txheem
Dab tsi yog epidural?
Epidural analgesia muaj txo tus poj niam qhov mob thaum yug me nyuam.
Nco ntsoov tias tsuas yog qhov qis qis xwb.
Cov khoom siv tshuaj loog yog txhaj ntawm ob lub lumbar vertebrae ntawm lub catheter, ib lub raj nyias, thiaj li yuav rov ua tau yooj yim dua yog tias tsim nyog. Lub epidural yog siv rau cov khoom xa tuaj, tab sis kuj yog rau kev phais. Txawm hais tias koj tsis xaiv rau epidural, kev sab laj ua ntej tshuaj loog yog teem rau thaum kawg ntawm cev xeeb tub. Lub hom phiaj? Saib seb puas muaj cov contraindications yog tias muaj peev xwm ua tau epidural lossis tshuaj loog. Tus kws tshuaj loog tseem yuav xaj kom kuaj ntshav sai sai ua ntej xa khoom.
Puas yog epidural txaus ntshai?
Lub epidural tsis yog tsis txaus ntshai rau tus menyuam vim nws yog ib qho tshuaj loog hauv zos, me ntsis ntawm cov khoom dhau los ntawm cov placenta. Txawm li cas los xij, ib qho me ntsis muaj zog epidural tuaj yeem txo tus niam cov ntshav siab uas tuaj yeem cuam tshuam rau tus menyuam lub plawv dhia. Tus niam uas muaj kev cia siab kuj tuaj yeem raug kev txom nyem los ntawm lwm yam xwm txheej ib ntus: kiv taub hau, mob taub hau, mob nraub qaum, tsis yooj yim tso zis. Lwm yam kev raug mob tshwm sim (kev raug mob ntawm lub paj hlwb, kev tsis haum tshuaj), tab sis tsis tshua muaj, yog cov uas cuam tshuam nrog kev siv tshuaj loog.
Cov txheej txheem ntawm epidural
Lub epidural yog ua raws li koj qhov kev thov, thaum lub sijhawm ua haujlwm. Nws yuav tsum tsis txhob xyaum lig dhau lawm vim tias nws yuav tsis muaj sijhawm los ua thiab tom qab ntawd yuav tsis muaj txiaj ntsig ntawm kev cog lus. Qhov no yog vim li cas nws feem ntau muab tso rau thaum lub dilation ntawm lub ncauj tsev menyuam nyob nruab nrab ntawm 3 thiab 8 cm. Tab sis nws kuj nyob ntawm qhov ceev ntawm kev ua haujlwm. Hauv kev xyaum, tus kws tshuaj loog pib los ntawm kev tshuaj xyuas koj thiab xyuas tias koj tsis muaj contraindications. Pw rau ntawm koj sab, sawv lossis zaum, koj yuav tsum muab koj nraub qaum rau nws. Nws disinfects ces anesthetizes qhov kev txhawj xeeb. Tom qab ntawd nws pricks ntawm ob lub lumbar vertebrae thiab qhia lub catheter rau hauv rab koob, nws tus kheej tuav hauv qhov chaw los ntawm ib daim ntaub qhwv. Lub epidural yog theoretically tsis mob, insofar raws li cheeb tsam yav tas los muab pw tsaug zog nrog tshuaj loog hauv zos. Qhov no tsis tiv thaiv tus neeg tuaj yeem ntxhov siab nyob rau hauv pem hauv ntej ntawm 8 cm koob, thiab nws yog qhov no uas tuaj yeem ua rau lub sijhawm tsis kaj siab. Koj tuaj yeem hnov qhov hluav taws xob me me, paresthesias (kev cuam tshuam hauv kev xav) hauv koj ob txhais ceg lossis rov qab luv luv thaum koj muab nws.
Cov teebmeem ntawm epidural
Lub epidural muaj xws li loog qhov mob thaum khaws cia cov kev xav. Nws yog qhov zoo dua thiab zoo dua dosed, precisely tso cai rau leej niam kom hnov qhov yug ntawm nws tus menyuam. Nws qhov kev ua feem ntau tshwm sim li ntawm 10 mus rau 15 feeb tom qab tom thiab kav li 1 mus rau 3 teev. Nyob ntawm qhov ntev ntawm kev yug me nyuam, koj yuav tsum tau txhaj tshuaj ntxiv los ntawm catheter. Nws tsis tshua muaj, tab sis qee zaum cov epidural tsis muaj qhov xav tau. Nws kuj tseem tuaj yeem ua rau ib qho tshuaj loog: ib feem ntawm lub cev yog loog thiab lwm yam. Qhov no tuaj yeem txuas mus rau lub catheter tsis zoo, lossis rau cov khoom siv tsis zoo. Tus kws tshuaj loog tuaj yeem kho qhov no.
Contraindications rau epidural
Pom tau tias yog contraindications ua ntej yug menyuam: kab mob ntawm daim tawv nqaij nyob rau hauv cheeb tsam lumbar, ntshav txhaws, tej teeb meem neurological.
Thaum lub sijhawm ua haujlwm, lwm yam contraindications yuav ua rau tus kws kho mob tsis kam lees nws, xws li kub taub hau, los ntshav lossis hloov ntshav siab.
Cov ntaub ntawv tshiab ntawm epidurals
Self-dosed epidural, tseem hu ua PCEA (Patient Controlled Epidural Analgesia), tab tom txhim kho ntau thiab ntau dua. Yuav luag ib nrab ntawm cov poj niam tau txais txiaj ntsig los ntawm nws hauv 2012, raws li kev tshawb fawb los ntawm (Ciane). Nrog rau cov txheej txheem no, koj muaj lub twj tso kua mis rau koj tus kheej cov khoom siv tshuaj loog nyob ntawm qhov mob. PCEA hom thaum kawg txo cov koob tshuaj tshuaj loog, thiab nyiam cov niam heev.
Lwm qhov kev tsim kho tshiab hmoov tsis tseem me me dhau los: ambulatory epidural. Nws muaj qhov sib txawv ntau npaum li cas, uas tso cai rau koj kom tswj tau qhov txav ntawm koj ob txhais ceg. Yog li koj tuaj yeem txav mus ntxiv thiab taug kev thaum lub sijhawm ua haujlwm. Koj muaj peev xwm saib xyuas tus menyuam lub plawv dhia, thiab koj tuaj yeem hu rau tus kws yug menyuam txhua lub sijhawm.