Ukuba ngumama kungenye yezinto ezinhle kakhulu neziyigugu owesifazane angaba nazo empilweni yakhe. Kodwa-ke, kanye naleyo njabulo, kuyinto evamile ukuzizwa wesaba futhi ukhathazekile kancane lapho ucabanga ngobuhlungu obuhambisana nokuba nomntwana. Ngezinye izikhathi, kufanele ubekezelele lobu buhlungu amahora amaningi, ngisho nezinsuku. Ngakho-ke, enye yezindlela ezidumile nezisebenzayo zokulawula lobu buhlungu namuhla yi-epidural. Nakuba abantu abaningi bezwile ngakho, abazi kahle ukuthi kuyini, kwenziwa kanjani, nokuthi yiziphi izinzuzo nezingozi. Ngakho-ke namuhla, sizoxoxa ngakho konke ngendlela elula ongayiqonda.
Kalula nje, iyini i-epidural?
I-epidural iwumjovo okhethekile wokuqeda izinhlungu onikezwa ukunciphisa ubuhlungu bokubeletha. Kufana ne-anesthesia. Kodwa-ke, iqeda kuphela ingxenye engezansi yomzimba wakho, kusukela esiswini sakho kuya phansi, esikhundleni somzimba wakho wonke.
Lo mjovo unikezwa endaweni ebucayi kakhulu ezungeze umgogodla wakho. Ngokwezokwelapha, le ndawo ibizwa ngokuthi 'i-Epidural Space' . Le ndawo yilapho kutholakala khona imizwa eyinhloko ethwala izimpawu zobuhlungu isuka emzimbeni wethu iye ebuchosheni. Ngakho-ke lapho kufakwa umuthi wokubulala izinzwa kule ndawo, izimpawu zobuhlungu eziya ebuchosheni ziyavaleka okwesikhashana, futhi awuzizwa ubuhlungu.
Le nqubo yenzeka kanjani?
I-epidural ivame ukunikezwa egumbini lokubelethisa lapho ukhona. Ngeke uzwe ubuhlungu obukhulu uma unikezwa, kodwa ungase uzizwe ungakhululekile.
1. Indlela Yokuma: Okokuqala, udokotela wakho noma udokotela wezinzwa uzokutshela ukuthi ulale ohlangothini olulodwa lombhede, amadolo akho asondele esifubeni sakho ngangokunokwenzeka, cishe njengokungathi ugobile. Lesi simo sizokusiza ukuthi ubone isikhala esiphakathi komgogodla wakho.
2. Ukuhlanza nokufaka izinzwa: Okulandelayo, indawo okufanele ifakwe kuyo ihlanzwa kahle bese kunikezwa umjovo omncane ukuze kufakwe izinzwa esikhumbeni.
3. Ukufaka inaliti ye-epidural : Okulandelayo, inaliti ye-epidural eklanywe ngokukhethekile ifakwa ngokucophelela 'esikhaleni se-epidural' esikhulume ngaso ngaphambili.
4. Ukunikeza umuthi: Uma inaliti isisendaweni efanele, kufakwa ipayipi elincane kakhulu neliguquguqukayo (i-catheter) ngalo bese kukhishwa inaliti. Ngemuva kwalokho, ngaleli payipi, inani elidingekayo lomuthi wokuqeda ubuhlungu lilethwa kancane kancane emzimbeni wakho kusetshenziswa ipompo.
Uzozwa ubuhlungu buphela kancane kancane phakathi nemizuzu engaba ngu-15 uphuze lo muthi. Izinga lobuhlungu obuzwayo lizoncika ohlotsheni, inani, kanye nokuhlushwa komuthi owunikezwayo.
Into ebaluleke kakhulu ukuthi i-epidural ayikwenzi ungazi lutho. Ungahlala uphapheme futhi ukhulume. Iqeda ubuhlungu nje.
Yiziphi izinzuzo kanye nokungalungi kwe-epidural?
Njenganoma yiluphi uhlobo lokwelashwa, i-epidural inezinzuzo nezinkinga zayo. Kubalulekile ukuqaphela izinhlangothi zombili ngaphambi kokwenza isinqumo.
| Ochwepheshe | Ububi |
|---|---|
| Ukuqeda ubuhlungu: Inzuzo eyinhloko ukuthi ungathola impumuzo ephelele ebuhlungwini bokubeletha. Lokhu kukuvumela ukuthi uphumule futhi wonge amandla. | Ukungakwazi ukuhamba: Ngenxa yokuthi umzimba wakho ongezansi awusakwazi ukuhamba, ungase ungakwazi ukuvuka noma ukuhamba ngemva kokuthola i-epidural. Kuzodingeka uhlale embhedeni. |
| Ukuqaphela: Ungahlala uphapheme phakathi nesikhathi sokubeletha. Lokhu kuzokusiza ukuthi uzizwe usesimweni sokubeletha unengqondo ehluzekile. | Isigaba sesibili sokubeletha eside: Ngesikhathi sokusunduza, ungase ungayizwa kahle imisipha yakho, ngakho kungaba nzima ukwazi ukuthi uyisunduza kanjani. Lokhu kungabangela ukuthi ingane ithathe isikhathi eside ukuphuma. |
| Ukukhululeka kwengqondo: Ukucindezeleka, ukwesaba, nokukhathazeka okubangelwa ubuhlungu obukhulu kuncishiswe kakhulu. | Umfutho wegazi ophansi: Ngezinye izikhathi, umfutho wegazi wakho ungehla ngokuzumayo ngenxa ye-epidural. Lokhu kungase futhi kubangele ukuthi ukushaya kwenhliziyo kwengane kwehle kancane. Kodwa-ke, akukho okufanele ukhathazeke ngakho njengoba abasebenzi bezokwelapha behlala beqapha lokhu. |
| Ukulungiselela ukuhlinzwa okuphuthumayo:Uma kukhona isimo esiphuthumayo, njengokuthi ingane ayitholi umoya-mpilo owanele, kuzodingeka kwenziwe ukuhlinzwa ngokushesha. Njengoba kunikezwe i-epidural, ukuhlinzwa kungenziwa ngokushesha ngaphandle kokuchitha isikhathi sokunikeza i-anesthesia. | Ngezinye izikhathi sekwephuze kakhulu: Udinga ukunikezwa i-saline (i-IV fluids) ngaphambi kokuba unikezwe i-epidural. Le nqubo ithatha isikhathi esithile. Uma umlomo wakho wesibeletho uvuleke ngokuphelele futhi ingane yakho isizongena, kungase kube sekwephuze kakhulu ukunikeza i-epidural. |
Ubani ongase abe sengozini yokuthola i-epidural?
Nakuba i-epidural iphephile kakhulu, ingaba yingozi kancane kwabanye abantu. Uma unezinye zezimo ezingezansi, kufanele ukhulume nodokotela wakho ngakho ngaphambi kokubeletha.
- Uma uke wahlinzwa kakhulu emhlane wakho ongezansi ngaphambilini.
- Uma unesifo sokujiya kwegazi .
- Uma uthatha imithi ethile yokunciphisa igazi.
- Uma unesifo emhlane wakho ongezansi.
Izingozi ezinkulu ezingavela kaningi kakhulu
Ungesabi uma ufunda ngalezi zinto. Ngoba lezi zinto azivamile ukwenzeka. Lokho kusho ukuthi zingenzeka koyedwa kwabayisigidi. Kodwa kubalulekile ukuqaphela.
- Ukulimala kwemizwa okungapheli okubangelwa ukulimala komgogodla noma impande yemizwa.
- Ukukhubazeka okungapheli ngenxa yokuqoqwa kwegazi (i-hematoma) eduze komgogodla.
Yiziphi imiphumela emibi engaba khona ngemva kwe-epidural?
Ngemva kokubeletha umntwana wakho, ungase ube nemiphumela emibi njengoba i-epidural iphela. Iningi lale miphumela lingokwesikhashana.
- Ubuhlungu endaweni yokujova: Ungase uzizwe unamanxeba nobuhlungu endaweni yokujova izinsuku ezimbalwa.
- Umkhuhlane: Izinga lokushisa lomzimba lingakhuphuka kancane.
- Ikhanda elibuhlungu kakhulu: Abanye abantu bangase babe nekhanda elibuhlungu kakhulu. Lokhu akufani nekhanda elibuhlungu elivamile. Uma ubhekana nalokhu, tshela udokotela wakho noma umhlengikazi ngokushesha .
- Ubunzima bokuchama: Ngenxa yokuthi imisipha yesinye ayizwakali, kungaba nzima okwesikhashana ukuchama. Ezimweni ezinjalo, kungafakwa i-catheter ukuze kukhishwe umchamo.
- Ukuluma: Eminye imithi yokubulala izinzwa ingabangela ukulunywa kwesikhumba.
Eziningi zalezi zinto ziyanyamalala ngokuphelele emahoreni noma ezinsukwini ezimbalwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Epidural iyindlela ephumelela kakhulu futhi ephephile yokulawula ubuhlungu ngesikhathi sokubeletha.
- Lokhu kukuvumela ukuthi uzizwe ungenabuhlungu ekubelethweni futhi unengqondo ehluzekile . Futhi akunawo umthelela omkhulu enganeni.
- Njengakho konke, lokhu kunezinzuzo nezinkinga zako. Ukungakwazi ukuhamba kanye nobunzima bokusunduza kungabhekwa njengezinkinga eziyinhloko.
- Ngaphambi kokunquma ukuthi uyayifuna yini i-epidural noma cha, xoxa ngayo yonke imibuzo yakho kanye nokwesaba kwakho nodokotela wakho ngaphandle kokungabaza.
- Kubalulekile ukunikeza udokotela wakho incazelo ephelele yomlando wakho wezokwelapha .
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