Uma ukhulelwe, kungenzeka ukuthi uke wezwa nge-'epidural' yokunciphisa ubuhlungu ngesikhathi sokubeletha. Noma uke wezwa othile ekhuluma ngayo ukuze alawule ubuhlungu ngemva kobuhlungu bomhlane noma ukuhlinzwa. Abantu abaningi bayasaba kancane lapho bezwa leli gama, ngoba bayazi ukuthi liwumjovo onikezwa umgogodla. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-epidural, ukuthi yenzani, nokuthi iphephile yini, ngendlela elula kakhulu ongayiqonda.
Iyini ngempela i-epidural?
Kalula nje, yipayipi elincane, eliguquguqukayo ( i-catheter ) elifakwa endaweni encane emhlane wakho, ngaphandle nje kwe-membrane encane evikela umgogodla wakho, ebizwa ngokuthi isikhala se-epidural . Ayishayi ngqo umgogodla wakho. Odokotela basebenzisa le ndlela ukuletha imithi yobuhlungu ngqo emithanjeni ethwala izimpawu zobuhlungu ebuchosheni bakho. Lokhu kusho ukuthi imithi embalwa efakwa kwezinye izingxenye zomzimba wakho, futhi kunemiphumela emibi embalwa.
Cabanga ngomlayezo wobuhlungu njengesitimela esihamba ngemizwa siya ebuchosheni. Lokho okwenziwa yi-epidural ukumisa okwesikhashana ingxenye eyodwa yalowo mzila wesitimela. Khona-ke umyalezo wobuhlungu awuyi ebuchosheni, kodwa uzwa izinto ezifana nokuthinta nokucindezela. Yilokho okukhethekile ngakho.
Yiziphi izindlela eziyinhloko zokusebenzisa i-epidural?
I-epidural isetshenziswa ngezindlela ezimbili eziyinhloko: njenge -anesthesia kanye ne-analgesia.
| Indlela esetshenzisiwe | Incazelo kanye nokusetshenziswa |
|---|---|
| I-Anesthesia Yokuvimba Imizwa | Lokhu kwenzelwa ukuvimba ubuhlungu ngokuphelele ngesikhathi sokuhlinzwa. Le ndlela isetshenziswa ikakhulukazi ngesikhathi sokubeletha, ukuhlinzwa kwesisu noma kwemilenze. Nakuba ubuhlungu sebuphelile, usuke uqaphile. Ungase ukwazi ngisho nokuhamba ngosizo. Umuthi unikezwa njalo nge-catheter, ngakho awuzwa ubuhlungu kuze kube yilapho ukuhlinzwa sekuphelile. |
| Imijovo ye-Epidural Steroid | Lokhu kuhlukile kancane. Lokhu kusebenzisa imithi efana nama-steroid. Lokhu kwenzelwa ukunciphisa ukuvuvukala nobuhlungu obubangelwa ukucinana kwemizwa, i-herniated disc, noma i-spinal stenosis. Udokotela usebenzisa i-X-ray ukuthola imizwa ebangela ubuhlungu bese eyijova eduze kwayo. Ngezinye izikhathi le ndlela isetshenziswa futhi ukuthola imbangela yobuhlungu. |
Ingabe i-epidural iyabuhlungu? Kwenzekani?
Lena yinkinga enkulu kunazo zonke abantu abaningi abanayo. Nakhu okwenzekayo ngempela:
1. Indawo: Uzocelwa ukuthi uhlale umhlane wakho ugobile phambili noma ujike eceleni amadolo akho asondele esifubeni sakho. Lokhu kuzokwandisa isikhala phakathi komgogodla wakho futhi kwenze kube lula ukufaka inalithi.
2. Okokuqala, qinisa isikhumba : Ngaphambi kokuba kufakwe inaliti ye-epidural, udokotela wezinzwa uzofaka umjovo omncane ukuze aqinise isikhumba kuleyo ndawo. Kuleli qophelo, ungase uzizwe sengathi ulunywa yintuthwane encane.
3. Ukufaka i-epidural: Ngemva kokuba isikhumba singenasici, udokotela ufaka i-epidural. Kuleli qophelo, abanye abantu bangase bezwe ukucasuka okuncane, ukushisa, noma ukungabi nasici. Kodwa abanye abantu abazizwa lutho.
4. Ukufaka i-catheter nokususa inaliti: Kufakwa ipayipi elincane (i-catheter) ngenaliti bese inaliti isuswa ngokuphelele. Okusele emzimbeni wakho yileli payipi elincane neliguquguqukayo. Ngakho-ke akukho okufanele ukhathazeke ngakho, inaliti ngeke ihlale emzimbeni wakho.
5. Ukunikeza imithi: Bese kuthi, kunikezwe imithi yobuhlungu ngaleli payipi. Ubuhlungu buyaphela kancane kancane phakathi nemizuzu eyi-10-20.
Kubaluleke kakhulu: Uma uzwa ubuhlungu obukhulu, obungabekezeleleki ngesikhathi noma ngemva kwe-epidural, kubaluleke kakhulu ukwazisa udokotela wakho noma umhlengikazi ngokushesha.
Ingabe ikhona imiphumela emibi engase ibangelwe yilokhu?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-epidural ingabangela imiphumela emibi emincane. Kodwa-ke, izinkinga ezinkulu azivamile .
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Okuvamile |
|
| Okungavamile | |
| Imiphumela ethile engase ivele ngesikhathi sokubeletha |
Abantu abaningi bacabanga ukuthi i-epidural izobangela ubuhlungu bomhlane besikhathi eside. Kodwa-ke, ucwaningo lwezokwelapha alukakufakazelanga lokhu. Kuvamile ukuba nobuhlungu obuncane endaweni yomjovo izinsuku ezimbalwa ngemva komjovo.
Ingabe bakhona abantu okungafanele babe ne-epidural?
Yebo, kwezinye izimo, ukunikeza i-epidural kungaba yingozi. Udokotela wakho uzokhuluma nawe ngalokhu.
- Uma une-allergy kuma-anesthetics.
- Uma unenkinga yokujiya kwegazi noma uthatha imithi yokunciphisa igazi.
- Uma kukhona ukutheleleka kwesikhumba endaweni yomjovo.
- Izimo zezokwelapha ezifana nesifo sikashukela esingalawuleki.
Kulesi simo, udokotela wakho uzosikisela umuthi ohlukile wokuqeda izinhlungu ofaneleka kangcono kuwe.
Yini okufanele uyiqaphele ngemva kokuhlinzwa kwe-epidural?
Kunezinto ezithile okufanele uzigweme kuze kube yilapho imiphumela ye-epidural iphela, okuvame ukuba amahora angama-24.
- Gwema ukushayela.
- Gwema ukusebenzisa imishini.
- Gwema ukuphuza utshwala.
Kuye ngokuhlinzwa kwakho kanye nohlobo lwe-epidural olutholile, udokotela wakho uzokunikeza imiyalelo ethile. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-epidural iyindlela ephephile nephumelelayo yokulawula ubuhlungu esetshenziswa ngesikhathi sokubeletha, ukuhlinzwa, kanye nezinye izimo zobuhlungu obungapheli.
- Kulokhu, akukho naliti efakwa emzimbeni. Kufakwa ipayipi elincane neliguquguqukayo (i-catheter).
- Isikhumba siyavaleka ngaphambi kokuba kufakwe i-epidural, ngakho ngeke uzwe ubuhlungu obukhulu. Kodwa-ke, ungase uzizwe ungakhululekile kancane.
- Amathuba okuba nemiphumela emibi kakhulu mancane kakhulu. Kodwa-ke, uma unokungabaza noma imibuzo nganoma yini, ungangabazi ukubuza udokotela wakho.
- Kubaluleke kakhulu ukuze uphephe ukulandela imiyalelo kadokotela wakho ngemva nje kokunikezwa i-epidural.
I-Epidural, ukubeletha, izinhlungu zobuhlungu, i-anesthesia, ubuhlungu bomhlane, ukuhlinzwa, ukuhlinzwa
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