Isikhala esiphakathi kwendawo yangaphakathi yethambo lesithambo lomgogodla kanye nesibindi sokugcina kuthiwa i-epidural. Ngesikhathi sokugcina, i-rootlets ye-nerve igxila kuwo, futhi ukuphathwa kwamalungiselelo we-anesthesia yendawo kuvimbela umfutho wokudlulela kuwo. Ngenxa yalokhu, kungenzeka ukufezekisa ukulahlekelwa komzwelo nokusebenza komzimba endaweni ethile yomzimba, uma ukujola umzimba kujojowe endaweni yesikhala esithile somgogodla othile.
Ukuze uhlasele i-anesthetize, vela izinto ezihlinzeka kuphela ukulahleka kobuzwe, futhi uma isigaba se-cearean senziwa ngaphansi kwe-anesthesia ye-epidural, khona-ke izidakamizwa ezikhubaza umsebenzi wezimoto zengeziwe. Ngalesi sinalutho esikhaleni se-epidural, i-catheter ifakwa, inaliti isusiwe, futhi ukujola umzimba kujojowe ngezikhathi ezithile kumcathisi ohlala ehlombe kusukela ekuqaleni kokuqhuma okuvamile: i-lidocaine noma amalungiselelo anamuhla.
Ukubeletha ngaphansi kwe-anesthesia ye-epidural
Ngemuva kokulalela izindaba ezivela kubangani mayelana nokubeletha nge-anesthesia ye-epidural, abesifazane abaningi, besaba ukwesaba ukubeletha, baqala ukuba nesithakazelo kule ndlela ye-anesthesia. Kubonakala sengathi akukho nhlobo ecacile yale ndlela, ngaphandle kwesifiso sokunciphisa ubuhlungu ngesikhathi sokusebenza. Kodwa i-anesthesia ye-epidural ayithinti ngqo le-fetus: isidakamizwa asidluli umgoqo ongaguquki. Ngaphezu kwalokho, ngokubeletha kwemvelo, i- epestural anesthesia ayithinti inkathi yezinkathi zabasebenzi: ukuphika kwenzeka, umlomo wesibeletho uvuliwe, kodwa abukho ubuhlungu. Linciphisa ukucindezeleka kwegazi, okuyinto enhle ye-gestosis yokukhulelwa, futhi le ndlela yokusebenzisa i-anesthesia ingasetshenziswa nganoma yisiphi isikhathi, ayikho inkinga engenakugwenywa nge-anesthhesia ejwayelekile yomsebenzi.
I-epestural anesthesia ekubelethweni
Yikuphi impendulo enhle engeke ibe yikho, i-anesthesia ye-epidural iyindlela lapho kuxhomeke khona kakhulu ukufaneleka kwe-anesthhesiologist nanoma yimiphi amaphutha ekuziphatheni kwayo ingabangela imiphumela emibi ngemva kokubeletha ngenxa ye-anesthesia ye-epidural. Kule miphumela, inzima kunazo zonke i-paresis nokukhubazeka ngokulimala ekupheleni kwezinzwa. Ubuthakathaka obunokwenzeka bokusebenza, ukuphulwa komsindo wenhliziyo kokubili umama kanye nesisu, ukwephulwa kwe-thermoregulation (indlela ibangela ukukhuphuka kokushisa komzimba), ukuphazanyiswa kwesibindi. Kungase kube khona ukuphazanyiswa emizamweni, okungase kudingeke ukukhishwa kwe-fetus (ngokusetshenziswa kwe-forceps).
Ukuqhathaniswa nokwelashwa kwe-epidural anesthesia ngesikhathi sokubeletha
I-anesthesia ye-Epidural yindlela ephikisana kakhulu kunezinkomba. Okokuqala, iphikisana nakwezinye izimo ze-hypersensitivity kuma-anesthetics wendawo. Ukuqhathaniswa nakho kufaka phakathi:
- ukuphuma kwegazi;
- ukuphazamiseka kwegazi ukuphazamiseka;
- ukuphazamiseka kwe-hypovolemic;
- isithuthwane;
- izilonda eziphilayo zesistimu enkulu yezinzwa;
- izifo zomgogodla;
- ukunyuka kwengcindezi yokunyuka;
- i-arrhythmia kanye nokukhubazeka okukhulu kwenhliziyo;
- ukuvimbela emathunjini.
Ungenzi i-anesthesia phambi kwesikhumba sokuvuvukala noma izidakamizwa endaweni yokujova. Ukuphikisana okunesihloko kungase kube ukukhuluphala: ukwethulwa kwenaliti ngokusebenzisa ungqimba olunamafutha angaphansi kwamanzi kunzima odokotela.
Imiphumela ye-anesthesia ye-epidural ngemuva kokubeletha
Abesifazane abaningi bakhononda ukuthi ezinyangeni ezimbalwa emva kwenqubo abaphazamiseka ngayo ngenxa yekhanda elibuhlungu ngemuva kokuphazamiseka kwengozi yokugcina, kwakukhona ukukhubazeka kanye ne-paresis, ukungahambisani nomchamo kanye nemfucuza, uma kunzima ukukhishwa kwe-fetus futhi lokhu kubangele ukuhlukunyezwa kwengane. Ukukhanda ikhanda kungenye yemiphumela engavamile kakhulu ye-anesthesia ye-epidural, okubonakala ukuthi ibonisa inani elikhulu labesifazane ababeletha i-anesthesia enjalo.
Kodwa impendulo yokuthi isigaba se-cearean esasetshenziswa kanjani, lapho kusetshenziswe i-epestural anesthesia, kungcono kakhulu kunelabo abenziwe ngaphansi kwe-anesthesia jikelele, ngoba kunenkinga encane kumama nengane kusuka ku-anesthesia ejwayelekile. Ngokwezindaba zabesifazane abaningi, ukukhathazeka okukhulu ekusebenzeni ngaphansi kwe "epidural" kwaba isidingo sokuba baqaphele, besabe ukuthi kuzolimaza, kanye nokungahambi kahle ngokukhubazeka komzimba ophansi.
Abaningi besifazane bayaqaphela kanye nesici esisodwa esingathandeki se-anesthesia ye-epidural - uma i-anesthesia isuka, iqhwa elinamandla kunazo zonke liqala, elingaphathwa kuphela ngosizo lwemithi eyengeziwe.
Uma impilo, ukuqondisa kwengqondo nokwenyama yowesifazane ekubelethweni kuvumela - kungcono ukuthi ungasebenzisi i-anesthesia, ngoba noma yikuphi ukungenelela kwezinqubo zemvelo ngaphandle kwezizathu ezizwakalayo kungaba nemiphumela emibi kakhulu.