Kungani Ungase Ufune Ukuthola Leyo Epidural-Ngaphandle Kokukhulula Izinhlungu

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Uma ukhulelwe noma unomuntu osondelene naye ezala, mhlawumbe uyazi konke mayelana nama-epidurals, uhlobo lwe-anesthesia evame ukusetshenziswa egumbini lokulethwa. Ngokuvamile zinikezwa ngaphambi nje kokuzalwa kwesitho sangasese sowesifazane (noma isigaba C) futhi zilethwa ngokujova imithi ngqo endaweni encane engemuva elingezansi kwesokudla ngaphandle komgogodla. Ngokuvamile, ama-epidurals acatshangwa njengendlela ephephile, ephumelela kakhulu yokuqeda ubuhlungu obuzwiwa lapho ebeletha. Vele, abesifazane abaningi bakhetha ukuyobeletha ngokwemvelo, lapho kusetshenziswa khona umuthi omncane ongasetshenziswanga, kepha i-epidural cishe isho ukuthi kuzoba nobuhlungu obuncane ngesikhathi sokubeletha. Njengamanje, sazi okuningi mayelana nezinzuzo ezingokomzimba zokuba ne-epidural, kodwa ulwazi ngemithelela yazo engokwengqondo lunomkhawulo.

Ocwaningweni olusha olwethulwe emhlanganweni waminyaka yonke we-American Society of Anesthesiologists, abacwaningi bachaza ukuthi bathole esinye isizathu esenza abesifazane bafune ukucabangela ukuthola i-epidural. Ngemva kokuhlola amarekhodi okuzalwa komama abasha abangaphezudlwana kuka-200 ababenama- epidurals, abacwaningi bathola ukuthi ukucindezeleka kwangemva kokubeletha kwakungavamile kwabesifazane ababenama- epidurals ayesebenza ngempumelelo ekudambiseni ubuhlungu. Ukudangala kwangemva kokubeletha, okubonakala ngezimpawu ezifana nalezo zokudana kodwa ezinezinkinga ezengeziwe ezihlobene nokuba ngumama omusha, kuthinta cishe oyedwa komama abayisishiyagalombili abasha ngokusho kweCenters for Disease Control, okwenza kube yinkinga yangempela futhi ejwayelekile kakhulu. Ngokuyinhloko, abacwaningi bathola ukuthi lapho i-epidural isebenza ngempumelelo kakhulu, inciphisa ubungozi bokucindezeleka kwangemva kokubeletha. Izinto ezinhle ezimangalisayo.

Yize lezi kuyizindaba ezinhle kwabesifazane abacabanga nge-epidurals, abacwaningi baxwayisa ngokuthi abakabi nazo zonke izimpendulo okwamanje. "Nakuba sithole ukuhlangana phakathi kwabesifazane abazwa ubuhlungu obuncane ngesikhathi sokubeletha kanye nengozi ephansi yokucindezeleka kwangemva kokubeletha, asazi ukuthi ukulawulwa kobuhlungu okuphumelelayo nge-epidural analgesia kuzoqinisekisa ukugwema lesi simo," kusho uGrace Lim, MD, umqondisi we-obstetric anesthesiology. eMagee Women's Hospital yase-University of Pittsburgh Medical Center futhi ahole umphenyi ocwaningweni ngokukhishwa kwabezindaba. "Ukucindezeleka kwangemva kokubeletha kungase kuthuthuke ezintweni eziningi ezihlanganisa izinguquko zehomoni, ukulungiswa kwengqondo ekubeni ngumama, ukusekelwa komphakathi, nomlando wokuphazamiseka kwengqondo." Ngakho-ke i-epidural ayiqinisekisi ukuthi uzogwema ukucindezeleka kwangemva kokubeletha, kodwa kukhona ukuhlobana okuhle phakathi kokubeletha okubuhlungu kancane nokungabi nakho.

Ukukhetha indlela yokubeletha kuyisinqumo somuntu siqu okufanele sithathwe phakathi kowesifazane nodokotela wakhe (slash mid-wife). Futhi ungase ukhethe ukuzalwa ngokwemvelo ngenxa yezizathu ezihlukahlukene: ama-epidural angenza ukuteta kuhlale isikhathi eside futhi kukhuphule izinga lokushisa lakho, futhi abanye besifazane bathi ukuzalwa kwemvelo kubasiza ukuba bazizwe bekhona kakhulu ngesikhathi sokubeletha. Abanye omama bakhathazekile ngemiphumela emibi ye-epidural efana ne-hypotension (ukwehla kwengcindezi yegazi), ukulunywa, nobuhlungu bekhanda lomgogodla ngemuva kokubeletha, ngokusho kwesayithi lodadewethu Ukukhulelwa okufanelekile. Noma kunjalo, izingozi eziningi azivamile futhi azilimazi uma ziphathwa ngokushesha.

Okwamanje, kubukeka sengathi kudingeka olunye ucwaningo ukuqonda imiphumela egcwele yama-epidurals engcupheni yokudangala kwangemva kokubeletha, kepha uma usuvele uqinisekile ukuthi uzoba nayo, lokhu kutholakala okusha nakanjani owamukelekile.

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