Ukuphulukiswa kwintlungu kudlalwa ngexesha lokubeleka, ngakumbi ukuba kukho iingxaki ngexesha lokukhulelwa okanye abasebenzi. Enye yezona ndlela eziqhelekileyo zokuphucula intlungu yinkqubo ebizwa ngokuba yi- epidural apho i-anesthesia ilawulwa ngokuthe ngqo kwi-epidural (kwicandelo langaphandle) lomgca wesipelini.
Ngaphezu kwama-50 ekhulwini abafazi ababeletha kwizibhedlele basebenzisa i-epidural.
Injongo yenkqubo kukuba kunikwe i-analgesia (ukukhululeka kwintlungu) kunokuba i-anesthesia (ukungahambi kakuhle komzimba) ukwenzela ukuba ibhinqa likwazi ukufumana ngokupheleleyo ukunikezwa kwengane yakhe. Isebenza ngokuphazamisa isigxina esingaphantsi komzimba phantsi kwephi i-catheter ye-IV efakwe emgodini.
Njengoko i-aneshesia ngokwayo, kukho uhlobo olulodwa lwe-epidural umfazi ongenako. Olunye uhlobo lubhekwa njengento eqhubekayo ye-classical epidural , ngelixa elinye libizwa ngokuba yi-walk ciridural (aka idibene nomqolo wesisu).
Ukwahluke phakathi kweClassic and Walking Epidural
I-epidural ehambayo isebenzisa amayeza afanayo njengemigca ye-classic kuphela kwimali encinane kakhulu. I-cocktail yezobisi iqulethe i-narcotic (morphine, fentanyl) kunye neziyobisi ezinjenge-epinephrin ukunyusa umonakalo we-anesthetic kunye nokuzinzisa uxinzelelo lwegazi lomfazi.
Ukuhamba kwindalo engenazo "ukufa" kunzima ukuziva ukuba i-classic epidural ingabangela; Kunoko kunika intlungu efanelekileyo yokuba loo mfazi ahlale ekhululekile kodwa esazi ngokuchasene kwakhe.
Kwaye nangona libizo layo, abaninzi abafazi abafumana i-epidural walk will not walk, mhlawumbi ngenxa yobuthakathaka bomlenze, uxinzelelo lwegazi oluphantsi, okanye nje ukhetho. (Izibhedlele ezininzi ziya kuphazamisa ukuhamba ngenxa yezizathu ze-inshorensi.)
Inzuzo
Enye yeenzuzo zohambo oluhambahambayo kukuba ukukwazi ukuhamba kukhuthaza ukukhushulwa. Oku ke, kunciphisa intlungu kwaye kuyanciphisa inkqubo yabasebenzi kwiimeko ezininzi.
Kwakhona kunciphisa isidingo sokuba i-forceps kunye nefuthe lokucoca.
Ukuhamba kunokunceda ngokukhethekileyo kwisigaba sesibini sezabasebenzi (ukugxotha) apho ukutholwa kwesimo esithe tye okanye sikwahlula kunokunceda ekuzalweni. Kwakhona kunika umfazi ngaphezulu ukulawula umzimba wakhe onokuphucula isimo sakhe sengqondo njengoko ebudeni bexesha.
Iziphumo eziliqela ziye zabonisa ukuba ukuhamba okuhambayo kuhambelana namazinga aphantsi okubeleka .
Iingxaki
Kwiphepha le-flip, ukuba nomlinganiselo ophantsi we-anesthesia uguqulela kwisiphumo esincinane xa kwenzeka intlungu engavamile. Ngaloo ndlela, ngamanye amaxesha a mabhinqa aya kutshintsha ukusuka ekuhambeni ukuya kwi-classical epidural mid-labor. Ngethamsanqa, kuyinto elula ukuyifaka, kwaye inkululeko ibuyiselwa ngokukhawuleza xa izidakamizwa eziphezulu zihanjiswa.
Nangona i-epidural ehambahambayo ikubonisa ukuba amayeza amaninzi aphantsi, ayinakucima ngokupheleleyo ingozi ephathelele unyango. Iingozi eziqhelekileyo zingaquka:
- I sizathu
- Ukukhupha
- Ukubetha ezindlebeni
- Backache
- Iintlungu zendawo ezikuloo ndawo yokufaka indawo yesikhala
- Ngokukhawuleza ukuwa kwexinzelelo lwegazi
- Unzima ukuchama
- Inwele embi ebangelwa ukuvuza kwe-spinal fluid
- Kwiimeko ezinqabileyo, umonakalo wamantongomanzi apho kufakwa khona i-catheter
Nangona kungekho bubungqina bokuba i-epidural ingabangela umonakalo umntwana, abanye oomama bayakukhathazeka ukuba ukuchithwa ngqo kwezilwanyana ezinobungozi kunokuchaphazela ukuphefumula komntwana kunye nentliziyo yokuzalwa.
Kubalulekile ke ngoko ukuxoxa ngeengxaki kunye nomngcipheko we-epidural kunye nogqirha wakho kwaye ubone ukuba uhambo oluhambayo luyindlela efanelekileyo kuwe.
> Imithombo
> Rao, Z .; Choudhri, A .; Naqvi, S .; okqhubekayo. "" Ukuhamba ngesifo se-dose bupivacaine kunye ne-tramadol kwintsebenzo eqhelekileyo kwi-primipara. " J Coll Physicians Surg Pak 2010. 20 (5): 295-8.
> Wilson, M .; MacArthur, C .; Cooper, G; Shennan, A .; ICET Study Group UK. "Ukubambiswa kwimiqathango yokusebenza kunye nokunikezelwa kwezinto: uvavanyo olulawulwa ngokungapheliyo lwe-dose ephezulu kunye ne-analgesia ye-mobile epidural." Anesthesia. 2009; 64 (3): 266-72.