Uma usondela ekubelethweni noma ulungiselela ukuhlinzwa okukhulu, ukuzwa udokotela wakho ekhuluma nge-"epidural" kungabangela ukukhathazeka ngokwemvelo. Umqondo womjovo eduze komgogodla wakho wenza abantu abaningi bakhathazeke. Kodwa iyini ngempela i-epidural? Isebenza kanjani, futhi ingabe yinto okufanele uyesabe ngempela? Ake siyichaze kalula nangokucacile nge-Nirogi Lanka.
Kalula nje, iyini i-epidural?
I-epidural ihilela ukuletha imithi endaweni ethile (isikhala se-epidural) esizungeze imizwa emgogodleni wakho. Ayifakwa ngqo emgogodleni wakho uqobo—kuphela endaweni ezungezile. Isetshenziswa ngokuyinhloko ukulawula ubuhlungu.
Ngokuvamile isetshenziselwa:
- Ukubeletha kanye nokubeletha ukuze kulawulwe ubuhlungu obukhulu.
- Ukubulala izinzwa (i-anesthesia)ngezinqubo zokuhlinzwa.
- Ukuphathwa kobuhlungu ngemva kokuhlinzwa.
- Ukwelashwa kobuhlungu obungapheli bomhlane , njengobuhlungu obubangelwa yi-herniated disc.
Yiziphi izinhlobo ezahlukene ze-epidurals?
Kuye ngezidingo zakho zezokwelapha ezithile, odokotela bavame ukusebenzisa izinhlobo ezimbili eziyinhloko ze-epidurals.
| Uhlobo lwe-Epidural | Incazelo kanye Nokusetshenziswa |
|---|---|
| I-Epidural Anesthesia | Le nqubo ihilela ukufaka umuthi wokubulala izinzwa ukuze uvimbele ubuhlungu kanye nemizwa. Ivame ukusetshenziswa ukulawula ubuhlungu ngesikhathi sokubeletha kanye nezinqubo zokuhlinzwa. |
| Umjovo we-Epidural Steroid (ESI) | Lokhu kuhilela ukujova i-corticosteroid ukunciphisa ukuvuvukala nokucasuka okuzungeze imizwa. Ivame ukunqunyelwa ubuhlungu obungapheli. Ukukhululeka kungahlala amasonto ambalwa noma izinyanga. |
Kusebenza kanjani?
Indlela i-epidural esebenza ngayo incike ohlotsheni oluthile olutholayo.
I-Epidural Anesthesia isebenza ngokuvimbela okwesikhashana izimpawu zobuhlungu ezivela emithanjeni yakho yomgogodla ziye ebuchosheni bakho. Ungacabanga ngakho njengokuthi "ukuvala" le mizwa isikhathi esithile. Ubude bomphumela bunqunywa umthamo onikezwayo.
I-Epidural Steroid Injection (ESI) isebenza ngokuletha imithi ngqo ezinzwa ezivuvukele, okusiza ukunciphisa ukuvuvukala kanye nengcindezi emthonjeni wobuhlungu bakho.
Izindlela Zokuphatha
Ithimba lakho lezokwelapha lingasebenzisa izindlela eziningana ukuletha imithi:
- Umjovo owodwa: Umthamo wesikhathi esisodwa, ovame ukusetshenziswa kakhulu kwi-Epidural Steroid Injections (ESI).
- I-Epidural ene-catheter: I-catheter iyipayipi elincane kakhulu neliguquguqukayo. Leli payipi lifakwa esikhaleni se-epidural, okuvumela udokotela wakho ukuthi akunike imithi njengoba kudingeka. Le ndlela ivame ukusetshenziswa ngesikhathi sokubeletha kanye nangesikhathi sokuhlinzwa isikhathi eside.
- I-Analgesia Elawulwa Yisiguli (i-PCA): Lokhu kusebenzisa ne-catheter, kodwa unikezwa idivayisi ephathwayo. Ungacindezela inkinobho ukuze uzinike umthamo wemithi yobuhlungu uma kudingeka. Lokhu kuhlelwe kusengaphambili ukuze kunikezwe umthamo ophephile, ovunyelwe udokotela , ukuze uzizwe uphephile.
- I-Combined Spinal-Epidural (CSE): Ivame ukusetshenziswa ngesikhathi sokubeletha, lokhu ngezinye izikhathi kubizwa ngokuthi “i-walking epidural.” Nakuba ungeke ukwazi ukuhamba ngokukhululeka ngokuphelele, ungase ugcine umuzwa owanele emilenzeni yakho ukuze ushintshe izikhundla noma uzulazule embhedeni ngokunethezeka.
Ingabe udinga ukulungiselela i-epidural?
Yebo. Ukulungiselela kuncike ohlotsheni lwe-epidural kanye nezidingo zakho ezithile zezokwelapha. Udokotela wakho uzokunikeza imiyalelo ecacile, kodwa ungase ucelwe ukuthi:
- Zila ukudla nokuphuza amahora amaningana ngaphambi kwenqubo.
- Misa okwesikhashana imithi ethile, ikakhulukazi imithi yokunciphisa igazi .
- Hlela ukuthi othile akuyise ekhaya ngemoto ngemva kwenqubo.
Kwenzekani ngesikhathi senqubo?
Okuhlangenwe nakho kuyahlukahluka kuye ngohlobo lwe-epidural.
Ngomjovo owodwa:
Uzobekwa endaweni yokulala ngesisu sakho. Ngemuva kwalokho, udokotela wakho uzokwenza lokhu:
1. Faka umjovo wokubulala izinzwa wendawo ukuze uqede indawo.
2. Sebenzisa i-fluoroscopy — inqubo yokuthwebula izithombe ze-X-ray ebukhoma — ukuqinisekisa ukuthi inalithi ibekwe ngokunemba.
3. Faka inaliti esikhaleni se-epidural bese ufaka umuthi.
4. Susa inaliti bese umboza indawo ngendwangu encane noma iplasta.
Nge-epidural ene-catheter:
1. Kuzofakwa umugqa we-IV ukuze kuhlinzekwe uketshezi.
2. Uzocelwa ukuba ulale ngohlangothi lwakho amadolo akho adonseleke esifubeni sakho, noma uhlale phansi ugobe phambili. Lesi simo sisiza ukuvula izikhala phakathi kwamathambo akho.
3. Indawo yokufaka izofakwa izinombolo nge-anesthesia yendawo.
4. Kuzofakwa inaliti ye-epidural, bese kuthi i -catheter (ithubhu elincane) ifakwe esikhaleni se-epidural.
5. Inaliti ibe isikhishwa ngokucophelela, kushiywe i-catheter kuphela endaweni yayo.
6. Imithi inikezwa nge-catheter uma kudingeka.
7. I-catheter izosuswa uma ukwelashwa kwakho sekuqediwe (lokhu kungaba amahora noma izinsuku kamuva).
Uzozizwa kanjani?
Ungase uzizwe ulunywa isikhashana lapho kufakwa umjovo wendawo wokwenza izinzwa. Njengoba kufakwa inaliti ye-epidural, ungase uzwe ukucindezeleka, ukuqaqamba, umuzwa wokushisa, noma umuzwa wesikhashana "wogesi". Abanye abantu abazizwa bengelutho nhlobo. Lokhu kungakhululeki kuvame ukuphela uma inqubo isiqediwe. Kodwa-ke, uma uzwa ubuhlungu obukhulu noma obungabekezeleleki, sicela wazise udokotela wakho ngokushesha.
Yiziphi izinzuzo nezingozi ze-epidural?
KwaNirogi Lanka, siyaqaphela ukuthi i-epidural iyindlela ephephile kakhulu futhi ephumelelayo yokulawula ubuhlungu. Ngesikhathi sokubeletha, inikeza ukuguquguquka okukhulu kunezinye izindlela zokubulala izinzwa. Imiphumela emibi ayivamile. Ezigulini ezinobuhlungu obungapheli, ukufeza ukuphathwa kobuhlungu okuphumelelayo ngale ndlela ngezinye izikhathi kungakusiza ugweme isidingo sokuhlinzwa.
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Kodwa-ke, sicela ukhumbule ukuthi izinkinga ezinkulu azivamile kakhulu .
Izingozi ezingaba khona zifaka:
- Ukopha endaweni yokujova.
- Ukutheleleka endaweni yokujova.
- Ukulimala kwemizwa (okungavamile kakhulu).
- Ukusabela kokungezwani komzimba nomuthi.
- Ukuvuza koketshezi lomgogodla (i-CSF leak), okungase kubangele ikhanda kamuva.
Ingabe i-epidural ibangela ubuhlungu bomhlane besikhathi eside?
Lokhu kuyinto evamile kwabaningi, kodwa sicela ukhumbule ukuthi akuvamile kakhulu ukuthi i-epidural ibangele ubuhlungu bomhlane obuhlala isikhathi eside noma obungapheli .
Kuvamile ukuzwa ubuhlungu besikhashana noma ukuklwebheka endaweni yomjovo izinsuku ezimbalwa, okuvame ukuphelela ngokwako. Omama abaningi bazwa ubuhlungu bomhlane ngemva kokubeletha —kungakhathaliseki ukuthi babene-epidural noma cha . Lokhu kuvame ukubangelwa izinguquko zomzimba emathanjeni akho nasemisipha ye-pelvic ngesikhathi sokukhulelwa ebuyela esimweni sawo sangaphambi kokukhulelwa.
Nini lapho kufanele ufune usizo lwezokwelapha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwe-epidural, xhumana nodokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze .
| Izimpawu Okufanele Uziqaphele |
|---|
| • Imfiva. |
| • Ukulahlekelwa ukulawula isinyi noma amathumbu (ukungakwazi ukuzibamba ngenxa yokuchama noma indle). |
| • Ukuba ndikindiki noma ubuthakathaka emilenzeni yakho obuhlala isikhathi eside kunalokho okubonisiwe udokotela wakho. |
| • Ikhanda elibuhlungu elibuhlungu elivela uma umi noma uhleli futhi liba ngcono uma ulele phansi. |
Kungokwemvelo ukuzizwa ukhathazekile ngenqubo ehilela umhlane wakho. Kodwa-ke, i-epidural iyindlela esetshenziswa kabanzi, ephephile, futhi ephumelelayo yokulawula ubuhlungu emhlabeni jikelele. Sicela ungangabazi ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukwesaba ongase ube nakho. I-Nirogi Lanka izibophezele enhlalakahleni yakho.
Izinto Ezibalulekile Okufanele Uzicabangele
- I-epidural inqubo ephephile kakhulu futhi evamile yokuqeda ubuhlungu ngempumelelo.
- Ifakwa endaweni ezungeze intambo yomgogodla (isikhala se-epidural), hhayi entanjeni yomgogodla uqobo.
- Isetshenziselwa ukuphatha ubuhlungu ngesikhathi sokubeletha, izinqubo zokuhlinzwa, kanye nezimo zobuhlungu obungapheli.
- Izinkinga ezinkulu azivamile kakhulu; ubuhlungu obuncane endaweni yesifo izinsuku ezimbalwa buvamile.
- Umbono wokuthi ama-epidurals abangela ubuhlungu bomhlane besikhathi eside ngokuyinhloko awulona iqiniso.
- Njalo xoxa ngokukhululekile nganoma yikuphi ukungabaza noma ukwesaba nomhlinzeki wakho wezempilo.
I-Epidural, ukuqeda ubuhlungu, ubuhlungu bokubeletha, i-anesthesia, ukuvinjelwa komgogodla, ukuphathwa kobuhlungu, ubuhlungu bomhlane
