Abesifazane abangaba yi-60% e-United States bathola i-epidural ngenxa yokusebenza kwabo kanye nokulethwa kwezidingo. Cishe u-1% walaba besifazane bayothola inkinga eyaziwa njengekhanda lesisu somgogodla. Akunandaba ukuthi kwakungokuzalwa kwesisu noma ukubeletha.
Incazelo: Inhloko ekhanda eyenzeka ngemuva kokuba une-spinal noma epidural .
Uma uthola i- anesthesia ye- epidural noma yomgogodla , kunengozi yokuthi i-dura, isembozo somgogodla, uzohlatshwa.
Uma lokhu kwenzeka isifo esinzima sekhanda singenzeka. Ingozi yalezi zinkinga iphathelene ne-1/100. Ungasiza ekunciphiseni ingozi yekhanda lomgogodla ngokubambelela ngenkathi inaliti ibekwe. Kuyinto evamile kakhulu ngomgogodla kune-epidural, kodwa kungenzeka kokubili. I-epidural ayihloselwe ukufaka isikhala njengengxenye yenkambiso, kanti i-anesthesia yomgogodla iyona, yingakho kuvame kakhulu ukuba nomama wekhanda lomgogodla ngalolu hlobo lwe-anesthesia. Abesifazane abaningi bakhuluma ngalokhu kube ikhanda elibi kunabo bonke abanalo lonke ulwazi.
"Angikwazi ukubona ngqo," kusho u-Amanda. "Ngangicabanga nje ukuthi ikhanda lami libuhlungu kanjani, angifuni ukubamba umntwana, angizange ngibone ngisho nobuhlungu bokubeletha. , Ngangingakwazi ukuhlala nhlobo. Benza igumbi libe mnyama futhi lipholile. Banginika izidakamizwa zakho ezijwayelekile ongayithatha ukuze uhlolwe ikhanda kanye neqembu le-caffeine, kodwa akukho lutho oluthinta ikhanda. Ngangesaba i-punch yegazi kodwa kwaba ukukhululeka okukhulu.
Ngiyajabula kakhulu ukuthi ngivumelwane ngakho futhi ngifisa sengathi ngabe ngabe ngivumelwane ngokushesha - ngangingazi ukuthi ngizobuyela kanjani ekhaya nalowo mntwana. "
Ukwelapha kuyatholakala, kufaka phakathi imithi kanye ne-blood patch. I-patch yegazi yilapho idweba khona igazi lakho bese lifaka endaweni ukuze lisize liphulukise. Kungenziwa nganoma yisiphi isici kodwa olunye ucwaningo lubonisa ukuthi cishe uzothola ukukhululeka okuningi nge ukwelashwa okulodwa nje uma ulinda amahora angu-48 ngemuva kokwenza igazi legazi.
Ukuqala kwegazi kwakungadingeka ukuthi kuphindwephindwe ukuphumula okungaphelele noma ukuphindaphinda kwezimpawu.
Ngesinye isikhathi kwakucatshangwa ukuthi ukuba ne-index ye-mass mass (BMI) ikubeka engozini enkulu yokuba nekhanda uma kutholakala ukushaywa ngengozi kwe-dura. Yize ucwaningo lwamuva lubonisile ukuthi ingozi yokuba nengculazi yayingaphansi kwabesifazane abanezixuku eziphezulu zomzimba.
Futhi eyaziwa ngokuthi: ikhanda le-epidural, ikhanda le-postcural puncture
Izibonelo: Ngemuva kwe-epidural yami, nginezinwele zekhanda lomgogodla izinsuku.
Umthombo:
Ukuhlela Ukubeletha Kwenu: Ukukhululwa Ngezinhlungu Ngesikhathi Sokusebenza Nokunikezwa. I-American Society of Anesthesiologists. Kufinyelelwe ngoFebhuwari 24, 2016
U-Kokki M, uSjövall S, uKeinänen M, uKokki H. Int J U-Anesth wokutholwa. 2013 Nov; 22 (4): 303-9. doi: 10.1016 / j.ijoa.2013.04.012. I-Epub 2013 Jul 31. Ithonya lesikhathi ekusebenzeni kwe-epidural blood patches kuma-parturients.
Peralta F, Higgins N, Lange E, Wong CA, McCarthy RJ. Anesth Analg. 2015 Aug; 121 (2): 451-6. i-doi: 10.1213 / ANE.0000000000000802. I-Relationship of Body Mass Index ne-Incidence of Postdural Puncture Headcture In-Parturients.
Sachs A, uSmiley R. Semin Perinatol. 2014 Oct; 38 (6): 386-94. doi: 10.1053 / j.mpumalanga.2014.07.007. Epub 2014 Aug 19. Isihloko se-post-dural puncture: ukuhlukunyezwa okuvame kakhulu ku-anesthesia ye-obstetric.