Kutheni i-epidural eyenziwe?
Ingqungquthela ingenziwa kwintsebenzo rhoqo kunye nokubeletha, ukukhangela okubangela (ukuchithwa) , i-forceps okanye i-vacuum delivery okanye icandelo lesajaji. Unokufunda okungakumbi malunga ne-anesthesia ye-epidural ukusuka kumfundisi wakho weklasi lokubeletha .
Iyenzeka njani i-epidural?
I-epidural idlalwa kunye nawe kwicala okanye uhleli phezulu, kodwa kulezi zikhundla, uyaphula ngokugqithiseleyo ngesisu sakho sokukhulelwa ukuze unike i-anesthesiologist imbono engcono yomgudu wakho.
Ingingqi yomva iya kuhlamba isisombululo sokucoca. Emva koko udibaniswa ne-anesthetic yendawo ekunciphiseni intlungu ozivelayo ukusuka kwinqununu yangempela yokungena. Ingozi yokuhlolwa ihanjiswa ukuqinisekisa ukuba iyeza liya kwindawo efanelekileyo. Inaliti isuswe kwaye i-catheter eselula, iplastiki ishiywe kumqolo wakho kwaye ifakwe phantsi ukwenzela ukhuseleko.
I-epidural ingayinika njani intlungu?
Ukuba uvavanyo lwesifo esinikeziwe silungile, ke uxakile kwi-ngxowa yemithi eza kuqhubela phambili ude ususe ikathatheli emva kwakho. Eli mayeza angatshintshwa okanye aguqulwe ngokuya kwiimfuno zakho.
Uvakalelwa njani ukuba une-epidural?
Inkqubo ecacileyo ichazwa kuyo nayiphi na into engaxhamliyo ukuba ibuhlungu kakhulu. Kunokuba nzima ukuxhomekeka xa ukhulelwe kwaye unemiqathango. I- anesthesia yendawo ibuhlungu ngaphezu kwenaliti ye-epidural, kuba, kwindawo apho inaliti ye-epidural ingena kuyo, unzima.
Ininzi la mabhinqa ichaza inaliti ye-epidural njengoko ivakalelwa ngokufana nokunyanzela nokukhupha. Ngezinye iinkhathi inaliti iya kuthintela inzwa eyenza umlenze wakho ugxume okanye uvakalelwa intlungu. Okuqhelekileyo kwaye akuthethi ukuba ukhubazekile.
Ndiza kuziva ntoni nge-epidural ngexesha lobasebenzi?
Oko uvakalelwa kuya kuxhomekeka ekudibeneyo kwamachiza, kukude kangakanani nawe ekusebenzeni kunye nemibandela eyahlukeneyo.
Abanye besetyhini baziva ukuba izichaso kodwa abaziveki njengentlungu. Abanye besetyhini babika ukuba abavalelwa kwiintlobo zabo ngamadolo. Qiniseka ukuthetha nomntu onesi-anesthesiologist malunga noko ufuna ukuziva kwaye ukuba unokusebenza nawe.
Kwenzeka ntoni emva kokuba ndibelethe?
Emva kokubeleka , i-catheter isifo isuswe ngokususa iteksi ejikeleze kuyo kwaye idonsa i-catheter. Usenokuba nobunzima emilenzeni yakho ngeeyure eziliqela. Ngamanye amaxesha, oomama baya kuziva bebuthathaka emilenzeni okanye baze baxakeke ixesha elide. Iintlungu ezibuyiselwayo zingenzeka nakwiziko le-epidural.
Ziziphi iingozi ze-epidural?
Ubungozi be-epidural buninzi. Iingxaki eziqhelekileyo zizinto ezinjengophuzo lomxinzelelo wegazi lomama, oqhele ukukhawuleza unyango ngamayeza kunye noshintsho lwesikhundla. Ezinye izingozi ezinjengexinzelelo lomntwana , ukutshatyalaliswa komntwana , kunye nokunyuka kwinqanaba le-stareyard, banokukwazi ukuba neengxaki ze-epidurals, kodwa kukho amaxesha amaninzi okukhusela okukhuselweyo okumiselwe ukukhusela okanye, xa kuyimfuneko, ukunciphisa imiphumo. Ukukhubazeka, ukuphazamiseka, ukulimala kwentsholongwane kunye nokusuleleka kumama kunene kakhulu kunqabile.
Ngaba wonke umntu unokuba ne-epidural?
Akuyena wonke umntu onokufumana isifo.
Kukho izizathu zokuthi kungani i-epidural ingabi ngawe. Oku kungabandakanya imbali yakho yezonyango, ezinye iimeko onokuba nazo, abasebenzi basebhedlele okanye ukufumaneka. Ukuba unenkxalabo phambi kobasebenzi, kunokwenzeka ukucwangcisa i-aphoyintimenti yokubonisana ne-anesthesia.
Ngangaphi na i-epidural ingenziwa?
Ezinye izibhedlele, oogqirha okanye ababelethisi banokuba nomgaqo-nkqubo wokubonelela kuphela i-anesthesia ye-epidural emva kwento ethile ebuntwini bakho. Oku kuthetha ukunceda ukuqinisekisa ukuba umsebenzi wakho awuncitshisi okanye unqande ngenxa ye-epidural. Inokunciphisa ingozi yeengxaki ezithile. Qiniseka ukuba ubuze ukuba imigaqo-nkqubo yakho yezobugqirha kunye nesibhedlele iyintoni xa ungafumana i-epidural.
Ngaphambi kokufumana i-epidural, ungasebenzisa ezinye iintlobo zentlungu ekhuphayo njengemiqathango yokunyusa kunye nemithi ye-IV ukukunceda ukujamelana nomsebenzi.
Kuthekani ukuba andifuni i-epidural?
Ukuba awufuni ukuba ne-epidural, akumele ube neyodwa. Oomama abaninzi bakhetha ukusebenzisa iindlela ezahlukeneyo ukufumana abasebenzi ngaphandle kokusebenzisa nayiphi na imithi. Ukusebenzisa i-doula kukwaziwa kwakhona ngokukunceda ukunciphisa amathuba okuba ufuna i-epidural.
Imithombo:
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UGeorge, uRB, Allen, TK, & Habib, AS (2013). I-epidural bolus engapheliyo xa kuthelekiswa neengxaki eziqhubekayo zokuhlaselwa kwe-labor analia: ukuhlolwa ngokuchanekileyo kunye nokuhlaziywa kwemeta. Anesth Analg, 116 (1), 133-144. i-doi: 10.1213 / ANE.0b013e3182713b26
Kemp, E., Kingswood, CJ, Kibuka, M., & Thornton, JG (2013). Isikhundla kwisigaba sesibini sezabasebenzi kubasetyhini abane-anesthesia ye-epidural. Cochrane Database Syst Rev, 1, CD008070. i-doi: 10.1002 / 14651858.CD008070.pub2
Lawrence, A., Lewis, L., Hofmeyr, GJ, & Styles, C. (2013). Izikhundla zomama kunye nokuhamba ngexesha lokuqala lomsebenzi. Cochrane Database Syst Rev, 8, CD003934. i-doi: 10.1002 / 14651858.CD003934.pub3
Lippert, T., Nesje, E., Koss, KS, & Oian, P. (2013). Utshintshe imeko yobungozi ngexesha lobasebenzi kwiSebe elikhulu laseNorway elisisigxina. I-Acta Obstet Gynecol Scand, 92 (6), 671-678. i-doi: 10.1111 / aogs.12092
Pitkanen, MT, Romaa, U., Cozanitis, DA, & Forster, JG (2013). Iingxaki ezinzulu ezinxulumene ne-anesthesia yomgudu kunye ne-epidural e-Finland ukusuka ngo-2000 ukuya ku-2009. I-Anaesthesiol Scand, 57 (5), 553-564. i-doi: 10.1111 / aas.12064
I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. Gabbe, S, Niebyl, J, Simpson, JL. I sixhenxe.