Kutheni ungafuna ukuyifumana le Epidural-Ngaphandle koNcedo lwentlungu

Umxholo

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Ukuba ukhulelwe okanye unomntu osondeleyo kuwe uzale, uyazi konke malunga nee-epidurals, uhlobo lwe-anesthesia exhaphake kwigumbi lokuhambisa. Zihlala zinikwa kungekudala ngaphambi kokuzalwa kwelungu lobufazi (okanye icandelo le-C) kwaye zithunyelwa ngokujova amayeza ngokuthe ngqo kwisithuba esincinci kumqolo ongezantsi ngasekunene kwethambo lomqolo. Ngokuqhelekileyo, ii-epidurals zicingelwa njengeyona ndlela ikhuselekileyo nesebenzayo yokuthomalalisa iintlungu ezibakho xa ubeleka. Ewe, uninzi lwabasetyhini lukhetha ukuya kuzalwa kwendalo, apho kusetyenziswa amayeza amancinci, kodwa i-epidural phantse ngokuqinisekileyo iya kuthetha ukuba kuya kubakho iintlungu ezimbalwa ngexesha lokuhanjiswa. Okwangoku, sazi kakhulu malunga neenzuzo zomzimba zokuba ne-epidural, kodwa ulwazi malunga neempembelelo zabo zengqondo zilinganiselwe.

Kwisifundo esitsha esenziwe kwi-American Society ye-Anesthesiologists 'yentlanganiso yonyaka, abaphandi bachaze ukuba bafumene esinye isizathu sokuba abantu basetyhini bangafuna ukuqaphela ukufumana isifo. Emva kokuvavanya iirekhodi zokuzalwa zoomama abangaphaya kwama-200 abatsha abanesifo sephepha, abaphandi bafumanise ukuba uxinzelelo lwasemva kokubeleka lwalungaqhelekanga kubantu basetyhini ababenee-epidurals ezisebenzayo ekupheliseni iintlungu. Ukudakumba emva kokubeleka, okubonakaliswa ziimpawu ezifana nezo zoxinzelelo kodwa zineengxaki ezongezelelekileyo ezinxulumene nokuba ngumama omtsha, zichaphazela phantse omnye koomama abasibhozo abatsha ngokweZiko loLawulo lweZifo, okwenza ukuba ibe yingxaki yokwenyani nexhaphakileyo. Ngokusisiseko, abaphandi bafumanise ukuba okukhona kusebenza ngakumbi i-epidural, yehlisa umngcipheko wokudakumba kwasemva kokubeleka. Izinto ezintle ezimangalisayo.

Nangona ezi ziindaba ezimnandi kubasetyhini abajonga i-epidurals, abaphandi balumkisa ukuba abakabi nazo zonke iimpendulo. "Nangona sifumene umbutho phakathi kwabasetyhini abafumana iintlungu ezincinci ngexesha lomsebenzi kunye nomngcipheko omncinci wokudakumba emva kokubeleka, asazi ukuba ukulawulwa kweentlungu ezisebenzayo kunye ne-epidural analgesia kuya kuqinisekisa ukuphepha imeko," kusho uGrace Lim, MD, umlawuli we-anesthesiology ye-obstetric. kwisibhedlele sabafazi baseMagee kwiDyunivesithi yasePittsburgh kwiZiko lezeMpilo kwaye ukhokele umphandi kwisifundo esipapashiweyo. "Ukudakumba emva kokubeleka kunokuvela kwizinto ezininzi kubandakanya utshintsho lwehomoni, uhlengahlengiso lwengqondo kubunina, inkxaso yezentlalo, kunye nembali yokuphazamiseka kwengqondo." Ngoko i-epidural ayiqinisekisi ukuba uya kukuphepha ukudakumba emva kokubeleka, kodwa ngokuqinisekileyo kukho ulungelelwaniso oluhle phakathi kokuzalwa okungebuhlungu kakhulu kwaye ungabi nayo.

Ukukhetha indlela yokuhambisa sisigqibo esenziwa buqu phakathi komfazi nogqirha wakhe (slash mid-wife). Kwaye usenokukhetha ukuzalwa kwendalo ngenxa yezizathu ezahlukahlukeneyo: i-epidurals ingenza ukuba ukubeleka kuhlale ixesha elide kwaye kuphakamise ubushushu bakho, kwaye abanye abafazi bathi ukuzalwa kwendalo kubanceda bazive bekho ngexesha lokubeletha. Abanye oomama banenkxalabo malunga neziphumo ebezingalindelekanga ze-epidural ezifana ne-hypotension (ukwehla koxinzelelo lwegazi), ukurhawuzelelwa, kunye nentloko ebuhlungu yomqolo emva kokubeleka, ngokutsho kwesiza sodade wethu. Ukukhulelwa okufanelekileyo. Sekunjalo, imingcipheko emininzi inqabile kwaye ayinabungozi ukuba inyangwe ngokukhawuleza.

Okwangoku, kubonakala ngathi uphando oluthe kratya luyafuneka ukuqonda iimpembelelo ezipheleleyo zengozi yexinzelelo lwasemva kokubeleka, kodwa ukuba sele uqinisekile ukuba uza kuba nayo, oku kufumanisa kukutsha ngokuqinisekileyo owamkelekileyo.

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