I-Epidurals yenye yezona zinto zinzima nezibuhlungu umama anokuhlangabezana nazo xa sele eza kubeleka. Abanye oomama bafumana intlungu inganyamezeleki. Ngoko ke, enye yezona ndlela zidumileyo nezisebenzayo zokulawula le ntlungu inzima yi-epidural. Nangona abantu abaninzi bevile ngayo, abaqondi ukuba yintoni na, ingaba ikhuselekile na, kwaye kufuneka bayithathe nini. Namhlanje, siza kuthetha ngayo ngokucacileyo nangokulula.
Yintoni kanye kanye i-epidural?
Ngamafutshane, i-epidural yinaliti yokubulala iintlungu enikwa kwindawo yomqolo wakho, indawo ejikeleze umqolo wakho, kufutshane nemithambo-luvo ethwala imiqondiso yentlungu. Le naliti iyenza umzimba wakho ongezantsi ungabi nantlungu, ikunika isiqabu esikhulu kwintlungu eqatha yokuzala.
Oogqirha basebenzisa le ndlela kwiimeko ezininzi:
- Ukunciphisa iintlungu ngexesha lokuzala: Oku kusetyenziswa ukulawula iintlungu ngexesha lokuzala eliqhelekileyo kunye nexesha lotyando .
- Kwiinkqubo zotyando: Ukuvala indawo yotyando olwenziwe kumzimba ongezantsi.
- Emva kotyando: Ukulawula iintlungu emva kotyando oluthile.
- Kwezinye iintlungu: Kwiimeko ezifana ne-sciatica, inikwa kunye namayeza e-steroid ukunciphisa iintlungu.
Iingcali zokubulala iintlungu zisebenzisa amayeza okudambisa iintlungu asekuhlaleni afana ne-bupivacaine okanye i-lidocaine. Ngamanye amaxesha, la mayeza adityaniswa ne-painkiller efana ne-fentanyl ukunciphisa inani leentlungu. Ukunciphisa iintlungu kudla ngokuqala ukuvakala kwimizuzu eli-10 ukuya kwengama-20 emva kokuba kunikwe idosi yokuqala ye-epidural.
Ingaba oku kukhuselekile ngokwenene? Ngaba kuya kuyichaphazela umntwana?
Ewe, ngokuqinisekileyo. I-epidural yinkqubo ekhuselekileyo kakhulu . Yi-anesthetic yendawo, oko kuthetha ukuba ichaphazela kuphela indawo encinci apho kujojowe khona. Ngoko ke awusoloko uziva ulele okanye unesicaphucaphu.
Enye yezinto eziyoyikwa ngoomama abaninzi kukuba kuya kulimaza umntwana. Enyanisweni, ezinye zeepilisi zokuthomalalisa iintlungu ezinikwa ngexesha lokubeleka zinokunqumla i-placenta zize zichaphazele umntwana. Kodwa oko akwenzeki nge-epidural.
Yimali encinci kakhulu yamayeza asetyenziswa kwi-epidural angena egazini lakho aze adlule kulo aye kumntwana wakho. Ngenxa yoko, ayimlimazi umntwana. Ayichaphazeli "amanqaku e-Apgar" yomntwana okanye yonyuse amathuba okuba umntwana angeniswe kwigumbi lokhathalelo oluphezulu.
Enye into abanye abantu abayicingayo kukuba ukuba ne-epidural kwandisa amathuba okuba ne-cesarean section. Oku akulunganga kwaphela . I-epidural ikhulula iintlungu kuphela. Uziva uxinzelelo lokusikwa kwesibeleko sakho. Ngoko ke ungamtyhala umntwana ukuba aphume xa ixesha lifika. Ke ngoko, i-epidural ayongezi amathuba okuba 'kukhutshwe i-vacuum' okanye 'ukuhanjiswa kwe-forceps'.
Ngaba i-epidural iyasebenza ngokwenene? Ihlala ixesha elingakanani?
Ewe, i-epidural iya kukutyhafisa ukususela esiswini ukuya ezinzwaneni. Kodwa uya kuba uqaphela kwaye uyazi ngemeko ekungqongileyo. Nangona iintlungu ziphelile, uya kukwazi ukutyhala ngexesha kuba uya kuva uxinzelelo lomntwana.
Ihlala ixesha elingakanani le nto? Impendulo elula yile, logama nje uyidinga . Ungafumana amayeza angakumbi (`iitosi ezongezelelweyo`) ngetyhubhu encinci (`i-catheter`) efakwa emqondweni wakho xa uqala ukuziva iintlungu kwakhona. Ukunciphisa iintlungu kuya kuhlala de ityhubhu isuswe. Kufuneka ukwazi ukuphinda ufumane intshukumo kunye nokuziva emilenzeni yakho kwisithuba seyure okanye ngaphezulu emva kokuba ityhubhu isusiwe.
Nangona kunjalo, kufuneka sikhumbule ukuba ayinguye wonke umntu ophumelele ngokupheleleyo. Malunga nomntu omnye kwabalishumi (`10%`) usenokungafumani impumuzo yentlungu abayilindeleyo. Kwimeko ezinjalo, ugqirha wakho uya kucebisa enye indlela yokulawula iintlungu.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga? (Iziphumo ebezingalindelekanga)
I-epidural sisixhobo esinamandla sokulawula iintlungu. Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iziphumo ebezingalindelekanga ezincinci ezinokubakho. Uninzi lwazo zezokwexeshana.
| Imiphumela | Inkcazo |
|---|---|
| Uxinzelelo lwegazi oluphantsi | Imeko enokwenzeka kubantu abaninzi. Usenokuziva unesiyezi kwaye unesicaphucaphu. Abasebenzi bezonyango bahlala beyikhathalele le nto. |
| Intloko ebuhlungu | Abanye abantu banokuba nentloko ebuhlungu emva kokwenziwa i-epidural. Ukuba uxelela ugqirha wakho ngale nto, baya kukwazi ukuyinyanga. |
| Ukurhawuzelela | Amayeza asetyenzisiweyo anokubangela ukurhawuzelelwa kancinci kwesikhumba. Oku nako kungokwexeshana. |
| Ubunzima bokuchama | Usenokungakwazi ukuziva ukugcwala kwesinyi sakho kuba umzimba wakho ongezantsi uphelelwe ngamandla. Kudla ngokusetyenziswa i-catheter koku. |
| Ubuthathaka kwimilenze | Usenokungakwazi ukuhamba iiyure ezimbalwa de imiphumo yeyeza iphele, ngoko ke musa ukuzama ukuvuka. |
| Umonakalo wemithambo-luvo | Oku kuyinto engaqhelekanga kakhulu . Amathuba okuba oku kwenzeke phantsi kweliso lengcali yokuthomalalisa iintlungu aphantsi kakhulu. |
Ngoko ke, leliphi ixesha elifanelekileyo lokufumana i-epidural?
Lo ngumbuzo obuzwa ngabantu abaninzi. Akukho xesha lithile apho unokuthi , "Eli lixesha elifanelekileyo." Ungalicela nangaliphi na ixesha xa uziva ngathi awukwazi ukunyamezela intlungu. Kusenokuba ekuqaleni, phakathi, okanye ngasekupheleni kokuzala.
Nangona kunjalo, ingcali ye-anesthesiologist ixhalabile ngezinto ezimbini apha:
1. Ngaba ngokwenene uyabeleka?
2. Ungahlala ungashukumi imizuzu embalwa ngelixa ugonyo lunikwa?
Ngaba kusenokuba sekudlule ixesha?
Cinga ngayo, kuthatha malunga nemizuzu eli-10-15 ukulungiselela i-epidural. Emva koko kuthatha eminye imizuzu eli-10-15 ukuva ukukhululeka kwentlungu. Ngoko ke ukuba ucela i-epidural xa uza kubeleka umntwana wakho, usenokuba sele unomntwana ngexesha lokunikwa kwakhe. Ke ngoko, bubulumko ukuthetha nogqirha wakho ngayo kwangethuba, kunokulinda de intlungu inganyamezeleki .
Ukuzala yinto ebuhlungu. Kodwa ngenxa yeendlela ezikhuselekileyo nezisebenzayo zokulawula iintlungu ezikhoyo, ngoku kwamkelwa ngokubanzi ukuba oomama akufuneki banyamezele ezo ntlungu. Nokuba ubungacwangcisanga ukwenza i-epidural ekuqaleni, ukuba uziva ukuba intlungu ayinyamezeleki ngexesha lokubeleka, usenokucela enye. I-epidural inokukunceda uhlale uzolile, ungenazintlungu, kwaye ikunike amandla okugxila ekuziseni umntwana wakho emhlabeni.
Umyalezo Wokuya Ekhaya
- Ii-Epidurals ziyindlela ekhuselekileyo nesebenzayo yokulawula iintlungu ngexesha lokubeleka.
- Oku kubonelelwa yingcali yokubulala iintlungu.
- Oku akuyi kumenzakalisa umntwana kwaye akuyi kwandisa umngcipheko wokuba abelekwe ngotyando.
- Akukho "xesha lifanelekileyo" lokufumana i-epidural. Kuxhomekeke kwinkqubela phambili yokuzala kwakho kunye nengxoxo yakho nogqirha wakho.
- Xa utyelela iikliniki ngexesha lokukhulelwa, thetha nogqirha wakho ngeendlela ezahlukeneyo zokulawula iintlungu ezikhoyo, ingakumbi i-epidural.
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