I-anesthesia ye-epidural iyindlela ejwayelekile kakhulu ye-anesthesia esetshenziselwa ukubeletha. Njengoba i-epidural ishaya yonke indawo phakathi kwamabele akho namadolo akho, ungase uzibuze ukuthi ungayifaka kanjani ingane yakho ngesikhathi sokubeletha. Ngenkathi ezinye izifundo zibuke ukuthi noma ngabe unesifo se-epidural shintsha kanjani ukuthi ususa kanjani umntwana wakho, imiphumela ihlanganisiwe. Ezinye izifundo zibonisa ukuthi kukhona ukuphazanyiswa, kanti abanye bakhombisa ukuthi ayikho umehluko emiphumeleni.
Okubalulekile ngempela ukuthi kwenzekani kuwe nangomsebenzi wakho. Ukwazi ukuthi yini ongayilindela kungakusiza ngempela ukuqonda ukuthi kwenzekani.
Ukhuthaza Ukunyakaza Nge-Epidural
Isifiso sokusunduza yilokho abesifazane abasebenzayo abahlangabezana nakho ngesikhathi sokuzalwa. Ngezinye izikhathi lokhu kukhuthaza kunzima futhi abesifazane bayichaza njengento eyenziwa ngumzimba wabo futhi abanakho ukulawula. Ngezinye izikhathi, kumane kusho ukuthi kuyabonakala kungcono ukuphoqa, ikakhulukazi ekukhuphukeni kokuphambana, kunokuba uzizwa ungasusi. Kwamanye abesifazane, i-epidural ingadambisa noma isuse isifiso sokuthi siphume esigabeni sesibili sokusebenza. Lokhu kuholela ekufundeni kokusebenza phansi. Ukusebenza phansi yigama elisichazela ukulinda kuze kube yilapho umntwana ehle kakhulu ehlathini. Lokhu kuvumela umama ukuba aphumule futhi wacatshangwa ukuvimbela:
- Ukucindezeleka kwesisu
- Ukuphonsela isikhathi eside
- Amanye ama- malpositions ama-fetal noma avumele ingane ukuba ijikeleze ibe ngcono
- Umama ozwa ngokukhathala ngokukhathala ngokususa imizamo
Khumbula ukuthi lesi sibeletho siyaqhubeka nokuzama ukuxosha ngisho nangaphandle kosizo lomama. Kodwa inzuzo yokuvumela umntwana ukuba ajikeleze futhi ahla angabasiza bonke abathintekayo. Lokhu kutholakale kwezinye izifundo, kanti abanye abatholanga izinzuzo, futhi eduze nenengozi engenakulinganiswa yokuzama le ndlela yokuxoshwa.
Izibhedlela eziningi zisebenzisa lokhu njengezinqubo zabo.
Izithuba Zokuxoshwa Nge-Epidural
Njengoba i-epidural ihlukumeza umama, ayikwazi ukuthatha izikhundla eziningi ngenxa yokungabi nalutho. Lokhu kubeka umkhawulo kunani lezikhundla ezikhona, ezingalimaza inqubekelaphambili ngesikhathi sokubeletha.
Sicela uqaphele ukuthi lokhu kuyahluka kusuka kumama kuya kumama, abanye besifazane bayoba nokunyakaza okuningi kunabanye, lokhu kungase kushintshele ukuthi ungenzani kancane nakuba kusazodinga ukwesekwa okuningi kulabo abakuzungezile. Ngokusekelwa okuhle okuvela kumlingani wakho, i- doula , abahlengikazi labasebenzi kanye nabanye, kunezikhundla ezithile umama angakwazi ukuzenza zihlanganisa:
- Ukuhlelwa okuhleliwe nabantu noma izinsizakalo zomlenze
- Ukulala kwangaphandle
- I-squat esekelwayo
- Okungajwayelekile
- Ukugwaza phansi kombhede, ukuxhomeka
- Phakamisa ngemisipha noma ukusekela umlenze
Into eyodwa okumele uyikhumbule lapho usiza umuntu onenkinga ye-epidural ukuthi uqaphele ukuthi ungalokothi uwedlule-wandisa imilenze noma amanye amalunga. Kungenzeka ukulimaza umzimba womama ngoba akakwazi ukuzwa ubuhlungu. Akazi ukuthi uzokutshela nini ukuthi uzoyeka njengoba engase avame ukukwenza uma uzodlulisela phambili amajoyina akhe.
Imikhawulo Yesikhashana ekuqhumeni
Ucwaningo lusitshengisa ukuthi imingcele yesikhathi lapho bobabili umama nosana benza kahle, akudingekile.
Njengoba i-epidural ingakhuphula isikhathi esidingekayo sokususa umntwana, uma umama nomntanakho benza kahle, cela udokotela noma umbelethisi wakho uma kunesizathu sokuthi kungani ungavunyelwe ukuqhubeka uphonsela ngaphambi kokuba kusetshenziswe ingxenye yesikhashana . Ngezinye izikhathi izinguquko ezilula ezikhundleni ziyoba usizo ekuthutheleleni umsebenzi phambili nokuletha umntwana phansi.
Izinkinga ze-Epidural
Nakuba ukunciphisa ubuhlungu kungumhlomulo we-epidural, le mithi iphinde ikhulise ingozi ukuthi uzokwenza:
- Kudinga i- Pitocin (ifomu yokwenziwa kwehomoni oxytocin), okungase "kungabi khona ephephile njengalokho okucatshangwa ngaphambili", ngokusho kombiko ka-2013 ovela i-American College of Obstetricians and Gynecologists
- Kudinga ukukhishwa kwe- forceps noma i- vacuum
- Yiba ne- episiotomy
- Udinga isikhathi esiningi sokuphonsela kunokuba ungenjalo
- Ukwandisa ubude besigaba sesibili ngoba imisipha yakho ayikwazi ukusiza ukushintshanisa ingane yakho ezindaweni ezikhethiwe zokubeletha
Ukusetshenziswa kwe-epidural ngeke kube nemiphumela emihle ekutheni uyakwazi ukusunduza, kanti ukukhathazeka okungenzeka kube yisigaba esiphezulu sokuqhuma. Lokho kusho ukuthi abesifazane abaningi bajabulela ukuhweba imizuzu embalwa yokwenza umsebenzi ngokukhululeka kobuhlungu obunikezwa yi-epidural for the alternative. Uma uhlela ukuba ne-epidural, xoxa nodokotela wakho kanye ne- doula ngokuthi ufuna ukusingatha kanjani isigaba sokubambisana.
> Imithombo:
> I-American College Yezinambuzane Nezazi Zama-Gynecologists: Ukufunda Kuthola Imiphumela Embi Ye-Pitocin Ezinsana (2013)
> Lemos A, Amorim MMR, Dornelas de Andrade A, de Souza AI, Cabral Filho J, Correia JB. Ukuqhubezela / ukwehlisa izindlela zesigaba sesibili somsebenzi. Database Cochrane Yokuhlolwa Okuhlelekile 2017, Issue 3. Art. Cha: CD009124. I-DOI: 10.1002 / 14651858.CD009124.pub3
> Lieberman, E., & O'donoghue, C. (2002).
> Osborne K, Hanson L. Ukusebenza phansi noma ukwehlisa phansi: isu lokuhumusha ubufakazi bokusebenza komsebenzi wesigcawu sokusebenza komuntu ngamunye. J Perinat Nursing Neonatal. 2014 Apr-Jun; 28 (2): 117-26. i-doi: 10.1097 / JPN.0000000000000023.
> Imiphumela engahlosiwe ye-Epidural Analgesia Ngesikhathi sokusebenza: Ukubuyekeza Okuhlelekile. Journal American of Obstetrics and Gynecology