Ua mākaukau ʻoe e lilo i makuahine a makemake ʻoe e ʻike e pili ana i nā epidurals e hōʻemi i ka ʻeha i ka wā hānau?

He ʻike kūikawā a nani hoʻi ka manaʻolana ʻana i kahi pēpē i ke ola o kēlā me kēia wahine. I ka manawa like, he mea maʻamau nō hoʻi ka makaʻu iki a me ka hopohopo e pili ana i ka ʻeha i ka wā hānau. Hiki i kekahi poʻe ke makaʻu i ka wā e noʻonoʻo ai lākou i ka ʻeha e hiki mai ana i kēlā manawa. Eia nō naʻe, no ka holomua o ka ʻepekema lapaʻau , aia nā ala e kōkua iā ʻoe e kāohi i kēlā ʻeha i kahi nui a kū i ka hānau ʻana me ka noʻonoʻo mālie a maopopo. ʻO kekahi ʻano hana i ʻike nui ʻia a holomua loa i waena o nā mea he nui ua kapa ʻia ʻo `(Epidural)` . Kapa pū kekahi i kēia `(Epidural Block)`. E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻae?

He aha kēia `(Epidural)`? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he ʻano hana ka epidural e hōʻemi ai i ka ʻeha o ka hānau keiki ʻana, e hoʻomaha iki iā ʻoe, a kōkua iā ʻoe e mālie a kāohi i ke kaʻina hana.

He ʻano hana kēia no ka hoʻomalu ʻana i ka ʻeha ma kahi kikoʻī o ke kino, ʻo ia hoʻi, ʻo ka ʻāpana holoʻokoʻa ma lalo o kou mau puʻupuʻu - me nā paia o ka vagina a hiki i kou mau wāwae - ua hoʻomaha ʻia ka ʻeha. Akā ʻo ka mea nui loa, ke loaʻa iā ʻoe kahi "Epidural," ʻoiai ʻaʻohe ʻeha, ua ʻike mau ʻoe, hiki iā ʻoe ke manaʻo i nā mea e hana nei a puni ʻoe, a hiki iā ʻoe ke lohe i nā mea a nā kauka a me nā kahu maʻi e ʻōlelo nei. ʻO ia hoʻi, hiki iā ʻoe ke hauʻoli i ka manawa nani e hiki mai ai kāu pēpē i kēia ao me ka noʻonoʻo maopopo. ʻO kēia pinepine ke ʻano nui o ka hāʻawi ʻana i ka hōʻoluʻolu ʻeha i ka wā hānau.

Pehea i hāʻawi ʻia ai kēia `(Epidural)`? Hiki iā ʻoe ke wehewehe iki?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "Auē, pehea wau e hana ai i kēia? E ʻeha anei? He aha ke ʻano o ka mea e hana ʻia?" Mai hopohopo, e wehewehe maʻalahi wau iā ʻoe.

Ke loaʻa iā ʻoe kahi epidural, hoʻokomo kahi anesthesiologist i kahi ʻōmole lahilahi i kapa ʻia he catheter i loko o kou kua haʻahaʻa, ma ke kikoʻī i loko o ka hakahaka a puni kou kaula iwi kuamoʻo i kapa ʻia ʻo ka hakahaka epidural. ʻO ka hakahaka epidural kahi hakahaka liʻiliʻi ma waho o ka membrane lahilahi e uhi ana i kou kaula iwi kuamoʻo.

I ka hana ʻana i kēia, e noi ʻia ʻoe e noho a moe paha. ʻO kēlā me kēia ʻano, pono ʻoe e mālama i kou kua i poepoe maikaʻi a kūlou i mua . E noʻonoʻo iā ia he pōpoki me kona kua i kūlou. Ma kēlā ʻano, e maʻalahi i ke kauka ke hoʻokomo i ka catheter.

E hoʻokomo ʻia kēia `(Catheter)` i kekahi mau minuke. ʻO ka mea mua, e hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau lapaʻau e hoʻomāʻū i ka wahi. No laila, e manaʻo paha ʻoe i kahi ʻano ʻūlū iki, e like me ka nahu ʻana o kahi ʻanuʻu liʻiliʻi iā ʻoe, a i ʻole kahi ʻano hou. A laila e manaʻo paha ʻoe i kahi kaomi ikaika a i ʻole kahi ʻano ʻūmiʻi. Hoʻohana ʻia ka nila e alakaʻi i ka `(Catheter)` liʻiliʻi i kahi kūpono. Ma hope o ke kau ʻia ʻana, e wehe ʻia ka nila. E manaʻo paha ʻoe i ka `(Catheter)` i loko o kou kua, akā ʻaʻole ia he ʻeha a ʻoluʻolu ʻole paha.

E noho mau ana kēia `(Epidural catheter)` a hiki i ka pau ʻana o kāu hana . Ma o ia mea e hāʻawi ʻia ai ka lāʻau ʻeha i ka wā e pono ai.

He aha ka manaʻo ma hope o ka hāʻawi ʻana i kahi epidural?

Hiki i ka lāʻau lapaʻau i hāʻawi ʻia ma o ke catheter epidural ke loaʻa nā lāʻau ʻeha (e like me nā opioids), anesthesia, a i ʻole ka hui pū ʻana o nā mea ʻelua.

E hoʻomaka ʻoe e ʻike i nā hopena o ka lāʻau lapaʻau i loko o 10-20 mau minuke ma hope o ka hāʻawi ʻia ʻana. E ʻike mau ʻoe i nā neʻe ʻana o ka pēpē, ka paʻa ʻana o kou ʻōpū i ka wā e ʻūlū ai ka ʻōpū. ʻO ia hoʻi, e ʻike ʻoe i ke kaomi o ka pēpē e hoʻāʻo nei e puka i waho. Akā, ua nalowale loa ka ʻeha hiki ʻole ke hoʻomanawanui. He mea nui loa iā ʻoe ke ʻike i kēia mau ʻūlū, no ka mea, e kōkua lākou iā ʻoe i ka wā e hoʻomaka ai ʻoe e paʻi i ka pēpē.

Ke hoʻonui a hoʻemi paha ke kauka i ka nui o ka lāʻau lapaʻau, e nāwaliwali iki paha kou mau wāwae, mehana, ʻūlū, mae, a kaumaha paha. Eia naʻe, ʻaʻole e like me kekahi mau lāʻau ʻeha ʻē aʻe, ke loaʻa iā ʻoe kahi epidural , ua ʻike piha ʻoe a ʻike i nā mea e hana nei a puni ʻoe.

He aha nā pōmaikaʻi o ka lawe ʻana i kahi epidural?

Nui nā pono o ka epidural. E nānā kākou i nā mea nui.

• Hoʻomaha ʻeha lōʻihi: ʻO ka pōmaikaʻi nui loa, hiki iā ʻoe ke loaʻa ka hoʻomaha ʻeha no ka lōʻihi o kou pono ʻana, ʻo ia hoʻi a hiki i ka pau ʻana o ka hana.
• Ka hiki ke hoʻololi i ka nui o ka lāʻau: Hiki i nā kauka ke hoʻololi i ka nui o ka lāʻau lapaʻau e pili ana i kāu mau pono a me nā pae o ka hānau ʻana. Hiki iā lākou ke hoʻōki i ka hāʻawi ʻana i ka lāʻau lapaʻau no kekahi manawa inā pono.
• Ka makaʻala a me ka ikaika maikaʻi: ʻOiai he haʻahaʻa pinepine ka nui o ka lāʻau lapaʻau, kōkua kēia i ka makuahine e makaʻala, e ʻike i nā ʻūlū ke hiki mai, a i ka manawa like e loaʻa ai ka ikaika e pono ai e paʻi i ka pēpē.
• Palekana: No ka mea, ʻo ka hapa nui o ka lāʻau lapaʻau e noho ana i loko o ka hakahaka epidural, he kakaikahi wale nō ke komo i loko o ke koko o ka makuahine a i ʻole ka pēpē. No laila, palekana loa ka epidural no ka makuahine a me ka pēpē.
• I ka hanana o kahi ʻoki C-ʻeha ulia pōpilikia: E noʻonoʻo e pono ʻoe e hana i kahi ʻoki C-ʻeha ulia pōpilikia i ka wā hānau. I kēlā hihia, hiki iā ʻoe ke loaʻa i kahi anesthetic ikaika iki ma o ka catheter epidural āu i loaʻa mua. E hoʻomānoino loa kēia iā ʻoe mai ka pūhaka a i lalo, akā e ʻike pono ʻoe i ka wā o ke ʻoki ʻana. (Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻoki C-ʻeha ulia pōpilikia me ka ʻole o kahi catheter epidural, pono paha ʻoe e hāʻawi ʻia i ka anesthesia laulā, ʻo ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ke ʻoki ʻana.)

"Hiki i kahi epidural ke kōkua nui i ka hōʻemi ʻana i ka ʻeha a me ka ʻae ʻana iā ʻoe e hoʻokipa i kāu pēpē i ka honua me ka noʻonoʻo mālie a maopopo."

Aia kekahi mau hemahema a i ʻole nā ​​​​pōʻino i kahi epidural?

E like me nā hana lapaʻau a pau, ʻaʻole nele ka epidural i kona mau pilikia. Akā, he mau mea liʻiliʻi a maʻalahi paha kēia e mālama ʻia e nā kauka. E nānā kākou i ke ʻano o lākou:

• Paʻakikī ke kaomi ʻana: I kekahi manawa, hiki i ka epidural ke hoʻolilo i ka paʻakikī o ke kaomi ʻana i ka pēpē . Eia nō naʻe, inā hana kēia, hiki i ke kauka anesthesiologist ke hoʻoponopono i ka nui o ka lāʻau lapaʻau e hoʻoponopono ai i ka pilikia.
• Ke koko haʻahaʻa i loko o ka makuahine: Hiki i kēia ke loaʻa kahi hopena liʻiliʻi i ke kahe o ke koko i ka pēpē. Akā hiki ke hoʻomalu maʻalahi ʻia kēia e nā kauka.
• Nā ʻehaʻeha liʻiliʻi ʻē aʻe: Hiki i kekahi poʻe ke loaʻa i ka ʻeha poʻo, ka ʻeha kino, ke kuni, ka nausea, a i ʻole ka luaʻi ʻana .
• Ka paʻakikī o ka mimi ʻana no ka manawa pōkole: I kekahi manawa hiki ke paʻakikī ke mimi. Inā hana ʻia kēia, pono paha e hoʻokomo ʻia kahi catheter mimi no ka manawa pōkole.

He mea weliweli iki paha kēia mau mea, akā e hoʻomanaʻo he haʻahaʻa loa nā pilikia (Hoʻoponopono ʻia: "ரோம஬ா ஦ாயி" he ʻōlelo Tamil, e hoʻohana i ka "இதமா ஦ாயி"), haʻahaʻa loa , a ua mākaukau ka hui lapaʻau no kēia mau mea a pau.

E hoʻopilikia anei ka epidural i kaʻu pēpē?

ʻO ka makaʻu nui a kekahi mau makuahine, "E hoʻopilikia anei kēia lāʻau i ka pēpē?" ʻO ka ʻoiaʻiʻo, he liʻiliʻi wale nō ka nui o ka lāʻau i hāʻawi ʻia me ka epidural e hiki i ke kahe koko o ka pēpē. He emi loa kēia ma mua o ka nui o ka lāʻau e hiki aku i ka pēpē inā hāʻawi ʻia ʻoe i kahi IV a i ʻole ka anesthesia laulā.

He haʻahaʻa loa ka pilikia i ka pēpē mai kahi epidural. Eia nō naʻe, i kekahi manawa hiki ke loaʻa kahi pilikia iki. ʻO ke ʻano kēia, hiki ke lohi pinepine ka puʻuwai o ka pēpē ma muli o ke koko haʻahaʻa o ka makuahine. Eia nō naʻe, hiki ke hoʻoponopono maʻalahi ʻia kēia. Hiki ke pale ʻia kēia ma ka hāʻawi ʻana i nā wai i ka makuahine ma o kahi IV, ka hoʻololi ʻana i kona kūlana, a me ka hoʻomaikaʻi ʻana i kona kahe koko.

Pehea koʻu manaʻo ma hope o ka hānau ʻana o ke pēpē?

Hiki paha iā ʻoe ke haʻalulu iki ma hope o ka hānau ʻana o kāu pēpē. He ʻokoʻa kēia no kekahi poʻe, inā paha he epidural kā lākou a ʻaʻole paha, no laila mai hopohopo no ia mea.

E ʻike iki ʻia kou mau wāwae he ʻano mae a kaumaha me ka manaʻo ʻāʻī a hiki i ka pau ʻana o nā hopena o ka lāʻau. No laila, ʻaʻole paha ʻoe e hiki ke hele no kekahi mau hola ma hope o ka hānau ʻana o kāu pēpē. ʻOiai i kēlā manawa, ʻoi aku ka maikaʻi o ke kōkua ʻana o kekahi iā ʻoe e hele a hiki i ka wā e maʻamau ai kou mau wāwae.

Inā he ʻoki C-section kāu, hiki i kāu kauka ke waiho i kahi epidural ma kahi no kekahi manawa e kōkua ai i ka kaohi ʻana i ka ʻeha ma hope o ke ʻoki ʻana.

Hiki ke ʻeha iki ka wahi epidural no kekahi mau lā. He mea maʻamau kēia. He mea kākaʻikahi loa, hiki i nā makuahine i loaʻa ka epidural ke loaʻa i kahi ʻeha poʻo nui ma hope o ka hānau ʻana. Inā hana ʻia kēia, pono ʻoe e haʻi koke i kāu kauka.

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

No laila, i ka hopena, he ala maikaʻi loa a palekana hoʻi ka epidural e hoʻokele ai i ka ʻeha o ka hānau keiki ʻana. Hiki iā ia ke kōkua iā ʻoe e hōʻemi i ka ʻeha a hoʻokipa i kāu pēpē i ke ao nei me ka ʻoluʻolu a me ka maluhia o ka noʻonoʻo.

ʻOiaʻiʻo, ʻaʻole pono nā kānaka a pau i ka epidural, a ʻaʻole makemake kekahi poʻe i hoʻokahi. Na ʻoe wale nō ia e hoʻoholo. Akā inā ʻoe e noʻonoʻo ana i ia mea, e kamaʻilio me kāu kauka e pili ana i ia mea . Hiki iā lākou ke kōkua iā ʻoe e koho i ke koho maikaʻi loa nāu, me ka noʻonoʻo ʻana i kou kūlana olakino, kāu mau makemake, a me nā mea hou aku.

E hoʻomanaʻo, he pilikia a he ʻike nani hoʻi ka hānau keiki ʻana. Loaʻa iā ʻoe ke kuleana e hoʻolilo i kēlā ʻike i mea ʻoluʻolu e like me ka hiki.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. Inā he mea ʻē aʻe kāu e nīnau ai, e ʻoluʻolu e nīnau mai!

ʻEpidural , hānau keiki, lāʻau ʻeha, ʻeha hānau, ʻoki cesarean, anesthesia, hāpai keiki