I-epestural anesthesia yindlela enye yenxeba yokuphulukiswa kweentlungu ekusebenzeni nasekuzalweni namhlanje. I-epidural, njengoko ibizwa ngokuqhelekileyo, yi-anesthesia yesithili. Oku kuthetha ukuba iyanqumla indawo yomzimba, ngokungafani ne-anesthesia jikelele ekhupha ngokupheleleyo intlungu kunye nokuqonda kumzimba wonke. Amanani angama-epidural avela kummandla weengxobo (i-cearean) okanye i-umbilicus (iqhosha lomlenze) (ngenxa yokuzalwa kwesisu) kwizwane.
Oku kukuvumela ukuba uhlale uphapheme kodwa ungenayo intlungu yecala ekusebenzeni okanye ngexesha lokuzalwa.
Into onokuyivakalelwa ngokwenene iya kuhluka ukusuka kumama kuya kumama nokuzalwa. Oku kuyingxenye yokwenza ngamachiza asetyenziswe kwi-epidural kodwa nakwi-anatomy yakho kunye nalapho usebenza khona. Abanye oomama abafuni ukuziva, ngelixa abanye bakubona oku kunkwantya. Ngoko i-epidural ingakuvumela ukuba ube nevakalelo, ukuze uzive ulwaphulo, kodwa ungabandezeleka. Ekubeni i-epidural ingasetyenziselwa ngexesha lesigatya (c-section), yilapho ungathanda ukuziva. Xoxa ne-anesthesiologist yakho malunga nesixa sokuvakalelwa kukuba ungathanda. Baya kusebenza nawe ukukunceda ufezekise i- epidural epheleleyo .
Ukufumana i-epidural kukho izinto ezimbalwa oza kufuneka uzenze.
Ukufumaneka koPhulo
Qinisekisa ukuba uhambisa kwisibhedlele ngokufumaneka kwamagciwane.
Ezinye izibhedlele zinama-epidurals kuphela afumaneka ngamaxesha athile, ngelixa ezinye izibhedlele zifumana iiyure ezingama-24 ze-anesthesia. Qiniseka ukuba ubuze esibhedlele sakho malunga nale ngxelo.
Thetha noDokotela wakho okanye uMidikazi
Batshele ukuba zeziphi izicwangciso zakho zonyango. Buza uncedo lwabo ekuqaliseni ixesha elifanelekileyo lokuba ufumane i-epidural.
Basenokuthi okanye abanako ukukukhokela ngokukodwa ngexesha lomsebenzi.
Thetha kwiqela lakho lokuxhasa
Kubalulekile ukuba uvumele iqabane lakho, i- doula , kunye nabani na oza kubantwana bakho bazalwa bayazi ukuba ungathanda i-epidural. Thetha malunga nokuba ucinga ukuba ngaba yintoni okanye uya kuziva ngaphambi kokuba uyifumane. Omnye umzekelo unokuba ngathi: Ndingathanda i-epidural ngokukhawuleza ukuba andisayi kuthatha iincwadana kakuhle. Okanye: Ndingathanda i-epidural ngokukhawuleza ukuba ndifumane esinye esibhedlele.
Vumela Isibhedlele Yazi
Kukho mfuneko yokuba uthatha iklasi ekhethekileyo yepidural ngaphambi kokuba umntwana wakho azalwe. Okanye unokuba nesidingo esikhethekileyo sokuthetha kwisebe le-anesthesia ngaphambi kokuzalwa komntwana wakho. Buza kwisibhedlele sakho esibhedlele.
Lungiselela nayiphi na into
Kukulungele ukuhlaziya izicwangciso. Ngamanye amaxesha umsebenzi uhamba ngokukhawuleza kunokuba ungalindela kwaye awunaso ixesha lokufumana i-epidural, ukwazi ukuba wenzeni ukunceda uzinze. Okanye mhlawumbi kufuneka ulinde ixesha elide kunokuba ucinge ngokuba usuku oluxakekileyo kwi-labor and delivery delivery. Ukuba nesicwangciso sokulondoloza sisoloko sisilungileyo esihle.
I-epidural ayikho ngaphandle kweengozi-oku kuyinyani nayiphi na inkqubo yonyango okanye amayeza. Nangona kunjalo, uninzi lweepidurals luya kuba ngaphandle kwengxaki.
Iingxaki eziqhelekileyo okanye ezininzi kakhulu zilindelwe. Izinyathelo zokukhusela eziza kwenziwa ziyahlukahluka esibhedlele kwisibhedlele kodwa zingabandakanya:
- I-IV yamanzi ayimfuneko ngaphambi kokuba i-epidural
- Uhlolo loxinzelelo lwegazi
- Ukuhlolwa kwentliziyo yomama
- Ukujonga iliso
- Abasebenzi abaqeqeshwe ukuhlala kunye nomama ngexesha elibi
- Amanyango ngesandla ukuze unyango lweengxaki
Ukuba uthe wagqiba ukuba ufuna i-epidural for your work, kuya kufuneka ukuba wazi ukuba zeziphi izidingo esibhedlele ozalayo. Ezinye izibhedlele zinemiqathango xa unokufumana i-epidural.
Oku kunokuba kuhluthwe ubuncinci okanye ukunyuka okuphezulu. Uyakukufumanisa oko ngokuthatha uhambo lwesibhedlele, ukuthetha nedandelo le-anesthesiology, okanye kwiklasi yakho yokubeletha.
Ukuthatha iklasi yokubeletha kusengumcamango omkhulu ukuba uceba isifo. Kukho okuninzi okufundwa kwiklasi, kubandakanywa neziseko ze-anesthesia ye-epidural. Enye yezinto onokuzifunda nazo ezinye iindlela zokujongana neentlungu zomsebenzi. Oku kufezekileyo kwithuba lexesha elikuthathayo ukuba ufike esibhedlele kwaye ufumane i-epidural.
Oku kuthethi, kukho izizathu zokuba ungeke ukwazi ukufumana i-epidural . Oku kuyinto ofuna ukuba wazi kakuhle phambi kobasebenzi xa usengozini. Buza ugqirha wakho into oyifunayo ukuba wazi phambi komsebenzi ukuqinisekisa ukuba akukho mangalisa.
Emva kokuba i-epidural isendaweni, kufuneka ube nokukwazi ukuphumla okanye ukuphumla kwaye wenze nantoni na oyifunayo kwi-bed yakho. Ukuba uvukile kancinci, u-nap unengcamango enkulu. Abanye abamaMama basebenzisa eli xesha ukugqiba amagama omntwana okanye ukudlala kumajelo asekuhlaleni, bukela iTV, njl njl. Umongikazi wakho wezandla uya kukunceda ukwazi ukuba lixesha lini lokususa .
Uza kuvavanywa uvavanyo lwesiswini nganye iiyure ezimbalwa okanye xa uvakalelwa ukuba ufuna. Ukunyusa ngokuqhelekileyo kuqala xa umntwana esephantsi kakhulu, ngokuchasene nokuqala ukutshatyalaza nje ngenxa yokuba uhluthe ngokupheleleyo. Oku kwaziwa ngokuba kusebenza. Abasetyhini abaninzi banokuziva becinezele, ngelixa amanye amama efuna ukucima i-epidural ukuba iqhube. Oku akwenziwe ukucetyiswa ngenxa yentlungu eyongeziweyo ngenxa yenguqu kwimpendulo ye-hormonal.
I-epidural ingasetyenziselwa ukuhanjiswa okunzima, kubandakanye nalabo abafuna ukukhutshwa kombane okanye ukugxotha. Unokusebenzisa i-epidural for birth rear.
Xa usana luzalwe, uya kuba nako ukusebenzisa i-epidural for relief relief ngexesha lokugqibela emva kwesikhashana. Ngokuqhelekileyo i-epidural iya kucinywa emva kokuzalwa. Kuthatha ixesha elingakanani ukuba uzive emva kwimilenze yakho iyahluka. Abanye abafazi bayakwazi ukuhamba ngeyure emva kokuzalwa, ngelixa amanye amama aya kuthatha iiyure ezimbalwa. Xa i-epidural igugile, uya kutshintshwa kwiinkonzo zentlungu yomlomo .
Imithombo:
> Ukunciphisa i-analgesia ye-epidural ngasekupheleni kwebasebenzi ukwenzela ukunciphisa iziphumo ezichasene neziphumo ezihambelana ne-analgesia ye-epidural. I-Torvaldsen S, uRoberts CL, uBell JC, uRaynes-Greenow CH. I-Cochrane Database Syst Rev. 2004 Okthoba 18; (4): CD004457. Uhlolo.
Iziphumo zokungavunyelwanga kunye nokwaneliseka komama kwabasetyhini abasebenzisa i-analgesia ephethwe ngumonde. I-Haydon ML, uLarson D, uReed E, Shrivastava VK, i-Preslicka CW, i-MP ye-Nageotte. IJ Obstet Gynecol. 2011 Sep; 205 (3): 271.e1-6. Epub 2011 Juni 17.
Ukufundwa kwimeko elawulwa yimeko enxulumene nobudlelwane phakathi kwesicelo sokuyeka isigaba sesibini sezabasebenzi be-analgeia yesigxina kunye nomngcipheko wokunikezelwa kwesini. UToledo P, uMccarthy RJ, uEbarvia MJ, Wong CA. Int J Obstet Anesth. 2008 Julayi 8.