Ingabe udokotela wakho wake wakutshela nge-epidural? Mhlawumbe kwakungeyokubeletha, noma ukuhlinzwa, noma ubuhlungu bomhlane. Kuvamile ukuzizwa ukhathazekile futhi ungabaza ukuthola umjovo eduze komgogodla wakho. Kodwa kuyini ngempela? Ingabe kuphephile? Kwenzani? Ungakhathazeki, sizoxoxa ngakho kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-epidural?
I-epidural iwukujova umuthi wokubulala izinhlungu endaweni engenalutho ezungeze imizwa emgogodleni wakho. Lesi sikhala sibizwa ngokuthi 'isikhala se-epidural'. Yileyo ndlela igama elaqala ngayo.
Cabanga ngomgogodla wethu njengepayipi elinezintambo eziningi ezidlula kuwo. Ngaphakathi kwaleli payipi kukhona intambo yomgogodla. Ngaphandle kwaleli payipi, okungukuthi, isikhala esingenalutho ngaphakathi komgogodla, kubizwa ngokuthi isikhala se-epidural. Ngokufaka imithi yobuhlungu kulesi sikhala, bamisa okwesikhashana izimpawu zobuhlungu ezihamba ngalezo zinzwa ziye ebuchosheni.
Odokotela basebenzisa ama-epidural ezimweni ezahlukahlukene. Isibonelo:
- Lawula ubuhlungu ngesikhathi sokubeletha .
- Ngaphambi kokuhlinzwa, faka i -anesthesia .
- Ukuqeda ubuhlungu ngemva kokuhlinzwa .
- Yelapha ubuhlungu bomhlane obubangelwa yizimo ezifana ne-herniated disc.
- Lawula ubuhlungu obungapheli .
Kunezinhlobo ezimbili eziyinhloko ze-epidurals:
Kuye ngokuthi kungani sinikeza i-epidural, kunezinhlobo ezimbili eziyinhloko. Ukuze uqonde lokhu ngokucacile, bheka ithebula elingezansi.
| Uhlobo lwe-Epidural | Inhloso eyinhloko | Umphumela uhlala isikhathi esingakanani? |
|---|---|---|
| I-Epidural Anesthesia | I-anesthesia isetshenziselwa ukuqeda ubuhlungu nemizwa endaweni ethile. Lokhu kuvame ukusetshenziswa ngesikhathi sokubeletha kanye nokuhlinzwa. | Umphumela uncike enanini lomuthi onikezwayo. Ngokuvamile uhlala amahora ambalwa. |
| Umjovo we-Epidural Steroid (ESI) | Lokhu kusetshenziselwa ukulawula ubuhlungu obungapheli kanye nokuvuvukala , kuhilela ukujova uhlobo lwe-steroid (i-corticosteroid). | Lokhu kusebenza kahle kakhulu. Kungalawula ubuhlungu amasonto kuya ezinyangeni. |
Kusebenza kanjani lokhu? Izindlela zokunikeza i-epidural
Indlela i-epidural esebenza ngayo iyahlukahluka kuye ngohlobo lwayo.
- I-anesthesia ye-epidural ivimba okwesikhashana izimpawu ezivela emithanjeni ezwa ubuhlungu ziye ebuchosheni. Kufana nokuvala iswishi. Ivala leyo mizwa okwesikhashana.
- Umjovo we-epidural steroid uhilela ukujova umuthi ozungeze inzwa evuvukele ebangela ubuhlungu. Lokhu kunciphisa ukuvuvukala kanye nengcindezi emsipheni, kunciphise ubuhlungu.
Odokotela basebenzisa izindlela eziningana zokujova lo muthi.
Ama-epidural ajova kanye
Kulokhu, kufakwa umuthi wokubulala izinzwa noma i-steroid kanye. Lena yindlela okuvame ukunikezwa ngayo imijovo ye-steroid yobuhlungu bomhlane.
Ama-epidural ane-catheter
Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo (i-catheter) esikhaleni se-epidural. Leli payipi likuvumela ukuthi unikeze imithamo eminingana yemithi ngesikhathi esifanele nangenani elifanele. Le ndlela ivame ukusetshenziswa ukulawula ubuhlungu komama abakhulelwe kanye nangesikhathi sokuhlinzwa isikhathi eside.
I-Epidural ene-PCA
Ngemva kokuhlinzwa okuthile, kufakwa i-catheter endaweni yakho ye-epidural, bese kufakwa iphampu encane kuyo. Ucindezela inkinobho kulokhu, futhi ungazijova ngemithi ephephile oyinikezwe udokotela wakho, noma nini lapho uyidinga. Lokhu kubizwa ngokuthi i-patient-controlled analgesia (PCA).
Umgogodla ohlanganisiwe-i-epidural (CSE)
Lokhu kuhilela ukunikeza ingxube yesidakamizwa sokubulala izinzwa kanye ne-steroid nge-catheter. Le ndlela ivame ukusetshenziswa ukulawula ubuhlungu ngesikhathi sokubeletha. Ibizwa nangokuthi 'i-walking epidural', kodwa abantu abaningi empeleni abakwazi ukuhamba. Kodwa-ke, basengakwazi ukuhambahamba ngoba banomuzwa othile emilenzeni yabo.
Uzilungiselela kanjani ngaphambi kwe-epidural?
Kuye ngokuthi kungani uthola i-epidural, ukulungiselela okudingeka ukwenze kungahluka. Ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho ngqo. Ngokuvamile, ungase ucelwe ukuba wenze izinto ezinjengalezi:
- Gwema ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa.
- Yeka okwesikhashana ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) namavithamini.
- Hlela kusenesikhathi ukuthi othile akuyise ekhaya ngemva kokwelashwa.
Kwenzekani uma kunikezwa i-epidural?
Uma unikezwa i-epidural, uzophendulwa ngohlangothi bese ulaliswa phansi, noma uzocelwa ukuthi ugobe phambili uhlale phansi. Udokotela uzolandela lezi zinyathelo:
1. Okokuqala, i-cannula ifakwa emthanjeni ongalweni yakho, njenge-saline drip.
2. Ngemuva kwalokho, kunikezwa umjovo omncane ukuze kuncishiswe indawo lapho kufakwe khona i-epidural.
3. Okulandelayo, inaliti ye-epidural ifakwa esikhaleni se-epidural emhlane wakho. (Ukuze uthole imijovo ye-steroid yobuhlungu bomhlane, ikhamera ekhethekile (i-fluoroscopy) ngezinye izikhathi isetshenziswa, efana ne-X-ray, ukuze kubonakale kahle ukuthi inaliti iya kuphi.)
4. Uma kufakwa i-catheter, kufakwa ipayipi elincane (i-catheter) ngenaliti bese inaliti isuswa ngokucophelela. Ipayipi lihlala ngaphakathi emzimbeni.
5. Bese beqala ukunikeza umuthi ngaleyo tube.
6. Uma ungasadingi umuthi (okungaba ngemva kwamahora ambalwa noma izinsuku ezimbalwa), i-catheter izosuswa.
Ungase uzizwe uzwa ubuhlungu lapho uqala ukuthola umuthi wokubulala izinzwa. Ngemuva kwalokho, lapho unikezwa i-epidural, ungase uzizwe uzwa ubuhlungu obuncane, ukungabi namizwa, noma ukushisa. Kodwa uma uzwa ubuhlungu obungabekezeleleki, kufanele utshele udokotela wakho ngokushesha.
Ingabe i-epidural izobangela ubuhlungu emhlane kamuva?
Lona umbuzo abantu abaningi abawubuzayo futhi into abantu abaningi abayesabayo.
Akuvamile kakhulu ukuthi i-epidural ibangele ubuhlungu bomhlane besikhathi eside. Lokhu kuvame ukuba yiphutha.
Kujwayelekile ukuthi kube nobuhlungu noma ukuklwebheka okuncane endaweni yokujova izinsuku ezimbalwa. Lokhu kuzophela ngokuphelele ezinsukwini ezimbili kuya kwezintathu.
Omama abaningi bazwa ubuhlungu emhlane ngemva kokubeletha. Isizathu salokhu ukuthi amathambo nemisipha eyayinwetshiwe ngesikhathi sokukhulelwa iqala ukujwayela isimo sayo esijwayelekile. Lokhu kungenzeka kungakhathaliseki ukuthi ube ne-epidural noma cha. Ngakho-ke awukwazi ukusola i-epidural ngakho.
Ingabe zikhona izingozi nemiphumela emibi?
Ama-epidural ngokuvamile aphephile kakhulu, kodwa njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Kodwa-ke, lezi azivamile.
- Ukopha okuvela endaweni yomjovo.
- Ukutheleleka endaweni yokujova.
- Ukuvuza koketshezi lomgogodla (lokhu kwenzeka kaningi kakhulu).
- Ukulimala kwemizwa.
- Imiphumela emibi noma ukungezwani nemithi.
Lezi zingozi ziphansi kakhulu. Udokotela wakho uzocabangela zonke lezi zici futhi akuphathe ngendlela ephephile ngangokunokwenzeka.
Kufanele ukhulume nini nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuthola i-epidural, shayela udokotela wakho ngokushesha, noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU).
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Imfiva | Ukushisa komzimba okwenyukayo. |
| Ukuchama okungalawulwa | Ukungakwazi ukuzibamba komchamo noma indle. |
| Ukuba ndikindiki/ubuthakathaka emilenzeni | Ukuba ndikindiki noma ubuthakathaka emilenzeni kuhlala isikhathi eside kunalokho okunqunywe udokotela. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elibuhlungu elivela uma umile noma uhleli futhi likhululeke ngokulala phansi. |
Kuvamile ukuzizwa wesaba uma utshelwa ukuthi uzothola umjovo eduze komgogodla wakho. Kodwa i-epidural iyindlela ephephile kakhulu futhi ephumelelayo yokulawula ubuhlungu. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-epidural iyindlela ephephile kakhulu futhi ephumelelayo yokulawula ubuhlungu.
- Ivame ukusetshenziswa ezimweni ezinjengokubeletha, ukuhlinzwa okuhlukahlukene, kanye nobuhlungu obungapheli emhlane.
- Ngokuvamile kuyiphutha ukuthi i-epidural ibangela ubuhlungu bomhlane besikhathi eside.
- Ungalokothi unqikaze ukuxoxa nodokotela wakho nganoma yikuphi ukwesaba, ukungabaza, noma imibuzo onayo mayelana ne-epidural .
- Uma uba nezimpawu ezifana nomkhuhlane, ubuthakathaka emilenzeni yakho, noma ikhanda elibuhlungu ngemva kokuhlinzwa kwe-epidural, funa iseluleko sezokwelapha ngokushesha.
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