I-Anesthesia yenkqubo yokhokho ngoncedo lwe-anesthesia ye-epidural iyona ndlela ixhaphakileyo ye-anesthesia yanamhlanje. Le ndlela iphumelelayo kwaye ayibuhlungu, ngoko izuze abantu abaninzi abanomdla phakathi kwamagqirha kunye nabasetyhini abahamba phambili.
Inkqubo yokuhanjiswa yenzeke kuwo onke amabhinqa ngeendlela ezahlukeneyo. Abanye bafumana iintlungu ezingenakuxoxwa, abanye bazala ngokulula nangokukhululekile. Ewe, wonke umama ozayo uza kukhetha ukhetho lwesibini. I-epidural anesthesia ngexesha lokubeletha inokunciphisa kakhulu intlungu, okwenza kube lula ukuzala. Nangona kunjalo, ngamnye umfazi kufuneka aqonde ukuba i-anesthesia ye-epidural ngexesha lokubeletha yongenelelo lwezonyango kwinkqubo yendalo engqiqweni. Ngoko ke, ngaphambi kokuthatha isigqibo malunga nale nkqubo, kufuneka uqikelele ngokucophelela zonke iingenelo kunye nokungonakali kweli ndlela.
Unjani i-anesthesia ye-epidural?
Nge-aneshesia le ndlela isebenzisa phantse iifayili ezifana nezokwezinyo zamathambo - i-lidocaine okanye i-novocaine. I-anesthhesiologist iyayibangela enye yalezi yobisi kwisithuba kwindawo yomgudu womgogodla, obangela ukungabikho kwentlungu. I-anesthetic ifakwe kwi-lumbar kwingingqi kwindawo apho umama ehleli khona.
I-epidural aneshesia - inzuzo kunye neengxaki
Uninzi oogqirha basebenzisa i-anesthesia ye-epidural ngexesha lokubeletha ngenxa yeenzuzo zayo ngaphezu kwamanye ama-analgesics:
- I-anesthetic ejoyiweyo ivumela umama ukuba aphumle aze aphumule ngexesha lokubambisa kunye nobasebenzi;
- i-anesthesia ye-epidural isusa ngokupheleleyo intlungu;
- i-anesthesia ye-epidural iyanceda ukunciphisa uxinzelelo lwegazi oluphezulu;
- Indlela ye-anesthesia ye-epidural ithathwa njengesikhuselekileyo kwimpilo yomama nomntwana.
Nangona zonke iingenelo ze-epestural anesthesia ngexesha lokubeleka, le ndlela ingakhokelela kwimiphumo emibi kumama nomntwana. Imiphumo engenzekayo ye-anesthesia ye-epidural:
- iintloko zexesha elide kunye nentlungu emva komama;
- kuncipha kwixinzelelo lwegazi, okubangela ukuba intombi ilele embhedeni;
- imfuno yokusebenzisa i-obstetric forceps yanda ngexesha lemizamo;
- ubukhulu bendawo yecandelo le-calasan landa;
- umonakalo we-postpartum hemorrhage kumama ukwandisa;
- malunga nesiqingatha seemeko zikhokelela kwi-hypoxia kumntwana;
- Ngokuqhelekileyo umsebenzi wokuphefumula usana olusandul 'ukuzalwa lukhubazekile;
- ngokukhawuleza ukuvimbela ukukhula ngokomzimba kwintsana.
Imiphumo ye-anesthesia ye-epidural ingaba yinto embi kakhulu kumntwana. Ukufikelela kwisidingo sokubhedleleka ngokukhawuleza. Kwakhona, iingxaki emva kokuba i-anesthesia ye-epidural idlalwa rhoqo kumama.
I-epidural aneshesia kwiqendu lekota
I-anesthesia ye-epidural ithathwa njengendlela efanelekileyo yokunikezelwa kweenkonzo. Olu hlobo lwe-anesthesia, ngokungafani ne-anesthesia jikelele, luvumela umfazi osebenzayo ukuba agcine inkqubo yokusebenza kwaye ngelo xesha afune ukuziva intlungu. I-Anesthetic ibhalela kuphela iimpembelelo ezibuhlungu ezihamba ukusuka kwisibeleko ukuya kwingqondo, ngelixa ushiya unina ngokuziqonda ngokupheleleyo. I-epestural aneshesia kunye necesarean section ayithinteli ukusungulwa koqhagamshelwano lokuqala phakathi komama kunye nosana olusandul 'ukuzalwa, olubaluleke kakhulu.
I-epidural anesthesia - ingqinano
Nangona abaninzi abafazi abasebenzayo kunye noogqirha bakhetha le ndlela ye-anesthesia, i-anesthesia ye-epidural ngexesha lokubeletha ayikwazi ukusetyenziswa kuzo zonke iimeko. Ukungqinelana nokusetyenziswa kwe-anesthesia ye-epidural:
- unina useburhulumenteni;
- ibhinqa elisemzimbeni libhekene ne-sepsis;
- Ubukho bokulimala komlenze kunye nengqondo kumfazi ohamba phambili;
- izifo ezihlambulukileyo kwindoda engumfazi;
- isenzo esichaphazelekayo kwi-anesthetic kwindoda ehamba phambili.
Ekubeni kukho naziphi na iingxaki ezikhankanywe apha ngasentla, i-anesthesia ye-epidural ingakhokelela kwiimeko ezinzima zesifo, ukuya kwisiphumo esibulalayo.
Ingakanani i-anesthesia ye-epidural inexabiso lokuthumela?
Iindleko ze-anesthesia ye-epidural ngexesha lokubeletha ziyahlukahluka kuxhomekeke kwisibhedlele sokubeletha esikhethiweyo, ummandla welizwe, isiqinisekiso se-anesthesiologist. I-anesthesia ye-epidural ayikho mahhala kwiiofisi zamahhala zamakhaya omama aseburhulumenteni. Umfazi ngamnye ekubelethweni unelungelo lokufuna le nto. Kwizindlu zangasese zokubeletha kunye nesivumelwano sokuqala, indleko ye-anesthesia ye-epidural ivela kwi-dollar eyi-100 ukuya kuma-800. Ukufumanisa ukuba iindleko ze-aneshesia zindleko xa zibeletha, unako kwi-forum enikezelwe ukukhulelwa nokuzala. Kwiforum efanayo, unokufumana impendulo evela koomama ngale ndlela.
Ukukhetha indlela yokuhanjiswa kwe-anesthetic, ibhinqa akufanele lilibale ukuba ukuhanjiswa kwenkqubo yendalo, leyo engaphezu kwama-80% amacala ayifuni nxamnye naluphi na ukungenelela koogqirha.