Usukulungele ukuba ngumama futhi ungathanda ukwazi nge-epidurals yokunciphisa ubuhlungu ngesikhathi sokubeletha?

Ukulindela umntwana kuyinto ekhethekile futhi enhle empilweni yabo bonke abesifazane. Ngesikhathi esifanayo, kuyinto evamile ukuba nokwesaba okuncane nokukhathazeka ngobuhlungu ngesikhathi sokubeletha. Abanye abantu bangase bazizwe besaba ngisho nalapho becabanga ngobuhlungu obufika ngaleso sikhathi. Kodwa-ke, uma ubheka ukuthi isayensi yezokwelapha isithuthuke kangakanani, kunezindlela zokukusiza ukulawula lobo buhlungu ngezinga elikhulu futhi ubhekane nokubeletha ngengqondo ezolile necacile. Enye indlela enjalo eyaziwayo futhi ephumelela kakhulu phakathi kwabaningi ibizwa ngokuthi `(Epidural)` . Abanye bayibiza nangokuthi `(Epidural Block)`. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Kuyini lokhu `(Epidural)`? Kalula nje...

Kalula nje, i-epidural iyindlela yokunciphisa ubuhlungu bokubeletha, ikwenze uzizwe ukhululekile, futhi ikusize uzizwe uzolile futhi ulawula yonke inqubo.

Empeleni lena indlela yokulawula ubuhlungu endaweni ethile yomzimba, "Ukulawulwa kobuhlungu besifunda." Okusho ukuthi, yonke indawo engaphansi kwezinqe zakho - kufaka phakathi izindonga zesitho sangasese sowesifazane kanye nemilenze yakho - ikhululeka ebuhlungwini. Kodwa into ebaluleke kakhulu ukuthi uma uthola "i-Epidural," yize ungenabuhlungu, usazizwa , ungazizwa ukuthi kwenzekani eduze kwakho, futhi ungazwa ukuthi odokotela nabahlengikazi bathini. Lokho kusho ukuthi ungajabulela umzuzu omuhle ingane yakho ifika kuleli zwe ngengqondo ecacile. Lena ngokuvamile yindlela eyinhloko yokunikeza ukukhululeka ebuhlungwini ngesikhathi sokubeletha.

Lokhu `(Epidural)` kunikezwe kanjani? Ungachaza kancane?

Manje cishe ucabanga ukuthi, "O, ngingakwenza kanjani lokhu? Ingabe kuzolimaza? Kuzokwenzekani?" Ungakhathazeki, ngizokuchazela kalula.

Uma uthola i-epidural, udokotela wezinzwa ufaka ithubhu elincane elibizwa ngokuthi i-catheter emhlane wakho ongezansi, ikakhulukazi esikhaleni esizungeze umgogodla wakho esibizwa ngokuthi isikhala se-epidural. Isikhala se-epidural siyindawo encane engaphandle kolwelwesi oluncane olumboza umgogodla wakho.

Uma wenza lokhu, uzocelwa ukuthi uhlale phansi noma ulale phansi. Noma ngabe yikuphi, kufanele ugcine umhlane wakho ujikelezile futhi ugobile phambili . Cabanga ngakho njengekati elinomhlane walo ogobile. Ngaleyo ndlela, kuzoba lula ngodokotela ukufaka i-catheter.

Le `(Catheter)` izothatha imizuzu embalwa ukuyifaka. Okokuqala, kufakwa umuthi omncane ukuze kunciphe indawo. Ngakho-ke ungase uzwe umuzwa omncane wokucasuka , njengentuthwane encane ekulumayo, noma umuzwa wokuhlaba. Ngemuva kwalokho ungase uzwe ukucindezela okukhulu noma umuzwa wokucindezelwa. Inaliti isetshenziselwa ukuqondisa i-`(Catheter)` encane endaweni efanele. Ngemva kokufakwa, inaliti iyasuswa. Ungase uzwe i-`(Catheter)` emhlane wakho, kodwa ayibuhlungu noma ayikhululekile.

Le `(i-Epidural catheter)` izohlala isendaweni yayo kuze kube yilapho ukubeletha sekuphelile. Yiyo lapho umuthi wezinhlungu unikezwa khona uma kudingeka.

Kuzwakala kanjani ngemva kokunikezwa i-epidural?

Umuthi onikezwa nge-catheter ye-epidural ungase uqukathe iziqeda-zinhlungu (njenge-opioid), i-anesthesia, noma inhlanganisela yakho kokubili.

Uzoqala ukuzwa imiphumela yomuthi zingakapheli imizuzu eyi-10-20 ngemva kokunikezwa. Uzoqhubeka nokuzwa ukunyakaza kwengane, ukuqina kwesisu sakho lapho isibeletho sifinyela. Okusho ukuthi, uzozwa ukucindezeleka kwengane ezama ukuphuma. Kodwa ubuhlungu obungabekezeleleki buzobe sebunyamalele kakhulu. Kubaluleke kakhulu ukuthi uzizwe lezi zifinyezo, ngoba zizokusiza lapho uqala ukusunduza ingane.

Njengoba udokotela ekhulisa noma enciphisa umthamo womuthi, imilenze yakho ingase izwakale ibuthakathaka kancane, ifudumele, ibuhlungu, indikindiki, noma isinda. Kodwa-ke, ngokungafani neminye imithi yokwelapha izinhlungu, uma uthola i- epidural , usuke uqaphela ngokugcwele futhi uyazi ukuthi kwenzekani eduze kwakho.

Yiziphi izinzuzo zokuthola i-epidural?

Kunezinzuzo eziningana ze-epidural. Ake sibheke eziyinhloko.

• Ukuqeda ubuhlungu isikhathi eside: Inzuzo enkulu ukuthi ungathola ukuqeda ubuhlungu uma nje udinga, okusho ukuthi kuze kube sekupheleni kokubeletha.
• Ikhono lokulungisa umthamo: Odokotela bangashintsha umthamo womuthi ngokuya ngezidingo zakho kanye nezigaba zokubeletha. Bangayeka nokunikeza umuthi isikhashana uma kudingeka.
• Ukuqaphela okuhle kanye namandla: Njengoba umthamo wemithi uvame ukuba phansi, lokhu kusiza umama ukuthi ahlale eqaphile, ezwe ukushaqeka lapho kufika, futhi ngesikhathi esifanayo abe namandla adingekayo okusunduza umntwana.
• Ukuphepha: Ngenxa yokuthi imithi eminingi ihlala endaweni ye-epidural, kuncane kakhulu okungena egazini likamama noma lomntwana. Ngakho-ke, i-epidural ngokuvamile iphephile kakhulu kumama nakumntwana.
• Uma kwenzeka ukuhlinzwa kwe -C-section okuphuthumayo: Cabanga ukuthi kufanele wenze ukuhlinzwa kwe-C-section okuphuthumayo ngesikhathi sokubeletha. Uma kunjalo, ungaba nokuhlinzwa okunamandla kancane nge-catheter ye-epidural osuvele unayo. Lokhu kuzokwenza uzizwe ungasebenzi kahle kusukela okhalweni kuye phansi, kodwa uzobe uqaphile ngokugcwele ngesikhathi sokuhlinzwa. (Kodwa-ke, uma une-C-section ephuthumayo ngaphandle kwe-catheter ye-epidural, kungadingeka ukuthi unikezwe i-anesthesia ejwayelekile, okusho ukuthi ngeke uzizwe lutho ngesikhathi sokuhlinzwa.)

"I-epidural ingaba usizo olukhulu ekunciphiseni ubuhlungu futhi ikuvumele ukuthi wamukele ingane yakho emhlabeni ngengqondo ezolile necacile."

Ingabe kukhona ukungezwani noma izingozi ku-epidural?

Njenganoma iyiphi inqubo yezokwelapha, i-epidural ayiyona engenazo izingozi zayo. Kodwa lezi zivame ukuba zincane noma ziphathwe kalula odokotela. Ake sibheke ukuthi ziyini:

• Ubunzima bokusunduza: Ngezinye izikhathi, i-epidural ingenza kube nzima ukusunduza ingane . Kodwa-ke, uma lokhu kwenzeka, udokotela wezinzwa angashintsha umthamo womuthi ukuze alungise inkinga.
• Umfutho wegazi ophansi kumama: Lokhu kungaba nomthelela omncane ekugelezeni kwegazi enganeni. Kodwa lokhu kungalawulwa kalula odokotela.
• Okunye ukungakhululeki okuncane: Abanye abantu bangase babe nekhanda elibuhlungu, izinhlungu zomzimba, umkhuhlane, isicanucanu, noma ukuhlanza .
• Ubunzima besikhashana bokuchama: Ngezinye izikhathi kungaba nzima ukuchama. Uma lokhu kwenzeka, kungadingeka kufakwe i-catheter yesikhashana yomchamo.

Lezi zinto zingase zizwakale zithusa kancane, kodwa khumbula ukuthi izingozi ziphansi kakhulu (Kulungisiwe: "ரோமே ஦ாயி" isiTamil, sebenzisa "இதமா ஦ாயி"), ziphansi kakhulu , futhi ithimba lezokwelapha likulungele konke lokhu.

Ingabe i-epidural izothinta ingane yami?

Ukwesaba okukhulu abanye omama abanakho ukuthi, "Ingabe lo muthi uzothinta ingane?" Eqinisweni, inani elincane kakhulu lomuthi onikezwa nge-epidural lifinyelela egazini lomntwana. Lokhu kuncane kakhulu kunenani lomuthi obungafinyelela enganeni uma unikezwe i-IV noma i-anesthesia ejwayelekile.

Ingozi enganeni evela ku-epidural iphansi kakhulu. Kodwa-ke, ngezinye izikhathi kungase kube nokucindezeleka okuncane. Lokhu kusho ukuthi ukushaya kwenhliziyo kwengane kuvame ukwehla ngenxa yomfutho wegazi ophansi kamama. Kodwa-ke, lokhu kungalungiswa kalula. Lokhu kungagwenywa ngokunika umama uketshezi nge-IV, ukushintsha isikhundla sakhe, nokuthuthukisa ukujikeleza kwegazi kwakhe.

Ngizozizwa kanjani ngemva kokubeletha umntwana?

Ungase uzizwe uthuthumela kancane ngemva kokubeletha umntwana wakho. Lokhu kuhlukile kwabanye abantu, kungakhathaliseki ukuthi babene-epidural noma cha, ngakho ungakhathazeki ngakho.

Imilenze yakho izozizwa indikindiki futhi isindayo, izwakale sengathi iyathuthumela kuze kube yilapho imiphumela yemithi iphela. Ngakho-ke ungase ungakwazi ukuhamba amahora ambalwa ngemva kokuzalwa kwengane yakho. Ngisho nalapho, kungcono ukuba othile akusize uhambe kuze kube yilapho imilenze yakho izizwa ijwayelekile.

Uma uhlinzwe ngokuhlinzwa, udokotela wakho angashiya i-epidural endaweni yayo isikhashana ukuze asize ekulawuleni ubuhlungu ngemva kokuhlinzwa.

Indawo ye-epidural ingaba buhlungu kancane izinsuku ezimbalwa. Lokhu kuvamile. Akuvamile kakhulu, omama abake baba ne-epidural bangase babe nekhanda elibuhlungu ngemva kokubeletha. Uma lokhu kwenzeka, kufanele utshele udokotela wakho ngokushesha.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ekuphetheni, i-epidural iyindlela enhle kakhulu nephephile yokuphatha ubuhlungu bokubeletha. Ingakusiza ukunciphisa ubuhlungu futhi wamukele ingane yakho emhlabeni ngenduduzo nokuthula kwengqondo.

Yiqiniso, akuwona wonke umuntu odinga i-epidural, futhi abanye abantu abafuni. Kuyisinqumo sakho ngokuphelele. Kodwa uma ucabanga ngakho, khuluma nodokotela wakho ngakho . Bangakusiza ukhethe inketho engcono kakhulu kuwe, ucabangele isimo sakho sempilo, okuthandayo, nokuningi.

Khumbula, ukubeletha kuyinselele futhi kuyinto enhle. Unelungelo lokwenza lokho kube yinto ekhululekile ngangokunokwenzeka.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Uma kukhona okunye ongakubuza, sicela ukhululeke ukukubuza!

Imithi yokwelapha i - Epidural, ukubeletha, imithi yokuqeda izinhlungu, ubuhlungu bokubeletha, ukuhlinzwa, i-anesthesia, ukukhulelwa