So woasiesie wo ho sɛ wobɛyɛ ɛna na wobɛpɛ sɛ wuhu epidurals ho asɛm na ama ɛyaw a ɛba bere a worewo no so atew?

Akokoaa a wobɛhwɛ kwan no yɛ osuahu soronko a ɛyɛ fɛ yiye wɔ ɔbea biara asetra mu. Bere koro no ara mu no, ɛyɛ ade a ɛfata nso sɛ wubenya ehu ne dadwen kakra wɔ ɛyaw a ɛba bere a wɔrewo no ho. Ebia nnipa binom bɛte ehu nka bere mpo a wosusuw ɛyaw a ɛba saa bere no ho no. Nanso, esiane sɛnea aduruyɛ ho nyansahu akɔ anim nti, akwan bi wɔ hɔ a ɛbɛboa wo ma woadi saa ɛyaw no so kɛse na wode adwene a ɛyɛ komm na emu da hɔ agyina awo ano. Ɔkwan a ɛte saa no biako a wonim no yiye na edi yiye kɛse wɔ nnipa pii mu no, wɔfrɛ no `(Epidural)` . Ebinom nso frɛ eyi `(Epidural Block)`. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, ɛyɛ?

Dɛn ne `(Epidural)` yi? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, epidural yɛ ɔkwan a wɔfa so tew ɛyaw a ɛba wɔ awo mu so, ma wote nka sɛ wo ho adwo wo kakra, na ɛboa wo ma wo ho dwo wo na wohyɛ wo ho so wɔ adeyɛ no nyinaa mu.

Eyi yɛ ɔkwan a wɔfa so di ɛyaw a ɛwɔ nipadua no fã pɔtee bi so ankasa, ``Regional pain control.`` Ɛne sɛ, beae a ɛwɔ w’asen ase nyinaa – a ɔbea no awotwaa afasu ne kosi wo nan ka ho – no, ɛyaw no fi hɔ. Nanso adeɛ a ɛho hia paa ne sɛ, sɛ wo nya ``Epidural,`` ɛwom sɛ wonyɛ ɛyaw de, nanso woda so ara wɔ n'adwene mu , wobɛtumi ate nea ɛrekɔ so wɔ wo ho no nka, na wobɛtumi ate nea nnuruyɛfoɔ ne ayarehwɛfoɔ no reka. Ɛno kyerɛ sɛ wubetumi anya bere fɛfɛ a wo ba no de adwene a emu da hɔ ba wiase yi mu no mu anigye. Mpɛn pii no, eyi ne ɔkwan titiriw a wɔfa so ma ɛyaw ano brɛ ase bere a wɔrewo no.

Ɔkwan bɛn so na wɔde `(Epidural)` yi ma? So wubetumi akyerɛkyerɛ mu kakra?

Afei ebia woredwene sɛ, "Oh, mɛyɛ dɛn ayɛ eyi? So ɛbɛyɛ yaw? Ade bɛn na ɛbɛba?" Mma ɛnhaw wo, mɛkyerɛkyerɛ mu akyerɛ wo tiawa.

Sɛ wonya epidural a, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no de afiri teateaa bi a wɔfrɛ no catheter hyɛ w’akyi ase, titiriw wɔ baabi a atwa w’akyi berɛmo ho ahyia a wɔfrɛ no epidural space no mu. Epidural space yɛ baabi ketewaa bi a ɛwɔ ntini teateaa a ɛkata w’akyi berɛmo so no akyi.

Sɛ woreyɛ eyi a, wɔbɛka akyerɛ wo sɛ tena ase anaasɛ da. Ɔkwan biara so no, ɛsɛ sɛ woma w’akyi yɛ kurukuruwa yiye na wokotow kɔ w’anim . Fa no sɛ ɔkraman a n’akyi ayɛ kurukuruwa. Saa kwan no so no, ɛbɛyɛ mmerɛw ama oduruyɛfo no sɛ ɔde catheter no bɛhyɛ mu.

Saa `(Catheter)` yi begye simma kakraa bi na wode ahyɛ mu. Nea edi kan no, wɔde nnuru kakraa bi gu nipadua no mu de ma baabi a ɛhɔ yɛ mmerɛw no yɛ mmerɛw. Enti ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra, te sɛ ntɛtea ketewa bi a ɔreka wo, anaasɛ wobɛte nka sɛ worebɔ wo. Afei ebia wobɛte nhyɛso a emu yɛ den anaasɛ wobɛte nka sɛ worepiapia wo ho. Wɔde ade no kyerɛ `(Catheter)` ketewa no kwan kɔ baabi a ɛfata. Sɛ wɔde hyɛ mu wie a, woyi ade no fi mu. Ebia wobɛte `(Catheter)` no nka wɔ w'akyi, nanso ɛnyɛ yaw anaasɛ ɛnyɛ dɛ.

Saa `(Epidural catheter)` yi bɛtena hɔ kosi sɛ w'awo bɛba awiei. Ɛnam so na wɔde ɛyaw nnuru ma bere a ɛho hia.

Bere a wɔde epidural ama akyi no, ɛte dɛn?

Ebia nnuru a wɔde fa epidural catheter so de ma no wɔ nnuru a wɔde kum ɛyaw (te sɛ opioids), nnuru a wɔde kum nipadua no, anaa abien no nyinaa a wɔaka abom.

Wobɛhyɛ aseɛ ate aduru no nkɛntɛnsoɔ nka wɔ simma 10-20 mu wɔ bere a wɔde ama wo akyi. Wobɛda so ara ate akokoaa no kankyee, wo yafunu a ɛyɛ den bere a awotwaa no twetwe no nka. Ɛne sɛ, wobɛte nhyɛso a akokoaa no de ba bere a ɔrebɔ mmɔden sɛ obepue no nka. Nanso ɛyaw a wontumi nnyina ano no bɛyera kɛse. Ɛho hia paa sɛ wobɛte saa ntini a ɛtwetwe yi nka, efisɛ ɛbɛboa wo bere a wufi ase piapia akokoaa no.

Bere a oduruyɛfo no ma aduru no dodow kɔ soro anaa ɔtew so no, wo nan betumi ayɛ mmerɛw kakra, ayɛ hyew, ayɛ wo yaw, ayɛ wo yaw, anaasɛ wo mu yɛ duru. Nanso, nea ɛnte sɛ nnuru afoforo bi a wɔde kum ɛyaw no, sɛ wonya epidural , a, wunim nea ɛrekɔ so wɔ wo ho no yiye na wunim.

Mfaso bɛn na ɛwɔ epidural a wɔyɛ so?

Mfaso pii wɔ epidural so. Momma yɛnhwɛ emu atitiriw no.

• Ɛyaw ano aduru a ɛtra hɔ kyɛ : Mfaso kɛse a ɛwɔ so ne sɛ wubetumi anya ɛyaw ano aduru bere tenten a wuhia, a ɛkyerɛ kosi sɛ awo no bɛba awiei.
• Tumi a wotumi sesa nnuru dodow a wɔde ma: Nnuruyɛfo betumi agyina w’ahiade ne awo no fã ahorow so ayɛ nsakrae wɔ aduru no dodow mu. Wobetumi nso agyae aduru no a wɔde ma no kakra sɛ ɛho hia a.
• Anigye ne ahoɔden pa: Esiane sɛ mpɛn pii no nnuru dodow a wɔde ma no sua nti, eyi boa ɛna no ma n’ani da hɔ, ɔte nka sɛ ne ho twitwiw bere a aba no, na bere koro no ara mu no, onya ahoɔden a ehia na ɔde apia akokoaa no.
• Ahobammɔ: Esiane sɛ nnuru dodow no ara tra epidural space nti, kakraa bi pɛ na ɛkɔ ɛna anaa akokoaa no mogya mu. Enti, mpɛn pii no, epidural yɛ nea asiane biara nni ho kɛse ma ɛna ne akokoaa nyinaa.
• Sɛ ɛba sɛ wɔyɛ C-section ntɛm a : Fa no sɛ ɛsɛ sɛ woyɛ C-section ntɛm ara bere a worewo no. Sɛ ɛba saa a, wubetumi anya aduru a wɔde kum nipadua no a ano yɛ den kakra denam epidural catheter a wowɔ dedaw no so. Eyi bɛma wo ho ayɛ wo yaw koraa fi w’asen so akɔ fam, nanso wobɛma w’adwene atu afra koraa bere a wɔreyɛ oprehyɛn no. (Nanso, sɛ wɔyɛ wo C-section ntɛm ara a wonni epidural catheter a, ebia ɛho behia sɛ wɔma wo aduru a wɔde kum nipadua no nyinaa, a ɛkyerɛ sɛ worente biribiara nka bere a wɔreyɛ oprehyɛn no.)

"Epidural betumi aboa kɛse wɔ ɛyaw a ɛso tew mu na ama woatumi de adwene a ɛyɛ komm na emu da hɔ ama wo ba no akwaaba aba wiase no mu."

So ɔhaw anaa asiane bi wɔ epidural a wɔde yɛ no so?

Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane biara nni epidural ho. Nanso eyinom taa yɛ nketenkete anaasɛ ɛnyɛ den sɛ nnuruyɛfo bedi ho dwuma. Momma yɛnhwɛ nea wɔyɛ:

• Ɛyɛ den sɛ wobɛpia akokoaa no: Ɛtɔ mmere bi a, epidural no betumi ama ayɛ den sɛ wobɛpia akokoaa no . Nanso, sɛ eyi ba a, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no betumi ayɛ nsakrae wɔ aduru no dodow mu de asiesie ɔhaw no.
• Mogya a ɛba fam wɔ ɛna no mu: Eyi betumi anya mogya a ɛkɔ akokoaa no mu no so nkɛntɛnso ketewaa bi. Nanso ɛnyɛ den sɛ nnuruyɛfo betumi adi eyi so nso.
• Nneɛma nketenkete afoforo a ɛmma wɔn ho nyɛ wɔn dɛ: Ebia nnipa binom benya tiyɛ, nipadua mu yaw, atiridiinini, akisikuru, anaa ɔfe .
• Ɛyɛ den sɛ wobɛtow nsu bere tiaa bi: Ɛtɔ mmere bi a, ebetumi ayɛ den sɛ wobɛtow. Sɛ eyi ba a, ebia ɛho behia sɛ wɔde afiri a wɔde fa nsu mu bere tiaa bi hyɛ mu.

Ebia saa nneɛma yi bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso kae sɛ asiane ahorow no sua koraa (Wɔateɛteɛ: "ரோம஬ா ஦ாயி" yɛ Tamil kasa, fa "இதமா ஦ாயி" di dwuma), ɛba fam koraa , na nnuruyɛfo kuw no asiesie wɔn ho ama eyinom nyinaa.

So epidural bɛka me ba no?

Ehu titiriw a ɛnanom binom wɔ ne sɛ, "So aduru yi bɛka akokoaa no?" Nokwarem no, aduru a wɔde epidural ma no mu kakraa bi pɛ na ɛkɔ akokoaa no mogya mu. Eyi sua koraa sen nnuru dodow a sɛ wɔma wo IV anaa aduru a wɔde kum nipadua no a, anka ebedu akokoaa no nkyɛn.

Asiane a ɛwɔ akokoaa no so fi epidural mu no sua koraa. Nanso, ɛtɔ mmere bi a, ahoyeraw kakra betumi aba. Eyi kyerɛ sɛ mpɛn pii no akokoaa no koma bɔ brɛoo esiane ɛna no mogya mmoroso a ɛba fam nti . Nanso, eyi nso betumi asiesie ntɛm. Wobetumi akwati eyi denam nsu a wɔde bɛma ɛna no denam IV so, a wɔbɛsakra ne gyinabea, na wɔama ne mogya a ɛkɔ nipadua no mu atu mpɔn no so.

Sɛ manya akokoaa no awie no, mɛte nka dɛn?

Ebia wobɛte nka sɛ wowosow kakra bere a woawo wo ba no akyi. Eyi yɛ soronko wɔ nnipa binom fam, sɛ́ wɔyɛɛ epidural anaasɛ wɔannyɛ no, enti mma ɛnhaw wo.

Wo nan bɛte nka sɛ ɛyɛ mmerɛw kakra na emu yɛ duru a wobɛte nka sɛ ɛyɛ mmerɛw kosi sɛ aduru no nkɛntɛnso bɛsɛe. Enti ebia worentumi nnantew nnɔnhwerew kakraa bi wɔ wo ba no awo akyi. Ɛno mpo no, ɛbɛyɛ papa sɛ wobɛma obi aboa wo ma woanantew kosi sɛ wo nan bɛte nka sɛ ɛyɛ nea ɛfata.

Sɛ wɔyɛɛ wo C-section a, ebia wo duruyɛfo begyaw epidural bi wɔ nea ɛwɔ hɔ no mu bere tiaa bi na aboa ma woadi ɛyaw no so wɔ oprehyɛn no akyi.

Ebia baabi a epidural no bɛyɛ no yaw kakra nna kakraa bi. Eyi yɛ ade a ɛfata. Ɛntaa mma koraa sɛ ɛnanom a wɔayɛ wɔn epidural no betumi anya tiyɛ kɛse bere a wɔawo akyi. Sɛ eyi ba a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.

Ade a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Enti, sɛ yɛde rewie a, epidural yɛ ɔkwan pa ara a ahobammɔ wom a wɔfa so di awo mu ɛyaw ho dwuma. Ebetumi aboa wo ma woate ɛyaw so na wode awerɛkyekye ne asomdwoe agye wo ba no aba wiase.

Nokwarem no, ɛnyɛ obiara na ohia epidural, na nnipa binom mpɛ bi. Ɛyɛ wo gyinaesi koraa. Nanso sɛ woredwen ho a, wo ne wo duruyɛfo nka ho asɛm . Wobetumi aboa wo ma woapaw nea eye sen biara ama wo, a wosusuw w’akwahosan tebea, nea wopɛ, ne nea ɛkeka ho ho.

Kae sɛ awo yɛ asɛnnennen ne osuahu a ɛyɛ fɛ. Wowɔ hokwan sɛ woma saa osuahu no yɛ nea ahotɔ wom sɛnea wubetumi.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Sɛ wowɔ biribi foforo a wubebisa a, yɛsrɛ sɛ ntwentwɛn wo nan ase sɛ wubebisa!

` Epidural, awo, nnuru a wɔde kum ɛyaw, awo mu ɛyaw, cesarean section, anesthesia, nyinsɛn