Epidural anesthesia ndiyo nhamba imwe yenzira yekurapa kwemishonga mukurapa nekuberekwa nhasi. Chirwere chepachirwere, sezvinowanzonzi zvinowanzonzi, inharaunda yeanesthesia. Izvi zvinoreva kuti inobvisa nzvimbo yemuviri, kusiyana nehuwandu hweanesesthesia iyo inobvisa zvachose marwadzo nekuziva kubva mumuviri wose. Nhamba dzemawere dzinenge dziri munharaunda yezvikokwe (nokuda kweaisarea) kana umbilicus (bhomba benzi) (nokuda kwekuberekwa kwechikadzi) kumagunwe.
Izvi zvinokubvumira kuti urambe wakamuka wakasvinura asi uchinetseka kusuruvara kubva kune zvipfeko mubasa kana panguva yekuzvarwa.
Zvaunogona chaizvo kunzwa kuti zvichasiyana kubva kuna amai kusvika pakuberekwa. Ichi chikamu chekuita nemishonga inoshandiswa mune epidural asiwo mararamiro ako uye kwaunenge uri mubasa. Vamwe amai vanoda kunzwa pasina, asi vamwe vanoona izvi zvinotyisa. Saka dambudziko rinogona kukubvumira kuva nekunzwa kwekunzwa, kuitira kuti uchinzwe kupesana, asi kwete kurwadziwa. Sezvo chirwere chepachirwere chinogona kushandiswawo panguva yechikamu chekudzivirira (c-chikamu), apa ndipo paunoda kusanzwa. Taura nemunhu wako anesthesiologist pamusoro pehuwandu hwekunzwa iwe waunoda. Vanogona kushanda newe kuti akubatsire kuzadza epidural yakakwana .
Kuti uwane hutachiona kune zvinhu zvishoma zvaunoda kuita.
Epidural Availability
Iva nechokwadi chokuti uri kuendesa kuchipatara nehutachiwana hunoonekwa.
Zvimwe zvipatara zvine epidurals zvinowanika pane dzimwe nguva, asi dzimwe zvipatara zvine maawa makumi maviri nemaviri epidural anesthesia kuparidzira. Iva nechokwadi chekubvunza chipatara chako pamusoro pekugovera.
Taura Nechiremba Wako kana Mudzimai
Regai vazive kuti zvirongwa zvenyu ndezvipi pamishonga inorwadza. Kumbira rubatsiro rwavo pakusarudza kuti nguva yakanakisisa ndeipi yokuti iwe uwane chirwere chepachirwere.
Vanogona kana kuti vangave vasingakwanisi kukutungamirirai zvakananga munguva yebasa.
Taura Nekubatsira Kwako Sangano
Zvakakosha kuti iwe urege mumwe wako, doula , uye ani zvake ari kuuya pakuberekwa kwechecheche wako anoziva kuti iwe unoda hutachiona. Taura pamusoro paunofunga kuti izvo zvaizove kana kuti iwe waizozvinzwa usati wawana. Mumwe muenzaniso unogona kunge wakafanana: Ndinoda hutachiona nokukurumidza apo ini ndisiri kutora zvipikano zvakanaka. Kana kuti: Ndinoda chirwere chepachimbichimbi nokukurumidza pandingawana imwe kuchipatara.
Regai Chipatara Chizive
Panogona kuva nechido chaunotora chikwata chakakosha kare mwana wako asati aberekwa. Kana iwe unogona kuva nechido chakanaka chekutaura nedhipatimendi reanesthesia mwana asati aberekwa. Kumbira pachitarisiko chako muchipatara.
Gadzirira chero Chinhu
Nguva dzose zvakanakisisa kuva nemashure. Dzimwe nguva kubasa kunoenda nokukurumidza kupfuura zvaunotarisira uye iwe hauna nguva yekuwana chirwere chepachirwere, kuziva chaungaita kuti ubatsire kudzikama. Kana kuti zvichida iwe unofanira kumirira kwenguva yakareba kudarika iwe waifunga nokuti izuva rakabatikana pamusoro pebasa nekutakura pasi. Kuva nepurogiramu yekuchengetedza nguva dzose iri pfungwa yakanaka.
Chirwere chepachirwere hachisi kunze kwezvipingamupinyi-izvi ndezvechokwadi kune chero nzira ipi zvayo yezvehutano kana mishonga. Zvisinei, huwandu hwakawanda hwepidurals huchava husina matambudziko.
Zvinetso zvinowanzoonekwa kana zvakanyanya kunyanya zvinorindwa. Kuchengetedzwa kunoitwa munzvimbo inozosiyana nechipatara kuchipatara asi kunogona kusanganisira:
- IV mvura inoshandiswa inotenderwa kusati yasvika epidural
- Ropa kudzvinyirira kuongorora
- Maternal moyo kuongorora
- Fetal monitoring
- Vadzidzi vakarovedzwa kuti vagare naamai panguva dzinonetsa
- Mishonga iripo pakurapa kwezvinetso
Kana wakasarudza kuti unoda dambudziko rekushanda kwako, iwe uchada kuziva kuti chii chinodiwa kuchipatara uri kubereka pa. Zvimwe zvipatara zvinokanganisa apo iwe unogona kugamuchira chirwere ichi.
Izvi zvinogona kunge zvichinyanya kushandiswa kana kuti kuwedzerwa kukuru. Iwe unogona kuwana izvi nekutora rwendo rwechipatara, kutaura nedhipatimendi reanesthesiology, kana mukirasi yako yekuberekwa.
Kutora kirasi yekuberekwa ichiri chirongwa chikuru kana uri kuronga chirwere chepfungwa. Kune zvakawanda zvingaidzidzwa kubva kuchikoro, kusanganisira zvinyorwa zvepidural anesthesia. Chimwe chezvinhu zvaunogona kudzidza zvakare inzira dzakasiyana dzekugadzirisa kurwadziwa kwebasa. Izvi zvakakwana kwenguva iyo inokutora iwe kuti usvike kuchipatara uye kuti uwane chirwere chepfungwa.
Izvozvo zvakati, kune zvikonzero zvekuti iwe ungasakwanise kuwana dambudziko . Ichi ndicho chinhu chaunofanira kuziva zvakanaka musati washanda kana iwe uri pangozi. Bvunza chiremba wako izvo zvaunoda kuziva pamberi pebasa kuti uone kuti hapana zvinoshamisa.
Pane imwe nguva chirwere chepachirwere chiri panzvimbo, iwe unogona kukwanisa kuzorora kana kuporesa uye kuita chero chaunoda kubva pamubhedha wako. Kana iwe wakanga wakamuka kwenguva pfupi, kuputika chinhu chikuru. Vamwe vanaamai vanoshandisa nguva ino kupedzisa mazita emwana kana kutamba mumasangano ehupfumi, tarisa TV, etc. Mukoti wako wekubasa achakubatsira kuziva kuti inguva ipi yokuti iwe ushe .
Unenge uine chikadzi chekuongorora maawa maviri kana kuti kana iwe unonzwa seunoda imwe. Kushingaira kunowanzotanga apo mwana ari kure kure, zvakasiyana nekutanga kusvetuka nokuti iwe wakanyatsopera. Izvi zvinozivikanwa sekushanda pasi. Vakadzi vazhinji vanogona kunzwa vachida kusundira, asi vamwe amai vanoda kubvisa chirwere chepachirwere kuti vatsve. Izvi kazhinji hazvikurudzirwe nekuda kwehutano hwakawedzerwa nekuda kwekuchinja kwemashoko ehomoni.
Iyo epidural inogona kushandiswa kunyange kutengesa kwakaoma, kusanganisira iyo inoda kubviswa kwepombi kana kusunga. Iwe unogona kushandisa kunyange chirwere chepachirwere chekuberekwa kwemarara.
Kana mwana wacho aberekwa, iwewo uchakwanisa kushandisa chirwere chepachirwere nokuda kwekununurwa kwehurombo munguva pfupi yekupedzisira. Kazhinji chirwere chepachidimbu chichavharwa mushure mokuberekwa. Zvinotora nguva yakareba sei kuti uchinzwe zvakare mumakumbo ako zvinogona kusiyana. Vamwe vakadzi vanogona kufamba-famba mukati meawa imwe mushure mokuberekwa, asi vamwe amai vanozotora maawa mashoma. Kana imwe nguva yekare inopera, iwe uchashandurwa pamishonga inorwadza mumuromo .
Sources:
> Kurega kwechirwere chinotyisa munguva pfupi mubasa rekugadzirisa kuderedza kuipa kwekubuda kwezvinhu zvinosangana ne epidural analgesia. Torvaldsen S, Roberts CL, Bell JC, Raynes-Greenow CH. Cochrane Database Syst Rev. 2004 Oct 18; (4): CD004457. Kudzokorora.
Zvibereko zvisingabatsiri uye kugutsikana kwechikadzi mune vakadzi vasiri nhengo vachishandisa chirwere chinotarisana nehutachiona. Haydon ML, Larson D, Reed E, Shrivastava VK, Preslicka CW, Nageotte MP. Am J Obstet Gynecol. 2011 Sep; 205 (3): 271.e1-6. Epub 2011 Jun 17.
A retrospective case-controlled controlled of the association pakati pekukumbira kubvisa chikamu chechipiri chebasa epidural analgesia uye ngozi yekubatsira kubatana kwevakadzi. Toledo P, McCarthy RJ, Ebarvia MJ, Wong CA. Int J Kuwana Anesth. 2008 Jul 8.