Waqtiga Epidural waa inaanay aheyn mid ka soo horjeeda Foosha
Sannado badan waxaa jiray doodo ku saabsan waqtiga ugu fiican ee lagu helo epidural'ka ku jiray foosha. Fikradaha hore ee ku saabsan mawduucyada waxay ahayd in ay jiri karto suurta galnimada inay hoos u dhigto foosha ama xitaa kordhiso heerka qiyaasta qaliinka haddii epidural-ka la siiyay waqti hore foosha. Tani waxay keeneysaa isbitaallada qaarkood iyo kuwa xirfadlayaasha ah inay noqdaan kuwo aad u ilaaliya xilliyada epidural'ka, inta badan waxay leeyihiin siyaasado u baahan dumarka si ay u gaaraan carqalad gaar ah, badanaaba ugu yaraan afar sentimitir, iyo mararka qaarkood lix saacadood mitir.
Daraasada Cochrane ee qiimaynta nidaamsan waxay daabacday farqiga natiijooyin badan oo ku saabsan caafimaadka hooyada, ilmaha, dhererka shaqada (heerka koowaad iyo labaad), iyo tallaabooyin kale oo kala duwan, oo aan helin khilaafaad dhab ah ku dhowaad 15,000 haween ah. Tani waa war fiican oo loogu talagalay haweenka qorshaynaya in ay isticmaalaan suuxdinta dhabarka.
Xilligan, Xarumaha Xakamaynta iyo Ka Hortagga Cudurrada (CDC) ayaa sheegaya in qiyaastii 61% haweenka ku nool Mareykanka ay isticmaali doonaan epidural'ka xanuunka xanuunka. Inkastoo tiradaasi ay si aad ah u kala duwan yihiin gobollada, iyadoo isbitaallada qaarkood ay ku dhow yihiin boqolkiiba 100 boqolkiiba epidural'ka iyo kuwa kale ee leh heerarka epidural'ka oo aad u hooseeya.
Waxyaabo yar oo tilmaamaya:
- Dib-u-eegidani waxa kaliya oo lagu cabbiraa epidural'ka hore iyo epidural'ka dambe. Laguma daro fiirin faafinta epidural'ka ee epidural'ka.
- Daraasadu dhab ahaantii ma qiimeyn karto faa'iidada ama halista daawooyinka iyo farsamooyinka loo isticmaalo ama la socdo epidural'ka. Tusaale: Hooyo ayaa codsaneysa oo qaadata tallaalka duritaanka IV-ga ka hor intaan la helin epidural'ka.
- In aan la taaban karo, ma aanan arkin dood ka mid ah kuwa sida badan loo maleynayo halista.
- Suuxdinta suuxdinta ayaa si isdaba joog ah u badashay tobannaan sano. Sanadihii ugu horreeyay ee isticmaalka faafinta ballaaran, daawooyinka ayaa la siiyay qadar ballaadhan iyo sida haweeney u dhacday epidural-ka markaas (sida caadiga ah gebi ahaanba kabuubyo) hadda (way kala duwan yihiin, laakiin qaar badan ayaa leh awood u leh inay guuraan oo ay dareemaan cadaadis aan lahayn xanuun).
Qeybta hoose waa in haddii aad rabto inaad ku hesho epidural'ka fooshaada, ha dhidin wakhtigaas. Waa inaad heshaa epidural'ka markaad dareento in ay tahay waxa ugu wanaagsan ee aad adigu leedahay, iyo ma'aha sida saacad.
Ilaha
Osterman MJK, Martin JA. Isticmaalka suuxdinta laf-dhabarka iyo laf-dhabarka inta lagu jiro foosha: 27-warbixinta gobolka ee warbixinta, 2008. Warbixinnada muhiimka ah ee tirakoobka qaranka; vol 59 no 5. Hyattsville, MD: Xarunta Qaranka ee Caafimaadka Tirakoobka. 2011.
Sng B, Leong W, Zeng Y, Siddiqui F, Assam PN, Lim Y, Chan ESY, Sia AT. Xilli hore oo laga soo bilaabo bilaabista dambe ee xanuunka epidural'ka ee foosha. Xogta Cochrane ee Dib-u-eegista Xogta 2014, Issue 10. Art. No: CD007238. DOI: 10.1002 / 14651858.CD007238.pub2 - Fiiri dheeraad ah: http://summaries.cochrane.org/CD007238/PREG_early-versus-late-initiation-of-epidural-analgesia-for-labour#sthash.NiJZ0QDS.dpuf