Epidural Timing Haafaniri Kuve Nyaya Mubasa
Kwemakore mazhinji kwakave nekukakavara pamusoro apo nguva yakanakisisa yekuwana dambudziko rekare raiva mubasa. Pfungwa dzepakutanga pahurukuro dzaiva kuti pane zvingave zvakakonzera kupedzisa basa kana kuti kuwedzera chiyero chechikamu chekudzivirira kana chirwere chepachirwere chakapiwa kare kare mubasa. Izvi zvinotungamirira mune dzimwe zvipatara uye vashandi kuti vave vakanyatsochengetedza nguva yepidurals, kazhinji vane mitemo inoda mukadzi kuti asvike pane imwe nzvimbo, kanowanzoita masendimita mana, uye dzimwe nguva kusvika mamita masendimita.
Dhichrane Database yekuongorora kwakagadziriswa yakabudisa kutarisa mutsauko mune zvakawanda zvinowanikwa mune zvose hutano hwaamai, mwana, kureba kwebasa (chekutanga nechechipiri), nezvimwe zviyero zvakasiyana-siyana, uye havana kuwana misiyano chaiyo mu vanenge vanenge 15 000 vakadzi. Iyi inhau huru kuvakadzi vari kuronga kushandisa epidural anesthesia.
Pari zvino, Centers for Disease Control and Prevention (CDC) inotaura kuti inenge 61% yevakadzi muUnited States vachashandisa dambudziko rekurwadziwa mukurwadziwa mubasa. Kunyange zvazvo nhamba iyi ichisiyana zvakanyanya nenyika, nedzimwe zvipatara zvine mazana e100% epidural rates uye vamwe vane zvikamu zvakaderera zvepachirwere.
Zvinhu zvishomanana zvinoratidza kuti:
- Kuongororwa uku kuri kungofananidza kupera kwepakutanga nekupesana kwenguva refu. Icho hachirevi kutarisa kwete chepidural versus epidural.
- Chidzidzo chacho hachigoni kunyatsoongorora kubatsirwa kana njodzi yemishonga uye nzira dzakashandiswa pamwe chete kana kuti isati yasvika. Muenzaniso: Amai vanokumbira uye vanotambira mhirizhonga yevanodhaka veVV vasati vawana dambudziko.
- Muchidimbu, handina kuona kukurukurirana kwevamwe kufungidzirwa nezvengozi.
- Epidural anesthesia yakachinja zvikuru kwemakore makumi emakore. Mumakore okutanga ekupararira kwekushandiswa kwakapararira, mishonga yakapiwa mune zvakawanda uye nzira iyo mukadzi akawana chirwere chekare (zvakazara zvachose numb) kusvika ikozvino (zvakasiyana, asi vazhinji vane humwe hutano hwekufamba uye kunzwa kunetseka pasina kurwadziwa).
Chinonyanya kukosha ndechokuti kana iwe uchida kuwana dambudziko rekushanda kwako, usashuva nguva yaro. Iwe unofanirwa kuwana chirwere chepfungwa apo iwe unonzwa kuti ndiyo ndiyo yakanakisisa iyo iwe, uye kwete maererano neawa.
Sources
Osterman MJK, Martin JA. Epidural and spinal anesthesia inoshandiswa panguva yebasa: 27-state reporting reporting, 2008. Nhamba dzinokosha dzehurumende dzinozivisa; vol 59 no 5. Hyattsville, MD: National Centre for Health Statistics. 2011.
Sng B, Leong W, Zeng Y, Siddiqui F, Assam PN, Lim Y, Chan ESY, Sia AT. Pakutanga kusvika pakupera kwekutanga kwepidural analgesia yebasa. Cochrane Database yekuongorora kwakarongeka 2014, Nyaya 10. Art. Nha.: CD007238. DOI: 10.1002 / 14651858.CD007238.pub2 - Ona zvimwe pa: http://summaries.cochrane.org/CD007238/PREG_early-versus-late-initiation-of-epidural-analgesia-for-labour#sthash.NiJZ0QDS.dpuf