Inā hāpai ʻoe, ua lohe paha ʻoe i kahi 'epidural' e hōʻemi i ka ʻeha i ka wā hānau. A i ʻole ua lohe ʻoe i kekahi e kamaʻilio e pili ana i ia mea e kāohi i ka ʻeha ma hope o ka ʻeha hope a i ʻole ke ʻoki kino. Nui ka poʻe e makaʻu iki i ka lohe ʻana i kēia inoa, no ka mea, ua ʻike lākou he inikini ia i hāʻawi ʻia i ka iwi kuamoʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka epidural, kāna hana, a inā paha he palekana, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
He aha maoli ka epidural?
I ka ʻōlelo maʻalahi, he ʻōmole lahilahi a palupalu ( catheter ) i hoʻokomo ʻia i loko o kahi hakahaka liʻiliʻi ma kou kua, ma waho pono o ka membrane lahilahi e pale ana i kou kaula iwi kuamoʻo, i kapa ʻia ʻo ka hakahaka epidural . ʻAʻole ia e pa pololei i kou kaula iwi kuamoʻo. Hoʻohana nā kauka i kēia ʻano hana e hāʻawi pololei i nā lāʻau hōʻeha i nā aʻalolo e lawe ana i nā hōʻailona ʻeha i kou lolo. ʻO ke ʻano kēia, ʻoi aku ka liʻiliʻi o ka lāʻau lapaʻau e hoʻokomo ʻia ana i nā ʻāpana ʻē aʻe o kou kino, a he emi iho nā hopena ʻaoʻao.
E noʻonoʻo i ka leka ʻeha e like me ke kaʻaahi e holo ana ma nā aʻalolo i ka lolo. ʻO ka hana a ka epidural, ʻo ia ke hoʻōki iki i kekahi ʻāpana o kēlā ala kaʻaahi. A laila, ʻaʻole e hele ka leka ʻeha i ka lolo, akā, e ʻike ʻoe i nā mea e like me ka pā a me ke kaomi. ʻO ia ka mea kūikawā e pili ana i ia mea.
He aha nā hoʻohana nui o kahi epidural?
Hoʻohana ʻia ka epidural ma nā ʻano ʻelua: e like me ka anesthesia a me ka analgesia.
| ʻAno hana i hoʻohana ʻia | Ka wehewehe a me nā hoʻohana |
|---|---|
| Anesthesia no ka poloka aʻalolo | Hana ʻia kēia e pale loa i ka ʻeha i ka wā o ke ʻoki kino. Hoʻohana ʻia kēia ʻano hana i ka wā hānau keiki, nā ʻoki ʻōpū a i ʻole nā wāwae. ʻOiai ua pau ka ʻeha, ua ʻike ʻoe. Hiki paha iā ʻoe ke hele me ke kōkua. Hāʻawi mau ʻia ka lāʻau lapaʻau ma o ka catheter, no laila ʻaʻole ʻoe e ʻeha a hiki i ka pau ʻana o ke ʻoki kino. |
| Nā inikini Steroid Epidural | He ʻano ʻokoʻa iki kēia. Hoʻohana kēia i nā lāʻau lapaʻau e like me nā steroids. Hana ʻia kēia e hōʻemi i ka pehu a me ka ʻeha i hoʻokumu ʻia e ke aʻalolo pinched, herniated disc, a i ʻole spinal stenosis. Hoʻohana ke kauka i kahi X-ray e ʻimi i ke aʻalolo pololei e hoʻoulu ai i ka ʻeha a hoʻokomo iā ia kokoke iā ia. I kekahi manawa hoʻohana ʻia kēia ʻano hana e ʻike ai i ke kumu o ka ʻeha. |
ʻEha anei ka epidural? He aha ka mea e hana ʻia?
ʻO kēia ka pilikia nui loa i loaʻa i nā kānaka he nui. Eia ka mea e hana maoli nei:
1. Kūlana: E noi ʻia ʻoe e noho me kou kua i kūlou i mua a i ʻole e huli i ka ʻaoʻao me kou mau kuli i huki ʻia i luna i kou umauma. E hoʻonui kēia i ka hakahaka ma waena o kou iwi kuamoʻo a e maʻalahi ai ke hoʻokomo i ka nila.
2. ʻO ka mea mua, e hoʻomāʻū i ka ʻili : Ma mua o ke komo ʻana o ka nila epidural, e hāʻawi ke kauka anesthesiologist i kahi inikini liʻiliʻi e hoʻomāʻū i ka ʻili ma ia wahi. I kēia manawa, e manaʻo paha ʻoe e like me ke nahu ʻia nei ʻoe e kahi ʻanuʻu liʻiliʻi.
3. Ke hoʻokomo ʻana i ka epidural: Ma hope o ka mae ʻana o ka ʻili, hoʻokomo ke kauka i ka epidural. I kēia manawa, hiki i kekahi poʻe ke manaʻo i kahi ʻūlū iki, ka wela, a i ʻole ka mae ʻana. Akā, ʻaʻole manaʻo kekahi poʻe i kekahi mea.
4. Ke hoʻokomo ʻana i ke catheter a me ka wehe ʻana i ka nila: Hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o ke nila a wehe loa ʻia ke nila. ʻO ka mea wale nō i koe i loko o kou kino ʻo kēia ʻōmole lahilahi a palupalu. No laila, ʻaʻohe mea e hopohopo ai, ʻaʻole e noho ka nila i loko o kou kino.
5. Ke hāʻawi ʻana i ka lāʻau lapaʻau: A laila, hāʻawi ʻia nā lāʻau hōʻeha ma o kēia ʻōmole. Hoʻomaha mālie ka ʻeha i loko o 10-20 mau minuke.
He mea nui loa: Inā loaʻa iā ʻoe ka ʻeha nui a hiki ʻole ke hoʻomanawanui i ka wā a ma hope paha o ka epidural, he mea nui loa ia e hoʻomaopopo koke i kāu kauka a kahu maʻi paha.
Aia kekahi mau hopena ʻaoʻao e hiki ai ke hana i kēia?
E like me nā lāʻau lapaʻau āpau, hiki i kahi epidural ke hana i nā hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, he mea kakaikahi loa nā pilikia koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Maʻamau |
|
| Kākaʻikahi | |
| Nā hopena kikoʻī e hiki ke loaʻa i ka wā hānau |
Manaʻo ka poʻe he nui e hoʻoulu ka epidural i ka ʻeha hope no ka manawa lōʻihi. Eia naʻe, ʻaʻole i hōʻoia ʻia kēia e ka noiʻi lapaʻau. He mea maʻamau ka loaʻa ʻana o kekahi ʻeha iki ma kahi i inikini ʻia no kekahi mau lā ma hope o ka inikini ʻana.
Aia kekahi poʻe ʻaʻole pono e loaʻa kahi epidural?
ʻAe, i kekahi mau hihia, hiki ke pilikia ka hāʻawi ʻana i kahi epidural. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia.
- Inā he maʻi ʻoe i nā anesthetics.
- Inā he pilikia kou i ke kāpili ʻana o ke koko a i ʻole e lawe ana ʻoe i nā lāʻau hoʻokahe koko.
- Inā he maʻi ʻili ma kahi i inikini ʻia.
- Nā kūlana olakino e like me ka maʻi diabetes i kāohi ʻole ʻia.
I kēia hihia, e kuhikuhi aku kāu kauka i kahi lāʻau ʻeha ʻē aʻe i kūpono iā ʻoe.
He aha kāu e pono ai e makaʻala ma hope o ka lawe ʻana i ka epidural?
Aia kekahi mau mea āu e pale aku ai a hiki i ka pau ʻana o nā hopena o ka epidural, ʻo ia hoʻi he 24 mau hola.
- E pale i ka hoʻokele kaʻa ʻana.
- Mai hoʻohana i nā mīkini.
- E pale i ka inu ʻana i ka waiʻona.
Ma muli o kāu ʻoki kino a me ke ʻano o ka epidural i loaʻa iā ʻoe, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī. He mea nui loa ia e hahai pololei i kēlā mau kuhikuhi.
Leka Lawe-Home
- He ala palekana a maikaʻi hoʻi ka epidural no ka hoʻomalu ʻana i ka ʻeha i hoʻohana ʻia i ka wā hānau keiki, ke ʻoki kino, a me kekahi mau maʻi ʻeha mau loa.
- Ma kēia, ʻaʻohe nila i kau ʻia i loko o ke kino. Hoʻokomo wale ʻia kahi ʻōmole lahilahi a palupalu (catheter).
- Hoʻomaʻamaʻa ʻia ka ʻili ma mua o ke komo ʻana o ka epidural, no laila ʻaʻole ʻoe e ʻeha nui. Eia nō naʻe, hiki iā ʻoe ke manaʻo iki i kahi ʻoluʻolu ʻole.
- He haʻahaʻa loa ka hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, inā he kānalua a nīnau paha kāu, mai kānalua e nīnau i kāu kauka .
- He mea nui loa ia no kou palekana e hahai pono i nā ʻōlelo a kāu kauka ma hope o ka hāʻawi ʻia ʻana o kahi epidural.
ʻEpidural, hānau keiki, ʻeha ʻeha, anesthesia, ʻeha kua, ʻoki kino, ʻoki kino
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