I-anesthesia ye-epidural iyinhlobo eyodwa yezinhlungu zokuphulukisa kwezokwelapha ekusebenzeni nasekuzalweni namuhla. I-epidural, njengoba ivame ukubizwa ngokuthi, i-anesthesia yesifunda. Lokhu kusho ukuthi ihlukanisa indawo yomzimba, ngokungafani ne-anesthesia ejwayelekile ekhishwa ngokuphelele ubuhlungu nokuqonda emzimbeni wonke. Ama-epidural numbs avela endaweni yezinsipho (i-cearean) noma i-umbilicus (inkinobho yesisu) (ukuze uzalwe ngesisu) kuya ezinzwaneni.
Lokhu kukuvumela ukuba uhlale uphapheme kodwa ungabi nomuzwa wokuzwa ubuhlungu obuvela ekusebenziseni noma ngesikhathi sokuzalwa.
Lokho ongakuzwa empeleni kuzohlukahluka kumama kuya kumama nokuzalwa kuze kube sekuzalweni. Lokhu kuhlangene ngokuphathelene nemithi esetshenziselwa i-epidural kodwa futhi ne-anatomy yakho nalapho usebenza khona. Abanye omama abafuni ukuzwa lutho, kanti abanye bakuthola lokhu okwethusa kakhulu. Ngakho-ke i-epidural ingakuvumela ukuba ube nomuzwa wokuzwa, ngakho uzizwe ukuphikisana, kodwa hhayi ubuhlungu obuzwayo. Njengoba i-epidural ingasetshenziselwa ngesikhathi se-cache section (c-section), yilapho ungathanda ukuzwa khona. Khuluma nomuntu onesi-anesthesiologist wakho ngesilinganiso sokuzwa ukuthi ungathanda. Bangasebenza nawe ukukusiza ukufezekisa i- epidural ephelele .
Ukuthola i-epidural kunezinto ezimbalwa ozodinga ukuzenza.
Ukutholakala kwe-Epidural
Qinisekisa ukuthi uhambisa esibhedlela ngokutholakala kwe-epidural.
Ezinye izibhedlela zinama-epidurals kuphela atholakalayo ngezikhathi ezithile, kanti ezinye izibhedlela zinamahora angama-24 e-epidural anesthesia coverage. Qinisekisa ukuthi ubuza esibhedlela sakho ngalokhu kuthunyelwa.
Khuluma nodokotela wakho noma umbelethi wakho
Bazise ukuthi iziphi izinhlelo zakho zokwelapha ubuhlungu. Cela usizo lwabo ekunqumeni ukuthi nini isikhathi esihle kakhulu sokuba uthole i-epidural.
Kungenzeka ukuthi bangakwazi ukukuqondisa ikakhulukazi ngesikhathi sokusebenza noma bengakwazi ukukuqondisa.
Khuluma Nethimba Lakho Lokusekela
Kubalulekile ukuthi uvumele umngane wakho, i- doula , nanoma ubani omunye ozalelwe ekuzalweni komntwana wakho ukuthi uyathanda i-epidural. Khuluma ngesikhatsi ucabanga ukuthi lokho kungaba noma yini ozozizwa ngaphambi kokuyithola. Isibonelo esisodwa singathi: Ngingathanda i-epidural ngokushesha nje uma ngingahambi kahle kahle. Noma: Ngingathanda i-epidural ngokushesha uma ngiyithola esibhedlela.
Vumela isibhedlela wazi
Kungase kube nesidingo sokuthatha isigaba esikhethekile se-epidural ngaphambi kokuba ingane yakho izalwe. Noma ungase ube nesidingo esikhethekile sokukhuluma nomnyango we-anesthesia ngaphambi kokuzalwa komntwana wakho. Buza esibhedlela sakho.
Lungiselela noma yini
Kungcono ngaso sonke isikhathi ukusekela izinhlelo. Ngezinye izikhathi umsebenzi uhamba ngokushesha kunokuba ungalindela futhi awunayo isikhathi sokuthola i-epidural, wazi ukuthi yini okufanele uyenze ukuze usize uzinze. Noma mhlawumbe kufanele ulinde isikhathi eside kunokuba ucabange ngoba usuku olumatasa emsebenzini wezokusebenza nokudiliva. Ukuba necebo lokulondoloza njalo umqondo omuhle.
I-epidural ayikho ngaphandle kwezingozi-lokhu kuyiqiniso kunoma iyiphi inqubo yezokwelapha noma imithi. Kodwa-ke, iningi lama-epidurals liyoba ngaphandle kokuzibandakanya.
Izinkinga ezivame kakhulu noma ezimbi kakhulu zilindelwe. Izinyathelo zokuphepha ezizofakwa kuzohlukahluka esibhedlela kuya esibhedlela kodwa zingabandakanya:
- IV uketshezi oludingekayo ngaphambi kokuba i-epidural
- Ukuqapha kwengcindezi yegazi
- Ukuqapha kwenhliziyo yomama
- Ukuqapha kwe-Fetal
- Abasebenzi abaqeqeshwe ukuhlala nomama ngezikhathi ezibucayi
- Imithi esekelwe ukwelashwa kwezinkinga
Uma unqume ukuthi ufuna i-epidural yomsebenzi wakho, uzodinga ukwazi ukuthi izidingo ziphi esibhedlela obeletha ngaso. Ezinye izibhedlela zinemikhawulo lapho ungathola i-epidural.
Lokhu kungase kube ukunciphisa okungenani noma ukuphakama okuphezulu. Uzothola lokhu ngokuthatha uhambo lwesibhedlela, ukhuluma nomnyango we-anesthesiology, noma ekilasini lakho lokubeletha.
Ukuthatha isigaba sokubeletha kusengumqondo omuhle uma uhlela i-epidural. Kukhona okuningi okumele kufundwe ekilasini, kuhlanganise nezisekelo eziyisisekelo ze-epidural anesthesia. Esinye sezizinto ongafunda nazo izindlela ezihlukile zokubhekana nobuhlungu bomsebenzi. Lokhu kuphelele isikhathi sithatha wena ukuba ufike esibhedlela futhi uthole i-epidural.
Lokho kusho, kunezizathu zokuthi ungase ungakwazi ukuthola i-epidural . Lokhu kufanele ukwazi kahle ngaphambi kokusebenza uma usengozini. Buza udokotela wakho ukuthi yini okudingeka ukwazi ngaphambi komsebenzi ukuqinisekisa ukuthi ayikho into emangazayo.
Uma i-epidural isendaweni, kufanele ukwazi ukuphumula noma ukuphumula futhi wenze noma yini oyifunayo embhede wakho. Uma uke uphapheme okwesikhashana, ukuphumula kungumqondo omuhle. Amanye amamama asebenzisa lesi sikhathi ukuqedela amagama ebantwaneni noma ukudlala kuma-social media, ukubukela i-TV, njll. Umhlengikazi wakho wezezimboni uzokusiza ukwazi ukuthi sekuyisikhathi sokuba uphonse .
Uzothola ukuhlolwa kwesisindo njalo amahora ambalwa noma uma uzizwa sengathi udinga eyodwa. Ukuxosha ngokuvamile kuqala lapho umntwana ehle kakhulu, ngokuphambene nokuqala ukucindezela ngoba nje uhlanjululwe ngokuphelele. Lokhu kwaziwa ngokuthi kusebenza phansi. Abesifazane abaningi bangase bazizwe bezwa ukuthi abanye bayashaya, kuyilapho amanye omama efuna ukuvala i-epidural ukuze iqhume. Lokhu ngokuvamile akukhuthazwa ngenxa yobuhlungu obangeziwe ngenxa yokushintsha kokuphendula kwe-hormonal.
I-epidural ingasetshenziselwa ngisho nokudiliva okunzima, kuhlanganise nalabo abadinga ukukhipha isikhala noma ukuphoqa. Ungasebenzisa ngisho ne-epidural for birth laarean.
Uma usana luzalwa, uzokwazi futhi ukusebenzisa i-epidural for relief relief esikhathini esilandelayo sokuhamba kwesikhathi. Ngokuvamile i-epidural izovulwa ngemva kokuzalwa. Kuthatha isikhathi esingakanani ukuzwa emuva emilenzeni yakho kungahluka. Abanye besifazane bayakwazi ukujikeleza kungakapheli ihora ngemva kokuzalwa, kanti amanye amamama azothatha amahora ambalwa. Uma i-epidural isiphelile, uzoshintshwa emilonyeni yomlomo womlomo .
Imithombo:
> Ukuqedwa kwe-analgesia ye-epidural ngasekupheleni komsebenzi ukunciphisa imiphumela emibi yokulethwa ehlobene ne-analgesia ye-epidural. U-Torvaldsen S, uRoberts CL, uBell JC, uRaynes-Greenow CH. Cochrane Database Syst Rev. 2004 Okthoba 18; (4): CD004457. Buyekeza.
Imiphumela yokungavumelani kanye nokwaneliseka komama kwabesifazane abangenalutho abasebenzisa i-analgesia ephethwe yisiguli. I-Haydon ML, uLarson D, uReed E, Shrivastava VK, Preslicka CW, i-Nageotte MP. Am J Obstet Gynecol. 2011 Sep; 205 (3): 271.e1-6. Epub 2011 Jun 17.
Ucwaningo oluthathwa ngokulawulwa kocingo lwabaphakathi phakathi kwesicelo sokuyeka isigaba sesibili sokusebenza kwe-analgesia ye-epidural kanye nengozi yokulethwa kwezidakamizwa zezinsimbi. UToledo P, uMccarthy RJ, u-Ebarvia MJ, Wong CA. Int J Obstet Anesth. 2008 Jul 8.