I-Epidural ingenye yezinto ezinzima nezibuhlungu kakhulu umama angadlula kuzo lapho esezobeletha. Abanye omama bathola ubuhlungu bungabekezeleleki. Ngakho-ke, enye yezindlela ezidumile nezisebenzayo zokuphatha lobu buhlungu obukhulu i-epidural. Nakuba abantu abaningi sebezwile ngayo, abaqondi ngempela ukuthi iyini, iphephile yini, nokuthi kufanele bayithathe nini. Namuhla, sizokhuluma ngayo ngokucacile nangokulula.
Iyini ngempela i-epidural?
Kalula nje, i-epidural iwumjovo wokubulala izinzwa onikezwa endaweni yomhlane wakho, isikhala esizungeze umgogodla wakho, eduze kwemizwa ethwala izimpawu zobuhlungu. Lo mjovo uthulisa umzimba wakho ongezansi, ukukunikeza impumuzo ebalulekile ebuhlungwini obukhulu bokubeletha.
Odokotela basebenzisa le ndlela ikakhulukazi ezimweni eziningana:
- Ukuqeda ubuhlungu ngesikhathi sokubeletha: Lokhu kusetshenziselwa ukulawula ubuhlungu ngesikhathi sokubeletha okuvamile kanye nangesikhathi sokubeletha ngokuhlinzwa .
- Ukuhlinzwa: Ukuvala indawo yokuhlinzwa okwenziwa emzimbeni ongezansi.
- Ngemva kokuhlinzwa: Ukulawula ubuhlungu ngemva kokuhlinzwa okuthile.
- Kweminye iminjunju: Ezimweni ezifana ne-sciatica, inikezwa futhi kanye nemithi ye-steroid ukunciphisa ubuhlungu.
Odokotela bezifo ezibulala izinzwa basebenzisa imithi yokubulala izinzwa yendawo efana ne-bupivacaine noma i-lidocaine. Ngezinye izikhathi, le mithi ihlanganiswa nomuthi wokubulala izinhlungu njenge-fentanyl ukunciphisa inani lobuhlungu. Ukuqeda ubuhlungu ngokuvamile kuqala ukuzwakala zingakapheli imizuzu eyi-10 kuya kwengama-20 ngemva kokunikezwa umthamo wokuqala we-epidural.
Ingabe lokhu kuphephile ngempela? Ingabe kuzothinta ingane?
Yebo, impela. I-epidural inqubo ephephile kakhulu . Iwumuthi wokubulala izinzwa wendawo, okusho ukuthi ithinta kuphela indawo encane lapho kunikezwa khona umjovo. Ngakho-ke ngokuvamile ngeke uzizwe ulele noma unesicanucanu.
Enye yezinto omama abaningi abesabayo ukuthi kuzolimaza ingane. Eqinisweni, eminye yemithi yokwelapha ubuhlungu enikezwa ngesikhathi sokubeletha ingawela i-placenta futhi ithinte ingane. Kodwa lokho akwenzeki nge-epidural.
Inani elincane kakhulu lomuthi osetshenziswa ku-epidural lidlula egazini lakho liye enganeni yakho. Ngakho-ke, alilimazi ingane. Alithinti "amaphuzu e-Apgar" yengane noma landise amathuba okuba ingane ingeniswe egunjini lokunakekelwa okujulile.
Enye into abanye abantu abayicabangayo ukuthi ukuba ne-epidural kwandisa amathuba okuba nokuhlinzwa. Lokhu akulungile neze . I-epidural iqeda ubuhlungu kuphela. Uzwa ukucindezeleka kokufinyela esibelethweni sakho. Ngakho-ke ungasunduza ingane iphume uma isikhathi sifika. Ngakho-ke, i-epidural ayikhulisi amathuba okuthi 'kukhishwe i-vacuum' noma 'ukulethwa kwe-forceps'.
Ingabe i-epidural iyasebenza ngempela? Ihlala isikhathi esingakanani?
Yebo, i-epidural izokukhinyabeza kusukela esiswini sakho kuya ezinzwaneni zakho. Kodwa uzobe uqaphela futhi uqaphele indawo ekuzungezile. Ngisho noma ubuhlungu bungasekho, uzokwazi ukusunduza ngesikhathi ngoba uzozwa ukucindezeleka komntwana.
Lokhu kuthatha isikhathi esingakanani? Impendulo elula ithi, uma nje ukudinga . Ungathola imithi eyengeziwe (`imithamo yokwengeza`) ngepayipi elincane (`i-catheter`) elifakwa emgogodleni wakho uma uqala ukuzwa ubuhlungu futhi. Ukuqeda ubuhlungu kuzohlala kuze kube yilapho ipayipi lisusiwe. Kufanele ukwazi ukubuyisa ukunyakaza nokuzwa emilenzeni yakho kungakapheli ihora noma ngaphezulu ngemva kokukhishwa kwepayipi.
Kodwa-ke, kumelwe sikhumbule ukuthi akuwona wonke umuntu ophumelela ngo-100%. Cishe umuntu oyedwa kwabayishumi (`10%`) angase angatholi impumuzo yobuhlungu ayilindele. Ezimweni ezinjalo, udokotela wakho uzosikisela enye indlela yokulawula ubuhlungu.
Ingabe ikhona imiphumela emibi? (Imiphumela emibi)
I-epidural iyithuluzi elinamandla lokulawula ubuhlungu. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunemiphumela emibi emincane engenzeka. Iningi lale miphumela lingokwesikhashana.
| Umphumela Ongemuhle | Incazelo |
|---|---|
| Umfutho wegazi ophansi | Isimo esingenzeka kubantu abaningi. Ungase uzizwe unesiyezi futhi unesicanucanu. Abasebenzi bezokwelapha bahlala bekunaka lokhu. |
| Ikhanda elibuhlungu | Abanye abantu bangase babe nekhanda elibuhlungu ngemva kokuhlinzwa kwe-epidural. Uma utshela udokotela wakho ngalokhu, uzokwazi ukukwelapha. |
| Ukuluma | Umuthi osetshenziswayo ungabangela ukucasuka okuncane kwesikhumba. Lokhu futhi kungokwesikhashana. |
| Ubunzima bokuchama | Ungase ungakwazi ukuzwa ukugcwala kwesinyi sakho ngoba umzimba wakho ongezansi awusasebenzi. Ngokuvamile kusetshenziswa i-catheter kulokhu. |
| Ubuthakathaka emilenzeni | Ungase ungakwazi ukuhamba amahora ambalwa kuze kube yilapho imiphumela yomuthi iphela, ngakho ungazami ukuvuka. |
| Ukulimala kwemizwa | Lokhu kuyinto engavamile kakhulu . Amathuba okuthi lokhu kwenzeke ngaphansi kokuqondisa kukadokotela onolwazi lokubulala izinzwa mancane kakhulu. |
Ngakho-ke, yisiphi isikhathi esingcono kakhulu sokuthola i-epidural?
Lona umbuzo abantu abaningi abawubuzayo. Akukho sikhathi esiqondile lapho ungathi , "Lesi isikhathi esingcono kakhulu." Ungasicela nganoma yisiphi isikhathi lapho uzizwa sengathi awusakwazi ukubekezelela ubuhlungu. Kungaba ekuqaleni, maphakathi, noma ngasekupheleni kokubeletha.
Kodwa-ke, udokotela wezinzwa ukhathazekile ngezinto ezimbili lapha:
1. Ingabe ngempela uyasikwa?
2. Ungakwazi yini ukuhlala unganyakazi imizuzu embalwa ngesikhathi kunikezwa umuthi wokugoma?
Kungabe sekwephuze kakhulu?
Cabanga ngakho, kuthatha imizuzu eyi-10-15 ukulungiselela i-epidural. Bese kuthatha eminye imizuzu eyi-10-15 ukuzwa ukukhululeka kobuhlungu. Ngakho-ke uma ucela i-epidural lapho usuzobeletha ingane yakho, kungenzeka ukuthi usuvele unomntwana ngesikhathi enikezwa. Ngakho-ke, kuwukuhlakanipha ukukhuluma nodokotela wakho ngakho kusenesikhathi, kunokulinda kuze kube yilapho ubuhlungu bungabekezeleleki .
Ukubeletha kuyinto ebuhlungu. Kodwa ngezinketho zokulawula ubuhlungu eziphephile nezisebenzayo ezitholakalayo, manje sekwamukelwa kabanzi ukuthi omama akufanele babekezelele lobo buhlungu. Ngisho noma ubungahleli ekuqaleni ukuthola i-epidural, uma uzizwa sengathi ubuhlungu abubekezeleleki ngesikhathi sokubeletha, usengacela eyodwa. I-epidural ingakusiza uhlale uzolile, ungenabuhlungu, futhi ikunike amandla okugxila ekuletheni ingane yakho emhlabeni.
Umlayezo Wokuya Nawe Ekhaya
- Ama-epidural ayindlela ephephile kakhulu futhi ephumelelayo yokulawula ubuhlungu ngesikhathi sokubeletha.
- Lokhu kunikezwa udokotela wezinzwa.
- Lokhu ngeke kulimaze ingane futhi ngeke kwandise ingozi yokuthi kudingeke kwenziwe ukuhlinzwa.
- Asikho "isikhathi esingcono kakhulu" sokuthola i-epidural. Kuncike ekuqhubekeni kokubeletha kwakho kanye nengxoxo yakho nodokotela wakho.
- Uma uvakashela imitholampilo ngesikhathi sokukhulelwa, khuluma nodokotela wakho ngezindlela ezahlukene zokulawula ubuhlungu ezitholakalayo, ikakhulukazi i-epidural.
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