Sei Iwe Unganyatso Kuda Kuwana Iyo Epidural-Panze Nekunyaradza Kurwadziwa

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Kana iwe wakambove nepamuviri kana uine mumwe munhu padyo newe achizvara, iwe ungangoziva zvese pamusoro pemapurururu, chimiro cheanesthesia chinowanzo shandiswa mukamuri rekusvitsa. Vanowanzopiwa nguva pfupi vasati vaberekwa (kana C-section) uye vanoendeswa nekubaya mishonga zvakananga munzvimbo diki muzasi kumashure kunze kwemusana. Kazhinji, mapururati anofungidzirwa senzira yakachengeteka, inoshanda zvakanyanya yekudzora marwadzo anowanikwa pakuzvara. Zvechokwadi, vakadzi vakawanda vanosarudza kuenda kune kuberekwa kwechisikigo, uko kushoma kwemishonga inoshandiswa, asi epidural inenge inoreva kuti pachava nemarwadzo mashoma panguva yekusununguka. Parizvino, isu tinoziva zvakawanda nezve mabhenefiti emuviri ekuva neepidural, asi ruzivo rwezvepfungwa dzavo rushoma.

Mune chidzidzo chitsva chakaunzwa kuAmerican Society yeAnesthesiologists 'musangano wegore, vaongorori vakatsanangura kuti vawana chimwe chikonzero vakadzi vangangoda kufunga nezvekuwana chirwere. Mushure mekuongorora zvinyorwa zvekuberekwa kwevanaamai vatsva vanopfuura 200 vane epidurals, vatsvakurudzi vakawana kuti kuora mwoyo kwepashure kwaive kushoma kune vakadzi vane epidurals iyo yaibatsira pakubvisa marwadzo. Postpartum kushushikana, kunozivikanwa nezviratidzo zvakafanana neizvo zvekuora mwoyo asi pamwe nekuwedzera kunetseka kune hukama nehuamai hutsva, zvinokanganisa vangangoita mumwechete pavakadzi vasere vatsva maererano neCenters for Disease Control, ichiita iro dambudziko chairo uye rakajairika. Chaizvoizvo, vatsvakurudzi vakawana kuti iyo inonyanya kushanda epidural, inoderedza njodzi yekuora mwoyo kwepashure. Zvinhu zvakanaka zvinoshamisa.

Kunyangwe iyi iri nhau huru kuvakadzi vachifunga nezvemapapu, vatsvagiri vanoyambira kuti havana mhinduro dzese. "Kunyangwe isu takawana kusangana pakati pevakadzi vanowana kurwadziwa kushoma panguva yebasa uye njodzi yakaderera yekusununguka kwepashure, isu hatizive kana kurwadziwa kwekurapa neepidural analgesia kunovimbisa kudzivirira mamiriro," akadaro Grace Lim, MD, director we obstetric anesthesiology paMagee Women's Hospital yeYunivhesiti yePittsburgh Medical Center uye anotungamira muongorori pachidzidzo ichi mukuburitswa kwepepanhau. "Postpartum kushushikana kunogona kukura kubva pane zvinoverengeka zvinhu zvinosanganisira shanduko yemahormone, kugadzirisa kwepfungwa kuva amai, rutsigiro rwemagariro, uye nhoroondo yezvinetso zvepfungwa." Saka epidural haivimbise kuti iwe uchadzivirira postpartum depression, asi pane zvechokwadi kuwirirana kwakanaka pakati pekuberekwa kunorwadza uye kusava nayo.

Kusarudza nzira yekusununguka isarudzo yemunhu oga inofanira kuitwa pakati pemukadzi nachiremba wake (slash mid-wife). Uye iwe uchiri kusarudza kuve nekuzvarwa chaiko nekuda kwezvikonzero zvakasiyana: mapurururu anogona kuita kuti basa rigare kwenguva refu uye kusimudzira tembiricha yako, uye vamwe vakadzi vanoti kuzvarwa chaiko kunovabatsira kuti vanzwe varipo panguva yekusununguka. Vamwe vanaamai vanonetsekana nezve epidural side effects senge hypotension (kudonha kweBP), itchiness, uye kurwadza kwemusoro wemusana mushure mekusununguka, sekureva kwehanzvadzi yedu saiti. Kukodzera Kubata. Zvakadaro, njodzi zhinji hadziwanzo uye hadzikuvadzi kana dzikarapwa nekukasira.

Parizvino, zvinoita sekunge kutsvagurudza kuri kudiwa kuti unzwisise zvizere zvinoreva epidurals panjodzi yekuora mwoyo kwepashure, asi kana watova nechokwadi chekuti uchave nayo, kuwanikwa kutsva uku. zvirokwazvo unogamuchirwa.

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