I-epestural anesthesia yindlela eqhelekileyo ye-anesthesia esetyenziswa ekuzalweni. Ekubeni i-epidural numbs yonke indawo phakathi kwamabele akho namadolo, ungase uzibuze ukuba ungayichukumisa njani umntwana wakho ngexesha lobasebenzi. Nangona ezinye iincwadi zikhangele ukuba ingaba ne-epidural iguqule indlela ochopha umntwana wakho ngayo, iziphumo zixutywe. Ezinye izifundo zibonisa ukuba kukho ukuphazamiseka, ngelixa abanye babonisa ukuba akukho mvelaphi kwiziphumo.
Into ebaluleke kakhulu yinto eyenzekayo kunye nawe nomsebenzi wakho. Ukukwazi ukuba ulindele ntoni kunokunceda uqonde ukuba kwenzekani.
Unxusa Ukutshatyalaliswa Kwintlungu
Inqweno yokutshiza yintoni abafazi abasweleyo abafumanayo malunga nexesha lokuzalwa. Ngamanye amaxesha lo mbongo unqabileyo kwaye abafazi bayichaza njengento eyenziwa ngumzimba wabo kwaye abanakho ukulawula kuwo. Ngamanye amaxesha, ithetha nje ukuba kukuziva kulunge ukunyusa, ngokukodwa kwiphakamiso yesahluko, kunokuba uvakalelwa ukuba ungashenxi. Kwamanye amabhinqa, i-epidural iyakunciphisa okanye iphelise intshutshiso yokunyusa kwisigaba sesibini sezabasebenzi. Oku kukhokelela kwingcamango yokusebenza. Ukusebenza phantsi kwegama elichaza ukulinda ukunyanzelisa ukuba umntwana adeke kakhulu kwi-pelvis. Oku kuvumela ukuba umama aphumle kwaye kucatshangelwe ukuthintela:
- Uxinzelelo lwe-Fetal
- Ukugxotha ixesha elide
- Eminye imilenze okanye ukuvumela umntwana ukuba ajikeleze kwindawo engcono
- Unina ovakalelwa ngokukhathala ngokukrokra iinzame
Khumbula ukuba i-uterus iyaqhubeka nemigudu yokugxotha ngaphandle nangokuncedwa ngumama. Kodwa inzuzo yokuvumela umntwana ukuba ajikeleze aze ahla ayanceda bonke abathintekayo. Oku kwafunyanwa kwizifundo ezithile, ngelixa abanye babengafumani nzuzo, kunye nengozi yokungalindelanga ukuzama le ndlela yokunyusa.
Izibhedlele ezininzi zisebenzisa le ndlela njengeprotocol.
Izithuba zokuqhutyelwa nge-Epidural
Ekubeni i-epidural i-antiesthetizes umama, ayikwazi ukuthatha izikhundla ezininzi ngenxa yokungabi nalwazi. Oku kufaka umda kwinani lezithuba ezikhoyo, ezinokuthi ziphazamise inkqubela phambili ngexesha lomsebenzi.
Nceda uqaphele ukuba oku kuhlukahluka kunina kumama, abanye besetyhini baya kuba nenkuthalo ngakumbi kunabanye, oku kunokutshintsha oko ungakwenza kancinci nangona kunjalo kuya kufuna ukuba inkxaso eninzi kulabo abasondezayo. Ngenkxaso enhle evela kumlingani wakho, i- doula , abahlengikazi bezabasebenzi kunye nabanye, zikhona ezinye izikhundla umama anokukwazi ukuzenza zibandakanya:
- Ukuhlala kunye nabantu okanye inkxaso yeenyawo
- Ubuxoki obungasecaleni
- Squat inkxaso
- I-prone
- Ukuqhafaza ngeenyawo zebhedi, kuxhomekeke
- Phakamisa ngemisipha okanye inkxaso yeenyawo
Into enye ukugcina engqondweni xa unceda umntu onenkathazo ukuba alumke ukuba angadluli-yandise imilenze okanye amanye amalunga. Kunokwenzeka ukuba kubangele umonakalo emzimbeni womama ngenxa yokuba akakwazi ukuziva intlungu. Akazi ukuba uza kukuxelela nini ukuba unqume njengoko wayeqhele ukuba uya kuyenza xa ufanele ulandele amanxeba akhe.
Imida yexesha lokunyusa
Uphando lubonisa ukuba ixesha elide xa bobabini kunye nosana benza kakuhle, abayimfuneko.
Ekubeni i-epidural iyakwandisa ixesha elifunekayo lokunyusa umntwana, ukuba umama kunye nosana benza kakuhle, cela udokotela wakho okanye umbelethisi ukuba kukho na isizathu sokuba ungavunyelwa ukuba uqhubeke uchukumisa ngaphambi kokuba kwenziwe icandelo lesajaji . Ngamanye amaxesha utshintsho olulula kwizikhundla luya kuba luncedo ekuqhubeni phambili emsebenzini kwaye uvelise umntwana.
Iingxaki zeEpidural
Nangona ukunciphisa intlungu kuyinzuzo yecala, le nyeza iphinda inyuse ingozi yokuba uya kuthi:
- Ufuna i- Pitocin ( uhlobo olwenziwayo lwe-hormone oxytocin), olunokuthi "alukwazi ukuba lukhuselekile njengalowo wacinga", ngokutsho kwengxelo ka-2013 evela kwi-American College of Obstetricians and Gynecologists
- Kufuneka i- forceps okanye i- extrauum extraction
- Yiba ne- episiotomy
- Ufuna ixesha elingakumbi lokunyusa kunokuba ungenjalo
- Ukwandisa ubude besigaba sesibini kuba imisipha yakho ayinakukwazi ukunceda ukujikeleza umntwana wakho kwiindawo ezikhethiweyo zokubeletha
Ukusetyenziswa kwe-epidural kuya kuba nefuthe elihle kumandla akho okutshiza, kunye noxinzelelo olunokuba luncedo. Oko kwathiwa, abaninzi abafazi banomdla ngokuzithengisa imizuzu embalwa yabasebenzi kunye neentlungu zokunceda ezinikezelwa ngenye indlela. Ukuba uceba ukuba ne-epidural, xela ugqirha wakho kunye ne- doula malunga nendlela ofuna ukujongana ngayo nesigaba sokusebenza.
> Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists: UFundo Ufumana Iimiphumo ezimbi zePitocin kwiintsana (2013)
> Lemos A, Amorim MMR, Dornelas de Andrade A, de Souza AI, Cabral Filho J, Correia JB. Ukugxininisa / ukunyusa iindlela zegumbi lesibini labasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu zoHlolo 2017, Inkcazo 3. Ubugcisa. Inombolo: CD009124. INGXELO: 10.1002 / 14651858.CD009124.pub3
> Lieberman, E., & O'donoghue, C. (2002).
> Osborne K, Hanson L. Ukusebenza phantsi okanye ukubethelela phantsi: isicwangciso sokuguqulela ubungqina bobasebenzi besibini kwisigaba sokusebenza kwangasese. J Perinat Nursing Neonatal. 2014 kuMbasa-Juni; 28 (2): 117-26. I-doi: 10.1097 / JPN.0000000000000023.
> Imiphumo engavumelekanga ye-Epidural Analgesia Ngethuba lezeMisebenzi: UkuHlola okuHlolo. I-American Journal ye-Obstetrics ne-Gynecology