Ukuphumula ubuhlungu ngokuvamile kuvunyelwe ngesikhathi sokubeletha, ikakhulukazi uma kunezinkinga ngesikhathi ukhulelwe noma umsebenzi. Enye yezinhlobo ezivame kakhulu zokukhululeka kobuhlungu yinqubo ebizwa ngokuthi i- epidural lapho i-anesthesia isetshenziswa ngokuqondile e-epidural (ingxenye engaphandle) yomgogodla.
Amaphesenti angaphezu kuka-50 abesifazane ababeletha ezibhedlela basebenzisa i-epidural.
Umgomo wenqubo ukuhlinzeka nge-analgesia (ukukhululeka kobuhlungu) kunokuba i-anesthesia (ukungabi nomuzwa komzimba wonke) ukuze owesifazane akwazi ukuzwa ngokugcwele ukulethwa kwengane yakhe. Isebenza ngokuphazamisa isigamu esingaphansi komzimba phansi lapho i-catheter ye-IV ifakwa khona emgodleni.
Njenge-anesthesia ngokwayo, kunezinhlobo ezingaphezu kweyodwa ze-epidural owesifazane angase ahambe. Uhlobo olulodwa lubhekwa njenge- epidural eqhubekayo , kanti enye ibizwa ngokuthi i-epidural yokuhamba (akahlanganisiwe nomgogodla we-spinal).
Umehluko Phakathi Kokuhamba Kwesiqephu Esivamile Nokuhamba
I-epidural yokuhamba isebenzisa imithi efanayo njenge-classical epidural kuphela ezincane kakhulu. I-cocktail yezidakamizwa ngokuvamile iqukethe i-narcotic (i-morphine, i-fentanyl) nesidakamizwa esinjenge-epinephrine ukuze ilandise umphumela we-anesthetic futhi iqinise umfutho wegazi wesifazane.
I-epidural yokuhamba ayinayo "efile" enganakeki ezwa ukuthi i-epidural ye-classic ingabangela; kunalokho unikeza ukuphulukiswa okwanele kobuhlungu ukuze owesifazane ahlale ekhululekile kodwa esazi ukuthi uyahlukana.
Futhi naphezu kwegama layo, iningi labesifazane abathola i-epidural yokuhamba ngeke bahambe, kungenxa ngenxa yobuthakathaka bomlenze, umfutho wegazi ophansi, noma nje ukukhetha. (Izibhedlela eziningi ziyokwehlisa amandla ukuhamba ngezizathu zomshuwalense.)
Izinzuzo
Enye yezinzuzo ze-epidural yokuhamba yilokho ikhono lokuthutha likhuthaza ukuphikisana.Lokhu futhi, kunciphisa ubuhlungu futhi kuphungula inkambo yezabasebenzi ezimweni eziningi.
Futhi kunciphisa isidingo sokuba i-forceps ne-vacuum extraction.
Ukuhamba kahle kuyasiza ikakhulukazi esigabeni sesibili sokusebenza (ukuqhuma) lapho ukutholwa kwesimo esiphezulu noma sokugxila kungasiza ekuzalweni. Iphinde inikeze owesifazane ukuba alawule kakhulu umzimba wakhe ongase uthuthukise isimo sakhe sengqondo njengoba ebeletha.
Ucwaningo oluthile luye lwabonisa nokuthi i-epidural yokuhamba ihlotshaniswa namazinga aphansi okuzalwa kwe- cearean .
Ukungalungi
Ehlangothini le-flip, ukuba nomthamo ophansi we-anesthesia kuhunyushwa ekusizeni okuncane lapho kwenzeka ubuhlungu obungavamile. Njengalokhu, abesifazane ngezinye izikhathi bayashintsha kusukela ekuhambeni ukuya e-classical epidural mid-labor. Ngenhlanhla, kuyinto elula yokwenza, futhi impumuzo ibuyiselwa ngokushesha uma izidakamizwa eziphezulu zihanjiswa.
Ngenkathi i-epidural ehambahamba ikuveza ukuthi imithi ephansi kakhulu, 'ayiqedi ngokuphelele ingozi ehlobene nokwelashwa. Izingozi ezivamile zingabandakanya:
- I-nausea
- Ukuphikisana
- Ukukhala ezindlebeni
- I-Backache
- Ubuhlungu bendawo ngaphakathi kwendawo yokufaka i-catheter
- Ukuwa kwegazi ngokungazelelwe
- Kunzima ukuchama
- Ikhanda elinzima elibangelwa ukuvuza kwamanzi omgogodla
- Ezimweni ezingavamile, ukulimala kwamantombazane lapho i-catheter ifakwe khona
Nakuba kungekho bufakazi bokuthi i-epidural ingabangela ukulimala kwengane, kunomama abathile abakhathazekile ukuthi ukuvezwa okungaqondile emithini yezidakamizwa kungathinta ukuphefumula kwengane nokushaya kwenhliziyo ngesikhathi sokuzalwa.
Ngakho-ke, kubalulekile ukuxoxa ngezinzuzo kanye nengozi ye-epidural nodokotela wakho futhi ubone ukuthi i-epidural yokuhamba iyindlela efanelekile kuwe.
> Imithombo
> Rao, Z .; I-Choudhri, A .; I-Naqvi, iS .; et al. "" Ukuhamba nge-epidural nge-dose ephansi ye-bupivacaine kanye ne-tramadol emisebenzini evamile e-primipara. " J Coll Physicians Surg Pak 2010; 20 (5): 295-8.
> Wilson, uM .; MacArthur, C .; Cooper, G .; I-Shennan, A .; I-COMET Study Group UK. "Ukumiswa kwemodi yokusebenza nokulethwa kwezidingo: ukulingwa okungahleliwe okulawulwayo kwe-dose eliphezulu ne-analgesia yeselula ye-epidural." Anesthesia. 2009; 64 (3): 266-72.