Epidural block - ukukhulelwa

Ibhloko yesifo liyeza elibandayo elinikezelwa ngenaliti (edutyulwe) ngasemva. Iyancipha okanye ibangele ukulahleka kwemvakalelo kwisiqingatha esezantsi somzimba wakho. Oku kunciphisa iintlungu zesisu ngexesha lokubeleka. I-block epidural block ingasetyenziselwa ukunciphisa intlungu ngexesha lokuhlinzwa kwiindawo ezisezantsi. Eli nqaku ligxile kwiibhloko zesifo ngexesha lokubeleka.

Ibhloko okanye ifoto inikwe indawo engaphezulu komqolo wakho osezantsi okanye umqolo.

• Unokucelwa ukuba ulale ngecala, okanye uhlale.
• Nokuba yeyiphi indlela, uya kucelwa ukuba usitsale isisu sakho ngaphakathi kwaye uzingele umva wakho ngaphandle.

Umboneleli wakho wokhathalelo lwempilo uya kuhlamba indawo yomqolo wakho kwaye afake iyeza elincinci ukuze abambe indawo apho kubekwe khona inaliti yesifo:

• Umboneleli ufaka inaliti kumqolo wakho osezantsi.
• Inaliti ibekwe kwindawo encinci ngaphandle komqolo wakho.
• Umbhobho omncinci othambileyo (i-catheter) ubekwa emqolo, ecaleni komqolo wakho.
• Inaliti iyasuswa.

Iyeza elibandayo linikwa ngombhobho ixesha elide njengoko lifuneka.

Kwiimeko ezininzi, uya kufumana idosi ephantsi kuba ikhuselekile kuwe nakumntwana. Nje ukuba iyeza lisebenze (imizuzu eli-10 ukuya kwengama-20), kufuneka uzive ungcono. Usenokuziva uxinekile ngasemva okanye uxinzelelo lwe-rectal ngexesha lokuchasana.

Ungangcangcazela emva kwesifo, kodwa oku kuqhelekile. Abasetyhini abaninzi bayangcangcazela ngexesha lomsebenzi nokuba ngaphandle kwesifo.

Izifundo ezininzi zibonise ukuba i-epidural yindlela ekhuselekileyo yokulawula iintlungu ngexesha lokubeleka. Ngelixa kunqabile, kukho iingozi ezithile.

Uxinzelelo lwegazi lunokwehla okwethutyana. Oku kunokubangela ukubetha kwentliziyo yosana ukuba kunciphise.

• Ukuthintela oku, uyakufumana ulwelo ngokusebenzisa umgca we-intravenous (IV) ukunceda ukugcina uxinzelelo lwegazi luzinzile.
• Ukuba uxinzelelo lwegazi lubonisa ukwehla, kungafuneka ulale ngecala ukugcina igazi lihamba emzimbeni wakho wonke.
• Umboneleli wakho unokukunika amayeza okuphakamisa uxinzelelo lwegazi.

Ibhloko yesifo inokutshintsha okanye iguqule umsebenzi kunye nokuhanjiswa.

• Ukuba uphelelwe ngamandla kwibloko, unokuba nexesha elinzima lokunyusa usana lwakho kumsele wokuzalwa.
• Ukuchasana kunokunciphisa okanye ukuthoba isantya okwethutyana, kodwa umsebenzi uya kuqhubeka njengoko kufanelekile. Ngamanye amaxesha, inokuhamba ngokukhawuleza. Ukuba umsebenzi wakho uyacotha, ugqirha wakho angakunika iyeza lokukhawulezisa ukucutha kwakho. Kukulungele ukulinda de ube usebenza ngokusebenza ukuze ubeke i-epidural.

Ezinye iziphumo ebezingalindelekanga zezi:

• Unokufumana intloko emva kwe-epidural yakho kodwa oku kunqabile.
• Amayeza anokungena kulwelo lwakho lomqolo. Okwexeshana elincinci, kunokukwenza uzive unesiyezi, okanye ungafumana kunzima ukuphefumla. Unako nokuhlutha. Oku kunqabile.

Kukho iintlobo ezimbini:

• "Ukuhamba" kwebhloko yesifo. Olu hlobo lwe-epidural luya kunciphisa intlungu yakho, kodwa uya kuba nakho ukuhambisa imilenze yakho. Uninzi lwabasetyhini alunako ukuhamba, kodwa banokuhambisa imilenze.
• Idibene ibhloko yomgogodla edibeneyo. Oku kudibanisa zombini ibhloko yomqolo kunye ne-epidural. Inika isiqabu seentlungu ngokukhawuleza okukhulu. Ibhloko edibeneyo isetyenziswa xa abasetyhini besebenza kakhulu kwaye bafuna ukukhululeka kwangoko.

Ukuhanjiswa - isifo; Umsebenzi - isifo

• Epidural - uthotho

IHawkins JL, iBucklin BA. I-anesthesia yokubelekisa. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 16.

UNathan N, Wong CA. Umqolo, i-epidural, kunye ne-anesthesia ye-caudal: i-anatomy, i-physiology, kunye nobuchule. Ku: Chestnut DH, Wong CA, Tsen LC, et al, ii-eds. I-Chestnut's Obstetric Anesthesia: Imigaqo kunye nokuziqhelanisa. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 12.

ISharpe EE, iArendt KW. I-Anesthesia yokubeleka. Ku: Gropper MA, ed. I-Anesthesia kaMiller. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

• Ukubulawa
• Ukubeleka