Uma ulindele umntwana, kungenzeka ukuthi uke wezwa igama elithi ' epidural ' ngaphambili. Mhlawumbe kumngane, noma ku-movie. Abantu abaningi bacabanga ukuthi kuyinto nje enikezwa ukunciphisa ubuhlungu ngesikhathi sokubeletha. Lokho kuyiqiniso, kodwa kunezinzuzo eziningi kakhulu ku-epidural kunalokho. Ngakho-ke namuhla, ake silahle konke ukwesaba nokungabaza ngakho futhi sixoxe ngakho ngendlela eqondile neqondile.
Iyini i-epidural? Isebenza kanjani?
Kalula nje, i-epidural uhlobo lokubulala izinzwa olusetshenziswa ukulawula ubuhlungu. Cabanga ngomgogodla, okuyingxenye ebalulekile yesimiso sezinzwa esihamba emgogodleni wethu. Une-membrane yokuwuvikela. Isikhala esincane esingaphandle kwalowo membrane yilokho esikubiza ngokuthi 'isikhala se-epidural'.
Udokotela, ikakhulukazi udokotela wezinzwa, usebenzisa inaliti encane kakhulu ukufaka ithubhu elincane kakhulu neliguquguqukayo, elibizwa ngokuthi i-catheter , esikhaleni osishilo. Ngemuva kwalokho, ngaleyo thubhu, imithi edingekayo yokuqeda ubuhlungu ifakwa kancane kancane emzimbeni. Le mithi ivimba izimpawu zobuhlungu ukuthi zingayi ebuchosheni. Ngenxa yalokho, asisazizwa ubuhlungu.
Into ebaluleke kakhulu ukuthi ngemva kokufakwa kwenaliti ye-epidural kanye ne -catheter esekhona, inaliti isuswa ngokuphelele. Okusele emzimbeni wakho yilelo payipi elincane nelithambile. Ngakho ungakhathazeki ngokuthi inaliti ishiywe ngaphakathi.
Yiziphi izindlela eziyinhloko zokusebenzisa i-epidural?
Ngaphezu kokubeletha, okuyinto abantu abaningi abajwayelene nayo, ama-epidural asetshenziswa kwezinye izimo eziningana. Ake sibheke ukuthi ayini.
| Isikhathi sokusetshenziswa | Incazelo elula |
|---|---|
| Ngesikhathi Sokubeletha | Lena yindlela evame kakhulu. Lena yindlela eqeda ubuhlungu kuphela (i-analgesia). Lokhu kusho ukuthi uqaphile, uyakwazi ukukhuluma, futhi unyakazise imilenze yakho kancane, kodwa ngeke uzizwe ubuhlungu obukhulu bokubeletha. |
| Ngesikhathi Nangemva Kokuhlinzwa | I-epidural inikezwa ukuze iqede ngokuphelele indawo, ikakhulukazi ngesikhathi sokuhlinzwa okukhulu esinqeni, edolweni, noma esiswini esingezansi. Ingasetshenziswa futhi ukulawula ubuhlungu ngemva kokuhlinzwa. |
| Njengokwelashwa kobuhlungu obungapheli | Le ndlela isetshenziselwa futhi ukujova imithi efana nama-steroid obuhlungu obungapheli bomhlane nomlenze obubangelwa yizimo ezifana nama-disc e-herniated kanye ne-spinal stenosis. |
Ingabe i-epidural ibuhlungu kakhulu uma ifakwa?
Lokhu ukwesaba okukhulu abantu abaningi abanakho. Nakhu okwenzekayo ngempela:
1. Isikhundla : Okokuqala, uzocelwa ukuba uhlale esihlalweni bese ugoba phambili noma uphendukele kolunye uhlangothi lombhede bese uletha amadolo akho esifubeni sakho.
2. Ukuhlanza: Okulandelayo, udokotela uzohlanza kahle indawo yangemuva lapho kuzofakwa khona umjovo.
3. Ukuba ndikindiki: Bese kuba nenaliti encane esetshenziswa ukudambisa isikhumba. Kufana nokudambisa izinsini ngaphambi kokuba kukhishwe izinyo. Kuleli qophelo, kuzwakala sengathi intuthwane encane iyakuluma.
4. Ukufaka i-epidural: Ngemva kokuba isikhumba siphelelwe amandla, udokotela ufaka i-epidural. Ngeke uzwe ubuhlungu ngalesi sikhathi. Kodwa-ke, ungase uzwe umuzwa ongajwayelekile, njengokucindezela noma umuzwa wokukitaza. Abanye abantu bangase bangezwa lutho nhlobo.
5. Ukususa inaliti: Uma i-catheter (ishubhu le-heani) isibekwe kahle, inaliti isuswa ngokuphelele.
Into ebaluleke kakhulu ukuthi uma uzwa ubuhlungu obungabekezeleleki phakathi nale nqubo, noma uma uzizwa sengathi ushaqekile ngogesi, kufanele utshele udokotela ngokushesha.
Ingabe ikhona imiphumela emibi ye-epidural?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-epidural ingabangela imiphumela emibi emincane. Kodwa-ke, imiphumela emibi emibi ayivamile. Ake sibheke ukuthi yini engenzeka.
| Umphumela/inkinga | Okufanele ukwazi |
|---|---|
| Umfutho wegazi ophansi | Lokhu kuvamile impela. Ungase uzizwe unesiyezi. Kodwa lokhu kungalawulwa yithimba lezokwelapha, elizohlola njalo umfutho wegazi lakho. |
| Ubunzima bokuchama | Ama-painkiller angaqeda imizwa yesinye okwesikhashana. Uma kudingeka, kungafakwa i-catheter ukulungisa lokhu. |
| Ukuthuthumela nokuthuthumela | Lokhu kungenzeka ngenxa yezinguquko ekushiseni komzimba. Akuyona into okufanele ukhathazeke ngayo. |
| Ikhanda elibuhlungu kakhulu | Akuvamile kakhulu (ngaphansi kuka-1%) lokhu kungenzeka uma inaliti ingena ngengozi oketshezini lomgogodla. Kukhona ukwelashwa kwalokhu. |
| Ukutheleleka, ukuphuma kwegazi | Lokhu nakho akuvamile kakhulu. Izinto ezifana nokwakheka kwehlule legazi (i-hematoma) ngenxa yokopha zingenzeka. Kodwa odokotela bakhathazekile kakhulu ngalokhu. |
Izingozi ezikhethekile ezihlobene nokubeletha
- Isigaba sesibili sokubeletha singase sibe side kancane.
- Umuzwa wamandla adingekayo ukuze ucindezele ungase unciphe kancane.
- Kungase kube nengozi eyengeziwe kancane yokudabuka kwe -perineal .
Ingabe bakhona abantu abangafaneleki i-epidural?
Yebo. Kwezinye izimo, ukunikeza i-epidural kungaba yingozi. Udokotela wakho uzoxoxa nawe ngalokhu futhi enze isinqumo.
- Uma une -allergies emithini yokubulala izinzwa oyisebenzisayo.
- Uma unezinkinga zokujiya 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?
Ngisho nangemva kokuba imiphumela yokuguga kwe-epidural iphelile, kufanele uzigweme lezi zinto okungenani amahora angama-24.
- Gwema ukushayela.
- Gwema ukusebenzisa imishini esindayo.
- Gwema ukuphuza utshwala ngokuphelele.
Kuye ngesimo sakho, udokotela wakho uzokunikeza imiyalelo ethile. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-epidural iyindlela yokulawula ubuhlungu ewusizo kakhulu engasetshenziswa hhayi kuphela ekubelethweni, kodwa futhi nasekuhlinzweni nasekuhluphekeni okungapheli.
- Lokhu kwenziwa ngudokotela okhethekile wezinzwa. Futhi, indawo iyavaleka ngaphambi komjovo, ngakho ubuhlungu buncane.
- Okusele emzimbeni wakho akuyona inaliti eqinile, kodwa ipayipi elincane nelithambile lepulasitiki (i-catheter).
- Nakuba imiphumela emibi emincane ingenzeka, izinkinga ezinkulu azivamile kakhulu.
- Okubaluleke kakhulu: Vula futhi uthembeke kudokotela wakho noma kudokotela wezinzwa mayelana nanoma yimiphi imibuzo, ukukhathazeka, noma ukukhathazeka ongase ube nakho ngesimo sakho sezokwelapha. Lokhu kubalulekile ekuphepheni kwakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho