THEepidural anesthesia ndi njira yochepetsera m'dera loco-regional yochitidwa ndi opaleshoni-resuscitator. Amagwiritsidwa ntchito kwambiri kuchepetsa kapena kuthetsa vutoli zowawa za pobereka ndi / kapena kuwongolera chitukuko chake. Iyi ndiye njira yotchuka kwambiri komanso yothandiza, kuphatikiza yoyeserera Kaisara.

Mfundo ndi kuletsa kufala kwa zowawa zomverera pa mlingo wa misempha yochokera kuchiberekero pogwiritsa ntchito jekeseni wa anesthesia pafupi nawo.

Epidural anesthesia ingagwiritsidwenso ntchito pochita opaleshoni ina, mwa amuna ndi akazi, m'munsi mwa mimba.

Nthawi zambiri, kukambirana kumachitika ndi wogonetsa mu masabata angapo asanabadwe (izi sizili choncho m'mayiko onse).

Epidural anesthesia imaphatikizapo kuyika singano yosabala ndi catheter (chubu chaching'ono) mu epidural space pafupi ndi msana wa msana. Malo a epidural akuzungulira Dura mater, nembanemba yakunja yoteteza msana.

Dokotala amayamba kugwiritsa ntchito mankhwala ochititsa dzanzi am'deralo kuti atseke malo omwe singanoyo ibayidwe. Kenako amalowetsa singanoyo kuti aike catheter ndikuichotsa. Catheter imakhalabe m'malo nthawi yonse yobereka kuti alole kubwereza mobwerezabwereza kwa anesthesia.

Kuchuluka kwa mankhwala oletsa ululu omwe amagwiritsidwa ntchito, kupweteka kumachepa. M'malo mwake, kugwiritsa ntchito mankhwala oletsa ululu pang'ono kungathandize mayi kukhala wokangalika pa nthawi yobereka komanso kuti azikankha mogwira mtima akamakomoka.

Anesthesia imatha kuchepetsa kulakalaka kwachilengedwe komanso kuthekera kokankhira, zomwe zitha kukulitsa kugwiritsa ntchito makapu kapena makapu oyamwa.

Tiyenera kukumbukira kuti kugwiritsa ntchito pampu yolowetsera, yomwe mkazi mwiniwakeyo amamwa mankhwala oletsa ululu omwe amalandira, amagwiritsidwa ntchito kwambiri.

N'zotheka kuti epidural sangathe kuchitidwa: mwachitsanzo pakakhala kutentha thupi, kusokonezeka kwa magazi, matenda a khungu pamsana, kapena chifukwa chakuti ntchito yapita kale kwambiri.

Mofanana ndi njira iliyonse yachipatala, pali zotsatira zake: kutsika kwa kuthamanga kwa magazi kwa amayi, kuvutika kusuntha miyendo yake (ndipo chifukwa chake kuyenda), ndiye mwina mutu, kupweteka kwa msana m'masiku otsatirawa, ndi zina zotero. Zovuta kwambiri ndizosowa kwambiri.

Epidural anesthesia ndiyo njira yothandiza kwambiri yochepetsera ululu pakubala.

Zotsatira za epidural nthawi zambiri zimatha maola angapo mutachotsa catheter.

Kwa mwana, kubereka pansi pa epidural anesthesia sikuli koopsa kuposa kubereka popanda epidural.