Njengoba usuku lokuba ingane yakho ifike kuleli zwe lusondela, kuvamile ukuzizwa wesaba kancane futhi ukhathazekile ngobuhlungu ozobuzwa ngaleso sikhathi. Cishe uyazibuza, "Ngizobhekana kanjani nalolu buhlungu?" Cishe uyazibuza nokuthi yini ongayenza ukulawula ubuhlungu. Enye yezindlela eziyinhloko zokulawula lobo buhlungu ukusebenzisa uhlobo lwemithi yobuhlungu ebizwa ngokuthi ama-opioid. Ake sixoxe ngalokhu ngendlela elula namuhla.
Kalula nje, ziyini lezi Opioids?
Ama-opioid uhlobo lomuthi onamandla wokuqeda ubuhlungu osetshenziselwa ukunciphisa ubuhlungu. Ngokuvamile anikezwa njengamaphilisi noma njengomjovo ngqo emthanjeni (IV).
Indlela lezi ezisebenza ngayo emizimbeni yethu iyamangalisa. Kalula nje, le mithi inamathela kumaseli ethu ezinzwa futhi ivimbele isignali yobuhlungu ukuthi iye ebuchosheni. Kufana nokuvimba indlela yobuhlungu. Hhayi lokho kuphela, kodwa futhi yandisa ukukhishwa kwama-endorphin, angamakhemikhali ebuchosheni bethu asenza sizizwe sijabule futhi sikhululekile . Ngakho uqala ukuzizwa ukhululekile futhi uzolile.
Kukhona nezinhlobo ezahlukene zama-opioid .
- Ezinye zitholakala ngokwemvelo embewini yesitshalo se-poppy. Isibonelo, i-morphine ebulala izinhlungu.
- Ezinye zenziwa emalabhorethri ngemithi yemvelo.
- Kukhona futhi lezo ezenziwe ngokuphelele, okungukuthi, ezikhiqizwa ngamakhemikhali elabhorethri. I-Pethidine ne -Fentanyl, esivame ukuzisebenzisa ngesikhathi sokubeletha, zingaphansi kwalesi sigaba.
Izinzuzo kanye nokungalungi kokusebenzisa ama-opioid ngesikhathi sokubeletha
Unezinketho eziningana uma kuziwa ekunqumeni ukuthi yini okufanele uyenze ngobuhlungu ngesikhathi sokubeletha. Abanye abantu bakhetha ukubeletha ingane yabo ngaphandle kwemithi yobuhlungu. Abanye basebenzisa izindlela ezahlukene zokulawula ubuhlungu ngaphansi kweseluleko sikadokotela. Ama-opioid angenye yezindlela ezinjalo. Asetshenziswa ikakhulukazi ezigabeni zokuqala zokubeletha, lapho ukubeletha kuqala. Ake sibheke izinzuzo nezingozi zalokhu ngakunye.
| Ochwepheshe | Ububi |
|---|---|
| Ukuqala okusheshayo:Kuye ngohlobo lomnsalo, ungase uqale ukuzwa ukukhululeka kobuhlungu ngemizuzu embalwa. | Ukulala: Ungase uzizwe ulele futhi ulele. Kodwa uma ucabanga ukuthi ukubeletha kuzothatha isikhathi eside, lokhu kungakusiza ukuthi uphumule. |
| Kuhlala isikhathi eside: Ukuqeda ubuhlungu kuthatha amahora amaningana. | Isicanucanu nokuhlanza: Abanye abantu bangase bazizwe sengathi isisu sabo siyaphenduka bese behlanza. |
| Ukuzizwa ukhululekile: Lokhu akunciphisi imisipha yakho, kodwa kuyakusiza ukuthi uphumule, ukuze uthole ukuphumula ngaphambi komsebenzi onzima wokubeletha ingane yakho. | Ukuzungeza: Ungase uzizwe uzungeza futhi unekhanda elibuhlungu. |
| Imiphumela engaba khona enganeni: Lena yinto ebaluleke kakhulu. Uma le mithi inikezwa ngesikhathi esingafanele noma ngesilinganiso esingafanele, ingathinta impilo yengane. Ukuphefumula kwengane kanye nokushaya kwenhliziyo kungase kwehle. |
Yingakho lolu hlobo lwemithi yobuhlungu luhlala lunikezwa esibhedlela, ngaphansi kokuqashwa okuqinile kodokotela nabahlengikazi.
Ingabe kuphephile ngempela ukuthatha ama-opioid ngesikhathi sokubeletha?
Lona umbuzo omkhulu komama abaningi. Impendulo ithi, yebo, ngokuvamile kuphephile ukuphuza ama-opioid ngenxa yobuhlungu ngesikhathi sokubeletha, uma unikezwa ngendlela efanele futhi ngaphansi kokuqondisa kukadokotela. Kodwa lokho akusho ukuthi awunazo izingozi.
Into ebaluleke kakhulu isikhathi kanye nomthamo.
- Isikhathi: Lawa maphilisi obuhlungu anikezwa ngaphambi kokuba isigaba sokubeleka siqale. Kalula nje, awanikezwa ngemva kokuba umlomo wakho wesibeletho usuvuleke cishe ngamasentimitha ayi-6 futhi ukufinyela kwakho sekuqala ukuza ngendlela eqhubekayo nejwayelekile . Isizathu salokhu ukuthi awanikezi impumuzo enkulu yobuhlungu kuleso sigaba futhi anciphise umthelela ongaba khona enganeni.
- Isilinganiso: UdokotelaSebenzisa umthamo onqunyiwe kuphela. Uma umthamo uphezulu kakhulu, ukuphefumula kanye nokushaya kwenhliziyo kungase kwehle kumama kanye nengane.
Ungakwazi yini ukulutheka kulokhu?
Uma uzwa 'ngobhubhane lwe-opioid' emhlabeni, kuyaqondakala ukuthi ungase wesabe ukuthatha umuthi onjalo. Kodwa iqiniso liwukuthi, ngeke ube umlutha womthamo owodwa wesidakamizwa sokuqeda izinhlungu ngesikhathi sokubeletha. Umuntu uba umlutha womuthi ngokomzimba ngoba umzimba wakhe uyawujwayela ngokuhamba kwesikhathi. Lokhu ngeke kwenzeke ngomthamo owodwa onikezwa ngesikhathi sokubeletha. Uma ungenalo umlando wokulutha izidakamizwa, ungesabi lokhu ngokweqile.
Yiziphi ezinye izindlela zokuphatha ubuhlungu?
Ngaphezu kwama-opioid, kunezinye izindlela eziningana ezidumile nezisebenzayo zokuphatha ubuhlungu ngesikhathi sokubeletha. Ungaxoxa ngakho konke lokhu nodokotela wakho bese ukhetha okukulungele.
| Indlela yokuqeda ubuhlungu | Kalula nje... |
|---|---|
| Ibhlokhi le-Epidural | Yilokhu abantu abaningi ezweni lethu abakubiza ngokuthi "umpompi womgogodla." Udokotela wezinzwa ufaka ipayipi elincane (i-catheter) esikhaleni se-epidural esizungeze umgogodla wakho bese ekunika uketshezi oluqeda ubuhlungu ngalo. Phakathi nemizuzu eyi-10-20, umhlane wakho ongezansi uzoba ndikindiki. Ngeke ukwazi ukuhamba ngenkathi lokhu kusendaweni. |
| Ukuvinjwa komgogodla | Lokhu futhi kuwukujova emgogodleni, njenge-epidural. Kodwa-ke, umuthi ujova ngqo oketshezini lomgogodla. Unikezwa kanye kuphela. Ubuhlungu buyaphela cishe emahoreni amabili. Ngokuvamile usetshenziselwa ukuhlinzwa (ukuhlinzwa kwe-C) kanye nokubeletha okuyinkimbinkimbi. |
| I-anesthetic yendawo | Lokhu kusetshenziselwa ukukhinyabeza indawo encane kuphela. Isibonelo, uma kwenziwa ukusikwa okuncane (i-episiotomy) ukuze kwandiswe isitho sangasese sowesifazane, lo mjovo unikezwa ukukhinyabeza leyo ndawo. |
| I-oxide ye-nitrous | Lokhu kubizwa nangokuthi "igesi ehlekayo." Le gesi ihogelwa ngemaski uma usuzoba nesifo sokuwa. Ayibuqedi ngokuphelele ubuhlungu, kodwa yenza kube lula kakhulu ukuyibekezelela. Ungahamba futhi uzulazule ngenkathi usebenzisa yona. |
Ngakho-ke, ungase uzibuze ukuthi, kunezindlela eziningi zokulawula ubuhlungu. Into engcono kakhulu ongayenza ukukhuluma ngokukhululekile ngazo zonke lezi zindlela nodokotela wakho ngaphambi kokuba ubelethe, ngesikhathi sokuvakasha kwakho ngaphambi kokubeletha. Ngemuva kwalokho, ungakha uhlelo lokubeletha olufanelana kahle nempilo yakho, okuthandayo , kanye nesimo somntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ama-opioid ayimithi enamandla yokuqeda izinhlungu enikezwa ubuhlungu ekuqaleni kokubeletha . Akuvamile ukuthi anikezwe ngesikhathi sokubeletha okusebenzayo.
- Nakuba lokhu kusiza ekunciphiseni ubuhlungu ngokushesha, kungabangela imiphumela emibi njengobuthongo kanye nesicanucanu. Okubaluleke kakhulu, kungaba yingozi enganeni uma isetshenziswa ngendlela engafanele, ngakho-ke kufanele inikezwe kuphela ngaphansi kokuqashwa ngudokotela.
- Ngeke ube umlutha womthamo we-Opioid othathwe ngeseluleko sikadokotela ngesikhathi sokubeletha. Ungayesabi ngokungadingekile.
- Ngaphezu kwama-opioid, kunezinye izindlela eziphumelela kakhulu zokusiza ubuhlungu, njenge-epidurals kanye ne-spinal blocks.
- Okokugcina, khuluma njalo nodokotela wakho ukuze akhethe indlela yokulawula ubuhlungu ezokunikeza isipiliyoni esiphephile nesingcono kakhulu kuwe nakumntanakho.
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