Epidural block - ukukhulelwa

I-epidural block ngumuthi obandayo onikezwa ngomjovo (isibhamu) ngemuva. Iphuza noma ibangele ukulahlekelwa umuzwa engxenyeni engezansi yomzimba wakho. Lokhu kunciphisa ubuhlungu bezinhlungu ngesikhathi sokubeletha. I-epidural block ingasetshenziselwa ukunciphisa ubuhlungu ngesikhathi sokuhlinzwa emaphethelweni aphansi. Le ndatshana igxile kumabhulokhi we-epidural ngesikhathi sokubeletha.

Ibhulokhi noma isibhamu sinikezwa endaweni engaphezu komhlane wakho ophansi noma umgogodla.

• Ungacelwa ukuba ulale ngohlangothi lwakho, noma ungahlala phansi.
• Kunoma ikuphi, uzocelwa ukuthi udonse isisu sakho ngaphakathi bese uzingela umhlane wakho ngaphandle.

Umhlinzeki wakho wezokunakekelwa kwempilo uzogeza indawo engemuva kwakho bese ejova umuthi omncane ukunqanda indawo lapho kubekwa khona inaliti yesifo:

• Umhlinzeki ufaka inaliti emhlane wakho ongezansi.
• Inaliti ibekwa esikhaleni esincane ngaphandle komgogodla wakho.
• Ishubhu elincane elithambile (ipayipi) lifakwa emhlane wakho, eduze komgogodla wakho.
• Inaliti iyasuswa.

Umuthi onikayo unikezwa ngepayipi isikhathi eside lapho kudingeka.

Ezimweni eziningi, uzothola umthamo ophansi ngoba uphephile kuwe nasenganeni. Lapho umuthi uqala ukusebenza (imizuzu eyi-10 kuye kwengu-20), kufanele uzizwe ungcono. Usengase uzwe ukucindezelwa emuva noma okuyindilinga ngesikhathi sokuphambana.

Ungathuthumela ngemuva kwesifo, kepha lokhu kuvamile. Abesifazane abaningi bayathuthumela ngesikhathi sokubeletha ngaphandle kwe-epidural.

Ucwaningo oluningi lukhombisile ukuthi i-epidural iyindlela ephephile yokuphatha izinhlungu ngesikhathi sokubeletha. Yize kungavamile, kunezingozi ezithile.

Umfutho wakho wegazi ungahle wehle isikhashana. Lokhu kungadala ukuthi ukushaya kwenhliziyo kwengane kwehle.

• Ukugwema lokhu, uzothola uketshezi ngomugqa we-intravenous (IV) ukusiza ukugcina umfutho wegazi lakho uzinzile.
• Uma umfutho wegazi lakho ukhombisa ukwehla, kungadingeka ukuthi ulale ngohlangothi lwakho ukugcina igazi lihamba emzimbeni wakho wonke.
• Umhlinzeki wakho futhi angakunika umuthi wokunyusa umfutho wegazi.

I-epidural block ingashintsha noma iguqule ukusebenza nokulethwa.

• Uma undikindiki ngenxa yebhlokhi, ungaba nesikhathi esinzima sokwehlisa ukusunduza ingane yakho ngomsele wokuzalwa.
• Iziphazamiso zingancipha noma zehle kancane isikhashana, kepha umsebenzi usazoqhubeka njengoba kufanele. Kwezinye izimo, kungahamba ngokushesha okukhulu. Uma umsebenzi wakho wehla, udokotela wakho angakunika umuthi wokusheshisa ukufinyela kwakho. Kungcono ukulinda uze ube semsebenzini osebenzayo ukuze ubekwe i-epidural.

Eminye imiphumela emibi engajwayelekile yilena:

• Ungahle uphathwe yikhanda ngemuva kwe-epidural yakho kepha lokhu akuvamile.
• Imithi ingafaka uketshezi lwakho lomgogodla. Isikhathi esifushane, kungakwenza uzizwe unesiyezi, noma ungahle ube nesikhathi esinzima sokuphefumula. Ungaba nokuquleka. Lokhu futhi akuvamile.

Kunezinhlobo ezi-2:

• "Ukuhamba" kwe-epidural block. Lolu hlobo lwe-epidural luzonciphisa ubuhlungu bakho, kepha usazokwazi ukuhambisa imilenze yakho. Iningi labesifazane alikwazi ngempela ukuhambahamba, kepha liyakwazi ukuhambisa imilenze.
• I-block epidural block ehlanganisiwe. Lokhu kuhlanganisa kokubili umgogodla kanye ne-epidural block. Inikeza ukukhululeka kobuhlungu ngokushesha okukhulu. Ibhlokhi elihlanganisiwe lisetshenziswa lapho abesifazane besemsebenzini osebenzayo futhi befuna ukukhululeka khona lapho.

Ukulethwa - i-epidural; Umsebenzi - i-epidural

• I-Epidural - uchungechunge

I-Hawkins JL, iBucklin BA. I-anesthesia yokubeletha. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 16.

UNathan N, Wong CA. I-anesthesia yomgogodla, i-epidural, ne-caudal: i-anatomy, i-physiology, kanye nenqubo. Ku: Chestnut DH, Wong CA, Tsen LC, et al, ama-eds. I-Chestnut's Obstetric Anesthesia: Izimiso kanye Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 12.

I-Sharpe EE, i-Arendt KW. I-Anesthesia yezinkinga zokubeletha. Ku: Gropper MA, ed. I-Anesthesia kaMiller. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

• Ukubulawa izinzwa
• Ukubeletha