Epidural: contraindications ndi chiyani?

Kubereka: zotsutsana ndi epidural

Matenda a magazi

Ngati njira zomwe zimalola kuti magazi azitsekeka zimasokonekera, zimatha kuyambitsa magazi. Choopsa chake ndi chakuti hematoma idzapanga ndi kupondaponda mizu yaing'ono ya mitsempha yomwe ili mu epidural space, kuchititsa ziwalo. Izi zikhoza kuchitika ngati mayi woyembekezera ali ndi matenda obadwa nawo omwe amakhudza kutsekeka, ali ndi mankhwala oletsa magazi kuti ateteze phlebitis, kapena ngati mulingo wa mapulateleti (zigawo za magazi zomwe zimakhudzidwa ndi kutsekeka) watsika. Chotsatiracho nthawi zina chimawonekera mu preeclampsia yoopsa.

zotheka matenda

Pamene mayi woyembekezera apereka a khungu chilonda, abscess kapena pimples m'dera la lumbar, tizilombo toyambitsa matenda tingafalikire, kupyolera mu kuluma, mu cerebrospinal fluid. Mavuto angakhale aakulu, monga meningitis, mwachitsanzo. Chimodzimodzinso ngati kutentha thupi kumapitirira 38 °. Ichi ndichifukwa chake timalamulira mwadongosolo kutentha kwa amayi polowa m'chipinda chobadwira.

Vuto la minyewa

Matenda akuluakulu a minyewa kapena chotupa nthawi zina chimatsutsana ndi epidural. Nthawi zambiri nkhawa imadziwika asanabadwe ndipo chigamulo kapena kusafunsa chimapangidwa ndi katswiri wa zaubongo, woyembekezera komanso wogonetsa. Zimadalira kumene kuopsa kwake ndi zotsatira zomwe zingatheke za vutoli.

Chiwopsezo cha ziwengo

Kusagwirizana ndi mankhwala (mankhwala oletsa ululu, morphine) omwe amagwiritsidwa ntchito panthawi ya epidural ndi osowa kwambiri. Komabe, zingakhale zovuta kwa amayi. Ichi ndichifukwa chake amayi amtsogolo ayenera kufotokozera zowawa zawo zonse, ngakhale zochepa, kwa ogonetsa.

Kuwonongeka kwa msana

Msana wowongoka nthawi zambiri ndi chitsimikizo cha kukhazikitsa kosavuta komanso kopanda nkhawa kwa epidural. Koma ngati mayi wachitidwa opaleshoni kapena akudwala chachikulu scoliosis, mawonekedwe aukadaulo amakhala ovuta kwambiri. Nthawi zambiri ogonetsa amapatuka pang'ono kuti apeze malo abwino kwambiri ndipo amatha kuyikapo. Kuti mupewe kudabwa kwa mphindi yomaliza, kuyang'anitsitsa msana wanu panthawi yokambirana ndikofunikira.

Chizindikiro choyikidwa moyipa

Samalani, ngati mwasankha kujambula tattoo kumunsi kwanu, mungafunike kuchita popanda epidural! Osachita mantha ngati mumasewera pang'ono komanso mwanzeru koma ngati ndi yayikulu, ndipo m'dera la kuluma, sikupambana. Chifukwa chake ? Inki imatha kusamuka kulowa mu cerebrospinal fluid ndikuyambitsa zovuta zamanjenje. Ndi funso lanzeru chifukwa pakadali pano sizinachitikepo.

Onaninso nkhani yathu : Kodi m'malo mwa epidural?

Siyani Mumakonda