Back ululu pambuyo mankhwala ochititsa dzanzi epidural: chochita? Epidural chipika: mfundo opaleshoni, zotsatira ndemanga

Epidural msana anatseka misewu - njira imene mankhwala ndi kutumikiridwa mwachindunji mu gwero la ululu. Chifukwa ndi imfa ya kumverera mu zinkakhala m'dera.

Zotsatira achire zimatheka akuluakulu munthawi yomweyo mankhwala angapo. Mwachindunji m'gulu zigawo zikuluzikulu ndi kutchulidwa analgesic zotsatira ndi anthu ambiri koposa mwa chotupa cha. Komanso, pali chikoka reflex pa misinkhu yonse ya ubongo.

ndi msana anatseka misewu Kodi

Kodi epidural mankhwala, komanso nkhani iliyonse chifukwa kukhazikitsa - awa ndi mafunso ena ambiri chidwi wodwala. Ichi ndi chimodzi mwa mitundu yofala mankhwala oletsa ululu pamalopo ntchito yochizira matenda. Msonkhano anatseka misewu pa malo osiyanasiyana chingwe msana, malingana ndi mtundu wa opaleshoni. Mu obstetrics imagwiritsidwa ntchito mu dera lumbar, monga mankhwala ochititsa dzanzi pa gawo la Kaisara kapena mpumulo ululu pa ntchito.

Zaka zingapo zapitazo, gawo cesarean chitachitidwa yekha pogonekedwa ndi mankhwala ambiri. Mankhwala ntchito mankhwala ochititsa dzanzi ndi zambiri mavuto. Zotsatira za epidural kwa gawo la Kaisara zochepa zakuda, monga pafupifupi zotsatira palibe mbali mu mayi ndi mwana wosabadwayo. Ubwino waukulu wa mtundu uwu wa mankhwala, monga kuyenera ochititsa dzanzi ambiri, ndi kusunga chikumbumtima cha mayi. Komabe, tiyenera kukumbukira kuti sizingatheke kugwiritsa ntchito njira imeneyi, choncho chofunika kuchita kudzifufuza kuyambirira ndiponso kukambirana ndi dokotala.

Kodi msana anatseka misewu

Podziwa chimene ndi epidural ndiponso zimene akuwerenga, mukhoza kuona kuthekera kwa kukhazikitsa. Ndondomeko Mmishonale amafunika kuphunzitsidwa kochepa wodwala. The anatseka misewu amatanthauza jekeseni wa mankhwala othetsa ululu lolamulidwa X-ray, kupereka molondola ndi lathunthu chitetezo cha mpheto mosalekeza. Wapakati mankhwala makonzedwe kumatenga Pasanathe mphindi 20. zotsatira Analgesic limapezeka pafupifupi nthawi yomweyo zimatha kwa miyezi 6.

Pochititsa analgesia zinachitikira aakulu kumbuyo dokotala anati wodwalayo kwa maola 1-2 chilengedwe chipatala kenako akumasula kunyumba. Ngati chipika amapereka zotsatira chofunika, koma zotsatira zake zinali yochepa ankakhala, n'zotheka kuti adzathe oyamba medicament lapansi.

umboni

Anthu ambiri amadabwa momwe angachitire ndi epidural ndi ena zikuonetsa kuti kukhazikitsa. Makamaka, ndondomeko imeneyi ikuchitika:

• cesarean gawo;
• achilengedwe pobereka;
• pregnancy, limodzi ndi hypoxia;
• kuphwanya mtima yoopsa;
• matenda aakulu amayi;
• malposition;
• anomalies wa ntchito ntchito.

Obstetrics Komanso, ankagwiritsa ntchito mu ntchito epidural chipika. Kwenikweni, akhoza kuchitika:

• maopareshoni m'dera crotch;
• alowererepo mphuno zonse m'mimba;
• urologic opaleshoni;
• opaleshoni opaleshoni mtima;
• ntchito pa mafupa, mafupa.

njirayi angagwiritsidwe ntchito molumikizana ndi ochititsa dzanzi ambiri. Izi kuchepetsa mlingo wa mankhwala othetsa ululu, omwe kenako kukhala ndi mtima.

Ubwino waukulu anatseka misewu epidural

Chotero ndondomeko ali ndi ubwino wake, makamaka, monga:

• wodwalayo sadziwa;
• Iwo amaonetsetsa mtendere wa dongosolo mtima;
• angagwiritsidwe ntchito ndi m'mimba zonse;
• Zilibe limakhumudwitsa mundawo kupuma;
• kumatha ululu pambuyo ntchito.

Mu ntchito mankhwala ochititsa dzanzi pa gawo cesarean kapena pa ntchito alibe zotsatira poizoni pa thupi, ndipo palibe hypoxia yoopsa. Kaya kuchita ndi epidural, sankhani odwala ndi dokotala, malinga ndi zizindikiro zilipo ndi contraindications anapatsidwa.

contraindications

Mankhwala ochititsa dzanzi ndi utsogoleli wa mankhwala ochititsa mu danga epidural, kuwonjezera pa zikuonetsa ntchito, ali contraindications ena. N'chifukwa chake muyenera kukaonana ndi dokotala ndi kupeza kudzifufuza wathunthu. Contraindications kungakhale m'deralo ndipo mtheradi. Dama monga:

• khunyu;
• chiwindi matenda;
• matenda neurotic.

Komanso, n'kofunika kuganizira contraindications komweko, ndipo monga ngati awa:

• pamaso pa njira yotupa m'munda wa ululu kutanthauzira;
• zolakwika kukula dongosolo fupa;
• mbali yapadera zigawo analgesic.

Ndondomeko osati ikuchitika matenda a clotting magazi mu nkhani ya munthu wodwala kwambiri, ndi mkaka wa m'mawere (kuyamwitsa).

Chifukwa kupweteka kwa msana pambuyo ndondomeko

odwala ambiri amanena kuti ululu kumbuyo pambuyo mankhwala ochititsa dzanzi epidural.

Ululu zingachitike kwa zifukwa zosiyanasiyana. Choyamba, wodwala ayenera kumvetsetsa kuti kwathunthu kusokonezedwa chilichonse ndi thupi lake kungayambitse mavuto. Ngati jekeseni ndi ikuchitika m'dera la msana, kupweteka adzakhala zachilengedwe kwathunthu ndondomeko, koma adzakhala yaitali. Kutalika pazipita ululu ndi masiku ochepa.

Back ululu pambuyo mankhwala ochititsa dzanzi epidural si amphamvu kwambiri, ndi ululu penapake blunted, omwe ndi ofanana kwambiri ululu pambuyo jekeseni ochiritsira, anapanga mbali zina za thupi. Izi chikwiyire chifukwa chakuti ku catheter kapena singano amapezeka mkwiyo wa zimakhala moyandikana. M'kupita kwa nthawi, kuwawa ndidzadutsa popanda kugwiritsa ntchito mankhwala aliwonse komanso njira zina zochizira.

Ngati kupweteka kwa nsana pambuyo mankhwala ochititsa dzanzi epidural ndipo pali ndondomeko yotupa, izo zikhoza kutanthauza kuti jekeseni wa nthenda jekeseni malo lajambulidwa. Izi zimatheka ngati ogwira ntchito kuchipatala bwino imachitika ndondomeko ndi kupopera mankhwala zida zamankhwala, zikubweretsa matenda. Pamene matenda amapezeka mutu zina, malungo, kufulumizitsa kugunda.

Nthawi zambiri mphamvu zokwanira kupweteka kwa msana pambuyo mankhwala ochititsa dzanzi epidural. Kodi kuchita ndi mmene vutoli, muyenera kudziwa kwenikweni, ngati ili chingakhale chifukwa cha kuswa kwambiri. N'chifukwa chake muyenera kukhala wotsimikiza kuti ndi dokotala kufufuza ndi chithandizo choyenera mu chochitika cha kupweteka pang'ono.

zolakwa Medical pa ndondomeko

Ngati kupweteka kwa nsana pambuyo mankhwala ochititsa dzanzi epidural, zingakhale chifukwa chimene kuwombera ndi molakwika anaika. Tikumbukenso kuti zolakwa zachipatala n'zochepa. Monga ulamuliro, iwo zokhudzana zinachitikira osakwanira ya dotoloyo. Taonani zina mwa zotsatira za mankhwala oletsa ululu pobereka.

Doctor pa ndondomeko amapweteka mizu ya chingwe msana. zovuta kulowa danga epidural, choncho panthawi ndondomeko akhozanso anakhudzidwa:

• Mitsempha;
• chophukacho;
• msana zingwe.

kuwonongeka makamaka owopsa mitsempha mizu ya chingwe msana.

Popeza malo zakayendesedwe ka mankhwala ali ziwiya zambiri magazi, adokotala akhoza mutatulukira plexus venous. The ululu Pankhaniyi akuthamanga yake, popanda mankhwala. Chiopsezo mtundu wa kuvulala kwambiri chifukwa odwala kumwa mankhwala mankhwala kusintha magazi.

Komanso pa ndondomeko akhoza anavulazidwa chophukacho. Pofuna kupewa zotsatira amenewa m'pofunika kuchita kufufuza zonse msana pamaso anatseka misewu ya.

molekezera mitsempha akhoza kuonongeka. Zikatero, zotsatira zake zikhoza kukhala zoopsa kwambiri. Izi zidalira pa kuya singano anapita. Chifukwa cha zimenezi, mukhoza kuona mitundu yosiyanasiyana ya kuvutika ubongo. Monga mukuonera, zotsatira za zolakwa mankhwala zikhoza kukhala zoopsa kwambiri moti anatseka misewu ya ziyenera kuperekedwa ndi ogwira oyenerera ndi ozindikira.

Kucotsa ululu pambuyo ndondomeko

Maopareshoni epidural ochititsa dzanzi ntchito zovuta kwambiri, popeza ukubala chiopsezo wodwalayo. Ngati potsedury kwambiri msana umapweteka, muyenera yomweyo kufunsa dokotala, ndipo suli ululu. zochita Komanso kudzadalira gwero la zowawa. The dokotala chifuniro kuona ndi mankhwala mankhwala oyenera. Kawirikawiri, wodwalayo wachotsedwa othetsa ululu ndi mavitamini.

Ngati, pamene utsogoleli wa mankhwala chafika matenda, kutupa angayambe. Pankhaniyi, mankhwala adzakhala yayitali ndipo amafuna zotsatira zovuta pa chitsime cha ululu. Pamaso pa matenda mankhwala mankhwala odana ndi yotupa mankhwala ndi mankhwala kuthandiza kuthetsa kutupa ndi kuwononga tizilomboto. mankhwala Specific kukhala akapitawo dokotala. Self-chithandizo Zikatero ndi zosayenela.

Mafinya mapangidwe kuthetsa kokha kupyolera opaleshoni. kupeza nthawi yake kwa dokotala zingathandize kuletsa kufala zina matenda.

Kuthetsa kupweteka kwa msana pambuyo epidural ochititsa dzanzi ntchito mankhwala othetsa ululu osati. Other njira zothandiza za phukusi achire ndi:

• osteopathy;
• maginito.

Osteopathy amathandiza kubwezeretsa kuyenda m'dera zowonongeka msana. Komabe, pochititsa ndondomeko zimenezi n'kofunika kuganizira makhalidwe munthu wa chamoyo za wodwala aliyense ndi kuwerengera mavuto onse.

mankhwala maginito Iyamba njira regenerative zikuchitika, zimene zimapangitsa izo mofulumira kwambiri kuti achire. Nthawi zambiri, njirayi ntchito pa mkaka wa m'mawere, komanso pamaso pa contraindications mankhwala mankhwala.

Nthawi chithandizo anatsimikiza yekha ndi dokotala nawo, zochokera umboni umene ulipo, chithunzi matenda ndi contraindications. Mwamsanga kwambiri kuthetsa zosasangalatsa zomverera chopweteka, mukhoza kutenga njira ya mankhwala Buku. Izi osati kupweteka, komanso kusintha olowa zoyendayenda, minofu kamvekedwe ndi ntchito ya Mitsemphayi lapansi.

prophylaxis

Podziwa chimene icho chiri - "epiduralka yobereka ndi ntchito" komanso zimene zimakhudza ali njirayi, mukhoza kusankha njira zopewera pofuna kupewa pakutchulidwa ululu. Pogwira zodzitetezera miyeso zosokonezeka pambuyo ndondomeko akhoza kwambiri sanamvere.

zotsatira zoipa kungakhale kwa anthu ndi kulemera owonjezera, nchifukwa chake muyenera yesetsani kukhala mu uthunthu yachibadwa. Kusankha chakudya mulingo woyenera, mukhoza kukaona kadyedwe. chisamaliro makamaka m'pofunika kuti aziona chakudya chawo pa mimba.

Nkofunika kuchita Zochita wapadera kulimbikitsa minofu yathu, koma pamafunika munthu njira. Choncho, zofunika kuti agwire mphunzitsi kalasi yoyamba. Tiyenera kuwayang'anira boma la chitetezo cha m'thupi, makamaka ngati pali kutengera za ku thupi lawo siligwirizana. Komanso, kudya mankhwala ena zingakhudze mmene alili. Isanafike mankhwala ochititsa dzanzi epidural wodwala ayenera kuonana ndi dokotala ndi kumuuza za mankhwala onse Iye amafuna.

Khalidwe mankhwala ochititsa dzanzi ndondomeko Ndikofunikira mu zipatala audited kuti ali ndi mbiri yabwino. Pre-kufunika kuwerenga ndemanga ndi malangizo a abwenzi.

Mu nthawi ya postpartum ndipo nthawi yomweyo pambuyo opaleshoni ali osavomerezeka zolemera, monga izi zingachititse kupweteka kwambiri kumbuyo. Musati katundu kwambiri msana mpaka nthawi monga minofu si bwino kwambiri.

ululu Back sikawirikawiri amayamba ndi ochititsa dzanzi epidural. Nthawi zambiri zimenezi zimapangitsa kuti zinthu zina zambiri, makamaka, monga kupanda Luso la dokotala, matenda ziwalo mkati ndi onenepa. Koma Mulimonsemo, zizindikiro pang'ono chenjezo muyenera kukaona dotolo.

Reviews

akazi ambiri amachita chidwi ndi zimene - "epiduralka pobadwa" - ndi mmene njirayi zimakhudza mmene mayi ndi mwana. ndemanga ambiri amati uku ndi ndondomeko otetezeka kwathunthu, omwe pafupifupi alibe contraindications. Komanso, ndi bwino khalidwe lake zimachokeradi mavuto ndi zotsatira zake zoyipa.

odwala ambiri kuti pambuyo ndondomeko otere amalembedwa yekha kupweteka pang'ono pa puncture malo, ndi dzanzi yaing'ono. Malinga ndi anthu ena kwa masiku angapo, anamva kuwawa msana ndi mutu zoipa kwambiri. Mu nkhani yoteroyo wodwala zikusonyeza mode bedi ndi mankhwala symptomatic.