Umama omtsha ubethwe phantse nge-5K yeedola ngerhasi yokuhleka ngexesha lomsebenzi

Umongikazi-umbelekisi uKarli-Rae Kerrschneider wayefuna amava okuzalwa afanayo athembisa izigulana zakhe-kwaye oko kubandakanya ukusetyenziswa kwe-nitrous oxide, okanye igesi ehlekisayo, ukumenza angonwabi.

Ukuhanjiswa kwerhasi ngexesha labasebenzi kubuyile kuthando e-US kule minyaka imbalwa idlulileyo njengenye indlela engenabungozi yokunyanga isifo esilawulwa ngugqirha obulala iintlungu.

"I-Nitrous ayizisusi iintlungu kangangokuba ibangele ukuba ungazikhathalelanga," utshilo uKerrschneider, ejonge umphumo wobulali.

UKerrschneider wayene-epidural yokuzalwa kwentombi yakhe kwi-2016 kwaye wayengakuthandi ukunganyanzeliswa kwaye avalelwe ebhedini yakhe ngexesha lomsebenzi. Ngokuzalwa konyana wakhe ngoDisemba ophelileyo, wakhetha i-nitrous oxide kwisibhedlele i-Hudson e-Hudson, Wis.

Umsebenzi wawude-iiyure ezili-11-kodwa yahamba njengoko wayenethemba, kungekho ngxaki kunye nokhathalelo olukhulu kumongikazi-umbelekisi kunye nedoula. Ukukwazi ukuthwala initrous kwakuxhobisa kwaye "wasusa umda" njengoko wayejikeleza ejinga ebhafini ngexesha lokudinwa kwakhe. Uqikelele ukuba uphefumla i-nitrous amaxesha ayi-10 ukuya kwali-15 ngeyure ekusebenzeni.

Isigulana: UKarli-Rae Kerrschneider, 32, ongumongikazi-mhlengikazi oqinisekisiweyo ohlala nomyeni wakhe kunye nabantwana bakhe ababini eBaldwin, Wis.

Abanikezeli beenkonzo: Isibhedlele i-Hudson, isibhedlele esingama-25 esibhedlele esibalulekileyo ekufikeleleni e-Hudson, Wis.Yinxalenye ye-HealthPartners, inkqubo yezempilo yengingqi engenzi nzuzo kunye ne-inshurensi ese Bloomington, Minn.

Inkonzo yezoNyango: I-Kerrschneider yayine-vaginal elula yokuhanjiswa ngumongikazi-umbelekisi kunye ne-doula. Ukuhanjiswa kwakhe kwamanzi kwalandelwa kukuhlala esibhedlele iintsuku ezimbini yena kunye nosana lwakhe olusandul 'ukuzalwa. Ukuphela kwentlungu yakhe ngexesha lokusebenza kwakhe yayiyi-analgesic gas, engumxube we-50% ye-nitrous oxide kunye ne-50% yeoksijini.

Oko kusinikayo: Njengoko izibhedlele zamkele iindlela zokubhila ezixhaphakileyo kwamanye amashishini, iinkonzo zabo ziyahlawulwa ngomzuzu- umzekelo, ixesha elichithwa sisigulana lilele kwigumbi lokuchacha emva kotyando, ixesha elichithwa sisigulana esinomhlaza ukumiliselwa kweziyobisi okanye ixesha lesigulana elixhonyiweyo ekubekweni esweni kwentliziyo.

U-Kerrschneider wahlawuliswa iiyunithi ezingama-39 ze-nitrous oxide, okanye malunga ne- $ 124 kuyo yonke imizuzu eli-15 itanki lalisegumbini lakhe emva kokuba umongikazi embonise indlela yokusebenzisa le gesi-nokuba uyayisebenzisa okanye akayisebenzisi. Emva kweeyure ezili-10, iindleko zafikelela kwi-4, i-836 yeedola.

"Ndicinga ukuba yinto ehlekisayo ukuba babize imali eninzi," watsho, ebonisa ukuba akanayo ne-IV pain pain. "Ndingazithengela owam umatshini ukulungiselela loo nto."

UKerrschneider wade wahlekisa nomyeni wakhe esithi ngaloo mali inokuba nomntwana ekhaya, wazithengela umatshini wenitrous oxide wayiqeshela abanye abantu emva koko. Ewe, wayesondele. Umatshini omtsha wokuhambisa i-nitrous oxide uthengisa malunga ne- $ 6,500 kunye neetanki ezigcwalisa iindleko ezingaphantsi kwe- $ 50, ngokweCareStream America, inkampani ethengisa izixhobo.

UJudith Rooks, umongikazi ongumdlezane odla umhlala-phantsi kunye nomongameli odlulileyo weAmerican College of Nurse-Midwives, uncede ekwandiseni ukusetyenziswa kwe nitrous oxide ngexesha lokubeleka. Rooks uthe ngelixa wayothuswe kukuva ngetyala elinzima, akazange amangaliswe.

"Akukho kukhanya okanye ukubeka emgangathweni," utshilo uRooks, ephawula ukuba iirhafu zinokwahluka kakhulu kwi-nitrous oxide ngexesha lomsebenzi.

Inxalenye yale ngxaki ibangelwe kukuphinda kuvele lo mkhwa e-US Ngo-2011, izibhedlele ezibini zanikela nge-nitrous oxide xa izalwa eMelika Ngoku kuqikelelwa ukuba zizibhedlele ezili-1 000 kunye namaziko angama-300 okuzalela abantwana, utshilo uMichelle Collins, unjingalwazi nomlawuli Umongikazi-obelekisa eVanderbilt University School of Nursing.

Ukusetyenziswa kwe-nitrous oxide kudala kuqhelekile ngexesha lokubeleka e-United Kingdom nase-Canada, ngokuyinxenye ngenxa yexabiso eliphantsi. Abantu abaninzi e-US bafundile malunga nokuziqhelanisa ngelixa bebukele umdlalo odumileyo waseBritane othi "Biza uMdlezana," obekwe kwiminyaka yoo-1950. I-Epidural anesthesia ubukhulu becala ifudukile e-nitrous oxide e-US kwii-70s.

Ngokwesiqhelo (nangokukhuselekileyo) ukonganyelwa ngabahlengikazi, i-nitrous oxide ihlala ihlawuliswa ngentlawulo ethe tyaba- naphi na ukusuka kwi- $ 100 ukuya kwi- $ 500 yokufikelela kumatshini nakwirhasi. Ngamanye amaxesha izibhedlele zibiza imaski, ngokwe- $ 25, utshilo uCollins. Ukuhleka kwegesi ngokwayo kubiza kakhulu- kubiza malunga neesenti ezingama-50 ngeyure ngexesha lomsebenzi, utshilo. Ngamanye amaxesha izibhedlele azibizi mali kwaphela.

Kodwa ukuhlawula kungatshintsha ukuba i-nitrous oxide ilawulwa okanye ijongiswe ngugqirha okanye umongikazi we-anesthetist, oko kuthetha ukuba ungenelelo lunokunikwa ikhowudi ye-anesthesia.

UKerrschneider wahlawuliswa phantsi kwale ndlela, enegalelo kwibhili yakhe ephezulu. Oku kuphakamisa iiflegi ezibomvu zeKerrschneider kuba ugqirha we-anesthesiologist wayengekho nangayiphi na indawo yomsebenzi wakhe esibhedlele, eyamkhokelela ekubeni abuze ityala lakhe.

Isibhedlele i-Hudson sixelele i-Kaiser Health News kwingxelo yokuba icandelo le-anesthesia lelona lisisebenzisayo ukwenza le nkonzo, lisazi ukuba “icandelo lokuhlawulisa libanzi kwaye alibonisi ukuba i-anesthesiologist okanye i-nurse ye-anesthetist eqinisekisiweyo yenze inkonzo. ” Ukuthelekisa, nangona kunjalo, isibhedlele i-Hudson sibiza, ngokomndilili, kuphela i-1,495 yeedola yesifo, ngokwe-ofisi yaso yonxibelelwano. Ngaphantsi kwesithathu indleko ze-nitrous.

"Ndiyibonile le mithetho ingamampunge yokuzalwa- andikholelwa ukuba umntu uyayihlawula," utshilo uRooks. "Oko akuphumelelanga kwaphela kulo naluphi na uhlobo lwendleko, kodwa ke intle kakhulu nayiphi na imali oyifunayo."

Isigqibo: Xa uKerrschneider wabona ukuba uhlawulisiwe nge-anesthesia, wabiza isibhedlele ngokuphindaphindiweyo malunga nekhowudi, ezibuza ukuba ngaba isibhedlele simhlawulise ngengozi ngenxa yesifo. Waqhankqalaza ngakumbi xa efumanisa ukuba umrhumo omkhulu wawenzelwe i-nitrous kuphela. Wayeyazi ukuba isibhedlele asebenza kuso sibiza umrhumo omalunga ne- $ 100 kwinto enye.

I-inshurensi uMedica uxelele iKaiser Health News ukuba iyala ukuhlawula i-4,836 yeedola i-Kerrschneider eyayihlawuliswa iindleko ze-nitrous oxide, icacisa "uxanduva lokubonelela." Oko kuthetha ukuba iMedica ayizange igwebe ngokuthe ngqo intlawulo ye-nitrous ukuba ibe phezulu kakhulu, kodwa ukuba yayinexabiso ekuvunyelwene ngalo lokuzala kunye neSibhedlele i-Hudson, kwaye iirhafu zizonke azinakugqitha loo mali.

Isibhedlele sankqonkqoza intlawulo ye-nitrous oxide yehla yaya kuthi ga kwiiyure ezingama-496 zeedola - nangoku iphindwe kahlanu imali eya kuhlawulwa sisibhedlele sayo.

U-Kerrschneider ekugqibeleni uyekile kwaye wayamkela intlawulo ye-nitrous eyancitshisiweyo kuba ebengafuni ukuqhubeka nokuchasana nabantu kwingingqi apho asebenza khona njengomongikazi-umbelekisi. Lilonke ukhathalelo yena kunye nonyana wakhe abalufumanayo ngokuzalwa kwakhe, wayekwi-hook yokutsalwa kwemali kunye neepawotsheni ezazifikelela kwi-3,635 yeedola. Uyihlawule.

"Ndidiniwe kukujongana nayo," utshilo. "Ndandinomntwana osandul 'ukuzalwa ndandincancisa, kwaye ndandingafuni ukuba iphinde ijonge phezu kwentloko yam." Okwangoku, wayothuswe kukuba ukuzalwa kongenelelo oluncinci kunokubangela ukubiza kakhulu. “Bangaphi abantu abazalele kwesi sibhedlele kwaye bahlawule ikheshi okanye nantoni na kuba bengazi?” Ubuzile.

I-Takeaway: I-nitrous oxide esetyenzisiweyo ngexesha lomsebenzi kunye nokuhanjiswa ayinayo intlawulo esemgangathweni okanye ikhowudi, eyothusayo kuthathelwa ingqalelo ukuba kukho iikhowudi zokuhlawuliswa kwezonyango malunga nayo yonke into-kubandakanya ukukhonkxwa yinkukhu okanye ukufunxwa kwijini yejet.

Amaxabiso, kunye neendlela zokuhlawula, zokubeleka zinokwahluka kakhulu phakathi kwezibhedlele. Ezinye izibhedlele zinokubonelela ngexabiso elibandakanya izinto ezinje nge-epidural, ukusetyenziswa kwebhafu yokuzala, imfundo yokuncancisa kunye ne-nitrous, ukuba iyafuneka kwaye iyafuneka. Abanye baya kuhlawulisa into nganye-ngamanye amaxesha kakhulu kwaye, ngamanye amaxesha, ngomzuzu.

UKerrschneider uthe akacingi ukubuza malunga neerhafu ze-nitrous oxide, ethathela ingqalelo isibhedlele sakhe esihlawuliswe imali encinci ngenxa yenkonzo.

Ngaphambi kokuba uthathe isigqibo sokuba uza kuba nalo phi usana lwakho - ngaphambi kwako nakuphi na ukulaliswa esibhedlele okukhethiweyo- cela uqikelelo olubandakanya konke kunye nokwehla kwexabiso, kwaye uqiniseke ukuba uyayiqonda indlela isibhedlele esibala ngayo amatyala ayo.

Nje ukuba uphume esibhedlele, cela into oyibhalileyo kwaye uyiqwalasele ngononophelo. UKerrschneider wayengumntu oqeqeshiweyo kwezonyango osebenza kwicandelo labasebenzi kunye nokuhanjiswa, elamnceda ukuba aqonde ukuba uhlawuliswa ngaphezulu. Kodwa ukuba, umzekelo, ubona intlawulo enkulu ye-anesthesia xa ungazange ubone i-anesthesiologist, buza imibuzo, yenza ingxabano. Nguwe kuphela onokubamba ezinye iintlobo zamatyala anganyanisekanga: Ubusegumbini lokuhambisa. I-inshurensi yakho ibingekho.

UMthetho oYilwayo weNyanga luphando olwenziwe ngabantu abaninzi yiKaiser Health News kunye ne-NPR ethi ichaze kwaye ichaze amatyala ezonyango.

Iindaba zeKaiser zezeMpilo yinkonzo yeendaba engenzi nzuzo egubungela imicimbi yezempilo. Yinkqubo ezimeleyo yokuhlela yeKaiser Family Foundation, engadibaniyo noKaiser Permanente.


Ixesha Post: Jun-06-2019
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