Ubuhlungu Emuva ngemva kokubulawa izinzwa epidural: yini okufanele uyenze? block Epidural: isimiso yokusebenza, imiphumela Izibuyekezo

Epidural ukuvinjelwa umgogodla - indlela lapho imithi iphathwa ngqo umthombo ubuhlungu. Imiphumela iba yinhlanganisela yokukhandleka ukulahlekelwa ukuzwa endaweni ethintekile.

Umthelela zokwelapha ibangelwa ekuphathweni kanyekanye izidakamizwa eziningana. Ngokucacile kufakwe izingxenye nethonya evelele analgesic ne okuhlushwa eliphakeme kunawo wonke lesion. Futhi, kukhona nethonya reflex kuwo wonke amazinga isimiso sezinzwa.

Kuyini ukuvinjelwa umgogodla

Kuyini izinzwa epidural, futhi izinkomba ukuqaliswa yayo - le mibuzo neminye eminingi nezinye kwezinhloso zenzuzo isiguli. Lena ngenye yama-izinhlobo ezivame kakhulu izinzwa wendawo esetshenziswa zokwelapha. Kwenziwa ukuvinjelwa izindawo ezahlukene emgogodleni, kuncike hlobo lokuhlinza. Ngo zokubelethisa isetshenziswa esifundeni lumbar, njengoba izinzwa phakathi Ukubeletha noma ukuqedwa kwezinhlungu ngesikhathi sokubeletha.

Eminyakeni ethile edlule, ingxenye cesarean wawenziwa kuphela ngaphansi izinzwa jikelele. Izidakamizwa esetshenziselwa izinzwa Ziningi engemihle. Imiphumela epidural ngoba Ukubeletha kancane elibuhlungu, njengoba cishe akukho imiphumela emibi komama nele-fetus. Inzuzo enkulu yalolu hlobo ngokusungula indlela yokubulala izinzwa, kunokusebenza ukubulawa kwezinzwa okuvamile, ukulondoloza unembeza kamama. Nokho, kuwufanele ukukhumbula ukuthi akunakwenzeka ngaso sonke isikhathi ukusebenzisa le ndlela, it is kudingeke aqhube Nokuhlola kokuqala kanye nokubonisana nodokotela.

Kangakanani ukuvinjelwa umgogodla

Ukwazi lokho i epidural nokuthi ufunda, ungakwazi ukunquma zibheke ekwenzeni lokho okuhleliwe. Inqubo kudinga ukuqeqeshwa sakugcina isiguli. Nokuvinjelwa kusho umjovo we amaphilisi ezinhlungu ngaphansi kolawulo-X-ray, ukuhlinzeka ukuphepha olunembile futhi ephelele zokukhwabanisa eziqhubekayo. Isilinganiso izidakamizwa ekuphathweni ihlala ngemizuzu engaphansi kuka-20. umphumela analgesic kwenzeka cishe ngokushesha futhi kuthathe izinyanga kuze kufinyelele 6.

Lapho uqhuba analgesia esimweni sina izinkinga emuva udokotela uyaphawula nesiguli 1-2 amahora endaweni esibhedlela bese kudedela ekhaya. Uma block inikeza yi edingekayo, kodwa umphumela wawo kwaba yinto yesikhashana, kungenzeka kabusha ukwethulwa nomuthi.

ubufakazi

Abantu abaningi bayazibuza ukuthi ukwenza i epidural futhi ezinye zezinkomba zokuthi ukuqaliswa yayo. Ngokuyinhloko, le nqubo yenziwa:

• kwesigaba cesarean;
• nokubeletha yemvelo;
• sokukhulelwa, ephelezelwa hypoxia;
• kokunikezwa kwe-inhliziyo fetus;
• ezifweni ezimbi nakomama;
• malposition;
• anomalies womsebenzi zabasebenzi.

Obstetrics kwalokho, ezisetshenziswa kakhulu imisebenzi epidural block. Ikakhulu, kungaba kwenziwe:

• e amabhizinisi endaweni ukuxhuma;
• kokungenela kuhlinzwa e ngaphakathi komgodi ongaphakathi kwamathumbu;
• ukuhlinzwa urologic;
• ukuhlinzwa ukuhlinzwa semithambo;
• imisebenzi amalunga omzimba, amathambo.

Le nqubo ingasetshenziswa ngokuhlanganyela ukubulawa kwezinzwa okuvamile. Lokhu kuzokwenza kakhulu ukunciphisa umthamo amaphilisi ezinhlungu, kamuva uzodinga isiguli.

Izinzuzo esemqoka ukuvinjelwa epidural

inqubo enjalo kunezinzuzo ezithile, ikakhulukazi, ezifana:

• isiguli bayazi;
• Liqinisekisa ukuzinza uhlelo senhliziyo nemithambo yegazi;
• ingasetshenziswa kodwa isisu sibe sigcwele;
• Akukona obungamcasula ipheshana zokuphefumula;
• aqede ubuhlungu post-op.

Ngo ukusetshenziswa izinzwa phakathi kwesigaba cesarean noma ngesikhathi sokubeletha akunamthelela enobuthi emzimbeni, futhi akukho hypoxia fetus. Kungakhathaliseki ukwenza i epidural, unquma iziguli nodokotela, ngokuvumelana izinkomba etholakalayo kanye contraindications inikezwe.

Izimo

Anesthesia ne nokuphathwa izinzwa endaweni epidural, ngaphezu izinkomba ukusetshenziswa, has Izimo ezithile. Yingakho kudingeka kudokotela futhi uthole luhlolo ephelele. Izimo kungenzeka zendawo ngokuphelele. Lezi zingozi zihlanganisa ama ezifana:

• isithuthwane;
• isifo sesibindi;
• iziyaluyalu Neurotic.

Ngaphezu kwalokho, kubalulekile ukuba acabangele Izimo zendawo, okuhlanganisa ezifana:

• khona izinqubo ukuvuvukala emkhakheni ubuhlungu kwasendaweni;
• ngeziphambeko ezingabakhona amathambo aqatha;
• isici esiyingqayizivele izingxenye analgesic.

Inqubo ngeke kwenziwe iziyaluyalu igazi ekunqandeni ku Endabeni yesiguli esindayo kanye lactation (ibele).

Kungani ubuhlungu emuva ngemva kokuhlinzwa

Iziguli eziningi bathi ubuhlungu emuva ngemva kokubulawa izinzwa epidural.

Ubuhlungu ezingavela ngenxa yezizathu ezihlukahlukene. Okokuqala, isiguli kumele bakuqonde ukuthi lokhu ngokuphelele noma yikuphi ukuphazamiseka nge umzimba wayo kungaholela side effects. Uma umjovo wenziwa endaweni yomgogodla, ubuhlungu kuyoba inqubo yemvelo ngokuphelele, kodwa ngeke isikhathi eside kakhulu. Isikhathi esiphezulu ubuhlungu izinsuku ezimbalwa kuphela.

ubuhlungu Emuva ngemva kokubulawa izinzwa epidural akuyona enamandla kakhulu, ubuhlungu kancane imizwa, okuyinto efana ubuhlungu emva imijovo ezivamile, wenza kwezinye izingxenye zomzimba. Lokhu cuphuluza yokuthi kusukela ipayipi noma inalidi kwenzeka ukucasuka we ezicutshini ezincikene nawo. Ngokuhamba kwesikhathi, lokhu ubuhlungu kuzodlula ngaphandle kokusebenzisa noma yimuphi umuthi futhi yingaba yini engakusiza.

Uma ubuhlungu emuva ngemva kokubulawa izinzwa epidural futhi kukhona ukuvuvukala, kungase kusho ukuthi umjovo we ukutheleleka umjovo indawo ilotshwe. Lolu khetho itholakala kuphela uma izisebenzi zezokwelapha uphenyo olwenziwe kahle inqubo futhi disinfected amathuluzi yezokwelapha, okuholela ukutheleleka. Lapho ukutheleleka kwenzeka ikhanda phambili, imfiva, ophilisayo kwenhliziyo.

Ngokuvamile eqinile ubuhlungu ngokwanele emuva ngemva kokubulawa izinzwa epidural. Okufanele ukwenze futhi indlela yokuxazulula le nkinga, odinga ukukwazi ngempela, njengoba lokhu kungase kube imbangela nokwephula kakhulu. Yingakho kudingeka siqiniseke ukubona udokotela luhlolo kanye nokwelashwa ezifanele uma kwenzeka ubuhlungu kancane.

amaphutha Medical phakathi naleyo nqubo

Uma ubuhlungu emuva ngemva kokubulawa izinzwa epidural, lokhu kungase kube ngenxa yokuthi shot kungafanele ukubeka. Kufanele kuqashelwe ukuthi amaphutha yezokwelapha awavamile. Njengomthetho, zihlobene isipiliyoni enganele kudokotela. Cabangela eminye yemiphumela ngokusungula indlela yokubulala izinzwa ngesikhathi sokubeletha.

Doctor phakathi naleyo nqubo kungamlimaza umuntu izimpande emgogodleni. nzima kakhulu ukuthola endaweni epidural, ngakho phakathi naleyo nqubo ingase futhi abathintekayo:

• imithambo yegazi;
• hernia;
• izintambo umgogodla.

umonakalo ikakhulukazi eziyingozi izimpande emsipheni we nomgogodla.

Kusukela endaweni izidakamizwa ekuphathweni has imikhumbi eminingi igazi, lo dokotela bangase bazithole plexus emithambo yegazi. Ubuhlungu kulokhu siphela yayo, ngaphandle kokungenela wezokwelapha. Ingozi lolu hlobo ukulimala luyanda iziguli ukuthatha imithi izidakamizwa ukuthuthukisa ukugeleza kwegazi.

Futhi ngesikhathi inqubo kungenziwa kwalimala umbhunu. Ukuze ugweme imiphumela enjalo kubalulekile ukuqhuba luhlolo egcwele yomgogodla phambi ukuvinjelwa.

kwalapho kuhlangana khona imizwa kungenzeka lilimele. Esimweni esinjalo, imiphumela ingase ibe mibi kakhulu. Konke kuncike ngokujulile indlela inaliti wangena. Ngenxa yalokho, ungase ube izinhlobo ezihlukahlukene zezindwangu ezingaba kwezinso zezinzwa. Njengoba ubona, imiphumela amaphutha yezokwelapha Ingaba yinto engathí sina kakhulu, ngakho nokuvinjelwa kumele kwenziwe ochwepheshe abafanelekayo futhi abanolwazi.

Ukuqedwa ubuhlungu emva inqubo

Emisebenzini izinzwa epidural isetshenziswa Ezimweni ezimbi kakhulu, kusukela uzalela ingozi ukuze isiguli. Uma emva potsedury kakhulu emgogodleni kubuhlungu, kufanele ngokushesha uxhumane nodokotela wakho, futhi ithwale ubuhlungu. izenzo Eminye kuzoncika umthombo ubuhlungu. Ukuhlolwa udokotela intando futhi zibeka yokwelapha ezifanele. Ngokuvamile, isiguli amaphilisi ezinhlungu liphele namavithamini.

Uma, ngesikhathi nokuphathwa izidakamizwa ekhuliswe ukutheleleka, yisishiso singenzeka. Kulokhu, ukuphathwa izothatha isikhathi eside futhi adinga umphumela eziyinkimbinkimbi ngomthombo yobuhlungu. Ephambi kwezinduna ukutheleleka ezibekiwe eqeda ukuvuvukala imithi izidakamizwa nemithi elwa namagciwane ukusiza ukuqeda ukuvuvukala futhi abhubhise lwegciwane. izidakamizwa Specific kumele ukhethe udokotela. Ukuzilapha ezimweni ezinjalo akwamukeleki.

Ubomvu kumiswa ukuqeda kuphela ngokusebenzisa ukuhlinzwa. ukufinyelela esifike udokotela kuyosisiza unqande noma ugweme ukusabalala ukutheleleka.

Ukuqeda iqolo ngemva kokubulawa izinzwa epidural isetshenziswa amaphilisi ezinhlungu hhayi kuphela. Ezinye izindlela ephumelelayo kokungenela zokwelapha yilezi:

• osteopathy;
• uzibuthe.

Osteopathy kusiza ukubuyisela ukuhamba endaweni ezilimele sokukhubazeka komgogodla. Nokho, lapho siqhuba inqubo enjalo kuyadingeka ukuze acabangele izici ngamunye umzimba ka isiguli ngasinye futhi ukubala zonke izingozi.

yokwelapha Magnetic ngesivinini izinqubo okuzivuselela zisenzeka, okuyinto kuyenza isheshe ukuze alulame. Ngokuvamile, le nqubo isetshenziswa ngesikhathi lactation, kanye khona Izimo we ukwelashwa.

Ubude besikhathi sokwelashwa kunqunywa kuphela udokotela ukuya, esekelwe ebufakazini obutholakalayo, isithombe emitholampilo kanye contraindications. Ukuze ngokushesha ukuqeda ezingemnandi emizweni ubuhlungu, ungathatha inkambo yokwelapha mathupha. Lokhu ngeke aqede kuphela ubuhlungu, kodwa futhi ngcono ukuhamba ngokuhlanganyela, imisipha iphimbo kanye umsebenzi emisipheni.

prophylaxis

Ukwazi ukuthi iyini - "epiduralka ukulethwa kanye nokusebenza" kanye yini umthelela has le nqubo, ungakhetha nezindlela zokugwema ukuze kuvinjelwe okuvela ubuhlungu. Lapho efeza izinyathelo zokuzivikela yezinkinga emva inqubo kungenziwa balulaza kakhulu.

nemiphumela ebuhlungu kungaba abantu nge isisindo okweqile, yingakho kufanele sizame ukuyilawula ku uhla evamile. Ukuze ukhethe ukudla elilungile, ungavakashela i-okunomsoco. ukunakekelwa ngokukhethekile kuyadingeka ukuqapha ukudla kwabo ngesikhathi sokukhulelwa.

Kubalulekile ukuvivinya umzimba ngendlela ekhethekile ukuqinisa imisipha, kodwa kudingeka indlela ngamunye. Ngakho-ke, kuyinto efiselekayo lokufeza Umqeqeshi ngowokuqala ekilasini. Sidinga ukuqapha isimo izivikeli mzimba, ikakhulukazi uma kukhona nezici ezithile ukuze komzimba. Ngaphezu kwalokho, edonsa imithi ethile kungathinta isimo lesiguli. Ngaphambi izinzwa epidural isiguli kufanele kudokotela futhi amtshele zonke imithi ayithathayo.

Inqubo Yokuziphatha izinzwa kuyadingeka kuphela izibhedlela ezicwaningiwe ukuthi unedumela elihle. Oku-isidingo sokufunda ukubuyekeza nezincomo labangane.

Esikhathini esiyiminyaka kwangemva kokubeletha kanye ngokushesha ngemva kokuhlinzwa is hhayi Kunconywa ukuthi siphakamise izinsimbi, njengoba lokhu kungabangela ubuhlungu obukhulu emhlane. Musa uthole umthwalo kakhulu yomgogodla kuze kube isikhathi lapho imisipha kungukuthi kahle udlondlobale.

ubuhlungu Emuva kuyaqabukela senziwa izinzwa epidural. Ngokuvamile lokhu kuholela nezinye izinto eziningi, ikakhulukazi, ezifana yokuntuleka nobuchwepheshe bale udokotela, isifo izibilini ukhuluphele. Kodwa noma kunjalo, ngesikhathi izimpawu kancane isixwayiso udinga ukuvakashela udokotela.

Izibuyekezo

Abesifazane abaningi banesithakazelo kulokho kuba - "epiduralka ngesikhathi sokuzalwa" - nokuthi le nqubo kuthinta isimo kukamama kanye nengane. Izibuyekezo abaningi basikisela ukuthi lena inqubo ephephile ngokuphelele, okuyinto cishe ayinakho Izimo. Ngaphezu kwalokho, ne ilungelo iqhube ingekho yezinkinga nemiphumela engemihle.

Iziguli eziningi bathi emva inqubo enjalo ephawulwe kuphela ubuhlungu kancane ngaleso indawo wokubhoboza, kanye ndikindiki encane. Ngokusho abanye abantu, izinsuku eziningana, wezwa ubuhlungu emhlane kanye ikhanda ezimbi kakhulu. Esimweni esinjalo isiguli ikhombisa imodi embhedeni kanye therapy okunezimpawu.