Kungani kubanjwe ama-epidural?
I- epidural ingenziwa ngokubambisana nokubeletha okuvamile, ukukhishwa okufakiwe (ukukhishwa) , i-forceps noma ukulethwa kwe-vacuum noma ngisho nesigaba se-cearean. Ungafunda kabanzi mayelana ne-anesthesia ye-epidural kusuka kumfundisi wakho weklasi lokubeletha .
I-epidural yenziwe kanjani?
I-epidural ivame ukwenza nawe eceleni kwakho noma uhlezi phezulu, kodwa kulezi zikhundla, uvalwe ngokuqinile phezu kwesisu sakho sokukhulelwa ukuze unike i-anesthesiologist umbono omuhle womgogodla wakho.
Indawo yangasese iyahlanzwa ngekhambi lokuhlanza elibandayo. Khona-ke uhlonywe nge-anesthetic yangakini ukuze unciphise ubuhlungu obuzwayo kusuka enaleni yangempela ye-epidural ukungena. Umthamo wokuhlolwa uhanjiswa ukuze uqiniseke ukuthi imithi ingena esikhaleni esifanele. Inaliti isusiwe futhi i-catheter encane, i-plastiki ishiywe ngemuva kwakho futhi ifakwe phansi ukuze uvikeleke.
I-epidural izonginika kanjani impumuzo yobuhlungu?
Uma ngabe umthamo onikeziwe ulungile, usuke uphazamisekile esikhwameni semithi eyogeleza ngokuqhubekayo kuze kube yilapho ususa umcengezi ngemuva kwakho. Le mithi ingashintshwa noma ishintshwe kuye ngezidingo zakho.
Kuzizwa kanjani ukuthi une-epidural efakwe?
Inqubo yangempela ichazwa noma yikuphi okungahambi kahle kuya ebuhlungu kakhulu. Kungaba nzima ukuthembela ngenkathi ukhulelwe futhi unezinhlangothi ezithile. I- anesthesia yasendaweni ibuhlungu ngaphezu kwenaliti ye-epidural, ngoba, endaweni lapho inaliti ye-epidural ingena khona, unomphefumulo.
Abaningi besifazane bachaza inaliti ye-epidural njengomuzwa onjenge-push and shoving. Ngezinye izikhathi inaliti iyoyithinta inzwa eyenza umlenze wakho weqe noma ungase uzizwe ubuhlungu bokudubula. Lokhu kuvamile futhi akusho ukuthi ukhubazekile.
Ngizozizwa kanjani nge-epidural ngesikhathi sokubeletha?
Okuzizwayo kuzoxhomeka ekuhlanganiseni kwemithi, ukuthi kude kangakanani nawe ekusebenzeni futhi ngezici ezihlukahlukene.
Abanye besifazane bazizwa ukuphikisana kodwa abakutholi ubuhlungu. Abanye besifazane babika ukuthi abazizwa bevela ezingxenyeni zabo emadolweni. Qinisekisa ukuthi ukhuluma nomuntu onesi-anesthesiologist ngalokho ofuna ukukuzwa futhi ubone ukuthi angasebenza nawe.
Kwenzekani emva kokubeletha?
Ngemuva kokubeletha , isikhala se-epidural sisuswe ngokususa itheyiphu nxazonke futhi sidonsa ikhala. Ungase uhlale unamahloni emilenzeni yakho amahora amaningana. Ngesinye isikhathi, omama bazozizwa bebuthakathaka emilenzeni noma baze banganaki isikhathi eside. Ubuhlungu bebukhoma bungenzeka futhi endaweni yesifo se-epidural.
Ziyini izingozi ze-epidural?
Izingozi ze-epidural ziningi. Izinkinga ezivame kakhulu izinto ezifana nokudonsa komfutho wegazi lomama, okungajwayele ukuphathwa ngokushesha ngemithi kanye nezinguquko zesimo. Ezinye izingozi ezifana nokucindezeleka kwesisu , ukukhulelwa kwesisu , kanye nokwanda kwezinga le-cearean nakho kunamathuba ama-epidurals, kodwa ngokuvamile kuvame ukuphepha okubekiwe ukuze kuvinjelwe noma, uma kudingeka, ukunciphisa imiphumela. Ukukhubazeka, ukuphazamiseka, ukulimala kwenhliziyo kanye nokutheleleka komama kuyizinto ezingavamile kakhulu.
Ingabe wonke umuntu angaba ne-epidural?
Akuwona wonke umuntu ongaba ne-epidural.
Kungase kube nezizathu zokuthi kungani i-epidural ingase ingabi kuwe. Lokhu kungabandakanya umlando wakho wezokwelapha, ezinye izimo ongase ube nazo, abasebenzi basebhedlela noma ukutholakala. Uma unenkinga ngaphambi kokusebenza, kungenzeka ukuba uhlele i-aphoyintimenti yokubonisana ne-anesthesia.
I-epidural ingenziwa nini?
Ezinye izibhedlela, odokotela noma ababelethisi bangaba nenqubomgomo yokuhlinzeka kuphela nge-anesthesia ye-epidural ngemuva kwephuzu elithile emsebenzini wakho. Lokhu kusho ukusiza ukuqinisekisa ukuthi umsebenzi wakho awuphuzi noma umise ngenxa ye-epidural. Kungase futhi kunciphise izingozi zakho ezinkingeni ezithile. Qinisekisa ukuthi ubuza ukuthi izinqubomgomo zakho zenzakazi nezibhedlela ziyini uma ungathola i-epidural.
Ngaphambi kokuthola i-epidural, ungasebenzisa ezinye izinhlobo zokuphumula zobuhlungu njengezinyathelo zokududuza nemithi ye-IV ukukusiza ukuba ubhekane nokusebenza.
Kuthiwani uma ngingathandi i-epidural?
Uma ungafuni ukuba ne-epidural, akudingeki ube neyodwa. Omama abaningi bakhetha ukusebenzisa amasu ahlukene ukuze bathole umsebenzi ngaphandle kokusebenzisa imithi. Ukusebenzisa i-doula kubuye kwaziwa ukusiza ukunciphisa amathuba okuba ufuna i-epidural.
Imithombo:
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UGeorge, RB, Allen, TK, & Habib, AS (2013). I-epusural bolus engapheli uma kuqhathaniswa nokuhlukunyezwa okuqhubekayo kwe-epidural for analgesia yomsebenzi: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Anesth Analg, 116 (1), 133-144. i-doi: 10.1213 / ANE.0b013e3182713b26
Kemp, E., Kingswood, CJ, Kibuka, M., & Thornton, JG (2013). Isikhundla esigabeni sesibili sokusebenza kwabesifazane abane-anesthesia ye-epidural. I-Cochrane Database Syst Rev, 1, i-CD008070. i-doi: 10.1002 / 14651858.CD008070.pub2
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Lippert, T., Nesje, E., Koss, KS, no-Oian, P. (2013). Shintsha isimo esibucayi ngesikhathi sokubeletha emnyangweni omkhulu we-Norwegian obstetric: okuzofundwa. I-Acta Obstet Gynecol Scand, 92 (6), 671-678. i-doi: 10.1111 / aogs.12092
Pitkanen, MT, Romaa, U., Cozanitis, DA, & Forster, JG (2013). Izinkinga ezinkulu ezihlobene ne-anesthesia yama-spinal ne-epidural e-Finland kusukela ngo-2000 kuya ku-2009. I-Anaesthesiol Scand, 57 (5), 553-564. i-doi: 10.1111 / aas.12064
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