Epidural block - mimba

Epidural block ndi mankhwala osokoneza bongo omwe amaperekedwa ndi jekeseni (kuwombera) kumbuyo. Zimasokoneza kapena zimapangitsa kuti musamve bwino kumapeto kwa thupi lanu. Izi zimachepetsa kupweteka kwam'mimba pobereka. Matenda a epidural angagwiritsidwenso ntchito kuchepetsa ululu pa opaleshoni m'munsi mwake. Nkhaniyi ikufotokoza za miliri yamatenda pobereka.

Mbaliyo kapena kuwombera kumaperekedwa m'dera lakumbuyo kwanu kapena msana.

• Mutha kupemphedwa kuti mugone chammbali, kapena mutha kukhala tsonga.
• Mulimonsemo, mudzafunsidwa kuti mukokere m'mimba mwanu ndikusaka kumbuyo kwanu panja.

Wothandizira zaumoyo wanu amatsuka m'mbuyo mwanu ndikubaya mankhwala pang'ono kuti muchepetse malo omwe singano yaikidwa:

• Woperekayo amalowetsa singano kumbuyo kwanu.
• Singano imayikidwa pamalo ochepa kunja kwa msana wanu.
• Thupi laling'ono lofewa limayikidwa kumbuyo kwanu, pafupi ndi msana wanu.
• Singano imachotsedwa.

Mankhwala ogwedeza amaperekedwa kudzera mu chubu malinga ngati akufunikira.

Nthawi zambiri, mudzalandira mankhwala ochepa chifukwa ndiotetezeka kwa inu ndi mwana. Mankhwala akayamba kugwira ntchito (mphindi 10 mpaka 20), muyenera kumva bwino. Muthanso kumva kupsinjika kwakumbuyo kapena kwamphamvu pakumasana.

Mutha kunjenjemera pambuyo pa matenda, koma izi ndizofala. Amayi ambiri amanjenjemera panthawi yogwira ntchito ngakhale popanda matenda.

Kafukufuku wochuluka wasonyeza kuti matendawa ndi njira yabwino yothetsera ululu pobereka. Ngakhale ndizosowa, pali zoopsa zina.

Kuthamanga kwanu kwamagazi kumatha kutsika kwakanthawi kochepa. Izi zitha kupangitsa kugunda kwa mtima kwa mwana kuchepa.

• Pofuna kupewa izi, mudzalandira madzi kudzera mumitsempha (IV) yothandizira kuti magazi anu azikhala okhazikika.
• Ngati kuthamanga kwa magazi kukuwonetsa dontho, mungafunike kugona mbali yanu kuti magazi aziyenda mthupi lanu lonse.
• Wokuthandizani amathanso kukupatsirani mankhwala kuti mulimbikitse kuthamanga kwa magazi.

Chiphuphu chimatha kusintha kapena kusintha ntchito ndi kubereka.

• Ngati mwachita dzanzi chifukwa chobalalika, mutha kukhala ndi nthawi yovuta kuti muchepetse mwana wanu kudzera mu ngalande yobadwira.
• Kusiyanitsa kumatha kuchepa kapena kutsika kwakanthawi, koma ntchito ipitilizabe kuyenda momwe iyenera kukhalira. Nthawi zina, zimatha kuyenda mwachangu. Ngati ntchito yanu ikucheperachepera, dokotala wanu akhoza kukupatsani mankhwala kuti muchepetse mgwirizano wanu. Ndibwino kudikirira mpaka mutagwira ntchito mwakhama kuti mukhale ndi matenda.

Zotsatira zina zosawerengeka ndi izi:

• Mutha kupwetekedwa pambuyo pa matenda anu koma izi ndizochepa.
• Mankhwala amatha kulowa mumtsempha wanu wamtsempha. Kwa kanthawi kochepa, zimatha kukupangitsani kukhala ozunguzika, kapena kupuma movutikira. Muthanso kulanda. Izi nazonso ndizochepa.

Pali mitundu iwiri:

• Chipolopolo "Choyenda". Mtundu uwu wamatenda amachepetsa kupweteka kwanu, komabe mudzathabe kusuntha miyendo yanu. Amayi ambiri amalephera kuyenda, koma amatha kuyenda.
• Kuphatikizidwa kwa msana wamtsempha wamtsempha. Izi zimaphatikizira zonse msana ndi khungu. Amapereka mpumulo wa ululu mwachangu kwambiri. Mbali yophatikizidwayo imagwiritsidwa ntchito azimayi akamagwira ntchito mwakhama ndipo akufuna mpumulo nthawi yomweyo.

Kutumiza - matenda; Ntchito - matenda

• Epidural - mndandanda

Hawkins JL, Bucklin BA. Mimba yoletsa kubereka. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 16.

Natani N, Wong CA. Spinal, epidural, ndi caudal anesthesia: anatomy, physiology, ndi luso. Mu: Chestnut DH, Wong CA, Tsen LC, et al, olemba. Anesthesia ya Chestnut Obstetric: Mfundo ndi Kuchita. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 12.

Sharpe EE, Arendt KW. Anesthesia yamankhwala oberekera. Mu: Gropper MA, mkonzi. Anesthesia wa Miller. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 62.

• Anesthesia
• Kubereka