Epidurar: yintoni na?

Amachiza anamhlanje alwela uluntu: zonke iindlela zokunciphisa ziyancitshiswa kwaye zixhonywe ngendlela enokwenzeka, unyango luqhutyelwa kwiimeko ezintle kakhulu. Okwangoku, i-anesthesia yendawo kunye ne- anesthesia jikelele isetyenziswa. I- anesthesia yendawo i- anesthetizes indawo ethile, kwaye i-anesthesia jikelele iyacima ngokupheleleyo ingqalelo. Kukho izibonakaliso eziqinileyo zokusetyenziswa kweeeseshesia. Kukho imisebenzi apho i-anesthesia jikelele ifunekayo, ngelixa ezinye ziqhutyelwa ngokuyinhloko phantsi kwe-anesthesia yendawo. Inye kunye neminye indlela inezinzuzo kunye nokungalunganga.

I-aneshesia jikelele ichaphazela kakubi inkqubo yentshontsho, kodwa inika i-anesthesia epheleleyo. I-aneshesia yendawo ayisoloko ikhubaza zonke izivakalelo, kodwa ayichaphazeli ingqondo.

I-Epidurals: yintoni na kwaye yinto eyoyikisayo?

Kukho indlela ye-anesthesia, ekhubaza ngokupheleleyo umsebenzi wee- fibre ze-nerve kwaye ngexesha elifanayo ivumela umntu ukuba ahlale eyazi. Le ngxaki ye- epestural anesthesia, okanye okubizwa ngokuba yi-epidural. Yintoni na?

Nayiphi na i-anesthesia ibeka "isithintelo" entlungu ephazamisayo ukusuka kumlamkeli ukuya kwengqondo. I-anesthesia yendawo iphazamisa inkqubo ekuqaleni, kwaye i-anesthesia jikelele ibangela ukuqonda kwe-pulse ngamaziko obuchopho. Kodwa isilwanyana se-anesthesia sinokungena kumgudu womgogodla kwaye "shintshe" imicu ye-nervitive-this is epidural. Yintoni evela kumbono wokwenza izinto?

Isigulane phantsi kwe -anesthesia ye-epidural eyaziwayo ngokucacileyo. Uyaqonda kwaye uyayiqonda yonke into ejikeleze kuye, kodwa akayi kuziva iimbumba kunye ne-trunk, ephantsi kwezinga lokulawulwa kweziyobisi. Ngokuqhelekileyo, i-epidural isetyenziswa ngexesha lokubeletha. Ngamanye amaxesha ngoncedo lwakhe, kwinqanaba le- caesarean lenzeke: umnqweno kamama wokubona imizuzu yokuqala yomntwana wakhe unamandla kangangokuthi uyavuma ukusebenza okungekho phantsi kwe-anesthesia epidural. Kukho omnye umbandela obalulekileyo ogqalwa kwi-akhawunti ekuzalweni: ngoluhlobo lwe-aneshesia, into ye-narcotic ayifaki igazi, ngoko ke kubisi, ngokukhawuleza emva kokuzalwa komntwana, inokusetyenziswa kwisifuba.

I-Anesthesia yenziwa ngumntu onesi-anesthesiologist-resuscitator. Iyeza lijojowe kumcingo we-cerebrospinal ngaphantsi kokuphela kwentambo yomgudu ngokwawo. Ukubamba ukukhathazeka kuvaliwe, isigulane asiva intlungu, ayikwazi ukunyathela unyawo lwakhe, ayiyikulawula ukuvula kwesilwane okanye isilwanyana. Ngendlela, kwezinye iimeko kunye nokuzalwa komzimba, i-epidural isetyenziswa. Iyintoni le ndlela? Inyaniso yokuba umlomo wesibeleko uphinde uxhomeke phantsi kwefuthe le-anesthesia, ngoko ke xa kukho ukufunyanwa kwintsholongwane, ukusetyenziswa kwe-anesthesia ye-epidural inokuphepha isigaba se-caesarean.

Ziziphi i ziphumo?

Imiphumo ye-epidural idibene, kodwa ayifaneki. Kakade, njengawo naluphi na ukungenelela okungenayo, i-epestural anesthesia ingaba nemiphumo emibi. Iyokuqala kwezi zihloko emva kwentsholongwane. Xa ijoyiwe, inaliti yonakalisa umlenze wokuhlala, ngoko intlungu emva koko ivela kwixesha - ezi ziphumo ezibi kakhulu kwaye zihlala ziphazamisekile ze-aneshesia epidural.