Kuphephe ukusebenzisa oomatshini abanzima.
- Kuphephe ukusela utywala ngokupheleleyo.
Ngokuxhomekeke kwimeko yakho, ugqirha wakho uza kukunika imiyalelo ethile. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- I-epidural yindlela eluncedo kakhulu yokulawula iintlungu engasetyenziswanga kuphela ekubelekeni, kodwa nakwityando kunye neentlungu ezingapheliyo.
- Oku kwenziwa yingcali ye-anesthesiologist. Kwakhona, indawo iyavaleka ngaphambi kokuba ihlatywe, ngoko ke iintlungu zincinci.
- Okuseleyo emzimbeni wakho asiyonaliti eqinileyo, kodwa yityhubhu yeplastiki ethambileyo nethambileyo (i-catheter).
- Nangona iziphumo ebezingalindelekanga zincinci zinokwenzeka, iingxaki ezinkulu azixhaphakanga kakhulu.
- Okubaluleke kakhulu: Vula kwaye uthembeke kugqirha wakho okanye kwingcali yokubulala iintlungu malunga nayo nayiphi na imibuzo, iinkxalabo, okanye iinkxalabo onokuba nazo malunga nemeko yakho yempilo. Oku kubalulekile kukhuseleko lwakho.
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