Isithuba phakathi komda ongaphakathi wesithambo lesithambo somgudu kunye nomlenze ohlala phambili ubizwa ngokuba yi-epidural. Ngomlingani osisigxina, i-rootslet ye-nerve ivela kuyo, kwaye ukulawulwa kwamalungiselelo e-anesthesia yendawo ekuthintela ukunyanzeliswa ekudlula kuwo. Ngenxa yoko, kunokwenzeka ukufezekisa ukulahlekelwa kwemvakalelo kunye nomsebenzi wemoto kwinqanaba elithile lomzimba, ukuba i-anesthetic ifakwe kwisithuba se-spidural of a specific spine.
Ukuze kuzalwe i-anesthetize, vela izinto ezinikezela kuphela ukulahleka kobuzwe, kwaye xa iqela elikulo lwenziwa phantsi kwe-anesthesia ye-epidural, ke iziyobisi ezikhubaza umsebenzi wezithuthi zongezwa. Ngokusebenzisa inaliti kwisithuba se-epidural, i-catheter ifakwe, inaliti isuswe, kwaye i-anesthetic ijojowe rhoqo kwi-catheter ejoliswe ehlombe ukususela ekuqaleni kokuqhuma okuqhelekileyo: i-lidocaine okanye amalungiselelo anamhlanje.
Ukubeleka ngaphantsi kwe-anesthesia epidural
Emva kokuphulaphula amabali avela kubahlobo malunga nokubeletha nge-epestural anesthesia, abaninzi abafazi, besaba ukwesaba ukubeletha, baqala ukuba nomdla kule ndlela ye-anesthesia. Kubonakala ngathi akukho nto ibonakaliswe ngokucacileyo kule ndlela, ngaphandle komnqweno wokunciphisa intlungu ngexesha lobasebenzi. Kodwa i-anesthesia ye-epidural ayichaphazeli umntwana ngokuthe ngqo: isichengiselwano asidluli umnqamlezo ongaguqukiyo. Ukongezelela, ngokubeletha kwendalo, i -anesthesia ye-epidural ayichaphazeli inkqubo yexesha lezabasebenzi: ukuchaswa kwenzeka, umlomo wesibeleko uvuliwe, kodwa akukho ntlungu. Inciphisa uxinzelelo lwegazi, elungileyo kwi-gestosis yokukhulelwa, kwaye le ndlela ye-anesthesia ingasetyenziselwa nawuphi na ubudala, ayikho inani leengxaki ezingenakukhunjulwa ne-anesthesia jikelele yabasebenzi.
I-Epidural anesthesia ekuzalweni kokuzala
Yiyiphi impendulo enokuthi ayiyi kuba, i-anesthesia ye-epidural iyindlela ekuxhomekeke kakhulu kwi-qualification ye-anesthesiologist kwaye nayiphina impazamo ekuhambeni kwayo ingaba nemiphumo emibi emva kokubeleka ngenxa ye-anesthesia ye-epidural. Kule miphumo, inzima kakhulu i-paresis kunye nokukhubazeka ngomonakalo ekuphelelweni kwemizwa. Ubuthakathaka obunokwenzeka bokusebenza, ukuphulwa kwentliziyo yesisu kumama kunye nomntwana, ukuphulwa kwe-thermoregulation (indlela ibangela ukwanda kweqondo lokushisa komzimba), ukuphazanyiswa kwesibindi. Kukho nokuba kukho ukuphazamiseka kwiimvavanyo, ezinokubakho ukukhutshwa komntwana (ngesicelo se-forceps).
Ukuchasana kwi-anesthesia epidural ngexesha lokubeletha
I-epestural anesthesia yindlela ephikisanayo ngakumbi kunezibonakaliso. Okokuqala, iphikisana nakwiimeko zokuxhaswa komzimba kwi-anesthetics yendawo. Ukungqinelana kuquka kwakhona:
- kuphuma;
- ukuphazamiseka kwegazi;
- Ukutshatyalaliswa kwe-hypovolemic kunye nokukhathazeka;
- ukuhluthwa;
- izilonda zomzimba zesistim somhlaba;
- izifo zentambo yomthambo;
- uxinzelelo olusandayo;
- i-arrhythmia kunye nokusebenza kakubi kwenhliziyo;
- emathunjini emathunjini.
Musa ukwenza i-anesthesia phambi kwesikhumba sokuvuvukala okanye i-tattoos kwisiza sokungena. Ukuchasana okuchaseneyo kunokuthi kunobunzima: ukungeniswa kwenaliti kumqolo onqamlekileyo weoli kunzima koogqirha.
Iziphumo ze-anesthesia emva kokubeletha
Abasetyhini abaninzi bakhononda ukuba iinyanga ezimbalwa emva kwenkqubo ababephazamiseka ngayo ngenxa yesifo esiswini esinzima emva kokuphazamiseka ngokukhawuleza kwexesha elide, kwakukhona ukukhubazeka kunye neparresis, ukungavumelani komchamo kunye nemfesi, ukuba ubunzima bevela kunye nokukhutshwa komntwana kwaye oku kubangele iindawo ezininzi kumntwana. Intloko ingenye yeziphumo ezivakalayo ezibangelwa ngumntu onesifo se-anesthesia, ebonakala ngathi ibonisa inani elininzi labasetyhini ababeletha i-aneshesia.
Kodwa ingxelo malunga nendlela esetyenzisiweyo ngayo isigaba, xa kusetshenziswe i-anesthesia ye-epidural, ingcono kakhulu kunezo zenziwe phantsi kwe-anesthesia jikelele, kuba kukho iingxaki ezincinci kumama nomntwana kwi-anesthesia ephezulu. Ngokwamabali amakhosikazi amaninzi, ukukhathazeka okukhulu ekusebenziseni phantsi kwe "epidural" kwakuyimfuneko yokuba baqaphele, besabe ukuba kuya kubangela ubuhlungu, kunye nokungahambi kakuhle kokukhubazeka komzimba osezantsi.
Uninzi lwabasetyhini luyabona kunye nolunye olungathandekiyo lwe-anesthesia ye-epidural - xa i-anesthesia isuka, iqhosha eliqinileyo liqala, elinokulawulwa kuphela ngoncedo lweyeza elongezelelweyo.
Ukuba impilo, ukuphathwa kwengqondo kunye nokwenyama yowesifazane ngokubeletha kuvumela - kungcono ukuba ungabhekiseli kwi-anesthesia, kuba nayiphi na ingenelelo kwiinkqubo zendalo ngaphandle kwezizathu ezifanelekileyo zinokuba nemiphumo emibi kakhulu.