I-epestural anesthesia iyindlela evelele kakhulu yemithi yokwelapha yokwelashwa nokubeletha. Abesifazane abaningi banquma ukuthi basebenzise i-epidural ngaphambi kokusebenza futhi bangaboni ngisho nezinye izinhlobo zokuphumula kobuhlungu bokusebenza nokuzalwa. Lokhu akulona ukukhetha okuhlakaniphile kokusebenza nokubeletha ngoba kunezizathu eziningi zokuthi kungani i- epidural ingase ingabi esikhathini esizayo.
Nazi ezimbalwa zezizathu ongase ungakwazi ukuzenza nge-epidural:
Uthatha imithi ethile.
Imithi oyithathayo ingathinta ukuthi kungenzeka ukuthi ukwazi ukuthola i-epidural. Inkohlakalo enkulu kunazo zonke i-blood thinners.
Umsebenzi wakho wegazi awulungile.
Uma unenani eliphansi leplatelet noma ngezinye izikhathi ezinye izinkinga ezisebenza ngegazi lakho zingenza ukubekwa kwe-risider epidural.
Udokotela akakwazi ukuthola isikhala esifanele.
Ngezinye izikhathi, ngenxa yokukhula okujwayelekile komhlane wakho, isisindo sakho noma izinkinga zangemuva , kufaka phakathi i-scoliosis , kungenzeka ukuthi akunakwenzeka ukuthi i-anesthesiologist ithole isikhala se - epidural . Ngakho-ke i-epidural nge-scoliosis kungenzeka ingasebenzi.
Uphuphuma kakhulu.
Uma uphepha ngokweqile noma uhlaselwa ukwethuka, ngeke unikezwe i-epidural yezizathu zokuphepha. Njengoba abesifazane abaningi bevame ukuba nomfutho wegazi ophansi nge-epidural, lokhu kungenziwa kube yingozi ngisho nokucindezela kwegazi kwezinye zezinkinga.
Unesifo sengculazi.
Akusikho into enhle kakhulu ukuba indawo yakho ye-anesthhesiologist ibe ne-epidural ngokusebenzisa indawo ethintekile. Lokhu kungabangela ukuthi ukutheleleka kusakaze emgodleni nezinye izindawo zomzimba wakho futhi kungabangela umonakalo omkhulu.
Ayikho i-anesthesiologist etholakalayo.
Isibhedlela sakho singaba ne-anesthetist kuphela esitholakalayo phakathi namahora athile osukwini noma izinsuku zesonto.
Ungase futhi ube nomnyango we-anesthesia ohlanganisa sonke isibhedlela hhayi nje kuphela umsebenzi wokusebenza kanye nokulethwa kwezidingo.
Imikhawulo yomsebenzi.
Ezinye izibhedlela zizobeka imingcele lapho ungaba ne-epidural. Kungenzeka ukuthi kufanele ube ngenye indawo ekusebenzeni, njengamamitha amane (4) ngaphambi kokuba i-epidural inganikezwa. Ezinye izibhedlela zinganquma ukuthi izidakamizwa akufanele zinikezwe ngemuva kwephuzu elithile lomsebenzi, isibonelo uma usufinyelele ngokugcwele ngokugcwele (amasentimitha angu-10).
Okufanele Ukwenze Uma Udokotela Athi Akekho Isikhathi Esithile
Ungase ukwazi ukuthola kusengaphambili ukuthi i-epidural ayikho esikhathini esizayo sokusebenza. Uma lokhu kwenzeka uyakwazi ukulungiselela ngokubheka ezinye izindlela zokuphumula kobuhlungu bomsebenzi. Iklasi elibeletha lokubeletha eligxile ezinhlobonhlobo eziningi zokuphumula kobuhlungu emithonjeni yemvelo yemvelo yokuphulukisa ubuhlungu kungase kube yindlela engcono kakhulu yokugcwalisa isikhwama sakho sokuzalwa ngamathuluzi amaningi okubhekana nokusebenza, ikakhulukazi isambulo sokumangala ukuthi awukwazi babe ne-epidural.
Cela usizo lokuthola umsebenzi. Umsebenzi usebenza kanzima, noma ngaphandle kwemithi yobuhlungu. Cabanga ukuqasha i-doula , noma ngabe uthanda i-epidural. Umsizi womsebenzi osebenzayo angakusiza wena nomlingani wakho ngokusebenzisa izinyathelo ezihlukahlukene zokuphumula zobuhlungu ezihlanganisa ukukhululeka kwemvelo yemvelo njengokuphumula, ukuma , ukubhusa, njll.
Uyophinde aqeqeshwe ekukutsheleni lokho okunye okukhethwa khona kukho ukuphumula kobuhlungu njenge- Transcutaneous Electrical Nerve Stimulation (TENS) , imithi ye-IV , njll.
Uma ukhathazekile ngalezi zindaba ukuqinisekisa ukuthi ukhuluma nodokotela noma umbelethisi wakho mayelana nokwesaba kwakho. Kungenzeka futhi kunconywa kakhulu kwezinye izimo ukuthi uvakashele esibhedlela futhi uxoxisane nomnyango we-anesthesiology. Bangase bahlole ukuhlolwa komzimba wakho, bathathe umlando wezokwelapha, njll. Lokhu kungasiza ukuphendula imibuzo ongayithola mayelana ne-epidurals kanye nokusebenza. Ukwaziswa kusengaphambili yisixazululo sakho esihle kakhulu.
Futhi, nansi izinto ezinhlanu zokuzama uma ungakwazi ukuthola i-epidural