Ixesha lokuPhumela i-Epidural Timing Lingaba yiNdaba kwiBasebenzi
Kwiminyaka emininzi kuye kwabakho ingxabano malunga nexesha elona lihle lokufumana i- epidural yayisemsebenzini . Iingcamango zangaphambili kwezihloko zazinokuthi zinciphise abasebenzi okanye zandise isantya sezinga lesigxina ukuba i-epidural yanikezelwa ngokukhawuleza emsebenzini. Oku kukhokelela kwezinye izibhedlele kunye noogqirha ukuba babe nolondolozo oluninzi ngexesha le-epidurals, ngokuqhelekileyo babe nemigaqo-nkqubo efuna ukuba ibhinqa lifikelele kwi-dilation ethile, ngokuphindaphindiweyo ibe ngamasentimitha amane, kwaye ngamanye amaxesha ingama-centimeters ayisithupha.
I-Cochrane Database yeeNkqubo eziPhezulu zipapashile ukujonga umahluko kwimiphumo emibini kwimpilo kamama, umntwana, ubude bomsebenzi (isigaba sokuqala nesibini), kunye nezinye iintlobo ezahlukeneyo, kwaye akafumani nantlukwano abafazi abangaba ngu-15 000. Ezi ziindaba ezilungileyo kubasetyhini abaceba ukusebenzisa i-anesthesia ye-epidural.
Okwangoku, amaZiko okuLawulwa kweNtsholongwane kunye nokuVikela (i-CDC) athi malunga nama-61% amabhinqa e-United States aya kusebenzisa i-epidural for relief relief in labor. Nangona le nombolo ihluka ngokubanzi ngommandla, kunye nezinye izibhedlele ezinamazinga angama-100% e-epidural and others with low rates.
Izinto ezimbalwa ukubonisa:
- Olu hlalutyo lukulinganisa ukuqala kwentsholongwane ngokubhekiselele kwixesha elidlulileyo. Akwabandakanyi ukubukeka kwe-epidural againstus epidural.
- Uphononongo alukwazi ukuvavanya inzuzo okanye ingozi yemichiza kunye nezindlela ezisetyenziselwa kunye okanye ngaphambi kokuba kubekho i-epidural. Umzekelo: Iimfuno zomama kwaye ufumana udulo lwe-IV ngama-narcotics ngaphambi kokufumana i-epidural.
- Kwizinto ezingabonakaliyo, andizange ndibonwe ingxoxo yezinye izinto ezicinga ingozi.
- I-epidural anesthesia ishintshile kakhulu kwiminyaka emashumi. Ngomnyaka wokuqala wokusasazeka kwindlela yokusetyenziswa, amayeza anikezwa ngamanani amakhulu kunye nendlela umfazi afumana ngayo i-epidural ngoko (ngokuqhelekileyo ingqineka) ngoku (iyahluka, kodwa abaninzi banako ukuhamba kwaye bazive bexinzelelekanga kungekho ntlungu).
Umgca wenkalo kukuba ukuba unqwenela ukufumana i-epidural for your work, musa ukukhupha ixesha. Ufanele ufumane i-epidural xa unomuvo wokuthi uyona nto ingcono kunazo zonke, kwaye kungekhona ngehora.
Imithombo
Osterman MJK, uMartin JA. I-Epidural kunye ne-anesthesia yomgogodla ngexesha lomsebenzi: Indawo yokubika ingxelo ye-27, ngo-2008. i-vol 59 nango-5. Hyattsville, MD: iZiko leSizwe leeNkcukacha zezeMpilo. 2011.
Sng B, Leong W, Zeng Y, Siddiqui F, Assam PN, Lim Y, Chan ESY, Sia AT. Ukuqala ngokusesikweni kokuqaliswa kwe-analgesia ye-epidural kubasebenzi. I-Cochrane Database yoVavanyo oluHlolo ngo-2014, iNqaku 10. Ubugcisa. Hayi: CD007238. INGXELO: 10.1002 / 14651858.CD007238.pub2 - Bona ngaphezulu kwi: http://summaries.cochrane.org/CD007238/PREG_early-versus-late-initiation-of-pidural-analgesia-for-labour-sthash.NiJZ0QDS.dpuf