Njengoko usuku lokuba umntwana wakho eze kweli hlabathi lusondela, kuyinto eqhelekileyo ukuziva usoyika kancinci kwaye unexhala malunga nentlungu oza kuvakalelwa ngayo ngelo xesha. Mhlawumbi uyazibuza, "Ndiza kuhlangabezana njani nale ntlungu?" Mhlawumbi uyazibuza nokuba yintoni onokuyenza ukulawula intlungu. Enye yeendlela eziphambili zokulawula loo ntlungu kukusebenzisa udidi lwe -painkillers ezibizwa ngokuba yi-opioids. Makhe sithethe ngale nto ngendlela elula namhlanje.
Ngamafutshane, zithini ezi Opioids?
Ii-opioids luhlobo lwe-painkiller enamandla esetyenziselwa ukunciphisa iintlungu. Zihlala zinikwa njengeepilisi okanye njengenaliti ngqo emthanjeni (IV).
Indlela ezisebenza ngayo emizimbeni yethu iyamangalisa. Ngamafutshane, la mayeza anamathela kwiiseli zethu zemithambo-luvo kwaye athintele isignali yentlungu ukuba ingangeni engqondweni. Kufana nokuvala indlela yeentlungu. Ayisiyiyo loo nto kuphela, kodwa akwanyusa ukukhutshwa kwee-endorphins, eziyimichiza engqondweni yethu ezenza sizive sonwabile kwaye sikhululekile . Ngoko uqala ukuziva ukhululekile kwaye uzolile.
Kukwakho neentlobo ezahlukeneyo zee -opioids .
- Ezinye zifumaneka ngokwendalo kwimbewu yesityalo sepoppy. Umzekelo, i -morphine ebulala iintlungu.
- Ezinye zenziwe kwiilabhoratri nge-opiates yendalo.
- Kukwakho nezo zenziwe ngokupheleleyo, oko kukuthi, eziveliswa ngamakhemikhali kwilebhu. I-Pethidine kunye ne -Fentanyl, esizisebenzisa rhoqo ngexesha lokubeleka, zezo ziphantsi kolu didi.
Iingenelo kunye nokungalungi kokusebenzisa ii-opioid ngexesha lokubeleka
Uneendlela ezininzi onokukhetha kuzo xa kufikwa ekugqibeni ngento omawuyenze ngentlungu ngexesha lokubeleka. Abanye abantu bakhetha ukubeleka umntwana wabo ngaphandle kwamayeza entlungu. Abanye basebenzisa iindlela ezahlukeneyo zokulawula intlungu phantsi kwengcebiso kagqirha. Ii-opioids zezinye zeendlela ezinjalo. Zisetyenziswa ngakumbi kwizigaba zokuqala zokubeleka, xa ukubeleka kusaqala. Makhe sijonge izinto ezilungileyo nezingalunganga nganye nganye.
| Iingcali | Iingxaki |
|---|---|
| Ukuqalisa ngokukhawuleza:Ngokuxhomekeke kuhlobo lwesaphetha, ungaqala ukuziva ukukhululeka kwintlungu kwimizuzu embalwa. | Ukulala: Usenokuziva ulele kwaye ulele. Kodwa ukuba ucinga ukuba ukuzala kuza kuthatha ixesha elide, oku kunokukunceda uphumle. |
| Ihlala ixesha elide: Ukunciphisa iintlungu kuthatha iiyure ezininzi. | Isicaphucaphu nokuhlanza: Abanye abantu banokuziva ngathi isisu sabo siyajika size sihlanze. |
| Ukuziva ukhululekile: Ezi azizityhafisi izihlunu zakho, kodwa ziyakunceda uphumle, ukuze ukwazi ukuphumla ngaphambi kokuba usebenze nzima ekubelekeni umntwana wakho. | Ukudinwa: Usenokuziva unesizungu kwaye unentloko ebuhlungu. |
| Iziphumo ezinokubakho kumntwana: Le yeyona nto ibalulekileyo. Ukuba la mayeza anikwa ngexesha elingafanelekanga okanye ngedosi engalunganga, oku kunokuchaphazela impilo yomntwana. Ukuphefumla komntwana kunye nesantya sentliziyo yakhe sinokucotha. |
Yiyo loo nto olu hlobo lwemithi yokuthomalalisa iintlungu luhlala lunikwa esibhedlele, phantsi kweliso elibukhali loogqirha kunye nabongikazi.
Ngaba kukhuselekile ngokwenene ukusebenzisa ii-opioids ngexesha lokubeleka?
Lo ngumbuzo omkhulu koomama abaninzi. Impendulo ithi, ewe, kukhuselekile ukusebenzisa ii-opioids xa usenza iintlungu ngexesha lokubeleka, ukuba zinikwe ngokuchanekileyo nangaphantsi kweliso likagqirha. Kodwa oko akuthethi ukuba azinazo iingozi.
Eyona nto ibalulekileyo lixesha kunye nomthamo.
- Ixesha: Ezi pilisi zokuphelisa iintlungu zinikwa ngaphambi kokuba inqanaba lokusebenza lokuzala liqale. Ngamafutshane, azinikwa emva kokuba umlomo wesibeleko sakho uvulekile malunga neesentimitha ezi-6 kwaye ukudumba kwakho kuqala ukuza ngendlela eqhubekayo neqhelekileyo . Isizathu soku kukuba aziniki kuphumla okukhulu kwentlungu ngelo xesha kwaye zinciphisa impembelelo enokubakho kumntwana.
- Idosi: UgqirhaSebenzisa kuphela idosi emiselweyo. Ukuba idosi iphezulu kakhulu, ukuphefumla kunye nesantya sentliziyo zinokwehla kumama nakumntwana.
Ngaba unokuba likhoboka lale nto?
Xa usiva 'ngobhubhane we-opioid' ehlabathini, kuyaqondakala ukuba unokoyika ukuthatha iyeza elinjalo. Kodwa inyani yile, awuyi kuba likhoboka leyeza elifana neli elinikwa kube kanye ngexesha lokubeleka. Umntu uba likhoboka leyeza ngokwasemzimbeni kuba umzimba wakhe uyaliqhela ngokuhamba kwexesha. Oku akuyi kwenzeka ngedosi enye enikwa ngexesha lokubeleka. Ukuba awunayo imbali yokubeleka iziyobisi ngaphambili, musa ukoyika oku ngokugqithisileyo.
Ziziphi ezinye iindlela zokuthintela intlungu?
Ukongeza kwi-opioids, kukho ezinye iindlela ezininzi ezidumileyo nezisebenzayo zokulawula iintlungu ngexesha lokubeleka. Ungaxoxa ngazo zonke ezi zinto nogqirha wakho uze ukhethe eyona ikulungeleyo.
| Indlela yokunciphisa iintlungu | Kalula nje... |
|---|---|
| Ibhloko ye-Epidural | Oku koko abantu abaninzi kwilizwe lethu bakubiza ngokuba yi-"spinal tap." Ingcali yokubulala iintlungu ifaka umbhobho omncinci (i-catheter) kwindawo ye-epidural ejikeleze umqolo wakho aze akunike ulwelo olubulala iintlungu ngalo. Kwimizuzu eli-10-20, umqolo wakho ongezantsi uya kuba ndindisholo. Awuyi kukwazi ukuhamba ngelixa oku kusendaweni. |
| Ukuvimba komqolo | Oku kukwayinaliti emqolo, njenge-epidural. Nangona kunjalo, iyeza lifakwa ngqo kulwelo lomqolo. Linikwa kube kanye kuphela. Intlungu iyaphela emva kweeyure ezimbini. Lidla ngokusetyenziselwa utyando lotyando (utyando lwe-C) kunye nokuzala okunzima. |
| I-anesthetic yendawo | Oku kusetyenziswa ukutyumza indawo encinci kuphela. Umzekelo, ukuba kwenziwe i-incision encinci (episiotomy) ukuze kwandiswe i-vagina, le injection inikwa loo ndawo ukutyumza. |
| I-oxide ye-nitrous | Oku kukwabizwa ngokuba yi "laughing gas." Le gesi iphefumlwa ngemaski xa sele uza kuba nokuxhuzula. Ayizisusi ngokupheleleyo iintlungu, kodwa yenza kube lula ukuyinyamezela. Ungahamba kwaye uzulazule ngelixa uyisebenzisa. |
Ngoko ke, usenokuba uzibuza ukuba, kukho iindlela ezininzi zokulawula iintlungu. Eyona nto ingcono onokuyenza kukuthetha ngokukhululekileyo ngazo zonke ezi ndlela nogqirha wakho ngaphambi kokuba ubeleke, ngexesha lotyelelo lwakho lokukhulelwa. Emva koko, ungenza isicwangciso sokuzalwa esifanelana nempilo yakho, izinto ozikhethayo , kunye nemeko yomntwana wakho.
Umyalezo Wokuya Ekhaya
- Ii-opioids zizinto ezinamandla zokuphelisa iintlungu ezinikwa iintlungu ekuqaleni kokubeletha . Azisoloko zinikwa ngexesha lokubeletha.
- Nangona ezi zinika isiqabu esikhawulezileyo kwintlungu, zinokubangela iziphumo ebezingalindelekanga ezifana nokozela kunye nesicaphucaphu. Okubaluleke kakhulu, zinokuba yingozi kumntwana ukuba zisetyenziswa ngendlela engafanelekanga, ngoko ke kufuneka zinikwe kuphela phantsi kweliso likagqirha.
- Awuyi kuba likhoboka le-Opioid ethathwa ngengcebiso kagqirha ngexesha lokubeleka. Musa ukuyoyika ngokungeyomfuneko.
- Ukongeza kwii-opioids, kukho ezinye iindlela ezisebenzayo zokuphelisa iintlungu, ezifana nee-epidurals kunye nee-spinal blocks.
- Okokugqibela, soloko uthetha nogqirha wakho ukuze akhethe indlela yokulawula iintlungu eya kubonelela ngamava akhuselekileyo nangcono kuwe nakumntwana wakho.
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