I-Anesthesia yenqubo yokhokho ngosizo lwe-anesthesia ye-epidural iyindlela ejwayelekile kunazo zonke yansuku zonke ye-anesthesia. Le ndlela iphumelela futhi ingenabuhlungu, ngakho-ke inqobe abadumile abaningi phakathi kwabadokotela kanye nabesifazane abadumile.
Inqubo yokulethwa kwenzeka kuwo wonke owesifazane ngezindlela ezahlukene. Abanye bazwa ubuhlungu obungenakubekezeleka, abanye babeletha kalula futhi ngokukhululekile. Yiqiniso, wonke umama ozayo angakhetha ukhetho lwesibili. I-epestural anesthesia ngesikhathi sokubeletha inganciphisa kakhulu ubuhlungu, okwenza ukubeletha kube lula. Kodwa-ke, wonke owesifazane kufanele azi ukuthi i-anesthesia ye-epidural ngesikhathi sokubeletha yindlela yokungenelela kwezokwelapha inqubo yemvelo ecashile. Ngakho-ke, ngaphambi kokunquma ngale nqubo, kufanele uhlole ngokucophelela zonke izinzuzo nezingozi zale ndlela.
I-anesthesia ye-epidural yenza kanjani?
Nge-anesthesia le ndlela isebenzisa cishe izidakamizwa ezifanayo njengamazinyo emithi - i-lidocaine noma i-novocaine. I-anesthesiologist ikhipha enye yalezi zidakamizwa endaweni endaweni yomgogodla womgogodla, okuholela ekusweleni ubuhlungu. I-anesthetic ijojowe esifundeni se-lumbar endaweni lapho umama ehlezi khona.
I-Epidural anesthesia - inzuzo neqholo
Odokotela abaningi basebenzisa i-epestural anesthesia ngesikhathi sokubeletha ngenxa yezinzuzo zayo ngaphezu kwamanye ama-analgesics:
- I-anesthetic ejojowe ivumela umama ukuba aphumule futhi aphumule ngesikhathi sokubeletha nokusebenza;
- i-anesthesia ye-epidural isusa ngokuphelele ubuhlungu;
- i-anesthesia ye-epidural isiza ukunciphisa ukucindezela kwegazi eliphezulu;
- Indlela ye-anesthesia ye-epidural ibhekwa njengendlela ephephile kakhulu empilweni yomama nengane.
Naphezu kwazo zonke izinzuzo ze-epidural anesthesia ngesikhathi sokubeletha, le ndlela ingaholela emiphumeleni emibi kumama nengane. Imiphumela engenzeka ye-anesthesia ye-epidural:
- ukuphathwa ikhanda kanye nobuhlungu bomhlane kumama;
- ukunciphisa kwengcindezi yegazi, okwenza owesifazane olele embhedeni alale phansi;
- isidingo sokusebenzisa i-obstetric forceps kwanda ngesikhathi sokuzama;
- amathuba okwenyuka kwesigaba se-cearean sanda;
- umthamo we-postpartum hemorrhage kumama ukwandisa;
- cishe isigamu samacala aholela ku-hypoxia emntwaneni;
- Ngokuvamile umsebenzi wokuphefumula wengane usanda kuphazamiseka;
- kwavimbela kakhulu ukuthuthukiswa ngokomzimba wengane esanda kuzalwa.
Imiphumela ye-anesthesia ye-epidural ingaba yinto engathà sina kakhulu kwengane. Kuze kube nesidingo sokwelashwa okuphuthumayo. Kanti futhi, izinkinga emva kokubulawa kwe-epidural anesthesia zivame ukubonwa kumama.
I-epestural anesthesia engxenyeni yokuqapha
I-anesthesia ye-epidural ibhekwa njengendlela ekahle yokulethwa kwe-cearean. Le ndlela ehlukile ye-anesthesia, ngokungafani ne-anesthesia ejwayelekile, ivumela owesifazane osebenzayo ukuba aqaphele inqubo yokusebenza futhi ngesikhathi esifanayo angazizwa ubuhlungu. Ukuzibulala komzimba kuvimbela ukucindezeleka okubuhlungu okuphuma esibelethweni kuya ebuchosheni, ngenkathi ushiya unina ngokugcwele. I-epestural anesthesia ene-caesarean section ayivimbeli ukusungulwa kokuxhumana kokuqala phakathi komama nosana olusanda kuzalwa, okubaluleke kakhulu.
I-Epidural anesthesia - ukungqinelani
Naphezu kokuthi abesifazane abaningi abasebenzayo nabodokotela bakhetha le ndlela ye-anesthesia, i-epestural anesthesia ngesikhathi sokubeletha ayikwazi ukusetshenziswa kuzo zonke izimo. Ukungahambisani nokusetshenziswa kwe-anesthesia ye-epidural:
- umama usesimweni esingazi lutho;
- owesifazane obelethwe ubhekene ne-sepsis;
- ukutholakala kokulimala komgogodla nobuchopho kumfazi ohamba phambili;
- izifo ezingenamahloni emzimbeni wesifazane ohamba phambili;
- ukusabela okweqile ku-anesthetic kumfazi ohamba phambili.
Uma kukhona noma iyiphi yalezi zinkinga ezingenhla, i-epidural anesthesia ingaholela ezinkingeni ezinkulu zesifo, kuze kube nomphumela obulalayo.
Ngabe u-anesthesia we-epidural ubiza kangakanani ukudiliva?
Izindleko ze-anesthesia ye-epidural ngesikhathi sokubeletha ziyahlukahluka ngokuya esibhedlela sokubeletha esikhethiwe, esifundeni sezwe, isiqu se-anesthesiologist. I-anesthesia yama-epidural ayikho mahhala kumahhovisi wamahhala omakhaya asekhaya womama. Owesifazane ngamunye ekubelethweni unelungelo lokufuna lokhu. Emakhaya okubeletha okuzimele kanye nesivumelwano sokuqala, izindleko ze-anesthesia ye-epidural ziphakathi kwama-dollar ayi-100 kuya ku-800. Ukuze uthole ukuthi ingakanani i-anesthesia ye-epidural ebiza ngesikhathi sokubeletha, ungakwazi esithangamini esinikelwe ekukhulelwe nasekubelethweni. Esigodini esifanayo, ungathola impendulo evela kumama ngale ndlela.
Ukukhetha indlela yokuhlinzekwa kwezifo zokubulala izinzwa, owesifazane akufanele akhohlwe ukuthi ukulethwa kuyinkqubo yemvelo, engamaphesenti angaphezu kwama-80% awadingi ngokuphelele ukungenelela odokotela.