Ua haʻi aku anei kāu kauka iā ʻoe e pili ana i kahi epidural? Malia paha no ka hānau keiki ʻana, a i ʻole ke ʻoki kino, a i ʻole ka ʻeha hope. He mea maʻamau ke hopohopo iki a kānalua e pili ana i ka loaʻa ʻana o kahi inikini kokoke i kou iwi kuamoʻo. Akā he aha maoli ia? Palekana anei? He aha kāna hana? Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka epidural?
ʻO ka epidural kahi inikini o kahi lāʻau hoʻopau ʻeha i loko o kahi hakahaka a puni nā aʻalolo i loko o kou iwi kuamoʻo. Kāhea mākou i kēia wahi ʻo 'epidural space'. Pēlā i puka mai ai ka inoa.
E noʻonoʻo i ko kākou iwi kuamoʻo e like me kahi paipu me nā uea he nui e holo ana ma loko. Aia i loko o kēia paipu ke kaula iwi kuamoʻo. Ma waho o kēia paipu, ʻo ia hoʻi, ka hakahaka i loko o ka iwi kuamoʻo, ua kapa ʻia ʻo ka hakahaka epidural. Ma ka hoʻokomo ʻana i nā lāʻau ʻeha i loko o kēia hakahaka, hoʻōki lākou i nā hōʻailona ʻeha e hele ana ma o kēlā mau aʻalolo i ka lolo.
Hoʻohana nā kauka i nā epidurals i nā kūlana like ʻole. Eia kekahi laʻana:
- E kāohi i ka ʻeha i ka wā hānau .
- Ma mua o ke ʻoki ʻana, e hoʻokomo i ka anesthesia .
- Hoʻomaha i ka ʻeha ma hope o ke ʻoki kino .
- E mālama i ka ʻeha hope i hoʻokumu ʻia e nā kūlana e like me ka herniated disc.
- E mālama i ka ʻeha mau loa .
ʻElua mau ʻano nui o nā epidurals:
Ma muli o ke kumu a mākou e hāʻawi ai i kahi epidural, ʻelua mau ʻano nui. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka papa ma lalo.
| ʻAno Epidural | Pahuhopu nui | Pehea ka lōʻihi o ka hopena? |
|---|---|---|
| ʻO ka Anesthesia Epidural | Hoʻohana ʻia ka anesthesia e hoʻomāʻū i kahi wahi ma ka hoʻopau ʻana i ka ʻeha a me ke ʻano. Hoʻohana pinepine ʻia kēia i ka wā hānau keiki a me ke ʻoki ʻana. | Aia ka hopena i ka nui o ka lāʻau i hāʻawi ʻia. ʻO ka maʻamau, he mau hola ia. |
| ʻO ka inikini Steroid Epidural (ESI) | Hoʻohana ʻia e kāohi i ka ʻeha mau loa a me ka mumū , pili kēia i ka hoʻokomo ʻana i kahi ʻano steroid (corticosteroid). | He mea kūpono loa kēia. Hiki iā ia ke kāohi i ka ʻeha no nā pule a i nā mahina. |
Pehea e hana ai kēia? Nā ʻano o ka hāʻawi ʻana i kahi epidural
ʻOkoʻa ke ʻano o ka hana ʻana o ka epidural ma muli o ke ʻano.
- Hoʻopale ka anesthesia epidural i nā hōʻailona mai nā aʻalolo ʻike ʻeha i ka lolo no kekahi manawa. Ua like ia me ke kinai ʻana i kahi kuapo. Hoʻopau ia i kēlā mau aʻalolo no kekahi manawa.
- ʻO ka inikini steroid epidural e pili ana i ka inikini ʻana i kahi lāʻau lapaʻau a puni ke aʻalolo mumū e hoʻoulu ai i ka ʻeha. Hoʻemi kēia i ka pehu a me ke kaomi ma luna o ke aʻalolo, e hoʻomaha ana i ka ʻeha.
Hoʻohana nā kauka i kekahi mau ʻano hana e hoʻokomo ai i kēia lāʻau.
Nā epidurals hoʻokahi-inject
Hoʻokahi wale nō inikini o kahi anesthetic a steroid paha. Penei ka pinepine ʻana o nā inikini steroid no ka ʻeha kua.
ʻO nā Epidurals me kahi catheter
ʻO kēia ke komo ʻana i kahi paipu lahilahi a palupalu (catheter) i loko o ka hakahaka epidural. Hiki i kēia paipu iā ʻoe ke hāʻawi i kekahi mau lāʻau lapaʻau i ka manawa kūpono a me ka nui kūpono. Hoʻohana pinepine ʻia kēia ʻano hana e kāohi i ka ʻeha i nā makuahine hāpai a i ka wā o nā ʻoki lōʻihi.
ʻO ka Epidural me ka PCA
Ma hope o kekahi mau ʻoki kino, hoʻokomo ʻia kahi catheter i loko o kou wahi epidural, a hoʻopili ʻia kahi pamu liʻiliʻi iā ia. Kaomi ʻoe i kahi pihi ma kēia, a hiki iā ʻoe ke hoʻokomo iā ʻoe iho me kahi nui palekana o ka lāʻau lapaʻau a kāu kauka i kauoha ai, i kēlā me kēia manawa āu e pono ai. Ua kapa ʻia kēia he analgesia i kāohi ʻia e ka mea maʻi (PCA).
Hoʻohui ʻia ka spinal-epidural (CSE)
ʻO kēia ka hāʻawi ʻana i kahi hui o kahi anesthetic a me kahi steroid ma o kahi catheter. Hoʻohana pinepine ʻia kēia ʻano hana e kāohi i ka ʻeha i ka wā hānau. Ua kapa ʻia hoʻi ʻo ia he 'epidural hele wāwae', akā nui ka poʻe i hiki ʻole ke hele. Eia nō naʻe, hiki nō iā lākou ke neʻe a puni no ka mea he manaʻo ko lākou i ko lākou mau wāwae.
Pehea e hoʻomākaukau ai ma mua o ka epidural?
Ma muli o ke kumu e loaʻa ai iā ʻoe kahi epidural, ʻokoʻa paha ka hoʻomākaukau e pono ai ʻoe e hana. No laila he mea nui e hahai pololei i nā kuhikuhi a kāu kauka. ʻO ka maʻamau, e noi ʻia paha ʻoe e hana i nā mea e like me:
- Mai ʻai a inu no kekahi mau hola ma mua o ka mālama ʻana.
- E hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā lāʻau hoʻokahe koko) a me nā huaora no kekahi manawa.
- E hoʻonohonoho mua i kahi e lawe ai iā ʻoe i ka home ma hope o ka mālama ʻana.
He aha ka mea e hana ai ke hāʻawi ʻia kahi epidural?
Ke hāʻawi ʻia ʻoe i kahi epidural, e hoʻohuli ʻia ʻoe ma kou ʻaoʻao a e hoʻomoe ʻia i lalo, a i ʻole e noi ʻia ʻoe e kūlou i mua a noho i luna. A laila e hahai ke kauka i kēia mau ʻanuʻu:
1. ʻO ka mea mua, hoʻokomo ʻia kahi cannula i loko o kahi aa koko ma kou lima, e like me ka saline drip.
2. A laila, hāʻawi ʻia kahi inikini liʻiliʻi e hoʻomānoino i ka wahi i hoʻokomo ʻia ai ka epidural.
3. A laila, hoʻokomo ʻia ka nila epidural i loko o ka hakahaka epidural ma kou kua. (No nā inikini steroid no ka ʻeha o ke kua, hoʻohana ʻia kekahi kāmela kūikawā (fluoroscopy), e like me ka X-ray, e ʻike pono i kahi e hele ai ka nila.)
4. Inā e hoʻokomo ʻia ana kahi catheter, e hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o ke kui a e wehe pono ʻia ke kui. Noho ka ʻōmole i loko o ke kino.
5. A laila hoʻomaka lākou e hāʻawi i ka lāʻau lapaʻau ma o kēlā ʻōmole.
6. Ke ʻole ʻoe e pono hou i ka lāʻau lapaʻau (hiki ke lilo i loko o kekahi mau hola a i ʻole kekahi mau lā), e wehe ʻia ke catheter.
Hiki paha iā ʻoe ke manaʻo i kahi ʻeha ke loaʻa mua iā ʻoe ka lāʻau hoʻomāno. A laila, ke hāʻawi ʻia ka epidural, hiki paha iā ʻoe ke manaʻo i kahi ʻūlū iki, ka hoʻomāno, a i ʻole ke kuni. Akā inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, pono ʻoe e haʻi koke i kāu kauka.
E hoʻoulu anei kahi epidural i ka ʻeha o ke kua ma hope?
He nīnau kēia a nā kānaka he nui e nīnau ai a he mea hoʻi e makaʻu ai nā kānaka he nui.
He mea kākaʻikahi loa ka epidural e hoʻoulu ai i ka ʻeha hope no ka manawa lōʻihi. He kuhi hewa pinepine kēia.
He mea maʻamau ka loaʻa ʻana o kekahi ʻeha iki a i ʻole ka palapū ma kahi i ini ʻia no kekahi mau lā. E nalo loa ana kēia i loko o ʻelua a ʻekolu lā.
He nui nā makuahine e ʻeha ana ke kua ma hope o ka hānau ʻana. ʻO ke kumu o kēia, ʻo nā iwi a me nā ligaments i hohola ʻia i ka wā hāpai e hoʻomaka ana e hoʻomaʻamaʻa hou i ko lākou kūlana maʻamau. Hiki ke hana kēia inā paha ua loaʻa iā ʻoe kahi epidural. No laila, ʻaʻole hiki iā ʻoe ke hoʻāhewa i ka epidural no ia.
Aia kekahi mau pilikia a me nā hopena ʻaoʻao?
He palekana loa nā epidurals ma ke ʻano laulā, akā e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa. Eia naʻe, he mea kakaikahi loa kēia.
- Ke kahe ʻana o ke koko mai kahi i inikini ʻia.
- Ka maʻi ma kahi i inikini ʻia.
- Ke kahe ʻana o ka wai o ka iwi kuamoʻo (he mea kākaʻikahi loa kēia).
- Ka pōʻino o ke aʻalolo.
- Nā hopena ʻaoʻao a i ʻole nā maʻi ʻaleka i nā lāʻau lapaʻau.
He haʻahaʻa loa kēia mau pilikia. E noʻonoʻo kāu kauka i kēia mau mea āpau a mālama iā ʻoe ma ke ala palekana loa.
Āhea ʻoe e kamaʻilio ai me ke kauka?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei ma hope o ka loaʻa ʻana o kahi epidural, e kāhea koke aku i kāu kauka, a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU).
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| kuni | Hoʻonui ʻia ka mahana o ke kino. |
| ʻO ka mimi ʻana me ke kāohi ʻole ʻia | Ka hoʻōki ʻana o ka mimi a i ʻole ka fecal. |
| Ka ʻeha/nāwaliwali o nā wāwae | ʻOi aku ka lōʻihi o ka maneʻo a nāwaliwali paha o nā wāwae ma mua o ke kauoha a ke kauka. |
| ʻEha poʻo nui | He ʻeha poʻo nui e kū mai ana i ke kū ʻana a i ʻole ka noho ʻana a hoʻomaha ʻia i ka moe ʻana i lalo. |
He mea maʻamau ke makaʻu i ka wā e haʻi ʻia aku ai iā ʻoe e loaʻa ana iā ʻoe kahi inikini kokoke i kou iwi kuamoʻo. Akā, he ala palekana a maikaʻi hoʻi ka epidural e kāohi ai i ka ʻeha. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
Leka Lawe-Home
- He ala palekana a maikaʻi loa ka epidural no ka hoʻomaha ʻana i ka ʻeha.
- Hoʻohana pinepine ʻia ia no nā kūlana e like me ka hānau keiki ʻana, nā ʻoki kino like ʻole, a me ka ʻeha hope mau loa.
- He manaʻo kuhihewa pinepine ia he kumu ka epidural i ka ʻeha hope i ka wā lōʻihi.
- Mai kānalua e kūkākūkā i kekahi mau makaʻu, kānalua, a i ʻole nā nīnau āu e pili ana i ka epidural me kāu kauka .
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, nāwaliwali i kou mau wāwae, a i ʻole ka ʻeha poʻo nui ma hope o ka epidural, e ʻimi koke i ke kōkua lapaʻau.
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