Ua loaʻa anei iā ʻoe kahi ʻeha poʻo nui ma hope o ka hoʻopā ʻana i ka iwi kuamoʻo, a i ʻole ka epidural no ka hānau keiki ʻana? ʻO kēia ʻeha poʻo, ka mea hoʻonāukiuki loa i kou kū ʻana a kū paha, akā e emi ana i kou moe ʻana i lalo, he mea hoʻonāukiuki loa ia, ʻeā? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e ʻōlelo nei i ka wā ʻaʻole hāʻawi nā lāʻau ʻeha maʻamau i ka hōʻoluʻolu. ʻO ia ka ʻāpana koko epidural.
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He aha ka ʻāpana koko epidural?
I ka ʻōlelo maʻalahi, pili kēia i ka lawe ʻana i kekahi o kou koko ponoʻī a hoʻokomo iā ia i loko o ka hakahaka a puni kou kaula iwi kuamoʻo i kapa ʻia ʻo 'epidural space'. I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha wau e hoʻokomo hou ʻia ai koʻu koko ponoʻī?"
ʻO kēia ke kumu. E like me kā mākou i ʻōlelo ai ma mua, ke loaʻa iā ʻoe kahi puncture lumbar a i ʻole kahi epidural, hiki ke hana ʻia kahi lua liʻiliʻi ma ka dura, ka membrane e hoʻopuni ana i kou kaula spinal. ʻAe kēia i kekahi o nā wai makamae i loko, i kapa ʻia ʻo cerebrospinal fluid (CSF), e kahe i waho. Ke pau kēia wai, hiki iā ʻoe ke loaʻa i kahi ʻeha poʻo nui e paʻakikī ai ke hoʻopaʻa pololei i kou poʻo.
No laila, ʻelua mau mea nui a kēia ʻāpana koko:
1. Hoʻōki i ka liki ʻana: Ke hoʻokomo ʻia kou koko i loko o ka hakahaka epidural, paʻa ke koko a hoʻopaʻa i ka lua liʻiliʻi. Ua like ia me ke kau ʻana i kahi band-aid. Hoʻōki kēia i ka wai CSF mai ka liki ʻana i waho.
2. Hoʻihoʻi ʻia ke kaomi: Ke hoʻohui ʻia kekahi koko i ka hakahaka, hoʻihoʻi ʻia ke kaomi i nalowale i loko i kekahi ʻano a emi koke ke poʻo.
He hana koho kēia i hana ʻia ma ke ʻōlelo a ke kauka a hiki ke koho ʻia e like me kou makemake.
I ka manawa hea e pono ai kēia lāʻau lapaʻau?
Inā loaʻa iā ʻoe kahi ʻeha poʻo nui o ke kuamoʻo i ʻole e nalowale me nā lāʻau lapaʻau maʻamau, hiki i kāu kauka ke kuhikuhi i kēia ʻāpana koko. ʻO ka mea maʻamau, ʻo ka mea mua e hoʻāʻo ai:
- E noho ma kahi moe a hoʻomaha i ka hiki.
- E inu i ka nui o ka wai a me nā wai (hiki paha ke hāʻawi ʻia aku nā wai IV, e like me ka saline).
- Ke hoʻohana nei i nā lāʻau lapaʻau e like me nā painkillers (NSAIDs).
- E inu i nā mea inu i loaʻa ka caffeine, e like me ke kofe.
Akā inā ʻaʻole hiki i kēia mau lāʻau ke hōʻoluʻolu i ke poʻo, a inā ʻaʻole hiki iā ʻoe ke noho ma kahi moe (no ka laʻana, he makuahine hou i loaʻa kahi pēpē a i ʻole kekahi e pono e hele koke i ka hana), he hopena maikaʻi kahi ʻāpana koko.
Loaʻa kahi ʻeha poʻo ma hope o nā kūlana e like me kēia:
- Ma hope o ka lawe ʻana i ke wai mai ka iwi kuamoʻo (Spinal tap / Lumbar Puncture).
- Ma hope o kahi epidural, i hāʻawi ʻia e hōʻemi i ka ʻeha i ka wā hānau keiki a i ʻole ke ʻoki ʻana.
- Inā ua hōʻino ʻia ka membrane e uhi ana i ke kaula spinal (dura) i ka wā o ke ʻoki hope a i ʻole kahi ulia.
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Check Availability →Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
Mai hopohopo, e wehewehe ana kāu kauka i ke kaʻina hana, kona mau pono a me nā pōʻino, a pehea e hana ai. Hiki ke aʻo ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 8 mau hola ma mua o ke kaʻina hana. Eia kekahi, e hōʻoia e haʻi aku i kāu kauka i kēia mau mea:
- Inā ʻoe e lawe ana i kekahi mea e like me nā lāʻau hoʻokahe koko (anticoagulants).
- Inā loaʻa iā ʻoe ka maʻi diabetes a hoʻohana i ka insulin.
- Inā he maʻi ʻoe i kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi i nā anesthetics.
- Inā hāpai ʻoe.
Pehea e hana ai i kahi ʻāpana koko i kēlā me kēia ʻanuʻu
He maʻalahi loa ke ʻano o kēia lapaʻau. E nānā kākou i ka mea e hana ʻia ma kēlā me kēia ʻanuʻu.
| Kaʻanuʻu | He aha ka mea e hana ʻia |
|---|---|
| 1. Kūlana | E noi ʻia ʻoe e huli i kou ʻaoʻao a moe i lalo a noho paha i lalo. ʻO ka mea nui loa, ʻo ia ke noho mālie i kēia manawa. |
| 2. Hoʻomaʻemaʻe | Ua hoʻomaʻemaʻe pono ʻia ka wahi i hoʻokomo ʻia ai ke kui ma ke kua a me ka wahi i huki ʻia ai ke koko ma ka lima me ka lāʻau disinfectant. |
| 3. Māmā | No ka hōʻemi ʻana i ka ʻeha, hoʻokomo ʻia kahi anesthetic kūloko i loko o kahi i hoʻokomo ʻia ai ka nila. |
| 4. Ka hōʻiliʻili koko | Hoʻokomo ʻia kahi cannula (IV catheter) i loko o kahi aa koko i kou lima a lawe ʻia ma kahi o 15-20 milliliters o kou koko ponoʻī. |
| 5. Ke hoʻokomo nei i ka nila | Hoʻokomo kahi anesthesiologist a radiologist paha i kahi nila kūikawā i loko o ka hakahaka epidural ma ke kua, i kekahi manawa e hoʻohana ana i ka ultrasound e alakaʻi i ka wahi kikoʻī. |
| 6. Ke kahe koko ʻana | Hoʻokomo mālie ʻia ke koko i huki ʻia mai ka lima i loko o ke kua ma luna o 30-60 kekona. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻeha iki a i ʻole ka ʻūmiʻi ma kou kua. Pono ʻoe e haʻi koke i ke kauka i kou manaʻo. |
| 7. Hoʻopau ʻana | Wehe ʻia ke kui a kau ʻia kahi kāʻei ma ka wahi. ʻO ia wale nō. |
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
He nui ka poʻe e ʻike koke i ka hōʻoluʻolu mai nā ʻeha poʻo ma hope o ka hana ʻana i kēia lāʻau lapaʻau. ʻO ia ka pōmaikaʻi nui loa o kēia lāʻau lapaʻau.
Ma hope o ka lāʻau lapaʻau, e lawe ʻia ʻoe i ka lumi hoʻōla e hoʻomaha ai no kekahi manawa. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home. E aʻo aku ke kauka iā ʻoe e pale i nā hana kaumaha, ka hāpai ʻana i nā mea kaumaha, a me ke kūlou ʻana no 24 mau hola . Ma hope o kēlā, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau.
Ke hoʻomoe nei kēia iā ʻoe?
ʻO ka maʻamau, ʻaʻole i hoʻomaha loa ʻia nā pākeke i ka wā o kēia mālama ʻana. ʻO kēia no ka mea pono ʻoe e haʻi i ke kauka i kou manaʻo i ka wā e hoʻokomo ʻia ai ke koko i loko o kou kua. Eia nō naʻe, ʻo ka wahi i hoʻokomo ʻia wale nō ka mea i hoʻomānoʻino ʻia i ʻole ʻoe e ʻike i ka ʻeha. Eia nō naʻe, inā he hopohopo a hopohopo paha kāu e pili ana i kēia, e hōʻoia e haʻi i kāu kauka. Hiki ke hoʻomaha ʻia nā keiki liʻiliʻi i ka wā o kēia mālama ʻana.
Nā pono a me nā pilikia kūpono o ka Blood Patch
E like me nā lāʻau lapaʻau āpau, aia nā pono a me kekahi mau pilikia liʻiliʻi.
| Nā Pōmaikaʻi | Nā hopena ʻaoʻao a me nā pilikia |
|---|---|
| Hoʻomaha wikiwiki a lōʻihi. Hāʻawi koke i ka hoʻomaha mai kahi ʻeha poʻo nui e mau a hiki i ʻelua pule. ʻOi aku ka maikaʻi ma mua o kahi hopena manawa pōkole e like me nā mea hōʻeha ʻeha. |
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Wahi a nā noiʻi, ua holomua kēia lāʻau lapaʻau ma 85 o 100 mau kānaka (85%). Inā hāʻule ka manawa mua, he 90% ka holomua o ka lua o ka pā koko.
Āhea wau e kāhea koke aku ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi ma hope o kāu lāʻau lapaʻau, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka. E makaʻala i kēia mau hōʻailona:
- ʻUlaʻula, hoʻololi ke kala, ʻeha, a me ka pus ma kahi i inikini ʻia.
- Kuni .
- Manaʻo luhi loa.
Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua. E ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- ʻAʻole he ʻeha maʻamau ka "ʻeha poʻo kuamoʻo". He hopena kūpono loa ka Epidural Blood Patch no kēia ʻeha, ʻoi aku ka ʻino ke kū ʻoe i luna.
- Ma kēia, ua hoʻokomo ʻia kahi koko liʻiliʻi i loko o ke kuamoʻo. No laila, ʻaʻohe mea e makaʻu ai. Ua manaʻo ʻia kēia he lāʻau palekana loa.
- Ma kahi o 85% ka holomua o ka lāʻau lapaʻau. Akā e like me nā mea āpau, aia kahi pilikia liʻiliʻi. E kamaʻilio ākea me kāu kauka e pili ana i ia mea a e nīnau i kāu mau nīnau.
- Inā ʻike ʻoe i kekahi mea ma hope o ka lāʻau lapaʻau, e like me ke kuni, ka pehu, ka ʻulaʻula, a i ʻole ka pus ma kahi i ini ʻia , e ʻimi koke i ke kōkua lapaʻau .
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