Epiduralka: ndichiyani?

mankhwala amakono amamuchititsa anthu: mwai zonse ndi zotheka kuti magawowa ndipo zamizidwa ndi kusakhala, mankhwala ikuchitika m'malo womasuka kwambiri. Panopa ntchito ngati mankhwala ochititsa m'derali ndipo ambiri ochititsa dzanzi. Local ochititsa dzanzi anaesthetises m'dera iliyonse, ndi ochititsa dzanzi ambiri kwathunthu disables kutsitsimuka. Pali zizindikiro amphamvu kugwiritsa ntchito mankhwala ochititsa dzanzi. Pali ntchito imene chofunika ochititsa dzanzi ambiri, pamene ena akutsatiridwa makamaka pansi mankhwala oletsa ululu pamalopo. Ndi njira ina ali ndi ubwino ndi kuipa.

General mankhwala oletsa ululu ali kungasokoneze wamanjenje dongosolo, koma amapereka mankhwala ochititsa dzanzi zonse. mankhwala oletsa ululu pamalopo si nthawi zonse kwathunthu disables zotengeka zonse, koma sanachite zinthu pa ubongo.

Epiduralka: icho chiri ndi mmene onse loopsali?

Pali njira mankhwala, zomwe kwathunthu disables onse ulusi mitsempha ndipo potero zimathandiza munthu kukhala maso. Iwo - epidural mankhwala, kapena otchedwa epiduralka. Ndi chiyani icho?

mankhwala ochititsa dzanzi aliyense amaponya "chotchinga" onyamula ululu kugula kuchokera cholandilira ku ubongo. mankhwala oletsa ululu pamalopo kaye ndi likhale pachiyambi, ndi midadada ambiri ochititsa dzanzi amaonera malo zimachitika a ubongo. Koma pokonzekera mankhwala ochititsa dzanzi akhoza anaikapo mu ngalande msana ndi "amaundana" ndi kuchititsa ulusi mitsempha - izi ndi epiduralka. Kodi izo kwa mfundo bwanji?

Wodwalayo pansi ochititsa dzanzi epidural ali chikumbumtima bwino. Iye amadziwa ndipo amadziwa zonse kuti wazungulira, koma asaone nthambi ndi thunthu, amene ali pansipa mlingo wa utsogoleli. Nthawi zambiri ntchito epiduralka pobereka. Nthawi zina mothandizidwa ndi iye akuchita ndi cesarean gawo: cholinga chakuti mayi wanga woyamba mphindi zochepa za mwana wake wamphamvu kwambiri kuti akugwirizana kwa opaleshoni m'mimba pogonekedwa ndi mankhwala epidural. Pali mbali ina yofunika imene n'komwe pobereka: mu mtundu uwu wa mankhwala ochititsa dzanzi mankhwala adzamasulidwa ku magazi, motero mu mkaka, atangotha kubadwa kwa mwana ingagwiritsidwe ntchito pachifuwa.

Mankhwala ochititsa dzanzi amanyamula dokotala dzanzi. mankhwala jekeseni mu ngalande msana zotsatirazi kutsekedwa kwa chingwe msana. Mitsempha conduction ali oletsedwa, wodwala akumva kupweteka sanayende mwendo wanga, si kulamulira chotulukira chikhodzodzo. Mwa njira, zina, pamene pobereka zachilengedwe ntchito epiduralka. Kodi njira imeneyi? Popeza kuti chiberekero ndi pansi atamwa mankhwala, pamene anawona ntchito chiberekero discoordination, kugwiritsa ntchito mankhwala ochititsa dzanzi epidural kupewa gawo cesarean.

ZOWAWA chiyani?

Epiduralki zotsatira zimachitika, koma kawirikawiri. Kumene, monga ndondomeko iliyonse olanda, ndi epidural zingakhale ndi zotsatira zoipa. Woyamba ndi mutu atangochoka jekeseni. Ndi kumayambiriro singano amakhudza Dura Mater, ndipo pa nthawi angaoneke ululu kumbuyo - ndi zambiri pafupipafupi mavuto obwera chifukwa cha mankhwala ochititsa dzanzi epidural.