Isikhathi Se-Epidural Akufanele Sibe Isici Emisebenzini
Sekuyiminyaka eminingi kube khona ingxabano mayelana nokuthi nini isikhathi esihle sokuthola i- epidural sisebenza ngokusebenza. Imicabango yokuqala yezihloko yilapho kungase kube khona amandla okunciphisa abasebenzi noma ngisho nokwandisa izinga lesigaba sokulahla uma i-epidural inikezwa kakhulu ekuqaleni kokusebenza. Lokhu kubangela ezinye izibhedlela kanye nezisebenzi ukuba zihlale ziqaphele ngesikhathi sokuqeda izifo, ngokuvamile ziba nezinqubomgomo ezifuna owesifazane ukuba afinyelele ukujula okuthile, ngokuvamile okungenani amamentimitha amane, futhi ngezinye izikhathi ephuze ngamamitha ayisithupha.
I-Cochrane Database Yokubuyekeza Okuhlelekile yashicilela ukubuka umehluko emiphumeleni eminingi kokubili impilo kamama, umntwana, ubude bomsebenzi (isigaba sokuqala nesesibili), kanye nezinye izinyathelo ezihlukahlukene, futhi akatholanga umehluko wangempela abesifazane abangaba ngu-15 000. Lena izindaba ezinhle kubesifazane abahlela ukusebenzisa i-epidural anesthesia.
Njengamanje, amaCentral for Disease Control and Prevention (CDC) athi abesifazane abangaba ngamaphesenti angu-61 e-United States bazolisebenzisa ukusizwa kobuhlungu emisebenzini. Nakuba le namba ihluka kakhulu ngesifunda, ezinye izibhedlela ezinamazinga angama-100% we-epidural kanye nezinye ezinamazinga aphansi kakhulu e-epidural.
Izinto ezimbalwa zokukhomba:
- Lokhu kubuyekezwa kuqhathanisa kuphela ukuqala kwe-epidural ne-epidural ephuzile. Akubandakanyi ukubukeka ku-no-epidural versus epidural.
- Ucwaningo alukwazi ukuhlola ngempela inzuzo noma ingozi yemithi namasu asetshenziselwa ngokuhlanganyela noma ngaphambi kwe-epidural. Isibonelo: Izicelo zomama futhi zithola ukudubula kwezidakamizwa ze-IV ngaphambi kokuthola i-epidural.
- Esikhathini esicacile, angizange ngibone ingxoxo yezinye izikhathi ezicatshangelwa izingozi.
- I-epestural anesthesia ishintshile kakhulu eminyakeni engamashumi eminyaka. Eminyakeni yokuqala yokusetshenziswa komhlaba okubanzi, imithi yanikezwa ngemali emikhulu futhi indlela owesifazane abhekana ngayo ne-epidural ngaleso sikhathi (ngokuvamile ejwayelekile) kuze kube manje (kuyahluka, kodwa abaningi banakho ikhono lokuhamba futhi bazizwa becindezelekile ngaphandle kobuhlungu).
Okubalulekile ukuthi uma ufisa ukuthola i-epidural yomsebenzi wakho, ungayithukuli isikhathi saso. Kufanele uthole i-epidural uma uzizwa ukuthi kuyindlela engcono kakhulu kuwe, hhayi ngokusho kwewashi.
Imithombo
Osterman MJK, Martin JA. Ukusetshenziswa kwe-anesthesia yama-epidural kanye nomgogodla ngesikhathi sokubeletha: Indawo yokubika e-27, ngonyaka ka-2008. Izibalo ezibalulekile zikazwelonke zibika; vol 59 no 5. Hyattsville, MD: Isikhungo Sikazwelonke sezeMpilo. 2011.
Sng B, Leong W, Zeng Y, Siddiqui F, Assam PN, Lim Y, Chan ESY, Sia AT. Ukusungulwa kokuqala kokuqhathaniswa kwe-analgesia ye-epidural for labor. Database Cochrane Yokuhlolwa Okuhlelekile 2014, Issue 10. Art. Inombolo: CD007238. I-DOI: 10.1002 / 14651858.CD007238.pub2 - Bona okuningi ku-: http://summaries.cochrane.org/CD007238/PREG_early-versus-late-initiation-of-epidural-analgesia-for-labour#sthash.NiJZ0QDS.dpuf